This study examined the relationship between religiosity and the affective and immune status of 33 HIV-seropositive mildly symptomatic African-American women (CDC stage B) in a replication of a prior study that reported an association between religiosity and affective and immune status in HIV-seropositive gay men. All women completed an intake interview, a set of psychosocial questionnaires, and provided a venous blood sample. Consistent with prior work, factor analysis of 12 religious-oriented response items revealed two distinct aspects to religiosity: religious coping and religious behavior. Religious coping (e.g. placing trust in God, seeking comfort in religion) was significantly associated with lower depression and anxiety. Regression analyses revealed the association between religious coping and depressive symptoms appears to be mediated by an active coping style. However, the association between religious coping and anxiety does not appear to be mediated by either active coping or sense of self-efficacy in these women. In contrast to prior work, neither religious coping nor religious behavior was significantly associated with immune status as measured by T helper-inducer (CD41) cell counts.
Antoni, M., Baggett, L., Ironson, G., August, S., LaPerriere, A., Klimas, N., Schneiderman, N., & Fletcher, M. A. (1991). Cognitive behavioral stress management intervention buffers distress responses and elevates immunologic markers, following notification of HIV-1 seropositivity. Journal of Consulting and Clinical Psychology, 59(6), 906–915.
2.
Baker, M., Williams, L., Bailey, S., & Jackson, G. (1992). Black, middle-class women in San Antonio, Texas. Journal of the National Medical Association, 84(6), 497–502.
3.
Beck, A., Ward, C., Mendelson, M., Mock, I., & Erbaugh, G. (1961). An inventory for measuring depression. Archives of General Psychiatry, 4, 561–571.
4.
Benton, E., Hoover, D., Galloway, R., & Popps, K. (1995). Adaptation to chronic stress in military trainees: Adrenal adrogens, testosterone, glucocortioids, IGF-1, and immune function. Annals of the New York Academy of Sciences, 774, 217–231.
5.
Carver, C., Sheier, M., & Weintraub, J. (1989). Assessing coping strategies: A theoretically based approach. Journal of Personality and Social Psychology, 56, 267–283.
6.
Centers for Disease Control (CDC) (1998). HIV/ surveillance report: US HIV & AIDS cases reported through December, 1997. Year End Edition Volume 9(2). (Document 1997.)
7.
Checkley, S. (1996). The neuroendocrinology of depression. International Review of Psychiatry, 8(4), 373–378.
8.
Crawford, I., Allison, K., Robinson, L., & Hughes, D. (1992). Attitudes of African-American Baptist ministers toward AIDS. Journal of Community Psychology, 20, 304–308.
9.
Darko, D., Gillin, J., Risch, S., & Bulloch, K. (1988). Immune cells and the hypothalamic-pituitary axis in major depression. Psychiatry Research, 25(2), 173–179.
10.
Dillon, W., & Goldstein, M. (1984). Multivariate analysis: Methods and applications. New York: Wiley.
11.
Easterbrook, P., Chmiel, J., Hoover, D., Saah, A., Kaslow, R., Kingsley, L., & Detels, R. (1993). Racial and ethnic differences in human immunodeficiency virus type I (HIV-1) seroprevalence among homosexual and bisexual men. The multicenter AIDS cohort study. American Journal of Epidemiology, 138(6), 415–429.
12.
Edwards, R. (1987). Exploratory study of black psychological health. Journal of Religion and Health, 26(1), 73–80.
13.
Eng, E., & Hatch, J. (1991). Networking between agencies and black churches: The lay health advisor model. Prevention in Human Services, 10(1), 123–146.
14.
Eugene, T. (1995). There is a balm in Gilead; black women and the black church as agents of a therapeutic community. Special issue: Women's spirituality, women's lives. Women and Therapy, 16(2–3), 55–71.
15.
Evans, D., Pedersen, C., & Folds, J. (1988) Major depression and immunity: Preliminary evidence of decreased natural killer cell populations. Progress in Neuro-Psychopharmacology and Biological Psychiatry, 12(5), 739–748.
16.
Fletcher, M., Baron, G., Ashman, M., Fischl, M., & Klimas, N. (1987). Use of whole blood methods in assessment of immune parameters in immunodeficiency states. Diagnostic Clinical Immunology, 5, 69–81.
17.
Folstein, M., Folstein, S., & McHugh, P. (1975). ‘Mini-mental state’ a practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research, 12, 189–198.
18.
Friedlander, Y., Kark, J., & Stein, Y. (1986). Religious orthodoxy and myocardial infarction in Jerusalem: A case control study. International Journal of Cardiology, 10(1), 33–41.
19.
Gartner, J.Larson, D. B., & Allen, G. D. (1991). Religious commitment and mental health: A review of the empirical literature. Journal of Psychology and Theology, 19, 6–25.
20.
Goldfried, M., & Trier, C. (1974). Effectiveness of relaxation as an active coping skill. Journal of Abnormal Psychology, 83, 348–355.
21.
Hall, N., & O'Grady, M. (1991). Psychosocial interventions and immune function. In R. Ader, D. Felton, & N. Cohen (Eds.), Psychoneuriommunology (2nd ed., pp. 1067–1080). New York: Academic.
22.
Hamilton, M. (1960). A rating scale for depression. Journal of Neurology, Neurosurgery, and Psychiatry, 23, 56–62.
23.
Herek, G., & Capitani, J. (1994). Conspiracies,. contagion, and compassion: Trust and public reactions to AIDS. AIDS Education and Prevention, 6(4), 365–375.
24.
Holt, M., & Dellmann-Jenkins, M. (1992). Research and implications, for practice: Religion, well being/morale, and coping behavior in later life. Journal of Applied Gerontology, 11(1), 101–110.
25.
Idler, E. (1987). Religious involvement and the health of the elderly: Some hypotheses and an initial test. Social Forces, 66(1), 226–238.
26.
Idler, E., & Kasl, S. (1992). Religion, disability, depression, and the timing of death. American Journal of Sociology, 97(4), 1052–1079.
27.
Ironson, G., Antoni, M., Baggett, L., & August, S. (1986). HIV Coping/Self-Efficacy Scale. University of Miami, Florida, Unpublished manuscript.
28.
Jenkins, R. (1995). Religion and HIV: Implications for research and intervention. Journal of Social Issues, 51(2), 131–144.
29.
Johnson, E., Jackson, L., Hindler, Y., & Gilbert, D. (1994). What is the significance of Black–White differences in risky sexual behavior?Journal of the National Medical Association, 86(10), 745–759.
30.
Kamisky, S. (1987) The service utilization scale. University of Miami School of Medicine, Florida, Unpublished manuscript.
31.
Kiecolt-Glaser, J., & Glaser, R. (1988). Methodological issues in behavioral immunology research with humans. Brain, Behavior, and Immunity, 2, 67–78.
32.
Koblin, B., McCusker, J., Lewis, B., & Sullivan, J. (1990). Racial/ethnic differences in HIV-1 seroprevalence and risky behaviors among intravenous drug users in a multi-site study. American Journal of Epidemiology, 132(5), 837–846.
33.
Koenig, H. (1991). Religion and prevention of illness in later life. Prevention in Human Services, 10(1), 69–89.
34.
Koenig, H., Hays, J., George, L., & Blazer, D. (1997). Modeling the cross-sectional relationships between religion, physical health, social support, and depressive symptoms. American Journal of Geriatric Psychiatry, 5(2), 131–144.
35.
Koenig, H., Cohen, H., George, L., Hays, J., Larson, D., & Blazer, D. (1997). Attendance at religious services, interleukin-6, and other biological parameters of immune function in older adults. International Journal of Psychiatry in Medicine, 27(3), 233–250.
36.
Levin, J. (1994). Religion and health: Is there an association, is it valid, and is it causal?Social Science and Medicine, 38(11), 1475–1482.
37.
Levin, J., Chatters, L., & Taylor, R. (1995). Religious effects on health status and life satisfaction among black Americans. Journal of Gerontology: Psychological Sciences and Social Sciences, 50(3), S154–S163.
38.
Levin, J., & Schiller, P. (1987). Is there a religious factor in health?Journal of Religion and Health, 26(1), 9–36.
39.
Lyles, M. (1992). Mental health perceptions of black pastors: Implications for psychotherapy and black patients. Special issue: Multicultural counseling. Journal of Psychology and Christianity, 11(4), 368–377.
40.
Martin, J., & Vance, C. (1984). Behavioral and psychological factors in AIDS: Methodological and substantive issues. American Psychologist, 39, 1303–1307.
41.
McCraig, L., Hardy, A., & Winn, D. (1991). Knowledge about AIDS and HIV in the US adult population: Influence of the local incidence of AIDS. American Journal of Public Health, 81(12), 1591–1595.
42.
Ockenfels, M., Porter, L., Smyth, J., & Kirschbaum, C. (1995). Effect of chronic stress associated with unemployment on salivary cortisol: Overall cortisol levels, diurnal rhythm, and acute stress reactivity. Psychosomatic Medicine, 57(5), 460–467.
43.
Oxman, T., Freeman, D., & Manheimer, E. (1995). Lack of social participation or religious strength and comfort as risk factors for death after cardiac surgery in the elderly. Journal of Psychosomatic Medicine, 5(1), 5–15.
44.
Paloma, M. & Pendleton, B. (1990). Religious domains and general well-being. Social Indicators Research, 22(3), 255–276.
45.
Payne, I., Bergin, A., Bielema, K., & Jenkins, P. (1991). Review of religion and mental health: Prevention and the enhancement of psychosocial functioning. Prevention in Human Services, 9(2). 11–40.
46.
Penkower, L., Dew, M., Kingsley, L., Becker, J., Satz, P., Schaerf, F., & Sheridan, C. (1991). Behavioral, health, and psychosocial factors and risk for HIV infection among sexually active homosexual men: The multicenter AIDS cohort study. American Journal of Public Health, 81, 2194–2196.
47.
Peruga, A., & Rivo, M. (1992). Racial differences in AIDS knowledge among adults. AIDS Education and Prevention, 1, 452–460.
48.
Spielberger, C., Gorsuch, R., & Lushene, R. (1970). STAI Manual.Palo Alto, CA: Consulting Psychologists' Press.
49.
Thomas, S., Gilliam, A., & Iwrey, C. (1989). Knowledge about AIDS and reported risk behaviors among black college students. Journal of American College Health, 38(2), 61–66.
50.
Turner, L., Sutherland, M., Harris, G., & Barber, M. (1995). Cardiovascular health promotion in north Florida African-American churches. Health Values: The Journal of Health Behavior Education and Promotion, 19(2), 3–9.
51.
Wagner, S. (1996). The relationship of optimism and self-efficacy to the psychological, physiological, and health status of HIV1 gay men in the face of a natural disaster and two years later. University of Miami, Florida, Unpublished master's thesis.
52.
Walls, C., & Zaritt, S. (1991). Informal support from black churches and the well-being of elderly blacks. Gerontologist, 31(4), 490–495.
53.
Witmer, J., & Sweeney, T. (1992). A holistic model for wellness and prevention over the life span. Journal of Counseling and Development, 71(2), 140–148.
54.
Woods, T., Antoni, M., Ironson, G., & Kling, D. (in press). Religiosity is associated with affective and immune status in symptomatic HIV infected gay men. Journal of Psychosomatic Research.
55.
Wyatt, G. (1991). Examining ethnicity versus race in AIDS related sex research. Social Science Medicine, 33(1), 37–45.
