Scandrett KG, Mitchell SL. Religiousness, religious coping, and psychological well-being in nursing home residents.
J Am Med Dir Assoc 2009;
10:581-6. [PMID:
19808157 DOI:
10.1016/j.jamda.2009.06.001]
[Citation(s) in RCA: 25] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/23/2009] [Revised: 06/03/2009] [Accepted: 06/05/2009] [Indexed: 11/24/2022]
Abstract
OBJECTIVES
To measure the importance of religion among nursing home residents, describe their use of religious coping strategies, and examine the association between religiousness, religious coping, and psychological well-being.
DESIGN
Cross-sectional study.
SETTING
Two nursing facilities in Boston, Massachusetts.
PARTICIPANTS
One hundred forty cognitively intact to moderately impaired long-stay nursing home residents.
MEASUREMENTS
Subjects rated religion as either "not important," "somewhat important," or "very important." Use of religious coping strategies was measured using the 14-item Brief RCOPE. The outcome measure, psychological well-being, was measured with the Bradburn Affect Balance Scale. Covariates included demographic variables and a measure of social engagement, comorbidity, functional status, and mental status. Linear regression was used to examine the association between religious importance and psychological well-being after adjusting for covariates.
RESULTS
Subjects rated the importance of religion as follows: very important (54%), somewhat important (27%), and not important (19%). The mean score on the Affect Balance Scale was 5.9 +/- 2.1 (SD) (range 2-9). After multivariate adjustment, viewing religion as somewhat or very important (versus not important, P=.0019) and absence of negative religious coping strategies (P=.0083) were associated with better psychological well-being (with higher scores on the Affect Balance Scale) (P=.007).
CONCLUSION
Religion was important to most older residents living in 2 religiously affiliated long-term care facilities. Residents for whom religion was somewhat or very important and who did not use negative religious coping strategies are more likely to have better psychological well-being.
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