Religious and Non-Religious Coping in Lung Transplant Candidates: Does Adding God to the Picture Tell Us More?
- 231 Downloads
Individuals use many non-religious coping (NRC) and religious coping (RC) strategies to cope with stress. In previous studies with lung transplant candidates, we found that NRC and RC predicted depression, anxiety, and disability. The present study aimed to (a) assess whether RC and NRC contributed uniquely to the prediction of distress and disability, or whether they were redundant and offered no additional information, and (b) evaluate the unique contribution of each subscale to determine the strongest associations with outcomes. Participants were 81 patients with end-stage lung disease being evaluated for lung transplant. Our findings suggest that RC and NRC are not functionally redundant. The best RC predictor was reappraising the situation as a punishment from God, and the best NRC predictors were mental disengagement and denial. Our findings suggest that NRC and RC are independent components of psychological functioning, and measuring both coping styles provides more information than studying each alone.
KEY WORDS:coping religious coping depression anxiety disability lung transplant
This research was supported in part by grants from the Cystic Fibrosis Foundation and the Fetzer Institute. We wish to acknowledge Beth Parker Yeatts for data collection and scoring and Cathy Zimmer for statistical support. We want to thank the reviewers of this manuscript for their time and very helpful comments.
- Anderson, R. N., and Smith, B. L. (2003). Deaths: Leading Causes for 2001, National Center for Health Statistics, Hyattsville, Maryland, 2003 Natl. Vital Stat. Rep. No. 52.Google Scholar
- Beck, A., and Steer, R. (1987). Beck Depression Inventory Manual, Harcourt Brace Jovanovich, San Antonio, TX.Google Scholar
- Bergner, M., Bobbitt, R., Carter, W., and Gilson, B. (1981). The sickness impact profile: Development and final revision of a health status measure. Med. Care 29: 797–805.Google Scholar
- Fox, R. B. (2002). Religious identity, religious practices, and spiritual coping in adults undergoing treatment for cancer. Dissert. Abstr. Int. Sec. B Sci. Eng. 62: 4783.Google Scholar
- Handelsman, H. (1992) Single and Double Lung Transplantation. Agency for Health Care Policy and Research, Health Technology Assessment Reports No. 5.Google Scholar
- Heckman, T. G., Anderson, E. S., Sikkema, K. J., Kochman, A., Kalichman, S. C., and Anderson, T. (2004). Emotional distress in nonmetropolitan persons living with HIV disease enrolled in a telephone-delivered, coping improvement group intervention. Health Psychol. 23: 94–100.CrossRefPubMedGoogle Scholar
- Pargament, K. I. (1997) The Psychology of Religion and Coping: Theory, Research, Practice, Guilford Press, New York.Google Scholar
- Spielberger, C. D. (1983). Manual for the State-Trait Anxiety Inventory, Mind Garden, Palo Alto, CA.Google Scholar
- 2003 OPTN/SRTR Annual Report: Transplant Data 1993–2002. HHS/HRSA/SPB/DOT; UNOS; URREA. (Table 12.11a Unadjusted patient survival, deceased donor lung transplants: Survival at 3 months, 1 year, 3 years, and 5 years). www.ustransplant.org.Google Scholar