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Gepubliceerd in: Journal of Behavioral Medicine 6/2011

01-12-2011

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

Auteurs: Crystal L. Park, Jennifer H. Wortmann, Donald Edmondson

Gepubliceerd in: Journal of Behavioral Medicine | Uitgave 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.
Voetnoten
1
NYHA Level III refers to cardiac disease resulting in dyspnea from even minor exertion, while Level IV refers to cardiac disease resulting in a lack of ability to carry on any physical activity without dyspnea or discomfort; symptoms may be present even at rest.
 
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Metagegevens
Titel
Religious struggle as a predictor of subsequent mental and physical well-being in advanced heart failure patients
Auteurs
Crystal L. Park
Jennifer H. Wortmann
Donald Edmondson
Publicatiedatum
01-12-2011
Uitgeverij
Springer US
Gepubliceerd in
Journal of Behavioral Medicine / Uitgave 6/2011
Print ISSN: 0160-7715
Elektronisch ISSN: 1573-3521
DOI
https://doi.org/10.1007/s10865-011-9315-y

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