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Saputra R, Waluyo A, Edison C. The Relationship between Distress Tolerance and Spiritual Well-Being towards ARV Therapy Adherence in People Living with HIV/AIDS. Healthcare (Basel) 2024; 12:839. [PMID: 38667601 PMCID: PMC11050109 DOI: 10.3390/healthcare12080839] [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: 02/05/2024] [Revised: 03/30/2024] [Accepted: 04/09/2024] [Indexed: 04/28/2024] Open
Abstract
A crucial factor in the success of treatment for patients with Human Immunodeficiency Virus (HIV) is adherence to antiretroviral (ARV) therapy among People Living with HIV/AIDS (PLWHA). Adherence issues remain a persisting problem with multifaceted causes. There are many studies on variables related to ARV therapy adherence, but no study has been found on spiritual well-being and distress tolerance in ARV therapy adherence. This study aims to determine the relationship between distress tolerance and spiritual well-being on adherence to ARV therapy in PLWHA. This research used a quantitative approach with a cross-sectional design. The sample collection process followed a consecutive sampling technique, with data gathered from 129 participants at the South Lampung Regional General Hospital located in Indonesia. Data collection was conducted using three questionnaires administered by the interviewer, which assessed distress tolerance using the Miller-Smith Rating Scale For Stress Tolerance (MSRS-ST), evaluated spiritual Well-Being using the Spiritual Well-Being Scale (SWBS), and gauged ARV therapy adherence using the Medication Adherence Rating Scale (MARS). Data analysis using a simple logistic regression with a 95% confidence interval (CI) showed a significant relationship between distress tolerance (p-value 0.002) and spiritual well-being (p-value 0.036) towards ARV therapy adherence in PLWHA. The results of multiple logistic regression yielded distress tolerance as the most dominant and influential variable in this research. Distress tolerance and spiritual well-being impact adherence to ARV therapy in PLWHA. Suggestions for healthcare services should consider these factors to decrease the risk of non-adherence to therapy and inadvertently heighten mortality risk.
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Affiliation(s)
| | - Agung Waluyo
- Faculty of Nursing, Universitas Indonesia, Depok 16424, Indonesia; (R.S.); (C.E.)
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de Diego-Cordero R, Acevedo-Aguilera R, Vega-Escaño J, Lucchetti G. The Use of Spiritual and Religious Interventions for the Treatment for Insomnia: A Scoping Review. JOURNAL OF RELIGION AND HEALTH 2022; 61:507-523. [PMID: 32803656 DOI: 10.1007/s10943-020-01067-8] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
Insomnia is a common problem, affecting individuals' health and quality of life. Among several therapies used to treat this condition, spiritual interventions are suggested to have beneficial outcomes on sleep disturbances. Nevertheless, a systematic compilation of the evidence available is still needed in the literature in order to scientifically investigate the topic. To examine the most common spiritual interventions proposed to treat sleep disorders and to assess the scientific evidence of these interventions. This is a scoping literature review conducted by independent researchers on the following databases: PubMed, SCOPUS, Web of Science, Cochrane Library and OpenGrey. A boolean expression was used, and all studies published in the last 5 years investigating the role of spiritual or religious interventions on insomnia were included. From a total of 3257 articles retrieved in our search, ten studies were included in the final analysis. There is a wide array of techniques used to treat insomnia or the mental disorders associated with insomnia, such as mantra, yoga, mindfulness, praying/meditation, daily spiritual experiences, psycho-religious training and intervention. The included studies showed a positive influence of spiritual/religious interventions on insomnia directly and indirectly. However, there is a scarcity of clinical trials and most studies have small sample sizes and used only subjective measures, resulting in a low evidence. The results of the present review point to a promising role of spirituality and religion on better sleep outcomes, particularly in the improvement in insomnia. However, the heterogeneity and the quality of these studies suggest caution while interpreting these findings. More clinical trials are needed in this area to provide a recommendation of these methods in clinical practice.
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Affiliation(s)
- Rocío de Diego-Cordero
- Faculty of Nursing, Physiotherapy and Podiatry, University of Seville, c/Avenzoar 6, Seville, 41009, Spain
- Research Group PAIDI CTS-969 "Innovation in Health Care and Social Determinants of Health", Faculty of Nursing, Physiotherapy and Podiatry, University of Seville, Seville, Spain
| | - Rosa Acevedo-Aguilera
- Faculty of Nursing, Physiotherapy and Podiatry, University of Seville, c/Avenzoar 6, Seville, 41009, Spain
| | - Juan Vega-Escaño
- Faculty of Nursing, Physiotherapy and Podiatry, University of Seville, c/Avenzoar 6, Seville, 41009, Spain.
- Research Group PAIDI CTS-1054 "Interventions and Health Care. Red Cross", Spanish Red Cross Nursing School, University of Seville, Seville, Spain.
| | - Giancarlo Lucchetti
- Department of Medicine, School of Medicine, Federal University of Juiz de Fora, Juiz de Fora, Brazil
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Jakubowska K, Chruściel P, Jurek K, Machul M, Kościołek A, Dobrowolska B. Religiosity and Attitudes towards Health, Disease, Death and the Use of Stimulants among Jehovah's Witnesses. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18105049. [PMID: 34064581 PMCID: PMC8151608 DOI: 10.3390/ijerph18105049] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 03/30/2021] [Revised: 04/30/2021] [Accepted: 05/08/2021] [Indexed: 11/16/2022]
Abstract
Religiosity is considered as one of the many factors shaping an individual's health consciousness. The aim of the study is an analysis of the correlation between the religiosity of Jehovah's Witnesses and their attitudes towards health and disease. A cross-sectional study was performed on the convenience sample of 171 Jehovah's Witnesses from eastern Poland with the use of two research tools: the author's questionnaire, focusing on attitudes towards health, disease, death and the use of stimulants, and the Duke University Religion Index (DUREL). The research involved 99 females (57.9%) and 72 males (42.1%), with an average age of 37.25 (SD = 12.59) years. On average, they have been a Jehovah's Witness for 29.21 (SD = 13.22) years and are characterised by a high ratio of organisational religious activity (ORA) (M = 5.60; SD = 0.62) and intrinsic religiosity (IR) (M = 4.81; SD = 0.37). Those who had never smoked before becoming one of Jehovah's Witnesses had a higher IR (Z = -2.822; p = 0.005), similarly to those respondents who smoked cigarettes before they became Jehovah's Witnesses (Z = -2.977; p = 0.003) and those who did not abuse alcohol before they became Jehovah's Witnesses (Z= -1.974; p = 0.048). Jehovah's Witnesses are a group characterised by a high degree of consistency when it comes to religiosity, attitudes regarding health and disease and health behaviours. This means that they follow the teachings of their religion with regard to health issues. Knowledge about the association between religiosity and health behaviours is important to provide effective health education, health promotion and development of health prevention policy, specifically when dealing with more religious groups of clients.
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Affiliation(s)
- Klaudia Jakubowska
- Department of Development in Nursing, Faculty of Health Sciences, Medical University of Lublin, 20-081 Lublin, Poland; (K.J.); (P.C.); (A.K.)
| | - Paweł Chruściel
- Department of Development in Nursing, Faculty of Health Sciences, Medical University of Lublin, 20-081 Lublin, Poland; (K.J.); (P.C.); (A.K.)
| | - Krzysztof Jurek
- Institute of Sociology, Faculty of Social Sciences, John Paul II Catholic University, 20-950 Lublin, Poland;
| | - Michał Machul
- Department of Management in Nursing, Faculty of Health Sciences, Medical University of Lublin, 20-081 Lublin, Poland;
| | - Aneta Kościołek
- Department of Development in Nursing, Faculty of Health Sciences, Medical University of Lublin, 20-081 Lublin, Poland; (K.J.); (P.C.); (A.K.)
| | - Beata Dobrowolska
- Department of Management in Nursing, Faculty of Health Sciences, Medical University of Lublin, 20-081 Lublin, Poland;
- Correspondence:
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Badanta B, Lucchetti G, de Diego-Cordero R. "A Temple of God": A Qualitative Analysis of the connection Between Spiritual/Religious Beliefs and Health Among Mormons. JOURNAL OF RELIGION AND HEALTH 2020; 59:1580-1595. [PMID: 31595444 DOI: 10.1007/s10943-019-00922-7] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
In the last decades, studies have increasingly shown an association between religious/spiritual beliefs (R/S) and several health outcomes. In this context, Mormons provide an intriguing case for such investigation because Mormonism stands out for its commitment to the "Word of Wisdom" with several restrictions and recommendations. Despite the consolidated wide array of evidence, showing that the relationship between "Word of Wisdom" and health may usually have a protective effect in North-American studies, little is know about this community in other countries and, to our knowledge, no health studies have ever been carried out in European and Spanish Mormons. The present qualitative study aims to fill this gap, exploring the discourses, opinions, and attitudes of the members of the Church of Jesus Christ of Latter-day Saints about the recommendations of the Health Law and the "Word of Wisdom" on their health. In the analysis, six themes appeared during the coding process and were converted in the following categories: Theme 1 Body as a Temple, Theme 2 Promises of blessing, Theme 3 Healthy lifestyle, Theme 4 Stigma, Theme 5 Damage to the family, and Theme 6 Spiritual Performance. We found that fulfilling the "Law of Wisdom" may lead Mormons to take care of their health, and to have a network of support from church leaders, who may act as health promoters. Religiosity tends to insert values and behaviours that seem to benefit individual's health and protect their families, such as the non-use of substances and the preservation of a "healthy body" (i.e. "body as a temple"). However, some stigma and isolation may appear in contact with other groups due to these restrictions and limitations.
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Affiliation(s)
- Bárbara Badanta
- Faculty of Nursing, Physiotherapy, and Podiatry, University of Seville, C/Avenzoar, 6, 41009, Seville, Spain
- Research Group: Coalition for the Study of Health, Power, and Diversity, Center of Community Research and Action at the University of Seville, Seville, Spain
| | - Giancarlo Lucchetti
- Department of Medicine, School of Medicine, Federal University of Juiz de Fora, Juiz de Fora, Brazil
| | - Rocío de Diego-Cordero
- Faculty of Nursing, Physiotherapy, and Podiatry, University of Seville, C/Avenzoar, 6, 41009, Seville, Spain.
- Research Group CTS 969 "Innovation in HealthCare and Social Determinants of Health", School of Nursing, Physiotherapy and Podiatry, University of Seville, Seville, Spain.
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Badanta-Romero B, de Diego-Cordero R, Rivilla-García E. Influence of Religious and Spiritual Elements on Adherence to Pharmacological Treatment. JOURNAL OF RELIGION AND HEALTH 2018; 57:1905-1917. [PMID: 29582335 DOI: 10.1007/s10943-018-0606-2] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
The objective of this study is to know the influence of religious/spiritual elements on the adherence to pharmacological therapy. The descriptors used for this literature review were "medicine, medication, drug, or treatment," "adherence to treatment," and "religion or spirituality or faith or prayer" in different databases (CINAHL, PsycINFO, PubMed). Finally, 23 articles were selected. Articles available in full text, published between 2010 and 2017, in English or Spanish were included. The results showed that some studies relate positively the R/S and therapeutic adherence, but others determine an opposite or even mixed effect, mainly addressing pathologies such as HIV and other chronic diseases. The influence of religiosity/spirituality on therapeutic adherence requires that health professionals acquire sensitivity and competence to address these issues with their patients.
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Affiliation(s)
- Bárbara Badanta-Romero
- Department of Nursing, Faculty of Nursing, Physiotherapy and Podiatry, University of Seville, 6 Avenzoar St., 41009, Seville, Spain
| | - Rocío de Diego-Cordero
- Department of Nursing, Faculty of Nursing, Physiotherapy and Podiatry, University of Seville, 6 Avenzoar St., 41009, Seville, Spain.
| | - Estefanía Rivilla-García
- Department of Nursing, Faculty of Nursing, Physiotherapy and Podiatry, University of Seville, 6 Avenzoar St., 41009, Seville, Spain
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