A path model of the effects of spirituality on depressive symptoms and 24-hurinary-free cortisol in HIV-positive persons
Abstract
Objective The present investigation examined the associations among spirituality, positive reappraisal coping, and benefit finding as they relate to depressive symptoms and 24-h urinary-free-cortisol output.Methods Following an initial screening appointment, 264 human-immunodeficiency-virus-positive men and women on highly active antiretroviral therapy provided 24-h urine samples and completed a battery of psychosocial measures.Results Spirituality was associated with higher positive reappraisal coping and greater benefit finding. Benefit finding and positive reappraisal coping scores were, in turn, both related to lower depressive symptoms. Finally, we determined that benefit finding was uniquely predictive of decreased 24-h urinary-free cortisol output.Conclusion Positive reappraisal coping and benefit finding may co-mediate the effect of spirituality on depressive symptoms, and benefit finding may uniquely explain the effect of spirituality on 24-h cortisol output.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Of the ten studies with quality ratings of 7 or higher, seven (70%) reported significant inverse associations with infection/viral load.
“Ten of the 12 studies had quality ratings of 7 or higher; of those, seven (70%) reported significant inverse associations with infection/viral load [440, 441, 449–454].”
From Religion, Spirituality, and Health: The Research and Clinical Implications (2012) · cites this paper as [451]
The citation lists haven’t been fetched yet
References 46 · Cited by 99
- Authors
- Carrico, A. W., Ironson, G., Antoni, M. H., Lechner, S. C., Durán, R. E., Kumar, M., & Schneiderman, N.
- Affiliations
- University of Miami (US)
- Corresponding author
- Ironson, Gail
- Venue
- Journal of Psychosomatic Research
- Publisher
- Elsevier BV
- Published
- 2006-07
- Volume
- 61
- Issue
- 1
- Pages
- 51-58
- ISSN
- 0022-3999 (ISSN-L)
- OpenAlex
- W1977038972
- Cited by
- 99
- References
- 46
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 2 · 2023: 1 · 2022: 2 · 2021: 3 · 2020: 3 · 2019: 4 · 2018: 3 · 2017: 6 · 2016: 5 · 2015: 5 · 2014: 9 · 2013: 2 · 2012: 7
- FWCI
- 9.73
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Psychosomatic Research (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (5t32mh018917-24)
- National Institute of Mental Health (T32MH18917, P01MH49548, P01MH049548)
- Topics
- Social Sciences › Health › Religion, Spirituality, and Psychology
- Social Sciences › Psychology › Applied Psychology › Optimism, Hope, and Well-being
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Keywords
- spirituality, depressive symptoms, urinary free cortisol, benefit finding, HIV, highly active antiretroviral therapy, stress coping
- MeSH terms
- Adaptation, Psychological, Adult, Arousal, Depression, Female, HIV Seropositivity, Humans, Hydrocortisone, Male, Middle Aged, Models, Psychological, Personality Inventory, Psychometrics, Religion and Psychology, Randomized Controlled Trials as Topic, Homosexuality, Male, Antiretroviral Therapy, Highly Active, Spirituality
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
