Nina Reynolds1, Sylvie Mrug2, LaCrecia Britton1, Kimberly Guion3, Kelly Wolfe4, Hector Gutierrez1. 1. University of Alabama at Birmingham, 1720 2nd Ave S, Birmingham, AL 35294, USA. 2. University of Alabama at Birmingham, 1720 2nd Ave S, Birmingham, AL 35294, USA. Electronic address: smrug@uab.edu. 3. Oregon Health and Sciences University, 3181 S.W. Sam Jackson Park Rd, Portland, OR 97239-3098, USA. 4. Nationwide Children's Hospital, 700 Children's Drive, Columbus, OH 43205, USA.
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.
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.
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