Evidence map›Paper›PMID 27149968›Full record

ArticleJournal of general internal medicine2016

Relationship Between Spiritual Coping and Survival in Patients with HIV.

Gail Ironson, Heidemarie Kremer, Aurelie Lucette

Abstract read
In one paragraph

Article in Journal of general internal medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing 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

24 citing papers in PubMed.

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  9. Structural equation model of intersectional microaggressions, discrimination, resilience, and mental health among black women with hiv.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2023
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  15. Observational
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  18. Anxiety and Avoidance in Adults and Childhood Trauma Are Associated with Negative Religious Coping.International journal of environmental research and public health · 2020
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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

3 authors.

Gail IronsonDepartment of Psychology, University of Miami, 5665 Ponce de Leon Blvd, Coral Gables, FL, 33124-0751, USA. gironson@aol.com.
Heidemarie KremerDepartment of Psychology, University of Miami, 5665 Ponce de Leon Blvd, Coral Gables, FL, 33124-0751, USA.
Aurelie LucetteDepartment of Psychology, University of Miami, 5665 Ponce de Leon Blvd, Coral Gables, FL, 33124-0751, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundStudies of spirituality in initially healthy people have shown a survival advantage, yet there are fewer research studies in the medically ill, despite the widespread use of spirituality/religiousness to cope with serious physical illness. In addition, many studies have used limited measures such as religious service attendance.

objectiveWe aimed to examine if, independent of medication adherence, the use of spirituality/religiousness to cope with HIV predicts survival over 17 years.

designThis was a longitudinal study, started in 1997. Study materials were administered semi annually.

participantsA diverse sample of 177 HIV patients initially in the mid-stage of disease (150-500 CD4-cells/mm(3); no prior AIDS-defining symptoms) participated in the study. MAIN MEASURES: Participants were administered a battery of psychosocial questionnaires and a blood draw. They completed interviews and essays to assess current stressors. Spiritual coping (overall/strategies) was rated by qualitative content analysis of interviews regarding stress and coping with HIV, and essays. KEY

resultsControlling for medical variables (baseline CD4/viral load) and demographics, Cox regression analyses showed that overall positive spiritual coping significantly predicted greater survival over 17 years (mortality HR = 0.56, p = 0.039). Findings held even after controlling for health behaviors (medication adherence, substance use) and social support. Particular spiritual coping strategies that predicted longer survival included spiritual practices (HR = 0.26, p < 0.001), spiritual reframing (HR = 0.27, p = 0.006), overcoming spiritual guilt (HR = 0.24, p < 0.001), spiritual gratitude (HR = 0.40, p = 0.002), and spiritual empowerment (HR = 0.52, p = 0.024), indicating that people using these strategies were 2-4 times more likely to survive.

conclusionsTo our knowledge this is the first study showing a prospective relationship of spiritual coping in people who are medically ill with survival over such a long period of time, and also specifically identifies several strategies of spirituality that may be beneficial.

Indexed as

Adaptation, PsychologicalSpiritualityAdultFemaleHIV InfectionsHumansLongitudinal StudiesMaleMiddle AgedProspective StudiesSurveys and QuestionnairesSurvival RateHIVspiritual copingspiritualityspiritual practicesspiritual reframingsurvival

Identifiers

PMID27149968
PMCPMC4978670

What OpenQuestion holds

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Registered trials

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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.