Journal of Religion and Health

, Volume 57, Issue 3, pp 1052–1061 | Cite as

Understanding the Association Between Spirituality, Religiosity, and Feelings of Happiness and Sadness Among HIV-Positive Indian Adults: Examining Stress-Related Growth as a Mediator

  • Edward C. ChangEmail author
  • Tina Yu
  • Jerin Lee
  • Shanmukh V. Kamble
  • Casey N.-H. Batterbee
  • Kayla R. Stam
  • Olivia D. Chang
  • Alexandria S.-M. Najarian
  • Kaitlin M. Wright
Original Paper


This study examined the role of stress-related growth as a mediator of the associations between spirituality, religiosity, and feelings of happiness and sadness in a sample of 178 HIV-positive Indian adults. Results indicated that spirituality, but not religiosity, was associated with feelings of happiness and sadness. Subsequent mediation analyses indicated that stress-related growth fully mediated the relationships involving spirituality and feelings of happiness and sadness. Overall, our findings point to the importance of facilitating greater spiritual development among HIV-positive Indians, as well as promoting strategies that help them develop and apply stress-related growth coping methods in their lives.


Spirituality Religiosity HIV Happiness Sadness Stress-related growth 



Edward C. Chang would like to thank Tae Myung-Sook and Chang Suk-Choon for their support on the present study.


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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  • Edward C. Chang
    • 1
  • Tina Yu
    • 1
  • Jerin Lee
    • 1
  • Shanmukh V. Kamble
    • 2
  • Casey N.-H. Batterbee
    • 1
  • Kayla R. Stam
    • 1
  • Olivia D. Chang
    • 1
  • Alexandria S.-M. Najarian
    • 1
  • Kaitlin M. Wright
    • 3
  1. 1.Department of PsychologyUniversity of MichiganAnn ArborUSA
  2. 2.Department of PsychologyKarnatak UniversityKarnatakaIndia
  3. 3.Department of PsychologyUniversity of MinnesotaTwin CitiesUSA

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