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

Academic Article


  • 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.
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    Digital Object Identifier (doi)

    Author List

  • Reynolds N; Mrug S; Britton LC; Guion K; Wolfe K; Gutierrez H
  • Start Page

  • 593
  • End Page

  • 600
  • Volume

  • 13
  • Issue

  • 5