Literature DB >> 21103963

Spirituality and religiosity in patients with HIV: a test and expansion of a model.

Ian Kudel1, Sian Cotton, Magda Szaflarski, William C Holmes, Joel Tsevat.   

Abstract

BACKGROUND: A causal model developed by Koenig suggests that higher levels of spirituality and religiosity effect intermediary variables and eventually result in better mental health, which then positively affects physical function. PURPOSE/
METHODS: Using structural equation modeling, we tested the model and expanded versions that use self-report data of patients with HIV (n = 345).
RESULTS: All models demonstrated good overall fit with significant parameters. The final model found that increased spirituality/religiosity predicted increased religious coping, which influenced social support. Social support, in turn, positively influenced depressed mood (as a measure of mental health); depressed mood affected fatigue; and both variables predicted self-reported physical function. These three variables predicted health rating/utility for one's health state. Additional analyses found that two covariates, religiosity and race, differentially predicted spirituality/religiosity and religious coping.
CONCLUSION: In patients with HIV, an expanded version of Koenig's model found that increased spirituality/religiosity is positively associated with self-reported outcomes.

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Year:  2011        PMID: 21103963     DOI: 10.1007/s12160-010-9229-x

Source DB:  PubMed          Journal:  Ann Behav Med        ISSN: 0883-6612


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