Journal of Religion and Health

, Volume 51, Issue 4, pp 1239–1260 | Cite as

Multidimensional Assessment of Spirituality/Religion in Patients with HIV: Conceptual Framework and Empirical Refinement

  • Magdalena Szaflarski
  • Ian Kudel
  • Sian Cotton
  • Anthony C. Leonard
  • Joel Tsevat
  • P. Neal Ritchey
Original Paper


A decade ago, an expert panel developed a framework for measuring spirituality/religion in health research (Brief Multidimensional Measure of Religiousness/Spirituality), but empirical testing of this framework has been limited. The purpose of this study was to determine whether responses to items across multiple measures assessing spirituality/religion by 450 patients with HIV replicate this model. We hypothesized a six-factor model underlying a collective of 56 items, but results of confirmatory factor analyses suggested eight dimensions: Meaning/Peace, Tangible Connection to the Divine, Positive Religious Coping, Love/Appreciation, Negative Religious Coping, Positive Congregational Support, Negative Congregational Support, and Cultural Practices. This study corroborates parts of the factor structure underlying the Brief Multidimensional Measure of Religiousness/Spirituality and some recent refinements of the original framework.


Spirituality Religion HIV Brief Multidimensional Measure of Religiousness/Spirituality 


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Copyright information

© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  • Magdalena Szaflarski
    • 1
    • 2
  • Ian Kudel
    • 3
    • 4
  • Sian Cotton
    • 2
  • Anthony C. Leonard
    • 1
  • Joel Tsevat
    • 3
    • 4
  • P. Neal Ritchey
    • 5
  1. 1.Department of Public Health Sciences, College of MedicineUniversity of CincinnatiCincinnatiUSA
  2. 2.Department of Family and Community MedicineCollege of Medicine, University of CincinnatiCincinnatiUSA
  3. 3.Department of Internal MedicineUniversity of Cincinnati, College of MedicineCincinnatiUSA
  4. 4.Veterans Healthcare System of Ohio (VISN 10)CincinnatiUSA
  5. 5.Department of SociologyUniversity of Cincinnati, McMicken College of Arts and SciencesCincinnatiUSA

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