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Published in: Journal of Religion and Health 5/2016

01-10-2016 | Original Paper

The Role of Religiousness/Spirituality in Health-Related Quality of Life Among Adolescents with HIV: A Latent Profile Analysis

Authors: Maureen E. Lyon, Allison L. Kimmel, Yao Iris Cheng, Jichuan Wang

Published in: Journal of Religion and Health | Issue 5/2016

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Abstract

The purpose of this study was to determine whether distinct latent profiles of religiousness/spirituality exist for ALWH, and if so, are latent profile memberships associated with health-related quality of life (HRQoL). Latent profile analysis of religiosity identified four profiles/groups. Compared to the other three groups, higher levels of emotional well-being were found among young perinatally infected adolescents who attended religious services, but who did not pray privately, feel God’s presence or identify as religious or spiritual. Social HRQoL was significantly higher among the highest overall religious/spiritual group. Understanding adolescent profiles of religiousness/spirituality on HRQoL could inform faith-based interventions.
Trial registration NCT01289444.
Literature
go back to reference Asparouhov, T., & Muthén, B. (2012). Auxiliary variables in mixture modeling: A 3-step approach using Mplus. Mplus web notes: No. 15. Asparouhov, T., & Muthén, B. (2012). Auxiliary variables in mixture modeling: A 3-step approach using Mplus. Mplus web notes: No. 15.
go back to reference Astin, A. W., Astin, H. S., Lindholm, J. A., & Bryant, A. N. (2005). The spiritual life of college students: A national study of students’ search for meaning and purpose. Los Angeles, CA: Higher Education Research Institute, UCLA. Astin, A. W., Astin, H. S., Lindholm, J. A., & Bryant, A. N. (2005). The spiritual life of college students: A national study of students’ search for meaning and purpose. Los Angeles, CA: Higher Education Research Institute, UCLA.
go back to reference Barton, Y. A., & Miller, L. (2015). Spirituality and positive psychology go hand in hand: An investigation of multiple empirically derived profiles and related protective benefits. Journal of Religion and Health, 54, 829–843.CrossRefPubMed Barton, Y. A., & Miller, L. (2015). Spirituality and positive psychology go hand in hand: An investigation of multiple empirically derived profiles and related protective benefits. Journal of Religion and Health, 54, 829–843.CrossRefPubMed
go back to reference Bernstein, K., Lyon, M. E., & D’Angelo, L. J. (2009). Spirituality and religion in adolescents with and without HIV/AIDS. Journal of Adolescent Health, 44, S25.CrossRef Bernstein, K., Lyon, M. E., & D’Angelo, L. J. (2009). Spirituality and religion in adolescents with and without HIV/AIDS. Journal of Adolescent Health, 44, S25.CrossRef
go back to reference Clogg, C. C. (1995). Latent class models. In G. Arminger, C. C. Clogg, & M. E. Sobel (Eds.), Handbook of statistical modeling for the social and behavioral sciences (pp. 311–359). New York: Plenum Press.CrossRef Clogg, C. C. (1995). Latent class models. In G. Arminger, C. C. Clogg, & M. E. Sobel (Eds.), Handbook of statistical modeling for the social and behavioral sciences (pp. 311–359). New York: Plenum Press.CrossRef
go back to reference Cobb, E., Kor, A., & Miller, L. (2015). Support for adolescent spirituality: Contributions of religious practice and trait mindfulness. Journal of Religion and Health, 54, 862–870.CrossRefPubMed Cobb, E., Kor, A., & Miller, L. (2015). Support for adolescent spirituality: Contributions of religious practice and trait mindfulness. Journal of Religion and Health, 54, 862–870.CrossRefPubMed
go back to reference Collins, L. M., & Lanza, S. T. (2010). Latent class and latent transition analysis: With applications in the social, behavioural, and health sciences. New York: Wiley. Collins, L. M., & Lanza, S. T. (2010). Latent class and latent transition analysis: With applications in the social, behavioural, and health sciences. New York: Wiley.
go back to reference Cotton, S., McGrady, M. E., & Rosenthal, S. L. (2010). Measurement of religiosity/spirituality in adolescent health outcomes research: Trends and recommendations. Journal of Religion and Health, 49(4), 414–444.CrossRefPubMedPubMedCentral Cotton, S., McGrady, M. E., & Rosenthal, S. L. (2010). Measurement of religiosity/spirituality in adolescent health outcomes research: Trends and recommendations. Journal of Religion and Health, 49(4), 414–444.CrossRefPubMedPubMedCentral
go back to reference Cotton, S., Puchalski, C. M., Sherman, S. N., et al. (2006). Spirituality and religion in patients with HIV/AIDS. Journal of General Internal Medicine, 21(Suppl 5), S5–S13.CrossRefPubMedPubMedCentral Cotton, S., Puchalski, C. M., Sherman, S. N., et al. (2006). Spirituality and religion in patients with HIV/AIDS. Journal of General Internal Medicine, 21(Suppl 5), S5–S13.CrossRefPubMedPubMedCentral
go back to reference Dallas, R. H., Wilkins, M. L., Wang, J., Garcia, A., & Lyon, M. E. (2012). Longitudinal pediatric palliative care: Quality of life & spiritual struggle (FACE): Design and methods. Contemporary Clinical Trials, 33(5), 1033–1043.CrossRefPubMedPubMedCentral Dallas, R. H., Wilkins, M. L., Wang, J., Garcia, A., & Lyon, M. E. (2012). Longitudinal pediatric palliative care: Quality of life & spiritual struggle (FACE): Design and methods. Contemporary Clinical Trials, 33(5), 1033–1043.CrossRefPubMedPubMedCentral
go back to reference Erikson, Erik. (1956). The problem of ego identity. Journal of the American Psychoanalytic Association, 4, 56–121.CrossRefPubMed Erikson, Erik. (1956). The problem of ego identity. Journal of the American Psychoanalytic Association, 4, 56–121.CrossRefPubMed
go back to reference Fetzer Institute. (1999). National Institute on Aging Working Group. Multidimensional measurement of religiousness, spirituality for use in health research. A report of the national working group. MI: Fetzer Institute, 2003. Fetzer Institute. (1999). National Institute on Aging Working Group. Multidimensional measurement of religiousness, spirituality for use in health research. A report of the national working group. MI: Fetzer Institute, 2003.
go back to reference Harris, S. S., Holder, D. W., Kulig, J., Schrier, L. A., & Knight, J. R. (2007). Reliability and validity of the brief multidimensional measure of religiousness/spirituality among adolescents. Journal of Religion and Health, 47, 438–457.CrossRef Harris, S. S., Holder, D. W., Kulig, J., Schrier, L. A., & Knight, J. R. (2007). Reliability and validity of the brief multidimensional measure of religiousness/spirituality among adolescents. Journal of Religion and Health, 47, 438–457.CrossRef
go back to reference Hill, P. C., & Pargament, K. I. (2003). Advances in the conceptualization and measurement of religion and spirituality: Implications for physical and mental health research. American Psychologist, 58, 64–74.CrossRefPubMed Hill, P. C., & Pargament, K. I. (2003). Advances in the conceptualization and measurement of religion and spirituality: Implications for physical and mental health research. American Psychologist, 58, 64–74.CrossRefPubMed
go back to reference Hunsberger, B., Pratt, M., & Pancer, S. M. (2002). A longitudinal study of religious doubts in high school and beyond: Relationships, stability and searching for answers. Journal of the Scientific Study of Religion, 41, 255–266.CrossRef Hunsberger, B., Pratt, M., & Pancer, S. M. (2002). A longitudinal study of religious doubts in high school and beyond: Relationships, stability and searching for answers. Journal of the Scientific Study of Religion, 41, 255–266.CrossRef
go back to reference Ironson, G., Stuetzle, R., & Fletcher, M. A. (2006). An increase in religiousness/spirituality occurs after HIV diagnosis and predicts slower disease progression over 4 years in people with HIV. Journal of General Internal Medicine, 21(Suppl 5), S62–S68.CrossRefPubMedPubMedCentral Ironson, G., Stuetzle, R., & Fletcher, M. A. (2006). An increase in religiousness/spirituality occurs after HIV diagnosis and predicts slower disease progression over 4 years in people with HIV. Journal of General Internal Medicine, 21(Suppl 5), S62–S68.CrossRefPubMedPubMedCentral
go back to reference Krause, N., & Wulff, K. N. (2004). Religious doubt and health: Exploring the potential dark side of religion. Sociology of Religion, 65, 35–56.CrossRef Krause, N., & Wulff, K. N. (2004). Religious doubt and health: Exploring the potential dark side of religion. Sociology of Religion, 65, 35–56.CrossRef
go back to reference Lyon M. E., Cheng, Y. I., & Wang, J. (2014). Association of end-of-life medical treatment preferences, spiritual beliefs and religion among HIV positive adolescents. Poster presented at caring for the human spirit: Driving the research agenda for spiritual care in healthcare, New York City, NY. Lyon M. E., Cheng, Y. I., & Wang, J. (2014). Association of end-of-life medical treatment preferences, spiritual beliefs and religion among HIV positive adolescents. Poster presented at caring for the human spirit: Driving the research agenda for spiritual care in healthcare, New York City, NY.
go back to reference Lyon, M. E., Garvie, P. A., Briggs, L., He, J., McCarter, R., & D’Angelo, L. (2010). Do families know what adolescents want? An end-of-life (EOL) survey of adolescents with HIV/AIDS and their families. Journal of Adolescent Health, 46, S4–S5.CrossRef Lyon, M. E., Garvie, P. A., Briggs, L., He, J., McCarter, R., & D’Angelo, L. (2010). Do families know what adolescents want? An end-of-life (EOL) survey of adolescents with HIV/AIDS and their families. Journal of Adolescent Health, 46, S4–S5.CrossRef
go back to reference Lyon, M. E., Garvie, P. A., He, J., Malow, R., McCarter, R., & D’Angelo, L. (2014). Spiritual well-being among HIV-infected adolescents and their families. Journal of Religion and Health, 53(3), 637–653.CrossRefPubMedPubMedCentral Lyon, M. E., Garvie, P. A., He, J., Malow, R., McCarter, R., & D’Angelo, L. (2014). Spiritual well-being among HIV-infected adolescents and their families. Journal of Religion and Health, 53(3), 637–653.CrossRefPubMedPubMedCentral
go back to reference Marcia, J. E. (1966). Development and validation of ego identity status. Journal of Personality and Social Psychology, 3, 551–558.CrossRefPubMed Marcia, J. E. (1966). Development and validation of ego identity status. Journal of Personality and Social Psychology, 3, 551–558.CrossRefPubMed
go back to reference Margolin, A., Schuman-Olivier, Z., Beitel, M., Arnold, R. M., Fulwiler, C. E., & Avants, S. K. (2007). A preliminary study of spiritual self-schema (3-S(+)) therapy for reducing impulsivity in HIV-positive drug users. Journal of Clinical Psychology, 63, 979–999.CrossRefPubMed Margolin, A., Schuman-Olivier, Z., Beitel, M., Arnold, R. M., Fulwiler, C. E., & Avants, S. K. (2007). A preliminary study of spiritual self-schema (3-S(+)) therapy for reducing impulsivity in HIV-positive drug users. Journal of Clinical Psychology, 63, 979–999.CrossRefPubMed
go back to reference Masters, K. S., Carey, K. B., Maisto, S. A., Caldwell, P. E., Wolfe, T. V., & Hackney, H. L. (2009). Psychometric examination of the brief multidimensional measure of religiousness/spirituality among college students. The International Journal for the Psychology of Religion, 19, 106–120.CrossRef Masters, K. S., Carey, K. B., Maisto, S. A., Caldwell, P. E., Wolfe, T. V., & Hackney, H. L. (2009). Psychometric examination of the brief multidimensional measure of religiousness/spirituality among college students. The International Journal for the Psychology of Religion, 19, 106–120.CrossRef
go back to reference McCutcheon, A. L. (1987). Latent class analysis. Quantitative applications in the social sciences series no. 64. Thousand Oaks, CA: Sage Publications. McCutcheon, A. L. (1987). Latent class analysis. Quantitative applications in the social sciences series no. 64. Thousand Oaks, CA: Sage Publications.
go back to reference Michaelson, V., Pickett, W., Robinson, P., & Cameron, L. (2015). Participation in church or religious groups and its association with health: Part 2: A qualitative, Canadian study. Journal of Religion and Health, 54, 1118–1133.CrossRefPubMed Michaelson, V., Pickett, W., Robinson, P., & Cameron, L. (2015). Participation in church or religious groups and its association with health: Part 2: A qualitative, Canadian study. Journal of Religion and Health, 54, 1118–1133.CrossRefPubMed
go back to reference Michaelson, V., Robinson, P., & Pickett, W. (2014). Participation in church or religious groups and its association with health: A national study of young Canadians. Journal of Religion and Health, 53, 1353–1373.CrossRefPubMed Michaelson, V., Robinson, P., & Pickett, W. (2014). Participation in church or religious groups and its association with health: A national study of young Canadians. Journal of Religion and Health, 53, 1353–1373.CrossRefPubMed
go back to reference Muthén, B. (2002). Beyond SEM: General latent variable modeling. Behaviormetrika, 29, 81–117.CrossRef Muthén, B. (2002). Beyond SEM: General latent variable modeling. Behaviormetrika, 29, 81–117.CrossRef
go back to reference Muthén, L. K., & Muthén, B. O. (1998–2012). Mplus user’s guide (6th edn.). Los Angeles, CA: Muthén & Muthén. Muthén, L. K., & Muthén, B. O. (1998–2012). Mplus user’s guide (6th edn.). Los Angeles, CA: Muthén & Muthén.
go back to reference Nagin, D. S. (2005). Group-based modeling of development. London: Harvard University Press.CrossRef Nagin, D. S. (2005). Group-based modeling of development. London: Harvard University Press.CrossRef
go back to reference Nylund, K. L., Asparouhov, T., & Muthén, B. (2007). Deciding on the number of classes in latent class analysis and growth mixture modeling: A Monte Carlo simulation study. Structural Equation Modeling, 14, 535–569.CrossRef Nylund, K. L., Asparouhov, T., & Muthén, B. (2007). Deciding on the number of classes in latent class analysis and growth mixture modeling: A Monte Carlo simulation study. Structural Equation Modeling, 14, 535–569.CrossRef
go back to reference Pargament, K. I., Koenig, H. G., Tarakeshwar, N., & Hahn, J. (2004a). Religious coping methods as predictors of psychological, physical and spiritual outcomes among medically ill elderly patients: A two-year longitudinal study. Journal of Health Psychology, 9, 713–730.CrossRefPubMed Pargament, K. I., Koenig, H. G., Tarakeshwar, N., & Hahn, J. (2004a). Religious coping methods as predictors of psychological, physical and spiritual outcomes among medically ill elderly patients: A two-year longitudinal study. Journal of Health Psychology, 9, 713–730.CrossRefPubMed
go back to reference Pargament, K. I., McCarthy, S., Shah, P., et al. (2004b). Religion and HIV: A review of the literature and clinical implications. Southern Medical Journal, 97, 776–783.CrossRef Pargament, K. I., McCarthy, S., Shah, P., et al. (2004b). Religion and HIV: A review of the literature and clinical implications. Southern Medical Journal, 97, 776–783.CrossRef
go back to reference Pulchalski, C., Ferrell, B., Virani, R., et al. (2009). Improving the quality of spiritual care as a dimension of palliative care: The report of the Consensus Conference. Journal of Palliative Medicine, 12, 885–904.CrossRef Pulchalski, C., Ferrell, B., Virani, R., et al. (2009). Improving the quality of spiritual care as a dimension of palliative care: The report of the Consensus Conference. Journal of Palliative Medicine, 12, 885–904.CrossRef
go back to reference Schwartz, S. J. (2001). The evolution of Eriksonian and neo-Eriksonian identity theory and research. Identity, 1, 7–58.CrossRef Schwartz, S. J. (2001). The evolution of Eriksonian and neo-Eriksonian identity theory and research. Identity, 1, 7–58.CrossRef
go back to reference Szaflarski, M., Kudel, I., Cotton, S., Leonard, A. C., Tsevat, J., & Ritchey, P. N. (2012). Multidimensional assessment of spirituality/religion in patients with HIV: Conceptual framework and empirical refinement. Journal of Religion and Health, 51, 1239–1260.CrossRefPubMedPubMedCentral Szaflarski, M., Kudel, I., Cotton, S., Leonard, A. C., Tsevat, J., & Ritchey, P. N. (2012). Multidimensional assessment of spirituality/religion in patients with HIV: Conceptual framework and empirical refinement. Journal of Religion and Health, 51, 1239–1260.CrossRefPubMedPubMedCentral
go back to reference Tarakeshwar, N., Pearce, M. J., & Sikkema, K. J. (2005). Development and implementation of a spiritual coping group intervention for adults living with HIV/AIDS: A pilot study. Mental Health, Religion, Culture, 8, 179–190.CrossRef Tarakeshwar, N., Pearce, M. J., & Sikkema, K. J. (2005). Development and implementation of a spiritual coping group intervention for adults living with HIV/AIDS: A pilot study. Mental Health, Religion, Culture, 8, 179–190.CrossRef
go back to reference Tuck, I., McCain, N. L., & Elswick, J. (2001). Spirituality and psychosocial factors in persons living with HIV. Journal of Advance Nursing, 33, 776–783.CrossRef Tuck, I., McCain, N. L., & Elswick, J. (2001). Spirituality and psychosocial factors in persons living with HIV. Journal of Advance Nursing, 33, 776–783.CrossRef
go back to reference Varni, J. W., Burwinkle, T. M., Seid, M., & Skarr, D. (2003). The PedsQL 4.0 as a pediatric population health measure: Feasibility, reliability, and validity. Ambulatory Pediatrics, 3(6), 329–341.CrossRefPubMed Varni, J. W., Burwinkle, T. M., Seid, M., & Skarr, D. (2003). The PedsQL 4.0 as a pediatric population health measure: Feasibility, reliability, and validity. Ambulatory Pediatrics, 3(6), 329–341.CrossRefPubMed
go back to reference Vermunt, J. K. (2010). Latent class modeling with covariates: Two improved three-step approaches. Political Analysis, 18, 450–469.CrossRef Vermunt, J. K. (2010). Latent class modeling with covariates: Two improved three-step approaches. Political Analysis, 18, 450–469.CrossRef
go back to reference Walker, C., Ainette, M. G., Wills, T. A., & Mendoza, D. (2007). Religiosity and substance use: Test of an indirect-effect model in early and middle adolescence. Psychology of Addictive Behaviors, 21, 84–96.CrossRefPubMed Walker, C., Ainette, M. G., Wills, T. A., & Mendoza, D. (2007). Religiosity and substance use: Test of an indirect-effect model in early and middle adolescence. Psychology of Addictive Behaviors, 21, 84–96.CrossRefPubMed
go back to reference Wong, Y. J., Rew, L., & Slaike, K. D. (2006). A systematic review of recent research on adolescent religiosity/spirituality and mental health. Issues in Mental Health Nursing, 27, 161–183.CrossRefPubMed Wong, Y. J., Rew, L., & Slaike, K. D. (2006). A systematic review of recent research on adolescent religiosity/spirituality and mental health. Issues in Mental Health Nursing, 27, 161–183.CrossRefPubMed
go back to reference Yi, M. S., Mrus, J. M., Wade, T. J., et al. (2006). Religion, spirituality, and depressive symptoms in patients with HIV/AIDS. Journal of General Internal Medicine, 21(Suppl 5), S21–S27.CrossRefPubMedPubMedCentral Yi, M. S., Mrus, J. M., Wade, T. J., et al. (2006). Religion, spirituality, and depressive symptoms in patients with HIV/AIDS. Journal of General Internal Medicine, 21(Suppl 5), S21–S27.CrossRefPubMedPubMedCentral
Metadata
Title
The Role of Religiousness/Spirituality in Health-Related Quality of Life Among Adolescents with HIV: A Latent Profile Analysis
Authors
Maureen E. Lyon
Allison L. Kimmel
Yao Iris Cheng
Jichuan Wang
Publication date
01-10-2016
Publisher
Springer US
Published in
Journal of Religion and Health / Issue 5/2016
Print ISSN: 0022-4197
Electronic ISSN: 1573-6571
DOI
https://doi.org/10.1007/s10943-016-0238-3

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