Evidence map›Paper›PMID 41549949›Full record

SynthesisJournal of the American Geriatrics Society2026

Spirituality and Religiosity as Sources of Resilience in Older Adults With Chronic Illness: A Mixed Methods Systematic Review.

Hawa O Abu, Oladunni Oyedotun, Ganga Bey, Tatiana Thompson, Zainab Main, Carolyn Dunderdale, Lyba Khan, Sarah Hutton, Elena Salmoirago, Jerry H Gurwitz and 3 more

Abstract readSystematic Review
In one paragraph

Synthesis in Journal of the American Geriatrics Society, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Review
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

13 authors.

Hawa O AbuDivision of Geriatric Medicine, Department of Medicine, University of Massachusetts Chan Medical School, Worcester, Massachusetts, USA.
Oladunni OyedotunDivision of Geriatric Medicine, Department of Medicine, University of Massachusetts Chan Medical School, Worcester, Massachusetts, USA.
Ganga BeyDepartment of Epidemiology, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, North Carolina, USA.
Tatiana ThompsonDivision of Geriatric Medicine, Department of Medicine, University of Massachusetts Chan Medical School, Worcester, Massachusetts, USA.
Zainab MainDivision of Geriatric Medicine, Department of Medicine, University of Massachusetts Chan Medical School, Worcester, Massachusetts, USA.
Carolyn DunderdaleDivision of Geriatric Medicine, Department of Medicine, University of Massachusetts Chan Medical School, Worcester, Massachusetts, USA.
Lyba KhanDivision of Geriatric Medicine, Department of Medicine, University of Massachusetts Chan Medical School, Worcester, Massachusetts, USA.
Sarah HuttonUniversity of Massachusetts Chan Medical School, Lamar Soutter Library, Worcester, Massachusetts, USA.
Elena SalmoiragoCardiovascular Institute, Division of Cardiology, Brown University School of Medicine, Providence, Rhode Island, USA.
Jerry H GurwitzDivision of Geriatric Medicine, Department of Medicine, University of Massachusetts Chan Medical School, Worcester, Massachusetts, USA.ORCID 0000-0003-1630-8213
David DosaDivision of Geriatric Medicine, Department of Medicine, University of Massachusetts Chan Medical School, Worcester, Massachusetts, USA.
Alok KapoorDivision of Hospital Medicine, University of Massachusetts Chan Medical School, Worcester, Massachusetts, USA.ORCID 0000-0003-1300-7124
Christina PuchalskiDepartment of Medicine and Health Sciences, George Washington University School of Medicine, Washington, DC, USA.

Funding

University of Massachusetts Center for Clinical and Translational ScienceKL2TR001455 · NCATS · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI KIEFE, CATARINA I. · 2015 to 2024
$5.0M
SUPPORT-AF IVR01HL155343 · NHLBI · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI KAPOOR, ALOK, MCMANUS, DAVID D. · 2021 to 2025
$3.4M
NCATS NIH HHS KL2 TR001455NHLBI NIH HHS 3R01HL155343-04S1NHLBI NIH HHS R01 HL155343University of Massachusetts Chan Center for Clinical and Translational Science KL2 Faculty Career Development Program KL2TR00155
6 · The paper itself

Abstract

backgroundWith an aging population globally, the number of older adults living with chronic diseases has increased. There is limited understanding of how spirituality and religiosity are pivotal for resilience among older people dealing with the burden of managing chronic illnesses.

objectiveTo systematically identify, synthesize, and critically appraise the current evidence on how spirituality and religiosity serve as sources of resilience among older adults with chronic illness.

methodsThis review was registered with PROSPERO (CRD420250645463). Several online databases (PubMed, MEDLINE (Ovid), APA PsycINFO, and CINAHL) were searched from database inception to March 2025. Included articles were peer-reviewed, published in English, had adults aged ≥ 60 years with chronic conditions, and reported quantitative or qualitative findings on participant experiences and influence of spirituality and religiosity. The methodological quality of each included study was assessed. The qualitative and quantitative findings were analyzed separately, followed by an integrated analysis.

resultsTwenty-six articles (21 quantitative and 5 qualitative) were included. Most of the studies were conducted in the United States and among predominantly Christian populations. Varying measures were utilized in assessing spirituality and religiosity. From the integrative synthesis of both studies, spirituality and religiosity served as a source of resilience for older adults through four overarching domains: (i) Spiritual connection as a source of strength; (ii) Meaning, purpose, and life satisfaction through spiritual beliefs; (iii) Combining spirituality and medical care; and (iv) Faith communities as social support networks.

conclusionSpirituality and religiosity are important, yet underutilized, resources that promote resilience in older adults with chronic illness. Greater clinical attention to spiritual assessment, integration into chronic disease care, and referral for clerical intervention when indicated may enhance patient-centered outcomes. Future research should increase representation of diverse religious perspectives, ensure uniformity in assessing spirituality/religiosity to enhance comparability across studies, and explore clinician preparedness to deliver holistic care.

Indexed as

ReligionResilience, PsychologicalSpiritualityAdaptation, PsychologicalAgedChronic DiseaseHumansolder adultsreligiosityresiliencespirituality

Identifiers

PMID41549949
PMCPMC13224802

What OpenQuestion holds

Textmetadata
LicenceTDM
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.