Journal of Religion and Health

, Volume 53, Issue 2, pp 579–590 | Cite as

Dimensions of Religiousness and Spirituality as Predictors of Well-Being in Advanced Chronic Heart Failure Patients

  • Crystal L. ParkEmail author
  • Haikel Lim
  • Max Newlon
  • D. P. Suresh
  • Deborah E. Bliss
Original Paper


We examined relationships between seven dimensions of religion/spirituality (RS) (forgiveness, daily spiritual experiences, belief in afterlife, religious identity, religious support, public practices, and positive RS coping) and three dimensions of well-being (physical, mental, and existential) in a sample of 111 patients with advanced chronic heart failure. Participants completed questionnaires at baseline and 3 months later. Results showed that fairly high levels of RS were reported on all seven dimensions. Furthermore, RS dimensions were differentially related to well-being. No aspect of RS was related to physical well-being, and only a few aspects were related to mental well-being. Forgiveness was related to less subsequent depression, while belief in afterlife was related to poorer mental health. All aspects of RS were related to at least one aspect of existential well-being. In particularly, daily spiritual experiences were linked with higher existential well-being and predicted less subsequent spiritual strain. These results are consistent with the view that in advanced disease, RS may not affect physical well-being but may have potent influences on other aspects of well-being, particularly existential aspects.


Spirituality Religiousness Heart failure Existential well-being Forgiveness 



This study was funded by a research grant from the Fetzer Foundation to the first author.


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Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  • Crystal L. Park
    • 1
    Email author
  • Haikel Lim
    • 1
  • Max Newlon
    • 1
  • D. P. Suresh
    • 2
  • Deborah E. Bliss
    • 2
  1. 1.Department of PsychologyUniversity of ConnecticutStorrsUSA
  2. 2.St. Elizabeth’s PhysiciansCovingtonUSA

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