Department of Quantitative Health Sciences; Graduate School of Biomedical Sciences, Clinical and Population Health Research
Cardiovascular Diseases | Epidemiology | Health Services Research | Public Health | Religion
Purpose: This review systematically identified and critically appraised the available literature that has examined the association between religiosity and/or spirituality (R/S) and quality of life (QOL) in patients with cardiovascular disease (CVD).
Methods: We searched several electronic online databases (PubMed, SCOPUS, PsycINFO, and CINAHL) from database inception until October 2017. Included articles were peer-reviewed, published in English, and quantitatively examined the association between R/S and QOL. We assessed the methodological quality of each included study.
Results: The 15 articles included were published between 2002 and 2017. Most studies were conducted in the US and enrolled patients with heart failure. Sixteen dimensions of R/S were assessed with a variety of instruments. QOL domains examined were global, health-related, and disease-specific QOL. Ten studies reported a significant positive association between R/S and QOL, with higher spiritual well-being, intrinsic religiousness, and frequency of church attendance positively related with mental and emotional well-being. Approximately half of the included studies reported negative or null associations.
Conclusions: Our findings suggest that higher levels of R/S may be related to better QOL among patients with CVD, with varying associations depending on the R/S dimension and QOL domain assessed. Future longitudinal studies in large patient samples with different CVDs and designs are needed to better understand how R/S may influence QOL. More uniformity in assessing R/S would enhance the comparability of results across studies. Understanding the influence of R/S on QOL would promote a holistic approach in managing patients with CVD.
Religiosity, Spirituality, Quality of life, Global QOL, Health-related QOL, Cardiovascular disease
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© The Author(s) 2018. Open Access. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
DOI of Published Version
Qual Life Res. 2018 Nov;27(11):2777-2797. doi: 10.1007/s11136-018-1906-4. Epub 2018 Jun 11. Link to article on publisher's site
Quality of Life Research
Abu H, Ulbricht CM, Ding EY, Allison JJ, Salmoirago-Blotcher E, Goldberg RJ, Kiefe CI. (2018). Association of religiosity and spirituality with quality of life in patients with cardiovascular disease: a systematic review. Population and Quantitative Health Sciences Publications. https://doi.org/10.1007/s11136-018-1906-4. Retrieved from https://escholarship.umassmed.edu/qhs_pp/1187
Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.