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Oberholzer AE, Doolittle BR. Flourishing, religion, and burnout among caregivers working in pediatric palliative care. Int J Psychiatry Med 2024; 59:727-739. [PMID: 38279782 DOI: 10.1177/00912174241229926] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/28/2024]
Abstract
INTRODUCTION Providers working with children who are dying are especially prone to burnout. The enhancement of human flourishing in providers may mitigate burnout and improve quality of care. However, the relationship between job satisfaction and human flourishing has not been well studied. This project explores factors that promote human flourishing among caregivers working with children in pediatric palliative care in South Africa. METHODS A convenience sample of caregivers working in pediatric palliative care were invited to complete an anonymous, confidential survey . The survey also included open-ended questions to explore opinions and attitudes about job satisfaction, struggles, and coping. RESULTS Twenty-nine people from a variety of occupations and work environments completed the survey. The prevalence of burnout was 3/29 (10%). Life satisfaction (an indicator of flourishing) was associated with private religious activities (r = .38, P < .05), and carrying religion into all aspects of life (r = .44, P < .05). Burnout was not associated with life satisfaction, although power was limited. Qualitative analysis of open-ended questions revealed the following themes as factors contributing to satisfaction at work (flourishing): being able to make a difference, finding meaning and purpose, having a relationship with the children and their families, and working within the context of a multi-disciplinary team. A number of challenges to this work were also identified, including lack of resources, problems within the team, and the emotional demands of care. CONCLUSIONS Despite job stress and the difficult work of caring for terminally ill children, several factors were associated with flourishing. These findings may help to enhance the flourishing of caregivers in the resource-challenged setting of pediatric palliative care in South Africa.
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Affiliation(s)
- Annemarie E Oberholzer
- Department of Christian Spirituality, University of South Africa (UNISA), Pretoria, South Africa
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Baltaci A, Burnette CB, Laska MN, Neumark-Sztainer D. Religiosity in adolescence and body satisfaction and disordered eating in adolescence and young adulthood: cross-sectional and longitudinal findings from project EAT. Eat Weight Disord 2024; 29:59. [PMID: 39269521 PMCID: PMC11399306 DOI: 10.1007/s40519-024-01683-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/06/2024] [Accepted: 07/30/2024] [Indexed: 09/15/2024] Open
Abstract
PURPOSE This research identified whether adolescent religiosity was associated with body satisfaction and disordered eating in adolescence and early adulthood and explored gender/sex differences in these associations. METHODS Project EAT (Eating and Activity in Teens and Young Adults) is a longitudinal cohort study following participants from adolescence into young adulthood. For this analysis (N = 1620), religiosity (importance of religion and frequency of religious service participation) during adolescence was examined as a correlate of body satisfaction and disordered eating (binge eating, maladaptive behaviors intended to lose or maintain weight, eating to cope, and dieting) at the same life stage (EAT-II, 2003-2004, Mage = 19.4 years) and during young adulthood (EAT-IV, 2015-2016, Mage = 31.5 years). Analyses used linear and logistic regression models adjusted for demographics and adolescent body mass index. RESULTS During adolescence, females who placed greater importance on religion had higher body satisfaction, 22% higher odds of binge eating, and 19% greater odds of dieting in the past year, while more frequent attendance of religious services was associated with higher body satisfaction and 37% greater odds of dieting past year. Among males, only frequent attendance of religious services was associated with higher adolescent body satisfaction. Longitudinally, among females, only frequent attendance of religious services in adolescence predicted higher levels of body satisfaction in young adulthood. No significant longitudinal associations were observed among males. CONCLUSIONS Our findings contribute to understanding the complex interplay between religiosity, gender, and body satisfaction. Further research should explore cultural factors influencing these associations and qualitative aspects of religious experiences to inform nuanced interventions. LEVEL OF EVIDENCE Level III, cohort study.
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Affiliation(s)
- Aysegul Baltaci
- Department of Youth Development, University of Minnesota Extension, St.Paul, MN, USA.
| | - C Blair Burnette
- Department of Psychology, Michigan State University, East Lansing, MI, USA
| | - Melissa N Laska
- Division of Epidemiology and Community Health, School of Public Health, University of Minnesota, Minneapolis, MN, USA
| | - Dianne Neumark-Sztainer
- Division of Epidemiology and Community Health, School of Public Health, University of Minnesota, Minneapolis, MN, USA
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Gonçalves Júnior J, dos Santos AM, Sampaio RAAF, do Nascimento Silva T, Martines G, de Araújo DB, Cândido EL, Shinjo SK. Spirituality, Religiosity, and Mental Health in Patients with Idiopathic Inflammatory Myopathies: A Brazilian Multicentric Case-Control Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2024; 21:653. [PMID: 38928900 PMCID: PMC11203193 DOI: 10.3390/ijerph21060653] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/18/2024] [Revised: 05/12/2024] [Accepted: 05/13/2024] [Indexed: 06/28/2024]
Abstract
No published studies have investigated the correlation between religiosity, spirituality, mental health, and idiopathic inflammatory myopathy (IIM) or systemic autoimmune myopathy. Therefore, we aimed to evaluate the association between religiosity/spirituality, sociodemographic factors, and the mental health of IIM patients. This is a multicenter case-control study that included 151 patients with IIMs and 95 individuals without autoimmune diseases (controls), held between August 2022 and April 2023. This study used a semi-structured questionnaire that included sociodemographic information and the juxtaposition of the following questionnaires: the Attitudes Related to Spirituality Scale (ARES); the Duke University Religion Index (DUKE), which is composed of the organizational religious affiliation (ORA), non-organizational religious affiliation (NORA), and intrinsic religiosity (IR) domains; and the General Health Questionnaire-12 (GHQ-12). Data were analyzed using Epi Info software 7.2.5 (Centers for Disease Control and Prevention, Atlanta, GA, USA). A comparison between the mean values of the ARES, DUKE, and GHQ-12 scales was made using the Wilcoxon-Mann-Whitney and Kruskal-Wallis tests. A logistic regression test was used with the variables whose difference was statistically significant in the univariate analysis. Correlation analysis was performed using the Spearman rho coefficient. A higher prevalence of evangelicals and a lower prevalence of Catholics (p < 0.050) were seen in the IIM group compared to controls. Positive association was demonstrated between IIMs and the pardo ethnicity (OR = 2.26, 95% CI = 1.20-4.25, p = 0.011), highest ORA (OR = 2.81, 95% CI = 1.53-5.15, p < 0.001), NORA (OR = 3.99, 95% CI = 1.94-8·18, p < 0.001), IR (OR = 5.27, 95% CI = 2.32-11.97, p < 0.001), and ARES values (OR = 1.08, 95% CI = 1.04-1.13, p < 0.001). Mental health levels were compared between the groups (p > 0.999). Therefore, higher levels of religiosity and spirituality were observed in the IIM group than in the control group, but there was a similar distribution of mental health levels. The following can be cited as advantages of the present study: (i) the large sample for a rare disease with the presence of a control group; (ii) the multicenter characteristic with participation from three regions of Brazil; (iii) being the first study to map aspects of religiosity, spirituality, and mental health in IIMs.
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Affiliation(s)
- Jucier Gonçalves Júnior
- School of Medicine, Universidade Federal do Cariri, Barbalha 63180-000, Ceará, Brazil
- Division of Rheumatology, Faculdade de Medicina FMUSP, Universidade de São Paulo, São Paulo 01246-903, São Paulo, Brazil
| | - Alexandre Moura dos Santos
- Division of Rheumatology, Faculdade de Medicina FMUSP, Universidade de São Paulo, São Paulo 01246-903, São Paulo, Brazil
| | | | - Thalita do Nascimento Silva
- Division of Rheumatology, Universidade Estadual do Ceará (UECE), Hospital Geral Doutor Cesar Cals, Fortaleza 60015-152, Ceará, Brazil
| | - Giovanna Martines
- Division of Rheumatology, Universidade Federal de Pelotas (UFPel), Pelotas 96010-610, Rio Grande do Sul, Brazil
| | - Daniel Brito de Araújo
- Division of Rheumatology, Universidade Federal de Pelotas (UFPel), Pelotas 96010-610, Rio Grande do Sul, Brazil
| | - Estelita Lima Cândido
- Programa de Pós-Graduação em Ciências da Saúde, Universidade Federal do Cariri (UFCA), Barbalha 63180-000, Ceará, Brazil
| | - Samuel Katsuyuki Shinjo
- Division of Rheumatology, Faculdade de Medicina FMUSP, Universidade de São Paulo, São Paulo 01246-903, São Paulo, Brazil
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Brugnoli MP. Spiritual healing in palliative care with clinical hypnosis: neuroscience and therapy. AMERICAN JOURNAL OF CLINICAL HYPNOSIS 2023:1-13. [PMID: 38117544 DOI: 10.1080/00029157.2023.2281466] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/21/2023]
Abstract
THIS PAPER REVIEWS The neuroscientific features of inner consciousness, including its role in suffering and in accessing states of mind that relieve suffering; details salient meditative and hypnotic approaches appropriate for palliative settings of care; discusses core principles and orientations shared by effective approaches; and proposes early integration of hypnotic training as a coping skill and a platform for spiritual exploration, as desired.
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Affiliation(s)
- Maria Paola Brugnoli
- Interdisciplinary Research Group in Neurobioethics (GdN) at the Pontifical Athenaeum Regina Apostolorum (APRA), Roma, Italy
- Chairperson Ethical Committee ISH International Society of Hypnosis, Verona, Italy
- President SIPMU Italian Scientific Society Clinical Hypnosis in Psychotherapy and Humanistic Medicine, Verona, Italy
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Moreno-Ávila IDM, Martínez-Linares JM, Mimun-Navarro K, Pozo-Muñoz C. Muslim and Christian Women's Perceptions of the Influence of Spirituality and Religious Beliefs on Motherhood and Child-Rearing: A Phenomenological Study. Healthcare (Basel) 2023; 11:2932. [PMID: 37998424 PMCID: PMC10671127 DOI: 10.3390/healthcare11222932] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/16/2023] [Revised: 11/07/2023] [Accepted: 11/08/2023] [Indexed: 11/25/2023] Open
Abstract
(1) Background: Spirituality is a factor that plays a role in decisions related to health and illness. When a woman becomes a mother, she undergoes physical, psychological, and social changes for which healthcare professionals must provide the necessary care. However, women may feel misunderstood and stigmatized when they carry out their religious practices and express their spirituality related to motherhood. The aim of this study was to describe the experiences of women with Muslim and Christian religious ideologies on the influence of spirituality and religious beliefs in motherhood and child-rearing. (2) Methods: A descriptive phenomenological qualitative study with two groups of women of Islamic and Christian ideology, respectively. Three focus groups and in-depth interviews were conducted, recorded, transcribed, and analyzed with ATLAS.ti 7.0. An inductive analysis was carried out according to the Moustakas model. (3) Results: Three themes were identified: religious and cultural aspects that determine child-rearing, the influence of spirituality and family on the mother's role, and the support received from healthcare personnel. (4) Conclusions: Spirituality and religious beliefs are manifested during motherhood and child-rearing in the form of infant feeding, the need for their protection, or the need for support from mothers. Healthcare personnel must be able to offer culturally competent and spiritually respectful care. Patients should not be judged based on their spirituality.
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Affiliation(s)
| | | | - Karim Mimun-Navarro
- Servicio Andaluz de Salud, Hospital Universitario Torrecárdenas, 04009 Almería, Spain;
| | - Carmen Pozo-Muñoz
- Departamento de Psicología, Universidad de Almería, 04120 Almería, Spain;
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Ma MZ, Chen SX. Beyond the surface: accounting for confounders in understanding the link between collectivism and COVID-19 pandemic in the United States. BMC Public Health 2023; 23:1513. [PMID: 37559008 PMCID: PMC10413761 DOI: 10.1186/s12889-023-16384-2] [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: 04/20/2023] [Accepted: 07/25/2023] [Indexed: 08/11/2023] Open
Abstract
According to the parasite-stress theory, collectivism serves as a trait of ingroup assortative sociality, providing defense against infectious diseases. This study investigated the association between cultural collectivism and COVID-19 severity at the state (Study 1: N = 51), county (Study 2: N = 3,133), and daily (Study 3: N = 52,806) levels from the beginning of 2020 to the end of 2022. State-level collectivism was assessed using two distinct measures: the U.S. collectivism index, focusing on social interconnectedness and interdependence, and the subjective-culture individualism-collectivism index (reversed), capturing attitudes and beliefs related to religion, abortion, and same-sex marriage. By employing random-intercept multilevel models, the results demonstrated significant and negative effects of state-level collectivism, as measured by the U.S collectivism index, on COVID-19 cases per million, COVID-19 deaths per million, and composite COVID-19 severity index, after controlling for confounding factors, such as socioeconomic development, ecological threats, disease protective behaviors, cultural norms, and political influences. A mini meta-analysis (Study 4: N = 9) confirmed the significance of these effects across studies. These findings supported the proactive role of collectivism in defending against the novel coronavirus in the United States, aligning with the parasite-stress theory of sociality. However, the subjective-culture individualism-collectivism index (reversed) did not exhibit a significant relationship with COVID-19 severity when confounding factors were considered. The high correlation between the subjective-culture individualism-collectivism index (reversed) and the controlled variables suggested shared variance that could diminish its impact on COVID-19 outcomes. Accordingly, the present findings underscore the significance of accounting for confounding factors when examining the association between collectivism and COVID-19 severity at population level. By considering relevant confounding factors, researchers could gain a comprehensive understanding of the complex interplay between cultural collectivism and its influence on COVID-19 severity. Overall, this research contributes to our understanding of how cultural collectivism shapes the COVID-19 pandemic in the United States, emphasizing the importance of adjusting for confounding effects in population level studies.
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Affiliation(s)
- Mac Zewei Ma
- Department of Applied Social Sciences, The Hong Kong Polytechnic University, Hung Hom, Kowloon, Hong Kong SAR, China.
| | - Sylvia Xiaohua Chen
- Department of Applied Social Sciences, The Hong Kong Polytechnic University, Hung Hom, Kowloon, Hong Kong SAR, China
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Alrukban M, Alrabiah A, Alomri F, Alghuligah A, Alderaywsh A, Alomar A, Alkraida A. The Perception of Spirituality and Its Assessment among Those with Different Health Statuses in Saudi Arabia. Healthcare (Basel) 2023; 11:2034. [PMID: 37510475 PMCID: PMC10379964 DOI: 10.3390/healthcare11142034] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/16/2023] [Revised: 07/09/2023] [Accepted: 07/12/2023] [Indexed: 07/30/2023] Open
Abstract
This study compares the perception of spirituality among individuals with different health statuses. It also describes the spiritual services and religious support in the healthcare system that are recommended by the community. A cross-sectional comparative study was conducted in Riyadh during the year 2021. A face-to-face questionnaire was used to obtain data from seriously ill inpatients (N = 132), chronically ill outpatients (N = 202), and healthy individuals (N = 283), which is an assessment tool designed by the investigators to meet the purpose of the study. This study was conducted in two tertiary hospitals and in the community. Participants were randomly selected using a stratified random sampling technique. The study was performed on 635 participants. A significant number of the participants agreed that the provision of spiritual services has a positive effect on patient condition. The rural population had a higher mean value on limiting the concept of spirituality to religious aspects. There is a clear tendency from all categories toward religious services. The majority of the participants support the provision of psychological services, especially if it is provided by specialized and expert spiritual care providers. The positive perception of participants about spiritual care has been reflected on the tendency toward providing spiritual services. The provision of spiritual care in healthcare systems is expected to be a necessity and not a luxury.
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Affiliation(s)
- Mohammed Alrukban
- College of Medicine, King Saud University, Riyadh 11149, Saudi Arabia
- Family and Community Medicine Department, King Khalid University Hospital, Riyadh 11149, Saudi Arabia
| | | | - Faisal Alomri
- College of Medicine, King Saud University, Riyadh 11149, Saudi Arabia
| | | | | | - Abdulaziz Alomar
- College of Medicine, King Saud University, Riyadh 11149, Saudi Arabia
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Sabet P, Karimi S, Dehghan A, Bijani M. Effect of Spirituality-Based Palliative Care on Pain, Nausea, Vomiting, and the Quality of Life in Women with Colon Cancer: A Clinical Trial in Southern Iran. JOURNAL OF RELIGION AND HEALTH 2023; 62:1985-1997. [PMID: 36809520 DOI: 10.1007/s10943-023-01742-6] [Citation(s) in RCA: 5] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 01/11/2023] [Indexed: 06/18/2023]
Abstract
This randomized controlled clinical trial aimed to examine the effect of spirituality-based palliative care on pain, nausea, vomiting, and the quality of life in 80 Iranian colon cancer inpatients from January to June 2020 in southern Iran. Patients were randomly assigned to an intervention group and a control group. The intervention group took part in four 120-min sessions while the control group received standard care. Pain, nausea, vomiting, and quality of life were assessed before the intervention and one month after the intervention. Data were analyzed using paired t-test and independent t-test. Between-groups differences analysis showed a significant difference in the quality of life scores, pain score, as well as nausea and vomiting scores following the one-month intervention. In conclusion, this group spirituality-based palliative care intervention might be beneficial in improving quality of life and reducing symptoms.
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Affiliation(s)
- Parisa Sabet
- Department of Medical Surgical Nursing, School of Nursing, Fasa University of Medical Sciences, Fasa, Iran
| | - Shahnaz Karimi
- Department of Medical Education, Medical Education Research Center, Fasa University of Medical Sciences, Fasa, Iran.
| | - Azizallah Dehghan
- Noncommunicable Diseases Research Center, Fasa University of Medical Sciences, Fasa, Iran
| | - Mostafa Bijani
- Department of Medical Surgical Nursing, School of Nursing, Fasa University of Medical Sciences, Fasa, Iran
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Abstract
Black people are disproportionately affected by mental illness, including depression. While the prevalence of depression is paradoxically lower among the Black population, the impact of depression on Black people results in greater severity of illness and higher chronicity. The main factors through which Black people experience worse mental health outcomes includes delayed treatment seeking, and poor access to mental health services. Mental illness stigma contributes to the delay in treatment seeking behavior. Stigma refers to negative attitudes, beliefs or behaviors about a particular characteristic of an individual such as their health status. Both patients and mental health professionals experience stigma that impacts health engagement, limits access to effective depression treatments, and compromises positive patient-clinician communication. A commitment to lifelong learning about the role of culture, history, and the psychosocial context of our patients is critical to closing public health gaps in the field of mental health.
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Affiliation(s)
- Aderonke Bamgbose Pederson
- Depression Clinical and Research Program, Massachusetts General Hospital, One Bowdoin Square, Boston, MA, 02114, USA
- Harvard Medical School, 25 Shattuck St, Boston, MA 02115, USA
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Ulvund I, Dadi GB, Gutteberg A. 'I am struggling to survive' - limited living conditions increase the burden of HIV: A qualitative study. Glob Public Health 2023; 18:2280049. [PMID: 37967520 DOI: 10.1080/17441692.2023.2280049] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/20/2023] [Accepted: 11/01/2023] [Indexed: 11/17/2023]
Abstract
The human immunodeficiency virus (HIV) continues to have life-limiting health consequences for many individuals and remains a significant threat to global public health. This qualitative study explores the experiences of people living with HIV in Sidama, Ethiopia. Interviews with 19 adults recruited from an HIV outpatient clinic were conducted using a semi-structured interview guide. The analysis method used was systematic text condensation. The results reveal that an HIV diagnosis triggered strong emotions. Economic concerns, stigma, and discrimination also increased the burden of a diagnosis, which could lead to a loss of income or housing. Consequently, informants' ability to maintain a regular life and receive social and psychological support was reduced. Religious faith provided strength to informants, though they stated that some religious leaders do not support antiretroviral therapy. Understanding the everyday challenges of people living with HIV is crucial for health professionals and health programme developers working to promote health and enable people to follow their recommended course of treatment. Person-centred care is recommended. In particular, the poorest should receive attention. It is also crucial to reduce stigma and discriminatory attitudes towards people living with HIV and to motivate faith leaders to prevent HIV stigma and support antiretroviral therapy.
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Affiliation(s)
- Ingeborg Ulvund
- Faculty of Health Sciences and Social Care, Molde University College, Specialized University in Logistics, Molde, Norway
| | - Gezahegn Bekele Dadi
- School of Nursing, Hawassa University-College of Medicine & Health Science, Hawassa, Ethiopia
| | - Anne Gutteberg
- Faculty of Health Sciences and Social Care, Molde University College, Specialized University in Logistics, Molde, Norway
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Dossi F, Buja A, Montecchio L. Association between religiosity or spirituality and internet addiction: A systematic review. Front Public Health 2022; 10:980334. [PMID: 36530734 PMCID: PMC9751319 DOI: 10.3389/fpubh.2022.980334] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/28/2022] [Accepted: 11/08/2022] [Indexed: 12/03/2022] Open
Abstract
Introduction The literature provides evidence of religiosity being associated with physical and mental health, and also with behavioral addictions. This systematic review examines the data on the link between religiosity or spirituality and the emerging internet addictions. Methods A systematic literature review was conducted in the PubMed and Scopus databases to identify observational (cross-sectional, cohort, and case-control) studies conducted on adolescents and young adults to investigate the association between religiosity or spirituality and internet addiction. Of the 854 articles identified in the databases, 13 met our inclusion criteria and were included in our systematic review. Results Eleven of the 13 studies reviewed specifically investigated religiosity and internet addiction: six found an inverse association between religiosity and internet addiction; three found no evidence of any association; and one found a direct association. One study examining both religiosity and spirituality generated mixed results. Only one study investigated spirituality unrelated to religion, and found a direct association with internet addiction. Two of three studies specifically considering internet gaming addiction found it inversely associated with high levels of religiosity, while the third found no association. Conclusion This review supports a possible role for religiosity as a protective factor, as emerged from the majority of the studies examined. Religiosity also seemed to be associated with lower internet gaming rates among adolescents.
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Affiliation(s)
| | - Alessandra Buja
- Department of Cardiologic, Vascular and Thoracic Sciences, and Public Health, University of Padua, Padua, Italy
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Mesquita R, da Silva GPF, do Nascimento FAB, Holanda MA, Mont'Alverne DGB, de Oliveira Junior PV, Janssen DJA, Pereira EDB. Religiosity and Religious Coping in Patients with COPD: A Cross-Sectional Comparison Between Brazil and the Netherlands and Associations with Physical and Psychological Health. JOURNAL OF RELIGION AND HEALTH 2022; 61:4039-4050. [PMID: 34291424 DOI: 10.1007/s10943-021-01341-3] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 07/04/2021] [Indexed: 06/13/2023]
Abstract
This study aimed to compare religiosity and religious coping (RC) between Brazilian and Dutch patients with chronic obstructive pulmonary disease (COPD) and to examine associations with physical and psychological health. Religiosity, RC, and physical and psychological health were cross-sectionally assessed in 161 patients with COPD (74 from Brazil and 87 from the Netherlands). Brazilian participants showed the greatest religiosity (p < 0.05), and weak correlations were observed between religiosity/RC and exercise capacity and quality of life (p < 0.05 for all analyses). Brazilian patients with COPD had higher religiosity than Dutch patients, and religiosity correlated with functional exercise capacity and quality of life.
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Affiliation(s)
- Rafael Mesquita
- Department of Physiotherapy, Federal University of Ceara, Rua Major Weyne, 1440 - Rodolfo Teófilo, Fortaleza, Ceará, 60430-450, Brazil.
- Masters Programme in Physiotherapy and Functioning, Federal University of Ceara, Fortaleza, Ceará, Brazil.
- Masters Programme in Cardiovascular Sciences, Federal University of Ceara, Fortaleza, Ceará, Brazil.
| | - Guilherme P F da Silva
- Department of Physiotherapy, Health Sciences Centre, University of Fortaleza, Fortaleza, Ceará, Brazil
- Masters and Doctoral Programmes in Medical Sciences, Federal University of Ceara, Fortaleza, Ceará, Brazil
| | | | - Marcelo Alcantara Holanda
- Respiration Laboratory (RespLab), Department of Internal Medicine, Federal University of Ceara, Fortaleza, Ceará, Brazil
| | - Daniela Gardano Bucharles Mont'Alverne
- Department of Physiotherapy, Federal University of Ceara, Rua Major Weyne, 1440 - Rodolfo Teófilo, Fortaleza, Ceará, 60430-450, Brazil
- Masters Programme in Physiotherapy and Functioning, Federal University of Ceara, Fortaleza, Ceará, Brazil
| | | | - Daisy J A Janssen
- Department of Research & Development, CIRO, Horn, Netherlands
- Department of Health Services Research, Care and Public Health Research Institute, Maastricht University, Maastricht, Netherlands
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Spence ND, Warner ET, Farvid MS, VanderWeele TJ, Zhang Y, Hu FB, Shields AE. The Association of Religion and Spirituality with Obesity and Weight Change in the USA: A Large-Scale Cohort Study. JOURNAL OF RELIGION AND HEALTH 2022; 61:4062-4080. [PMID: 34714470 DOI: 10.1007/s10943-021-01368-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 07/21/2021] [Indexed: 06/13/2023]
Abstract
The association between religion, spirituality, and body weight is controversial, given the methodological limitations of existing studies. Using the Nurses' Health Study II cohort, follow-up occurred from 2001 to 2015, with up to 35,547 participants assessed for the religious or spiritual coping and religious service attendance analyses. Cox regression and generalized estimating equations evaluated associations with obesity and weight change, respectively. Religious or spiritual coping and religious service attendance had little evidence of an association with obesity. Compared with not using religious or spiritual coping at all, the fully adjusted hazard ratios (HRs) were minimally different across categories: a little bit (HR = 1.05, 95% CI: 0.92-1.18), a medium amount (HR = 1.09, 95% CI: 0.96-1.24), and a lot (HR = 1.10; 95% CI: 0.96-1.25) (Ptrend = 0.17). Compared with participants who never or almost never attend religious meetings or services, there was little evidence of an association between those attending less than once/month (HR = 1.08, 95% CI: 0.97-1.10), 1-3 times/month (HR = 1.01, 95% CI: 0.90-1.13), once/week (HR = 0.92, 95% CI: 0.83-1.02), and more than once/week (HR = 0.94, 95% CI: 0.82-1.07) (Ptrend = 0.06). Findings were similar for weight change. There was no significant association between religious or spiritual coping, religious service attendance, obesity, and weight change. While religion and spirituality are prominent in American society, they are not important psychosocial factors influencing body weight in this sample.
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Affiliation(s)
- Nicholas D Spence
- Department of Sociology, University of Toronto, 725 Spadina Avenue, Office 334, Toronto, ON, M5S 2J4, Canada.
- Department of Health and Society, University of Toronto, Toronto, ON, Canada.
- Harvard/MGH Center on Genomics, Vulnerable Populations, and Health Disparities, Mongan Institute, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA.
- National Consortium on Psychosocial Stress, Spirituality, and Health, Massachusetts General Hospital, Boston, MA, USA.
| | - Erica T Warner
- Harvard/MGH Center on Genomics, Vulnerable Populations, and Health Disparities, Mongan Institute, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA
- National Consortium on Psychosocial Stress, Spirituality, and Health, Massachusetts General Hospital, Boston, MA, USA
- Harvard Medical School, Boston, MA, USA
| | - Maryam S Farvid
- Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA, USA
| | - Tyler J VanderWeele
- Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA, USA
- Department of Biostatistics, Harvard T.H. Chan School of Public Health, Boston, MA, USA
| | - Ying Zhang
- Sleep Medicine Epidemiology, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, USA
| | - Frank B Hu
- Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA, USA
- Department of Nutrition, Harvard T.H. Chan School of Public Health, Boston, MA, USA
- Channing Division of Network Medicine, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, USA
| | - Alexandra E Shields
- Harvard/MGH Center on Genomics, Vulnerable Populations, and Health Disparities, Mongan Institute, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA
- National Consortium on Psychosocial Stress, Spirituality, and Health, Massachusetts General Hospital, Boston, MA, USA
- Harvard Medical School, Boston, MA, USA
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14
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Shoib S, Ali BE, Armiya'u AY, Swed S, Saleem SM, Jain N. Role of faith healers and spiritual leaders in suicide prevention. Int J Soc Psychiatry 2022; 69:805-807. [PMID: 36151777 DOI: 10.1177/00207640221111266] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Affiliation(s)
- Sheikh Shoib
- Department of Psychiatry, Jawahar Lal Nehru Memorial Hospital, Srinagar, India
| | | | - Aishatu Yusha'u Armiya'u
- Department of Psychiatry, Forensic Unit, Jos University Teaching Hospital, Plateau State, Nigeria
| | - Sarya Swed
- Faculty of Medicine, Aleppo University, Syria
| | | | - Nikhil Jain
- Independent Researcher, Madhya Pradesh, India
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15
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Camatta MW, Medeiros RG, Greve IH, Calixto AM, Nasi C, Souza LB, Dutra TDC, Silva LBOD. Spirituality and religiosity expressed by relatives of drug users: contributions to health care. Rev Bras Enferm 2022; 75Suppl 3:e20210724. [PMID: 36074456 DOI: 10.1590/0034-7167-2021-0724] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/07/2021] [Accepted: 01/17/2022] [Indexed: 12/11/2023] Open
Abstract
OBJECTIVE to analyze the expressions of spirituality and religiosity of relatives of people who abuse or are dependent on psychoactive substances. METHODS exploratory-descriptive research that dialogues with the spirituality and religiosity conceptual framework. It was performed at an outpatient clinic specialized in drug treatment in southern Brazil. Semi-structured interviews conducted with 11 relatives of patients undergoing treatment were analyzed by content analysis. RESULTS the findings were grouped into two categories: forms of expression of spirituality and religiosity practices; and their influence on relatives' lives. Spirituality and religiosity almost always serve as a protective factor against feelings of anguish, conflicts and loneliness. FINAL CONSIDERATIONS despite the important role of expressions of spirituality and religiosity for many relatives, not everyone seems to benefit from them. Health professionals should consider these expressions in the construction of comprehensive health care for relatives.
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Affiliation(s)
| | - Rafael Gil Medeiros
- Universidade Federal do Rio Grande do Sul. Porto Alegre, Rio Grande do Sul, Brazil
| | - Isadora Helena Greve
- Universidade Federal do Rio Grande do Sul. Porto Alegre, Rio Grande do Sul, Brazil
| | | | - Cíntia Nasi
- Universidade Federal do Rio Grande do Sul. Porto Alegre, Rio Grande do Sul, Brazil
| | - Luiza Bohnen Souza
- Universidade Federal do Rio Grande do Sul. Porto Alegre, Rio Grande do Sul, Brazil
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16
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Chung JH, Eun Y, Ock SM, Kim BK, Kim TH, Kim D, Park SJ, Im MK, Kim SH. Regional Brain Volume Changes in Catholic Nuns: A Cross-Sectional Study Using Deep Learning-Based Brain MRI Segmentation. Psychiatry Investig 2022; 19:754-762. [PMID: 36202111 PMCID: PMC9536884 DOI: 10.30773/pi.2022.0165] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/10/2022] [Accepted: 07/17/2022] [Indexed: 11/27/2022] Open
Abstract
OBJECTIVE Religious behaviors are considered as complex brain-based phenomena that may be associated with structural brain change. To identify the pattern of regional brain volume change in nuns, we investigated structural alterations in the brains of nuns using a fast processing automated segmentation method based on deep learning algorithms. METHODS We retrospectively reviewed the medical records of the catholic sisters between the ages of 31 and 80 who are members of the charity of St. Vincent de Paul of Korea. A total of 193 asymptomatic subjects (86 nuns and 107 control subjects) received comprehensive health screening and underwent brain MRI scans. We compared cortical and sub-cortical volume between groups across multiple locations using our in-house U-Net++ deep learning-based automatic segmentation tool. RESULTS Compared to the control group, the nun group displayed increased gray matter volume in the right lingual cortex, left isthmus-cingulate, posterior-cingulate, rostral-middle-frontal, superior-frontal, supramarginal, temporal-pole cortices, and bilateral pars-triangularis cortices after correction for multiple comparisons. On the other hand, the nun group showed reduced gray matter volume in the temporal and parietal regions relative to healthy controls. CONCLUSION Our study suggests that spiritual practice may affect brain structure, especially in several frontal regions involved in a higher level of insight function.
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Affiliation(s)
- Ju-Hye Chung
- Department of Family Medicine, Yeouido St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea
| | - Youngmi Eun
- Department of Family Medicine, Yeouido St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea
| | - Sun Myeong Ock
- Department of Family Medicine, Yeouido St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea
| | - Bo-Kyung Kim
- Department of Family Medicine, St. Vincent's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea
| | - Tae-Hong Kim
- Department of Palliative Medicine, St. Vincent's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea
| | | | - Se Jin Park
- Department of Family Medicine, Yeouido St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea
| | - Min-Kyun Im
- Department of Fundamental Theology, The Catholic University of Korea, Seoul, Republic of Korea
| | - Se-Hong Kim
- Department of Family Medicine, St. Vincent's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea
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17
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GİREYHAN AG. The Moderator Role of Spirituality on the Relationship between Fear of COVID-19 and Psychological Well-Being. SPIRITUAL PSYCHOLOGY AND COUNSELING 2022. [DOI: 10.37898/spc.2022.7.2.164] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022] Open
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18
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Buchter S. [Integrating spirituality into care]. SOINS; LA REVUE DE REFERENCE INFIRMIERE 2022; 67:24-28. [PMID: 35995496 DOI: 10.1016/j.soin.2022.05.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
Spiritual care or spirituality in care, spirituality of care or spiritual care. In recent years, it is impossible not to realize that this theme, which is expressed and understood in different ways, covers an increasingly vast field in the field of literature and challenges clinical settings as much as training.
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Affiliation(s)
- Serena Buchter
- Institut de recherche religions, spiritualités, cultures et sociétés, UC Louvain, Grand-Place 45, boîte L3.01.02, 1348 Louvain-la-Neuve, Belgique.
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19
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Kowalczyk O, Roszkowski K, Pawliszak W, Rypel A, Roszkowski S, Kowalska J, Tylkowski B, Bajek A. Religion and Spirituality in Oncology: An Exploratory Study of the Communication Experiences of Clinicians in Poland. JOURNAL OF RELIGION AND HEALTH 2022; 61:1366-1375. [PMID: 34331657 PMCID: PMC8967801 DOI: 10.1007/s10943-021-01343-1] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Accepted: 07/07/2021] [Indexed: 06/13/2023]
Abstract
Communication with patients regarding oncology-related aspects is a challenging experience and requires a high level of skill from the interlocutors. The aim of this study was to verify the influence of religion/spirituality in oncological settings from the health professionals' perspectives in Poland. It assessed the role of religion/spirituality in patient-clinician communication, death or stress self-management, empathy, and breaking bad news skills. Data collection was carried out through a standardized self-administered questionnaire with varying scales. The study cohort consisted of 60 medical practitioners specializing in oncological radiotherapy treatments. It was observed that strategies used for coping with patients' death, stress reduction, empathy, communication with patients and/or their relatives, or breaking bad news skills, may be gender-specific or may depend on the length of time employed, as well as experience in a cancer-related work environment. This study shows that spirituality and religiousness can support clinicians in managing challenging or negative emotions related to their work in cancer settings. Religiousness and spirituality can also serve as a potential therapeutic strategies for those exposed to patient suffering and death.
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Affiliation(s)
- Oliwia Kowalczyk
- Research and Education Unit for Communication in Healthcare, Department of Cardiac Surgery, Ludwik Rydygier Collegium Medicum in Bydgoszcz Nicolaus Copernicus University in Torun, M. Sklodowskiej Curie St. 9, 85-094, Bydgoszcz, Poland.
| | - Krzysztof Roszkowski
- Department of Oncology, Ludwik Rydygier Collegium Medicum in Bydgoszcz Nicolaus Copernicus University in Torun, Romanowskiej St. 2, 85-796, Bydgoszcz, Poland
| | - Wojciech Pawliszak
- Department of Cardiac Surgery, Ludwik Rydygier Collegium Medicum in Bydgoszcz Nicolaus Copernicus University in Torun, M. Sklodowskiej Curie St. 9, 85-094, Bydgoszcz, Poland
| | - Agnieszka Rypel
- Faculty of Linguistics, Kazimierz Wielki Univeristy in Bydgoszcz, Jagiellonska St. 11, 85-067, Bydgoszcz, Poland
| | - Szymon Roszkowski
- Department of Biochemistry and Biogerontology, Ludwik Rydygier Collegium Medicum in Bydgoszcz Nicolaus Copernicus University in Torun, Debowa St. 3, 85-626, Bydgoszcz, Poland
| | - Jolanta Kowalska
- Institute of Plant Protection, National Research Institute, Wegorka St. 20, 60-318, Poznan, Poland
| | - Bartosz Tylkowski
- Chemical Unit, Eurecat, Center Tecnològic de Catalunya, Marcellí Domingo s/n, 43007, Tarragona, Spain
| | - Anna Bajek
- Department of Tissue Engineering Chair of Urology and Andrology, Ludwik Rydygier Collegium Medicum in Bydgoszcz Nicolaus Copernicus University in Torun, Karlowicza St. 24, 85-092, Bydgoszcz, Poland
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20
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Spence ND, Warner ET, Farvid MS, VanderWeele TJ, Zhang Y, Hu FB, Shields AE. Religious or spiritual coping, religious service attendance, and type 2 diabetes: A prospective study of women in the United States. Ann Epidemiol 2022; 67:1-12. [PMID: 34562589 PMCID: PMC9070558 DOI: 10.1016/j.annepidem.2021.09.012] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/28/2020] [Revised: 08/02/2021] [Accepted: 09/16/2021] [Indexed: 11/27/2022]
Abstract
PURPOSE To investigate religion and spirituality (R/S) as psychosocial factors in type 2 diabetes risk. METHODS Using the Nurses' Health Study II, we conducted a 14-year prospective analysis of 46,713 women with self-reported use of religion or spiritual beliefs to cope with stressful situations, and 42,825 women with self-reported religious service attendance, with respect to type 2 diabetes. Cox regression was used to assess the associations. RESULTS Compared with not using religious or spiritual coping at all, the fully-adjusted hazard ratios (HR) were minimally different across all categories: a little bit (HR=1.01; 95% CI:0.85, 1.19), a medium amount (HR=0.96; 95% CI:0.80, 1.14), a lot (HR=0.93; 95% CI: 0.77, 1.11) (Ptrend=0.24). Similarly, compared with participants who never or almost never attend religious meetings or services, there were minimal differences with participants attending less than once/month (HR=1.06; 95% CI:0.92, 1.22), 1-3 times/month (HR=1.00; 95% CI:0.85, 1.17), once/week (HR=0.98; 95% CI:0.85, 1.14), more than once/week (HR=1.20; 95% CI:1.01, 1.43) (Ptrend=0.29). Perceived stress did not modify these associations. Our hypothesis of mediated effects through lifestyle factors and social integration was not supported. CONCLUSIONS R/S was not significantly associated with type 2 diabetes, but its role in other chronic conditions may be important.
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Affiliation(s)
- Nicholas D Spence
- Department of Sociology, University of Toronto, Toronto, Ontario, Canada; Department of Health and Society, University of Toronto, Toronto, Ontario, Canada; Harvard/MGH Center on Genomics, Vulnerable Populations and Health Disparities, Massachusetts General Hospital, Boston, MA; National Consortium on Psychosocial Stress, Spirituality and Health, Massachusetts General Hospital, Boston, MA.
| | - Erica T Warner
- Harvard/MGH Center on Genomics, Vulnerable Populations and Health Disparities, Massachusetts General Hospital, Boston, MA; National Consortium on Psychosocial Stress, Spirituality and Health, Massachusetts General Hospital, Boston, MA; Harvard/MGH Center on Genomics, Vulnerable Populations and Health Disparities, Massachusetts General Hospital and Harvard Medical School, Boston, MA
| | - Maryam S Farvid
- Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA
| | - Tyler J VanderWeele
- Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA; Department of Biostatistics, Harvard T.H. Chan School of Public Health, Boston, MA
| | - Ying Zhang
- Division of Sleep Medicine, Sleep Medicine Epidemiology, Harvard Medical School & Brigham and Women's Hospital, Boston, MA
| | - Frank B Hu
- Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA; Department of Nutrition, Harvard T.H. Chan School of Public Health, Boston, MA; Channing Division of Network Medicine, Department of Medicine, Brigham and Women's Hospital, Boston, MA
| | - Alexandra E Shields
- Harvard/MGH Center on Genomics, Vulnerable Populations and Health Disparities, Massachusetts General Hospital, Boston, MA; National Consortium on Psychosocial Stress, Spirituality and Health, Massachusetts General Hospital, Boston, MA; Harvard/MGH Center on Genomics, Vulnerable Populations and Health Disparities, Massachusetts General Hospital and Harvard Medical School, Boston, MA
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21
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Margetić B, Peraica T, Stojanović K, Ivanec D. Spirituality, Personality, and Emotional Distress During COVID-19 Pandemic in Croatia. JOURNAL OF RELIGION AND HEALTH 2022; 61:644-656. [PMID: 34993678 PMCID: PMC8736315 DOI: 10.1007/s10943-021-01473-6] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 11/28/2021] [Indexed: 05/22/2023]
Abstract
This study examined the association between spiritual quality of life (QoL), spiritual coping, emotional distress, and personality during the COVID-19 pandemic lockdown in a convenience sample of Croatian adults (n = 2,860, 80.6% women). Participants completed an online questionnaire that collected information on sociodemographic characteristics, distress (the Depression, Anxiety, and Stress Scale 21), spiritual coping and spiritual QoL (the WHO Quality of Life-Spirituality, Religiousness, and Personal Beliefs), and personality (the International Personality Item Pool). The hierarchical regression analysis demonstrated that personality traits, especially emotional stability, were the most significant predictors of mental health outcomes. Spiritual coping styles were a predictor of worse, while spiritual QoL of better psychological outcomes. Results demonstrate the complex relations between different aspects of spirituality/religiosity with personality and emotional outcomes and suggest that distress motivates the engagement of spiritual coping in times of disaster.
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Affiliation(s)
- Branimir Margetić
- Department of Psychiatry, Clinical Hospital Dubrava, Avenija Gojka Šuška 6, 10000 Zagreb, Croatia
| | - Tina Peraica
- Department of Psychiatry, Clinical Hospital Dubrava, Avenija Gojka Šuška 6, 10000 Zagreb, Croatia
| | - Kristina Stojanović
- Department of Psychiatry, Clinical Hospital Dubrava, Avenija Gojka Šuška 6, 10000 Zagreb, Croatia
| | - Dragutin Ivanec
- Department of Psychology, Faculty of Humanities and Social Sciences, Zagreb, Croatia
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22
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Braun A, Evdokimov D, Frank J, Pauli P, Wabel T, Üçeyler N, Sommer C. Relevance of Religiosity for Coping Strategies and Disability in Patients with Fibromyalgia Syndrome. JOURNAL OF RELIGION AND HEALTH 2022; 61:524-539. [PMID: 33484390 PMCID: PMC8837569 DOI: 10.1007/s10943-020-01177-3] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 12/31/2020] [Indexed: 05/17/2023]
Abstract
Coping strategies are essential for the outcome of chronic pain. This study evaluated religiosity in a cohort of patients with fibromyalgia syndrome (FMS), its effect on pain and other symptoms, on coping and FMS-related disability. A total of 102 FMS patients were recruited who filled in questionnaires, a subgroup of 42 patients participated in a face-to-face interview, and data were evaluated by correlation and regression analyses. Few patients were traditionally religious, but the majority believed in a higher existence and described their spirituality as "transcendence conviction". The coping strategy "praying-hoping" and the ASP dimension "religious orientation" (r = 0.5, P < 0.05) showed a significant relationship independent of the grade of religiosity (P < 0.05). A high grade of belief in a higher existence was negatively associated with the choice of ignoring as coping strategy (r = - 0.4, P < 0.05). Mood and affect-related variables had the highest impact on disability (b = 0.5, P < 0.05). In this cohort, the grade of religiosity played a role in the choice of coping strategies, but had no effects on health and mood outcome.
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Affiliation(s)
- Alexandra Braun
- Department of Neurology, University of Würzburg, Josef-Schneider-Straße 11, 97080, Würzburg, Germany.
| | - Dimitar Evdokimov
- Department of Neurology, University of Würzburg, Josef-Schneider-Straße 11, 97080, Würzburg, Germany
| | - Johanna Frank
- Department of Neurology, University of Würzburg, Josef-Schneider-Straße 11, 97080, Würzburg, Germany
| | - Paul Pauli
- Department of Psychology (Biological Psychology, Clinical Psychology and Psychotherapy), Center of Mental Health, University of Würzburg, Marcusstraße 9-11, 97070, Würzburg, Germany
| | - Thomas Wabel
- Department of Systematic Theology, University of Bamberg, Markusplatz 3, 96047, Bamberg, Germany
| | - Nurcan Üçeyler
- Department of Neurology, University of Würzburg, Josef-Schneider-Straße 11, 97080, Würzburg, Germany
| | - Claudia Sommer
- Department of Neurology, University of Würzburg, Josef-Schneider-Straße 11, 97080, Würzburg, Germany
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23
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Camatta MW, Medeiros RG, Greve IH, Calixto AM, Nasi C, Souza LB, Dutra TDC, Silva LBOD. Espiritualidade e religiosidade expressas por familiares de usuários de drogas: contribuições ao cuidado em saúde. Rev Bras Enferm 2022. [DOI: 10.1590/0034-7167-2021-0724pt] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
RESUMO Objetivo: analisar as expressões da espiritualidade e da religiosidade de familiares de pessoas com uso abusivo ou dependente de substâncias psicoativas. Métodos: pesquisa exploratório-descritiva dialogando com o marco conceitual da espiritualidade e da religiosidade, realizada em ambulatório especializado no tratamento de drogas no sul do Brasil. Foram realizadas entrevistas semiestruturadas com 11 familiares de pacientes em tratamento, sendo analisadas pela análise de conteúdo. Resultados: foram agrupados em duas categorias: formas de expressão de práticas de espiritualidade e religiosidade e influência delas na vida dos familiares. A espiritualidade e religiosidade quase sempre servem como fator de proteção diante de sentimentos de angústia, conflitos e solidão. Considerações Finais: as expressões da espiritualidade e religiosidade têm papel importante para muitos familiares, no entanto nem todos parecem se beneficiar delas. Os profissionais de saúde devem considerar essas expressões na construção do cuidado integral em saúde dos familiares.
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Affiliation(s)
| | | | | | | | - Cíntia Nasi
- Universidade Federal do Rio Grande do Sul, Brazil
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de Brito Sena MA, Damiano RF, Lucchetti G, Peres MFP. Defining Spirituality in Healthcare: A Systematic Review and Conceptual Framework. Front Psychol 2021; 12:756080. [PMID: 34867654 PMCID: PMC8637184 DOI: 10.3389/fpsyg.2021.756080] [Citation(s) in RCA: 27] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2021] [Accepted: 10/25/2021] [Indexed: 11/13/2022] Open
Abstract
Objective: To investigate the definitions of spirituality in the healthcare field, identifying its main dimensions and proposing a framework that operationalizes the understanding of this concept. Methods: This is a systematic review following the PRISMA guideline (PROSPERO: CRD42021262091), searching for spirituality definitions published in scientific journals. Searches were carried out in PubMed (all articles listed up to October 2020) and in the reference lists of the articles found in the database, followed by selection under specific eligibility criteria. Results: From a total of 493 articles, 166 were included in the final analysis, showing that there is a large body of scientific literature proposing and analyzing spirituality definitions. In these articles, 24 spirituality dimensions were found, most commonly related to the connectedness and meaning of life. Spirituality was presented as a human and individual aspect. These findings led us to construct a framework that represents spirituality as a quantifiable construct. Conclusions: Understanding spirituality is an important aspect for healthcare research and clinical practice. This proposed framework may help to better understand the complexity of this topic, where advances are desirable, given the relevance it has acquired for integral health care.
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Affiliation(s)
- Marina Aline de Brito Sena
- Instituto de Psiquiatria, Hospital das Clínicas HCFMUSP, Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brazil
| | - Rodolfo Furlan Damiano
- Instituto de Psiquiatria, Hospital das Clínicas HCFMUSP, Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brazil
| | - Giancarlo Lucchetti
- School of Medicine, Federal University of Juiz de Fora, Juiz de Fora, Brazil
| | - Mario Fernando Prieto Peres
- Instituto de Psiquiatria, Hospital das Clínicas HCFMUSP, Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brazil
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Park Y, Suh SY, Kim SH, Park J, Yoon SJ, Kim YJ, Kang B, Kwon JH, Park K, Hui D, Kim HJ, Lee S, Ahn HY. Development of a One-item Screening Question to Assess Spiritual Well-Being for Advanced Cancer Inpatients in Korea. J Pain Symptom Manage 2021; 62:910-917. [PMID: 34000335 DOI: 10.1016/j.jpainsymman.2021.05.005] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/27/2020] [Revised: 04/30/2021] [Accepted: 05/07/2021] [Indexed: 11/23/2022]
Abstract
CONTEXT Spiritual well-being (SWB) is significant for patients with life-limiting illnesses. Thus, shortened versions of questions would be helpful in approaching SWB. OBJECTIVES Our goal was to develop a one-item screening question to assess the SWB of advanced cancer inpatients. METHODS This was a cross-sectional, multicenter study involving adult advanced cancer inpatients from seven palliative care units in South Korea. The candidate one-item questions were three questions scored using numeric rating scales from 0 to 10: feeling at peace (Are you at peace?), self-rated spirituality (Do you think of yourself as a spiritual person?), and self-rated religiosity (Do you think of yourself as a religious person?). The Functional Assessment of Chronic Illness Therapy-Spirituality 12 (FACIT-Sp-12) comprised of two subscales Meaning/Peace and Faith was used to assess SWB. Pearson's correlation test was conducted to determine the relationship between the three questions, the total FACIT-Sp-12 score, and its subscales. RESULTS A total of 202 patients were enrolled. A strong correlation was observed between self-rated spirituality (r = 0.732 and 0.790; P < 0.001 and < 0.001 respectively) and religiosity (r = 0.708 and 0.758; P < 0.001 and < 0.001 respectively) with the total FACIT-Sp-12 scores and faith subscale scores. Feeling at peace showed a moderate correlation with the total of FACIT-Sp-12 scores (r = 0.505, P < 0.01). All three questions had a moderate correlation with the meaning/peace subscale. CONCLUSION Self-rated spirituality and religiosity showed better convergence validity than feeling at peace. Therefore, we recommend self-rated spirituality or religiosity as a one-item question for screening SWB in inpatients with advanced cancer.
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Affiliation(s)
- Youngmin Park
- Department of Family Medicine, National Health Insurance Service Ilsan Hospital, Goyang, South Korea
| | - Sang-Yeon Suh
- Hospice & Palliative Care Center, Department of Family Medicine, Dongguk University Ilsan Hospital, Goyang, South Korea; Department of Medicine, School of Medicine, Dongguk University, Seoul, South Korea.
| | - Sun-Hyun Kim
- Department of Family Medicine, School of Medicine, Catholic Kwandong University International St. Mary's Hospital, Incheon, South Korea
| | - Jeanno Park
- Hospice & Palliative Care Center, Bobath Memorial Hospital, Seongnam, South Korea
| | - Seok Joon Yoon
- Department of Family Medicine, Research Institute for Medical Sciences, Chungnam National University School of Medicine, Daejeon, South Korea
| | - Yu Jung Kim
- Department of Internal Medicine, Division of Hematology and Medical Oncology, Seoul National University Bundang Hospital, Seongnam, South Korea
| | - Beodeul Kang
- Department of Internal Medicine, Division of Medical Oncology, CHA Bundang Medical Center, CHA University, Seongnam, South Korea
| | - Jung Hye Kwon
- Department of Internal Medicine, Chungnam National University College of Medicine, Daejeon, South Korea
| | - Kwonoh Park
- Department of Internal Medicine, Pusan National University Yangsan Hospital, Pusan, South Korea
| | - David Hui
- Department of Palliative Care, Rehabilitation and Integrative Medicine, University of Texas MD Anderson Cancer Center, Houston, Texas, USA
| | - Hyeon Jeong Kim
- Department of Statistics, Dongguk University, Seoul, South Korea
| | - Sanghee Lee
- Department of Cancer Control and Population Health, National Cancer Center, Graduate School of Cancer Science and Policy, Goyang, South Korea
| | - Hong-Yup Ahn
- Department of Statistics, Dongguk University, Seoul, South Korea
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Nobre F, Esporcatte R, Brandão AA, Avezum Á, Feitosa ADM, Amodeo C, Barbosa ECD, Moriguchi EH, Lucchese FA, Griz HB, Nicolau JC, Magalhães LBNC, Mota-Gomes MA, Borba MHED, Pontes MRN, Jardim PCBV, Spineti PPDM, Mourilhe-Rocha R, Miranda RD, Couceiro SLM, Barroso WKS. Position Statement on Hypertension and Spirituality - 2021. Arq Bras Cardiol 2021; 117:599-613. [PMID: 34550245 PMCID: PMC8462965 DOI: 10.36660/abc.20210723] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
Affiliation(s)
- Fernando Nobre
- Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto da Universidade de São Paulo, Ribeirão Preto, SP - Brasil.,Hospital São Francisco, Ribeirão Preto, SP - Brasil
| | - Roberto Esporcatte
- Universidade do Estado do Rio de Janeiro (UERJ), Rio de Janeiro, RJ - Brasil.,Hospital Pró-Cradíaco, Rio de Janeiro, RJ - Brasil
| | | | - Álvaro Avezum
- Hospital Alemão Oswaldo Cruz, São Paulo, SP - Brasil
| | - Audes Diógenes Magalhães Feitosa
- Universidade Federal de Pernambuco, Recife, PE - Brasil.,Pronto Socorro Cardiológico de Pernambuco (PROCAPE), Recife, PE - Brasil
| | - Celso Amodeo
- Universidade Federal de São Paulo (UNIFESP), São Paulo, SP - Brasil
| | | | | | | | | | - José Carlos Nicolau
- Instituto do Coração (InCor), Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (HCFMUSP), São Paulo, SP - Brasil
| | | | | | | | | | | | | | | | | | | | - Weimar Kunz Sebba Barroso
- Liga de Hipertensão Arterial, Goiânia, GO - Brasil.,Universidade Federal de Goiás, Goiânia, GO - Brasil
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27
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Cunha VF, Scorsolini‐Comin F. Brazilian psychotherapists and the dimension of religiosity/spirituality. COUNSELLING & PSYCHOTHERAPY RESEARCH 2021. [DOI: 10.1002/capr.12357] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Affiliation(s)
| | - Fabio Scorsolini‐Comin
- Department of Psychiatric Nursing and Human Sciences University of São Paulo at Ribeirão Preto College of Nursing Ribeirão Preto Brazil
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28
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Amaral CMM, Carvalho RC, Vieira MEB, Aguiar PM. Factors Associated With Use of Medications for Anxiety and Depression in Pharmacy Students in Brazil. AMERICAN JOURNAL OF PHARMACEUTICAL EDUCATION 2021; 85:8285. [PMID: 34315701 PMCID: PMC8341240 DOI: 10.5688/ajpe8285] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/08/2020] [Accepted: 02/23/2021] [Indexed: 06/13/2023]
Abstract
Objective. To map undergraduate pharmacy students' use of medications for anxiety and depression and associated factors at one university in Brazil.Methods. A cross-sectional study was conducted from May to July 2019 among undergraduate pharmacy students at one university. Data regarding sociodemographic issues and the use of psychotropics were collected using an online questionnaire. Exploratory descriptive analysis of data, the chi-square test, and multivariate binary logistic regression were performed to identify factors associated with the use of medications for anxiety and depression.Results. Of 900 students enrolled, usable survey responses were received from 198. Most respondents were female with a mean age of 22.3 years. Among these, 17.7% of pharmacy students used medications to treat anxiety and 13.1% used medications for depression. The most common psychotropics were escitalopram and fluoxetine. There were two peak usage times: the initial and final year of pharmacy school. Dissatisfaction with the pharmacy program and psychological care were significantly associated with the use of medications for anxiety. In contrast, monthly income from three to 15 times the minimum wage, religiosity/spirituality, and psychological care were associated with students' use of medications for depression.Conclusion. There was a high prevalence of medication use to treat anxiety and depression among undergraduate pharmacy students, and this use was associated with psychological care, monthly income, and religiosity/spirituality.
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Affiliation(s)
| | - Renata Cunha Carvalho
- University Hospital of University of São Paulo, Psychiatric Outpatient Clinic, São Paulo, Brazil
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29
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Religious Affiliation in Relation to Positive Mental Health and Mental Disorders in a Multi-Ethnic Asian Population. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18073368. [PMID: 33805121 PMCID: PMC8038033 DOI: 10.3390/ijerph18073368] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 03/01/2021] [Revised: 03/16/2021] [Accepted: 03/19/2021] [Indexed: 11/30/2022]
Abstract
Background: This study investigated association of religious affiliation with positive mental health (PMH) and mental disorders. Methods: A cross-sectional survey of 2270 adults was conducted in Singapore. Participants reported their religious affiliation to Buddhism, Christianity, Hinduism, Islam, Sikhism, Taoism, or other religions. A PMH instrument measured total PMH and six subcomponents: general coping (GC), emotional support (ES), spirituality (S), interpersonal skills (IS), personal growth and autonomy (PGA), and global affect (GA). Lifetime history of mental disorders was assessed with the Composite International Diagnostic Interview. Results: Total PMH (mean ± SD) was 4.56 ± 0.66 for participants with any religion versus 4.12 ± 0.63 (p = 0.002) in those without any religion. After adjustment for all potential confounders, the mean difference in total PMH between these groups was 0.348 (95% CI: 0.248–0.448). Having any religion was significantly associated with higher scores for S, GC, ES, IS, but not with PGA, GA or mental disorders. Compared with individuals without any religion, total PMH and S levels were significantly higher across all religions. Additionally, Christianity was significantly associated with higher ES, Taoism with higher GC, Buddhism and Islam with higher GC, ES and IS, Hinduism with higher IS and Sikhism with higher ES and IS. Conclusion: Our results indicate that religious affiliation is significantly associated with higher PMH, but not with mental disorders in an Asian community setting. In addition, different religions showed unique patterns of association with PMH subcomponents.
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30
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McQuillan J, Greil AL, Rybińska A, Tiemeyer S, Shreffler KM, Colaner CW. Is a dyadic stressor experienced as equally distressing by both partners? The case of perceived fertility problems. JOURNAL OF SOCIAL AND PERSONAL RELATIONSHIPS 2021; 38:342-362. [PMID: 38486941 PMCID: PMC10939084 DOI: 10.1177/0265407520953903] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 03/17/2024]
Abstract
Using data from a population survey, this article explores whether perceptions of having a fertility problem among 926 U.S. couples in heterosexual relationships (women aged 25-45 and male partners) are associated with distress. Most couples did not perceive a fertility problem (58%). In almost a third (30%) of the couples, only women perceived a fertility problem; in 4%, only the men; and in nearly a fifth (19%), both perceived a problem. Adjusted for characteristics associated with fertility problems and depressive symptoms, those who perceived a problem exhibited significantly more depressive symptoms than those who did not. Fertility problems are sometimes experienced as individual because in some couples only one partner perceives a problem or has higher distress in response to their own rather than to their partners' perceived problems. For women, fertility problems are experienced as a couple phenomenon because women were more distressed when both partners perceive a problem. The perception of fertility problems is gendered in that women were more likely to perceive a problem than men. Furthermore, men are most distressed when they perceive a problem and their partner does not.
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Affiliation(s)
| | | | - Anna Rybińska
- Duke University Sanford School of Public Policy, USA
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31
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McDonnell-Naughton M, Gaffney L, Fagan A. Spirituality and Caring for the Older Person: A Discussion Paper. JOURNAL OF RELIGION AND HEALTH 2020; 59:2775-2793. [PMID: 32458187 DOI: 10.1007/s10943-020-01027-2] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
Holistic healthcare to the older person is important. Spirituality is considered to be the very essence of being and for some is what motivates and guides us to live a meaningful existence. Nurses caring for the older person need support in responding to their spiritual needs in order to ensure that they are appropriately and successfully met. The aim of this paper is to explore these needs and highlight some evidence indicating how this care can be implemented and therefore ultimately influence nursing practice.
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Affiliation(s)
- Mary McDonnell-Naughton
- Department of Nursing and Healthcare, Athlone Institute of Technology, Dublin Road, Athlone, Ireland.
| | - Lorraine Gaffney
- Department of Nursing and Healthcare, Athlone Institute of Technology, Dublin Road, Athlone, Ireland
| | - Alison Fagan
- Department of Nursing and Healthcare, Athlone Institute of Technology, Dublin Road, Athlone, Ireland
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32
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Kowalczyk O, Roszkowski K, Montane X, Pawliszak W, Tylkowski B, Bajek A. Religion and Faith Perception in a Pandemic of COVID-19. JOURNAL OF RELIGION AND HEALTH 2020; 59:2671-2677. [PMID: 33044598 PMCID: PMC7549332 DOI: 10.1007/s10943-020-01088-3] [Citation(s) in RCA: 68] [Impact Index Per Article: 17.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 09/10/2020] [Indexed: 05/05/2023]
Abstract
The COVID-19 pandemic has impacted religion and faith in different ways. Numerous restrictions have been implemented worldwide. Believers are in conflict with authorities' warnings that gatherings must be limited to combat the spread of the virus. Religion has always played a role of the balm for the soul, and the regular religious participation is associated with better emotional health outcomes. In our study, we examined whether the exposure to COVID-19 enhances the faith. The instrument used was a survey verifying the power of spirituality in the face of the coronavirus pandemic.
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Affiliation(s)
- Oliwia Kowalczyk
- Research and Education Unit for Communication in Healthcare, Department of Cardiac Surgery, Ludwik Rydygier Collegium Medicum in Bydgoszcz Nicolaus Copernicus University in Torun, M. Curie Sklodowskiej St. 9, 85-094, Bydgoszcz, Poland
| | - Krzysztof Roszkowski
- Department of Oncology, Ludwik Rydygier Collegium Medicum in Bydgoszcz Nicolaus Copernicus University in Torun, Romanowskiej St. 2, 85-796, Bydgoszcz, Poland
| | - Xavier Montane
- Departament de Enginyeria Química, Universitat Rovira i Virgili, Av. Països Catalans 26, Campus Sescelades, 43007, Tarragona, Spain
| | - Wojciech Pawliszak
- Department of Cardiac Surgery, Ludwik Rydygier Collegium Medicum in Bydgoszcz Nicolaus Copernicus University in Torun, M. Curie Sklodowskiej St. 9, 85-094, Bydgoszcz, Poland
| | - Bartosz Tylkowski
- Chemical Technologies Unit, Eurecat, Centre Tecnològic de Catalunya, Marcellí Domingo s/n, 43007, Tarragona, Spain
| | - Anna Bajek
- Department of Tissue Engineering Chair of Urology and Andrology, Ludwik Rydygier Collegium Medicum in Bydgoszcz Nicolaus Copernicus University in Torun, Karlowicza St. 24, 85-092, Bydgoszcz, Poland.
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33
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Cunha VFD, Pillon SC, Zafar S, Wagstaff C, Scorsolini-Comin F. Brazilian nurses' concept of religion, religiosity, and spirituality: A qualitative descriptive study. Nurs Health Sci 2020; 22:1161-1168. [PMID: 33094887 DOI: 10.1111/nhs.12788] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/28/2020] [Revised: 10/16/2020] [Accepted: 10/19/2020] [Indexed: 11/26/2022]
Abstract
Evidence points toward the impact of nurses' personal views and knowledge about religion, religiosity, and spirituality on health care. This qualitative research investigates nurses' concepts of religion, religiosity, and spirituality and how they use these concepts in practice. Thirty-four nurses were interviewed at a hospital in the state of São Paulo, Brazil. Content analysis was used to organize and code the results. Three main themes generated from the interviews were (i) religiosity/spirituality as an important dimension in life; (ii) notions of religiosity and spirituality; (iii) formal knowledge of the concept of religion, religiosity, and spirituality. The results indicate that religion, religiosity and spirituality should be incorporated into nurse training to improve the comprehension and competence of nurses in these areas of practice. It is recommended that to ensure holistic and person-centered care, there must be constant reflection on these concepts.
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Affiliation(s)
- Vivian F da Cunha
- Psychiatric Nursing and Human Science Department, University of São Paulo at Ribeirão Preto College of Nursing (EERP-USP), PAHO/WHO Collaborating Centre for Nursing Research Development, Ribeirão Preto, Brazil
| | - Sandra C Pillon
- Psychiatric Nursing and Human Science Department, University of São Paulo at Ribeirão Preto College of Nursing (EERP-USP), PAHO/WHO Collaborating Centre for Nursing Research Development, Ribeirão Preto, Brazil
| | - Shazia Zafar
- School of Nursing, Institute of Clinical Sciences, College of Medical and Dental Sciences, University of Birmingham, Birmingham, England
| | - Christopher Wagstaff
- School of Nursing, Institute of Clinical Sciences, College of Medical and Dental Sciences, University of Birmingham, Birmingham, England
| | - Fabio Scorsolini-Comin
- Psychiatric Nursing and Human Science Department, University of São Paulo at Ribeirão Preto College of Nursing (EERP-USP), PAHO/WHO Collaborating Centre for Nursing Research Development, Ribeirão Preto, Brazil
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34
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Kobayashi D, First MB, Shimbo T, Kanba S, Hirano Y. Association of self-reported religiosity with the development of major depression in multireligious country Japan. Psychiatry Clin Neurosci 2020; 74:535-541. [PMID: 32618044 PMCID: PMC7586836 DOI: 10.1111/pcn.13087] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/20/2020] [Revised: 06/01/2020] [Accepted: 06/11/2020] [Indexed: 01/12/2023]
Abstract
AIM In Western Christian countries, religiosity is generally believed to be associated with a lower risk for depression, which is supported by epidemiological evidence. However, the association between religiosity and depression in multireligious countries is unknown. The objective was to evaluate the association between religiosity and subsequent depression in a multireligious population. METHODS A longitudinal study was conducted in a large hospital in Tokyo, Japan, from 2005 to 2018. All participants who underwent health check-ups without a prior history of depression or depression at baseline were included. Our outcome was development of major depressive disorder (MDD), which was compared according to the degree of religiosity, adjusting for potential confounders. RESULTS Among 67 723 adult participants, those who were more religious tended to be older, female, married, and to have healthier habits but also more medical comorbidities at baseline. During a median follow-up of 2528 days, 1911 (2.8%) participants developed MDD. Compared to the reference group, religious group participants tended to have higher odds ratios (OR) for developing MDD in a dose-dependent manner. Among them, the extremely religious group (OR, 1.51; 95% confidence interval [CI], 1.28-1.78) and the moderately religious group (OR, 1.30; 95% CI, 1.14-1.49) were statistically associated with increased development of MDD compared to the not-religious-at-all group. Those who had increased their religiosity from baseline had statistically lower development of MDD (OR, 0.85; 95% CI, 0.75-0.97) compared to those who remained in the same degree of religiosity from baseline. CONCLUSION Religiosity was associated with future MDD in a dose-dependent manner in a multireligious population, which was in the opposite direction from that seen in previous Western longitudinal studies.
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Affiliation(s)
- Daiki Kobayashi
- Division of General Internal Medicine, Department of Medicine, St. Luke's International Hospital, Tokyo, Japan.,Department of Epidemiology, St. Luke's International University Graduate School of Public Health, Tokyo, Japan.,Fujita Heath University, Toyoake, Japan
| | - Michael B First
- Department of Psychiatry, Columbia University, New York, USA
| | | | - Shigenobu Kanba
- Department of Neuropsychiatry, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan
| | - Yoji Hirano
- Department of Neuropsychiatry, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.,Department of Psychiatry, Harvard Medical School, Boston, USA
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35
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Lowry MH, Greil A, McQuillan J, Burch A, Shreffler K. Medically Defined Infertility Versus Self-Perceived Fertility Problem: Implications of Survey Wording for Assessing Associations with Depressive Symptoms. WOMEN'S HEALTH REPORTS (NEW ROCHELLE, N.Y.) 2020; 1:232-240. [PMID: 33786485 PMCID: PMC7784821 DOI: 10.1089/whr.2020.0032] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Accepted: 05/07/2020] [Indexed: 11/13/2022]
Abstract
Objective: To examine how measures of infertility based on medical criteria and based on self-perception relate to depressive symptoms among women with infertility. Background: Survey-based studies of depressive symptoms have used either measures of self-reported infertility based on meeting medical criteria or measures of self-perceived fertility problems, but seldom both. It is, therefore, not known which type of measure is more closely associated with depressive symptoms. Materials and Methods: Using ordinary least-squares multiple regression, this study compares associations between a measure of meeting medical criteria for infertility and a measure of self-perceived fertility problems with a common measure of depressive symptoms. Data come from the National Survey of Fertility Barriers, a population-based survey of 4,711 U.S. women. Results: Both meeting medical criteria for infertility and self-perception were associated with depressive symptoms after controlling for a number of relevant variables, but the coefficient for the self-perception measure was slightly higher than the coefficient for medical criteria. Conclusion: If possible, both medical criteria and self-perception measures should be used in studies of the consequences of infertility for psychosocial outcomes. If only one measure can be used, self-perception of a fertility problem is an acceptable measure.
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Affiliation(s)
- Michele H. Lowry
- Division of Social Sciences, Alfred University, Alfred, New York, USA
| | - A.L. Greil
- Division of Social Sciences, Alfred University, Alfred, New York, USA
| | - J. McQuillan
- Department of Sociology, University of Nebraska-Lincoln, Lincoln, Nebraska, USA
| | - A. Burch
- Division of Counseling and School Psychology, Alfred University, Alfred, New York, USA
| | - K.M. Shreffler
- Human Development and Family Science, Oklahoma State University, Tulsa, Oklahoma, USA
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Kopel J, Gorga C, Thomas P, Strickland RK, Wunsch DC. Neurotheology in interfaith dialogue. Proc (Bayl Univ Med Cent) 2020; 33:295-297. [DOI: 10.1080/08998280.2019.1698881] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/15/2019] [Revised: 11/15/2019] [Accepted: 11/21/2019] [Indexed: 10/25/2022] Open
Affiliation(s)
- Jonathan Kopel
- School of Medicine, Texas Tech University Health Sciences Center, Lubbock, Texas
| | | | | | | | - Donald C. Wunsch
- Department of Electrical and Computer Engineering, Missouri University of Science and Technology, Rollo, Missouri
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37
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Spence ND, Farvid MS, Warner ET, VanderWeele TJ, Tworoger SS, Argentieri MA, Shields AE. Religious Service Attendance, Religious Coping, and Risk of Hypertension in Women Participating in the Nurses' Health Study II. Am J Epidemiol 2020; 189:193-203. [PMID: 31595952 PMCID: PMC7217278 DOI: 10.1093/aje/kwz222] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2019] [Revised: 09/19/2019] [Accepted: 09/20/2019] [Indexed: 12/30/2022] Open
Abstract
The association between religious service attendance, religious coping, and hypertension is unclear. Prospective research and assessment of potential mediators is needed to understand this relationship. From 2001-2013, we prospectively followed 44,281 nonhypertensive women who provided information on religious service attendance and religious coping in the Nurses' Health Study II. Cox regression and mediation analyses were conducted to assess associations between religion and hypertension. There were 453,706 person-years of follow-up and 11,773 incident hypertension cases. Women who attended religious services were less likely to develop hypertension. In the fully adjusting model, compared with women who never or almost never attend religious meetings or services, women attending less than once per month (hazard ratio (HR) = 0.97, 95% confidence interval (CI): 0.91, 1.03), 1-3 times per month (HR = 0.94, 95% CI: 0.88, 1.00), once per week (HR = 0.93, 95% CI: 0.88, 0.98), or more than once per week (HR = 0.91, 95% CI: 0.86, 0.97) showed a decreased risk of hypertension (P for trend = 0.001). Body mass index was an important mediator (11.5%; P < 0.001). Religious coping had a marginal association with hypertension. In conclusion, religious service attendance was modestly associated with hypertension in an inverse dose-response manner and partially mediated through body mass index. Future research is needed on biological or social reasons for the lower risk of hypertension.
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Affiliation(s)
- Nicholas D Spence
- Department of Sociology, University of Toronto, Toronto, Ontario
- Interdisciplinary Center for Health and Society, University of Toronto, Toronto, Ontario
- Harvard/MGH Center on Genomics, Vulnerable Populations, and Health Disparities, Massachusetts General Hospital, Boston, Massachusetts
| | - Maryam S Farvid
- Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, Massachusetts
| | - Erica T Warner
- Harvard/MGH Center on Genomics, Vulnerable Populations, and Health Disparities, Massachusetts General Hospital, Boston, Massachusetts
- Harvard Medical School, Boston, Massachusetts
| | - Tyler J VanderWeele
- Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, Massachusetts
- Department of Biostatistics, Harvard T.H. Chan School of Public Health, Boston, Massachusetts
| | - Shelley S Tworoger
- Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, Massachusetts
- Department of Cancer Epidemiology, Moffitt Cancer Center and Research Institute, Tampa, Florida
| | - M Austin Argentieri
- Harvard/MGH Center on Genomics, Vulnerable Populations, and Health Disparities, Massachusetts General Hospital, Boston, Massachusetts
- School of Anthropology and Museum Ethnography, University of Oxford, Oxford, United Kingdom
| | - Alexandra E Shields
- Harvard/MGH Center on Genomics, Vulnerable Populations, and Health Disparities, Massachusetts General Hospital, Boston, Massachusetts
- Harvard Medical School, Boston, Massachusetts
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38
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Exploring Religiosity and Spirituality in Coping With Sport Injuries. JOURNAL OF CLINICAL SPORT PSYCHOLOGY 2020. [DOI: 10.1123/jcsp.2018-0009] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
The purpose of this study was to explore religiosity/spirituality (R/S) in coping with sport injuries, based on predictions of the integrated model of psychological response to the sport injury and rehabilitation process. A concurrent mixed methods design framed an online survey incorporating quantitative measures of R/S identification and commitment, health locus of control for sport injury, and ways of coping with sport injury, as well as qualitative open-ended questions about mechanisms through which R/S affected and was affected by coping with sport injuries. Participants included 49 physically active adults who experienced sport injuries, with 37 identifying as R/S. Quantitative findings among R/S participants showed religious commitment was a predictor of God health locus of control and positive religious coping. Quantitative results relative to differences between R/S and no-R/S participants showed that those self-identified as R/S relied on a God health locus of control and utilized active coping more so than did those self-identified as no-R/S, whereas no-R/S participants relied more than did R/S participants on an internal health locus of control. Thematic analyses exploring qualitative data revealed three main themes characterizing mechanisms through which R/S affected and was affected by coping with sport injuries: positive, negative, and no R/S coping strategies and effects. Findings support the predictions of the integrated model of psychological response to the sport injury and rehabilitation process and provide evidence-bases for clinical and counseling interventions that reflect cultural competence in accommodating patient or client R/S during recovery from sport injury.
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A Pilot Study on Sleep Quality, Forgiveness, Religion, Spirituality, and General Health of Women Living in a Homeless Mission. Holist Nurs Pract 2020; 34:49-56. [DOI: 10.1097/hnp.0000000000000362] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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40
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Desormais I, Amidou SA, Houehanou YC, Houinato SD, Gbagouidi GN, Preux PM, Aboyans V, Lacroix P. The prevalence, awareness, management and control of hypertension in men and women in Benin, West Africa: the TAHES study. BMC Cardiovasc Disord 2019; 19:303. [PMID: 31881946 PMCID: PMC6933658 DOI: 10.1186/s12872-019-01273-7] [Citation(s) in RCA: 28] [Impact Index Per Article: 5.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/18/2019] [Accepted: 11/22/2019] [Indexed: 12/28/2022] Open
Abstract
BACKGROUND Due to epidemiological transitions, Sub-Saharan Africa is facing a growing burden of non-communicable diseases, including cardiovascular diseases (CVDs). Among their risk factors, hypertension is a major determinant of CVDs, but the prevalence and level of awareness and management of this condition are poorly studied in African populations. The aim of this study was to determine the prevalence of hypertension and identify its associated risk factors as well as the awareness and management of this condition in a community-dwelling cohort in Benin. METHODS A cross-sectional door-to-door study was conducted in the population over the age of 25 years in Tanve, a rural setting in Benin. The questionnaire and anthropometric measurements of the World Health Organization STEPWISE survey were used. Blood pressure was measured using standard procedures. RESULTS The sample included 1777 subjects (60.9% females, mean age was 42.5 ± 16.5 years). The prevalence of hypertension was 32.9%, similar in men (32.8%) and women (33.0%, p = 0.9342). Age and obesity were significantly associated with hypertension. Less than half (42%) of hypertensive people were aware about their condition and only 46.3% of them were treated. Awareness ratios differed between men and women (respectively 32.9% vs. 47.5%; p = 0.0039) and was not influenced by age, education, occupation, marital status or income. Female sex was the only factor associated with better controlled HTN, independent of socio-economic parameters. CONCLUSION This large population-based study confirms the high prevalence, low awareness, and low control of hypertension in men and women in sub-Saharan Africa. Only half of the populations with hypertension are aware of their hypertension, indicating a high burden of undiagnosed and un-controlled high blood pressure in these populations.
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Affiliation(s)
- Ileana Desormais
- Department of Thoracic and Vascular Surgery and Vascular Medicine, Dupuytren University Hospital, 2, Ave. Martin Luther King, 87042 Limoges, France
- INSERM, Univ. Limoges, CHU Limoges, UMR 1094, Tropical Neuroepidemiology, Institute of Epidemiology and Tropical Neurology, GEIST, Limoges, France
| | - Salimanou Ariyoh Amidou
- INSERM, Univ. Limoges, CHU Limoges, UMR 1094, Tropical Neuroepidemiology, Institute of Epidemiology and Tropical Neurology, GEIST, Limoges, France
- Laboratory of Chronic and Neurological Diseases Epidemiology (LEMACEN), Faculty of Health Sciences, University Abomey-Calavi, Cotonou, Benin
| | - Yessito Corine Houehanou
- Laboratory of Chronic and Neurological Diseases Epidemiology (LEMACEN), Faculty of Health Sciences, University Abomey-Calavi, Cotonou, Benin
| | - Stephan Dismand Houinato
- INSERM, Univ. Limoges, CHU Limoges, UMR 1094, Tropical Neuroepidemiology, Institute of Epidemiology and Tropical Neurology, GEIST, Limoges, France
- Laboratory of Chronic and Neurological Diseases Epidemiology (LEMACEN), Faculty of Health Sciences, University Abomey-Calavi, Cotonou, Benin
| | - Gwladys Nadia Gbagouidi
- Laboratory of Chronic and Neurological Diseases Epidemiology (LEMACEN), Faculty of Health Sciences, University Abomey-Calavi, Cotonou, Benin
| | - Pierre Marie Preux
- INSERM, Univ. Limoges, CHU Limoges, UMR 1094, Tropical Neuroepidemiology, Institute of Epidemiology and Tropical Neurology, GEIST, Limoges, France
| | - Victor Aboyans
- INSERM, Univ. Limoges, CHU Limoges, UMR 1094, Tropical Neuroepidemiology, Institute of Epidemiology and Tropical Neurology, GEIST, Limoges, France
- Department of Cardiology, Dupuytren University Hospital, Limoges, France
| | - Philippe Lacroix
- Department of Thoracic and Vascular Surgery and Vascular Medicine, Dupuytren University Hospital, 2, Ave. Martin Luther King, 87042 Limoges, France
- INSERM, Univ. Limoges, CHU Limoges, UMR 1094, Tropical Neuroepidemiology, Institute of Epidemiology and Tropical Neurology, GEIST, Limoges, France
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Escobar M. Perceived holistic benefits of equine-assisted therapy among mothers of children with a disability: a pilot study. JOURNAL OF SPIRITUALITY IN MENTAL HEALTH 2019. [DOI: 10.1080/19349637.2019.1621689] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Affiliation(s)
- Melody Escobar
- Christian Spirituality, Oblate School of Theology, San Antonio, Texas, USA
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Noormohammadi MR, Etemadifar S, Rabiei L, Deris F, Jivad N, Masoudi R. Identification of Concepts of Spiritual Care in Iranian Peoples with Multiple Sclerosis: A Qualitative Study. JOURNAL OF RELIGION AND HEALTH 2019; 58:949-964. [PMID: 29322284 DOI: 10.1007/s10943-017-0549-z] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
Living with multiple sclerosis (MS) often needs attention combined with receiving the holistic care. Attention to spiritual care dimension is one of the most important aspects of care for these patients. This study aims at exploring and explaining dimensions of spiritual care for MS patients in care system of Iran. This study is conducted to explore the concept of spiritual care in care system of Iran during 2015-2016. Purposive sampling is done on 25 participants through unstructured interviews and observation of obtained data through conventional content analysis approach. Four themes of participants' experiences in spiritual care include restoration of identity essence and nature; disease as a factor for nearness to God; giving meaning to life; and disease as a facilitator for self-purification. Clear understanding of spiritual care dimensions and promoting knowledge in MS nurses as the caregivers play important roles in achieving the goals of health among patients in different cultures and religions. Given the results of this study, the themes such as the restoration of identity essence and nature, the disease as a factor for nearness to God, giving meaning to life and the disease as a facilitator for self-purification play important roles in explaining the concept of spiritual care in patients with MS. Therefore, the MS nurses and other health professionals need to effectively and successfully integrate the concept of spiritual care with their professional performance by deep understanding of this concept and try to provide holistic care to respond to MS patients' intertwined needs.
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Affiliation(s)
- Mohammad Reza Noormohammadi
- Community-Oriented Nursing Midwifery Research Center, Shahrekord University of Medical Sciences, Shahrekord, Iran
| | - Shahram Etemadifar
- Community-Oriented Nursing Midwifery Research Center, Shahrekord University of Medical Sciences, Shahrekord, Iran
| | - Leili Rabiei
- Social Determinants of Health Research Center, Shahrekord University of Medical Sciences, Shahrekord, Iran
| | - Fatemeh Deris
- Department of Epidemiology and Biostatistics, School of Health, Shahrekord University of Medical Sciences, Shahrekord, Iran
| | - Nahid Jivad
- Clinical Research Development Unit, Ayatollah Kashani Hospital, Shahrekord University of Medical Sciences, Shahrekord, Iran
| | - Reza Masoudi
- Community-Oriented Nursing Midwifery Research Center, Shahrekord University of Medical Sciences, Shahrekord, Iran.
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Rigon IB, Calado GDA, Linhares LS, Cantu PLM, Moritz JLW, Wolf P, Lin K. Religiosity and spirituality in patients with epilepsy. ARQUIVOS DE NEURO-PSIQUIATRIA 2019; 77:335-340. [PMID: 31188997 DOI: 10.1590/0004-282x20190055] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/30/2018] [Accepted: 02/11/2019] [Indexed: 02/05/2023]
Abstract
OBJECTIVE Religiosity and spirituality (R/S) are widely regarded as important allies against illness and suffering in general. Findings in temporal lobe epilepsy (TLE) suggest the temporal lobe as the anatomical-functional basis of religious experiences. Both R/S are relevant in patients with epilepsy (PWE) since epilepsy can lead to psychosocial issues for a significant portion of patients and their families. To investigate R/S in PWE, as well as the impact of different epileptic syndromes on patients' R/S. METHODS One hundred PWE and 50 healthy volunteers matched for age, sex and educational level were submitted to an interview, as well as three previously validated questionnaires: Index of Core Spiritual Experience (INSPIRIT-R), Hospital Anxiety and Depression Scale (HADS), and the Quality of Life in Epilepsy Inventory (QOLIE-31). RESULTS PWE's and control's mean ages were 35.9 ± 12.4 vs. 36.3 ± 18.1 years, mean schooling was 8.9 ± 3.7 vs. 10.1 ± 4.2 years. The mean age of epilepsy onset was 14.5 ± 12.1 and monthly frequency of seizures was 5.9 ± 12.6. INSPIRIT-R's scores were not statistically significantly different between patients and controls (3.0 ± 0.8 vs. 3.0 ± 0.8); however, INSPIRIT-R's scores were significantly higher in TLE patients when compared with other epilepsy syndromes (3.2 ± 0.7 vs. 2.8 ± 0.9; p = 0.04). CONCLUSION Temporal lobe epilepsy patients have higher levels of R/S.
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Affiliation(s)
- Isadora Barazzetti Rigon
- Universidade Federal de Santa Catarina, Curso de Graduação em Medicina, Florianópolis SC, Brasil
| | | | - Lucas Savaris Linhares
- Universidade Federal de Santa Catarina, Curso de Graduação em Medicina, Florianópolis SC, Brasil
| | | | - Jorge Luis Wollstein Moritz
- Universidade Federal de Santa Catarina, Programa de Pós-Graduação em Ciências Médicas, Florianópolis SC, Brasil
| | - Peter Wolf
- Universidade Federal de Santa Catarina, Programa de Pós-Graduação em Ciências Médicas, Florianópolis SC, Brasil.,Universidade Federal de Santa Catarina, Hospital Universitário, Departamento de Clínica Médica, Serviço de Neurologia, Florianópolis SC, Brasil.,Danish Epilepsy Centre, Dianalund, Denmark
| | - Katia Lin
- Universidade Federal de Santa Catarina, Programa de Pós-Graduação em Ciências Médicas, Florianópolis SC, Brasil.,Universidade Federal de Santa Catarina, Hospital Universitário, Departamento de Clínica Médica, Serviço de Neurologia, Florianópolis SC, Brasil
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Dankulincova Veselska Z, Jirasek I, Veselsky P, Jiraskova M, Plevova I, Tavel P, Madarasova Geckova A. Spirituality but not Religiosity Is Associated with Better Health and Higher Life Satisfaction among Adolescents. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2018; 15:ijerph15122781. [PMID: 30544590 PMCID: PMC6313303 DOI: 10.3390/ijerph15122781] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 10/10/2018] [Revised: 11/18/2018] [Accepted: 12/03/2018] [Indexed: 11/16/2022]
Abstract
Careful conceptualization and differentiation of both spirituality and religiosity is a necessary precondition for understanding the potential role they play in health, whether physical or mental. The aim of this study was to explore the associations of spirituality with self-rated health, health complaints, and life satisfaction of adolescents with the moderating role of religiosity. Data from the Health Behaviour in School-aged Children study conducted in 2014 in Slovakia were used. The final sample consisted of 658 adolescents (mean age = 15.37; 50.6% boys). Data regarding spirituality, religiosity, self-rated health, health complaints, and life satisfaction were obtained. Binary logistic models revealed spirituality to be associated with self-rated health, health complaints, and life satisfaction. A moderating role of religiosity was not confirmed. The presented findings indicate the need to distinguish between the concepts of religiosity and spirituality in connection with subjective health and life satisfaction.
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Affiliation(s)
- Zuzana Dankulincova Veselska
- Department of Health Psychology, Faculty of Medicine, PJ Safarik University in Kosice, Trieda SNP 1, 04011 Kosice, Slovakia.
| | - Ivo Jirasek
- Department of Recreology, Faculty of Physical Culture, Palacky University Olomouc, Trida Miru 115, 771 11 Olomouc, Czech Republic.
| | - Pavel Veselsky
- Department of Sociology, Andragogy and Cultural Anthropology, Faculty of Arts, Palacky University Olomouc, Katerinska 17, 772 00 Olomouc, Czech Republic.
| | - Miroslava Jiraskova
- Reinforcement of the Expert Potential of Research Teams in the Area of Physical Activity Support at Faculty of Physical Culture, Palacky University Olomouc, Trida Miru 115, 771 11 Olomouc, Czech Republic.
| | - Irena Plevova
- Department of Psychology and Psychopathology, Faculty of Education, Palacky University Olomouc, Zizkovo Namesti 5, 771 40 Olomouc, Czech Republic.
| | - Peter Tavel
- Olomouc University Social Health Institute, Palacky University Olomouc, Univerzitni 22, 771 11 Olomouc, Czech Republic.
| | - Andrea Madarasova Geckova
- Department of Health Psychology, Faculty of Medicine, PJ Safarik University in Kosice, Trieda SNP 1, 04011 Kosice, Slovakia.
- Olomouc University Social Health Institute, Palacky University Olomouc, Univerzitni 22, 771 11 Olomouc, Czech Republic.
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Abstract
PURPOSE OF REVIEW There is increasing emphasis on medical care of the whole patient. This holistic approach encompasses supporting the spiritual or religious needs of the patient. Particularly at the end of life, spiritual concerns may come to the fore as patients recognize and accept their impending death. Physicians may also recognize this spiritual distress but may not be clear on how to provide spiritual support. RECENT FINDINGS Tools to screen for spiritual concerns are available for physicians to use. Some physicians wish to go further, supporting patients at the end of life in their spiritual quest. Other physicians express concern about causing more distress to patients in a time of significant need. Descriptions of educational tools, as well as the difference between spiritual generalists and spiritual specialists have emerged. Integration of chaplains into the medical team caring for patients at the end of life will also enhance care of the whole patient. SUMMARY The increasing emphasis on whole patient care is leading to increasing focus on spiritual concerns of patients. Although not every patient has an interest in spiritual conversation, most do and medical teams will need to become more educated about appropriate spiritual engagement.
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Casu G, Ulivi G, Zaia V, Fernandes Martins MDC, Parente Barbosa C, Gremigni P. Spirituality, infertility-related stress, and quality of life in Brazilian infertile couples: Analysis using the actor-partner interdependence mediation model. Res Nurs Health 2018; 41:156-165. [PMID: 29399819 DOI: 10.1002/nur.21860] [Citation(s) in RCA: 23] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2017] [Accepted: 12/22/2017] [Indexed: 12/28/2022]
Abstract
Infertility has a stressful impact on both partners, with adverse effects on the quality of life of infertile couples. Spirituality is a meaning-based strategy that can protect couples against infertility's negative impact on quality of life, but analysis of this mediator relationship in infertile couples has not been reported. We adopted a dyadic approach and used the actor-partner interdependence mediation model to examine whether and how women's and men's spirituality was associated with their own and their partners' infertility-related stress and quality of life. In 2014, 152 infertile couples starting their first fertility treatment at a private clinic in Brazil were recruited and completed self-reports of spirituality, infertility-related stress, and quality of life. Results indicated that women's and men's level of spirituality was positively associated with their own quality of life directly and indirectly, by reducing their own infertility-related stress. Their spirituality was associated with an increase in their partners' quality of life only indirectly, by reducing their partners' infertility-related stress. Findings highlight the importance of assessing and promoting spirituality as a coping resource that infertile women and men might use to deal with the stress of infertility and reduce its adverse effects on quality of life.
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Affiliation(s)
- Giulia Casu
- Department of Psychology, University of Bologna, Bologna, Italy
| | - Giulia Ulivi
- School of Medical and Health Sciences, Methodist University of São Paulo, São Bernardo do Campo, Brazil
| | - Victor Zaia
- School of Medical and Health Sciences, Methodist University of São Paulo, São Bernardo do Campo, Brazil.,Institute Ideia Fértil of Reproductive Health, Santo André, Brazil.,Faculdade de Medicina do ABC, Santo André, Brazil
| | | | - Caio Parente Barbosa
- Institute Ideia Fértil of Reproductive Health, Santo André, Brazil.,Faculdade de Medicina do ABC, Santo André, Brazil
| | - Paola Gremigni
- Department of Psychology, University of Bologna, Bologna, Italy
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de Araújo LF, Teva I, Quero JH, Reyes AO, de la Paz Bermúdez M. Analysis of resilience and sexual behavior in persons with HIV infection. ACTA ACUST UNITED AC 2017; 30:21. [PMID: 32026123 PMCID: PMC6974345 DOI: 10.1186/s41155-017-0076-6] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/26/2017] [Accepted: 09/23/2017] [Indexed: 11/24/2022]
Abstract
The main objective of this study was to evaluate ex post facto resilience in persons with HIV infection and its relationship to socio-demographic and sexual behavior variables. Participants included 159 persons with HIV infection, of both sexes, aged between 19 and 55 years. Fifty-one percent of patients were infected through homosexual means. Sixty-seven percent were in the asymptomatic phase of infection. Assessment instruments used were the following: a questionnaire on socio-demographic data and sexual behavior and the Connor-Davidson Resilience Scale. The evaluation was individual, voluntary, and anonymous. The results showed that 49.05% of patients had average resilience, 27.68% had high resilience, and 23.37% had low resilience. They found that heterosexual patients infected with HIV, diagnosed between 1985 and 1990 (23 and 28 years of diagnosis) and those who had disclosed their HIV status to more than 30 people, had greater resilience than homosexual patients, diagnosed between 1996 and 2000 (13 and 17 years of diagnosis) and those who had disclosed their HIV status to 1–5 people. Finally, resilience was not a predictor of sexual risk factor. It is suggested that health interventions take into account the resilience and psychological variables that may be beneficial to improve coping with the disease.
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Affiliation(s)
- Ludgleydson Fernandes de Araújo
- Department of Psychology, Universidade Federal do Piauí, Campus Ministro Reis Velloso, Av. São Sebastião, 2819, Parnaíba, PI, 64202-020, Brazil.
| | - Inmaculada Teva
- Mind Brain and Behavior (Spanish acronym CIMCYC) Research Center, University of Granada, Granada, Spain
| | - José Hernández Quero
- Faculty of Medicine, San Cecilio University Hospital, University of Granada, Granada, Spain
| | - Antonio Ortega Reyes
- Mind Brain and Behavior (Spanish acronym CIMCYC) Research Center, University of Granada, Granada, Spain
| | - María de la Paz Bermúdez
- Mind Brain and Behavior (Spanish acronym CIMCYC) Research Center, University of Granada, Granada, Spain
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48
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Grassi L, Mezzich JE, Nanni MG, Riba MB, Sabato S, Caruso R. A person-centred approach in medicine to reduce the psychosocial and existential burden of chronic and life-threatening medical illness. Int Rev Psychiatry 2017; 29:377-388. [PMID: 28783462 DOI: 10.1080/09540261.2017.1294558] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/20/2022]
Abstract
The psychiatric, psychosocial, and existential/spiritual pain determined by chronic medical disorders, especially if in advanced stages, have been repeatedly underlined. The right to approach patients as persons, rather than symptoms of organs to be repaired, has also been reported, from Paul Tournier to Karl Jaspers, in opposition and contrast with the technically-enhanced evidence-based domain of sciences that have reduced the patients to 'objects' and weakened the physician's identity deprived of its ethical value of meeting, listening, and treating subjects. The paper will discuss the main psychosocial and existential burden related to chronic and advanced medical illnesses, and the diagnostic and therapeutic implications for a dignity preserving care within a person-centred approach in medicine, examined in terms of care of the person (of the person's whole health), for the person (for the fulfilment of the person's health aspirations), by the person (with physicians extending themselves as total human beings), and with the person (working respectfully with the medically ill person).
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Affiliation(s)
- Luigi Grassi
- a Department of Biomedical and Specialty Surgical Sciences, School of Medicine , Institute of Psychiatry, University of Ferrara , Ferrara , Italy.,b University Hospital Psychiatry Unit, Program on Psycho-Oncology and Psychiatry in Palliative Care Integrated Department of Mental Health and Addictive Behavior , University Hospital and Health Authorities , Ferrara , Italy
| | - Juan E Mezzich
- c Icahn School of Medicine at Mount Sinai, International College of Person-Centered Medicine , New York City , NY , USA
| | - Maria Giulia Nanni
- a Department of Biomedical and Specialty Surgical Sciences, School of Medicine , Institute of Psychiatry, University of Ferrara , Ferrara , Italy.,b University Hospital Psychiatry Unit, Program on Psycho-Oncology and Psychiatry in Palliative Care Integrated Department of Mental Health and Addictive Behavior , University Hospital and Health Authorities , Ferrara , Italy
| | - Michelle B Riba
- d Integrated Medical and Psychiatric Services Department of Psychiatry , University of Michigan Comprehensive Depression Center , Ann Arbor , MI , USA.,e PsychOncology Program, University of Michigan Comprehensive Cancer Center , Ann Arbor , MI , USA
| | - Silvana Sabato
- a Department of Biomedical and Specialty Surgical Sciences, School of Medicine , Institute of Psychiatry, University of Ferrara , Ferrara , Italy
| | - Rosangela Caruso
- a Department of Biomedical and Specialty Surgical Sciences, School of Medicine , Institute of Psychiatry, University of Ferrara , Ferrara , Italy.,b University Hospital Psychiatry Unit, Program on Psycho-Oncology and Psychiatry in Palliative Care Integrated Department of Mental Health and Addictive Behavior , University Hospital and Health Authorities , Ferrara , Italy
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