Psychosocial Factors in Outcomes of Heart Surgery: The Impact of Religious Involvement and Depressive Symptoms.
Abstract
This article reports a prospective study of religiousness and recovery from heart surgery. Religiousness and other psychosocial factors were assessed in 142 patients about a week prior to surgery. Those with stronger religious beliefs subsequently had fewer complications and shorter hospital stays, the former effect mediating the latter. Attendance at religious services was unrelated to complications but predicted longer hospitalizations. Prayer was not related to recovery. Depressive symptoms were associated with longer hospital stays. Dispositional optimism, trait hostility, and social support were unrelated to outcomes. Effects of religious beliefs and attendance were stronger among women than men and were independent of biomedical and other psychosocial predictors. These findings encourage further examination of differential health effects of the various elements of religiousness.
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 13 most rigorous CHD studies, nine (69%) found inverse relationships with CHD and one found a positive one.
“Of the 13 studies with the most rigorous methodology, nine (69%) found inverse relationships with CHD [357–365] and one found a positive one [366].”
From Religion, Spirituality, and Health: The Research and Clinical Implications (2012) · cites this paper as [362]
Cites
Baron, R. M., & Kenny, D. A. (1986) · Journal of Personality and Social Psychology · doi:10.1037//0022-3514.51.6.1173 · Cited by 91,542 · see citing works
Baron, R. M., & Kenny, D. A. (1986) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.51.6.1173 · Cited by 91,532 · see citing works
An inventory for measuring depression
BECK, A. T. (1961) · Archives of General Psychiatry · doi:10.1001/archpsyc.1961.01710120031004 · Cited by 38,032 · see citing works
Multiple regression: testing and interpreting interactions
(1992) · Choice Reviews Online · doi:10.5860/choice.29-3352 · Cited by 36,644 · see citing works
Applied Multiple Regression/Correlation Analysis for the Behavioral Sciences
Cohen, P., Cohen, P., West, S. G., & Aiken, L. S. (2014) · Psychology Press eBooks · doi:10.4324/9781410606266 · Cited by 20,819 · see citing works
The Multidimensional Scale of Perceived Social Support
Zimet, G. D., Dahlem, N. W., Zimet, S. G., & Farley, G. K. (1988) · Journal of Personality Assessment · doi:10.1207/s15327752jpa5201_2 · Cited by 13,339 · see citing works
Scheier, M. F., Carver, C. S., & Bridges, M. W. (1994) · Journal of Personality and Social Psychology · doi:10.1037//0022-3514.67.6.1063 · Cited by 7,456 · see citing works
Applied Multiple Regression/Correlation Analysis for the Behavioral Sciences.
Henry, N. W., Cohen, J., & Cohen, P. R. (1977) · Contemporary Sociology A Journal of Reviews · doi:10.2307/2064799 · Cited by 7,231 · see citing works
Applied Multiple Regression/Correlation Analysis for the Behavioral Sciences.
Tufte, E. R., Cohen, J., & Cohen, P. (1979) · Journal of the American Statistical Association · doi:10.2307/2286442 · Cited by 5,214 · see citing works
Buss, A. H., & Perry, M. (1992) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.63.3.452 · Cited by 4,693 · see citing works
Personal religious orientation and prejudice.
Āllport, G. W., & Ross, J. M. (1967) · Journal of Personality and Social Psychology · doi:10.1037/h0021212 · Cited by 4,177 · see citing works
Handbook of Religion and Health
Koenig, H. G., McCullough, M. E., & Larson, D. B. (2004) · American Journal of Geriatric Psychiatry · doi:10.1097/00019442-200405000-00015 · Cited by 3,262 · see citing works
Handbook of Religion and Health
Koenig, H., McCullough, M., & Larson, D. (2001) · doi:10.1093/acprof:oso/9780195118667.001.0001 · Cited by 2,581 · see citing works
Depression Following Myocardial Infarction
Frasure‐Smith, N. (1993) · JAMA · doi:10.1001/jama.1993.03510150053029 · Cited by 2,028 · see citing works
ACC/AHA guidelines for coronary artery bypass graft surgery
Eagle, K. A., Guyton, R. A., Davidoff, R., Ewy, G. A., Fonger, J. D., Gardner, T. J., Gott, J. P., Herrmann, H. C., Marlow, R. A., Nugent, W. C., et al. (1999) · Journal of the American College of Cardiology · doi:10.1016/s0735-1097(99)00389-7 · Cited by 1,995 · see citing works
The Psychology of Religion and Coping: Theory, Research, Practice
Favazza, A. (1998) · American Journal of Psychiatry · doi:10.1176/ajp.155.7.988 · Cited by 1,990 · see citing works
The psychology of religion and coping : theory, research, practice
Pargament, K. (1998) · Review of Religious Research · doi:10.2307/3512468 · Cited by 1,680 · see citing works
Depression and 18-Month Prognosis After Myocardial Infarction
Frasure‐Smith, N., Lespérance, F., & Talajic, M. R. (1995) · Circulation · doi:10.1161/01.cir.91.4.999 · Cited by 1,546 · see citing works
Religious involvement and mortality: A meta-analytic review.
McCullough, M. E., Hoyt, W. T., Larson, D. B., Koenig, H. G., & Thoresen, C. E. (2000) · Health Psychology · doi:10.1037/0278-6133.19.3.211 · Cited by 1,088 · see citing works
Scheier, M. F., Matthews, K. A., Owens, J. F., Magovern, G. J., Lefebvre, R. C., Abbott, R. A., & Carver, C. S. (1989) · Journal of Personality and Social Psychology · doi:10.1037//0022-3514.57.6.1024 · Cited by 1,023 · see citing works
A meta-analytic review of research on hostility and physical health.
Miller, T. Q., Smith, T. W., Turner, C. W., Guijarro, M. L., & Hallet, A. J. (1996) · Psychological Bulletin · doi:10.1037/0033-2909.119.2.322 · Cited by 952 · see citing works
Symptoms of depression, acute myocardial infarction, and total mortality in a community sample
Barefoot, J. C., & Schroll, M. (1996) · Circulation · doi:10.1161/01.cir.93.11.1976 · Cited by 850 · see citing works
Religious Involvement, Social Ties, and Social Support in a Southeastern Community
Ellison, C. G., & George, L. K. (1994) · Journal for the Scientific Study of Religion · doi:10.2307/1386636 · Cited by 844 · see citing works
Atrial Fibrillation after Cardiac Surgery
Maisel, W. H., Rawn, J. D., & Stevenson, W. G. (2001) · Annals of Internal Medicine · doi:10.7326/0003-4819-135-12-200112180-00010 · Cited by 801 · see citing works
Pargament, K. I., Koenig, H. G., Tarakeshwar, N., & Hahn, J. (2001) · Archives of Internal Medicine · doi:10.1001/archinte.161.15.1881 · Cited by 759 · see citing works
Scheier, M. F., Matthews, K. A., Owens, J. F., et al. (1989) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.57.6.1024 · Cited by 721 · see citing works
A validated intrinsic religious motivation scale
Hoge, R. (1972) · Journal for the Scientific Study of Religion · doi:10.2307/1384677 · Cited by 704 · see citing works
Ferguson, T. B., Hammill, B. G., Peterson, E. D., DeLong, E. R., & Grover, F. L. (2002) · The Annals of Thoracic Surgery · doi:10.1016/s0003-4975(01)03339-2 · Cited by 652 · see citing works
Social support, type A behavior, and coronary artery disease.
Blumenthal, J., Burg, M. M., Barefoot, J. C., Williams, R. B., Haney, T. L., & Zimet, G. D. (1987) · Psychosomatic Medicine · doi:10.1097/00006842-198707000-00002 · Cited by 645 · see citing works
Psychological influences on surgical recovery: Perspectives from psychoneuroimmunology.
Kiecolt-Glaser, J. K., Page, G. G., Marucha, P. T., MacCallum, R. C., & Glaser, R. (1998) · American Psychologist · doi:10.1037/0003-066x.53.11.1209 · Cited by 605 · see citing works
Oxman, T. E., Freeman, D. H., & Manheimer, E. D. (1995) · Psychosomatic Medicine · doi:10.1097/00006842-199501000-00002 · Cited by 525 · see citing works
Connerney, I., Shapiro, P. A., McLaughlin, J. S., Bagiella, E., & Sloan, R. P. (2001) · The Lancet · doi:10.1016/s0140-6736(01)06803-9 · Cited by 491 · see citing works
The use of religious coping during stressful life events: Main effects, moderation, and mediation.
Tix, A. P., & Frazier, P. A. (1998) · Journal of Consulting and Clinical Psychology · doi:10.1037//0022-006x.66.2.411 · Cited by 475 · see citing works
Ryan, R. M., Rigby, S., & King, K. (1993) · Journal of Personality and Social Psychology · doi:10.1037//0022-3514.65.3.586 · Cited by 436 · see citing works
Depression following myocardial infarction. Impact on 6-month survival
Frasure-Smith, N. (1993) · JAMA · doi:10.1001/jama.270.15.1819 · Cited by 399 · see citing works
Brummett, B. H., Barefoot, J. C., Siegler, I. C., Clapp-Channing, N. E., Lytle, B. L., Bosworth, H. B., Williams, R. B., & Mark, D. B. (2001) · Psychosomatic Medicine · doi:10.1097/00006842-200103000-00010 · Cited by 396 · see citing works
Optimism and Rehospitalization After Coronary Artery Bypass Graft Surgery
Scheier, M. F., Matthews, K. A., Owens, J. F., Schulz, R., Bridges, M. W., Magovern, G. J., & Carver, C. S. (1999) · Archives of Internal Medicine · doi:10.1001/archinte.159.8.829 · Cited by 383 · see citing works
Does Religious Attendance Prolong Survival? A Six-Year Follow-Up Study of 3,968 Older Adults
Koenig, H. G., Hays, J. C., Larson, D. B., George, L. K., Cohen, H. J., McCullough, M. E., Meador, K. G., & Blazer, D. G. (1999) · The Journals of Gerontology Series A: Biological Sciences and Medical Sciences · doi:10.1093/gerona/54.7.m370 · Cited by 341 · see citing works
The use of religious coping during stressful life events: Main effects, moderation, and mediation.
Tix, A. P., & Frazier, P. A. (1998) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.66.2.411 · Cited by 325 · see citing works
Ryan, R. M., Rigby, S., & King, K. (1993) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.65.3.586 · Cited by 312 · see citing works
Gallup, G. (1985) · The Annals of the American Academy of Political and Social Science · doi:10.1177/0002716285480001014 · Cited by 288 · see citing works
Barefoot, J. C., Larsen, S., von der Lieth, L., & Schroll, M. (1995) · American Journal of Epidemiology · doi:10.1093/oxfordjournals.aje.a117663 · Cited by 285 · see citing works
The Relationship between Religious Activities and Blood Pressure in Older Adults
Koenig, H. G., George, L. K., Hays, J. C., Larson, D. B., Cohen, H. J., & Blazer, D. G. (1998) · The International Journal of Psychiatry in Medicine · doi:10.2190/75jm-j234-5jkn-4dqd · Cited by 284 · see citing works
Carney, R. M., Freedland, K. E., Rich, M. W., & Jaffe, A. S. (1995) · Annals of Behavioral Medicine · doi:10.1007/bf02895063 · Cited by 260 · see citing works
Religious Involvement and Social Resources: Evidence from the Data Set "Americans' Changing Lives"
Bradley, E. (1995) · Journal for the Scientific Study of Religion · doi:10.2307/1386771 · Cited by 251 · see citing works
The Perceived Benefits of Religious and Spiritual Coping Among Older Adults Living with HIV/AIDS
Siegel, K., & Schrimshaw, E. W. (2002) · Journal for the Scientific Study of Religion · doi:10.1111/1468-5906.00103 · Cited by 216 · see citing works
Private Prayer and Optimism in Middle-Aged and Older Patients Awaiting Cardiac Surgery
Ai, A. L., Peterson, C., Bolling, S. F., & Koenig, H. (2002) · The Gerontologist · doi:10.1093/geront/42.1.70 · Cited by 188 · see citing works
Ai, A. L., Dunkle, R. E., Peterson, C., & Boiling, S. F. (1998) · The Gerontologist · doi:10.1093/geront/38.5.591 · Cited by 179 · see citing works
Kulik, J. A., & Mahler, H. I. M. (1993) · Journal of Behavioral Medicine · doi:10.1007/bf00844754 · Cited by 167 · see citing works
Fitting the distributions of length of stay by parametric models.
Marazzi, A., Paccaud, F., Ruffieux, C., & Beguin, C. (1998) · Medical Care · doi:10.1097/00005650-199806000-00014 · Cited by 161 · see citing works
Re-creating your life: a spiritual/psychotherapeutic intervention for people diagnosed with cancer
Cole, B. S., & Pargäment, K. I. (1999) · Psycho-Oncology · doi:10.1002/(sici)1099-1611(199909/10)8:5 · Cited by 160 · see citing works
Social support, type A behavior, and coronary artery disease.
Cohen, S., & Matthews, K. A. (1987) · Psychosomatic Medicine · doi:10.1097/00006842-198707000-00001 · Cited by 125 · see citing works
Peterson, E. D., Coombs, L. P., Ferguson, T. B., et al. (2002) · The Annals of Thoracic Surgery · doi:10.1016/s0003-4975(02)03694-9 · Cited by 113 · see citing works
Health locus of control and helpfulness of prayer.
Saudia, T. L., Kinney, M. R., Brown, K. C., et al. (1991) · PubMed · Cited by 102 · see citing works
The role of religion in heart-transplant recipients' long-term health and well-being
Harris, R., Dew, M. A., Lee, A., Amaya, M., Buches, L., Reetz, D., & Coleman, G. (1995) · Journal of Religion and Health · doi:10.1007/bf02248635 · Cited by 101 · see citing works
Kulik, J. A., & Mahler, H. I. M. (1987) · Health Psychology · doi:10.1037//0278-6133.6.6.525 · Cited by 80 · see citing works
Comparative Strength of Association between Religious Attendance and Survival
Strawbridge, W. J., Cohen, R. D., & Shema, S. J. (2000) · The International Journal of Psychiatry in Medicine · doi:10.2190/ecb2-0q3m-333c-gk62 · Cited by 80 · see citing works
Predicting Completeness of Symptom Relief after Major Heart Surgery
Jenkins, C. D., Jono, R. T., & Stanton, B. A. (1996) · Behavioral Medicine · doi:10.1080/08964289.1996.9933764 · Cited by 79 · see citing works
Kulik, J. A., & Mahler, H. I. M. (1987) · Health Psychology · doi:10.1037/0278-6133.6.6.525 · Cited by 55 · see citing works
Mahler, H. I. M., & Kulik, J. A. (2002) · Health Psychology · doi:10.1037/0278-6133.21.5.427 · Cited by 49 · see citing works
Predictors of Atrial Fibrillation in Patients Undergoing Surgery for Ischemic Heart Disease
Svedjeholm, E. H. R. (2000) · Scandinavian Cardiovascular Journal · doi:10.1080/140174300750064701 · Cited by 46 · see citing works
HbA1c Predicts Length of Stay in Patients Admitted for Coronary Artery Bypass Surgery
Medhi, M., Marshall, M., BURKE, H. B., et al. (2001) · Heart Disease · doi:10.1097/00132580-200103000-00003 · Cited by 37 · see citing works
Myocardial Ischaemia and Neuroendocrine Stress: Metabolic Consequences and Possibilities
Svedjeholm, R. (2000) · Scandinavian Cardiovascular Journal · doi:10.1080/140174300750064602 · Cited by 8 · see citing works
Wills, W., Trieman, N., & Leff, J. (1998) · International Journal of Geriatric Psychiatry · doi:10.1002/(sici)1099-1166(199804)13:4
Flagged first, then by citations
Cited by
Sorted by citations
Religion, Spirituality, and Health: The Research and Clinical Implications
Koenig, H. G. (2012) · ISRN Psychiatry · doi:10.5402/2012/278730 · Cited by 2,423 · see citing works
“Of those, 11 studies (69%) reported that R/S was significantly related to positive cardiovascular functions or outcomes [367–374] or to lower levels of inflammatory markers such as C-reactive protein [375–377] and fibrinogen [378] that place individuals at high risk for cardiovascular disease.”
BackgroundDo psychological variables affect early surgical recovery?
Mavros, M. N., Athanasiou, S., Gkegkes, I. D., Polyzos, K. A., Peppas, G., & Falagas, M. E. (2011) · PLoS ONE · doi:10.1371/journal.pone.0020306 · Cited by 229 · see citing works
Exploring the Relationship between Spirituality, Coping, and Pain
Wachholtz, A. B., Pearce, M. J., & Koenig, H. (2007) · Journal of Behavioral Medicine · doi:10.1007/s10865-007-9114-7 · Cited by 219 · see citing works
Székely, A., Balog, P., Benkö, E., Breuer, T., Székely, J., Kertai, M. D., Horkay, F., Kopp, M. S., & Thayer, J. F. (2007) · Psychosomatic Medicine · doi:10.1097/psy.0b013e31814b8c0f · Cited by 204 · see citing works
Sullivan, M. J., Wood, L., Terry, J., Brantley, J., Charles, A., McGee, V., Johnson, D., Krucoff, M. W., Rosenberg, B., Bosworth, H. B., et al. (2009) · American Heart Journal · doi:10.1016/j.ahj.2008.08.033 · Cited by 188 · see citing works
DuBois, C. M., Lopez, O. V., Beale, E. E., Healy, B. C., Boehm, J. K., & Huffman, J. C. (2015) · International Journal of Cardiology · doi:10.1016/j.ijcard.2015.05.121 · Cited by 187 · see citing works
RELIGION AND HEALTH: A REVIEW AND CRITICAL ANALYSIS
Lee, B. Y., & Newberg, A. B. (2005) · Zygon: Journal of Religion and Science · doi:10.1111/j.1467-9744.2005.00674.x · Cited by 165 · see citing works
Psychosocial factors in heart surgery: Presurgical vulnerability and postsurgical recovery.
Contrada, R. J., Boulifard, D. A., Hekler, E. B., Idler, E. L., Spruill, T. M., Labouvie, E. W., & Krause, T. J. (2008) · Health Psychology · doi:10.1037/0278-6133.27.3.309 · Cited by 117 · see citing works
Self-citationAi, A. L., Peterson, C., Bolling, S. F., & Rodgers, W. (2006) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2005.06.082 · Cited by 103 · see citing works
Does spirituality as a coping mechanism help or hinder coping with chronic pain?
Wachholtz, A. B., & Pearce, M. J. (2009) · Current Pain and Headache Reports · doi:10.1007/s11916-009-0022-0 · Cited by 95 · see citing works
Ai, A. L., Wink, P., Tice, T. N., Bolling, S. F., & Shearer, M. (2009) · Journal of Behavioral Medicine · doi:10.1007/s10865-009-9228-1 · Cited by 95 · see citing works
Masters, K. S., & Hooker, S. A. (2013) · Journal of Consulting and Clinical Psychology · doi:10.1037/a0030813 · Cited by 45 · see citing works
Chen, Y. Y., & Contrada, R. J. (2007) · Journal of Applied Biobehavioral Research · doi:10.1111/j.1751-9861.2007.00010.x · Cited by 15 · see citing works
Self-citationOn the physical health benefits of self-enhancement.
Segerstrom, S. C., & Roach, A. R. (2008) · Self-criticism and self-enhancement: Theory, research, and clinical implications. · doi:10.1037/11624-003 · Cited by 12 · see citing works
- Authors
- Contrada, R. J., Goyal, T. M., Cather, C., Rafalson, L., Idler, E. L., & Krause, T. J.
- Affiliations
- Rutgers, The State University of New Jersey (US)
- University of Medicine and Dentistry of New Jersey (US)
- Venue
- Health Psychology
- Published
- 2004
- Volume
- 23
- Issue
- 3
- Pages
- 227-238
- ISSN
- 0278-6133 (ISSN-L)
- 1930-7810
- OpenAlex
- W2157997314
- Cited by
- 205
- References
- 64
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 2 · 2023: 44 · 2022: 8 · 2021: 6 · 2020: 5 · 2019: 3 · 2018: 9 · 2017: 8 · 2016: 3 · 2015: 5 · 2014: 7 · 2013: 10 · 2012: 11
- FWCI
- 10.03
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Health Psychology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute on Aging (R01AG016750, AG 16750, AG15160, R03AG015160)
- Topics
- Social Sciences › Health › Religion, Spirituality, and Psychology
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
- Social Sciences › Sociology and Political Science › Religion and Society Interactions
- Keywords
- religious involvement, religious beliefs, religious service attendance, prayer, depressive symptoms, postoperative complications, length of hospital stay, psychosocial factors, dispositional optimism, trait hostility, social support, sex differences
- MeSH terms
- Adult, Aged, Aged, 80 and over, Coronary Artery Bypass, Depression, Female, Humans, Male, Middle Aged, Psychology, Surveys and Questionnaires, Religion, Social Support
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