The current systematic review and meta-analysis aimed to assess the strength of the relationships between religious/spiritual coping strategies and psychosocial adjustment and physical health in youth with chronic illness.
Faced with medical stressors and uncertainty about their illness, spiritual beliefs and behaviors are important for youth with chronic illness. Research suggests that some spiritual coping strategies are helpful (positive), while others are not (negative), and these dimensions of spiritual coping are important predictors of functioning among youth with chronic illness.
Fourteen studies, published between 1990 and 2015, met inclusion criteria for the meta-analysis and were analyzed using both a fixed and random effect models.
Findings revealed significant, small to moderate associations between negative spiritual coping and more concurrent internalizing problems (REM r = .34), lower quality of life (REM r = -.34), and poorer health (REM r = -.08). Under the fixed, but not random effects model, the combined effects showed small to moderate significant relationships between positive spiritual coping and fewer internalizing problems (r = -.19) and better physical health (r = .19).
The results reveal that spiritual coping is an important coping strategy for pediatric patients. Consistent with findings among adults with chronic illness, negative spiritual coping puts pediatric patients at risk for psychosocial maladjustment and poorer health. Intervention research is needed to determine if targeting spiritual coping improves health and psychosocial well-being.