The DOI matches its Crossref record; 47 of the 48 references it cites were found in a registry or an index.
The ironson-woods spirituality/religiousness index is associated with long survival, health behaviors, less distress, and low cortisol in people with HIV/AIDS
Abstract
The purpose of this study was to determine the reliability and validity of an instrument that measures both spirituality and religiousness, to examine the relation between spirituality and religiousness and important health outcomes for people living with HIV and to examine the potential mediators of these relations. One aim was to determine whether subscales of spirituality, religiousness, or both would be independently related to long survival in people living with AIDS. The Ironson-Woods Spirituality/Religiousness (SR) Index is presented with evidence for its reliability and validity. Four factors were identified on the Ironson-Woods SR Index (Sense of Peace, Faith in God, Religious Behavior, and Compassionate View of Others). Each subscale was significantly related to long survival with AIDS. That is, the long-term survivor (LTS) group (n = 79) scored significantly higher on these factors than did the HIV-positive comparison (COMP) group (n = 200). Long survival was also significantly related to both frequency of prayer (positively) and judgmental attitude (negatively). In addition, the Ironson-Woods SR Index yielded strong and significant correlations with less distress, more hope, social support, health behaviors, helping others, and lower cortisol levels. The relation between religious behavior and health outcomes was not due to social support. Further analyses were conducted, which identified urinary cortisol concentrations and altruistic behavior as mediators of the relation between SR and long survival.
Overview
Integrity signals
Registry
Cites
Statistics
Verification
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?
In the citing paper
“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 [449]
Citations
Cites
Baron, R. M., & Kenny, D. A. (1986) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.51.6.1173 · Cited by 91,532
A Global Measure of Perceived Stress
Cohen, S., Kamarck, T., & Mermelstein, R. (1983) · Journal of Health and Social Behavior · doi:10.2307/2136404 · Cited by 32,807
Assessing coping strategies: A theoretically based approach.
Carver, C. S., Scheier, M. F., & Weintraub, J. K. (1989) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.56.2.267 · Cited by 11,507
Optimism, coping, and health: Assessment and implications of generalized outcome expectancies.
Scheier, M. F., & Carver, C. S. (1985) · Health Psychology · doi:10.1037/0278-6133.4.3.219 · Cited by 6,690
The measurement of pessimism: the hopelessness scale
Beck, A. T., Weissman, A., Lester, D., & Trexler, L. (1974) · Journal of Consulting and Clinical Psychology · doi:10.1037/h0037562 · Cited by 5,494
(1988) · Cited by 4,111
THE AMERICAN JOURNAL OF PSYCHIATRY
Dunton, W. R. (1944) · American Journal of Psychiatry · doi:10.1176/ajp.100.6.45 · Cited by 3,837
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
Self-citationDepression: Causes and treatment
Beck, A. T. (1973) · Behavior Therapy · doi:10.1016/s0005-7894(73)80054-1 · Cited by 3,163
Positive Events and Social Supports as Buffers of Life Change Stress 1
Cohen, S., & Hoberman, H. M. (1983) · Journal of Applied Social Psychology · doi:10.1111/j.1559-1816.1983.tb02325.x · Cited by 2,675
Research works printed but not linked: 5
- Shealy CN:Sacred Healing: The Curing Power of Energy and Spirituality. Boston: Element, 1999.
- Dossey L: [Dust jacket]. In Shealy CN,Sacred Healing: The Curing Power of Energy and Spirituality. Boston: Element, 1999.
- Larson DB, McCullough ME, Swyers J:Consensus Report on Spirituality & Health. Rockville, MD: National Institute for Healthcare Research, 1998.
- Ironson G, Woods T: IWORSHIP.An Unpublished Assessment Instrument of Religious and Spiritual Dimensions. Coral Gables, FL: University of Miami, 1998.
- Koenig HG, Futterman A: Religion and health outcomes: A review and synthesis of the literature. Proceedings of the Conference on Methodological Approaches to the Study of Religion, Aging, and Health, 1995.
Cited by
Sorted by citations
Items 301–337 of 337
Kurtus, E. M. (2009) · ProQuest Demo Repository
Sobhani, M. E., Roy, B., & Pervin, S. (2013)
Understanding sexual risk behaviors among persons living with HIV/AIDS in Abidjan, Cote d’Ivoire.
Traoré, F. (2005) · OhioLink ETD Center (Ohio Library and Information Network)
Psychological Self-Other Overlap: Implications for Prosocial Behavior in Close Relationships.
Liu, M. Y. (2014) · Deep Blue (University of Michigan)
Religion, Spirituality, and Consultation-Liaison Psychiatry
Koenig, H. G. (2009) · Cambridge University Press eBooks · doi:10.1017/cbo9780511576843.014
Religiousness and spirituality as moderators of physiological responses to social evaluative threat
Jordan, K. D. (2014) · J. Willard Marriott Library · doi:10.26053/0h-v2ey-sgg0
Krankheit und Krisen – Spiritualität als potenzielle Ressource?
Krause, C. (2015) · Springer eBooks · doi:10.1007/978-3-662-48457-9_6
Minton, M. E., & Barron, C. R. (2011) · DigitalCommons@UNMC
Grassie, W. (2010) · Palgrave Macmillan US eBooks · doi:10.1057/9780230114746_7
Membangun model kebijakan melalui analisis psikososial pada penderita HIV/AIDS perempuan di Surabaya
Putra, M. G. B. A. (2016) · Masyarakat Kebudayaan dan Politik · doi:10.20473/mkp.v29i12016.1-13
Self- Spirituality and its Advantageous Impact for Positive Counselling Attitudes among Youths
Idowu, G. T., Hassan, S. A., Hamzah, A., & Baba, M. (2016) · JOURNAL OF SOCIAL SCIENCE RESEARCH · doi:10.24297/jssr.v10i3.4690
Spirituality and religiosity in adolescents with sickle cell disease: A qualitative study
Clayton-Jones, D. L. (2014) · ProQuest Demo Repository
Religion And Spirituality In Youth With Asthma: Associations With Coping, Mood, And Diurnal Cortisol
Tobin, E. T. (2016) · Human Biology
Archetypal Aspects of Transference at the End of Life
DeArmond, I. (2014) · doi:10.4324/9781315755908-13
Coetzer-Liversage, A. (2012) · SUNScholar (Stellenbosch University)
Effects of Moral Sensitivity and Moral Climate on Moral Reasoning
Mahoney, M. L. (2003) · The Scholars Repository - LLU (Loma Linda University)
Hubungan Lama Menderita Dengan Kebutuhan Spiritual Pasien HIV-AIDS
Amal, A. I., & Noor, M. A. (2021) · Jurnal Ilmu Kesehatan MAKIA · doi:10.37413/jmakia.v11i1.124
Idowu, G. T., Hassan, S., Azimi, H., & Baba, M. (2016) · International Journal of Indian Psychology · doi:10.25215/0304.037
“Other studies also examined spirituality as a predictor (Steven et al, 2012; Salsman et al, 2005; Ironson et al, 2002).”
BackgroundHappiness, Health and Altruism
Post, S. G. (2008) · Elsevier eBooks · doi:10.1016/b978-012373960-5.00539-6
Religiosity and Subjective Welfare of Women with HIV/AIDS in Surabaya
Putra, M. G. B. A. (2015) · Psikologia Jurnal Psikologi · doi:10.21070/10.21070/psikologia.v3i1.117 · Cited by 4
Conceitos de espiritualidade e instrumentos de mensuração: uma visão panorâmica
Sena, M. A. D. B. (2021) · Digital Library of Theses and Dissertations (Universidade de São Paulo) · doi:10.11606/d.5.2021.tde-31032022-152649
Impact on Social Work Practice and Research of Technology, Religion, and HIV/AIDS in India
Binu Sahayam, D., & Arun, C. J. (2023) · EAI/Springer Innovations in Communication and Computing · doi:10.1007/978-3-031-23683-9_28
The Neuroendocrine Effects of Religious Rituals
Koch, C. (2024) · Springer eBooks · doi:10.1007/978-3-031-38971-9_1142-1
Physicians' perceptions of the chaplain's role in critical care
Winiger, D. (2007) · ePlace - Preserving, Learning, and Creative Exchange (Asbury Theological Seminary)
Construction and validation of a short spirituality scale on a French population: SPI-8
Agli, O., Cuervo-Lombard, C.-V., & Bailly, N. (2026) · Archives of Gerontology and Geriatrics Plus · doi:10.1016/j.aggp.2026.100265
Uribe, F. A. R., Espejo, C. A. N., & Pedroso, J. D. S. (2026) · Journal of Health Psychology · doi:10.1177/13591053261432061
Berghmans, C. (2010) · theses.fr (ABES) · doi:10.70675/fc5f1579z1b1fz4f53zb7fbz09b06cf5794a
L'expérience vécue du cancer : spiritualité, narration, représentations
Estienne, L. (2020) · theses.fr (ABES) · doi:10.70675/8fa28f1czc875z4bfdzbcc2za704e58f269f
Spiritualité et cortisol chez les personnes vivant avec une schizophrénie : une étude exploratoire
Poulin, A., & LUPIEN, S. J. (2026) · Santé mentale au Québec · doi:10.7202/1126799ar
Kugonza, T., Ndyomugabe, M., Sikahwa, W. A., Ojuman, P., Muwanguzi, M., Rubega, A., & Ashaba, S. (2026) · SSM - Mental Health · doi:10.1016/j.ssmmh.2026.100684
Exploring the boundaries between epigenetics and religiosity/spirituality: a systematic review
Salatino‐Oliveira, A., Celeste, J. C. N., Sturmer, C. M., Padilha, M. D. M., Silveira, L. N., de Souza, Y. B. R., da Silva, L. H. T., Pereira, F. D., dos Santos, E. B., & Costa, M. D. A. (2026) · Epigenomics · doi:10.1080/17501911.2026.2711569
Scorpiniti, G. L., & Ironson, G. H. (2026) · Journal of Religion and Health · doi:10.1007/s10943-026-02762-8
Self-citation
Metadata
- Authors
- Ironson, G., Solomon, G. F., Balbin, E. G., O’Cleirigh, C., George, A., Kumar, M., Larson, D., & Woods, T. E.
- Affiliations
- University of Miami (US)
- University of California, Los Angeles (US)
- National Institutes of Health (US)
- University of Wisconsin–Madison (US)
- Corresponding author
- Ironson, Gail
- Venue
- Annals of Behavioral Medicine
- Publisher
- Oxford University Press (OUP)
- Published
- 2002-02
- Volume
- 24
- Issue
- 1
- Pages
- 34-48
- ISSN
- 0742-5554 (ISSN-L)
- 0883-6612
- 1532-4796
- OpenAlex
- W2084329367
- Cited by
- 337
- References
- 48
- Citations by year
- 2026: 7 · 2025: 2 · 2024: 5 · 2023: 9 · 2022: 10 · 2021: 10 · 2020: 12 · 2019: 4 · 2018: 10 · 2017: 15 · 2016: 20 · 2015: 16 · 2014: 26 · 2013: 19 · 2012: 22
- FWCI
- 15.11
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Annals of Behavioral Medicine (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute of Mental Health (R01 MH53791, R01MH053791)
- Topics
- Social Sciences › Health › Religion, Spirituality, and Psychology
- Social Sciences › Business, Management and Accounting › Organizational Behavior and Human Resource Management › Workplace Spirituality and Leadership
- Social Sciences › Arts and Humanities › Religious studies › Religion, Ecology, and Ethics
- Keywords
- spirituality, religiosity, HIV/AIDS, long-term survival, prayer frequency, religious behavior, belief in God, compassion, altruism, urinary cortisol, psychological distress, hope, social support, health behavior, instrument validity and reliability
- MeSH terms
- Adult, Female, Health Status, Humans, Hydrocortisone, Male, Middle Aged, Surveys and Questionnaires, Religion and Medicine, Social Support, Stress, Psychological, Reproducibility of Results, Health Behavior, HIV Infections, Survival Analysis, Outcome Assessment, Health Care
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