A path model of the effects of spirituality on depressive symptoms and 24-hurinary-free cortisol in HIV-positive persons

Research output: Contribution to journalArticle

65 Citations (Scopus)

Abstract

Objective: The present investigation examined the associations among spirituality, positive reappraisal coping, and benefit finding as they relate to depressive symptoms and 24-h urinary-free-cortisol output. Methods: Following an initial screening appointment, 264 human-immunodeficiency-virus-positive men and women on highly active antiretroviral therapy provided 24-h urine samples and completed a battery of psychosocial measures. Results: Spirituality was associated with higher positive reappraisal coping and greater benefit finding. Benefit finding and positive reappraisal coping scores were, in turn, both related to lower depressive symptoms. Finally, we determined that benefit finding was uniquely predictive of decreased 24-h urinary-free cortisol output. Conclusion: Positive reappraisal coping and benefit finding may co-mediate the effect of spirituality on depressive symptoms, and benefit finding may uniquely explain the effect of spirituality on 24-h cortisol output.

Original languageEnglish
Pages (from-to)51-58
Number of pages8
JournalJournal of Psychosomatic Research
Volume61
Issue number1
DOIs
StatePublished - Jul 1 2006

Fingerprint

Spirituality
Hydrocortisone
HIV
Depression
Highly Active Antiretroviral Therapy
Appointments and Schedules
Urine

Keywords

  • Benefit finding
  • Cortisol
  • Depression
  • HIV/AIDS
  • Spirituality

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Biological Psychiatry
  • Psychology(all)

Cite this

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title = "A path model of the effects of spirituality on depressive symptoms and 24-hurinary-free cortisol in HIV-positive persons",
abstract = "Objective: The present investigation examined the associations among spirituality, positive reappraisal coping, and benefit finding as they relate to depressive symptoms and 24-h urinary-free-cortisol output. Methods: Following an initial screening appointment, 264 human-immunodeficiency-virus-positive men and women on highly active antiretroviral therapy provided 24-h urine samples and completed a battery of psychosocial measures. Results: Spirituality was associated with higher positive reappraisal coping and greater benefit finding. Benefit finding and positive reappraisal coping scores were, in turn, both related to lower depressive symptoms. Finally, we determined that benefit finding was uniquely predictive of decreased 24-h urinary-free cortisol output. Conclusion: Positive reappraisal coping and benefit finding may co-mediate the effect of spirituality on depressive symptoms, and benefit finding may uniquely explain the effect of spirituality on 24-h cortisol output.",
keywords = "Benefit finding, Cortisol, Depression, HIV/AIDS, Spirituality",
author = "Adam Carrico and Gail Ironson and Antoni, {Michael H} and Lechner, {Suzanne C} and Dur{\'a}n, {Ron E.} and Mahendra Kumar and Neil Schneiderman",
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T1 - A path model of the effects of spirituality on depressive symptoms and 24-hurinary-free cortisol in HIV-positive persons

AU - Carrico, Adam

AU - Ironson, Gail

AU - Antoni, Michael H

AU - Lechner, Suzanne C

AU - Durán, Ron E.

AU - Kumar, Mahendra

AU - Schneiderman, Neil

PY - 2006/7/1

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N2 - Objective: The present investigation examined the associations among spirituality, positive reappraisal coping, and benefit finding as they relate to depressive symptoms and 24-h urinary-free-cortisol output. Methods: Following an initial screening appointment, 264 human-immunodeficiency-virus-positive men and women on highly active antiretroviral therapy provided 24-h urine samples and completed a battery of psychosocial measures. Results: Spirituality was associated with higher positive reappraisal coping and greater benefit finding. Benefit finding and positive reappraisal coping scores were, in turn, both related to lower depressive symptoms. Finally, we determined that benefit finding was uniquely predictive of decreased 24-h urinary-free cortisol output. Conclusion: Positive reappraisal coping and benefit finding may co-mediate the effect of spirituality on depressive symptoms, and benefit finding may uniquely explain the effect of spirituality on 24-h cortisol output.

AB - Objective: The present investigation examined the associations among spirituality, positive reappraisal coping, and benefit finding as they relate to depressive symptoms and 24-h urinary-free-cortisol output. Methods: Following an initial screening appointment, 264 human-immunodeficiency-virus-positive men and women on highly active antiretroviral therapy provided 24-h urine samples and completed a battery of psychosocial measures. Results: Spirituality was associated with higher positive reappraisal coping and greater benefit finding. Benefit finding and positive reappraisal coping scores were, in turn, both related to lower depressive symptoms. Finally, we determined that benefit finding was uniquely predictive of decreased 24-h urinary-free cortisol output. Conclusion: Positive reappraisal coping and benefit finding may co-mediate the effect of spirituality on depressive symptoms, and benefit finding may uniquely explain the effect of spirituality on 24-h cortisol output.

KW - Benefit finding

KW - Cortisol

KW - Depression

KW - HIV/AIDS

KW - Spirituality

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