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Faith-based and Secular Pathways to Hope and Optimism Subconstructs in Middle-aged and Older Cardiac Patients
Amy L. Ai
Universities of Washington Health Science & University of Michigan Health System CAM Research Center amyai{at}u.washington.edu amyai{at}umich.edu
Christopher Peterson
University of Michigan Health System CAM Research Center & Universities of Michigan & Pennsylvania Departments of Psychology
Terrence N. Tice
University of Michigan Emeritus Professor of Philosophy
Steven F. Bolling
University of Michigan Health System Divisions of Cardiac Surgery & CAM Research Center
Harold G. Koenig
Duke University Medical Center, Departments of Psychiatry and Medicine
This study was designed to fill gaps in the new field of positive psychology. Using data from two sequential interviews, this study examined the effect of faith-based and secular pathways to hope and optimism among 226 middle-aged and older patients facing a major medical crisiscardiac surgery. Structural equation modeling demonstrated that religious faith factors contributed to the agency component of hope and dispositional optimism indirectly through the use of prayer as a coping strategy. Other sociodemographically resourcable factors affected both the agency and pathway components of hope as well as dispositional optimism and dispositional pessimism directly or indirectly through their effects on emotional distress.
Key Words: aging cardiac health hope optimism prayer coping religious faith
Journal of Health Psychology, Vol. 9, No. 3,
435-450 (2004)
DOI: 10.1177/1359105304042352

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