{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,17]],"date-time":"2026-01-17T09:16:41Z","timestamp":1768641401578,"version":"3.49.0"},"reference-count":45,"publisher":"Wiley","issue":"5-6","license":[{"start":{"date-parts":[[2021,6,23]],"date-time":"2021-06-23T00:00:00Z","timestamp":1624406400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100002322","name":"Coordena\u00e7\u00e3o de Aperfei\u00e7oamento de Pessoal de N\u00edvel Superior","doi-asserted-by":"publisher","award":["001"],"award-info":[{"award-number":["001"]}],"id":[{"id":"10.13039\/501100002322","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Clinical Nursing"],"published-print":{"date-parts":[[2022,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Management strategies that incorporate spirituality and religiosity (S\/R) have been associated with better health status in clinical populations. However, few data are available for patients with chronic obstructive pulmonary disease (COPD) to improve the traditional disease\u2010model treatment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>The objectives of this study were to evaluate the association between S\/R and physical and psychological status in patients with stable COPD.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>This is a cross\u2010sectional study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Religiosity, spiritual well\u2010being and S\/R Coping were measured. Physical status was evaluated with the activity of daily living, dyspnoea and the impact of the disease. Psychological status was assessed with anxiety and depression symptoms and quality of life. Spearman correlation coefficients were calculated, multivariate linear regression was applied in the analyses. This study is reported following the STROBE recommendations.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Seventy\u2010two patients with stable COPD (male 58%, aged 68\u00a0\u00b1\u00a09\u00a0years, forced expiratory volume in 1s (FEV<jats:sub>1<\/jats:sub>) of 49.2\u00a0\u00b1\u00a019.6% predicted) were included. There was no association between S\/R and activity of daily living. However, higher spiritual well\u2010being and lower Negative S\/R Coping was associated with reduced dyspnoea and burden of the disease. Increased S\/R and lower Negative S\/R Coping was also associated with less anxiety, depression and better quality of life. Multivariate linear regression showed that S\/R variables explained the physical and psychological health status in people with stable COPD. <jats:bold>Conclusions<\/jats:bold>: Higher spirituality and less negative S\/R Coping are associated with reduced dyspnoea, the burden of the disease, anxiety and depression symptoms, and better quality of life in patients with stable COPD.<\/jats:p><\/jats:sec><jats:sec><jats:title>Relevance to clinical practice<\/jats:title><jats:p>Understanding how religiosity and spirituality are associated with physical and psychological features in patients with COPD may contribute to the long\u2010term management of this patient population.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jocn.15926","type":"journal-article","created":{"date-parts":[[2021,6,24]],"date-time":"2021-06-24T04:29:13Z","timestamp":1624508953000},"page":"669-678","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["Spirituality and religiosity are associated with physical and psychological status in patients with chronic obstructive pulmonary disease"],"prefix":"10.1111","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1752-3118","authenticated-orcid":false,"given":"N\u00e9lia Silva","family":"Mendes","sequence":"first","affiliation":[{"name":"Post\u2010Graduate Research Program on Rehabilitation Sciences and Physical Function Performance Faculty of Physiotherapy Federal University of Juiz de Fora Juiz de Fora Minas Gerais 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Medicine of Itajub\u00e1 \u2010 Afya Group Itajub\u00e1 Minas Gerais Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8048-3393","authenticated-orcid":false,"given":"Rafael","family":"Mesquita","sequence":"additional","affiliation":[{"name":"Masters Program in Physiotherapy and Functioning Federal University of Cear\u00e1 Fortaleza Cear\u00e1 Brazil"},{"name":"Masters Program in Cardiovascular Sciences Federal University of Cear\u00e1 Fortaleza Cear\u00e1 Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8631-0135","authenticated-orcid":false,"given":"Annemarie Louise","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy School of Primary and Allied Health Care Monash University Frankston VIC Australia"},{"name":"Centre for Allied Health Research and Education Cabrini Health Malvern VIC 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