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AIDS and Behavior
Published in: AIDS and Behavior 6/2018

01-06-2018 | Substantive Review

Religion, Spirituality, and HIV Clinical Outcomes: A Systematic Review of the Literature

Authors: B. R. Doolittle, A. C. Justice, D. A. Fiellin

Published in: AIDS and Behavior | Issue 6/2018

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Abstract

This systematic review evaluates the association between religion, spirituality and clinical outcomes in HIV-infected individuals. A systematic literature review was conducted for all English language articles published between 1980 and 2016 in relevant databases. Six hundred fourteen studies were evaluated. 15 met inclusion criteria. Ten (67%) studies reported a positive association between religion or spirituality and a clinical HIV outcome. Two (13%) studies failed to detect such an association; and two (13%) demonstrated a negative association. One study (7%) identified features of religiosity and spirituality that had both negative and positive associations with HIV clinical outcomes. Recognizing the religious or spiritual commitments of patients may serve as an important component of patient care. Further longitudinal studies and interventions might be required to further clarify the potential impact of religion and spirituality on HIV clinical outcomes.
Literature
1.
Lorenz KA, Hays RD, Shapiro MF, et al. Religiousness and spirituality among HIV-infected Americans. J Palliat Med. 2005;8(4):774–81.CrossRefPubMed
2.
Litwinczuk KM, Groh CJ. The relationship between spirituality, purpose in life, and well-being in HIV-positive persons. J Assoc Nurses AIDS Care. 2007;18(3):13–22.CrossRefPubMed
3.
Siegel K, Schrimshaw EW. The perceived benefits of religious and spiritual coping among older adults living with HIV/AIDS. J Sci Study Relig. 2002;41:91–102.CrossRef
4.
Szaflarski M, Neal Ritchey P, Leonard AC, et al. Modeling the effects of spirituality/religion on patients’ perceptions of living with HIV/AIDS. J Gen Intern Med. 2006;21(S5):S28–38.CrossRefPubMedPubMedCentral
5.
Hill PC, Pargament KI. Advances in the conceptualization and measurement of religion and spirituality: implications for physical and mental health research. Am Psychol. 2008;58(1):64–74.CrossRef
6.
Miller WR, Thoresen CE. Spirituality, religion, and health: an emerging research field. Am Psychol. 2003;58(1):24.CrossRefPubMed
7.
Chida Y, Steptoe A, Powell LH. Religiosity/spirituality and mortality. Psychother Psychosom. 2009;78(2):81–90.CrossRefPubMed
8.
Hummer RA, Rogers RG, Nam CB, Ellison CG. Religious involvement and U.S. adult mortality. Demography. 1999;36:273–85.CrossRefPubMed
9.
Oman D, Kurata JH, Strawbridge WJ, Cohen RD. Religious attendance and cause of death over 31 years. Int J Psychiatry Med. 2002;32:69–89.CrossRefPubMed
10.
Moher D, Liberati A, Tetzlaff J, Altman DG, The PRISMA Group. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med. 2009;6(6):e1000097.CrossRefPubMedPubMedCentral
11.
12.
Fitzpatrick AL, Standish LJ, Berger J, Kim JG. Survival in HIV-1-positive adults practicing psychological or spiritual activities for one year. Altern Ther Health Med. 2007;13(5):18.PubMed
13.
Ironson G, Stuetzle R, Fletcher MA. An increase in religiousness/spirituality occurs after HIV diagnosis and predicts slower disease progression over 4 years in people with HIV. J Gen Intern Med. 2006;21(S5):S62–8.CrossRefPubMedPubMedCentral
14.
Ironson G, Stuetzle R, Ironson D, et al. View of God as benevolent and forgiving or punishing and judgmental predicts HIV disease progression. J Behav Med. 2011;34(6):414–25.CrossRefPubMed
15.
Ironson G, Kremer H, Lucette A, Relationship between spiritual coping and survival in patients with HIV. In: JGIM, published online, 5 May 2016.
16.
Kremer H, Ironson G, Kaplan L, et al. Spiritual coping predicts CD4-cell preservation and undetectable viral load over four years. AIDS Care. 2015;27(1):71–9.CrossRefPubMed
17.
Trevino KM, Pargament KI, Cotton S, et al. Religious coping and physiological, psychological, social, and spiritual outcomes in patients with HIV/AIDS: cross-sectional and longitudinal findings. AIDS Behav. 2010;14:379–89.CrossRefPubMed
18.
Ironson G, Solomon GF, Balbin EG, et al. The Ironson-Woods Spirituality/Religiousness Index is associated with long survival, health behaviors, less distress, and low cortisol in people with HIV/AIDS. Ann Behav Med. 2002;24(1):34–48.CrossRefPubMed
19.
Ironson G, Kremer H. Spiritual transformation, psychological well-being, health, and survival in people with HIV. Int J Psychiatry Med. 2009;39(3):263–81.CrossRefPubMed
20.
Marconi VC, Wu B, Hampton J, et al. Early warning indicators for first-line virologic failure independent of adherence measures in a South African urban clinic. AIDS Patient Care STDS. 2013;27(12):657–68.CrossRefPubMedPubMedCentral
21.
Dalmida SG, Holstad MM, Diiorio C, Laderman G. Spiritual well-being, depressive symptoms, and immune status among women living with HIV/AIDS. Women Health. 2009;49(2–3):119–43.CrossRefPubMedPubMedCentral
22.
Ramer L, Johnson D, Chan L, Barrett MT. The effect of HIV/AIDS disease progression on spirituality and self-transcendence in a multicultural population. J Transcult Nurs. 2006;17(3):280–9.CrossRefPubMed
23.
Mellins CA, Havens JF, McDonnell C, et al. Adherence to antiretroviral medications and medical care in HIV-infected adults diagnosed with mental and substance abuse disorders. AIDS Care. 2009;21(2):168–77.CrossRefPubMedPubMedCentral
24.
Van Wagoner N, Mugavero M, Westfall A, et al. Church attendance in men who have sex with men diagnosed with HIV is associated with later presentation for HIV care. Clin Infect Dis. 2004;58(2):295–9.CrossRef
25.
Woods TE, Antoni MH, Ironson GH, et al. Religiosity is associated with affective status in symptomatic HIV-infected African-American women. J Health Psychol. 1999;4(3):317–26.CrossRefPubMed
26.
Woods TE, Antoni MH, Ironson GH, et al. Religiosity is associated with affective and immune status in symptomatic HIV-infected gay men. J Psychosom Res. 1999;46(2):165–76.CrossRefPubMed
27.
Ferrans CE, Powers M. Quality of life index: development and psychometric properties. Adv Nurs Sci. 1985;8(1):15–24.CrossRef
28.
Metadata
Title
Religion, Spirituality, and HIV Clinical Outcomes: A Systematic Review of the Literature
Authors
B. R. Doolittle
A. C. Justice
D. A. Fiellin
Publication date
01-06-2018
Publisher
Springer US
Published in
AIDS and Behavior / Issue 6/2018
Print ISSN: 1090-7165
Electronic ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-016-1651-z

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