In the fourth and final article of this religion and medicine series, I summarize the results of a comprehensive and systematic review of research examining religion's relationship to physical health and mortality. This review focuses on pain and disability, cardiovascular disease, immune and neuroendocrine function, susceptibility to infection, cancer, and overall mortality. I also explore what these research findings mean for medical practice and suggest patient-centered applications that are sensitive to ethical concerns.
KoenigHGMcCulloughMLarsonDB. Handbook of religion and health: A century of research reviewed. New York: Oxford University Press, 2001.
2.
TurnerJAClancyS. Strategies for coping with chronic low back pain: Relationship to pain and disability. Pain1986; 24: 355–364.
3.
Kabat-ZinnJLipworthLBurneyR. The clinical use of mindfulness meditation for the self-regulation of chronic pain. Journal of Behavioral Medicine1985; 8: 163–190.
4.
FlorellJL. Crisis-intervention in orthopedic surgery: Empirical evidence of the effectiveness of a chaplain working with surgery patients. Bulletin of the American Protestant Hospital Association1973; 37(2): 29–36.
5.
IdlerEL. Religious involvement and the health of the elderly: Some hypotheses and an initial test. Social Forces1987; 66: 226–238.
6.
IdlerELKaslSV. Religion, disability, depression, and the timing of death. American Journal of Sociology1992; 97: 1052–1079.
7.
IdlerELKaslSV. Religion among disabled and nondisabled elderly persons: Cross-sectional patterns in health practices, social activities, and well-being. Journal of Gerontology1997; 52B: S300–S305.
8.
IdlerELKaslSV. Religion among disabled and nondisabled elderly persons, II: Attendance at religious services as a predictor of the course of disability. Journal of Gerontology1997; 52B: S306–S316.
9.
IdlerEL. Religion, health, and nonphysical senses of self. Social Forces1995; 74: 683–704.
10.
MedalieJHKahnHANeufledHNRissEGoldbourtU. Five-year myocardial infarction incidence-II. Association of single variables to age and birthplace. Journal of Chronic Diseases1973; 26: 329–349.
11.
FriedlanderYKarkJDSteinY. Religious orthodoxy and myocardial infarction in Jerusalem—A case-control study. International Journal of Cardiology1986; 10: 33–41.
12.
GoldbourtUYaariSMedalieJH. Factors predictive of long-term coronary heart disease mortality among 10,059 male Israeli civil servants and municipal employees. Cardiology1993; 82: 100–121.
13.
OxmanTEFreemanDHManheimerED. Lack of social participation or religious strength and comfort as risk factors for death after cardiac surgery in the elderly. Psychosomatic Medicine1995; 57: 5–15.
14.
BurellG. Group psychotherapy in Project New Life: Treatment of coronary-prone behaviors for patients who have had coronary artery bypass graft surgery. In AllanRScheidtS, editors, Heart and mind: The practice of cardiac psychology. Washington, D.C.: American Psychological Association, 1996, pp. 291–310.
15.
ByrdRC. Positive therapeutic effects of intercessory prayer in a coronary care unit population. Southern Medical Journal1988; 81: 826–829.
16.
LesermanJStuartEMMamishMEBensonH. The efficacy of the relaxation response in preparing for cardiac surgery. Behavioral Medicine Fall, 1989: 111–117.
17.
ThoresenCE. Long-term, 8-year followup of recurrent coronary prevention project: Invited Symposium. Uppsola, Sweden: 1st Conference of the International Society of Behavioral Medicine, June 14, 1990.
18.
ZamarraJWSchneiderRHBesseghiniIRobinsonDKSalernoJW. Usefulness of the transcendental meditation program in the treatment of patients with coronary artery disease. American Journal of Cardiology1996; 77: 867–870.
19.
ColantonioAKaslSVOstfeldAM. Depressive symptoms and other psychosocial factors as predictors of stroke in elderly. American Journal of Epidemiology1992; 136: 884–894.
20.
McClellandDC. The effect of motivational arousal through films on salivary immunoglobulin A. Psychology & Health1988; 2: 31–52.
21.
KoenigHGCohenHJGeorgeLKHaysJCLarsonDBBlazerDG. Attendance at religious services, interleukin-6, and other biological indicators of immune function in older adults. International Journal of Psychiatry in Medicine1997; 27: 233–250.
22.
LutgendorfS. IL-6 level, stress, and spiritual support in older adults. Psychology Department, University of Iowa and Iowa City. Personal communication, May 1997.
23.
WoodsTEAntoniMHIronsonGHKlingDW. Religiosity is associated with affective and immune status in symptomatic HIV-infected gay men. Journal of Psychosomatic Research1999; 46: 165–176.
24.
SchaalMDSephtonSEThoresonCKoopmanCSpiegelD. Religious expression and immune competence in women with advanced cancer. Paper presented at the Meeting of the American Psychological Association, San Francisco, California, August 1998.
25.
KatzJWeinerHGallagherT. Stress, distress, and ego defenses. Archives of General Psychiatry1970; 23: 31–142.
26.
KuemmererJMComstockGW. Sociologic concomitants of tuberculin sensitivity. American Review of Respiratory Diseases1967; 96: 885–892.
27.
ComstockGWAbbeyHLundinFE. The nonofficial census as a basic tool for epidemiologic observations in Washington County, Maryland. In KesslerIILevinML, editors, The community as an epidemiologic laboratory: A casebook of community studies. Baltimore: Johns Hopkins Press, 1970: 73–97.
28.
NaguibSMComstockGWDavisHJ. Epidemiologic study of trichomoniasis in normal women. Obstetrics & Gynecology1966; 27: 607–616.
29.
NaguibSMLundinFEDavisHD. Relation of various epidemiologic factors to cervical cancer as determinants of a screening program. Obstetrics & Gynecology1966; 28: 451–459.
30.
KesslerIIKulcarZZimoloAGrgurevicMStrnadMGoodwinB. Cervical cancer in Yugoslavia. II. Epidemiologic factors of possible etiologic significance. Journal of the National Cancer Institute1974; 53: 51–60.
31.
ReynoldsPKaplanG. Social connections and risk for cancer: Prospective evidence from the Alameda County Study. Behavioral Medicine Fall 1990: 101–110.
32.
DwyerJWClarkeLLMillerMK. The effect of religious concentration and affiliation on county cancer mortality rates. Journal of Health & Social Behavior1990; 31: 185–202.
33.
EnstromJE. Health practices and cancer mortality among active California Mormons. Journal of the National Cancer Institute1989; 31: 1807–1814.
34.
GardnerJWLyonJL. Cancer in Utah Mormon men by lay priesthood level. American Journal of Epidemiology1982; 116: 243–257.
35.
GardnerJWLyonJL. Cancer in Utah Mormon women by church activity level. American Journal of Epidemiology1982; 116: 258–265.
36.
RingdalG. Religiosity, quality of life and survival in cancer patients. Social Indicators Research, 1996; 38: 193–211.
37.
LoPrinziCLLaurieJAWieandHSKrookJENovotnyPJKuglerJW. Prospective evaluation of prognostic variables from patient-completed questionnaires. Journal of Clinical Oncology1994; 12: 601–607.
38.
YatesJWChalmerBJSt. JamesPFollansbeeMMcKegneyFP. Religion in patients with advanced cancer. Medical & Pediatric Oncology1981; 9: 121–128.
39.
CollippPJ. The efficacy of prayer: A triple-blind study. Medical Times1969; 97: 201–204.
40.
StrawbridgeWJCohenRDShemaSJKaplanGA. Frequent attendance at religious services and mortality over 28 years. American Journal of Public Health1997; 87: 957–961.
41.
OmanDReedD. Religion and mortality among the community-dwelling elderly. American Journal of Public Health1998; 88: 1469–1475.
42.
HummerRRogersRNamCEllisonCG. Religious involvement and U.S. adult mortality. Demography1999; 36: 273–285.
43.
KoenigHGHaysJCLarsonDBGeorgeLKCohenHJMcCulloughMMeadorKBlazerDG. Does religious attendance prolong survival?: A six-year follow -up study of 3,968 older adults. Journal of Gerontology1999; 54A: M370–M377.
44.
MusickMAHouseJSWilliamsDR. Attendance at religious services and mortality in a national sample. Presented at the Annual Meeting of the American Sociological Association, Chicago, August 6, 1999.
45.
GlassTAde LeonMendes CMarottoliMABerkmanLF. Population based study of social and productive activities as predictors of survival among elderly Americans. British Medical Journal1999; 319: 478–485.
46.
KoenigHG. Religion and medicine I: Historical background and reasons for separation. International Journal of Psychiatry in Medicine2000; 30: 385–398.
47.
KoenigHG. Religious beliefs and practices of hospitalized medically ill older adults. International Journal of Geriatric Psychiatry1998; 13: 213–224.
48.
KaldjianLCJekelJFFriedlandG. End-of-life decisions in HIV-positive patients: The role of spiritual beliefs. AIDS1998; 12(1): 103–107.
49.
FitchettGBurtonLASivanAB. The religious needs and resources of psychiatric patients. Journal of Nervous & Mental Disease1997; 185: 320–326.
50.
KoenigHGBearonLDayringerR. Physician perspectives on the role of religion in the physician-older patient relationship. Journal of Family Practice1989; 28: 441–448.
