Spiritual coping predicts 5-year health outcomes in adolescents with cystic fibrosis

Nina Reynolds, Sylvie Mrug, LaCrecia Britton, Kimberly Guion, Kelly Wolfe, Hector Gutierrez

Research output: Contribution to journalArticle

14 Citations (Scopus)

Abstract

Background: Positive spiritual coping in adolescent patients with cystic fibrosis (CF) is associated with better emotional functioning, but its role in health outcomes is unknown. Methods: Adolescents diagnosed with CF (n = 46; M= 14.7 years) reported on their use of positive and negative spiritual coping. Measures of nutrition status (BMIp), pulmonary function (%FEV1), and hospitalizations were obtained for a five-year follow up period. Changes in BMIp and %FEV1 scores were estimated with hierarchical linear models; days hospitalized were modeled with negative binomial regression. Results: Positive spiritual coping was associated with slower decline in pulmonary function, stable vs. declining nutritional status, and fewer days hospitalized over the five-year period. Negative spiritual coping was associated with higher BMI percentile at baseline, but not with health outcomes over time. Conclusions: These results suggest that positive spiritual coping plays a key role in maintaining long-term health of adolescent patients with CF.

Original languageEnglish (US)
Pages (from-to)593-600
Number of pages8
JournalJournal of Cystic Fibrosis
Volume13
Issue number5
DOIs
StatePublished - 2014

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Cystic Fibrosis
Nutritional Status
Health
Lung
Linear Models
Hospitalization

Keywords

  • Long-term outcomes
  • Psychology
  • Spiritual coping

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine
  • Pediatrics, Perinatology, and Child Health
  • Medicine(all)

Cite this

Spiritual coping predicts 5-year health outcomes in adolescents with cystic fibrosis. / Reynolds, Nina; Mrug, Sylvie; Britton, LaCrecia; Guion, Kimberly; Wolfe, Kelly; Gutierrez, Hector.

In: Journal of Cystic Fibrosis, Vol. 13, No. 5, 2014, p. 593-600.

Research output: Contribution to journalArticle

Reynolds, Nina ; Mrug, Sylvie ; Britton, LaCrecia ; Guion, Kimberly ; Wolfe, Kelly ; Gutierrez, Hector. / Spiritual coping predicts 5-year health outcomes in adolescents with cystic fibrosis. In: Journal of Cystic Fibrosis. 2014 ; Vol. 13, No. 5. pp. 593-600.
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