•Positive religious appraisal and active spiritual coping associated with enhanced self-reported pain endurance in elderly chronic pain patients.•Culturally-sensitive brief arab religious coping scale quantified dimensions of religious coping strategies used.•Pain endurance and average intensity separately evaluated to distinguish constructs, linked appraisal and coping to tolerance.•Substantiated theories on neurocognitive mechanisms underlying spiritual practices' pain-modulating impacts.•Contextualized understanding of faith-based resources’ role within comprehensive biopsychosocial geriatric healthcare approaches. Chronic pain diminishes the quality of life for many Older Adults individuals. Identifying effective coping methods to enhance pain resilience is imperative as populations age. Older Adults commonly use religious faith and spiritual practices to endure pain, yet little research has explored their impact on pain tolerance. This cross-sectional study examined relationships between positive/negative religious coping styles and pain endurance in 200 Arab elders with chronic pain. Participants completed the Brief Arab Religious Coping Scale, Numeric Pain Rating Scale, WHOQOL-BREF, and demographic/medical history questionnaires. Quantitative analysis demonstrated significant positive associations between positive religious reappraisal and active spiritual coping with higher self-reported pain endurance (p<.05). Negative religious coping styles lacked meaningful relationships with pain tolerance. Multiple regression confirmed the unique effects of reappraisal and spiritual practice on improving pain resilience, controlling for covariates. Outcomes align with perspectives highlighting multidimensional neurocognitive, emotional, and psychosocial pain relief from religious coping. Findings underscore integrating positive faith-based resources in biopsychosocial paradigms for Older Adult's pain management. Additional research should investigate causal pathways and contextual factors influencing religious coping effects on diverse Older Adult subgroups.