Spirituality and religiosity in patients with HIV: a test and expansion of a model

Ann Behav Med. 2011 Feb;41(1):92-103. doi: 10.1007/s12160-010-9229-x.


Background: A causal model developed by Koenig suggests that higher levels of spirituality and religiosity effect intermediary variables and eventually result in better mental health, which then positively affects physical function.

Purpose/methods: Using structural equation modeling, we tested the model and expanded versions that use self-report data of patients with HIV (n = 345).

Results: All models demonstrated good overall fit with significant parameters. The final model found that increased spirituality/religiosity predicted increased religious coping, which influenced social support. Social support, in turn, positively influenced depressed mood (as a measure of mental health); depressed mood affected fatigue; and both variables predicted self-reported physical function. These three variables predicted health rating/utility for one's health state. Additional analyses found that two covariates, religiosity and race, differentially predicted spirituality/religiosity and religious coping.

Conclusion: In patients with HIV, an expanded version of Koenig's model found that increased spirituality/religiosity is positively associated with self-reported outcomes.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Adaptation, Psychological
  • Adult
  • Aged
  • Depression
  • Female
  • HIV Infections / psychology*
  • Humans
  • Male
  • Mental Health*
  • Middle Aged
  • Models, Psychological*
  • Religion*
  • Self Report
  • Social Support
  • Spirituality*
  • Young Adult