Predicting Factors of Spiritual Well-being among People Living with HIV/AIDS

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Yuttachai Chaiyasit
Nongnuch Kunakote
Paiwan Kotta
Khwanprapat Chanbunlawat
Prasert Piboonrungroj


OBJECTIVES: This study aimed to examine spiritual well-being and predicting factors of spiritual well-being among people living with HIV/AIDS (PLWHA).
MATERIALAND METHODS: 138 participants were selected using a simple random sampling technique from one tertiary hospital in the northeast region of Thailand. The research instruments included: 1) the demographic characteristic questionnaire 2) the spiritual well-being questionnaire 3) the religious practice questionnaire 4) the social support questionnaire 5) the depressive questionnaire, and 6) the hope questionnaire. The reliabilities were tested by applying Cronbach’s alpha coefficient, which were 0.87, 0.90, 0.89, 0.89 and 0.87 respectively. Data were analyzed by frequency, percentage, mean, standard deviation, Pearson product-moment correlation, and stepwise multiple regression.
RESULT: 1) The overall spiritual well-being was at a high level (4.03 ± 0.55). 2) Factors related to spiritual well-being were religious practice (r = 0.40, p = 0.000), social support (r = 0.57, p = 0.000), depression (r = -0.26, p = 0.002), and hope (r = 0.66, p = 0.000). Meanwhile, there was no correlation between CD4 level and spiritual well-being (r = -0.17, p = 0.053). 3) Predicting factors of spiritual well-being were hope (β = 0.446, p = 0.000), religious practice (β = 0.188, p = 0.005), and social support (β = 0.225, p = 0.007). These predictor variables accounted for 49.90% of the variance in spiritual well-being.
CONCLUSION: It was summarized that hope, religious practice, and social support can predict spiritual well-being. Therefore, implementing intervention programs with a focus on the significant predicting factors to promote spiritual well-being among PLWHA is recommended. Further research should focus on other factors influencing spiritual well-being.


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Chaiyasit Y, Kunakote N, Kotta P, Chanbunlawat K, Piboonrungroj P. Predicting Factors of Spiritual Well-being among People Living with HIV/AIDS. BKK Med J [Internet]. 2020 Feb. 25 [cited 2023 Dec. 6];16(1):26. Available from:
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World Health Organization (WHO). HIV/AIDS. (Accessed November 18, 2019 at fact-sheets/detail/hiv-aids)

UNAIDS. People living with HIV. (Accessed November 18, 2019 at

Ignatavicious DD, Workman, ML, Rebar C. Medical-Sur- gical Nursing: Concepts for interprofessional collaborative care. 9th ed. St. Louis, Missouri: Elsevier; 2018.

Chaiyasit Y, Thongon R, Dumrongpakapakorn P, et al. Fac- tors related to health behaviors of persons with HIV/AIDS receiving antiretroviral therapy at a hospital Located in Thai-Laos border region. J Nurs Health Care 2014; 32(2): 86-96.

Chaiyasit Y, Piboonrungroj P. Stigmatization: Nursing applications to reduce effects for HIV/AIDS patients. J Nurs Division 2013; 40(3): 114-25.

Rivero-Mendez M, Portillo C, Solis-Baez SS, et al. Symptoms and quality of life for people living with HIV Infection in Puerto Rico. Puerto Rico Health Sciences J 2009; 28(1): 54-59.

Chaiyasit Y, Chanbunlawat K, Soboon S, et al. Spiritual distress healing for people living with HIV/AIDS: The nursing roles. J Nurs Health Care 2017; 35(3): 31-8.

Chaiyasit Y, Thong-on R, Piboonrungroj P, et al. The roles of spirituality in people living with HIV/AIDS: A qualitative meta-synthesis. BKK Med J 2019; 15(1):113-20.

Dalmida SG, Holstad MM, DiIorio CK, et al. Spiritual well-being, depressive symptoms, and immune status among women living with HIV/AIDS. Women and Health 2009; 49(2–3):119-43.

Ironson G, Stuetzle R, Fletcher MA. An increase in religiousness/spirituality occurs after HIV diagnosis and predicts slower disease progression over 4 years in peoples with HIV. J Gen Int Med 2006; 21(5): S62-S68.

Simoni JM, Martone MG, Kerwin JF. Spirituality and psychological adaptation among women with HIV/AIDS: Implications for counseling. J Couns Psy 2002; 49(2):139-47.

Cotton S, Puchalski CM, Sherman SN, et al. Spirituality and religion in patients with HIV/AIDS. J Gen Int Med 2006; 21(suppl 5): S5-S13.

Szaflarski M, Ritchey PN, Leonard AC, et al. Modeling the effects of spirituality/religions on patients’ perceptions of living with HIV/AIDS. J Gen Int Med 2006; 21(5): S28-S38.

Tsevat J. Spirituality/Religion and quality of life in patients with HIV/AIDS. J Gen Int Med 2006; 21(5): S1-S2.

Ironson G, Kremer H, Lucette A. Relationship between spiritual coping and survival in patients with HIV. J Gen Int Med 2016; 31(9): 1068-1076.

Tawaisab R. Spiritual well-being among persons with HIV/ AIDS [thesis]. Chiang Mai: Chiang Mai University; 2002.

Praiwan C. Relationships between personal factors, religious practices, nursing caring behaviors, and spiritual well-being of AIDS patients in Bumrasnaradura Hospital [thesis]. Bangkok: Chulalongkorn University; 1997.

Netimetee S. Hope, nursing care behaviors, social support, and spiritual well-being in postpartum mothers with HIV infection [thesis]. Chonburi: Burapha University; 2004.

Yaghoobzadeh A, Soleimani MA, Allen KA, et al. Relationship between spiritual well-being and hope in patients with cardiovascular disease. J Religion Health 2018; 57(3): 938-950.

Yi MS, Mrus JM, Wade TJ, et al. Religion, spirituality, and depressive symptoms in patients with HIV/AIDS. J Gen Int Med 2006; 21: S21–27.

Dalmida SG, Holstad MM, Dilorio C, et al. Spiritual well-being and health-related quality of life among African- American woman with HIV/AIDS. Applied Research in Quality of Life 2011;62(2):139-57.

Ironson G, Kremer H. Spiritual transformation, psychological well-being, health, and survival in people with HIV. Int J Psych Med 2009: 39(3);263-281.

Noipiang T. Perceived severity of illness, social support and spiritual well-being among breast cancer patients [thesis]. Chiang Mai: Chiang Mai University; 2002.

Paloutzian RF, Eillison CW. Loneliness, spiritual well-being and quality of Life. In Peplan LA & Perlman D. Loneliness :a sourcebook of current theory, rerearch and therapy. New York: Wiley Interscience; 1982.

Rakhab A, Thaniwattananon P, Nilmanut K, et al. Buddhist practice, health perception and hope in persons with HIV infection/AIDS. Songkla Med J 2007; 25(4):259-71.

Kupantawee N. The relationship between social support, health perception and quality of life in leprosy patient in the center of leprosy control zone twelve [thesis]. Nakhon Pathom: Mahidol University; 1991.

Department of Mental Health, Ministry of Public Health. Guideline of using psychiatric instruments for health care providers in community hospital (NCD clinic). 2nd ed. Bangkok: The Agricultural Co-operatve Federation of Thailand., LTD.; 2015.

Wongsabutr M. Relationships among social support, hope and self-care behavior of persons with AIDS receiving treatment at Phrabatnampu temple Lop-Buri Province [thesis]. Chiang Mai: Chiang Mai University; 1996.

Fowler J. Stages of faith: The psychology of human development and the quest for meaning. San Francisco: Harper Collins; 1981.

Fisher J. Nurses’ and Carers’ Spiritual wellbeing in the workplace. Aust J Adv Nurs 2008; 25(4): 49-57.

O’ Brien ME. Spirituality in nursing: Standing on holy ground. Sudbury, MA: Jones &Bartlett Learning; 2011.

Balthip Q, Petchruschatachart U, Piriyakoontorn S, et al. Achieving peace and harmony in life: Thai Buddhists living with HIV/AIDS. Int J Nurs Pract 2013; 9(suppl. 2):7-14.

Scarinci EG, Griffin MTQ, Grogoriu A, et al. Spiritual well-being and spiritual practices in HIV-infected women: A preliminary study. J Assoc Nurs AIDS Care 2009; 20(1): 69-76.

Highfield MF. Spiritual health of oncology patients: nurse and patient perspectives. Cancer Nursing 1992; 15(1): 1-8.

Fisher J. The four domains model: Connecting spirituality, health and well-being. Religious 2011; 2: 17-28.

Khan J. Hope and meaning in life as the predictors of spiritual well-being among people living with HIV/AIDS [dissertation]. Aligarh: Aligarh Muslim University; 2015.

Sittipran W. Predicting factors of spiritual well-being in persons living with HIV infection [thesis]. Nakhon Pathom: Mahidol University; 2007.

Yi MS, Mrus JM, Wade TJ, et al. Religion, Spirituality, and Depressive Symptoms in Patients with HIV/AIDS. J Gen Int Med 2006; 21: S21–S27.

Saeloo J. Health perception and self-care of HIV/AIDS patients with over seven years survival [thesis]. Songkla : Prince of Songkla University.

Highfield M, Cason C. Spiritual needs of patients: are they recognised?. Cancer Nurs 1983;6(3):187-92.

Mwesigire DM, Martin F, Seeley J, et al. Relationship between CD4 count and quality of life over time among HIV patients in Uganda: a cohort study. Health Qual Life Outcomes 2015;13:144.