Religious Participation, Interleukin-6, and Mortality in Older Adults.
Abstract
This study prospectively examined the relationship between religious attendance, interleukin-6 (IL-6) levels, and mortality rates in a community-based sample of 557 older adults. Attending religious services more than once weekly was a significant predictor of lower subsequent 12-year mortality and elevated IL-6 levels (> 3.19 pg/mL), with a mortality ratio of.32 (95% confidence interval [CI] = 0.15,0.72; p <.01) and an odds ratio for elevated IL-6 of.34 (95% CI = 0.16, 0.73, p <.01), compared with never attending religious services. Structural equation modeling indicated religious attendance was significantly related to lower mortality rates and IL-6 levels, and IL-6 levels mediated the prospective relationship between religious attendance and mortality. Results were independent of covariates including age, sex, health behaviors, chronic illness, social support, and depression. Findings are consistent with a role for IL-6 in processes mediating the relationship between religious attendance and mortality.
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More recent research supports a positive link between R/S and better cognitive function in both dementia and old age.
“More recent research supports a positive link between R/S and better cognitive function in both dementia and in old age [434, 435].”
From Religion, Spirituality, and Health: The Research and Clinical Implications (2012) · cites this paper as [435]
Considering the 63 methodologically most rigorous studies (quality ratings of 8 or higher), 47 (75%) found R/S predicting greater longevity (two at trend level).
“Considering the 63 methodologically most rigorous studies (quality ratings of 8 or higher), 47 (75%) found R/S predicting greater longevity (two at trend level) [548–566], whereas three (5%) reported shorter longevity [567–569].”
From Religion, Spirituality, and Health: The Research and Clinical Implications (2012) · cites this paper as [548]
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“01 between measures 6 years apart (19).”
ResultPsychoneuroimmunology and health psychology: An integrative model
Lutgendorf, S. K., & Costanzo, E. S. (2003) · Brain Behavior and Immunity · doi:10.1016/s0889-1591(03)00033-3 · Cited by 160 · see citing works
Self-citationImpact of Spirituality/Religiosity on Mortality: Comparison With Other Health Interventions
Lucchetti, G., Lucchetti, A. L. G., & Koenig, H. G. (2011) · EXPLORE · doi:10.1016/j.explore.2011.04.005 · Cited by 153 · see citing works
Corticotropin-releasing hormone and the blood-brain-barrier
Theoharis, C. (2006) · Frontiers in bioscience · doi:10.2741/2174 · Cited by 148 · see citing works
Friedman, E. M., Hayney, M., Love, G. D., Singer, B. H., & Ryff, C. D. (2007) · Health Psychology · doi:10.1037/0278-6133.26.3.305 · Cited by 210 · see citing works
“…of in vitro IL-6 production in parents of children with cancer (Miller, Cohen, & Ritchey, 2002), although plasma levels of IL-6 in a study of older adults were unrelated to participation in social clubs, size of social network, perceived social support, and loneliness (Lutgendorf et al., 2004).”
BackgroundInfluentialLeisure participation predicts survival: a population-based study in Finland
Hyyppä, M. T., Mäki, J., Impivaara, O., & Aromaa, A. J. (2005) · Health Promotion International · doi:10.1093/heapro/dai027 · Cited by 138 · see citing works
“…Håheim, 1998), in terms of attendance at (some) cultural events (Bygren et al., 1996; Konlaan et al., 2002), in terms of engagement in social and productive activities (Glass et al., 1999; Sundquist et al., 2004), or in terms of religious participation (Lutgendorf et al., 2004), predicts survival.”
BackgroundInfluentialSjögren, E., Leanderson, P., Kristenson, M., & Ernerudh, J. (2005) · Brain Behavior and Immunity · doi:10.1016/j.bbi.2005.08.001 · Cited by 135 · see citing works
Religiosity/Spirituality and Physiological Markers of Health
Shattuck, E. C., & Muehlenbein, M. P. (2018) · Journal of Religion and Health · doi:10.1007/s10943-018-0663-6 · Cited by 136 · see citing works
Marques-Deak, A., Cizza, G., Eskandari, F., Torvik, S., Christie, I. C., Sternberg, E. M., & Phillips, T. M. (2006) · Journal of Immunological Methods · doi:10.1016/j.jim.2006.07.011 · Cited by 129 · see citing works
Religious Service Attendance and Allostatic Load Among High-Functioning Elderly
Maselko, J., Kubzansky, L., Kawachi, I., Seeman, T., & Berkman, L. (2007) · Psychosomatic Medicine · doi:10.1097/psy.0b013e31806c7c57 · Cited by 124 · see citing works
“In one study, evidence showed that lower IL-6 levels mediated the protective relationship between religious service attendance and lower mortality rates (13).”
BackgroundDimensions of religious involvement and leukocyte telomere length
Hill, T. D., Ellison, C. G., Burdette, A. M., Taylor, J., & Friedman, K. L. (2016) · Social Science & Medicine · doi:10.1016/j.socscimed.2016.04.032 · Cited by 116 · see citing works
“If religiosity promotes healthy cellular aging, what are the downstream mechanisms? Prime candidates for future mediation analyses include indicators of immune function like c-reactive protein and interleukin 6 (Ferraro and Kim, 2014; Gillum et al., 2008; Lutgendorf et al., 2004) and other measures of mental health li…”
BackgroundCan Faith Protect From Emotional Distress After Stroke?
Giaquinto, S., Spiridigliozzi, C., & Caracciolo, B. (2007) · Stroke · doi:10.1161/01.str.0000257996.26950.59 · Cited by 112 · see citing works
McIntosh, D. N., Poulin, M. J., Silver, R. C., & Holman, E. A. (2011) · Journal of Behavioral Medicine · doi:10.1007/s10865-011-9331-y · Cited by 111 · see citing works
“This is consistent with work showing that religion predicts immune system functioning beyond social support (Lutgendorf et al. 2004), and that an intrinsic religious orientation is correlated with fewer reported illnesses (McIntosh and Spilka 1990).”
BackgroundResultO impacto da espiritualidade na saúde física
Guimarães, H. P., & Avezum, Á. (2007) · Archives of Clinical Psychiatry (São Paulo) · doi:10.1590/s0101-60832007000700012 · Cited by 112 · see citing works
Religious Participation and Mortality Risk Among the Oldest Old in China
Zhang, W. (2008) · The Journals of Gerontology Series B: Psychological Sciences and Social Sciences · doi:10.1093/geronb/63.5.s293 · Cited by 107 · see citing works
Carrico, A. W., Ironson, G., Antoni, M. H., Lechner, S. C., Durán, R. E., Kumar, M., & Schneiderman, N. (2006) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2006.04.005 · Cited by 99 · see citing works
“, lower levels of interleukin-6) may mediate this relationship [9].”
BackgroundReligiosity, Sense of Meaning, and Health Behavior in Older Adults
Homan, K. J., & Boyatzis, C. J. (2010) · International Journal for the Psychology of Religion · doi:10.1080/10508619.2010.481225 · Cited by 100 · see citing works
“A wide range of positive health outcomes have been linked to religious involvement, including lower rates of cardiovascular disease, hypertension, certain types of cancer ( Miller & Thoresen, 2003 ), healthier immune systems ( Lutgendorf, Russell, Ullrich, Harris, & Wallace, 2004 ), shorter hospital stays ( Koenig & L…”
BackgroundHyyppä, M. T., Mäki, J., Impivaara, O., & Aromaa, A. J. (2007) · European Journal of Epidemiology · doi:10.1007/s10654-007-9153-y · Cited by 99 · see citing works
“Attending religious services also proved to be a significant predictor of lower 12-year mortality in older adults [22].”
BackgroundTrajectories of Social Engagement and Mortality in Late Life
Thomas, P. A. (2012) · Journal of Aging and Health · doi:10.1177/0898264311432310 · Cited by 99 · see citing works
Spiritual Absence and 1-Year Mortality after Hematopoietic Stem Cell Transplant
Pereira, D. B., Christian, L. M., Patidar, S., Bishop, M. M., Dodd, S. M., Athanason, R., Wingard, J. R., & Reddy, V. S. (2010) · Biology of Blood and Marrow Transplantation · doi:10.1016/j.bbmt.2010.03.003 · Cited by 94 · see citing works
“In several largescale studies, less frequent religious attendance [20,21] and participation [22] were associated with greater odds/hazards ratios of mortality, and these relationships were at least partially explained by poorer health status [20], less social integration [20], engagement in unhealthy behaviors [20,21]…”
BackgroundLucchese, F. A., & Koenig, H. G. (2013) · Brazilian Journal of Cardiovascular Surgery · doi:10.5935/1678-9741.20130015 · Cited by 94 · see citing works
“In several of these studies, all cause mortality was the primary focus (not CVD), but when investigators examined the disease in which the inverse relationship between R/S and mortality was strongest, it was CVD [243,244].”
Religiosity and Health: A Holistic Biopsychosocial Perspective
Page, R. L., Peltzer, J. N., Burdette, A. M., & Hill, T. D. (2020) · Journal of Holistic Nursing · doi:10.1177/0898010118783502 · Cited by 91 · see citing works
Taking Spiritual History in Clinical Practice: A Systematic Review of Instruments
Lucchetti, G., Bassi, R. M., & Lucchetti, A. L. G. (2013) · EXPLORE · doi:10.1016/j.explore.2013.02.004 · Cited by 108 · see citing works
“We determined that the ideal spiritual instrument should: (1) be easy to remember, (2) not be time-consuming, (3) be respectful, (4) include both religious and spiritual aspects, (5) include how the patient uses their beliefs to cope with the disease, (6) address terminal events and medical practices not allowed due t…”
BackgroundReligious Participation and Biological Functioning in Mexico
Hill, T. D., Rote, S. M., & Ellison, C. G. (2017) · Journal of Aging and Health · doi:10.1177/0898264317716244 · Cited by 75 · see citing works
Tobin, E. T., & Slatcher, R. B. (2016) · Health Psychology · doi:10.1037/hea0000372 · Cited by 71 · see citing works
“, diabetes, atherosclerosis), as a mediator of the relationship between religious participation and decreased mortality (Lutgendorf et al., 2004).”
BackgroundProcesses Linking Religious Involvement and Telomere Length
Hill, T. D., Vaghela, P., Ellison, C. G., & Rote, S. M. (2017) · Biodemography and Social Biology · doi:10.1080/19485565.2017.1311204 · Cited by 69 · see citing works
“…and Koenig 2008; Hill, Rote, Ellison, and Burdette 2014; King, Mainous, Steyer, and Pearson 2001; King, Mainous, and Pearson 2002), interleukin-6 (Koenig et al. 1997; Lutgendorf et al. 2004), white blood cells (King et al. 2001), and Epstein-Barr virus (Das and Nairn 2016; Hill et al. 2014).”
BackgroundReligious Attendance and Biological Risk: A National Longitudinal Study of Older Adults
Suh, H., Hill, T. D., & Koenig, H. G. (2018) · Journal of Religion and Health · doi:10.1007/s10943-018-0721-0 · Cited by 69 · see citing works
Religiousness and spirituality in fibromyalgia and chronic pain patients
Moreira-Almeida, A., & Koenig, H. G. (2008) · Current Pain and Headache Reports · doi:10.1007/s11916-008-0055-9 · Cited by 61 · see citing works
Shor, E., & Roelfs, D. J. (2013) · Journal for the Scientific Study of Religion · doi:10.1111/jssr.12006 · Cited by 63 · see citing works
Religiosity and Impulsivity in Mental Health
Caribé, A. C., Rocha, M. F. V., Júnior, D. F. M., Studart, P., Quarantini, L. C., Guerreiro, N. F. C., & Miranda‐Scippa, Â. (2015) · The Journal of Nervous and Mental Disease · doi:10.1097/nmd.0000000000000316 · Cited by 59 · see citing works
“cortisol and pro-inflammatory interleukin plasmatic levels (Carrico et al., 2006; Lutgendorf et al., 2004).”
Mosqueiro, B. P., Fleck, M. P. D. A., & da Rocha, N. S. (2019) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2019.00671 · Cited by 59 · see citing works
“Previous studies have reported an association between religious attendance and decreased levels of interleukin-6, a proinflammatory cytokine linked to higher mortality in older adults as well as depression (7, 8).”
BackgroundResultBerk, L., Bellinger, D. L., Koenig, H. G., Daher, N. S., Pearce, M., Robins, C. J., Nelson, B., Shaw, S. F., Cohen, H. J., & King, M. (2015) · Open Journal of Psychiatry · doi:10.4236/ojpsych.2015.53028 · Cited by 58 · see citing works
Religious and Spiritual Beliefs in Stroke Rehabilitation
Giaquinto, S., Sarno, S., Dall’Armi, V., & Spiridigliozzi, C. (2010) · Clinical and Experimental Hypertension · doi:10.3109/10641960903443566 · Cited by 58 · see citing works
“[16] Lutgendorf SK, Russell D, Ullrich P, Harris TB, Wallace R.”
BackgroundReligion and Spirituality in Psychiatric Care: Looking Back, Looking Ahead
Boehnlein, J. K. (2006) · Transcultural Psychiatry · doi:10.1177/1363461506070788 · Cited by 57 · see citing works
Religious Attendance and Biological Functioning
Hill, T. D., Rote, S. M., Ellison, C. G., & Burdette, A. M. (2014) · Journal of Aging and Health · doi:10.1177/0898264314529333 · Cited by 58 · see citing works
“…function, namely, blood pressure (Koenig et al., 1998; Krause et al., 2002; Maselko et al., 2007), and immune function, including CRP (Gillum et al., 2008; King et al., 2001; King et al., 2002), interleukin-6 (Koenig et al., 1997; Lutgendorf et al., 2004), and white blood cells (King et al., 2001).”
BackgroundInfluentialReligious Participation and Mortality Risk in Mexico
Hill, T. D., Saenz, J. L., & Rote, S. M. (2018) · The Journals of Gerontology Series B · doi:10.1093/geronb/gby152 · Cited by 53 · see citing works
Religious Involvement, Health Status, and Mortality Risk
Hill, T. D., Burdette, A. M., & Idler, E. L. (2011) · Handbooks of sociology and social research · doi:10.1007/978-1-4419-7374-0_33 · Cited by 54 · see citing works
Hybels, C. F., George, L. K., Blazer, D. G., Pieper, C. F., Cohen, H. J., & Koenig, H. G. (2014) · Journal of Aging and Health · doi:10.1177/0898264314527479 · Cited by 50 · see citing works
Hansen, E., Sund, E. R., Knudtsen, M. S., Krokstad, S., & Holmen, T. L. (2015) · BMC Public Health · doi:10.1186/s12889-015-1873-4 · Cited by 53 · see citing works
“This is in line with studies where social participation (cultural, religious, social activities) was found to be associated with survival, longevity and where also participation in cultural activities might have a positive influence and personal development [11–13].”
ResultPain, Spirituality, and Meaning Making: What Can We Learn from the Literature?
Lysne, C. J., & Wachholtz, A. (2010) · Religions · doi:10.3390/rel2010001 · Cited by 49 · see citing works
“Studies have repeatedly found a positive correlation between religious involvement, health, and quality of life [38-44].”
BackgroundBellinger, D. L., Berk, L., Koenig, H. G., Daher, N. S., Pearce, M., Robins, C. J., Nelson, B., Shaw, S. F., Cohen, H. J., & King, M. (2014) · Open Journal of Psychiatry · doi:10.4236/ojpsych.2014.44040 · Cited by 48 · see citing works
Varella, A. C., Benseñor, I. M., Fonseca, M. J. M., Griep, R. H., Pereira, A. C., & Lotufo, P. A. (2020) · American Journal of Hypertension · doi:10.1093/ajh/hpz199 · Cited by 45 · see citing works
Fava, G. A., N., W. T., & Sonino, N. (2011) · Advances in psychosomatic medicine · doi:10.1159/isbn.978-3-8055-9854-5 · Cited by 45 · see citing works
Cognitive function, social integration and mortality in a U.S. national cohort study of older adults
Obisesan, T. O., & Gillum, R. (2009) · BMC Geriatrics · doi:10.1186/1471-2318-9-33 · Cited by 49 · see citing works
“reduced depression, and positive emotions leading to health-promoting physiological effects of decreased chronic sympatho-adrenal activation, improved immune function, and less chronic inflammation [10-13].”
BackgroundGod-mediated control beliefs and the Epstein-Barr virus: Is more God-mediated control always better?
KRAUSE, N. M., & Ironson, G. H. (2017) · Journal of Religion Spirituality & Aging · doi:10.1080/15528030.2017.1335632 · Cited by 44 · see citing works
Cultural activities and public health: research in Norway and Sweden. An overview
Cuypers, K. F., Knudtsen, M. S., Sandgren, M., Krokstad, S., Wikström, B., & Theorell, T. (2011) · Arts & Health · doi:10.1080/17533015.2010.481288 · Cited by 39 · see citing works
Papageorgiou, C., Panagiotakos, D. B., Pitsavos, C. S., Tsetsekou, E., Kontoangelos, K. A., Stefanadis, C., & Soldatos, C. R. (2006) · Progress in Neuro-Psychopharmacology and Biological Psychiatry · doi:10.1016/j.pnpbp.2006.05.018 · Cited by 37 · see citing works
Close Relationships and Immunity
Graham‐Engeland, J. E., Christian, L. M., & Kiecolt‐Glaser, J. K. (2007) · Elsevier eBooks · doi:10.1016/b978-012088576-3/50043-5 · Cited by 35 · see citing works
“…with perceptions of a more supportive social network (Ellison and George, 1994) and is associated with lower mortality rates (McCullough et al., 2000; Strawbridge et al., 1997) and with lower levels of interleukin-6 (IL-6), a proinflammatory cytokine (Koenig et al., 1997; Lutgendorf et al., 2004).”
BackgroundAssessment of Psychological Well-Being in Psychosomatic Medicine
Rafanelli, C., & Ruini, C. (2012) · Advances in Psychosomatic Medicine · doi:10.1159/000330021 · Cited by 31 · see citing works
Religion and Adult Mortality: Group- and Individual-Level Perspectives
Idler, E. L. (2011) · International handbooks of population · doi:10.1007/978-90-481-9996-9_17 · Cited by 27 · see citing works
Religious and Spiritual Factors in Depression
Vasegh, S., Rosmarin, D. H., Koenig, H. G., Dew, R. E., & Bonelli, R. M. (2012) · Depression Research and Treatment · doi:10.1155/2012/298056 · Cited by 25 · see citing works
Cheadle, A. C. D., & Schetter, C. D. (2017) · Social and Personality Psychology Compass · doi:10.1111/spc3.12299 · Cited by 26 · see citing works
Spiritual Health and Outcomes in Muslim ICU Patients: A Nationwide Cross-Sectional Study
Bashar, F. R., Vahedian‐Azimi, A., Salesi, M., Hajiesmaeili, M., Shojaei, S., Farzanegan, B., Goharani, R., Madani, S. J., Moghaddam, K. G., Hatamian, S., et al. (2018) · Journal of Religion and Health · doi:10.1007/s10943-017-0543-5 · Cited by 27 · see citing works
“2008) and participation (Lutgendorf et al. 2004) were associated with greater mortality.”
BackgroundLong-term Stability of Social Participation
Hyyppä, M. T., Mäki, J., Alanen, E., Impivaara, O., & Aromaa, A. J. (2007) · Social Indicators Research · doi:10.1007/s11205-007-9199-y · Cited by 23 · see citing works
“, active participa tion in organized groups and associations is an important predictor of all-cause mortality (Dalgard and Haheirn 1998; Glass et al. 1999; Eng et al. 2002; Lutgendorf et al. 2004) and”
BackgroundKoenig, H. G. (2012) · Depression Research and Treatment · doi:10.1155/2012/460419 · Cited by 41 · see citing works
“A number of other studies have found similar connections between religious involvement and other immune functions (T cells, in particular) [93–95], pro-inflammatory indicators (IL-6) [96–98], and endocrine measures (specifically cortisol) [99–103].”
BackgroundSociality predicts individual variation in the immunity of free-ranging rhesus macaques
Pavez-Fox, M. A., Valle, J. E. N.-D., Thompson, I. J., Walker, C. S., Bauman, S. E., González, O., Compo, N. R., Ruiz-Lambides, A. V., Martínez, M. I., Platt, M. L., et al. (2021) · Physiology & Behavior · doi:10.1016/j.physbeh.2021.113560 · Cited by 22 · see citing works
“Similarly, having a consistent social support network can lead to a reduction in the levels of interleukin-6 in elderly people [16].”
Youm, Y., Baldina, E., & Baek, J. (2021) · Scientific Reports · doi:10.1038/s41598-020-80684-5 · Cited by 20 · see citing works
Spirituality in clinical practice: what should the general practitioner know?
Lucchetti, G., Lucchetti, A. L. G., Bassi, R. M., & Latorraca, R. (2010) · Cited by 18 · see citing works
Health and Biological Functioning
Hill, T. D., Bradshaw, M., & Burdette, A. M. (2016) · Handbooks of sociology and social research · doi:10.1007/978-3-319-31395-5_2 · Cited by 18 · see citing works
“…(Dupre et al. 2006 ; Ellison et al. 2000 ; Gillum et al. 2008 ; Helm et al. 2000 ; Hill et al. 2005 ; Hummer et al. 1999 , 2010 ; Koenig et al. 1999 ; Krause 2006 ; Lutgendorf et al. 2004 ; Musick et al. 2004 ; Oman and Reed 1998 ; Oman et al. 2002 ; Rogers et al. 2010 ; Strawbridge et al. 1997 ).”
BackgroundPossible Influence of Spiritual and Religious Beliefs on Hypertension
Giaquinto, S., & Spiridigliozzi, C. (2007) · Clinical and Experimental Hypertension · doi:10.1080/10641960701615683 · Cited by 17 · see citing works
Religion in the US during the time of a Pandemic: A Medical Perspective
Knight, D. R. T., Dudenkov, D. V., & Cheshire, W. P. (2021) · Journal of Religion and Health · doi:10.1007/s10943-021-01366-8 · Cited by 16 · see citing works
Psychoneuroimmunology: application to ocular diseases
Ventura, L. M. (2009) · Journal of ocular biology, diseases, and informatics · doi:10.1007/s12177-009-9028-4 · Cited by 16 · see citing works
Chida, Y., Schrempft, S., & Steptoe, A. (2015) · Journal of Religion and Health · doi:10.1007/s10943-015-0113-7 · Cited by 15 · see citing works
“Religiosity/spirituality might attenuate sympathetic nervous system activity and enhance parasympathetic activation, leading to decreased blood pressure (Gillum and Ingram 2006; Yeager et al. 2006) and inflammatory cytokine levels (Koenig et al. 1997; Lutgendorf et al. 2004).”
BackgroundWorship Attendance and the Disability Process in Community-Dwelling Older Adults
Fitchett, G. A., Benjamins, M. R., Skarupski, K. A., & de Leon, C. F. M. (2013) · The Journals of Gerontology Series B · doi:10.1093/geronb/gbs165 · Cited by 17 · see citing works
Kim, J., Lee, S. G., Kim, T. H., Choi, Y. S., Lee, Y., & Park, E. (2016) · Journal of Korean Medical Science · doi:10.3346/jkms.2016.31.7.1020 · Cited by 15 · see citing works
Association of Islamic Prayer with Psychological Stability in Bosnian War Veterans
Pajević, I., Sinanović, O., & Hasanovic, M. I. (2017) · Journal of Religion and Health · doi:10.1007/s10943-017-0431-z · Cited by 15 · see citing works
Concepções de Espiritualidade e Religiosidade e a Prática Multiprofissional em Cuidados Paliativos
Ferreira, A. G. D. C., Duarte, T. M. D. M., da Silva, A. F., & Bezerra, M. R. (2015) · Americanae (AECID Library) · doi:10.23925/2176-901x.2015v18i3p227-244 · Cited by 14 · see citing works
Turesky, D. G., & Schultz, J. M. (2010) · Journal of Religion Spirituality & Aging · doi:10.1080/15528030903437406 · Cited by 14 · see citing works
“Moreover, Lutgendorf, Russell, Ullrich, Harris, and Wallace (2004 ) explored the role of immune functioning as a possible mediator in the relationship between religious attendance and mortality among a sample of 557 older adults.”
BackgroundAutonomy, positive relationships, and IL‐6: Evidence for gender‐specific effects
Eisenlohr-Moul, T. A., & Segerstrom, S. C. (2012) · British Journal of Health Psychology · doi:10.1111/j.2044-8287.2012.02085.x · Cited by 13 · see citing works
Martins, E. L. M., Salamene, L. C., Lucchetti, A. L. G., & Lucchetti, G. (2021) · International Journal of Social Psychiatry · doi:10.1177/0020764021999690 · Cited by 15 · see citing works
“optimism, positive affectivity and beliefs of the individual can influence physiological parameters such as cortisol, immunity and proinflammatory markers (Lai et al., 2005; Lutgendorf et al., 2004; Tobin & Slatcher, 2016), factors also implicated in mental health outcomes (Young et al.”
BackgroundKoenig, H. G., VanderWeele, T. J., & Peteet, J. R. (2023) · Oxford University Press eBooks · doi:10.1093/oso/9780190088859.003.0001 · Cited by 11 · see citing works
Effect of Social Engagement on Self-rated Health Trajectory among Korean Older Adults
민주홍 (2013) · Health and Social Welfare Review · doi:10.15709/hswr.2013.33.4.105 · Cited by 11 · see citing works
Stress, Negative Emotions, and Inflammation
Gouin, J., Hantsoo, L. V., & Kiecolt‐Glaser, J. K. (2011) · Oxford University Press eBooks · doi:10.1093/oxfordhb/9780195342161.013.0054 · Cited by 11 · see citing works
Okruszek, Ł., Piejka, A., & Żurek, K. (2022) · Journal of Religion and Health · doi:10.1007/s10943-021-01486-1 · Cited by 11 · see citing works
Stress, Coping, and Immune Function
Dougall, A. L., & Baum, A. E. (2003) · Handbook of Psychology · doi:10.1002/0471264385.wei0316 · Cited by 11 · see citing works
Religion and health in rural Malawi
Kendall, J. (2019) · Journal of religion and health · doi:10.1007/s10943-019-00804-y · Cited by 6 · see citing works
Chen, X., Wu, W., Zhang, X., Long, T., Zhu, W., Hu, R., Jin, X., Yan, L. L., & Yao, Y. (2022) · Epidemiology and Health · doi:10.4178/epih.e2022112 · Cited by 10 · see citing works
“The mechanisms may include support (received or provided), reduced depression, and positive emotions leading to the health-promoting physiological effects of decreased chronic sympatho-adrenal activation, improved immune function, and less chronic inflammation [36-38].”
BackgroundImpact of Religion and Spirituality in Older Persons
Lucchetti, G., Vitorino, L., Nasri, F., & Lucchetti, A. (2019) · Spirituality, Religiousness and Health · doi:10.1007/978-3-030-21221-6_8 · Cited by 11 · see citing works
Psychological Influences on Neuroendocrine and Immune Outcomes
Christian, L. M., Deichert, N. T., Gouin, J., Graham‐Engeland, J. E., & Kiecolt‐Glaser, J. K. (2009) · Wiley eBooks · doi:10.1002/9780470478509.neubb002064 · Cited by 10 · see citing works
Geospatial analytics for promoting a healthy peri-urban city: A health-cartographic perspective
Iamtrakul, P., Chayphong, S., & Gao, W. (2025) · Journal of Urban Management · doi:10.1016/j.jum.2025.05.013 · Cited by 6 · see citing works
Lizarondo, L. M., & Lockwood, C. S. (2009) · The JBI Database of Systematic Reviews and Implementation Reports · doi:10.11124/01938924-200907180-00001 · Cited by 5 · see citing works
Psychoneuroimmunology: application to ocular diseases
Ventura, L. M. (2009) · Journal of ocular biology, diseases, and informatics · doi:10.1007/s12177-009-9032-8 · Cited by 5 · see citing works
“[75] provided support for the hypothesis that more frequent religious attendance in a population-based sample of older adults is associated with lower mortality and lower levels of interleukin-6 (IL-6), a cytokine linked to a number of age-related diseases.”
Hu, X., Cheng, S., & Lai, Y. (2022) · Religious Education · doi:10.1080/00344087.2022.2071052 · Cited by 5 · see citing works
Spiritual Care: Define and Redefine Self
Sridharan, K., & Sivaramakrishnan, G. (2016) · Journal of Religion and Health · doi:10.1007/s10943-016-0269-9 · Cited by 5 · see citing works
“This study gave an evidence of the possible relationship between spirituality and mortality via interleukins (Lutgendorf et al. 2004).”
BackgroundStress, spirituality, and cytokines in aging and cancer
Lutgendorf, S. K. (2005) · Gynecologic Oncology · doi:10.1016/j.ygyno.2005.07.065 · Cited by 5 · see citing works
Self-citationTolentino, J. C. (2019) · doi:10.31487/j.jicoa.2019.02.05 · Cited by 5 · see citing works
“The acute physiological changes occurring during prayer and meditation have been extensively researched and show a reduction of sympathetic nervous system activity decrease, oxygen consumption, minute ventilation, and respiratory rate [32-54].”
BackgroundAn Assessment of Indigenous Knowledge of Music Therapy in Nigeria
Aluede, C. O., Ogisi, A. A., & Okakah, F. I. (2023) · Voices A World Forum for Music Therapy · doi:10.15845/voices.v23i1.3073 · Cited by 4 · see citing works
Increased Congregational Support for Parents of Children with Cystic Fibrosis
Szczesniak, R. D., Zou, Y., Wetzel, J. D., KRAUSE, N. M., & Grossoehme, D. H. (2014) · Journal of Religion and Health · doi:10.1007/s10943-014-9928-x · Cited by 4 · see citing works
“In a study of over 550 older adults, attending religious services more than once weekly was determined to be a significant predictor of lower subsequent 12-year mortality compared with never attending religious services (Lutgendorf et al. 2004).”
BackgroundChung, J. H., Eun, Y., Ock, S. M., Kim, B.-K., Kim, T.-H., Kim, D., Park, S. J., Im, M.-K., & Kim, S. (2022) · Psychiatry Investigation · doi:10.30773/pi.2022.0165 · Cited by 4 · see citing works
Koenig, H. G., VanderWeele, T. J., & Peteet, J. R. (2023) · Oxford University Press eBooks · doi:10.1093/oso/9780190088859.003.0002 · Cited by 4 · see citing works
Culture, Cognition, and Ritual
Xygalatas, D. (2024) · Oxford University Press eBooks · doi:10.1093/oso/9780197689783.003.0003 · Cited by 5 · see citing works
- Authors
- Lutgendorf, S. K., Russell, D., Ullrich, P., Harris, T. B., & Wallace, R.
- Affiliations
- University of Iowa (US)
- National Institutes of Health (US)
- Venue
- Health Psychology
- Published
- 2004
- Volume
- 23
- Issue
- 5
- Pages
- 465-475
- ISSN
- 0278-6133 (ISSN-L)
- 1930-7810
- OpenAlex
- W2095240592
- Cited by
- 184
- References
- 93
- Citations by year
- 2026: 2 · 2025: 3 · 2024: 1 · 2023: 46 · 2022: 5 · 2021: 8 · 2020: 5 · 2019: 5 · 2018: 6 · 2017: 7 · 2016: 7 · 2015: 6 · 2014: 9 · 2013: 9 · 2012: 9
- FWCI
- 7.91
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Health Psychology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute on Aging (AG02106)
- National Institute of Mental Health (R01MH062666, MH62666)
- National Cancer Institute (R21CA088293)
- Topics
- Social Sciences › Health › Religion, Spirituality, and Psychology
- Social Sciences › Sociology and Political Science › Religion and Society Interactions
- Social Sciences › Health › Health disparities and outcomes
- Keywords
- religious service attendance, interleukin-6, mortality, older adults, religiosity, inflammation, mediation, community-dwelling older adults
- MeSH terms
- Activities of Daily Living, Aged, Aged, 80 and over, Aging, Female, Follow-Up Studies, Health Surveys, Humans, Iowa, Life Change Events, Male, Mortality, Religion and Psychology, Rural Population, Interleukin-6, Confidence Intervals
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