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Associations Between Religious/Spiritual Coping and Depression Among Adults with Cystic Fibrosis: A 12-Month
Allen C Sherman1, Stephanie Simonton-Atchley2, Catherine E O'Brien3
1Behavioral Medicine Division, University of Arkansas for Medical Sciences, Little Rock, AR, USA. ShermanAllenC@uams.edu.
Religious and spiritual coping strategies can help adults with cystic fibrosis (CF) manage their illness. Positive coping, like spiritual connection and benevolent reappraisal, was linked to lower depression rates 12 months later.
Area of Science:
- Psychology
- Medicine
- Religious Studies
Background:
- Cystic Fibrosis (CF) presents significant challenges, with depression being a major concern for affected adults.
- Patients with chronic illnesses often utilize religious/spiritual resources for coping, but this is understudied in CF.
- Understanding these coping mechanisms is crucial for holistic patient care.
Purpose of the Study:
- To investigate the longitudinal relationship between religious/spiritual coping strategies and depression outcomes in adults with CF.
- To identify specific types of religious/spiritual coping that may buffer against depression in this population.
Main Methods:
- A longitudinal study design was employed, assessing religious/spiritual coping at baseline using the RCOPE.
- Depression screening outcomes were evaluated 12 months later using the Hospital Anxiety and Depression Scale (HADS).
- Logistic regression analyses controlled for disease severity (FEV1% predicted).
Main Results:
- Higher general religiousness at baseline predicted a lower likelihood of depression caseness at 12 months.
- Greater use of benevolent religious reappraisal and spiritual connection coping were associated with reduced depression.
- Lower spiritual discontent also predicted better depression outcomes over time.
Conclusions:
- Distinct aspects of religious/spiritual coping demonstrate differential associations with subsequent depression in adults with CF.
- These findings highlight the clinical relevance of religious/spiritual coping in managing depression within this specific patient group.
- The study extends previous research to an understudied medical population, addressing a clinically meaningful outcome.
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