Spiritual coping predicts 5-year health outcomes in adolescents with cystic fibrosis

Nina Reynolds, Sylvie Mrug, La Crecia Britton, Kimberly Guion, Kelly Wolfe, Hector Gutierrez

Research output: Contribution to journalArticlepeer-review

28 Scopus citations


Background: Positive spiritual coping in adolescent patients with cystic fibrosis (CF) is associated with better emotional functioning, but its role in health outcomes is unknown. Methods: Adolescents diagnosed with CF (n = 46; M= 14.7 years) reported on their use of positive and negative spiritual coping. Measures of nutrition status (BMIp), pulmonary function (%FEV1), and hospitalizations were obtained for a five-year follow up period. Changes in BMIp and %FEV1 scores were estimated with hierarchical linear models; days hospitalized were modeled with negative binomial regression. Results: Positive spiritual coping was associated with slower decline in pulmonary function, stable vs. declining nutritional status, and fewer days hospitalized over the five-year period. Negative spiritual coping was associated with higher BMI percentile at baseline, but not with health outcomes over time. Conclusions: These results suggest that positive spiritual coping plays a key role in maintaining long-term health of adolescent patients with CF.

Original languageEnglish (US)
Pages (from-to)593-600
Number of pages8
JournalJournal of Cystic Fibrosis
Issue number5
StatePublished - 2014


  • Long-term outcomes
  • Psychology
  • Spiritual coping

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Pulmonary and Respiratory Medicine


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