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Religion, Spirituality, and Cardiovascular Disease

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Handbook of Cardiovascular Behavioral Medicine
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Abstract

Many people believe religiousness and spirituality (R/S) are related to cardiovascular (CV) functioning. R/S have often been treated as an undifferentiated construct, but recent research defines spirituality more broadly than religiousness with spirituality being more closely associated with personal, non-institutional experiences. There remains, however, significant conceptual overlap with both addressing aspects of the sacred. Early studies of denominational differences established beneficial CV effects for behaviorally strict groups. Epidemiological investigations of the general population typically relied on religious service attendance to measure R/S and demonstrated advantages for regular attendees for both CV mortality and morbidity. These findings were not completely accounted for by behavioral practices. Studies of cardiac patients and those undergoing cardiac surgery more often used multidimensional measures, and results are correspondingly more complex suggesting that though dimensions or facets of R/S are often associated with better outcomes, this is not always the case and some dimensions may reliably predict worse results. Several mechanisms may operate in the relationships between R/S and CV outcomes including social support, behavioral lifestyles, and psychological functioning influenced by characteristics of R/S.

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References

  1. Agrawal M, Dalal AK (1993) Beliefs about the world and recovery from myocardial infarction. J Soc Psychol 133:385–394

    Article  PubMed  Google Scholar 

  2. Ai AL, Park CL (2007) Psychosocial mediation of religious coping styles: a study of short-term psychological distress following cardiac surgery. Personal Soc Psychol Bull 33:867–882

    Article  Google Scholar 

  3. Ai AL, Dunkle RE, Peterson C, Boiling SF (1998) The role of private prayer in psychological recovery among midlife and aged patients following cardiac surgery. Gerontologist 38:591–601

    Article  PubMed  Google Scholar 

  4. Ai AL, Peterson C, Bolling SF, Rodgers W (2006) Depression, faith-based coping, and short-term postoperative global functioning in adult and older patients undergoing cardiac surgery. J Psychosom Res 60:21–28

    Article  PubMed  Google Scholar 

  5. Ai AL, Peterson C, Tice TN, Rodgers W, Seymour EM, Bolling SF (2006) Differential effects of faith-based coping on physical and mental fatigue in middle-aged and older cardiac patients. Int J Psychiatry Med 36:351–365

    Article  PubMed  Google Scholar 

  6. Ai AL, Peterson C, Tice TN, Huang B, Rodgers W, Bolling SF (2007) The influence of prayer coping on mental health among cardiac surgery patients. J Health Psychol 12:580–596

    Article  PubMed  Google Scholar 

  7. Barnes PM, Powell-Griner E, McFann K, Nahin RL (2004) Complementary and alternative medicine use among adults: United States, 2002, vol 20. Elsevier, pp 54–71

    Google Scholar 

  8. Bergin AE, Masters KS, Richards PS (1987) Religiousness and mental health reconsidered: a study of an intrinsically religious sample. J Couns Psychol 34:197–204

    Article  Google Scholar 

  9. Berntson GG, Norman GJ, Hawkley LC, Cacioppo JT (2008) Spirituality and autonomic cardiac control. Ann Behav Med 35:198–208

    Article  PubMed  Google Scholar 

  10. Blumenthal JA, Babyak MA, Ironson G, Thoresen C, Powell L, Czajkowski S, Burg M, Keefe FJ, Steffen P, Catellier D (2007) Spirituality, religion, and clinical outcomes in patients recovering from an acute myocardial infarction. Psychosom Med 69:501–508

    Article  PubMed  Google Scholar 

  11. Clark KM, Friedman HS, Martin LR (1999) A longitudinal study of religiosity and mortality risk. J Health Psychol 4:381–391

    Article  PubMed  Google Scholar 

  12. Contrada RJ, Goyal TM, Cather C, Rafalson L, Idler EL, Krause TJ (2004) Psychosocial factors in outcomes of heart surgery: the impact of religious involvement and depressive symptoms. Health Psychol 23:227–238

    Article  PubMed  Google Scholar 

  13. Contrada RJ, Boulifard DA, Hekler EB, Idler EL, Spruill TM, Labouvie EW, Krause TJ (2008) Psychosocial factors in heart surgery: presurgical vulnerability and postsurgical recovery. Health Psychol 27:309–319

    Article  PubMed  Google Scholar 

  14. Edman JL (2000) Mental illness beliefs in Malaysia: ethnic and intergenerational comparisons. Int J Soc Psychiatry 46:101–109

    Article  PubMed  Google Scholar 

  15. Edmondson KA, Lawler KA, Jobe RL, Younger JW, Piferi RL, Jones WH (2005) Spirituality predicts health and cardiovascular responses to stress in young adult women. J Relig Health 44:161–171

    Article  Google Scholar 

  16. Enstrom JE (1989) Health practices and cancer mortality among active California Mormons. J Natl Cancer Inst 81:1807–1814

    Article  PubMed  Google Scholar 

  17. Fetzer Institute (1999) Multidimensional measurement of religiousness/spirituality for use in health research: a report of the Fetzer Institute/National Institute on Aging working group. Fetzer Institute, Kalamazoo

    Google Scholar 

  18. Friedlander Y, Kark J, Stein Y (1986) Religious orthodoxy and myocardial infarction in Jerusalem – a case control study. Int J Cardiol 10:33–41

    Article  PubMed  Google Scholar 

  19. Goldbourt U, Yaari S, Medalie J (1993) Factors predictive of long-term coronary heart disease mortality among 10,059 male Israeli civil servants and municipal employees. Cardiology 82:100–121

    Article  PubMed  Google Scholar 

  20. Gorsuch RL (1984) Measurement: the boon and bane of investigating religion. The American Psychologist 39:228–236

    Article  Google Scholar 

  21. Hadaway C, Marler PL (2005) How many Americans attend worship each week? An alternative approach to measurement. J Sci Study Relig 44:307–322

    Article  Google Scholar 

  22. Hill P, Pargament KI (2003) Advances in the conceptualization and measurement of religion and spirituality: implications for physical and mental health research. The American Psychologist 58:64–74

    Article  PubMed  Google Scholar 

  23. Hill TD, Ellison CG, Burdette AM, Musick MA (2007) Religious involvement and healthy lifestyles: evidence from the survey of Texas adults. Ann Behav Med 34:217–222

    Article  PubMed  Google Scholar 

  24. Hufford DJ (2005) An analysis of the field of spirituality, religion, and health (S/RH). www.metanexus.net/archive/templetonadvancedresearchprogram/pdf/TARP-Hufford.pdf

  25. Hummer RA, Rogers RG, Nam CB, Ellison CG (1999) Religious involvement and US adult mortality. Demography 36:273–285

    Article  PubMed  Google Scholar 

  26. Kern ML, Friedman HS (2008) Do conscientious individuals live longer? A quantitative review. Health Psychol 27:505–512

    Article  PubMed  Google Scholar 

  27. Lahey BB (2009) Public health significance of neuroticism. Am Psychol 64:241–256

    Article  PubMed  PubMed Central  Google Scholar 

  28. Lawler KA, Younger JW (2002) Theobiology: an analysis of spirituality, cardiovascular responses, stress, mood, and physical health. J Relig Health 41:347–362

    Article  Google Scholar 

  29. Levin JS, Vanderpool HY (1987) Is frequent religious attendance really conducive to better health?: toward an epidemiology of religion. Soc Sci Med 24:589–600

    Article  PubMed  Google Scholar 

  30. Lugo L, Stencel S, Green J, Smith G, Cox D, Pond A, Miller T, Podrebarac E, Ralston M, Kohut A (2008) US religious landscape survey. Pew Research Center, Washington, DC

    Google Scholar 

  31. Lyon JL, Wetzler HP, Gardner JW, Klauber MR, Williams RR (1978) Cardiovascular mortality in Mormons and non-Mormons in Utah, 1969–1971. Am J Epidemiol 108:357–366

    Article  PubMed  Google Scholar 

  32. Masters KS, Spielmans GI (2007) Prayer and health: review, meta-analysis, and research agenda. J Behav Med 30:329–338

    Article  PubMed  Google Scholar 

  33. Masters KS, Hill RD, Kircher JC, Benson TLL, Fallon JA (2004) Religious orientation, aging, and blood pressure reactivity to interpersonal and cognitive stressors. Ann Behav Med 28:171–178

    Article  PubMed  Google Scholar 

  34. Masters KS, Carey KB, Maisto SA, Caldwell PE, Wolfe TV, Hackney HL, France CR, Himawan L (2009) Psychometric examination of the brief multidimensional measure of religiousness/spirituality among college students. Int J Psychol Relig 19:106–120

    Article  Google Scholar 

  35. McCullough ME, Willoughby BLB (2009) Religion, self-regulation, and self-control: associations, explanations, and implications. Psychol Bull 135:69–93

    Article  PubMed  Google Scholar 

  36. McCullough ME, Tsang JA, Brion S (2003) Personality traits in adolescence as predictors of religiousness in early adulthood: findings from the Terman Longitudinal Study. Personal Soc Psychol Bull 29:980–991

    Article  Google Scholar 

  37. Miller WR, Thoresen CE (2003) Spirituality, religion, and health: an emerging research field. Am Psychol 58:24–35

    Article  PubMed  Google Scholar 

  38. Neff JA (2006) Exploring the dimensionality of “religiosity” and “spirituality” in the Fetzer Multidimensional Measure. J Sci Study Relig 45:449–459

    Article  Google Scholar 

  39. Oman D, Kurata JH, Strawbridge WJ, Cohen RD (2002) Religious attendance and cause of death over 31 years. Int J Psychiatry Med 32:69–69

    Article  PubMed  Google Scholar 

  40. Oxman TE, Freeman DH, Manheimer ED (1995) Lack of social participation or religious strength and comfort as risk factors for death after cardiac surgery in the elderly. Psychosom Med 57:5–15

    Article  PubMed  Google Scholar 

  41. Park CL, Moehl B, Fenster JR, Suresh D, Bliss D (2008) Religiousness and treatment adherence in congestive heart failure patients. J Relig Spiritual Aging 20:249–266

    Article  Google Scholar 

  42. Piedmont RL (1999) Does spirituality represent the sixth factor of personality? Spiritual transcendence and the Five-Factor Model. J Pers 67:985–1013

    Article  Google Scholar 

  43. Piedmont RL, Mapa AT, Williams JEG (2006) A factor analysis of the Fetzer/NIA brief multidimensional measure of religiousness/spirituality (MMRS). Res Soc Sci Study Relig 17:177–196

    Google Scholar 

  44. Rosendahl J, Tigges-Limmer K, Gummert J, Dziewas R, Albes JM, Strauss B (2009) Bypass surgery with psychological and spiritual support (the By.pass study): study design and research methods. Am Heart J 158:8–14

    Article  PubMed  Google Scholar 

  45. Samano EST, Goldenstein PT, Ribeiro LM, Lewin F, Valesin Filho ES, Soares HP, Giglio A (2004) Praying correlates with higher quality of life: results from a survey on complementary/alternative medicine use among a group of Brazilian cancer patients. Sao Paulo Med J 122:60–63

    Article  PubMed  Google Scholar 

  46. Saroglou V, Fiasse L (2003) Birth order, personality, and religion: a study among young adults from a three-sibling family. Personal Individ Differ 35:19–29

    Article  Google Scholar 

  47. Saroglou V, Muñoz García A (2008) Individual differences in religion and spirituality: an issue of personality traits and/or values. J Sci Study Relig 47:83–101

    Article  Google Scholar 

  48. Saucier G, Goldberg LR (1998) What is beyond the Big Five? J Pers 66:495–524

    Article  PubMed  Google Scholar 

  49. Saucier G, Skrzypiska K (2006) Spiritual but not religious? Evidence for two independent dispositions. J Pers 74:1257–1292

    Article  PubMed  Google Scholar 

  50. Schnall E, Wassertheil-Smoller S, Swencionis C, Zemon V, Tinker L, Mary Jo OS, Van Horn L, Goodwin M (2010) The relationship between religion and cardiovascular outcomes and all-cause mortality in the women’s health initiative observational study. Psychol Health 25:249–263

    Article  PubMed  Google Scholar 

  51. Shahabi L, Powell LH, Musick MA, Pargament KI, Thoresen CE, Williams D, Underwood L, Ory MA (2002) Correlates of self-perceptions of spirituality in American adults. Ann Behav Med 24:59–68

    Article  PubMed  Google Scholar 

  52. Sloan RP (2007) Attendance at religious services, health, and the lessons of trinity. Psychosom Med 69:493–494

    Article  PubMed  Google Scholar 

  53. Sloan RP, Bagiella E (2002) Claims about religious involvement and health outcomes. Ann Behav Med 24:14–21

    Article  PubMed  Google Scholar 

  54. Smith TB, McCullough ME, Poll J (2003) Religiousness and depression: evidence for a main effect and the moderating influence of stressful life events. Psychol Bull 129:614–636

    Article  PubMed  Google Scholar 

  55. Stewart C, Koeske G (2006) A preliminary construct validation of the multidimensional measurement of religiousness/spirituality instrument: a study of southern USA samples. Int J Psychol Relig 16:181–196

    Article  Google Scholar 

  56. Strawbridge WJ, Shema SJ, Cohen RD, Kaplan GA (2001) Religious attendance increases survival by improving and maintaining good health behaviors, mental health, and social relationships. Ann Behav Med 23:68–74

    Article  PubMed  Google Scholar 

  57. Tartaro J, Luecken LJ, Gunn HE (2005) Exploring heart and soul: effects of religiosity/spirituality and gender on blood pressure and cortisol stress responses. J Health Psychol 10:753–766

    Article  PubMed  Google Scholar 

  58. Timio M, Lippi G, Venanzi S, Gentili S, Quintaliani G, Verdura C, Monarca C, Saronio P, Timio F (1997) Blood pressure trend and cardiovascular events in nuns in a secluded order: a 30-year follow-up study. Blood Press 6:81–87

    Article  PubMed  Google Scholar 

  59. Walton J (1999) Spirituality of patients recovering from an acute myocardial infarction. J Holist Nurs 17:34–53

    Article  PubMed  Google Scholar 

  60. Wardwell WI, Bahnson CB, Caron HS (1963) Social and psychological factors in coronary heart disease. J Health Hum Behav 4:154–165

    Article  PubMed  Google Scholar 

  61. Zinnbauer BJ, Pargament KI, Cole B, Rye MS, Butter EM, Belavich TG, Hipp KM, Scott AB, Kadar JL (1997) Religion and spirituality: unfuzzying the fuzzy. J Sci Study Relig 36:549–564

    Article  Google Scholar 

  62. Zinnbauer BJ, Pargament KI, Scott AB (1999) The emerging meanings of religiousness and spirituality: problems and prospects. J Pers 67:889–919

    Article  Google Scholar 

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Masters, K.S. (2022). Religion, Spirituality, and Cardiovascular Disease. In: Waldstein, S.R., Kop, W.J., Suarez, E.C., Lovallo, W.R., Katzel, L.I. (eds) Handbook of Cardiovascular Behavioral Medicine. Springer, New York, NY. https://doi.org/10.1007/978-0-387-85960-6_27

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