Cited by 273Religion, Spirituality, and PsychologyOptimism, Hope, and Well-beingHIV/AIDS Research and Interventions

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Religious Coping and Physiological, Psychological, Social, and Spiritual Outcomes in Patients with HIV/AIDS: Cross-sectional and Longitudinal Findings

Trevino, Kelly M., Pargament, Kenneth I., Cotton, Sian, Leonard, Anthony C., Hahn, June, Caprini-Faigin, Carol Ann, Tsevat, Joel·2010·AIDS and Behavior

DOI 10.1007/s10461-007-9332-6

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Abstract

The present study investigated the relationships between positive religious coping (e.g., seeking spiritual support) and spiritual struggle (e.g., anger at God) versus viral load, CD4 count, quality of life, HIV symptoms, depression, self-esteem, social support, and spiritual well-being in 429 patients with HIV/AIDS. Data were collected through patient interview and chart review at baseline and 12-18 months later from four clinical sites. At baseline, positive religious coping was associated with positive outcomes while spiritual struggle was associated with negative outcomes. In addition, high levels of positive religious coping and low levels of spiritual struggle were associated with small but significant improvements over time. These results have implications for assessing religious coping and designing interventions targeting spiritual struggle in patients with HIV/AIDS.

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Three sides of a coin in the life of people living with HIV (PLWH)
KHAKHA, D. C., Kapoor, B., Manju, & Sharma, S. K. (2015) · Indian Journal of Community Medicine · doi:10.4103/0970-0218.164385 · Cited by 3
“,(11) giving implications for assessing religious coping and designing interventions targeting spiritual struggle in patients with HIV/AIDS.”
Background
Spirituality in HIV+ Patient Care
Utley, J. L., & Wachholtz, A. (2011) · Psychiatry Information in Brief · doi:10.7191/pib.1047 · Cited by 3
“Trevino et al. (2010) offer the following suggestions for providers with HIV/ AIDS patients: • Assess positive religious coping and spiritual struggle early in treatment; assessing early is especially important to mitigate the effects of patients experiencing spiritual struggle; • Support and…”
BackgroundResultInfluential
Faith Practices and Life Stress: An Exploratory Study of Parishioners Within the Greek Orthodox Archdiocese of America
Crea, T. M. (2012) · The Journal of psychology and Christianity · Cited by 3
An Investigation of the Relationship among pathological and non pathological guilt feeling, Religious Attitude and Mental Health
Khosravi, Z., Zarabiha, E., & Nemati, A. (2011) · Procedia - Social and Behavioral Sciences · doi:10.1016/j.sbspro.2011.10.265 · Cited by 3
The Influence of Neurocognitive Functioning on Proactive Coping Behaviors in Adults With HIV
Cody, S. L., Fazeli, P. L., Moneyham, L. D., & Vance, D. E. (2016) · Journal of Neuroscience Nursing · doi:10.1097/jnn.0000000000000216 · Cited by 3
“…influence health outcomes, continuous declines in physical function and emotional dysregulation may possibly foster poor relationships with God, especially for some adults with HIV who exhaust their coping resources as it becomes more difficult to maintain hope over time (Trevino et al., 2010).”
Background
Religiousness, Spirituality, and Well-Being Among HIV Positive Gay Men
Walker, J. J., & Pérez, J. E. (2017) · Springer eBooks · doi:10.1007/978-1-4419-0203-0_13 · Cited by 3
Type 2 Diabetes, Religious Beliefs and Psychological Interventions
Onyishi, C. N. (2021) · Indian Journal of Public Health Research & Development · doi:10.37506/ijphrd.v12i1.13857 · Cited by 3
Praying for People You Know Predicts Survival over 17 Years Among People Living with HIV in the U.S.
Ironson, G. H., & Ahmad, S. S. (2022) · Journal of Religion and Health · doi:10.1007/s10943-022-01622-5 · Cited by 3
The Relationship Among Career Thoughts, Optimism, and Spirituality in Women diagnosed with Breast Cancer
Dames, L. S. (2013) · Digital Commons - University of South Florida (University of South Florida) · Cited by 3
Coping religioso, resiliência e qualidade de vida de pessoas com HIV/AIDS
de Brito, H. L. (2016) · doi:10.26512/2016.03.t.20528 · Cited by 3
Auf dem Weg zu einem theoretischen Model von Spiritualität für die klinische Praxis: Eine amerikanische Perspektive
Trevino, K. M., & Pargäment, K. I. (2008) · doi:10.23668/psycharchives.14791 · Cited by 2
Self-citation
Religious Coping Among Muslims With Mental and Medical Health Concerns
Saritoprak, S. N., & Exline, J. J. (2021) · IGI Global eBooks · doi:10.4018/978-1-7998-8544-3.ch055 · Cited by 2
The effect of religiosity on stress, anxiety, depression, and life satisfaction during the COVID-19 pandemic in Korea
Yoo, J. (2023) · Journal of Beliefs and Values · doi:10.1080/13617672.2023.2186645 · Cited by 4
“…has revealed that religious and spiritual struggles are associated with negative mental health outcomes (Exline et al. 2014; Lawrence et al. 2016; Trevino et al. 2010), the positive association between religiosity and mental health has been supported by the coping mechanisms through which…”
Psychological Well-Being and Positive Emotions
Koenig, H. G., VanderWeele, T. J., & Peteet, J. R. (2023) · Oxford University Press eBooks · doi:10.1093/oso/9780190088859.003.0012 · Cited by 2
‘I am Closer to God than Ever Before’: An Exploratory Study of the Religious and Spiritual Experiences of Pregnant Muslim Women in Rural Punjab, Pakistan
Safdar, M. R., Siddique, H., & Ahmad, A. (2025) · Journal of Religion and Health · doi:10.1007/s10943-025-02430-3 · Cited by 3
“These findings are in line with research conducted in Uganda and Africa (Ashaba et al., 2017; Kotzé et al., 2013; Myint & Mash, 2008; Trevino et al., 2010).”
Spiritual Direction as Psychospiritual Care for Women with Autoimmune Diseases
ARORA, K. R. (2013) · Palgrave Macmillan US eBooks · doi:10.1057/9781137348456_3 · Cited by 2
The Pengalaman Aktivitas Spiritual pada Orang dengan HIV/AIDS (ODHA) dalam Menjalani Proses Penyakitnya
Edison, C., Setyowati, S., & Waluyo, A. D. (2021) · Faletehan Health Journal · doi:10.33746/fhj.v8i03.209 · Cited by 2
Predicting Trait Competitive Anxiety, Competitive Aggression, and Competitive Anger based on Spiritual Intelligence in Veterans and Disabled Athletes
Khajavi, D., & Mirali, H. (2017) · مجله طب جانباز · doi:10.18869/acadpub.ijwph.9.3.163 · Cited by 2
Asset-Based Coping as One Way of Dealing with Vulnerability
Ferreira, R. (2013) · Cross-cultural advancements in positive psychology · doi:10.1007/978-94-007-6368-5_17 · Cited by 3
Spiritual Needs and Their Correlation with Characteristics of People Living with HIV/AIDS: A Cross-Sectional Study
Witdiawati, W., Ibrahim, K., Juniarti, N., Nugraha, B. A., Ayuningsih, R., & Afriandi, I. (2021) · Open Access Macedonian Journal of Medical Sciences · doi:10.3889/oamjms.2021.7324 · Cited by 2
“They have confidence in the success of the treatment provided, improve psychological and social well-being, reduce anxiety, and improve quality of life [12], [24].”
Background
Religiousness and Symptoms of Depression in Native and Immigrant Chronic Dialysis Patients in the Netherlands
Haverkamp, G. L. G., Braam, A. W., Loosman, W. L., van den Beukel, T. O., van Diepen, M., Dekker, F. W., Siegert, C. E. H., & Honig, A. (2019) · Journal of Clinical Psychology in Medical Settings · doi:10.1007/s10880-019-09625-3 · Cited by 2
The Relationship between Religious Attitude and Academic Performance; the Mediating Role of Academic Stress in the Students of Guilan University
Faghihi, A. N., Abedei, E., Mosdegh, H., & Ansari, H. (2021) · Applied Issues in Quarterly Journal of Islamic Education · doi:10.52547/qaiie.5.4.89 · Cited by 2
Spiritual and religious aspects influence mental health and viral load: A quantitative study among young people living with HIV in ZimbabwePreprint
Wüthrich-Grossenbacher, U., Mutsinze, A., Wolf, U., Maponga, C. C., Midzi, N., Mutsaka‐Makuvaza, M. J., & Merten, S. (2023) · medRxiv · doi:10.1101/2023.04.24.23289049 · Cited by 2
The Contribution of Pharmacy to The Management of HIV Patients at Maitama District Hospital, Abuja, Nigeria
Audu, B. (2013) · Wolverhampton Intellectual Repository and E-Theses (University of Wolverhampton) · Cited by 2
The quality of life and coping skills of patients with human immunodeficiency virus among different occupation
Kamthan, S., Pant, B., Kumar, D., Gupta, M., & Nasser, K. (2019) · International Journal of Community Medicine and Public Health · doi:10.18203/2394-6040.ijcmph20194529 · Cited by 1
“Kraaij et al and Trevino et al had found that active coping strategies were associated with positive psychosocial and health outcomes in people living with HIV.18,19 These findings suggested that unemployed HIV might had more positive psychology compared to HIV patients were working in different occupations because HI…”
Background
Sexual behavior of persons living with HIV/AIDS on antiretroviral therapy
Efobi, C. C., Okoye, H. C., Omunakwe, H. E., & Onodingene, N. M. (2020) · International Journal of Medicine and Health Development · doi:10.4103/ijmh.ijmh_10_20 · Cited by 1
Spiritual health and experience of suffering in patients with HIV/ AIDS in Shiraz, Iran
Derakhshanpour, S., Akbarzadeh, M., Bagheri, S., Yazdanpanahi, Z., & Abadi, A. K. H. (2023) · HIV & AIDS Review · doi:10.5114/hivar.2023.131618 · Cited by 1
Stress Hormones
Koenig, H. G., VanderWeele, T. J., & Peteet, J. R. (2023) · Oxford University Press eBooks · doi:10.1093/oso/9780190088859.003.0025 · Cited by 1
Substance Use and Substance Use Disorders
Koenig, H. G., VanderWeele, T. J., & Peteet, J. R. (2023) · Oxford University Press eBooks · doi:10.1093/oso/9780190088859.003.0010 · Cited by 2
Marital and Family Stability
Koenig, H. G., VanderWeele, T. J., & Peteet, J. R. (2023) · Oxford University Press eBooks · doi:10.1093/oso/9780190088859.003.0014 · Cited by 4
Social Support
Koenig, H. G., VanderWeele, T. J., & Peteet, J. R. (2023) · Oxford University Press eBooks · doi:10.1093/oso/9780190088859.003.0015 · Cited by 1
A network analysis of positive psychosocial factors and indication of suboptimal HIV care outcomes among Black women living with HIV
Chuku, C. C., Silva, M. F., Lee, J. S., Reid, R., Lazarus, K., Carrico, A. W., & Dale, S. K. (2024) · AIDS Care · doi:10.1080/09540121.2024.2372714 · Cited by 1
Contextual barriers to PrEP uptake and continuation among young Black gay and bisexual men who have sex with men living in the South
Sohail, M., Westfall, A. O., Chiedo, A., Johnson, B., Amico, K. R., Sullivan, P. S., Marrazzo, J. M., Turan, J. M., Mugavero, M. J., & Elopre, L. E. (2025) · PLoS ONE · doi:10.1371/journal.pone.0334285 · Cited by 2
“…HIV acquisition [45,46], religiosity has not been evaluated extensively in relation to PrEP use among YBGBM; however, church attendance and spirituality have been investigated among people with HIV and has shown mixed findings on its protective versus harmful associations with HIV outcomes [47–51].”
Religious coping and psychosocial adjustment in patients with cystic fibrosis
Burgess, B. E., Gresham, B. L., Mrug, S., Bray, L. A., Leon, K. J., & Troxler, R. B. (2020) · Journal of Health Psychology · doi:10.1177/1359105320935979 · Cited by 1
Autoeficacia y optimismo en estudiantes universitarios según su espiritualidad y religiosidad y espiritualidad
Arbinaga, F., Torres-Rosado, L., Romero-Pérez, N., Sierra, M. I. M., & Carrasco-Rodríguez, Y. (2021) · INFORMACIO PSICOLOGICA · doi:10.14635/ipsic.121.2 · Cited by 1
HIV in Specific Populations
Ashley, K. B., Arroyo, H., Casasnovas, C. E., Kertzner, R. M., Lichtenstein, M., & Lyon, M. E. (2021) · Springer eBooks · doi:10.1007/978-3-030-80665-1_15 · Cited by 1
Predicting Factors of Spiritual Well-Being among Thai Patients with Non-communicable Diseases
Chaiyasit, Y., Chanbunlawat, K., Soboon, S., Wongarsa, P., & Piboonrungroj, P. (2022) · THE BANGKOK MEDICAL JOURNAL · doi:10.31524/bkkmedj.2022.21.002 · Cited by 2
Mortality
Koenig, H. G., VanderWeele, T. J., & Peteet, J. R. (2023) · Oxford University Press eBooks · doi:10.1093/oso/9780190088859.003.0027 · Cited by 1

Authors: Trevino, K. M., Pargament, K. I., Cotton, S., Leonard, A. C., Hahn, J., Caprini-Faigin, C. A., & Tsevat, J.
Affiliations: Bowling Green State University (US)
University of Cincinnati Medical Center (US)
Procter & Gamble (United States) (US)
Cincinnati VA Medical Center (US)
Corresponding author: Trevino, Kelly M.
ORCID: Trevino, Kelly M.
Cotton, Sian
Leonard, Anthony C.
Tsevat, Joel
Venue: AIDS and Behavior
Publisher: Springer Science and Business Media LLC
Published: 2007-12-07
Volume: 14
Issue: 2
Pages: 379-389
ISSN: 1090-7165 (ISSN-L)
1573-3254
DOI: 10.1007/s10461-007-9332-6
OpenAlex: W2088929481
Cited by: 273
References: 61
Citations by year: 2026: 2 · 2025: 2 · 2024: 7 · 2023: 50 · 2022: 9 · 2021: 21 · 2020: 16 · 2019: 15 · 2018: 17 · 2017: 20 · 2016: 26 · 2015: 11 · 2014: 16 · 2013: 15 · 2012: 13
FWCI: 5.53
Type: journal article
Language: en
Open access: closed
Licence: www.springer.com/tdm (tdm)
Locations: AIDS and Behavior (publishedVersion)
PubMed (publishedVersion)
Funders: Eunice Kennedy Shriver National Institute of Child Health and Human Development (R24HD050959)
Topics: Social Sciences › Health › Religion, Spirituality, and Psychology
Social Sciences › Psychology › Applied Psychology › Optimism, Hope, and Well-being
Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
Keywords: religious coping, spiritual struggle, HIV/AIDS, spiritual support, quality of life, depression, self-esteem, social support, spiritual well-being, viral load, CD4 count, HIV symptoms, longitudinal change
MeSH terms: Adaptation, Psychological, Adult, Cross-Sectional Studies, Depression, Female, Health Status, Humans, Longitudinal Studies, Male, Middle Aged, Quality of Life, Surveys and Questionnaires, Religion and Psychology, Self Concept, Social Support, HIV-1, HIV Infections, CD4 Lymphocyte Count, Viral Load, Spirituality

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Religious Coping and Physiological, Psychological, Social, and Spiritual Outcomes in Patients with HIV/AIDS: Cross-sectional and Longitudinal Findings

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