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Módis LV, Aradi Z, Horváth IF, Pikó P, Papp G, Osváth M, Szántó A, Bugán A. Spirituality is associated with immune parameters and disease activity in primary Sjögren's syndrome: a cross-sectional study. Sci Rep 2024; 14:12473. [PMID: 38816520 PMCID: PMC11139944 DOI: 10.1038/s41598-024-62801-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/18/2023] [Accepted: 05/21/2024] [Indexed: 06/01/2024] Open
Abstract
The role of spirituality in health and disease is a complex and emerging area of research. Incorporating spirituality into the bio-psycho-social model of health and disease leading to the bio-psycho-social-spiritual model provides a more comprehensive framework. In this context, chronic disorders like primary Sjögren's syndrome (pSS) are of interest due to their intricate interactions between biological, psychological, and spiritual factors. This study explored the relationship between spirituality, immune parameters, and disease activity in pSS patients. Data from 108 patients were analyzed, including self-assessed spirituality (answering to direct questions and completing the Spiritual Transcendence Scale), immunological parameters and disease activity scores. The findings revealed several associations. Individuals with spiritual attitudes or engaged in regular prayer/meditation showed lower serum levels of autoantibodies specific to pSS and lower disease activity scores. Spiritual engagement was also linked to decreased perceived skin and tracheal dryness, suggesting potential benefits for physical symptoms. These findings suggest that spirituality may play a significant role in modulating immune responses and disease activity in pSS patients. The study underscores the importance of considering spirituality as an integral part of the holistic approach to health and disease, further expanding the understanding of the interconnectedness of biological, psychological, and spiritual dimensions.
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Affiliation(s)
- László V Módis
- Faculty of Medicine, Department of Behavioural Sciences, University of Debrecen, Debrecen, 4032, Hungary.
- Szabolcs-Szatmár-Bereg County Teaching Hospital, Nagykálló Sántha Kálmán Member Hospital, Nagykálló, 4320, Hungary.
| | - Zsófia Aradi
- Faculty of Medicine, Department of Internal Medicine, Division of Clinical Immunology, University of Debrecen, Debrecen, 4032, Hungary
| | - Ildikó Fanny Horváth
- Faculty of Medicine, Department of Internal Medicine, Division of Clinical Immunology, University of Debrecen, Debrecen, 4032, Hungary
| | - Péter Pikó
- Faculty of Medicine, Department of Public Health and Epidemiology, University of Debrecen, Debrecen, 4028, Hungary
- National Laboratory for Health Security, Center for Epidemiology and Surveillance, Semmelweis University, Budapest, 1089, Hungary
| | | | - Mátyás Osváth
- Faculty of Medicine, Department of Behavioural Sciences, University of Debrecen, Debrecen, 4032, Hungary
| | - Antónia Szántó
- Faculty of Medicine, Department of Internal Medicine, Division of Clinical Immunology, University of Debrecen, Debrecen, 4032, Hungary
| | - Antal Bugán
- Faculty of Medicine, Department of Behavioural Sciences, University of Debrecen, Debrecen, 4032, Hungary
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Turan N, Canbulat Ş, Yeler D. Examining the Psychological and Spiritual Well-Being of Older Adult Individuals with Rheumatoid Arthritis in Turkey. JOURNAL OF RELIGION AND HEALTH 2023; 62:3110-3122. [PMID: 36930445 DOI: 10.1007/s10943-023-01792-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 03/03/2023] [Indexed: 06/18/2023]
Abstract
This study examined the psychological well-being (PWB) and spiritual well-being (SWB) of older adult individuals with rheumatoid arthritis (RA) who experienced the difficulties of both aging and RA. This descriptive and cross-sectional study was conducted in two centers located in the capital city of Turkey. A total of 136 individuals with a diagnosis of RA who met the inclusion criteria constituted the sample group of the study. Participant Information Form, SWB, and PWB Scales were used for data collection. The results showed that participants' PWB score was positively and significantly difference with marital status, presence of children, and regular participation in social activities. It was concluded that pain severity was not significantly difference with PWB and SWB. However, there was a significant negative correlation between PWB score and total SWB score and its two sub-dimensions, transcendence and anomie. Results emphasize the necessity of supportive interventions to increase psychological and spiritual well-being of older adult individuals with RA.
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Affiliation(s)
- Nazan Turan
- Elderly Care Program, Vocational School of Health Services, Gazi University, Gölbaşı, Ankara, Turkey.
| | - Şahinde Canbulat
- Surgical Nursing Department, Faculty of Nursing, Ankara University, Ankara, Turkey
| | - Dilek Yeler
- Nursing Department, Ankara Universıty Faculty of Medicine Ibnı Sına Hospital, Ankara, Turkey
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3
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Surzykiewicz J, Skalski SB, Niesiobędzka M, Toussaint LL, Konaszewski K. Polish Adaptation and Psychometric Properties of the Long- and Short-Form Interfaith Spirituality Scale. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:13274. [PMID: 36293849 PMCID: PMC9602451 DOI: 10.3390/ijerph192013274] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 08/23/2022] [Revised: 10/08/2022] [Accepted: 10/12/2022] [Indexed: 06/16/2023]
Abstract
Spirituality is widely believed to play an important role in securing health, and modern health care is increasingly being combined with spiritual care. This state of affairs is generating widespread interest in the construct from practitioners and researchers, resulting in the need to develop accurate and comprehensive measures of spirituality. The purpose of this study was to adapt the Polish version of the Interfaith Spirituality Scale (IFS), which consists of twenty-two statements, as well as its short version, including four statements. The IFS is not limited to any one religious denomination, making it possible to conduct research across diverse communities. The analyses were conducted on a sample of 642 Poles aged 18-68, 48% of whom were women. The Polish version of the scale showed high internal consistency (α = 0.96 for the IFS and α = 0.81 for the short version). Confirmatory factor analysis showed that the structure of the IFS consists of a unitary second-order factor with four first-order factors (direct connection with the creator, asceticism, meditation, and divine love). On the other hand, the structure of the short version is unifactorial. There were positive correlations of the IFS with another measure of spirituality, post-traumatic growth severity, mental well-being, and ecological behaviour, as well as negative correlations with post-traumatic stress disorder symptom severity and depressiveness; these confirmed the high validity of the tool. The results suggest that the IFS may be useful in the study of spirituality on Polish soil.
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Affiliation(s)
- Janusz Surzykiewicz
- Faculty of Philosophy and Education, Catholic University of Eichstätt-Ingolstadt, 85072 Eichstätt, Germany
- Faculty of Education, Cardinal Stefan Wyszyński University in Warsaw, 01938 Warsaw, Poland
| | - Sebastian Binyamin Skalski
- Faculty of Philosophy and Education, Catholic University of Eichstätt-Ingolstadt, 85072 Eichstätt, Germany
- Faculty of Education, Cardinal Stefan Wyszyński University in Warsaw, 01938 Warsaw, Poland
| | | | | | - Karol Konaszewski
- Faculty of Education, University of Bialystok, 15328 Bialystok, Poland
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4
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Ferreira-Valente A, Sharma S, Torres S, Smothers Z, Pais-Ribeiro J, Abbott JH, Jensen MP. Does Religiosity/Spirituality Play a Role in Function, Pain-Related Beliefs, and Coping in Patients with Chronic Pain? A Systematic Review. JOURNAL OF RELIGION AND HEALTH 2022; 61:2331-2385. [PMID: 31535274 DOI: 10.1007/s10943-019-00914-7] [Citation(s) in RCA: 13] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/11/2023]
Abstract
This systematic review examined the extent to which measures of religiosity/spirituality (R/S): (1) are associated with pain, function, pain-related beliefs (beliefs), coping responses, and catastrophizing in people with chronic pain; and (2) moderate the association between beliefs, coping and catastrophizing, and pain and function. Experimental and observational studies examining at least one of these research questions in adults with chronic pain were eligible. Two reviewers independently performed eligibility screening, data extraction, and quality assessment. Twenty studies were included. Most studies focused on the association between R/S and pain or function. When significant associations emerged, those between R/S and psychological function were weak to strong and positive; those between religious/spiritual well-being and pain and physical dysfunction were negative, but weak. Few studies examined the associations between R/S and beliefs/coping/catastrophizing; none examined the moderation role of R/S. The findings suggest that R/S is associated with pain and psychological function in people with chronic pain, and that viewing oneself as being "spiritual," regardless of religion, may contribute to positive psychological adjustment. More research is needed to determine the reliability of this finding. PROSPERO registry CRD42018088803.
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Affiliation(s)
- Alexandra Ferreira-Valente
- William James Center for Research, ISPA - Instituto Universitário, Rua Jardim do Tabaco No 34, 1149-041, Lisbon, Portugal.
- Department of Rehabilitation Medicine, University of Washington, Seattle, USA.
| | - Saurab Sharma
- Centre for Musculoskeletal Outcomes Research, Dunedin School of Medicine, University of Otago, Dunedin, New Zealand
- Department of Physiotherapy, Kathmandu University School of Medical Sciences, Dhulikhel, Nepal
| | - Sandra Torres
- Faculty of Psychology and Education Sciences, University of Porto, Porto, Portugal
- Centre for Psychology, University of Porto (CPUP), Porto, Portugal
| | | | - José Pais-Ribeiro
- William James Center for Research, ISPA - Instituto Universitário, Rua Jardim do Tabaco No 34, 1149-041, Lisbon, Portugal
| | - J Haxby Abbott
- Centre for Musculoskeletal Outcomes Research, Dunedin School of Medicine, University of Otago, Dunedin, New Zealand
| | - Mark P Jensen
- Department of Rehabilitation Medicine, University of Washington, Seattle, USA
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Ferreira-Valente A, Damião C, Pais-Ribeiro J, Jensen MP. The Role of Spirituality in Pain, Function, and Coping in Individuals with Chronic Pain. PAIN MEDICINE 2021; 21:448-457. [PMID: 31045211 DOI: 10.1093/pm/pnz092] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
Abstract
OBJECTIVE Chronic pain is a multidimensional experience associated with psychosocial (e.g., pain-related beliefs and pain coping responses) and spiritual factors. Spirituality is a universal aspect of the human experience that has been hypothesized to impact pain experience via its effects on pain, physical/psychological function, resilience and pain-related beliefs, and pain coping responses. However, research evaluating the associations between measures of spirituality and measures of pain and function in individuals with chronic pain is limited. This study seeks to address this limitation. METHODS Participants were 62 Portuguese adults with chronic musculoskeletal pain. Participants completed measures of spirituality, pain intensity, physical and psychological function, and pain coping responses. RESULTS Spirituality as hope and a positive perspective toward life was positively and moderately associated with better psychological function and coping responses of ignoring pain sensations and coping self-statements. Spirituality as a search for meaning and sense of purpose was positively and moderately associated with the coping response of task persistence. CONCLUSIONS These findings suggest the possibility that spirituality may be a useful resource for facilitating psychological adjustment, potentially promoting the use of some adaptive pain coping responses.
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Affiliation(s)
- Alexandra Ferreira-Valente
- William James Center for Research, ISPA - Instituto Universitário, Lisbon, Portugal.,Department of Rehabilitation Medicine, University of Washington, Seattle, USA
| | - Cátia Damião
- William James Center for Research, ISPA - Instituto Universitário, Lisbon, Portugal
| | - José Pais-Ribeiro
- William James Center for Research, ISPA - Instituto Universitário, Lisbon, Portugal
| | - Mark P Jensen
- Department of Rehabilitation Medicine, University of Washington, Seattle, USA
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Lam CY, Chiu CP, Lui KY. Hope as a Mediator of Spirituality and Subjective Happiness among Chinese Christians in Hong Kong Before and During the Civil Unrest: Implications for Counselling Practices. ASIA PACIFIC JOURNAL OF COUNSELLING AND PSYCHOTHERAPY 2021. [DOI: 10.1080/21507686.2021.1876115] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Affiliation(s)
- Chi-Yeung Lam
- Divinity School of Chung Chi College, The Chinese University of Hong Kong, New Territories, Hong Kong
| | - Connie P.Y. Chiu
- Department of Marketing, The Chinese University of Hong Kong, New Territories, Hong Kong
| | - Karen Y.M. Lui
- Mong Man Wai College, The Church of Christ in China, Kowloon, Hong Kong
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7
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Ramírez Jiménez MS, Serra Desfilis E. Does Christian Spirituality Enhance Psychological Interventions on Forgiveness, Gratitude, and the Meaning of Life? A Quasi-Experimental Intervention with the Elderly and Youth. NURSING REPORTS 2020; 10:182-206. [PMID: 34968363 PMCID: PMC8608047 DOI: 10.3390/nursrep10020022] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/28/2020] [Revised: 11/13/2020] [Accepted: 11/23/2020] [Indexed: 12/27/2022] Open
Abstract
Scientific research has provided theoretical evidence on the implementation of religious/spiritual interventions (RSI) as a complementary health therapy, where spiritual improvements are also a factor to consider. Despite the above, there are few studies that have evaluated the clinical applicability of these findings. This study was an intervention with older and younger adults divided into two treatment groups and one control group. What is expected is that the two treatment groups will score better than the control group; however, the group with a Christian spiritual focus is expected to perform better than the group without a spiritual focus. Measures of gratitude, meaning of life, forgiveness, spirituality, religiosity, and expected prejudice were recorded. The hypothesis is fulfilled that Christian spirituality enhances psychological interventions on factors associated with personal well-being, mainly in older adults: spirituality (M = 26.00, SE = 2.127/M = 29.38, SE = 1.953, t (12) = -2.436, p < 0.05, r = 0.58), goals (M = 22.92, SE = 1.022/M = 24.54, SE = 0.739, t (12) = -2.298, p < 0.05, r = 0.55), and benevolence (M = 17.31, SE = 1.554/M = 21.08, SE = 1.603, t (12) = -3.310, p < 0.05, r = 0.69). The most powerful results of the study are those associated with religiosity/spirituality.
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Soto-Rubio A, Perez-Marin M, Rudilla D, Galiana L, Oliver A, Fombuena M, Barreto P. Responding to the Spiritual Needs of Palliative Care Patients: A Randomized Controlled Trial to Test the Effectiveness of the Kibo Therapeutic Interview. Front Psychol 2020; 11:1979. [PMID: 32973614 PMCID: PMC7472743 DOI: 10.3389/fpsyg.2020.01979] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/02/2020] [Accepted: 07/16/2020] [Indexed: 11/13/2022] Open
Abstract
Context The WHO recognizes the need to attend to patients’ spiritual needs as being fundamental to comprehensive and high-quality end-of-life care. Spiritual needs must be attended to since the resolution of biological and psychosocial issues is insufficient to reduce patients’ suffering. Associations have been found between spiritual needs and other variables of importance for patients in palliative care. Despite the consensus that exists regarding the importance of assessing and attending to spiritual needs, professionals encounter many difficulties in attempting to do so. Objectives Our study aims to demonstrate the benefits that the Kibo therapeutic interview in palliative care patients can have for spirituality, demoralization, and resilience. Methods A parallel randomized controlled trial of two groups was undertaken. Information on 60 palliative care patients during pre- and post-intervention time points was gathered. Results ANOVAs showed a statistically significant effect of the intervention on the dimension of transpersonal spirituality. The ANCOVA for the effect of the intervention on resilience also pointed to its effectiveness. When the means of demoralization were examined, a higher decrease in the levels of demoralization for patients in the intervention group was observed, when compared to patients in the control group. Conclusion Our findings point to this interview as an effective means to attend to the spiritual needs of palliative patients, reducing demoralization and increasing resilience. Future research could focus on a broader sample and on the effects of this interview on family caregivers, mourners, and health care professionals. Clinical Trial Registration Number https://clinicaltrials.gov/ct2/show/ Identifier NCT03995095.
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Affiliation(s)
- Ana Soto-Rubio
- Department of Personality, Evaluation and Psychological Treatment, Faculty of Psychology, University of Valencia, Valencia, Spain
| | - Marian Perez-Marin
- Department of Personality, Evaluation and Psychological Treatment, Faculty of Psychology, University of Valencia, Valencia, Spain
| | | | - Laura Galiana
- Department of Methodology of Experimental and Social Sciences, University of Valencia, Valencia, Spain
| | - Amparo Oliver
- Department of Methodology of Experimental and Social Sciences, University of Valencia, Valencia, Spain
| | | | - Pilar Barreto
- Department of Personality, Evaluation and Psychological Treatment, Faculty of Psychology, University of Valencia, Valencia, Spain
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9
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Taha AA, Eisen AM, Abdul-Rahman HQ, Zouros A, Norman S. The moderating role of spirituality on quality of life and depression among adolescents with spina bifida. J Adv Nurs 2020; 76:1627-1637. [PMID: 32242974 DOI: 10.1111/jan.14374] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/12/2019] [Revised: 03/03/2020] [Accepted: 03/17/2020] [Indexed: 02/06/2023]
Abstract
AIM To investigate the relationships between spirituality, somatic symptom distress/severity, depressive symptoms and quality of life (QOL) for adolescents diagnosed with spina bifida (SB). DESIGN Exploratory, cross-sectional design. METHODS Fifty-eight adolescents with SB in southern California were recruited during routine visits to a multidisciplinary clinic at a healthcare university from January 2016-January 2017. Each adolescent completed a series of self-report measures, including the System of Belief Inventory, Somatic Symptom Scale, Patient Health Questionnaire and Pediatric Quality of Life Inventory. Path analysis was performed to examine regression coefficients for each direct and indirect effect. RESULTS The mediation-moderation analysis showed that depressive symptoms fully mediated the relationship between symptom distress and QOL (B = 0.029 [0.014], CI [0.007, 0.061]) and higher levels of spirituality moderated the relationship between depressive symptoms and QOL (B = 0.052, p = .018). Spirituality was higher for adolescents with greater symptom severity; including shunt status Welch's F(1, 53.689) = 4.174, p = .046, level of lesion F(2,57) = 3.382, p = .041, and ambulation status F(3, 57) = 2.920, p = .042. CONCLUSION Adolescents with SB who had greater levels of symptom distress experienced significantly higher levels of depressive symptoms and a lower QOL. Contrary to our expectations, adolescents with greater levels of spirituality had a lower QOL when depressive symptoms were mild/moderate, but no differences were noted when depressive symptoms were severe. IMPACT This study examined the relationship between spirituality and quality of life (QOL) in adolescents with spina bifida, who were experiencing different levels of depressive symptoms and symptom distress/severity. Depressive symptoms appeared to have a more profound effect on QOL than spirituality. Accordingly, we recommend that healthcare professionals actively screen for depressive symptoms when assessing these adolescents and their physical symptoms/distress levels.
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Affiliation(s)
- Asma A Taha
- School of Nursing, Oregon Health & Science University, Portland, OR, USA.,Child Development and Rehabilitation Center (CDRC), Portland, OR, USA
| | - Aaron M Eisen
- Child Development and Rehabilitation Center (CDRC), Portland, OR, USA.,Helfgott Research Institute, National University of Natural Medicine, Portland, OR, USA
| | - Hana Q Abdul-Rahman
- School of Nursing, Oregon Health & Science University, Portland, OR, USA.,Portland State University, Portland, OR, USA
| | - Alexander Zouros
- St. Luke's Children's Hospital, St. Luke's Idaho Elk's Children's Pavilion, Boise, ID, USA
| | - Sharon Norman
- School of Nursing, Oregon Health & Science University, Portland, OR, USA
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Barrett P, Gaskins J, Haug J. Higher education under fire: implementing and assessing a culture change for sustainment. JOURNAL OF ORGANIZATIONAL CHANGE MANAGEMENT 2019. [DOI: 10.1108/jocm-04-2018-0098] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
PurposeLeadership development is a significant organizational investment and is considered a foundation for a culture change process. In a highly disruptive environment, higher education administrators are investigating the potential benefits of this investment. Specifically, while the great recession was underway in 2010, and with a backdrop of continuous enrollment decline, a business school in a public university in the USA utilized an experimental design to test a globally recognized business model for leadership development and its impacts on leadership effectiveness. The paper aims to discuss these issues.Design/methodology/approachThe intervention included a two-day training session followed by a year-long process for cementing in learning, while examining ensuing leadership effectiveness. Potential control variables in the model included measures of four dimensions of leadership fitness which were defined as the physical, socio-emotional, spiritual and mental dimensions. When the leadership development intervention showed promising results the business school forged ahead to implement a culture change process based on the leadership development intervention to foster teamwork and innovation.FindingsAs a longitudinal implementation and assessment process, subsequent results of the culture change process spurred year over year increases in enrollments, student retention, student placement, along with consistently escalating faculty research and academic program rankings. The culture change process spread organically from the business school throughout the university as a whole with similar positive impacts.Research limitations/implicationsImplications, including an assertion that leadership development is a viable tool for higher education’s organizational sustainment are discussed.Originality/valueFuture research opportunities of institutional outcomes in higher education due to a systemic investment in annual culture enhancement are also discussed.
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Buco CEAM, Buenviaje KAC, Bulan RBC, Cabaña RJL, Cabuhat MKS, Bongar MVV, Macindo JRB. Developing and testing a model of quality of life among chronically-ill, community-dwelling older adults: A structural equation model. Arch Gerontol Geriatr 2018; 78:261-268. [PMID: 30044995 DOI: 10.1016/j.archger.2018.07.013] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2018] [Revised: 06/13/2018] [Accepted: 07/16/2018] [Indexed: 12/01/2022]
Abstract
PURPOSE Although healthy ageing aims for better quality of life, the inability of older adults to adequately care for themselves and their health impair the realization of such objective. Moreover, in a collectivist community like the Philippines, the family, community, and Transcendent are inseparable in promoting quality of life. This study developed and tested a model of quality of life (QoL) among chronically-ill, community-dwelling older adults. MATERIALS AND METHODS From August to November 2017, a cross-sectional study of 304 chronically-ill, community-dwelling older adults from selected rural communities in the Philippines was conducted. Respondents completed a five-part survey packet composed of the socio-demographic profile, modified Older People's Quality of Life, Spirituality Assessment Scale, Hypertension Self-Care Profile, and Diabetes Self-Management Questionnaire. RESULTS Socio-demographics, community satisfaction, spirituality, and disease self-management accounted 29.00% of QoL, generating a good model (χ2/df = 1.44, RMSEA = 0.038, and PNFI = 0.64). Spirituality (β = 0.34, p < 0.01) was the strongest predictor of QoL, while community satisfaction had both direct (β = 0.26, p < 0.01) and indirect (β = 0.08, p < 0.01) effects. Disease self-management directly (β = 0.15, p = 0.016) influenced QoL. In contrast, longer chronicity and larger family size impair QoL. CONCLUSION Quality of life among chronically-ill, community-dwelling older adults is a multi-faceted health construct influenced by socio-demographics, disease self-management, community satisfaction, and spirituality. The presented model highlights the positive effect of disease self-management, community satisfaction, and spirituality which can be utilized in developing appropriate community-based geriatric strategies, policies, and programs. Further, forming collaborative groups with socially-active community elderly and community-based self-care programs can be ventured to address the needs of older adults.
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Affiliation(s)
| | | | - Rialin Bettina C Bulan
- College of Nursing, University of Santo Tomas, España Boulevard, Manila, 1015, Philippines.
| | - Reineir James L Cabaña
- College of Nursing, University of Santo Tomas, España Boulevard, Manila, 1015, Philippines.
| | | | | | - John Rey B Macindo
- College of Nursing, University of Santo Tomas, España Boulevard, Manila, 1015, Philippines.
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Five-Factor Structure of the Spiritual Transcendence Scale and Its Relationship with Clinical Psychological Distress in Emerging Adults. RELIGIONS 2017. [DOI: 10.3390/rel8100230] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Mishra SK, Togneri E, Tripathi B, Trikamji B. Spirituality and Religiosity and Its Role in Health and Diseases. JOURNAL OF RELIGION AND HEALTH 2017; 56:1282-1301. [PMID: 26345679 DOI: 10.1007/s10943-015-0100-z] [Citation(s) in RCA: 46] [Impact Index Per Article: 6.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/08/2023]
Abstract
Religiosity is a factor involved in the management of health and diseases/patient longevity. This review article uses comprehensive, evidence-based studies to evaluate the nature of religiosity that can be used in clinical studies, thus avoiding contradictory reports which arise from misinterpretation of religiosity. We conclude that religiosity is multidimensional in nature and ultimately associated with inherent protection against diseases and overall better quality of life. However, a number of untouched aspects of religiosity need to be investigated further before we can introduce religiosity in its fully functional form to the realm of health care.
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Affiliation(s)
- Shri K Mishra
- Department of Neurology, Keck School of Medicine, USC, Los Angeles, CA, USA.
- Department of Neurology, David Geffen School of Medicine UCLA, Los Angeles, CA, USA.
- Department of Neurology, VA Greater Los Angeles HCS, Los Angeles, CA, USA.
- Department of Neurology, Olive View UCLA Medical Center, Sylmar, CA, USA.
| | - Elizabeth Togneri
- Department of Neurology, University of California, Los Angeles, Los Angeles, CA, USA
| | - Byomesh Tripathi
- Department of Neurology, VA Greater Los Angeles HCS, Los Angeles, CA, USA
| | - Bhavesh Trikamji
- Department of Neurology, VA Greater Los Angeles HCS, Los Angeles, CA, USA
- Department of Neurology, Olive View UCLA Medical Center, Sylmar, CA, USA
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14
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Cai Y, Wang H, Dong B, Zhang L, Deng J. Arthritis, Other Medical Illnesses and Morale Among Chinese Nonagenarians and Centenarians. INT J GERONTOL 2017. [DOI: 10.1016/j.ijge.2016.05.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
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15
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Berry EM, Bachar E, Baras M, De Geest S. Correlates of coping based on the concept of the sociotype: a secondary data analysis of an Israeli National Survey. Health Psychol Behav Med 2017. [DOI: 10.1080/21642850.2017.1286497] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
Affiliation(s)
- Elliot M. Berry
- Department of Human Nutrition and Metabolism, Braun School of Public Health, Hebrew University Hadassah Medical School, Jerusalem, Israel
| | - Eytan Bachar
- Department of Psychiatry, Hadassah University Hospital, Jerusalem, Israel
| | - Mario Baras
- Braun School of Public Health, Hebrew University Hadassah Medical School, Jerusalem, Israel
| | - Sabina De Geest
- Institute of Nursing Science, Faculty of Medicine, University of Basel, Basel, Switzerland and KU Leuven, Belgium
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16
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Sambamoorthi U, Shah D, Zhao X. Healthcare burden of depression in adults with arthritis. Expert Rev Pharmacoecon Outcomes Res 2017; 17:53-65. [PMID: 28092207 PMCID: PMC5512931 DOI: 10.1080/14737167.2017.1281744] [Citation(s) in RCA: 25] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/14/2016] [Accepted: 01/10/2017] [Indexed: 02/08/2023]
Abstract
INTRODUCTION Arthritis and depression are two of the top disabling conditions. When arthritis and depression exist in the same individual, they can interact with each other negatively and pose a significant healthcare burden on the patients, their families, payers, healthcare systems, and society as a whole. Areas covered: The primary objective of this review is to summarize, identify knowledge gaps and discuss the challenges in estimating the healthcare burden of depression among individuals with arthritis. Electronic literature searches were performed on PubMed, Embase, EBSCOhost, Scopus, the Cochrane Library, and Google Scholar to identify relevant studies. Expert Commentary: Our review revealed that the prevalence of depression varied depending on the definition of depression, type of arthritis, tools and threshold points used to identify depression, and the country of residence. Depression exacerbated arthritis-related complications as well as pain and was associated with poor health-related quality of life, disability, mortality, and high financial burden. There were significant knowledge gaps in estimates of incident depression rates, depression attributable disability, and healthcare utilization, direct and indirect healthcare costs among individuals with arthritis.
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Affiliation(s)
- Usha Sambamoorthi
- a Department of Pharmaceutical Systems and Policy , School of Pharmacy, West Virginia University , Morgantown , WV , USA
| | - Drishti Shah
- a Department of Pharmaceutical Systems and Policy , School of Pharmacy, West Virginia University , Morgantown , WV , USA
| | - Xiaohui Zhao
- a Department of Pharmaceutical Systems and Policy , School of Pharmacy, West Virginia University , Morgantown , WV , USA
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The Extract of Chrysanthemum zawadskii var. latilobum Ameliorates Collagen-Induced Arthritis in Mice. EVIDENCE-BASED COMPLEMENTARY AND ALTERNATIVE MEDICINE 2016; 2016:3915013. [PMID: 27840652 PMCID: PMC5093284 DOI: 10.1155/2016/3915013] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/16/2016] [Accepted: 07/27/2016] [Indexed: 11/17/2022]
Abstract
Chrysanthemum zawadskii var. latilobum (CZ) has been used for beverage or tea and also as folk medicine for the remedy of diverse inflammatory diseases. Nevertheless, the therapeutic effect of CZ on arthritis remains to be unknown. In this paper we aim to investigate the CZ's antiarthritic effect and mechanism of action both in vitro and in vivo. To assess CZ's antiarthritic effect, mouse models of type II collagen-induced arthritis (CIA) were used. Mice were used to gauge clinical arthritis index and histopathological changes. Reverse transcriptase-polymerase chain reaction (RT-PCR), western blotting, electrophoretic mobility shift assay (EMSA), and other biological methods were adopted to measure CZ's effect on arthritis and to understand the veiled mechanism of action. CZ greatly suppressed CIA, histopathological score, bone erosion, and osteoclast differentiation. Mechanistically, CZ inhibited the production of various inflammatory and arthritic mediators like inflammatory cytokines, matrix metalloproteinases (MMPs), and chemokines. Of note, CZ significantly suppressed the activation of the NF-κB pathway in vivo. CZ exerted an antiarthritic effect in CIA mice by curbing the production of crucial inflammatory and arthritis mediators. This study warrants further investigation of CZ for the use in human rheumatoid arthritis (RA).
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Wilson CS, Forchheimer M, Heinemann AW, Warren AM, McCullumsmith C. Assessment of the relationship of spiritual well-being to depression and quality of life for persons with spinal cord injury. Disabil Rehabil 2016; 39:491-496. [DOI: 10.3109/09638288.2016.1152600] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Affiliation(s)
- Catherine S. Wilson
- James A. Haley Veterans’ Hospital, Tampa, FL, USA
- Department of Physical Medicine and Rehabilitation, Northwestern University Feinberg School of Medicine, Chicago, IL, USA
| | - Martin Forchheimer
- Department of Physical Medicine and Rehabilitation, University of Michigan Medical School, Ann Arbor, MI, USA
| | - Allen W. Heinemann
- Department of Physical Medicine and Rehabilitation, Northwestern University Feinberg School of Medicine, Chicago, IL, USA
- Center for Rehabilitation Outcomes Research, Rehabilitation Institute of Chicago, Chicago, IL, USA
| | - Anne Marie Warren
- Baylor Institute for Rehabilitation, Baylor University Medical Center, Dallas, TX, USA
| | - Cheryl McCullumsmith
- Department of Psychiatry and Behavioral Science, University of Cincinnati, Cincinnati, OH, USA
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Rouse PC, Veldhuijzen Van Zanten JJJCS, Ntoumanis N, Metsios GS, Yu CA, Kitas GD, Duda JL. Measuring the positive psychological well-being of people with rheumatoid arthritis: a cross-sectional validation of the subjective vitality scale. Arthritis Res Ther 2015; 17:312. [PMID: 26542467 PMCID: PMC4635963 DOI: 10.1186/s13075-015-0827-7] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/05/2015] [Accepted: 10/19/2015] [Indexed: 01/01/2023] Open
Abstract
INTRODUCTION People with rheumatoid arthritis (RA) frequently suffer from compromised physical and psychological health, however, little is known about positive indicators of health, due to a lack of validated outcome measures. This study aims to validate a clinically relevant outcome measure of positive psychological well-being for people with RA. The first study examined the reliability and factorial validity of the Subjective Vitality Scale (SVS), whilst study 2 tested the instruments convergent validity. METHODS In study 1, National Rheumatoid Arthritis Society members (N = 333; M age = 59.82 years SD = 11.00) completed a postal questionnaire. For study 2, participants (N = 106; M age = 56 years, SD = 12 years) were those recruited to a randomized control trial comparing two physical activity interventions who completed a range of health-related questionnaires. RESULTS The SVS had a high level of internal consistency (α = .93, Rho = .92). Confirmatory factor analysis supported the uni-dimensional factor structure of the questionnaire among RA patients [χ = 1327 (10), CFI = 1.0, SRMSR = .01 and RMSEA = .00 (.00 - .08)]. Support for the scales convergent validity was revealed by significant (p < .05) relationships, in expected directions, with health related quality of life (r = .59), physical function (r = .58), feelings of fatigue (r = -.70), anxiety (r = -.57) and depression (r = -.73). CONCLUSIONS Results from two studies have provided support for the internal consistency, factorial structure and convergent validity of the Subjective Vitality Scale. Researchers and healthcare providers may employ this clinically relevant, freely available and brief assessment with the confidence that it is a valid and reliable measure of positive psychological well-being for RA patients. TRIAL REGISTRATION ClinicalTrials.gov ISRCTN04121489 . Registered 5 September 2012.
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Affiliation(s)
- Peter C Rouse
- Department for Health, University of Bath, Bath, BA2 7AY, UK.
| | - Jet J J C S Veldhuijzen Van Zanten
- School of Sport, Exercise and Rehabilitation Sciences, University of Birmingham, Birmingham, UK. .,Department of Rheumatology, Dudley Group of Hospitals NHS Trust, Russells Hall Hospital, Dudley, West Midlands, UK.
| | - Nikos Ntoumanis
- Health Psychology & Behavioural Medicine Research Group, School of Psychology & Speech Pathology, Curtin University, Perth, Western Australia.
| | - George S Metsios
- Department of Rheumatology, Dudley Group of Hospitals NHS Trust, Russells Hall Hospital, Dudley, West Midlands, UK. .,Department of Physical Activity, Exercise and Health, University of Wolverhampton, Walsall, West Midlands, UK.
| | - Chen-an Yu
- School of Sport, Exercise and Rehabilitation Sciences, University of Birmingham, Birmingham, UK.
| | - George D Kitas
- School of Sport, Exercise and Rehabilitation Sciences, University of Birmingham, Birmingham, UK. .,Department of Rheumatology, Dudley Group of Hospitals NHS Trust, Russells Hall Hospital, Dudley, West Midlands, UK.
| | - Joan L Duda
- School of Sport, Exercise and Rehabilitation Sciences, University of Birmingham, Birmingham, UK.
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Wijesinghe S, Parshall MB. Impermanence and Sense of Coherence: Lessons Learned From the Adaptive Behaviors of Sri Lankan Buddhist Nuns With a Chronic Illness. J Transcult Nurs 2014; 27:157-65. [PMID: 25085515 DOI: 10.1177/1043659614545402] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
PURPOSE The purpose of this study was to explore the influence of traditional Buddhist spiritual beliefs and practices on coping with chronic illness. DESIGN The study was a descriptive ethnography. Participant observation and semistructured interviews were used with 45 Sri Lankan Buddhist nuns with a chronic illness and 20 secondary informants. Cultural domains and taxonomies were explored to uncover themes pertaining to traditional Buddhist spirituality and experiences of chronic illness. FINDINGS A repeating cultural theme, responsibility, was identified. Responsibility took four forms: to the Buddha, to the social circle, to self-liberation through meditation, and to finding security in old age. Nuns shaped spiritual practices (some with folk origins) to fulfill these responsibilities. Coping ranged from health-seeking to resigned acceptance. CONCLUSIONS Responsibilities and coping were situated in a context of Buddhist spiritual beliefs about impermanence. Findings were congruent with Antonovsky's model of salutogenesis, in particular, the construct of sense of coherence.
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Marquès-Brocksopp L. Mindfulness, spiritual well-being, and visual impairment: An exploratory study. BRITISH JOURNAL OF VISUAL IMPAIRMENT 2014. [DOI: 10.1177/0264619614528343] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Mindfulness is a form of meditative practice that involves paying attention to present-moment experiences in a non-judgemental way in order to cultivate a stable and nonreactive awareness. Although mindfulness has been studied in relation to various health conditions, no known published study exists which considers mindfulness in the context of visual impairment. Semi-structured interviews were therefore conducted with blind and partially sighted individuals who participated in regular mindfulness practice. Their narratives were then analysed thematically. The results suggest that mindfulness enhanced spiritual well-being by increasing their sense of intrapersonal, interpersonal, and transpersonal ‘connectedness’, which was seen to be related to a self-perceived increase in emotional, social, and physical health. The findings of this exploratory study call for further research into the utility of mindfulness as a well-being resource for individuals with a visual impairment.
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Vilhena E, Pais-Ribeiro J, Silva I, Pedro L, Meneses RF, Cardoso H, da Silva AM, Mendonça D. Psychosocial factors as predictors of quality of life in chronic Portuguese patients. Health Qual Life Outcomes 2014; 12:3. [PMID: 24405802 PMCID: PMC3896766 DOI: 10.1186/1477-7525-12-3] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/25/2013] [Accepted: 12/20/2013] [Indexed: 01/09/2023] Open
Abstract
Background Chronic illnesses are diseases of long duration and generally of slow progression. They cause significant quality of life impairment. The aim of this study was to analyse psychosocial predictors of quality of life and of subjective well-being in chronic Portuguese patients. Methods Chronic disease patients (n = 774) were recruited from central Portuguese Hospitals. Participants completed self-reported questionnaires assessing socio-demographic, clinical, psychosocial and outcome variables: quality of life (HRQL) and subjective well-being (SWB). MANCOVA analyses were used to test psychosocial factors as determinants of HRQL and SWB. Results After controlling for socio-demographic and clinical variables, results showed that dispositional optimism, positive affect, spirituality, social support and treatment adherence are significant predictors of HRQL and SWB. Similar predictors of quality of life, such as positive affect, treatment adherence and spirituality, were found for subgroups of disease classified by medical condition. Conclusions The work identifies psychosocial factors associated with quality of life. The predictors for the entire group of different chronic diseases are similar to the ones found in different chronic disease subgroups: positive affect, social support, treatment adherence and spirituality. Patients with more positive affect, additional social support, an adequate treatment adherence and a feel-good spirituality, felt better with the disease conditions and consequently had a better quality of life. This study contributes to understanding and improving the processes associated with quality of life, which is relevant for health care providers and chronic diseases support.
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Affiliation(s)
- Estela Vilhena
- Sciences Department, School of Technology, Polytechnic Institute of Cávado and Ave (IPCA), Barcelos, Portugal.
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Morris DB, Wilson KG, Clinch JJ, Ammerman DJ, Fergusson D, Graham ID, Porath AJ, Offman A, Boland I, Watters J, Hébert PC. Identification of Domains Relevant to Health-related Quality of Life in Patients Undergoing Major Surgery. Qual Life Res 2013; 15:841-54. [PMID: 16721644 DOI: 10.1007/s11136-005-5506-8] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/28/2005] [Indexed: 11/25/2022]
Abstract
This study examined themes relevant to health-related quality of life as identified by patients undergoing major surgery and by health care providers. Semi-structured interviews were conducted with 52 patients undergoing major abdominal, cardiac, orthopedic, thoracic, or vascular surgical procedures and 33 health professionals from various disciplines. A total of 58 themes were identified by content analysis. These themes were categorized into 6 domains. These were: physical well-being (14 themes), emotional well-being (13 themes), concern about quality of care (12 themes), social well-being (12 themes), cognitive preparation (4 themes), and spiritual well-being (3 themes). In general, we found that most aspects of health-related quality of life were common across various major surgical procedures and between patients and health care providers. However, when we examined the coverage of these themes in seven commonly-used health-related quality of life instruments, we found that many of the most frequently mentioned themes were not assessed with the available measures. A new evaluative instrument tailored to patients undergoing major surgery may therefore be warranted.
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Affiliation(s)
- Daniel B Morris
- Clinical Epidemiology Program, Ottawa Health Research Institute, 501 Smyth Road, 201, Ottawa, ON, K1H 8L6, Canada
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Moon YS, Kim DH. Association between religiosity/spirituality and quality of life or depression among living-alone elderly in a South Korean city. Asia Pac Psychiatry 2013; 5:293-300. [PMID: 23857731 DOI: 10.1111/appy.12025] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/12/2012] [Accepted: 11/18/2012] [Indexed: 11/29/2022]
Abstract
INTRODUCTION This study investigated the effects of religiosity and spirituality on quality of life and depression among older people. METHODS Two hundred and seventy-four solitary elderly people aged over 65 years living in Chuncheon city, South Korea were selected. Symptoms of depression were evaluated using the Short Geriatric Depression Scale-Korean version (SGDS-K) and quality of life was measured using Geriatric Quality of Life-Dementia (GQOL-D). We used the Duke Religion Index (DUREL) to assess religiosity and spirituality. RESULTS There was a significant correlation between scales of depression (SGDS-K), quality of life (GQOL-D), and scale of religiosity/spirituality (DUREL) in older people. Depressed people had a lower score GQOL-D than non-depressed people. Among the depressed, those believing in a religion had a higher GQOL-D score than the non-religious. Multiple regression analysis revealed that religiosity and spirituality had significant effects on depression and quality of life among the elderly. Interestingly, religiosity and spirituality were not related to depression and quality of life amongst Buddhists, but were related amongst Protestants and Catholics. DISCUSSION Religiosity and spirituality had significant effects on depression and on quality of life among the Korean elderly. However, there are different relationships between depression and religiosity, quality of life, and religiosity based on different religions. More research is needed to elucidate these findings.
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Affiliation(s)
- Yoo Sun Moon
- Department of Psychiatry, Hallym University College of Medicine, Chuncheon Sacred Heart Hospital, Chuncheon, Korea
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Unantenne N, Warren N, Canaway R, Manderson L. The strength to cope: spirituality and faith in chronic disease. JOURNAL OF RELIGION AND HEALTH 2013; 52:1147-61. [PMID: 22083464 DOI: 10.1007/s10943-011-9554-9] [Citation(s) in RCA: 36] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/26/2023]
Abstract
The lifelong management of a chronic condition requires considerable mental fortitude and commitment in social adjustment and adherence to medical advice. In examining strategies of adaptation, we draw on ethnographic research, including interviews with 69 people with type 2 diabetes and/or cardiovascular disease. We explore how they incorporate spirituality into their self-management routines, with positive impact on their health and wellbeing, and highlight the role of spiritual practices in supporting people with chronic conditions mentally, physically and socially, so encouraging personal responsibility for one's health and wellbeing.
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Affiliation(s)
- Nalika Unantenne
- Social Science and Health Research Unit, School of Psychology and Psychiatry, Monash University, PO Box 197, Caulfield East, VIC, 3145, Australia
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Kessler C, Wischnewsky M, Michalsen A, Eisenmann C, Melzer J. Ayurveda: between religion, spirituality, and medicine. EVIDENCE-BASED COMPLEMENTARY AND ALTERNATIVE MEDICINE : ECAM 2013; 2013:952432. [PMID: 24368928 PMCID: PMC3863565 DOI: 10.1155/2013/952432] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 06/06/2013] [Revised: 09/05/2013] [Accepted: 10/03/2013] [Indexed: 11/18/2022]
Abstract
Ayurveda is playing a growing part in Europe. Questions regarding the role of religion and spirituality within Ayurveda are discussed widely. Yet, there is little data on the influence of religious and spiritual aspects on its European diffusion. Methods. A survey was conducted with a new questionnaire. It was analysed by calculating frequency variables and testing differences in distributions with the χ (2)-Test. Principal Component Analyses with Varimax Rotation were performed. Results. 140 questionnaires were analysed. Researchers found that individual religious and spiritual backgrounds influence attitudes and expectations towards Ayurveda. Statistical relationships were found between religious/spiritual backgrounds and decisions to offer/access Ayurveda. Accessing Ayurveda did not exclude the simultaneous use of modern medicine and CAM. From the majority's perspective Ayurveda is simultaneously a science, medicine, and a spiritual approach. Conclusion. Ayurveda seems to be able to satisfy the individual needs of therapists and patients, despite worldview differences. Ayurvedic concepts are based on anthropologic assumptions including different levels of existence in healing approaches. Thereby, Ayurveda can be seen in accordance with the prerequisites for a Whole Medical System. As a result of this, intimate and individual therapist-patient relationships can emerge. Larger surveys involving bigger participant numbers with fully validated questionnaires are warranted to support these results.
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Affiliation(s)
- C. Kessler
- Department of Internal and Complementary Medicine, Immanuel Hospital and Institute of Social Medicine, Epidemiology & Health Economics, Charité-University Medical Center, Research Coordination, Königstraße 63, 14109 Berlin, Germany
| | - M. Wischnewsky
- eScience Center, University of Bremen, Universitätsallee, 28359 Bremen, Germany
| | - A. Michalsen
- Department of Internal and Complementary Medicine, Immanuel Hospital and Institute of Social Medicine, Epidemiology & Health Economics, Charité-University Medical Center, Research Coordination, Königstraße 63, 14109 Berlin, Germany
| | - C. Eisenmann
- Graduate School in History and Sociology, Bielefeld University, 33615 Bielefeld, Germany
| | - J. Melzer
- Institute of Complementary Medicine, University Hospital Zurich, 8001 Zurich, Switzerland
- Department for Psychiatry, Psychotherapy and Psychosomatics, Königin-Elisabeth-Herzberge Hospital, 10365 Berlin, Germany
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Ndosi M, Lewis M, Hale C, Quinn H, Ryan S, Emery P, Bird H, Hill J. The outcome and cost-effectiveness of nurse-led care in people with rheumatoid arthritis: a multicentre randomised controlled trial. Ann Rheum Dis 2013; 73:1975-82. [PMID: 23982436 PMCID: PMC4215359 DOI: 10.1136/annrheumdis-2013-203403] [Citation(s) in RCA: 84] [Impact Index Per Article: 7.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
OBJECTIVE To determine the clinical effectiveness and cost-effectiveness of nurse-led care (NLC) for people with rheumatoid arthritis (RA). METHODS In a multicentre pragmatic randomised controlled trial, the assessment of clinical effects followed a non-inferiority design, while patient satisfaction and cost assessments followed a superiority design. Participants were 181 adults with RA randomly assigned to either NLC or rheumatologist-led care (RLC), both arms carrying out their normal practice. The primary outcome was the disease activity score (DAS28) assessed at baseline, weeks 13, 26, 39 and 52; the non-inferiority margin being DAS28 change of 0.6. Mean differences between the groups were estimated controlling for covariates following per-protocol (PP) and intention-to-treat (ITT) strategies. The economic evaluation (NHS and healthcare perspectives) estimated cost relative to change in DAS28 and quality-adjusted life-years (QALY) derived from EQ5D. RESULTS Demographics and baseline characteristics of patients under NLC (n=91) were comparable to those under RLC (n=90). Overall baseline-adjusted difference in DAS28 mean change (95% CI) for RLC minus NLC was -0.31 (-0.63 to 0.02) for PP and -0.15 (-0.45 to 0.14) for ITT analyses. Mean difference in healthcare cost (RLC minus NLC) was £710 (-£352, £1773) and -£128 (-£1263, £1006) for PP and ITT analyses, respectively. NLC was more cost-effective with respect to cost and DAS28, but not in relation to QALY utility scores. In all secondary outcomes, significance was met for non-inferiority of NLC. NLC had higher 'general satisfaction' scores than RLC in week 26. CONCLUSIONS The results provide robust evidence to support non-inferiority of NLC in the management of RA. TRIAL REGISTRATION ISRCTN29803766.
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Affiliation(s)
- Mwidimi Ndosi
- Academic and Clinical Unit for Musculoskeletal Nursing, Leeds Institute of Rheumatic and Musculoskeletal Medicine, University of Leeds, Leeds, UK
| | - Martyn Lewis
- Arthritis Research UK Primary Care Centre, Keele University, Staffordshire, UK
| | - Claire Hale
- Academic and Clinical Unit for Musculoskeletal Nursing, Leeds Institute of Rheumatic and Musculoskeletal Medicine, University of Leeds, Leeds, UK School of Healthcare, University of Leeds, Leeds, UK
| | - Helen Quinn
- School of Healthcare, University of Leeds, Leeds, UK
| | | | - Paul Emery
- Leeds Institute of Rheumatic and Musculoskeletal Medicine, University of Leeds, Leeds, UK NIHR Leeds Musculoskeletal Biomedical Research Unit, Leeds Teaching Hospitals NHS Trust, Leeds, UK
| | - Howard Bird
- Leeds Institute of Rheumatic and Musculoskeletal Medicine, University of Leeds, Leeds, UK
| | - Jackie Hill
- Academic and Clinical Unit for Musculoskeletal Nursing, Leeds Institute of Rheumatic and Musculoskeletal Medicine, University of Leeds, Leeds, UK
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de Jager Meezenbroek E, Garssen B, van den Berg M, van Dierendonck D, Visser A, Schaufeli WB. Measuring spirituality as a universal human experience: a review of spirituality questionnaires. JOURNAL OF RELIGION AND HEALTH 2012; 51:336-54. [PMID: 20645004 PMCID: PMC3372782 DOI: 10.1007/s10943-010-9376-1] [Citation(s) in RCA: 108] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/09/2023]
Abstract
Spirituality is an important theme in health research, since a spiritual orientation can help people to cope with the consequences of a serious disease. Knowledge on the role of spirituality is, however, limited, as most research is based on measures of religiosity rather than spirituality. A questionnaire that transcends specific beliefs is a prerequisite for quantifying the importance of spirituality among people who adhere to a religion or none at all. In this review, we discuss ten questionnaires that address spirituality as a universal human experience. Questionnaires are evaluated with regard to psychometric properties, item formulation and confusion with well-being and distress. Although none of the questionnaires fulfilled all the criteria, the multidimensional Spiritual Well-Being Questionnaire is promising.
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Kingsley G, Scott IC, Scott DL. Quality of life and the outcome of established rheumatoid arthritis. Best Pract Res Clin Rheumatol 2012; 25:585-606. [PMID: 22137926 DOI: 10.1016/j.berh.2011.10.003] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/10/2011] [Accepted: 10/11/2011] [Indexed: 02/01/2023]
Abstract
Rheumatoid arthritis (RA) is a long-term condition causing joint pain and swelling and sometimes systemic involvement. The aims of treatment are, first, to reduce the impact the disease has on a patient and, second, to halt progression of disease. The advent of intensive therapy, including biologics, has led to a major improvement in outcome. To assess treatment impact, formal outcome measures have been developed. Traditionally, these focussed on the clinical aspects such as disease activity and joint damage. More recently, there has been an increased focus on patient-related outcome measures including quality-of-life measures. These enable illness evaluation from patients' perspectives, examination of care quality and comparison of the effectiveness and cost-effectiveness of treatment. This article examines advantages and disadvantages of the various outcome measures which are generally used in RA, with a focus on quality of life and patient-related measures.
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Affiliation(s)
- Gabrielle Kingsley
- Department of Rheumatology, King's College London School of Medicine, Weston Education Centre, UK.
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Otter SJ, Lucas K, Springett K, Moore A, Davies K, Young A, Walker-Bone K. Identifying patient-reported outcomes in rheumatoid arthritis: the impact of foot symptoms on self-perceived quality of life. Musculoskeletal Care 2012; 10:65-75. [PMID: 22337478 DOI: 10.1002/msc.1001] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
BACKGROUND The importance of patient-reported outcome measures in healthcare is increasingly recognized but these need to be patient generated. Given that foot symptoms are very common in rheumatoid arthritis (RA), we chose a patient-centred model with which to investigate the patients' perspective on how their foot symptoms affected them as individuals and impacted on their self-perceived quality of life, rather than using the traditional approaches of clinical examination (e.g. prevalence of deformities) or radiological assessments. METHODS A 33-item self-administered postal questionnaire was sent to all people with RA attending outpatient clinics in three hospitals over the course of one month (n=390). The questionnaire used both quantitative and qualitative approaches to enquire about the nature and extent of foot complaints and how respondents believed this affected their quality of life. RESULTS In total, 190 usable replies were received (49%). Nearly all respondents (n=177; 93.2%) reported that their quality of life was adversely affected by their foot complaint(s), with over half describing their quality of life as being badly or very badly affected. When asked to rate how severely foot complaints affected their quality of life using a 10 cm visual analogue scale, the mean score was 5.36 (range 0-10 ± SD 3), indicating that foot complaints have a moderate-to-severe effect on quality of life. Those aspects of daily living most significantly affected were: the ability to walk and the ability to wear a variety of shoes. CONCLUSION This study demonstrated that people with RA focus on different aspects of the impact of their disease to doctors. Rather than foot deformity or ulceration, disease activity score or health assessment questionnaire score, patients were easily able to pinpoint the key negativities of living with RA in their feet and indicated choice of footwear and ability to walk as crucial. This study and similar ones are key to identifying appropriate patient-reported outcome measures.
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Affiliation(s)
- S J Otter
- School of Health Professions, University of Brighton, Brighton, UK.
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Abstract
BACKGROUND Rheumatoid arthritis (RA) is a chronic, long-term, and non-life-threatening disease. Individuals with RA face various daily pressures that include physical symptoms as well as feelings of helplessness, dependency, threats to self-respect, interference with social activities, disruptions of family ties, and difficulties in continuing to work. Quality of life reflects a patient's spiritual well-being and can be used as an important indicator of adaptation to RA. PURPOSE The aim of this study was to describe the status of spiritual well-being in RA patients. METHODS This study used meta-synthesis with Sandelowski and Barroso's qualitative meta-summary technique. A comprehensive search of Academic Search Complete, CINAHL, MEDLINE, PsycARTICA LES, and SocINDEX using relevant keywords identified primary research studies that have previously explored spiritual well-being in patients with RA. Each study was systematically evaluated on the basis of the following inclusion criteria: (a) clear descriptions of research purposes and qualitative research, sampling strategies and techniques used; (b) statement of sample size and sample variables; (c) description of data analysis methods used; and (d) quality of research finding presentation. RESULTS A total of 675 articles, published between 1995 and 2009, were found. Ten met the inclusion criteria. The results revealed four consistent themes related to RA patients' spiritual well-being, namely, living with the disease, reclaiming control, reframing the situation, and bolstering courage. CONCLUSIONS/IMPLICATIONS FOR PRACTICE Multifaceted resources should be used to give patients spiritual support. These resources should include establishing cognition-based education programs that provide information about the disease and programs that offer strong support for patient groups. Curricula should address how to plan family education courses. Spiritual well-being as presented in this study should be integrated into quality-of-life evaluations of RA patients and provide an evaluation tool able to assess the effectiveness of various interventions.
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Bode C, van der Heij A, Taal E, van de Laar MAFJ. Body-self unity and self-esteem in patients with rheumatic diseases. PSYCHOL HEALTH MED 2011; 15:672-84. [PMID: 21154020 DOI: 10.1080/13548506.2010.507774] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
Perceptions and evaluations of the own body are important sources of self-esteem. Having a rheumatic disease challenges maintenance of positive self-esteem due to consequences of the disease such as unfavorable sensations as pain and limited (physical) functioning. We expect that a positive experience of the own body in spite of a rheumatic disease (body-self harmony) will be associated with higher levels of self-esteem and that experiencing the body as unworthy part of the own person or as disabler for own strivings (body-self alienation) will result in lower levels of self-esteem. For this explorative study, the body experience questionnaire (BEQ) measuring body-self unity was developed and piloted. One hundred sixty-eight patients visiting the outpatient rheumatology clinic of the Medisch Spectrum Twente, Enschede, The Netherlands, completed a questionnaire on touchscreen computers to measure body-self unity (BEQ), illness cognitions (illness cognition questionnaire), pain intensity, functional limitations (health assessment questionnaire disability index), self-esteem (Rosenberg Self-Esteem Scale) and demographics. To analyze predictors of self-esteem, hierarchical regression analyses were employed. The BEQ revealed a two-factor structure with good reliability (subscale harmony, four items, Cronbach's α = 0.76; subscale alienation, six items, Cronbach's α = 0.84). The final model of the hierarchical regression analyses showed that self-esteem can be predicted by the illness cognitions helplessness and acceptance, by harmony and most strongly by alienation from the body. R(2) of the final model was 0.50. The relationship between functional limitations and self-esteem was totally mediated by the psychological constructs body-self unity and illness cognitions. This explorative study showed the importance of the unity of body and self for self-esteem in patients with a rheumatic disease.
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Affiliation(s)
- Christina Bode
- Institute for Behavioural Research, University of Twente, Enschede, The Netherlands.
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Lucchetti G, Lucchetti ALG, Bassi RM, Nasri F, Nacif SADP. O idoso e sua espiritualidade: impacto sobre diferentes aspectos do envelhecimento. REVISTA BRASILEIRA DE GERIATRIA E GERONTOLOGIA 2011. [DOI: 10.1590/s1809-98232011000100016] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
INTRODUÇÃO: O interesse sobre a espiritualidade e a religiosidade sempre existiu no curso da história humana, a despeito de diferentes épocas ou culturas. Contudo, apenas recentemente a ciência tem demonstrado interesse em investigar o tema. Estudos e pesquisas demonstram que a faixa etária acima dos 65 anos é aquela com mais contato frente a sua espiritualidade e religiosidade. O objetivo do presente estudo é realizar uma revisão da literatura científica que norteia essa temática e investigar qual o impacto da espiritualidade em diferentes aspectos do envelhecimento. METODOLOGIA: Pesquisa nas bases de dados Pubmed/Medline, LILACS e Scielo, nos idiomas inglês e português, entre 1966 e 2009, utilizando as palavras-chave aged/idoso e spirituality/espiritualidade. RESULTADOS: Foram incluídos 48 artigos divididos nas seguintes temáticas: envelhecimento bem-sucedido, bem-estar, qualidade de vida, doenças crônico-degenerativas, doenças neuro-psiquiátricas, funcionalidade, mortalidade e impacto no fim da vida. CONCLUSÃO: Conclui-se que o envelhecimento possui uma relação íntima com a espiritualidade nos seus mais diferentes aspectos e percebe-se que há uma escassez de pesquisas sobre espiritualidade/religiosidade em idosos.
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Affiliation(s)
- Giancarlo Lucchetti
- Setor de Geriatria da Irmandade da Santa Casa de Misericórdia de São Paulo e Grupo de Estudos em Envelhecimento da Associação Médico-Espírita de São Paulo, Brasil
| | | | - Rodrigo Modena Bassi
- Grupo de Estudos em Envelhecimento da Associação Médico-Espírita de São Paulo, Brasil
| | | | - Salete Aparecida da Ponte Nacif
- Disciplina de Clínica Médica da Universidade Federal de São Paulo e Grupo de Estudos em Envelhecimento da Associação Médico-Espírita de São Paulo, Brasil
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Chow EO, Nelson-Becker H. Spiritual distress to spiritual transformation: Stroke survivor narratives from Hong Kong. J Aging Stud 2010. [DOI: 10.1016/j.jaging.2010.06.001] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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HongSon GR, Lee YK, Park YS, Oh EM. The Impacts of Difficulty on Daily Activities, Grip Strength, and Activities of Daily Living on Perceived Health in Community-living Older Adults. ACTA ACUST UNITED AC 2010. [DOI: 10.5953/jmjh.2010.17.2.192] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
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Prayer practices among young adults. Holist Nurs Pract 2010; 24:338-44. [PMID: 21037458 DOI: 10.1097/hnp.0b013e3181fbdd92] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
Prayer is the most common complementary and alternative intervention used by most Americans. Yet, little is known about the prayer practices of young adults. In this exploratory study, 4 types of prayer practices of 62 young adults (21-30 years old) are described. The 4 different categories of prayer were: contemplative-meditative, ritualistic, petitionary, and colloquial. Participants most often used colloquial prayer practice, that is, asking God to provide guidance or talking to God in their own words. Recommendations for future research are included.
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Abstract
BACKGROUND Conditions with chronic, non-life-threatening pain and fatigue remain a challenge to treat, and are associated with high health care use. Understanding psychological and psychosocial contributing and coping factors, and working with patients to modify them, is one goal of management. An individual's spirituality and/or religion may be one such factor that can influence the experience of chronic pain or fatigue. METHODS The Canadian Community Health Survey (2002) obtained data from 37,000 individuals 15 years of age or older. From these data, four conditions with chronic pain and fatigue were analyzed together -- fibromyalgia, back pain, migraine headaches and chronic fatigue syndrome. Additional data from the survey were used to determine how religion and spirituality affect psychological well-being, as well as the use of various coping methods. RESULTS Religious persons were less likely to have chronic pain and fatigue, while those who were spiritual but not affiliated with regular worship attendance were more likely to have those conditions. Individuals with chronic pain and fatigue were more likely to use prayer and seek spiritual support as a coping method than the general population. Furthermore, chronic pain and fatigue sufferers who were both religious and spiritual were more likely to have better psychological well-being and use positive coping strategies. INTERPRETATION Consideration of an individual's spirituality and/or religion, and how it may be used in coping may be an additional component to the overall management of chronic pain and fatigue.
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Hassett AL, Maclean R, Peterson C, Stuart MR, Buyske S, Park N, Savage SV, Li T, Seligman ME. The Observational Evaluation of Subjective Well-Being in Patients with Rheumatoid Arthritis. Appl Psychol Health Well Being 2009. [DOI: 10.1111/j.1758-0854.2008.01002.x] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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McCauley J, Tarpley MJ, Haaz S, Bartlett SJ. Daily spiritual experiences of older adults with and without arthritis and the relationship to health outcomes. ACTA ACUST UNITED AC 2008; 59:122-8. [PMID: 18163414 DOI: 10.1002/art.23246] [Citation(s) in RCA: 29] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
OBJECTIVE Strategies to improve coping with chronic disease are increasingly important, especially with the aging US population. For many, spirituality serves as a source of strength and comfort. However, little is known about the prevalence of daily spiritual experiences (DSE) and how they may relate to physical and mental health. METHODS We surveyed older adults age>50 years with chronic health conditions seen in a primary care setting about their DSE, health perceptions, pain, energy, and depression. RESULTS Of 99 patients, 80% reported DSE most days and many times per day. Women had significantly lower DSE scores than men (reflecting more frequent DSE, mean+/-SD 37.3+/-15.0 versus 45.8+/-17.5; P=0.012). African American women reported the most frequent DSE and white men reported the least frequent DSE (mean+/-SD 35.9+/-13.6 versus 52.2+/-19.1). Frequent DSE were significantly associated with a higher number of comorbid conditions (P=0.003), although not with age, education, or employment status. Persons with arthritis reported significantly more DSE than those without arthritis (mean+/-SD 35.2+/-12.1 versus 47.1+/-18.6; P<0.001). After adjustment for age, race, sex, pain, and comorbid conditions, more frequent DSE were associated with increased energy (P<0.009) and less depression (P<0.007) in patients with arthritis. CONCLUSION DSE are common among older adults, especially those with arthritis. Increased DSE may be associated with more energy and less depression. DSE may represent one pathway through which spirituality influences mental health in older adults.
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Affiliation(s)
- Jeanne McCauley
- Johns Hopkins School of Medicine, Baltimore, Maryland 21224, USA
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Wang CW, Chan CLW, Ng SM, Ho AHY. The impact of spirituality on health-related quality of life among Chinese older adults with vision impairment. Aging Ment Health 2008; 12:267-75. [PMID: 18389408 DOI: 10.1080/13607860801951903] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
The goals of this study were to examine the impact of spirituality on both generic and vision-specific health-related quality of life (HRQOL) and the role of spirituality in the linkage between vision impairment and HRQOL outcomes among Chinese older adults with visual problems. A sample of 167 urban older adults with visual problems were interviewed using a structured questionnaire to assess self-reported visual functioning, general health, spirituality and both generic and vision-specific HRQOL. Objective visual function was clinically measured by ophthalmologists in terms of distance visual acuity. It was found in the study that spirituality was positively associated with both general physical health and general mental health, with a higher correlation with general mental health than that with general physical health. Moreover, spirituality was associated significantly with vision-specific HRQOL, including multiple domains. The results showed that spirituality played a mediating role in the linkage between vision impairment and general mental health. These results suggest that spirituality is significantly associated with multiple domains of HRQOL and may play an important role in the process of adaptation to age-related vision loss among Chinese older adults with vision impairment.
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Affiliation(s)
- C-W Wang
- Centre on Behavioral Health, The University of Hong Kong, Hong Kong, China.
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Verduin PJM, de Bock GH, Vliet Vlieland TPM, Peeters AJ, Verhoef J, Otten W. Purpose in life in patients with rheumatoid arthritis. Clin Rheumatol 2008; 27:899-908. [PMID: 18214572 PMCID: PMC2440946 DOI: 10.1007/s10067-007-0822-8] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2007] [Revised: 12/11/2007] [Accepted: 12/11/2007] [Indexed: 11/06/2022]
Abstract
To evaluate the role of purpose in life among people with rheumatoid arthritis (RA), a questionnaire comprising the Purpose in Life test (PIL) and the purpose in life dimension of the Psychological Well-Being test (PWB-pil) was sent to a random sample of 300 patients with RA. Additional questions comprised sociodemographic and disease characteristics, physical, mental and social functioning, coping (Coping with rheumatic stressors questionnaire), and quality of life (RAND-36). Associations between sociodemographic and disease characteristics, physical, mental and social functioning, and coping on the one side and the two measures of purpose in life on the other side and associations between the two purpose of life measures and physical and mental dimensions of quality of life were assessed by means of univariate and multivariate regression analyses. The response rate was 156 of 300 (52%). The median PIL and PWB-pil scores were 103 (range 63–131) and 82 (41–110), respectively. A lower age, a better mental health status, and an optimistic coping style were significantly associated with both higher PIL and PWB-pil scores, whereas more participation in leisure and/or social activities was associated with a higher PIL score. It was found that the PIL and PWB-pil contributed independently and significantly to the mental component summary scale of the RAND-36. In RA patients, lower age, a better mental health status, an optimistic coping style, and participation in leisure and/or social activities were significantly associated with more sense of purpose in life. Purpose in life pays a significant and independent contribution to the mental component of quality of life. These findings highlight the significance of the concept of purpose in life in patients with RA.
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Viana SO, Sampaio RF, Mancini MC, Parreira VF, Drummond AS. Life satisfaction of workers with work-related musculoskeletal disorders in Brazil: associations with symptoms, functional limitation and coping. JOURNAL OF OCCUPATIONAL REHABILITATION 2007; 17:33-46. [PMID: 17235678 DOI: 10.1007/s10926-006-9062-z] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/13/2023]
Abstract
INTRODUCTION This study aimed at analyzing the contribution of socio-demographic, clinical, functional and psychosocial variables toward life satisfaction among workers with Work-Related Musculoskeletal Disorders (WMSD). METHODS A cross-sectional study was carried out with 155 workers suffering from WMSD in one or both upper extremities, with time since the onset of the health condition longer than six months. Most of the workers were women (85%) between 30 and 49 years of age (77%) and predominantly manual laborers with elementary education level. MAIN OUTCOME MEASURES Structured form for socio-demographic and clinical identification of the participants, the Disability of the Arm, Shoulder and Hand Questionnaire, the Ways of Coping Scale and the Satisfaction With Life Scale. RESULTS Hierarchical multiple regression analysis was employed and the final model explained 23% of the variance regarding life satisfaction (adjusted R2 = 0.21; p = 0.0001). Single workers and those reporting higher levels of emotion-focused and lower levels of problem-focused coping reported lower life satisfaction. The strategies with which an individual copes with the disease had an influence on the level of life satisfaction regardless of the functional condition. CONCLUSIONS In the sample studied, the strongest predictors of life satisfaction were the psychosocial variables, represented by coping strategies regarding the disease. Interventions directed at workers with WMSD that seek to promote well-being should favor coping in the most adaptive manner, going beyond the clinical realm of the disease.
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Affiliation(s)
- Sabrina O Viana
- Department of Physical Therapy, Pontifícia Universidade Católica de Minas Gerais, Betim, Brazil.
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Moritz S, Kelly M, Angen M, Quan H, Toews J, Rickhi B. The impact of a home-based spirituality teaching programme: qualitative exploration of participants' experiences. ACTA ACUST UNITED AC 2007. [DOI: 10.1002/shi.326] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
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46
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Abstract
The purpose of this study was to explore the effects of spirituality on quality of life (QOL) in older adults when age, gender, social support, and health status are controlled. A secondary analysis of data was conducted using results from a cross-sectional survey of older adults. Data were available from a convenience sample of 426 people living in British Columbia, Canada, who volunteered to complete the questionnaire. Instruments included the WHOQOL-100 and a demographic data sheet. The results show spirituality was not a significant factor contributing to QOL in this sample, and that the strongest predictors of overall QOL were social support and health satisfaction. Given difficulties in measuring spirituality and homogeneity of the sample, further research is warranted.
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Affiliation(s)
- Anita E Molzahn
- School of Nursing, University of Victoria, British Columbia, Canada.
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Mofidi M, Devellis RF, Blazer DG, Devellis BM, Panter AT, Jordan JM. Spirituality and depressive symptoms in a racially diverse US sample of community-dwelling adults. J Nerv Ment Dis 2006; 194:975-7. [PMID: 17164640 DOI: 10.1097/01.nmd.0000243825.14449.de] [Citation(s) in RCA: 37] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
The role of spirituality in depression is understudied. We examined the relationship between one dimension of spirituality, spiritual experiences, and depressive symptoms, and evaluated whether differences in gender, race, age, and stress moderated the relationship. The study was conducted with a community-based sample of 630 racially diverse middle-aged and older adults. Structural equation modeling was used to estimate a model linking spiritual experiences to depressive symptoms while controlling for demographic and health variables. Spiritual experiences were operationalized using six items of the Daily Spiritual Experiences Scale. Sample items included, "I feel God's presence," and, "I feel comfort in my religion or spirituality." The model achieved satisfactory goodness of fit. Spiritual experiences were significantly associated with fewer depressive symptoms, and age as well as stress moderated the association, but not gender and race. Spirituality appears to be a psychosocial resource against depressive symptoms, although the results must be confirmed in longitudinal investigations.
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Affiliation(s)
- Mahyar Mofidi
- Health Resources and Services Administration, US Department of Health and Human Services, Rockville, Maryland, USA
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Mease PJ, Menter MA. Quality-of-life issues in psoriasis and psoriatic arthritis: Outcome measures and therapies from a dermatological perspective. J Am Acad Dermatol 2006; 54:685-704. [PMID: 16546593 DOI: 10.1016/j.jaad.2005.10.008] [Citation(s) in RCA: 110] [Impact Index Per Article: 6.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2005] [Revised: 07/28/2005] [Accepted: 10/05/2005] [Indexed: 12/18/2022]
Abstract
Psoriasis and psoriatic arthritis are inflammatory immune-mediated skin and joint conditions with major impacts on patients' health-related quality of life (HRQOL). Physical manifestations include unsightly, scaly, pruritic plaques and inflamed joints for patients with psoriatic arthritis. These symptoms can severely impair physical functioning and occupational capability and negatively affect psychosocial domains. Consequently, patients often experience feelings of embarrassment, helplessness, and depression. Recent therapies, including the biologics, have been shown to improve not only the physical signs and symptoms of these conditions, but also patients' HRQOL. To accurately assess these improvements, standardized and validated instruments are needed. However, there are currently a limited number of feasible and validated tools available in dermatology for measuring HRQOL and function. Valuable insights can be acquired from the rheumatology field, and refinement of existing outcome measures through a cooperative and consensus building process between dermatologists and rheumatologists will lead to standardization of assessment tools in the years ahead.
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Affiliation(s)
- Philip J Mease
- Seattle Rheumatology Associates, Seattle, Washington 98104, USA.
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Groessl EJ, Ganiats TG, Sarkin AJ. Sociodemographic differences in quality of life in rheumatoid arthritis. PHARMACOECONOMICS 2006; 24:109-21. [PMID: 16460133 DOI: 10.2165/00019053-200624020-00002] [Citation(s) in RCA: 25] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/06/2023]
Abstract
Assessment of health-related quality of life (HR-QOL) in people with rheumatoid arthritis (RA) has become important in health research and can inform clinical care. Many studies have found sociodemographic differences in the HR-QOL of people with RA, and interpreting these differences can be challenging. Biological, health disparity, reporting and assessment instrument differences are a few of the possible explanations that should be considered when interpreting results. Our review of the evidence of sociodemographic differences in HR-QOL in people with RA produced 34 articles describing 49 studies.Typically, patients with RA who were older, female, less educated, non-employed and/or less affluent tended to have significantly lower HR-QOL than other groups. Some evidence also indicated that people with RA who are non-White or who live in rural settings may also tend to have lower HR-QOL scores, but the number of studies supporting these findings was sparse. Researchers and clinicians can optimise their assessment of HR-QOL by finding well validated instruments for the context they are working in. Additional research is needed to identify the exact causes of HR-QOL differences so that quality treatment can be provided to those in need.
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Affiliation(s)
- Erik J Groessl
- Veterans Affairs San Diego Healthcare System, San Diego, California 92161, USA.
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Bedi GS, Gupta N, Handa R, Pal H, Pandey RM. Quality of Life in Indian Patients with Rheumatoid Arthritis. Qual Life Res 2005; 14:1953-8. [PMID: 16155783 DOI: 10.1007/s11136-005-4540-x] [Citation(s) in RCA: 38] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/21/2005] [Indexed: 11/26/2022]
Abstract
PURPOSE OF STUDY Rheumatoid arthritis (RA) is a multisystem disease with various extra-articular manifestations (EAMs). Health-related quality of life (HRQOL) issues are assuming increasing importance in chronic rheumatic diseases like RA. No data on QOL in RA is available from the Indian subcontinent. There is also a paucity of literature on the impact of EAMs on HRQOL in RA. The objective of this study was to address these lacunae. METHODS The study group comprised 81 patients with RA from a rheumatology clinic in India. Quality of life was estimated by the generic HRQOL measure: World Health Organization quality of life instrument (WHOQOL-Bref). Disease activity in RA was measured by calculating Disease Activity Score-28 (DAS28). RESULTS The mean HRQOL scores of the patients were 12.0+/-2.8, 13.2+/-2.7, 14.4+/-2.9 and 13.3+/-2.6 in the physical, psychological, social, and environmental domains of the WHOQOL-Bref respectively. Age, gender, disease duration, educational status, constitutional symptoms, rheumatoid factor positivity, erosions and deformities did not influence HRQOL. Disease activity had a negative influence on the physical and psychological domains. Patients with EAMs had significantly higher DAS28 scores compared to patients without EAMs. Even after adjustment for disease activity, patients with EAMs had lower HRQOL scores than patients without these features (statistically significant for physical domain). CONCLUSIONS The physical domain of HRQOL is most affected in Indian patients with RA. Increasing disease activity and presence of EAMs worsens the quality of life.
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Affiliation(s)
- Gurdesh S Bedi
- Department of Psychiatry, All India Institute of Medical Sciences, Ansari Nagar 110029, New Delhi, India
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