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Journal of Behavioral Medicine

Erschienen in:

01.12.2011

Religious struggle as a predictor of subsequent mental and physical well-being in advanced heart failure patients

verfasst von: Crystal L. Park, Jennifer H. Wortmann, Donald Edmondson

Erschienen in: Journal of Behavioral Medicine | Ausgabe 6/2011

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Abstract

Patients with congestive heart failure (CHF) often report high levels of religiousness, which may mitigate the stressfulness of their condition. However, religious struggle, reflecting negative attitudes toward God and a strained meaning system, may be detrimental to well-being. Little is known about religious struggle in those with CHF, particularly in relation to physical health and well-being over time. We examined associations of religious struggle and subsequent mental and physical well-being in 101 endstage CHF patients who completed questionnaires twice over 3 months. Religious struggle predicted higher number of nights subsequently hospitalized, higher depression, and marginally lower life satisfaction. When controlling for baseline levels of well-being, effectively assessing change in those outcomes, religious struggle remained a significant predictor of hospitalization and also emerged as a marginally significant predictor of lower physical functioning. Struggle was unrelated to health-related quality of life. Post-hoc analyses suggest that these effects were particularly strong for those endorsing greater religious identification. Religious struggle appears to have a potentially negative impact on well-being in advanced CHF; therefore, helping patients to address issues of struggle may meaningfully lessen the personal and societal costs of CHF.

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Titel: Religious struggle as a predictor of subsequent mental and physical well-being in advanced heart failure patients
verfasst von: Crystal L. Park
Jennifer H. Wortmann
Donald Edmondson
Publikationsdatum: 01.12.2011
Verlag: Springer US
Erschienen in: Journal of Behavioral Medicine / Ausgabe 6/2011
Print ISSN: 0160-7715
Elektronische ISSN: 1573-3521
DOI: https://doi.org/10.1007/s10865-011-9315-y

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