The ironson-woods spirituality/religiousness index is associated with long survival, health behaviors, less distress, and low cortisol in people with HIV/AIDS
The ironson-woods spirituality/religiousness index is associated with long survival, health behaviors, less distress, and low cortisol in people with HIV/AIDS
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DOI：
10.1207/s15324796abm2401_05
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发表时间：
2002-12-01
影响因子：
3.8
通讯作者：
Woods, TE
中科院分区：
文献类型：
--
作者：
Ironson, G;Solomon, GF;Woods, TE
本研究的目的是确定的可靠性和有效性的工具，衡量精神和宗教，检查精神和宗教之间的关系和重要的健康结果的人感染艾滋病毒，并检查这些关系的潜在调解人。一个目的是确定是否灵性，宗教，或两者的分量表将独立与艾滋病患者的长期生存。Ironson-Woods灵性/灵性（SR）指数的可靠性和有效性的证据。在Ironson-Woods SR指数中确定了四个因素（和平感，对上帝的信仰，宗教行为和对他人的同情心）。各分量表与艾滋病长期生存率显著相关。也就是说，长期存活者（LTS）组（n = 79）在这些因素上的得分显著高于HIV阳性对照（COMP）组（n = 200）。长期生存也显着相关的频率祈祷（积极）和判断的态度（消极）。它？此外，Ironson-Woods SR指数与更少的痛苦、更多的希望、社会支持、健康行为、帮助他人和更低的皮质醇水平产生了强烈而显著的相关性。宗教行为和健康结果之间的关系不是由于社会支持。进一步的分析表明，尿皮质醇浓度和利他行为是SR和长期生存之间关系的介质。
The purpose of this study was to determine the reliability and validity of an instrument that measures both spirituality and religiousness, to examine the relation between spirituality and religiousness and important health outcomes for people living with HIV and to examine the potential mediators of these relations. One aim was to determine whether subscales of spirituality, religiousness, or both would be independently related to long survival in people living with AIDS. The Ironson-Woods Spirituality/Religiousness (SR) Index is presented with evidence for its reliability and validity. Four factors were identified on the Ironson-Woods SR Index (Sense of Peace, Faith in God, Religious Behavior and Compassionate View of Others). Each subscale was significantly related to long survival with AIDS. That is, the long-term survivor (LTS) group (n = 79) scored significantly higher on these factors than did the HIV-positive comparison (COMP) group (n = 200). Long survival was also significantly related to both frequency of prayer (positively) and judgmental attitude (negatively). It? addition, the Ironson-Woods SR Index Yielded strong and significant correlations with less distress, more hope, social support, health behaviors, helping others, and lower cortisol levels. The relation between religious behavior and health outcomes was not due to social support. Further analyses were conducted, which identified urinary cortisol concentrations and altruistic behavior as mediators of the relation between SR and long survival.