title: Spiritual coping predicts 5-year health outcomes in adolescents with cystic fibrosis.
abstract: BACKGROUND
  Positive spiritual coping in adolescent patients with cystic fibrosis (CF) is associated with better emotional functioning, but its role in health outcomes is unknown.
  
  
  METHODS
  Adolescents diagnosed with CF (n = 46; M = 14.7 years) reported on their use of positive and negative spiritual coping. Measures of nutrition status (BMIp), pulmonary function (%FEV1), and hospitalizations were obtained for a five-year follow up period. Changes in BMIp and %FEV1 scores were estimated with hierarchical linear models; days hospitalized were modeled with negative binomial regression.
  
  
  RESULTS
  Positive spiritual coping was associated with slower decline in pulmonary function, stable vs. declining nutritional status, and fewer days hospitalized over the five-year period. Negative spiritual coping was associated with higher BMI percentile at baseline, but not with health outcomes over time.
  
  
  CONCLUSIONS
  These results suggest that positive spiritual coping plays a key role in maintaining long-term health of adolescent patients with CF.
authors.affiliation: University of Alabama at Birmingham, 1720 2nd Ave S, Birmingham, AL 35294, USA.
authors.forename: Nina
authors.initials: N
authors.lastname: Reynolds
authors.affiliation: University of Alabama at Birmingham, 1720 2nd Ave S, Birmingham, AL 35294, USA. Electronic address: smrug@uab.edu.
authors.forename: Sylvie
authors.initials: S
authors.lastname: Mrug
authors.affiliation: University of Alabama at Birmingham, 1720 2nd Ave S, Birmingham, AL 35294, USA.
authors.forename: LaCrecia
authors.initials: L
authors.lastname: Britton
authors.affiliation: Oregon Health and Sciences University, 3181 S.W. Sam Jackson Park Rd, Portland, OR 97239-3098, USA.
authors.forename: Kimberly
authors.initials: K
authors.lastname: Guion
authors.affiliation: Nationwide Children's Hospital, 700 Children's Drive, Columbus, OH 43205, USA.
authors.forename: Kelly
authors.initials: K
authors.lastname: Wolfe
authors.affiliation: University of Alabama at Birmingham, 1720 2nd Ave S, Birmingham, AL 35294, USA.
authors.forename: Hector
authors.initials: H
authors.lastname: Gutierrez
mesh_terms: D000223:Adaptation, Psychological; D000293:Adolescent; D015992:Body Mass Index; D002648:Child; D003550:Cystic Fibrosis / Q000503:physiopathology / Q000523:psychology*; D004644:Emotions; D005260:Female; D005541:Forced Expiratory Volume; D006760:Hospitalization; D006801:Humans; D008297:Male; D009752:Nutritional Status
keywords: Long-term outcomes; Psychology; Spiritual coping