Reynolds Nina, Mrug Sylvie, Britton LaCrecia, Guion Kimberly, Wolfe Kelly, Gutierrez Hector
University of Alabama at Birmingham, 1720 2nd Ave S, Birmingham, AL 35294, USA.
University of Alabama at Birmingham, 1720 2nd Ave S, Birmingham, AL 35294, USA.
J Cyst Fibros. 2014 Sep;13(5):593-600. doi: 10.1016/j.jcf.2014.01.013. Epub 2014 Feb 16.
Positive spiritual coping in adolescent patients with cystic fibrosis (CF) is associated with better emotional functioning, but its role in health outcomes is unknown.
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.
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.
These results suggest that positive spiritual coping plays a key role in maintaining long-term health of adolescent patients with CF.
囊性纤维化（CF）青少年患者的积极精神应对与更好的情绪功能相关，但其在健康结局中的作用尚不清楚。
确诊为CF的青少年（n = 46；平均年龄14.7岁）报告了他们使用积极和消极精神应对的情况。在五年的随访期内，获取营养状况（BMIp）、肺功能（%FEV1）和住院情况的测量值。使用分层线性模型估计BMIp和%FEV1分数的变化；住院天数采用负二项回归模型。
积极的精神应对与肺功能下降较慢、营养状况稳定而非下降以及五年期间住院天数较少相关。消极的精神应对与基线时较高的BMI百分位数相关，但与长期健康结局无关。
这些结果表明，积极的精神应对在维持CF青少年患者的长期健康方面起着关键作用。
