Journal of Religion and Health

, Volume 53, Issue 6, pp 1907–1917 | Cite as

Religiosity and Religious Coping in Patients with Cardiovascular Disease: Change over Time and Associations with Illness Adjustment

  • K. M. TrevinoEmail author
  • T. R. McConnell
Original Paper


Little is known about the longitudinal relationship between religiosity/spirituality (R/S) and patient physical and mental health in patients with cardiovascular disease. Forty-three patients with a first-time myocardial infarction or coronary artery revascularization bypass surgery completed measures of religiosity, religious coping, quality of life (QOL), and weight prior to a cardiac rehabilitation program and 1 and 2 years later. R/S changed over time; the direction of the change varied by type of R/S. Increases in religiosity were associated with increases in weight and QOL; increases in religious coping were associated with decreases in weight and increases in QOL.


Religious coping Religiosity Spirituality Cardiovascular disease Quality of life 


  1. Ai, A. L., Park, C. L., Huang, B., Rodgers, W., & Tice, T. N. (2007). Psychosocial mediation of religious coping styles: A study of short-term psychological distress following cardiac surgery. Personality and Social Psychology Bulletin, 33(6), 867–882.PubMedCrossRefGoogle Scholar
  2. Ai, A. L., Peterson, C., Tice, T. N., Rodgers, W., Seymour, E. M., & Bolling, S. F. (2006). Differential effects of faith-based coping on physical and mental fatigue in middle-aged and older cardiac patients. The International Journal of Psychiatry in Medicine, 36(3), 351–365.CrossRefGoogle Scholar
  3. Ardelt, M., Ai, A. L., & Eichenberger, S. E. (2008). In search for meaning: The differential role of religion for middle-aged and older persons diagnosed with a life-threatening illness. Journal of Religion, Spirituality & Aging, 20(4), 288–312.CrossRefGoogle Scholar
  4. Balboni, T. A., Vanderwerker, L. C., Block, S. D., Paulk, M. E., Lathan, C. S., Peteet, J. R., et al. (2007). Religiousness and spiritual support among advanced cancer patients and associations with end-of-life treatment preferences and quality of life. Journal of Clinical Oncology, 25(5), 555–560.PubMedCrossRefPubMedCentralGoogle Scholar
  5. Baldacchino, D. (2011). Myocardial infarction: A turning point in meaning in life over time. British Journal of Nursing, 20(2), 107–114.PubMedCrossRefGoogle Scholar
  6. Bang, J. S., Jo, S., Kim, G. B., Kwon, B. S., Bae, E. J., Noh, C. I., et al. (2013). The mental health and quality of life of adult patients with congenital heart disease. International Journal of Cardiology, 170(1), 49–53. doi: 10.1016/j.ijcard.2013.10.003.PubMedCrossRefGoogle Scholar
  7. Bean, M. K., Gibson, D., Flattery, M., Duncan, A., & Hess, M. (2009). Psychosocial factors, quality of life, and psychological distress: Ethnic differences in patients with heart failure. Progress in Cardiovascular Nursing, 24(4), 131–140.PubMedCrossRefGoogle Scholar
  8. Bearon, L. B., & Koenig, H. G. (1990). Religious cognitions and use of prayer in health and illness. The Gerontologist, 30(2), 249–253.PubMedCrossRefGoogle Scholar
  9. Beery, T. A., Baas, L. S., Fowler, C., & Allen, G. (2002). Spirituality in persons with heart failure. J Holist Nurs, 20(1), 5–25; quiz 26–30.Google Scholar
  10. Bekelman, D. B., Dy, S. M., Becker, D. M., Wittstein, I. S., Hendricks, D. E., Yamashita, T. E., et al. (2007). Spiritual well-being and depression in patients with heart failure. Journal of General Internal Medicine, 22(4), 470–477.PubMedCrossRefPubMedCentralGoogle Scholar
  11. Benjamins, M. R., Musick, M. A., Gold, D. T., & George, L. K. (2003). Age-related declines in activity level: The relationship between chronic illness and religious activities. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 58(6), S377–S385.CrossRefGoogle Scholar
  12. Blinderman, C. D., Homel, P., Billings, J. A., Portenoy, R. K., & Tennstedt, S. L. (2008). Symptom distress and quality of life in patients with advanced congestive heart failure. Journal of Pain and Symptom Management, 35(6), 594–603.PubMedCrossRefPubMedCentralGoogle Scholar
  13. Chung, M. C., Berger, Z., & Rudd, H. (2008). Coping with posttraumatic stress disorder and comorbidity after myocardial infarction. Comprehensive Psychiatry, 49(1), 55–64.PubMedCrossRefGoogle Scholar
  14. Clark, A. M., Savard, L. A., Spaling, M. A., Heath, S., Duncan, A. S., & Spiers, J. A. (2012). Understanding help-seeking decisions in people with heart failure: A qualitative systematic review. International Journal of Nursing Studies, 49(12), 1582–1597.PubMedCrossRefGoogle Scholar
  15. Fitchett, G., Murphy, P. E., Kim, J., Gibbons, J. L., Cameron, J. R., & Davis, J. A. (2004). Religious struggle: Prevalence, correlates and mental health risks in diabetic, congestive heart failure, and oncology patients. The International Journal of Psychiatry in Medicine, 34(2), 179–196.CrossRefGoogle Scholar
  16. Foster, C., Oldridge, N. B., Dion, W., Forsyth, G., Grevenow, P., Hansen, M., et al. (1995). Time course of recovery during cardiac rehabilitation. Journal of Cardiopulmonary Rehabilitation and Prevention, 15(3), 209–215.CrossRefGoogle Scholar
  17. Griffin, M. T., Lee, Y. H., Salman, A., Seo, Y., Marin, P. A., Starling, R. C., et al. (2007). Spirituality and well being among elders: Differences between elders with heart failure and those without heart failure. Clinical Interventions in Aging, 2(4), 669–675.PubMedPubMedCentralGoogle Scholar
  18. Heidenreich, P. A., Trogdon, J. G., Khavjou, O. A., Butler, J., Dracup, K., Ezekowitz, M. D., et al. (2011). Forecasting the future of cardiovascular disease in the United States: A policy statement from the American Heart Association. Circulation, 123(8), 933–944.PubMedCrossRefGoogle Scholar
  19. Heo, S., Lennie, T. A., Okoli, C., & Moser, D. K. (2009). Quality of life in patients with heart failure: Ask the patients. Heart and Lung, 38(2), 100–108.PubMedCrossRefPubMedCentralGoogle Scholar
  20. Herman, R., Liebergall, M., & Rott, D. (2013). Correlation between participation in a cardiac rehabilitation program and quality of life of patients with coronary artery disease. Rehabilitation Nursing. doi: 10.1002/rnj.118.
  21. Hillers, T. K., Guyatt, G. H., Oldridge, N., Crowe, J., Willan, A., Griffith, L., et al. (1994). Quality of life after myocardial infarction. Journal of Clinical Epidemiology, 47(11), 1287–1296.PubMedCrossRefGoogle Scholar
  22. Hughes, J. W., Tomlinson, A., Blumenthal, J. A., Davidson, J., Sketch, M. H., & Watkins, L. L. (2004). Social support and religiosity as coping strategies for anxiety in hospitalized cardiac patients. Annals of Behavioral Medicine, 28(3), 179–185.PubMedCrossRefGoogle Scholar
  23. Kamm-Steigelman, L., Kimble, L. P., Dunbar, S., Sowell, R. L., & Bairan, A. (2006). Religion, relationships and mental health in midlife women following acute myocardial infarction. Issues in Mental Health Nursing, 27(2), 141–159.PubMedCrossRefGoogle Scholar
  24. Kochanek, K. D., Xu, J. Q., Murphy, S. L., Miniño, A. M., & Kung, H. C. (2011). Deaths: Final data for 2009. National Vital Statistics Reports, 60(3), 1–116.PubMedGoogle Scholar
  25. Koenig, H. G. (2012). Religion, spirituality, and health: The research and clinical implications. ISRN Psychiatry, 2012, 278730. doi: 10.5402/2012/278730.PubMedCrossRefPubMedCentralGoogle Scholar
  26. Murray, S. A., Kendall, M., Grant, E., Boyd, K., Barclay, S., & Sheikh, A. (2007). Patterns of social, psychological, and spiritual decline toward the end of life in lung cancer and heart failure. Journal of Pain and Symptom Management, 34(4), 393–402.PubMedCrossRefGoogle Scholar
  27. Najafi Ghezeljeh, T., & Emami, A. (2013). Strategies for recreating normal life: Iranian coronary heart disease patients’ perspectives on coping strategies. Journal of Clinical Nursing. doi: 10.1111/jocn.12428.
  28. National Center for Chronic Disease and Prevention, Division for Heart Disease and Stroke Prevention. (2011). Heart disease and stroke prevention: Addressing the nation’s leading killers., Accessed February 2, 2014.
  29. Oldridge, N., Guyatt, G., Jones, N., Crowe, J., Singer, J., Feeny, D., et al. (1991). Effects on quality of life with comprehensive rehabilitation after acute myocardial infarction. The American Journal of Cardiology, 67(13), 1084–1089.PubMedCrossRefGoogle Scholar
  30. Pargament, K. I. (1997). The psychology of religion and coping: Theory, research, practice. New York, NY: Guilford Press.Google Scholar
  31. Pargament, K. I., Ensing, D. S., Falgout, K., Olsen, H., Reilly, B., Haitsma, K., et al. (1990). God help me: I. Religious coping efforts as predictors of the outcomes to significant negative life events. American Journal of Community Psychology, 18(6), 793–824.CrossRefGoogle Scholar
  32. Pargament, K. I., Koenig, H. G., Tarakeshwar, N., & Hahn, J. (2004). Religious coping methods as predictors of psychological, physical and spiritual outcomes among medically ill elderly patients: A two-year longitudinal study. Journal of Health Psychology, 9(6), 713–730.PubMedCrossRefGoogle Scholar
  33. Park, C. L., & Dornelas, E. (2012). Is religious coping related to better quality of life following acute myocardial infarction? Journal of Religion and Health, 51(4), 1337–1346.PubMedCrossRefGoogle Scholar
  34. Park, C. L., Lim, H., Newlon, M., Suresh, D. P., & Bliss, D. E. (2013). Dimensions of religiousness and spirituality as predictors of well-being in advanced chronic heart failure patients. Journal of Religion and Health, 53(2), 579–590.Google Scholar
  35. Park, C. L., Wortmann, J. H., & Edmondson, D. (2011). Religious struggle as a predictor of subsequent mental and physical well-being in advanced heart failure patients. Journal of Behavioral Medicine, 34(6), 426–436.PubMedCrossRefGoogle Scholar
  36. Rohrbaugh, J., & Jessor, R. (1975). Religiosity in youth: A personal control against deviant behavior. Journal of Personality, 43(1), 136–155.PubMedCrossRefGoogle Scholar
  37. Strada, E. A., Homel, P., Tennstedt, S., Billings, J. A., & Portenoy, R. K. (2013). Spiritual well-being in patients with advanced heart and lung disease. Palliative and Supportive Care, 11(3), 205–213.PubMedCrossRefGoogle Scholar
  38. Thompson, E. H., Jr, Killgore, L., & Connors, H. (2009). “Heart trouble” and religious involvement among older white men and women. Journal of Religion and Health, 48(3), 317–331.PubMedCrossRefGoogle Scholar
  39. Trevino, K. M., Pargament, K. I., Cotton, S., Leonard, A. C., Hahn, J., Caprini-Faigin, C. A., et al. (2010). Religious coping and physiological, psychological, social, and spiritual outcomes in patients with HIV/AIDS: Cross-sectional and longitudinal findings. AIDS and Behavior, 14(2), 379–389.PubMedCrossRefGoogle Scholar
  40. Vollman, M. W., LaMontagne, L. L., & Hepworth, J. T. (2007). Coping with depressive symptoms in adults living with heart failure. Journal of Cardiovascular Nursing, 22(2), 125–130.PubMedCrossRefGoogle Scholar
  41. Westlake, C., Dyo, M., Vollman, M., & Heywood, J. T. (2008). Spirituality and suffering of patients with heart failure. Progress in Palliative Care, 16(5–6), 257–265.CrossRefGoogle Scholar
  42. Whelan-Gales, M. A., Quinn Griffin, M. T., Maloni, J., & Fitzpatrick, J. J. (2009). Spiritual well-being, spiritual practices, and depressive symptoms among elderly patients hospitalized with acute heart failure. Geriatric Nursing, 30(5), 312–317.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  1. 1.Psychology DepartmentRowan UniversityGlassboroUSA
  2. 2.Exercise Science DepartmentBloomsburg UniversityBloomsburgUSA

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