Spirituality and religiosity in patients with HIV: A test and expansion of a model

Ian Kudel, Sian Cotton, Magda Szaflarski, William C. Holmes, Joel Tsevat

Research output: Contribution to journalArticlepeer-review

24 Scopus citations


Background: A causal model developed by Koenig suggests that higher levels of spirituality and religiosity effect intermediary variables and eventually result in better mental health, which then positively affects physical function. Purpose/Methods: Using structural equation modeling, we tested the model and expanded versions that use self-report data of patients with HIV (n∈=∈345). Results: All models demonstrated good overall fit with significant parameters. The final model found that increased spirituality/religiosity predicted increased religious coping, which influenced social support. Social support, in turn, positively influenced depressed mood (as a measure of mental health); depressed mood affected fatigue; and both variables predicted self-reported physical function. These three variables predicted health rating/utility for one's health state. Additional analyses found that two covariates, religiosity and race, differentially predicted spirituality/religiosity and religious coping. Conclusion: In patients with HIV, an expanded version of Koenig's model found that increased spirituality/ religiosity is positively associated with self-reported outcomes.

Original languageEnglish (US)
Pages (from-to)92-103
Number of pages12
JournalAnnals of Behavioral Medicine
Issue number1
StatePublished - Feb 2011
Externally publishedYes


  • Coping
  • Quality of life
  • Religious beliefs
  • Spirituality
  • Utilities

ASJC Scopus subject areas

  • General Medicine


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