Spiritual coping and adjustment in adolescents with chronic illness: a 2-year prospective study

Reynolds, N.; Mrug, S.; Hensler, M.; Guion, K.; Madan-Swain, A.

doi:10.1093/jpepsy/jsu011

Cited by 97Religion, Spirituality, and PsychologyOptimism, Hope, and Well-beingFamily Support in Illness

Spiritual coping and adjustment in adolescents with chronic illness: a 2-year prospective study

Reynolds, N., Mrug, S., Hensler, M., Guion, K., Madan-Swain, A.·2014·Journal of Pediatric Psychology

DOI 10.1093/jpepsy/jsu011

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Abstract

OBJECTIVE: Examine longitudinal relationships between spiritual coping and psychological adjustment among adolescents with chronic illness. METHODS: Adolescents (N = 128; M = 14.7 years) with cystic fibrosis or diabetes completed measures of spiritual coping and adjustment at 2 time points ∼2 years apart; parents also reported on adolescent adjustment. Prospective relationships between spiritual coping and adjustment were evaluated with an autoregressive cross-lagged path model. RESULTS: Positive spiritual coping predicted fewer symptoms of depression and less negative spiritual coping over time, whereas negative spiritual coping predicted more positive spiritual coping. Depressive symptoms predicted higher levels of negative spiritual coping and conduct problems over time. The results did not vary by disease. CONCLUSIONS: Positive spiritual coping may buffer adolescent patients from developing depression and maladaptive coping strategies. Results also highlight the harmful role of depression in subsequent behavior difficulties and maladaptive coping. Addressing spiritual beliefs and depressive symptoms in pediatric medical care is warranted.

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Positive spiritual coping predicted fewer symptoms of depression over time in teens with diabetes or cystic fibrosis.
“Reynolds et al. (2014) studied teens with diabetes or cystic fibrosis. In both groups, positive spiritual coping predicted fewer symptoms of depression over time.”
From A hope intervention for adolescents: a randomized controlled trial delivered by paraprofessionals (2025) · cites this paper as Reynolds et al., 2014

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Additional file 1 of Religiosity and spirituality in the prevention and management of depression and anxiety in young people: a systematic review and meta-analysis
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Determinants of Teachers’ Choice of Coping Strategies to Witchcraft Belief in Rural Public Primary Schools in Nzega District, Tanzania
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Spiritual Coping and Psychosocial Adjustment of Adolescents With Chronic Illness: The Role of Cognitive Attributions, Age, and Disease Group
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Self-citation
Spiritual coping, psychosocial adjustment, and physical health in youth with chronic illness: a meta-analytic review
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How Do Religiosity and Spirituality Associate with Health-Related Outcomes of Adolescents with Chronic Illnesses? A Scoping Review
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Relationship of spiritual constructs to mental health PROs in adolescents with cancer.
Lyon, M. E., Grossoehme, D. H., Baker, J. N., Friebert, S. E., Cheng, Y. I., Chrastek, J., Thompkins, J. D., Tweddle, M., Wang, J., & Needle, J. S. (2019) · Journal of Clinical Oncology · doi:10.1200/jco.2019.37.31_suppl.136

Authors: Reynolds, N., Mrug, S., Hensler, M., Guion, K., & Madan-Swain, A.
Affiliations: Oregon Health & Science University (US)
Corresponding author: Reynolds, N.
ORCID: Mrug, S.
Venue: Journal of Pediatric Psychology
Publisher: Oxford University Press (OUP)
Published: 2014-03-19
Volume: 39
Issue: 5
Pages: 542-551
ISSN: 0146-8693 (ISSN-L)
1465-735X
DOI: 10.1093/jpepsy/jsu011
OpenAlex: W2168917839
Cited by: 97
References: 48
Citations by year: 2026: 1 · 2025: 4 · 2024: 3 · 2023: 45 · 2022: 2 · 2021: 7 · 2020: 5 · 2019: 10 · 2018: 5 · 2017: 4 · 2016: 6 · 2015: 4 · 2014: 1
FWCI: 6.36
Type: journal article
Language: en
Open access: closed
Locations: Journal of Pediatric Psychology (publishedVersion)
PubMed (publishedVersion)
Topics: Social Sciences › Health › Religion, Spirituality, and Psychology
Social Sciences › Psychology › Applied Psychology › Optimism, Hope, and Well-being
Social Sciences › Sociology and Political Science › Family Support in Illness
Keywords: spiritual coping, psychological adjustment, adolescents with chronic illness, cystic fibrosis, diabetes mellitus, depressive symptoms, conduct problems, maladaptive coping, spiritual beliefs, pediatric medical care
MeSH terms: Adaptation, Psychological, Adolescent, Cystic Fibrosis, Depression, Diabetes Mellitus, Type 1, Female, Humans, Longitudinal Studies, Male, Prospective Studies, Stress, Psychological, Spirituality

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Spiritual coping and adjustment in adolescents with chronic illness: a 2-year prospective study

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