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Religious Coping with Chronic Pain
Abstract
This study examined the role of religious and nonreligious cognitive-behavioral coping in a sample of 61 chronic pain patients from a midwestern pain clinic. Participants described their chronic pain and indicated their use of religious and nonreligious cognitive-behavioral coping strategies. Results supported a multidimensional conceptualization of religious coping that includes both positive and negative strategies. Positive religious coping strategies were associated significantly with positive affect and religious outcome after statistically controlling for demographic variables. In contrast, measures of negative religious coping strategies were not associated significantly with outcome variables. Several significant associations also were found between nonreligious cognitive-behavioral coping strategies and outcome variables. The results underscore the need for further research concerning the contributions of religious coping in adjustment to chronic pain. Practitioners of applied psychophysiology should assess their chronic pain patients' religious appraisals and religious coping as another important stress management strategy.
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“However, other studies reported that sometimes religion and/or spiritual coping are maladaptive (ie, negative religious coping), including deferring all responsibility to God, feeling abandoned by God when support is needed, or blaming God for difficulties.128,129”
From Pain and Evil: From Local Nociception to Misery Following Social Harm (2020) · cites this paper as [129]
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Shavers, V. L., Bakos, A., & Sheppard, V. B. (2010) · Journal of Health Care for the Poor and Underserved · doi:10.1353/hpu.0.0255 · Cited by 329
Are Spirituality and Religiosity Resources for Patients with Chronic Pain Conditions?
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BackgroundResultInfluentialThe impact of religious practice and religious coping on geriatric depression
Bosworth, H. B., Park, K., McQuoid, D. R., Hays, J. C., & Steffens, D. C. (2003) · International Journal of Geriatric Psychiatry · doi:10.1002/gps.945 · Cited by 208
“, 1999), studies of religious coping and health outcomes have employed cross-sectional designs (Pressman et al., 1990; Koenig et al., 1995; Koenig et al., 1997; Koenig, 1998b; Koenig et al., 1998c; Bush et al., 1999).”
BackgroundResultInfluentialChronic Pain and Fatigue: Associations with Religion and Spirituality
Baetz, M., & Bowen, R. (2008) · Pain Research and Management · doi:10.1155/2008/263751 · Cited by 161
Prayer and pain: the mediating role of positive re-appraisal
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“Besides pain duration (measured with a single item for the purpose of sample description), pain severity was measured with three questions (‘‘what is the level of pain at this moment’’, ‘‘what was the highest pain level last week’’, and ‘‘what was the lowest pain level last week’’ ( Bush et al., 1999 ).”
MethodDezutter, J., Luyckx, K., & Wachholtz, A. (2014) · Journal of Behavioral Medicine · doi:10.1007/s10865-014-9614-1 · Cited by 145
“Pain intensity was measured with three questions (‘what is your level of pain at this moment’, ‘what was your highest pain level last week’, and ‘what was your lowest pain level last week’ (Bush et al. 1999; Dezutter et al. 2011).”
BackgroundGall, T. L., Kristjansson, E., Charbonneau, C., & Florack, P. (2008) · Journal of Behavioral Medicine · doi:10.1007/s10865-008-9182-3 · Cited by 118
“It is important to assess the negative and positive aspects of religion/spirituality as there is evidence that they relate to different components of adjustment (Bush et al. 1999).”
BackgroundIntegrating Religion and Spirituality into Mental Health Care, Psychiatry and Psychotherapy
Hefti, R. (2011) · Religions · doi:10.3390/rel2040611 · Cited by 118
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“Cross-sectional studies of chronic pain populations yielding positive associations between spiritual engagement and wellbeing indicators (e.g. Bush et al., 1999; Keefe et al., 2001; Rippentrop et al., 2005).”
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Shilo, G., Yossef, I., & Savaya, R. (2015) · Archives of Sexual Behavior · doi:10.1007/s10508-015-0567-4 · Cited by 102
“…religious coping is correlated with positive mental and physical health, while negative religious coping is linked to poorer mental and physical health (e.g., Aflakseir & Coleman, 2009; Ano & Vasconcelles, 2005; Bush et al., 1999; Pargament, Smith, Koenig, & Perez, 1998; Webb et al., 2010).”
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“The particular R/S coping technique used to cope with pain does not appear to be as important as the valence of the technique: positive R/S coping techniques (eg, seeking spiritual support or benevolent religious reappraisal) are associated with positive outcomes among chronic pain patients [ 35 ,36].”
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Religious coping and hospital admissions among adults with sickle cell disease
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Espiritualidade baseada em evidências
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Moreira-Almeida, A., & Koenig, H. G. (2008) · Current Pain and Headache Reports · doi:10.1007/s11916-008-0055-9 · Cited by 61
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Dezutter, J., Robertson, L. A., Luyckx, K., & Hutsebaut, D. (2010) · Journal for the Scientific Study of Religion · doi:10.1111/j.1468-5906.2010.01525.x · Cited by 63
“Research has begun to describe the role of religion for CP patients, including how it influences coping with pain (Bush et al. 1999; Cigrang, Hryshko-Mullen, and Peterson 2003).”
BackgroundSpirituality, Life Stress, and Affective Well-Being
Powers, D. V., Cramer, R. J., & Grubka, J. M. (2007) · Journal of Psychology and Theology · doi:10.1177/009164710703500306 · Cited by 58
Reflecting on new models for osteopathy – it's time for change
Smith, D. (2019) · International journal of osteopathic medicine · doi:10.1016/j.ijosm.2018.10.001 · Cited by 58
Are Religious Coping and Pain Perception Related Together? Assessment in Iranian Cancer Patients
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“Among younger samples, positive religious coping has generally been linked to better mental and physical health, while negative religious coping has generally been linked to poorer health (Bicketet al., 1998; Bush et al., 1999; Corbett, 1999; Older, 1998; Pargament, et al., 1998; Woods, et al., 1999a, 1999b).”
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Parker, K. P., Kimble, L. P., Dunbar, S. B., & Clark, P. C. (2005) · Journal of Nursing Scholarship · doi:10.1111/j.1547-5069.2005.00037.x · Cited by 53
Pain, Spirituality, and Meaning Making: What Can We Learn from the Literature?
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Smith, B. W., Ortiz, J. A., Wiggins, K. T., Bernard, J. F., & Dalen, J. (2012) · Oxford University Press eBooks · doi:10.1093/oxfordhb/9780199729920.013.0028 · Cited by 50
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“Research has shown that religious coping can be grouped into positive and negative types, both theoretically and based on the relationship to affective resolution (Bush et al., 1999; Pargament, 1997; Pargament et al., 1998, 2000).”
BackgroundAdvance in the Study of Religious and Spiritual Coping
Klaassen, D., McDonald, M. J., & James, S. (2007) · Springer eBooks · doi:10.1007/0-387-26238-5_6 · Cited by 46
Ratshikana-Moloko, M., Ayeni, O., Tsitsi, M., Wong, M., Jacobson, J. S., Neugut, A. I., Sobekwa, M., Joffe, M., Mmoledi, K. C., Blanchard, C. L., et al. (2020) · Journal of Pain and Symptom Management · doi:10.1016/j.jpainsymman.2020.01.019 · Cited by 45
Mutual influences in adult romantic attachment, religious coping, and marital adjustment.
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“Examples of the former type of studies include a study by Bush et al. (1999 ) i n which 61 chronic pain patients completed pain measures and measures of religious coping.”
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Offenbaecher, M., Kohls, N., Toussaint, L., Sigl, C., Winkelmann, A., Hieblinger, R., Walther, A., & Büssing, A. (2013) · Evidence-Based Complementary and Alternative Medicine · doi:10.1155/2013/178547 · Cited by 34
“Studies have shown that spirituality/religiosity (SpR) as a coping strategy was associated with positive affect (mood), but not with pain specific outcomes, while negative religious coping strategies were not associated with any of the outcomes [14].”
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Hill, P. C., & Gibson, N. J. S. (2008) · Archive for the Psychology of Religion · doi:10.1163/157361208x316944 · Cited by 37
Dezutter, J., Offenbächer, M., Vallejo, M. Á., Vanhooren, S., Thauvoye, E., & Toussaint, L. L. (2016) · The International Journal of Psychiatry in Medicine · doi:10.1177/0091217417696738 · Cited by 37
“A composite pain index was obtained through the mean of these items.(37)”
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Wachholtz, A., Fitch, C., Makowski, S., & Tjia, J. (2016) · Southern medical journal (Birmingham, Ala. Print) · doi:10.14423/smj.0000000000000439 · Cited by 32
Rabinowitz, Y. G., Hartlaub, M. G., Saenz, E. C., Thompson, L. W., & Gallagher-Thompson, D. E. (2009) · Journal of Religion and Health · doi:10.1007/s10943-009-9300-8 · Cited by 33
Gilbert, J. W. (2009) · Pain Medicine · doi:10.1111/j.1526-4637.2009.00734.x · Cited by 33
What Physicians Should Know About Spirituality and Chronic Pain
Wachholtz, A., & Keefe, F. J. (2006) · Southern Medical Journal · doi:10.1097/01.smj.0000242813.97953.1c · Cited by 29
“Some types of religious coping are adaptive and some types are maladaptive.(1) Religious or spiritual practices can help in managing pain in several ways.”
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Fadardi, J. S., & Azadi, Z. (2015) · Journal of Religion and Health · doi:10.1007/s10943-015-0134-2 · Cited by 29
Attachment to God and Psychological Adjustment: God’s Responses and Our Coping Strategies
Parenteau, S. C., Hurd, K., Wu, H., & Feck, C. (2019) · Journal of Religion and Health · doi:10.1007/s10943-019-00765-2 · Cited by 31
Vitorino, L. M., Soares, R. D. C. E. S., Santos, A. E. O., Lucchetti, A. L. G., Cruz, J. P., Cortez, P. J. O., & Lucchetti, G. (2017) · Journal of Holistic Nursing · doi:10.1177/0898010117725429 · Cited by 29
“…one of the main mechanisms used in patients with chronic pain, because it has active strategies of behavioral development that contribute substantially to the understanding and handling of chronic pain (Bush et al., 1999; Pargament et al., 2011; Pargament & Lomax, 2013; Wachholtz & Pearce, 2009).”
BackgroundEspiritualidade baseada em evidências
Saad, M., Masiero, D., & Battistella, L. R. (2001) · Acta Fisiátrica · doi:10.11606/issn.2317-0190.v8i3a102355 · Cited by 27
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“The use of spirituality has been associated with health outcomes in a variety of chronic conditions, including cystic fibrosis (CF) (Bush et al., 1999; Koenig, Pargament, & Nielsen, 1998; Pargament & Ano, 2006; Pargament et al., 1999; Pargament, Koenig, Tarakeshwar, & Hahn, 2001; Pendleton,…”
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“Active strategies are connected with positive affect (Bush et al. 1999), lower level of stress and greater ‘‘positive feedback’’ of spirituality, while passive ones lead to depression, loneliness and increased symptom perception (Tarakeshwar et al. 2006).”
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Moss, D. (2002) · Applied Psychophysiology and Biofeedback · doi:10.1023/a:1021013502426 · Cited by 22
“Pargament and his colleagues have conducted interesting research on positive effects of spirituality, but have also identified negative religious coping strategies that fail to produce positive outcomes and sometimes show negative effects (Bush et al., 1999; Pargament et al., 1994).”
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“Measures Portions of the Brief R-COPE were used to measure patients’ religious coping (Bush et al., 1999; Cotton et al., 2006; Keefe et al., 2001; Koenig, Pargament, & Nielsen, 1998; Pargament, et al., 2000; Pargament, Koenig, Tarakeshwar, & Hahn, 2001, 2004).”
Exline, J. J., Krause, S. J., & Broer, K. A. (2016) · Journal of Religion and Health · doi:10.1007/s10943-016-0259-y · Cited by 22
Validation of a Scale of Religious and Spiritual Coping (RCOPE) for the Portuguese Population
Tomás, C., & Rosa, P. J. (2021) · Journal of Religion and Health · doi:10.1007/s10943-021-01248-z · Cited by 19
“1 3 Protected by Faith Research has attempted to identify which protective factors and adaptive strategies help mitigate the psychological impact of adverse events on subjects lives, and among their findings have found variables such as personal faith, the involvement in subjects of religious and spiritual practices a…”
BackgroundExploring the Link between Religious Attitudes and Subjective Well-Being in Chronic Pain Patients
Dezutter, J., Luyckx, K., Büssing, A., & Hutsebaut, D. (2009) · The International Journal of Psychiatry in Medicine · doi:10.2190/pm.39.4.d · Cited by 17
“Most studies investigating the relation between religiosity and well-being in CP populations focus on religious/spiritual coping with pain [8, 9].”
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“Previous research has documented that religiosity relates to adjustment to pain (Bush et al. 1999; Buechler 2004; Keefe et al. 2001; Rippentrop et al. 2005; Yates et al. 1981).”
BackgroundFischer, R. S., Nygren, B., Lundman, B. M., & Norberg, A. (2007) · Journal of Religion Spirituality & Aging · doi:10.1300/j496v19n03_02 · Cited by 16
The Role of Religion and Spirituality in Psychological Distress Prior to Surgery for Urologic Cancer
Biegler, K. A., Cohen, L. G., SCOTT, S. M., Hitzhusen, K., Parker, P. A., Ratcliff, C. G., Canada, A. L., & Pisters, L. L. (2011) · Integrative Cancer Therapies · doi:10.1177/1534735411416456 · Cited by 17
Schottenbauer, M. A., Rodriguez, B. F., Glass, C. R., & Arnkoff, D. B. (2006) · British Journal of Psychology · doi:10.1348/000712606x97840 · Cited by 15
Integrating Spiritual Issues into Therapy
Hefti, R. (2009) · Cambridge University Press eBooks · doi:10.1017/cbo9780511576843.017 · Cited by 14
Rashid, M. A. U. H., Muneeb, S. A., Manzoor, M. M., & Fischer, F. (2023) · International Journal of Social Psychiatry · doi:10.1177/00207640231162277 · Cited by 14
“The foundation for positive religious coping is to secure a relationship with the sacred (Bush et al., 1999; O’Brien et al., 2019), a positive point of view regarding the universe (Giordano et al., 2015), and, finally, a sense of spiritual connections with others (Allen & Lo, 2010; Ciarrocchi &…”
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Religious Identity and the Experience and Expression of Chronic Pain: A Review
Closs, S. J., Edwards, J., Swift, C., & Briggs, M. (2013) · Journal of Religion Disability & Health · doi:10.1080/15228967.2013.778515 · Cited by 11
“Six found no association between religiosity and pain intensity (Aukst-Margetic et al., 2005; Gerson & Skipper, 1975; Green Bush et al., 1999; Parenteau, 2008; Rifkin et al., 1999; Rippentrop et al., 2005), while one found a positive association (Büssing et al., 2009) and two a negative association (Baetz & Bowen, 20…”
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“, spiritual growth, closeness to God, satisfaction with religious life), but not with pain-related outcomes; however, negative religious coping strategies were not associated with any of the outcomes (Bush et al. 1999).”
BackgroundCalder, A., Badcoe, A., & Harms, L. (2010) · Disability and Rehabilitation · doi:10.3109/09638288.2010.532280 · Cited by 9
“Such research generally identifies spirituality as an adaptive or coping mechanism, with many studies developing or utilising some kind of construct of ‘religious coping’ [19].”
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Cheng, F. K. (2017) · Journal of Religion and Health · doi:10.1007/s10943-017-0401-5 · Cited by 9
Spiritual coping in rehabilitation–a comparative study: part 2
Baldacchino, D., Torskenæs, K. B., Kalfoss, M. H., Borg, J., Tonna, A., Debattista, C. J., Decelis, N., & Mifsud, R. (2013) · British Journal of Nursing · doi:10.12968/bjon.2013.22.7.402 · Cited by 8
Pain and Evil: From Local Nociception to Misery Following Social Harm
D'Ippolito, M., Purgato, A., & Buzzi, M. G. (2020) · Journal of Pain Research · doi:10.2147/jpr.s236507 · Cited by 7
Counseling Clients with Chronic Pain: A Religiously Oriented Cognitive Behavior Framework
Robertson, L. A., Smith, H., Ray, S. L., & Jones, K. D. (2009) · Journal of Counseling & Development · doi:10.1002/j.1556-6678.2009.tb00120.x · Cited by 7
Spiritual Dimensions of Pain and Suffering
Wachholtz, A., & Makowski, S. (2013) · Springer eBooks · doi:10.1007/978-1-4419-1651-8_36 · Cited by 5
Religious and Secular Coping Strategies of Reappraisal
Riegel, U., & Unser, A. (2021) · Journal of Empirical Theology · doi:10.1163/15709256-12341422 · Cited by 6
Predicting the Trajectories of Perceived Pain Intensity in Southern Community-Dwelling Older Adults
Sun, F., Park, N. S., Wardian, J., Lee, B. S., Roff, L. L., Klemmack, D. L., Parker, M. W., Koenig, H. G., Sawyer, P., & Allman, R. M. (2012) · Research on Aging · doi:10.1177/0164027512456402 · Cited by 6
“In light of Bush et al.’s (1999) findings regarding distinctive effects of positive and negative religious copings on affect, it is possible that negative religious coping can be channeled through prayer.”
BackgroundTHE RELATIONSHIP BETWEEN RELIGIOUS COPING PATTERNS, MENTAL HEALTH AND HAPPINESS
Mohammad, R., Akbar, S. A., & Bayazi, M. H. (2012) · Cited by 6
DOES SPIRITUALITY MATTER? EFFECTS OF MEDITATIVE CONTENT AND ORIENTATION ON MIGRAINEURS
Wachholtz, A. (2006) · OhioLink ETD Center (Ohio Library and Information Network) · Cited by 6
Samvete i vården : att möta det moraliska ansvarets röster
Dahlqvist, V. (2008) · KTH Publication Database DiVA (KTH Royal Institute of Technology) · Cited by 6
Schmitz, F., Buzzi, A.-L., Brem, B. G., Schnabel, K., Berger-Estilita, J., Roten, F.-M., Peng-Keller, S., & Guttormsen, S. (2024) · BMC Medical Education · doi:10.1186/s12909-024-06142-2 · Cited by 5
“Such negative aspects – hereafter referred to as spiritual distress – can worsen the perception and processing of chronic pain [9, 14].”
BackgroundAbdelrazek, N. A., Hammad, H., Adib, H., & El-Bassiouny, N. M. (2022) · Management & Sustainability An Arab Review · doi:10.1108/msar-06-2022-0028 · Cited by 6
Cross-cultural adaptation of Chronic Pain Coping Inventory - Brazilian version
Souza, L. A. F., da Cruz, D. D. A. L. M., & Pereira, L. V. (2018) · Brazilian Journal Of Pain · doi:10.5935/2595-0118.20180020 · Cited by 5
Physical, Psychological/Psychiatric, Social, and Spiritual Problems and Symptoms
Siddall, P. J., & MacLeod, R. (2019) · Springer eBooks · doi:10.1007/978-3-319-77740-5_9 · Cited by 4
An analysis of experiences of psychosocial recovery from road trauma
Harms, L. (2001) · Minerva Access (University of Melbourne) · Cited by 4
Roh, P. (2016) · Digital Commons (Liberty University) · Cited by 3
Alnojeidi, A. H., Capo‐Lugo, C. E., Sturgeon, J. A., & Trost, Z. (2021) · Journal of Pain · doi:10.1016/j.jpain.2021.10.007 · Cited by 3
Doran, C., Duits, A. J., Gerstenbluth, I. I., Tami, A., & Bailey, A. (2024) · BMJ Open · doi:10.1136/bmjopen-2023-076352 · Cited by 2
Spirituality as an Adjunct to Pain Management
Sichitiu, C. R., & Mulligan, T. (2010) · Humana Press eBooks · doi:10.1007/978-1-60761-618-4_5 · Cited by 2
“Beyond exploring the two aspects of the relationship between pain and spirituality, one of the most crucial findings of this study was that positive forms of religious coping were related to significantly higher levels of positive affect and more positive spiritual and religious outcomes [ 22 ].”
ResultManshaee, G., & Amini, K. (2013) · Procedia - Social and Behavioral Sciences · doi:10.1016/j.sbspro.2013.06.740 · Cited by 2
Spiritual Dimensions of Pain and Suffering
Wachholtz, A., & Fitch, C. E. (2018) · Springer eBooks · doi:10.1007/978-3-319-95369-4_34 · Cited by 1
Wnuk, M., & Klimasiński, M. W. (2026) · Journal of Religion and Health · doi:10.1007/s10943-025-02531-z · Cited by 2
“Bush et al. (1999) found that among a sample of patients from a pain management clinic, positive religious coping predicted positive psychological outcomes.”
Peintinger, M. (2007) · Springer eBooks · doi:10.1007/978-3-211-33548-2_5 · Cited by 1
Job Insecurity and Religious/Spiritual Coping: Sacred Resources for Employment Uncertainty
Lucero, S. M. (2013) · ScholarWorks@BGSU (Bowling Green State University) · Cited by 1
Physical, Psychological/Psychiatric, Social, and Spiritual Problems and Symptoms
Siddall, P. J., & MacLeod, R. (2018) · Springer eBooks · doi:10.1007/978-3-319-31738-0_9-1 · Cited by 1
Physical, Psychological/Psychiatric, Social, and Spiritual Problems and Symptoms
Siddall, P. J., & MacLeod, R. (2024) · Springer eBooks · doi:10.1007/978-3-031-48991-4_9 · Cited by 1
Cullman, E. P. (2006) · ScholarWorks@BGSU (Bowling Green State University) · Cited by 1
ESTRATÉGIAS DE COPING RELIGIOSO: A ESPIRITUALIDADE COMO FACTOR PROMOTOR DE SAÚDE E BEM-ESTAR
Tomás, C. (2016) · International Journal of Developmental and Educational Psychology Revista INFAD de psicología · doi:10.17060/ijodaep.2015.n1.v2.110 · Cited by 1
“…caso da dor crónica – onde se verificou uma diminuição da percepção da dor e, consequentemente, uma melhoria da qualidade de vida (Hood et al., 2009; Bush et al., 1999) – e do cancro, através da confiança no controlo de Deus sobre os acontecimentos, que levaria a uma diminuição da percepção de…”
Influence of Religion and Spirituality on HIV Positive People
D’Mello, L., Govindaraju, B. M., & Monteiro, M. (2017) · International Journal of Management Technology and Social Sciences · doi:10.47992/ijmts.2581.6012.0011 · Cited by 1
“When any difficulties occur in life like ill health disasters, difficulties, loss including chronic illness like cancer, AIDS or any kind of difficult situations, individuals have reported using a wide variety of religious coping methods, such as benevolent religious appraisals, seeking support from clergy or church m…”
Background
Metadata
- Authors
- Bush, E. G., Rye, M. S., Brant, C. R., Emery, E., Pargament, K. I., & Riessinger, C. A.
- Affiliations
- University of Dayton (US)
- Baldwin Wallace University (US)
- Sparrow Hospital (US)
- ORCID
- Rye, Mark S.
- Venue
- Applied Psychophysiology and Biofeedback
- Published
- 1999-12
- Volume
- 24
- Issue
- 4
- Pages
- 249-260
- ISSN
- 0363-3586 (ISSN-L)
- 1090-0586
- 1573-3270
- OpenAlex
- W1770241773
- Cited by
- 121
- References
- 24
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 5 · 2023: 1 · 2022: 2 · 2021: 4 · 2020: 2 · 2019: 2 · 2018: 5 · 2017: 6 · 2016: 5 · 2015: 3 · 2014: 7 · 2013: 13 · 2012: 4
- FWCI
- 3.59
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- Locations
- Applied Psychophysiology and Biofeedback (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Health › Religion, Spirituality, and Psychology
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Musculoskeletal pain and rehabilitation
- Keywords
- religious coping, chronic pain, positive religious coping, negative religious coping, positive affect, stress management, pain clinic patients
- MeSH terms
- Adaptation, Psychological, Adult, Affect, Aged, Chronic Disease, Education, Female, Humans, Male, Middle Aged, Pain, Regression Analysis, Religion and Medicine, Socioeconomic Factors, Treatment Outcome
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