Evidence map›Paper›PMID 24601735›Full record

ArticleAIDS patient care and STDs2014

Longitudinal spiritual coping with trauma in people with HIV: implications for health care.

Heidemarie Kremer, Gail Ironson

Abstract read
In one paragraph

Article in AIDS patient care and STDs, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Compassionate Love as a Predictor of Reduced HIV Disease Progression and Transmission Risk.Evidence-based complementary and alternative medicine : eCAM · 2013
    Article
  15. Future directions for interventions targeting PTSD in HIV-infected adults.The Journal of the Association of Nurses in AIDS Care : JANAC
    Review
  16. Article
  17. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Heidemarie KremerDepartment of Psychology, University of Miami , Miami, Florida.
Gail Ironson

Funding

Psychobiological Processes and Health in HIV/AIDSR01MH066697 · NIMH · UNIVERSITY OF MIAMI CORAL GABLES · PI IRONSON, GAIL H · 2003 to 2007
$2.6M
PSYCHOLOGY OF HEALTH AND LONG SURVIVAL WITH AIDSR01MH053791 · NIMH · UNIVERSITY OF MIAMI CORAL GABLES · PI IRONSON, GAIL H · 1996 to 2000
$310k
NIMH NIH HHS R01MH066697NIMH NIH HHS R01MH53791
6 · The paper itself

Abstract

This 10-year study (N=177) examines how people with HIV use spirituality to cope with life's trauma on top of HIV-related stress (e.g., facing death, stigma, poverty, limited healthcare) usual events. Spirituality, defined as a connection to a higher presence, is independent from religion (institutionalized spirituality). As a dynamic adaptive process, coping requires longitudinal studying. Qualitative content-analysis of interviews/essays yielded a coding of specific aspects and a longitudinal rating of overall spiritual coping. Most participants were rated as spiritual, using spiritual practices, about half experienced comfort, empowerment, growth/transformation, gratitude, less than one-third meaning, community, and positive reframing. Up to one-fifth perceived spiritual conflict, struggle, or anger, triggering post-traumatic stress, which sometimes converted into positive growth/transformation later. Over time, 65% used spiritual coping positively, 7% negatively, and 28% had no significant use. Spirituality was mainly beneficial for women, heterosexuals, and African Americans (p<0.05). Results suggest that spirituality is a major source of positive and occasionally negative coping (e.g., viewing HIV as sin). We discuss how clinicians can recognize and prevent when spirituality is creating distress and barriers to HIV treatment, adding a literature review on ways of effective spiritual assessment. Spirituality may be a beneficial component of coping with trauma, considering socio-cultural contexts.

Indexed as

Adaptation, PsychologicalSpiritualityAdultDelivery of Health CareFemaleHIV InfectionsHumansInterviews as TopicLife Change EventsLongitudinal StudiesMiddle AgedQualitative ResearchQuality of LifeSocioeconomic FactorsStress, PsychologicalSurveys and Questionnaires

Identifiers

PMID24601735
PMCPMC3948611

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.