1
|
Módis LV, Aradi Z, Horváth IF, Pikó P, Papp G, Osváth M, Szántó A, Bugán A. Spirituality is associated with immune parameters and disease activity in primary Sjögren's syndrome: a cross-sectional study. Sci Rep 2024; 14:12473. [PMID: 38816520 PMCID: PMC11139944 DOI: 10.1038/s41598-024-62801-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/18/2023] [Accepted: 05/21/2024] [Indexed: 06/01/2024] Open
Abstract
The role of spirituality in health and disease is a complex and emerging area of research. Incorporating spirituality into the bio-psycho-social model of health and disease leading to the bio-psycho-social-spiritual model provides a more comprehensive framework. In this context, chronic disorders like primary Sjögren's syndrome (pSS) are of interest due to their intricate interactions between biological, psychological, and spiritual factors. This study explored the relationship between spirituality, immune parameters, and disease activity in pSS patients. Data from 108 patients were analyzed, including self-assessed spirituality (answering to direct questions and completing the Spiritual Transcendence Scale), immunological parameters and disease activity scores. The findings revealed several associations. Individuals with spiritual attitudes or engaged in regular prayer/meditation showed lower serum levels of autoantibodies specific to pSS and lower disease activity scores. Spiritual engagement was also linked to decreased perceived skin and tracheal dryness, suggesting potential benefits for physical symptoms. These findings suggest that spirituality may play a significant role in modulating immune responses and disease activity in pSS patients. The study underscores the importance of considering spirituality as an integral part of the holistic approach to health and disease, further expanding the understanding of the interconnectedness of biological, psychological, and spiritual dimensions.
Collapse
Affiliation(s)
- László V Módis
- Faculty of Medicine, Department of Behavioural Sciences, University of Debrecen, Debrecen, 4032, Hungary.
- Szabolcs-Szatmár-Bereg County Teaching Hospital, Nagykálló Sántha Kálmán Member Hospital, Nagykálló, 4320, Hungary.
| | - Zsófia Aradi
- Faculty of Medicine, Department of Internal Medicine, Division of Clinical Immunology, University of Debrecen, Debrecen, 4032, Hungary
| | - Ildikó Fanny Horváth
- Faculty of Medicine, Department of Internal Medicine, Division of Clinical Immunology, University of Debrecen, Debrecen, 4032, Hungary
| | - Péter Pikó
- Faculty of Medicine, Department of Public Health and Epidemiology, University of Debrecen, Debrecen, 4028, Hungary
- National Laboratory for Health Security, Center for Epidemiology and Surveillance, Semmelweis University, Budapest, 1089, Hungary
| | | | - Mátyás Osváth
- Faculty of Medicine, Department of Behavioural Sciences, University of Debrecen, Debrecen, 4032, Hungary
| | - Antónia Szántó
- Faculty of Medicine, Department of Internal Medicine, Division of Clinical Immunology, University of Debrecen, Debrecen, 4032, Hungary
| | - Antal Bugán
- Faculty of Medicine, Department of Behavioural Sciences, University of Debrecen, Debrecen, 4032, Hungary
| |
Collapse
|
2
|
Gonçalves JLA, Jukemura J, Facanali CBG, Marques CFS, Filho RA, Sobrado CW, Nahas SC. Is religiosity/spirituality in patients with Crohn's disease important to their quality of life? Clinics (Sao Paulo) 2024; 79:100389. [PMID: 38795523 PMCID: PMC11153047 DOI: 10.1016/j.clinsp.2024.100389] [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] [Received: 07/11/2023] [Revised: 02/04/2024] [Accepted: 04/01/2024] [Indexed: 05/28/2024] Open
Abstract
The authors aim to study Religiosity/Spirituality (R/S) and Quality of Life (QoL) in patients with Crohn's disease and their correlation with the disease phenotypes. METHODS Prospective cross-sectional cohort study with 151 consecutive patients enrolled from March 2021 to October 2021 at the Colorectal IBD Outpatient of Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (HCFMUSP). Sociodemographic, Religiosity/Spirituality (Duke University Religion Index - Durel) questionnaires and QoL (Inflammatory Bowel Disease Questionnaire - Short IBDQ-S) were applied. When necessary, qualitative variables were evaluated using the chi-square or Fisher's exact test. The Mann-Whitney and Kruskall-Wallis tests were used to analyze quantitative variables and compare more than two groups, both non-parametric statistical techniques. RESULTS The most frequent location was Ileocolonic followed by Ileal and colonic (41.1 %, 27.2 %, and 25.2 %); only 6.6 % of subjects had a perianal presentation. Inflammatory, stenosing, and penetrating behaviors showed 36.4 %, 19.1 %, and 44.4 % respectively. The majority of the population is Catholic, Evangelical, or Spiritualist (92.4 %). QoL score showed no significant difference in the phenotypes. The scores for DUREL domains were 61.4 % for organizational religiosity, 75 % for non-organizational religiosity, 98.6 %, 93.6 % and 89.3 % for intrinsic spirituality, with high results in all disease phenotypes. CONCLUSIONS The studied population presented homogeneous sociodemographic results and high religious and spiritual activity. R/S in a positive context were not associated with better QoL or phenotype. R/S is present in the patients' lives and could be seen as an important tool for adherence to treatment and the professional relationship between doctor and patient. The homogeneity of the sample difficult for an appropriate evaluation, which leads us to suggest new studies with more heterogeneous groups.
Collapse
Affiliation(s)
- José Luiz Amuratti Gonçalves
- Departamento de Gastroenterologia, Hospital das Clínicas, Faculdade de Medicina da Universidade de São Paulo (HCFMUSP), São Paulo, SP, Brazil.
| | - José Jukemura
- Departamento de Gastroenterologia, Hospital das Clínicas, Faculdade de Medicina da Universidade de São Paulo (HCFMUSP), São Paulo, SP, Brazil
| | | | - Carlos Frederico Sparapan Marques
- Departamento de Gastroenterologia, Hospital das Clínicas, Faculdade de Medicina da Universidade de São Paulo (HCFMUSP), São Paulo, SP, Brazil
| | - Rodrigo Ambar Filho
- Departamento de Gastroenterologia, Hospital das Clínicas, Faculdade de Medicina da Universidade de São Paulo (HCFMUSP), São Paulo, SP, Brazil
| | - Carlos Walter Sobrado
- Departamento de Gastroenterologia, Hospital das Clínicas, Faculdade de Medicina da Universidade de São Paulo (HCFMUSP), São Paulo, SP, Brazil
| | - Sergio Carlos Nahas
- Departamento de Gastroenterologia, Hospital das Clínicas, Faculdade de Medicina da Universidade de São Paulo (HCFMUSP), São Paulo, SP, Brazil
| |
Collapse
|
3
|
Kim K, Lim HJ, Moon E, Moon SI. Influence of Optimism, Social Support, and Spirituality on COVID-19 Stress in Christian Church Community. Psychiatry Investig 2023; 20:130-136. [PMID: 36891597 PMCID: PMC9996147 DOI: 10.30773/pi.2022.0243] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/23/2022] [Accepted: 11/20/2022] [Indexed: 02/25/2023] Open
Abstract
OBJECTIVE Optimism, social support, and spirituality can be important factors related to coronavirus disease-2019 (COVID-19) stress. However, studies investigating the influence and interplay of optimism, social support, and spirituality on COVID-19 simultaneously are still few. This study is aimed to explore the influence of optimism, social support, and spirituality on COVID-19 stress in the Christian church community. METHODS A total 350 participants were included in this study. This study was cross-sectionally conducted by using an online survey on optimism, social support, spirituality, and COVID-19 stress that were measured by the Life Orientation Test-Revised (LOT-R), Multidimensional Scale of Perceived Social Support Scale (MSPSS), Spiritual Well-Being Scale (SWBS), and COVID-19 Stress Scale for Korean People (CSSK). The prediction models for COVID-19 stress were analyzed by using univariate and multiple linear regression. RESULTS Based on the results of univariate linear regression, subjective feelings on income (p<0.001) and health status (p<0.001), LOTR (p<0.001), MSPSS (p=0.025), and SWBS (p<0.001) scores were significantly associated with COVID-19 stress. The multiple linear regression model with subjective feelings on income and health status and SWSB score was significant (p<0.001) and explained 17.7% of the variance (R2=0.177). CONCLUSION This study showed that subjective feeling on low income, those who had poor health status, lower optimism, lower perceived social support, and lower spirituality were significantly affected with COVID-19 stress. Especially, the model with subjective feelings on income and health status, and spirituality showed highly significant effects, despite the interaction with associated factors. To cope with unpredictable stressful situations like the COVID-19 pandemic, integrated interventions on psycho-socio-spiritual aspect are warranted.
Collapse
Affiliation(s)
- Kyoungmi Kim
- Department of Counselling Psychology, TongMyong University, Busan, Republic of Korea
| | - Hyun Ju Lim
- Department of Psychology, Gyeongsang National University, Jinju, Republic of Korea.,Department of Psychiatry and Biomedical Research Institute, Pusan National University Hospital, Busan, Republic of Korea
| | - Eunsoo Moon
- Department of Psychiatry and Biomedical Research Institute, Pusan National University Hospital, Busan, Republic of Korea.,Department of Psychiatry, Pusan National University School of Medicine, Yangsan, Republic of Korea
| | - Sung Il Moon
- Department of Christian Family Counseling, United Graduate School of Theology, Keimyung University, Daegu, Republic of Korea.,Sooyoungro Counseling Center, Busan, Republic of Korea
| |
Collapse
|
4
|
Fradelos EC, Alikari V, Tsaras K, Papathanasiou IV, Tzavella F, Papagiannis D, Zyga S. The Effect of Spirituality in Quality of Life of Hemodialysis Patients. JOURNAL OF RELIGION AND HEALTH 2022; 61:2029-2040. [PMID: 33411225 DOI: 10.1007/s10943-020-01153-x] [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: 12/04/2020] [Indexed: 06/12/2023]
Abstract
This study aimed to assess the effect of spirituality on quality of life of end-stage renal disease patients undergoing hemodialysis (HD). A cross-sectional study was carried out in six HD Units. The sample consisted of 367 patients averaging 61.8 years of age. For the measuring of spirituality and the quality of life, the FACIT-Sp-12 and the Missoula Vitas Quality of Life Index-15, respectively, were completed. Social and demographic data were, also, collected. Spirituality and its dimensions such as Meaning in Life and Peace had a positive effect on Global QoL, Symptoms, Interpersonal and in Well-being. Spirituality can have a positive effect on the QoL of HD patients. Therefore, in the context of the holistic approach of the individual, health systems can include spiritual evaluation and care of HD patients.
Collapse
Affiliation(s)
- Evangelos C Fradelos
- Department of Nursing, University of Peloponnese, Sparta, Greece.
- , Evdoxou 12, 11743, Athens, PC, Greece.
| | - Victoria Alikari
- Department of Nursing, University of Peloponnese, Sparta, Greece
| | | | | | - Foteini Tzavella
- Department of Nursing, University of Peloponnese, Sparta, Greece
| | | | - Sofia Zyga
- Department of Nursing, University of Peloponnese, Sparta, Greece
| |
Collapse
|
5
|
de Campos RJDS, Lucchetti G, Lucchetti ALG, Chebli LA, Schettino Pereira L, Chebli JMF. Influence of Religiousness and Spirituality on Remission Rate, Mental Health, and Quality of Life of Patients With Active Crohn's Disease: A Longitudinal 2-Year Follow-up Study. J Crohns Colitis 2021; 15:55-63. [PMID: 32582934 DOI: 10.1093/ecco-jcc/jjaa130] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/08/2023]
Abstract
BACKGROUND AND AIMS Studies on inflammatory bowel disease [IBD] have shown that religiousness and spirituality [R/S] were associated with better mental health and quality of life [QOL]. However, longitudinal studies assessing the impact of R/S on long-term clinical outcomes of Crohn's disease [CD] are scarce. The aim of this study was to assess the influence of R/S on the course of CD after a 2-year follow-up and to determine whether these R/S beliefs were associated with mental health and QOL. METHODS A longitudinal 2-year follow-up study was conducted at a referral centre for IBD, including patients with moderately to severely active CD. Clinical data, disease activity [Harvey-Bradshaw Index], QOL [Inflammatory Bowel Disease Questionnaire-IBDQ], depression and anxiety [Hospital Anxiety and Depression Scale-HADS], and R/S [Duke Religion Index-DUREL, Spirituality Self-Rating Scale-SSRS, and Spiritual/Religious Coping-SRCOPE scale] were assessed at baseline and at the end of the 2-year follow-up. Linear and logistic regression models were employed. RESULTS A total of 90 patients [88.2%] were followed up for 2 years. On logistic regression, baseline levels of spirituality (odds ratio [OR] = 1.309; 95% confidence interval [CI]= 1.104-1.552, p = 0.002) and intrinsic religiousness [OR = 1.682; 95% CI = 1.221-2.317, p = 0.001] were predictors of remission at 2 years. On linear regression, the different dimensions of R/S did not significantly predict IBDQ or anxiety and depression scores after 2 years. CONCLUSIONS R/S predicted remission of CD patients after a 2-year follow-up. However, these beliefs failed to predict mental health or QOL. Health professionals who treat CD should be aware of the religious and spiritual beliefs of their patients, given these beliefs may impact on the disease course.
Collapse
Affiliation(s)
| | - Giancarlo Lucchetti
- School of Medicine, Federal University of Juiz de Fora, Juiz de Fora, Brazil.,Post-Graduate Health Program, Federal University of Juiz de Fora, Juiz de Fora, Brazil
| | | | - Liliana Andrade Chebli
- Inflammatory Bowel Disease Center, University Hospital, Federal University of Juiz de Fora, Juiz de Fora, Brazil
| | | | - Julio Maria Fonseca Chebli
- Inflammatory Bowel Disease Center, University Hospital, Federal University of Juiz de Fora, Juiz de Fora, Brazil
| |
Collapse
|