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.
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“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].”
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“…& Glaser, 2001); academic stress (Malarkey, Pearl, Demers, Kiecolt-Glaser, & Glaser, 1995); stress related to HIV infection/AIDS (Cruess et al., 1999; Ironson et al., 2002; Remor, 2000; Remor & Carrobles, 2001); and stress related to psychiatric patients (Hewitt, Flett, & Mosher (1992).”
Background
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
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