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Growing research has demonstrated a link between spiritual well-being and better health; however, little is known about possible physiological mechanisms. In a sample of highly religious healthy male and female adults (n = 100) ages 19–59 (m = 28.28) we examined the influence of spiritual well-being, as measured by the Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being (FACIT-Sp-Ex), on physiological risk factors for heart disease. Specifically we examined 24-h ambulatory blood pressure (BP), inflammation (hs-C-reactive protein), fasting glucose, and blood lipids. Regression analyses reveal that higher levels of spiritual-wellness (total FACIT-Sp-Ex score) was significantly related to lower systolic ambulatory BP (β = −.345; P < .001), diastolic ambulatory BP (β = −.24; P = .02), hs-C-reactive protein (β = −.23; P = .04), fasting glucose (β = −.28; P = .006), and marginally lower triglycerides (β = −.21; P = .09) and VLDL (β = −.21; P = .10) controlling for age, gender, and church attendance. Results remained generally consistent across the Meaning, Peace, Faith and Additional Spiritual Concerns subscales of the FACIT-Sp-Ex. Spiritual well-being may be cardio protective.
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Abou Diwan, C. H., Oghlakian, G. O., Antonios, S. I., Otrock, Z. K., & Rebeiz, A. G. (2004). The role of high sensitivity C-reactive protein in coronary artery disease risk prediction: A review. Journal Medical Libanais,52, 39–47.
Arsenault, B. J., Rana, J. S., Stroes, E. S., Despres, J. P., Shah, P. K., Kastelein, J. J., et al. (2009). Beyond low-density lipoprotein cholesterol: Respective contributions of non-high-density lipoprotein cholesterol levels, triglycerides, and the total cholesterol/high-density lipoprotein cholesterol ratio to coronary heart disease risk in apparently healthy men and women. Journal of the American College of Cardiology,55, 35–41. doi: 10.1016/j.jacc.2009.07.057PubMedCrossRef
Barr, E. L., Zimmet, P. Z., Welborn, T. A., Jolley, D., Magliano, D. J., Dunstan, D. W., et al. (2007). Risk of cardiovascular and all-cause mortality in individuals with diabetes mellitus, impaired fasting glucose, and impaired glucose tolerance: The Australian Diabetes, Obesity, and Lifestyle Study (AusDiab). Circulation,116, 151–157. doi: 10.1161/CIRCULATIONAHA.106.685628PubMedCrossRef
Bekelman, D. B., Parry, C., Curlin, F. A., Yamashita, T. E., Fairclough, D. L., & Wamboldt, F. S. (2010). A comparison of two spirituality instruments and their relationship with depression and quality of life in chronic heart failure. Journal of Pain and Symptom Management,39, 515–526. PubMedCrossRef
Boekholdt, S. M., Hack, C. E., Sandhu, M. S., Luben, R., Bingham, S. A., Wareham, N. J., et al. (2006). C-reactive protein levels, coronary artery disease incidence, mortality in apparently healthy men, women: The EPIC-Norfolk prospective population study. 1993–2003. Atherosclerosis,187, 415–422. doi: 10.1016/j.atherosclerosis.2005.09.023PubMedCrossRef
Clearfield, M. B. (2005). C-reactive protein: A new risk assessment tool for cardiovascular disease. Journal of the American Osteopathic Association,105, 409–416. PubMed
Futterman, L. G., & Lemberg, L. (2002). High-sensitivity C-reactive protein is the most effective prognostic measurement of acute coronary events. American Journal of Critical Care,11, 482–486. PubMed
George, L. K., Larson, D. B., Koenig, H. G., & McCullough, M. E. (2000). Spirituality and health: What we know, we what need to know. Journal of Social and Clinical Psychology,19, 102–116. CrossRef
Koenig, H. G. (2009). Research on religion, spirituality, and mental health: A review. Canadian Journal of Psychiatry,54, 283–291.
Koenig, L. B., & Valliant, G. E. (2009). A prospective study of church attendance and health over the lifespan. Journal of Health Psychology,28, 117–124. CrossRef
Kung, H. C., Hoyert, D. L., Xu, J., & Murphy, S. L. (2008). Deaths: Final data for 2005. National Vital Statistics Report,56, 1–120.
Larson, D. B., Sherrill, K. A., Lyons, J. S., Craigie, F. C., Jr., Thielman, S. B., Greenwold, M. A., et al. (1992). Associations between dimensions of religious commitment and mental health reported in the American Journal of Psychiatry and Archives of General Psychiatry: 1978–1989. American Journal of Psychiatry,149, 557–559. PubMed
Larson, D. B., Swyers, J. P., & McCullough, M. E. (1997). Scientific research on spirituality and health. A consensus report. Rockville, MD: National Institute for Healthcare Research.
Lawler, D. A., & Leon, D. A. (2005). Association of body mass index and obesity in early childhood with risk of coronary heart disease and stroke in middle age: Findings from the Aberdeen children of the 1950’s prospective cohort study. Circulation,111, 1891–1896. doi: 10.1161/01.CIR.0000161798.45728.4DCrossRef
Lloyd-Jones, D. M., Liu, K., Tian, L., & Greenland, P. (2006). Narrative review: Assessment of C-reactive protein in risk prediction for cardiovascular disease. Annals of International Medicine,145, 35–42.
MacMahon, S., Peto, R., Collins, R., Godwin, J., MacMahon, S., Cutler, J., et al. (1990). Blood pressure, stroke, and coronary heart disease: Part 1, prolonged differences in blood pressure: Prospective observational studies corrected for the regression dilution bias. Lancet,335, 765–774. doi: 10.1016/0140-6736(90)90878-9PubMedCrossRef
Masters, K. S., & Knestel, J. (2011). Religious orientation among a random sample of community-dwelling adults: Relations with health status and health-relevant behaviors. International Journal for the Psychology of Religion,21, 63–76. CrossRef
Orme, J. G., Reis, J., & Herz, E. J. (1986). Factorial and discriminant validity of the Center for Epidemiological Studies Depression (CES-D) scale. Journal of Clinical Psychology,42, 28–33. doi: 10.1002/1097-4679(198601)42:1<28:AID-JCLP2270420104>3.0.CO;2-TPubMedCrossRef
Peterman, A. H., Fitchett, G., Brady, M. J., Hernandez, L., & Cella, D. (2002). Measuring spiritual well-being in people with cancer: The functional assessment of chronic illness therapy–Spiritual Well-being Scale (FACIT-Sp). Annals of Behavioral Medicine,24, 49–58. doi: 10.1207/S15324796ABM2401_06PubMedCrossRef
Peyrot, M., & McMurry, J. F., Jr. (1985). Psychosocial factors in diabetes control: Adjustment of insulin-treated adults. Psychosomatic Medicine,47, 542–557. PubMed
Ridker, P. M. (1999). Evaluating novel cardiovascular risk factors: Can we better predict heart attacks? Annals of International Medicine,130, 933–937.
Rozanski, A., Blumental, J. A., & Kaplan, J. (1999). Impact of psychological factors on the pathogenesis of cardiovascular disease and its implication for therapy. Circulation,99, 2192–2217. PubMed
Sacks, F. M., Alaupovic, P., Moye, L. A., Cole, T. G., Sussex, B., Stampfer, M. J., et al. (2000). VLDL, apo lipoproteins B, CIII, and E, and risk of recurrent coronary events in the Cholesterol and Recurrent Events (CARE) trial. Circulation,102, 1886–1892. PubMed
Steffen, P. R., Hinderliter, A. L., Blumenthal, J. A., & Sherwood, A. (2001). Religious coping, ethnicity, and ambulatory blood pressure. Psychosomatic Medicine,63, 523–530. PubMed
Vitaliano, P. P., Scanlan, J. M., Krenz, C., & Fujimoto, W. (1996). Insulin and glucose: Relationships with hassles, anger, and hostility in nondiabetic older adults. Psychosomatic Medicine,58, 489–499. PubMed
Worthington, E. L., Jr., Witvliet, C. V., Pietrini, P., & Miller, A. J. (2007). Forgiveness, health, and well-being: A review of evidence for emotional versus decisional forgiveness, dispositional forgivingness, and reduced unforgiveness. Journal of Behavioral Medicine,30, 291–302. doi: 10.1007/s10865-007-9105-8PubMedCrossRef
Zacho, J., Tybjaerg-Hansen, A., & Nordestgaard, B. G. (2010). C-reactive protein and all-cause mortality–the Copenhagen City Heart Study. European Heart Journal. Advance online publication. doi: 10.1093/eurheartj/ehq103
- Understanding the connection between spiritual well-being and physical health: an examination of ambulatory blood pressure, inflammation, blood lipids and fasting glucose
Patrick R. Steffen
- Springer US