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da Cunha CROBEJ, Scorsolini-Comin F. Reasons and Expectations for Seeking Spiritual Treatment in Brazilian Spiritist Centers: A Qualitative Study. JOURNAL OF RELIGION AND HEALTH 2024:10.1007/s10943-024-02068-7. [PMID: 38824488 DOI: 10.1007/s10943-024-02068-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 05/18/2024] [Indexed: 06/03/2024]
Abstract
The objective of this study is to identify the main motivations and expectations for seeking spiritual treatment (ST) in spiritist centers. This is a qualitative study developed at two spiritist centers in the state of Mato Grosso, Brazil. ST was considered as the set of activities that use magnetic current as the main treatment method. We observed that most of the participants first sought treatments from health professionals and that, after insufficient results, they went in search of ST. Their treatments take place simultaneously and, for the participants, they complement each other. The motivations that led the participants to ST ranged from physical reasons to mental health complaints and even family conflicts. One possibility for investing in this type of treatment is due to the participants' desire for a more comprehensive approach, and not as a mere solution to the problem that directly afflicts them.
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Affiliation(s)
| | - Fabio Scorsolini-Comin
- Department of Psychiatric Nursing and Human Sciences of Ribeirão Preto School of Nursing, University of Sao Paulo, Sao Paulo, Brazil
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Gonçalves JPDB, Braghetta CC, Alvarenga WDA, Gorenstein C, Lucchetti G, Vallada H. Development of a comprehensive flourishing intervention to promote mental health using an e-Delphi technique. Front Psychiatry 2023; 14:1064137. [PMID: 36873221 PMCID: PMC9981953 DOI: 10.3389/fpsyt.2023.1064137] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/07/2022] [Accepted: 01/30/2023] [Indexed: 02/19/2023] Open
Abstract
BACKGROUND Although observational studies have already shown promising results of flourishing, a broader concept of health based on positive psychology, there is still a gap in the literature regarding studies that combine different topics of flourishing in a single intervention. OBJECTIVES To develop a comprehensive and integrate intervention based on positive psychology gathering different topics of flourishing to improve mental health outcomes in individuals with depressive symptoms. METHODS The following steps were performed: (1) a comprehensive literature review; (2) the designing of a 12-session group intervention based on the values, virtues, and topics of flourishing; (3) assessment of the rationale, coherence, and feasibility by a panel of healthcare professionals answering semi-structured questions, and (4) application of an e-Delphi technique including mental health experts to reach a consensus of at least 80% for each item of the protocol. RESULTS A total of 25 experts participated in the study, 8 in the panel with semi-structured questions and 17 in the e-Delphi technique. A three-round e-Delphi technique was required to reach a consensus for all items. In the first round, a consensus was reached for 86.2% of the items. The remaining items (13.8%) were either excluded or reformulated. In the second round, a consensus was not obtained on one item, which was reformulated and approved in the third round. Qualitative analyses of the open questions were performed and suggestions for the protocol were considered. The final version of the intervention was composed of 12 weekly group sessions with 90-min each. The topics included in the intervention were physical and mental health, virtues and character strengths, love, gratitude, kindness, volunteering, happiness, social support, family, friends and community, forgiveness, compassion, resilience, spirituality, purpose and meaning of life, imagining the "best possible future," and flourishing. CONCLUSION The flourishing intervention was successfully developed using an e-Delphi technique. The intervention is ready to be tested in an experimental study to verify its feasibility and effectiveness.
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Affiliation(s)
| | | | | | - Clarice Gorenstein
- Institute and Department of Psychiatry (LIM-23), University of São Paulo Medical School, São Paulo, Brazil.,Department of Pharmacology, Institute of Biomedical Sciences University of São Paulo, São Paulo, Brazil
| | - Giancarlo Lucchetti
- Department of Medicine, School of Medicine, University of Juiz de Fora, Juiz de Fora, Brazil
| | - Homero Vallada
- Department of Psychiatry, School of Medicine, University of São Paulo, São Paulo, Brazil
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3
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Carneiro ÉM, Avezum Oliveira LF, Alves da Silva DA, da Silva Catarino J, Timóteo RP, Desidério CS, Rodrigues Junior V, de Fátima Borges M. Effects of complementary spiritual therapy on stress, anxiety, burnout syndrome and hematological parameters of professionals in a public hospital: a randomized controlled trial. JOURNAL OF COMPLEMENTARY & INTEGRATIVE MEDICINE 2022:jcim-2020-0305. [PMID: 35611849 DOI: 10.1515/jcim-2020-0305] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/03/2020] [Accepted: 12/24/2021] [Indexed: 11/15/2022]
Abstract
OBJECTIVES This randomized controlled trial evaluated the stress, anxiety, and burnout of professionals exposed to complementary spiritist therapy (CST), which consists in therapeutic resources as prayer, Spiritist passe, fluidic water and spiritual education or control. METHODS Seventy-six professionals were randomized to CST or control: to maintain the routine for 5 weeks. The ISSL scale, anxiety and depression Beck's indices, Maslach instrument, subjective well-being and WHOQOL-BREF were used at baseline and five-week. Blood count and cytokine dosage were collected at baseline, one-week and five-week. Analysis using the intention to treat approach. RESULTS The means of variation of stress (exhaustion phase) between baseline and five-week were -1.50 ± 3.31 in the CST and 0.72 ± 3.50 in the control (p=0.036), effect size for CST group was d=0.65, which is considered medium effect. CST showed decrease in emotional exhaustion and negative affects, and increase in lymphocytes, erythrocyte parameters and platelets between the baseline and five-week (p<0.05). Reduction in IL-1β and increase in total lymphocyte count were observed with 2-3 sessions per week, but that does not maintain when the number of sessions is decreased. Participants receiving ≥7 sessions reduced emotional exhaustion, depersonalization and stress, and improved hematological parameters throughout the study (p<0.05). CONCLUSIONS CST may be effective in reducing stress (exhaustion phase) compared to control. Higher frequency of interventions promotes better psychic state, evidenced by large effect size for emotional exhaustion in burnout, and improves hematological parameters of professionals. TRIAL REGISTRATION ClinicalTrials.gov Identifier NCT03356691.
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Affiliation(s)
- Élida Mara Carneiro
- Integrative and Complementary Practices Center - NUPIC, Clinics Hospital, Uberaba, MG, Brazil.,Federal University of Triângulo Mineiro, Uberaba, MG, Brazil.,Medical Spiritist Association of Uberaba (AMEUBE), Uberaba, MG, Brazil
| | - Livia Figueira Avezum Oliveira
- Integrative and Complementary Practices Center - NUPIC, Clinics Hospital, Uberaba, MG, Brazil.,Federal University of Triângulo Mineiro, Uberaba, MG, Brazil
| | | | | | | | | | | | - Maria de Fátima Borges
- Federal University of Triângulo Mineiro, Uberaba, MG, Brazil.,Medical Spiritist Association of Uberaba (AMEUBE), Uberaba, MG, Brazil
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Use of Spirituality in the Treatment of Depression: Systematic Literature Review. Psychiatr Q 2022; 93:255-269. [PMID: 35226252 DOI: 10.1007/s11126-020-09881-9] [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] [Accepted: 12/12/2020] [Indexed: 10/19/2022]
Abstract
Spirituality has been gaining recognition as a potential treatment modality. Our paper aimed to provide a systematic overview of existing research examining the use of spirituality as a treatment method for depression. All articles published between 2000 and 2018 that scientifically evaluated therapeutic interventions with elements of spirituality were included in the review. Ten studies met the inclusion criteria. Their analysis showed that there were elements of spirituality-based treatments that were repeatedly mentioned, including gratitude, forgiveness, self-acceptance, and compassion. Most often, spirituality was used together with psychotherapy. The review also noted the emergence of digital interventions.
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Borragini-Abuchaim S, Alonso LG, Tarcia RL. Spirituality/Religiosity as a Therapeutic Resource in Clinical Practice: Conception of Undergraduate Medical Students of the Paulista School of Medicine ( Escola Paulista de Medicina) - Federal University of São Paulo ( Universidade Federal de São Paulo). Front Psychol 2021; 12:787340. [PMID: 35002879 PMCID: PMC8739501 DOI: 10.3389/fpsyg.2021.787340] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2021] [Accepted: 11/15/2021] [Indexed: 11/13/2022] Open
Abstract
Introduction: The high degree of religious/spiritual involvement that brings meaning and purpose to a patients' life, especially when they are weakened by pain, is among the various reasons to consider the spiritual dimension in clinical practice. This involvement may influence medical decisions and, therefore, should be identified in the medical history of a patient (anamnesis). Objective: To verify the opinion of undergraduate medical students of the Paulista School of Medicine - Federal University of São Paulo regarding the use of a patient's Spirituality/Religiosity as a therapeutic resource in clinical practice. Method: Quantitative approach of the transversal analytical observational type. The sample was composed of academics' medical program, from the first to the sixth year, regularly enrolled in 2017. Data collection was performed with a standardized questionnaire divided into three sections: sociodemographic profile; Duke University Religious Index; Spirituality/Religiosity in the clinical and academic context. Results: Participated in the survey 72% of the enrolled students, of which 61.4% had religious affiliation, 26.2% declared themselves agnostic and 12.4% atheists. All of them proposed to answer questions about the insertion of Spirituality/Religiosity in the patient care process. Through the Duke Religiosity Index, we evaluated the importance of religiosity in the student's personal life and the pertinence of religiosity as a therapeutic insertion for medical treatment. Regarding the clinical and academic context, most participants considered relevant the proposition of didactic-pedagogical actions in medical education related to the spiritual dimension of the patient. Conclusion: We conclude, through our research, that the insertion of the Spirituality/Religiosity of the patient as a therapeutic resource in clinical practice is feasible for most undergraduate students in Medicine of the Escola Paulista de Medicina - Universidade Federal de São Paulo (Paulista School of Medicine - Federal University of São Paulo). The result of the research, although it shows only the opinion of medical students at a Brazilian university, indicates that Spirituality/Religiosity is already part of the contemporary medical universe.
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Affiliation(s)
- Silvia Borragini-Abuchaim
- Center for the Development of Higher Education in Health (CEDESS), Paulista School of Medicine, Federal University of São Paulo, São Paulo, Brazil
- Department of Morphology and Genetics, Paulista School of Medicine, Federal University of São Paulo, São Paulo, Brazil
| | - Luis Garcia Alonso
- Department of Morphology and Genetics, Paulista School of Medicine, Federal University of São Paulo, São Paulo, Brazil
| | - Rita Lino Tarcia
- Center for the Development of Higher Education in Health (CEDESS), Paulista School of Medicine, Federal University of São Paulo, São Paulo, Brazil
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Hay P, Appolinario JC. "A singular property in my hands". Int J Rheum Dis 2021; 24:5-6. [PMID: 33459530 DOI: 10.1111/1756-185x.14032] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/04/2020] [Accepted: 11/04/2020] [Indexed: 11/28/2022]
Affiliation(s)
- Phillipa Hay
- Translational Health Research Institute, School of Medicine, Western Sydney University, Sydney, New South Wales, Australia.,Camden and Campbelltown Hospitals, SWSLHD, Campbelltown, New South Wales, Australia
| | - Jose Carlos Appolinario
- Group of Obesity and Eating Disorders, Institute of Psychiatry, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil
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Hekmati Pour N, Mahmoodi-Shan GR, Ebadi A, Behnampour N. Spiritual self-care in adolescents: a qualitative study. Int J Adolesc Med Health 2020; 34:49-57. [PMID: 32083447 DOI: 10.1515/ijamh-2019-0248] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2019] [Accepted: 01/02/2020] [Indexed: 06/10/2023]
Abstract
OBJECTIVES One of the existential questions during adolescence is about the ambiguity in spiritual realms. Adolescents at this age not only have the spiritual, psychological, and unique needs, but also have spiritual needs that help them to relax and solve problems. Therefore, this qualitative study aimed to understand the concept of spiritual self-care in Iranian adolescents in 2019. METHODS This qualitative study with content analysis approach was conducted on 14 adolescents with the age range of 14-20 years, who had been selected by purposeful sampling method. Data were collected by semi-structured interviews which were carried out between 4 March 2019 and 20 August 2019. RESULTS The interviews were transcribed immediately after the recording, and then were analyzed using direct content analysis. A total of 252 primary codes related to the adolescents' spiritual self-care were extracted from the analysis, which determined 4 main aspects of spiritual self-care (spiritual belief, spiritual experience, social-religious activities, and spiritual growth). CONCLUSIONS The findings of this study showed that, spiritual self-care is a form of self-care by which a person uses his or her spiritual beliefs, teachings, and experiences as a source of control over stress and crises, and will be able to cope with problems.
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Affiliation(s)
- Nafiseh Hekmati Pour
- Nursing Research Center, Faculty of Nursing and Midwifery, Golestan University of Medical Sciences, Gorgan, Islamic Republic of Iran
| | - Gholam Reza Mahmoodi-Shan
- Nursing Research Center, Faculty of Nursing and Midwifery, Golestan University of Medical Sciences, Gorgan, Islamic Republic of Iran
| | - Abbas Ebadi
- Behavioral Sciences Research Center, Life Style Institute, Baqiyatallah University of Medical Sciences, Tehran, Islamic Republic of Iran
- and Nursing Faculty, Baqiyatallah University of Medical Sciences, Tehran, Islamic Republic of Iran
| | - Nasser Behnampour
- Biostatistics and Epidemiology Department, Faculty of Health, Health Management and Social Development Research Center, Golestan University of Medical Sciences, Golestan, Islamic Republic of Iran
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8
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de Melo MPBX, Rodrigues CDDS, Dos Santos DA, de Melo JKX, Tokeshi H. Alternative treatment with Johrei: A controlled randomized study evaluating seed physiological potential. Explore (NY) 2020; 17:32-39. [PMID: 32811741 DOI: 10.1016/j.explore.2020.07.012] [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: 08/26/2019] [Revised: 07/15/2020] [Accepted: 07/29/2020] [Indexed: 10/23/2022]
Abstract
BACKGROUND Johrei, a noncontact healing therapy that purportedly channels "universal energy", is an easily taught technique with numerous positive reports of healing in human trials. However, studies on humans have been limited by small sample sizes, the placebo effect and baseline differences between groups. Overcoming some of these limitations, this study evaluated the effect of Johrei on the physiological potential of lettuce seeds. METHODS Lettuce seeds were subjected to thermal stress and then treated with Johrei before and after two years of storage. The seedling emergence percentage, emergence speed index, classification score, percentage of viable seedlings and root and shoot dry mass of the treated seeds were determined. RESULTS Stress-treated seeds treated with Johrei had a greater seedling emergence percentage than those not treated with Johrei (p<0.0001). Johrei also resulted in a greater emergence speed index (p<0.0001), a higher percentage of viable seedlings with higher classification score (p<0.0001) and greater root and shoot dry mass regardless of the storage duration (p<0.0001). CONCLUSIONS Johrei effectively preserved lettuce seed health, and the efficacy of Johrei can be assessed by evaluating its effects on the physiological potential of stress-treated seeds. Using live plants allows the influence of Johrei to be evaluated without interference from the placebo effect. Future studies should evaluate the influence of Johrei in primary aging processes in plants, such as cellular respiration by mitochondrial analysis, to gain insight into Johrei's mechanisms of action and enable inferences regarding similar cellular-level processes that occur in humans.
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Affiliation(s)
- Márcia P B X de Melo
- Korin Agricultura e Meio Ambiente Ltda., Estrada Municipal de Camaquã, sn, Caixa Postal 033, CEP: 13537-000, Ipeúna, SP, Brazil.
| | - Carlos Daniel de S Rodrigues
- Church of World Messianity of Brazil, Rua Morgado de Mateus, 77, Vila Mariana, CEP: 04515-050, São Paulo, SP, Brazil.
| | - Domiedson A Dos Santos
- Korin Agricultura e Meio Ambiente Ltda., Estrada Municipal de Camaquã, sn, Caixa Postal 033, CEP: 13537-000, Ipeúna, SP, Brazil.
| | - Jorge Konrado Xavier de Melo
- Korin Agricultura e Meio Ambiente Ltda., Estrada Municipal de Camaquã, sn, Caixa Postal 033, CEP: 13537-000, Ipeúna, SP, Brazil.
| | - Hasime Tokeshi
- Rua São João, 667, Centro, CEP.: 13432-009, Piracicaba, SP, Brazil
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9
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Raddatz JS, Motta RF, Alminhana LO. Religiosidade/Espiritualidade na Prática Clínica: Círculo Vicioso entre Demanda e Ausência de Treinamento. PSICO-USF 2019. [DOI: 10.1590/1413-82712019240408] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Resumo Diante do crescente número de pesquisas sobre Religiosidade e Espiritualidade (R/E), este artigo objetiva analisar a percepção de profissionais da saúde em relação a esses temas. Foram realizadas entrevistas semiestruturadas, coletadas nos locais de trabalho de seis profissionais liberais, utilizando a Análise de Conteúdo de Bardin, na abordagem qualitativa. Seis categorias emergiram das análises qualitativas: 1. R/E: fusão de conceitos e conexão com o transcendente; 2. Espiritualidade como facilitadora; 3. Demanda aparece informalmente; 4. Falta de treinamento; 5. Na prática é diferente; 6. A temática nos currículos acadêmicos. Os resultados indicaram que os profissionais observam a relevância da temática, embora ela apareça apenas de forma implícita. Como um círculo vicioso, a ausência de treinamento adequado pode levar à falta de inserção do tema na formação acadêmica. Futuros profissionais precisam receber treinamento para saber como acolher a religiosidade e a espiritualidade de pacientes/clientes de forma ética, visando a promoção de saúde.
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Carneiro ÉM, Borges RMC, de Assis HMN, Bazaga LG, Tomé JM, da Silva AP, Borges MDF. Effect of Complementary Spiritist Therapy on emotional status, muscle tension, and wellbeing of inpatients with HIV/AIDS: A randomized controlled trial - single-blind. JOURNAL OF COMPLEMENTARY & INTEGRATIVE MEDICINE 2018; 16:/j/jcim.ahead-of-print/jcim-2018-0057/jcim-2018-0057.xml. [PMID: 30312163 DOI: 10.1515/jcim-2018-0057] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/19/2018] [Accepted: 07/18/2018] [Indexed: 11/15/2022]
Abstract
Background Complementary Spiritist Therapy includes prayer, Spiritist "passe", fluid therapy (fluidic water or magnetized water), and spiritual education, among other therapeutic resources. The objective of this study was to evaluate the effects of Complementary Spiritist Therapy with conventional treatment on emotional status, muscle tension and wellbeing of hospitalized patients with HIV/AIDS. Methods Patients were randomly assigned into either the experimental (3 days [10 mins per day/session] of Complementary Spiritist Therapy alongside conventional treatment; n=20) or control (conventional treatment alone; n=21) group. The primary outcome were positive and negative affects evaluated by the Subjective Wellbeing Scale. The secondary outcome were muscle tension, and wellbeing were assessed by visual analogue scales. Results Significant reductions in negative effects (p=0.045), and muscle tension (p=0.022), along with significant increases in wellbeing (p=0.041) were recorded in the experimental group (Complementary Spiritist Therapy). Conclusions Reductions in negative effects and muscle tension, along with increased perceived wellbeing, were observed in hospitalized patients with HIV/AIDS exposed Complementary Spiritist Therapy combined conventional treatment compared to conventional treatment alone.
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Affiliation(s)
- Élida Mara Carneiro
- Federal University of Triângulo Mineiro, Committee on Religious and Spiritual Assistance (Care). Spiritist Hospital Chaplaincy Service of Clinic Hospital, MG Uberaba, Brazil.,Clinics Hospital, Federal University of Triângulo Mineiro, Getúlio Guaritá Street, 330, Uberaba, MG 38025-440, Brazil.,Medical Spiritist Association of Uberaba, Dr Thomaz Ulhôa Square, 50, Uberaba, MG 38025 050, Brazil
| | | | - Helia Morais Nomelini de Assis
- Federal University of Triângulo Mineiro, Committee on Religious and Spiritual Assistance (Care). Spiritist Hospital Chaplaincy Service of Clinic Hospital, MG Uberaba, Brazil.,Clinics Hospital, Federal University of Triângulo Mineiro, Getúlio Guaritá Street, 330, Uberaba, MG 38025-440, Brazil
| | - Lohanna Gutierrez Bazaga
- University of Uberaba (Uniube).655, Dos Expedicionários Street, Uberaba, MG 15950 000, Brazil.,Medicine, Academic League of Spirituality of Uberaba (Liase) of Uniube, Uberaba, MG, Brazil
| | - Janaíne Machado Tomé
- Clinics Hospital, Federal University of Triângulo Mineiro, Getúlio Guaritá Street, 330, Uberaba, MG 38025-440, Brazil
| | - Adriana Paula da Silva
- Clinics Hospital, Federal University of Triângulo Mineiro, Getúlio Guaritá Street, 330, Uberaba, MG 38025-440, Brazil.,Medical Spiritist Association of Uberaba, Dr Thomaz Ulhôa Square, 50, Uberaba, MG 38025 050, Brazil
| | - Maria de Fátima Borges
- Federal University of Triângulo Mineiro, Committee on Religious and Spiritual Assistance (Care). Spiritist Hospital Chaplaincy Service of Clinic Hospital, MG Uberaba, Brazil.,Clinics Hospital, Federal University of Triângulo Mineiro, Getúlio Guaritá Street, 330, Uberaba, MG 38025-440, Brazil.,Medical Spiritist Association of Uberaba, Dr Thomaz Ulhôa Square, 50, Uberaba, MG 38025 050, Brazil
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Zacaron KAM, da Silva Mendes N, E Silva YC, Lucchetti G. Effects of laying on of hands with and without a spiritual context on pain and functionality of older women with knee osteoarthritis: study protocol for a randomized controlled trial. JOURNAL OF INTEGRATIVE MEDICINE-JIM 2018. [PMID: 29526233 DOI: 10.1016/j.joim.2018.02.002] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
BACKGROUND Laying on of hands (LooH) is a culturally-accepted therapy in several traditions. In Brazil, "Spiritism" (third-largest religious tradition in number of followers) uses LooH with the name of "Spiritist Passe" (SP). However, there are few studies assessing SP's role in medical outcomes. The present study aims to investigate the effects of LooH, with and without a spiritual context, on pain, joint stiffness, and functional capacity of older women (≥60 years old) with knee osteoarthritis (KOA). METHODS/DESIGN In this triple-blind, prospective randomized controlled trial, older women with KOA are assigned to three groups: LooH with a spiritual context group, LooH group without a spiritual context, and a control group receiving no intervention. Patients are assessed by a blinded researcher at baseline, 8 weeks, and 16 weeks. Pain, joint stiffness, and functional capacity are assessed using Western Ontario and McMaster Universities Osteoarthritis Index. Other measures such as anxiety, depression, gait speed, and quality of life will also be assessed. To detect differences between groups, a post-intervention comparison between the three groups and a mean change (post-pre) comparison among the three groups will be done using analysis of variance. All statistical analyses will be performed using an intention-to-treat approach and a per-protocol analysis. DISCUSSION A pragmatic design using SP, LooH without spiritual context, and no LooH may provide further scientific evidence on SP's feasibility and efficacy for KOA patients. TRIAL REGISTRATION ClinicalTrials.gov Identifier NCT02917356.
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Affiliation(s)
- Katy Andrade Monteiro Zacaron
- School of Medicine, Federal University of Juiz de Fora, Juiz de Fora 36036-330, Brazil; Institute of Life Sciences, Department of Physiotherapy, Federal University of Juiz de Fora, Governador Valadares 35012-140, Brazil
| | - Nélia da Silva Mendes
- Faculty of Physical Therapy, Federal University of Juiz de Fora, Juiz de Fora 36036-330, Brazil
| | - Yuri Cotta E Silva
- School of Medicine, Federal University of Juiz de Fora, Juiz de Fora 36036-330, Brazil
| | - Giancarlo Lucchetti
- School of Medicine, Federal University of Juiz de Fora, Juiz de Fora 36036-330, Brazil.
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Moeini B, Zamanian H, Taheri-Kharameh Z, Ramezani T, Saati-Asr M, Hajrahimian M, Amini-Tehrani M. Translation and Psychometric Testing of the Persian Version of the Spiritual Needs Questionnaire Among Elders With Chronic Diseases. J Pain Symptom Manage 2018; 55:94-100. [PMID: 28865868 DOI: 10.1016/j.jpainsymman.2017.08.024] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/12/2017] [Revised: 08/18/2017] [Accepted: 08/20/2017] [Indexed: 11/17/2022]
Abstract
CONTEXT Spirituality plays an important role in coping with chronic diseases for patients and they often report unmet spiritual and existential needs, which should be considered for a holistic view of their health. Studying spiritual needs in this generation requires culturally appropriate and valid instruments. The aim of this study was to determine the psychometric properties, such as validity, reliability, and factor structure of the Persian version of Spiritual Needs Questionnaire (SpNQ). OBJECTIVES The aim of this study was to determine the psychometric properties, such as validity, reliability, and factor structure of the Persian version of Spiritual Needs Questionnaire (SpNQ). METHODS The "forward-backward" procedure was applied to translate the SpNQ from English into Persian. The SpNQ-Persian Version (SpNQ-PV) was checked in terms of validity and reliability with a convenience sample of 100 elders with chronic diseases who were recruited from the inpatient wards at two university hospitals in Qom, Iran. The validity was assessed using content, face, and construct validity. The Cronbach alpha and test-retest were used to assess the reliability of the questionnaire. RESULTS The results of the exploratory factor analysis indicated a five-factor solution for the questionnaire, which included religious needs, existential needs, forgiveness/generativity needs, need for inner peace, and emotional needs. These accounted for 60.1% of the total observed variance. One item was removed (factor loading <0.4). Convergent validity was supported mostly by the pattern of association between SpNQ-PV and the Spiritual Well-being Scale. Cronbach alpha of the subscales ranged from 0.56 to 0.78 and the test-retest reliability ranged from 0.72 to 0.91, which indicated an acceptable range of reliability. CONCLUSION The SpNQ-PV showed a minor difference in structuring and indicated good psychometric properties, which can be used to assess the spiritual needs of Iranian elders suffering from chronic diseases.
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Affiliation(s)
- Babak Moeini
- Social Determinants of Health Research Center, Department of Public Health, School of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran
| | - Hadi Zamanian
- School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
| | - Zahra Taheri-Kharameh
- Religion and Health Research Center, Qom University of Medical Sciences, Qom, Iran; Students Research Center, Department of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran.
| | - Tahereh Ramezani
- Students Research Center, Department of Public Health, Qom University of Medical Sciences, Qom, Iran
| | - Mohamadhasan Saati-Asr
- Students Research Center, Department of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran
| | - Mohamadhasan Hajrahimian
- Social Determinants of Health Research Center, Department of Public Health, School of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran; Religion and Health Research Center, Qom University of Medical Sciences, Qom, Iran
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Alminhana LO, Farias M, Claridge G, Cloninger CR, Moreira-Almeida A. How to tell a happy from an unhappy schizotype: personality factors and mental health outcomes in individuals with psychotic experiences. ACTA ACUST UNITED AC 2016; 39:126-132. [PMID: 27901211 PMCID: PMC7111452 DOI: 10.1590/1516-4446-2016-1944] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/24/2016] [Accepted: 06/23/2016] [Indexed: 12/03/2022]
Abstract
Objective: It is unclear why some individuals reporting psychotic experiences have balanced lives while others go on to develop mental health problems. The objective of this study was to test if the personality traits of harm avoidance, self-directedness, and self-transcendence can be used as criteria to differentiate healthy from unhealthy schizotypal individuals. Methods: We interviewed 115 participants who reported a high frequency of psychotic experiences. The instruments used were the Temperament and Character Inventory (140), Structured Clinical Interview for DSM-IV, and the Oxford-Liverpool Inventory of Feelings and Experiences. Results: Harm avoidance predicted cognitive disorganization (β = 0.319; t = 2.94), while novelty seeking predicted bipolar disorder (β = 0.136, Exp [β]. = 1.146) and impulsive non-conformity (β = 0.322; t = 3.55). Self-directedness predicted an overall decrease in schizotypy, most of all in cognitive disorganization (β = -0.356; t = -2.95) and in impulsive non-conformity (β = -0.313; t = -2.83). Finally, self-transcendence predicted unusual experiences (β = 0.256; t = 2.32). Conclusion: Personality features are important criteria to distinguish between pathology and mental health in individuals presenting high levels of anomalous experiences (AEs). While self-directedness is a protective factor, both harm avoidance and novelty seeking were predictors of negative mental health outcomes. We suggest that the impact of AEs on mental health is moderated by personality factors.
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Affiliation(s)
- Letícia O Alminhana
- Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS), Porto Alegre, RS, Brazil
| | | | - Gordon Claridge
- Department of Experimental Psychology, University of Oxford, Oxford, United Kingdom
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Carneiro ÉM, Barbosa LP, Marson JM, Terra JA, Martins CJP, Modesto D, Resende LAPRD, Borges MDF. Effectiveness of Spiritist "passe" (Spiritual healing) for anxiety levels, depression, pain, muscle tension, well-being, and physiological parameters in cardiovascular inpatients: A randomized controlled trial. Complement Ther Med 2016; 30:73-78. [PMID: 28137530 DOI: 10.1016/j.ctim.2016.11.008] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/22/2016] [Revised: 10/24/2016] [Accepted: 11/23/2016] [Indexed: 10/20/2022] Open
Abstract
BACKGROUND Biofield therapies, such as laying on of hands, are used in association with Conventional Medicine as Spiritist "passe", among others. The aim of this study was to evaluate anxiety, depression, pain, muscle tension and well-being, as well as physiological parameters in cardiovascular inpatients submitted to the Spiritist "passe", sham, and no intervention. METHODS In the total, 41 cardiovascular inpatients submitted to the Spiritist "passe", sham, and no intervention during a 10-min period on 3 consecutive days. They were evaluated through anxiety and depression level, pain, the perceptions of muscle tension and well-being and physiological parameters, before and after interventions. RESULTS A significant reduction (p=0.001) in anxiety scores and muscle tension (p=0.011), improvement of well-being (p=0.003) and a significant increase in peripheral oxyhemoglobin saturation scores (p=0.028) were observed in Spiritist "passe" patients, and a significant reduction (p=0.028) of muscle tension and improvement of well-being (p=0.045) in sham patients. However, muscle tension reduction (p=0.003) and improvement of well-being (p=0.003) were more accentuated in the Spiritist "passe" compared to sham and no intervention. CONCLUSIONS Results suggest that the Spiritist "passe" appeared to be effective, reducing anxiety level and the perception of muscle tension, consequently improving peripheral oxyhemoglobin saturation and the sensation of well-being compared to sham and no intervention in cardiovascular inpatients.
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Affiliation(s)
- Élida Mara Carneiro
- Committee on Religious and Spiritual Assistance (CARE), Brazil; Hospital de Clínicas de Uberaba, Universidade Federal do Triângulo Mineiro (Federal University of Triângulo Mineiro), Rua Getúlio Guaritá, 330, 38025-440 Uberaba, MG, Brazil; Medical Spiritist Association (AMEUBE), Praça Dr. Thomaz Ulhôa, 50, 38025 050 Uberaba, MG, Brazil.
| | - Luana Pereira Barbosa
- Hospital de Clínicas de Uberaba, Universidade Federal do Triângulo Mineiro (Federal University of Triângulo Mineiro), Rua Getúlio Guaritá, 330, 38025-440 Uberaba, MG, Brazil
| | - Jorge Marcelo Marson
- Hospital de Clínicas de Uberaba, Universidade Federal do Triângulo Mineiro (Federal University of Triângulo Mineiro), Rua Getúlio Guaritá, 330, 38025-440 Uberaba, MG, Brazil
| | - Juverson Alves Terra
- Hospital de Clínicas de Uberaba, Universidade Federal do Triângulo Mineiro (Federal University of Triângulo Mineiro), Rua Getúlio Guaritá, 330, 38025-440 Uberaba, MG, Brazil
| | - Claudio Jacinto Pereira Martins
- Hospital de Clínicas de Uberaba, Universidade Federal do Triângulo Mineiro (Federal University of Triângulo Mineiro), Rua Getúlio Guaritá, 330, 38025-440 Uberaba, MG, Brazil
| | - Danielle Modesto
- Hospital de Clínicas de Uberaba, Universidade Federal do Triângulo Mineiro (Federal University of Triângulo Mineiro), Rua Getúlio Guaritá, 330, 38025-440 Uberaba, MG, Brazil
| | - Luiz Antônio Pertili Rodrigues de Resende
- Hospital de Clínicas de Uberaba, Universidade Federal do Triângulo Mineiro (Federal University of Triângulo Mineiro), Rua Getúlio Guaritá, 330, 38025-440 Uberaba, MG, Brazil
| | - Maria de Fátima Borges
- Committee on Religious and Spiritual Assistance (CARE), Brazil; Hospital de Clínicas de Uberaba, Universidade Federal do Triângulo Mineiro (Federal University of Triângulo Mineiro), Rua Getúlio Guaritá, 330, 38025-440 Uberaba, MG, Brazil; Medical Spiritist Association (AMEUBE), Praça Dr. Thomaz Ulhôa, 50, 38025 050 Uberaba, MG, Brazil
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Vancini RL, Lira CABD, Vancini-Campanharo CR, Barbosa DA, Arida RM. The Spiritism as therapy in the health care in the epilepsy. Rev Bras Enferm 2016; 69:804-10. [PMID: 27508488 DOI: 10.1590/0034-7167.2016690425i] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/26/2015] [Accepted: 03/29/2016] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVE to present a brief history of Spiritism, the vision of epilepsy by Spiritism, and the potential of spirituality and religiosity care as complementary and coadjutants treatments in epilepsy. METHOD this is a brief review about the impact of faith, spirituality, and religiosity, particularly the Spiritism philosophy as complementary treatment to neurological disorders (particularly focusing on epilepsy) and mental health. We conduct a review of published articles (about religion/spirituality and epilepsy) in the Pubmed and SciELO databases. CONCLUSION the exercise of spirituality and religiosity can be a positive coping strategy to support the traditional therapy of patients with epilepsy and other neurological disorders. However, it is necessary to demystify myths and beliefs about the epilepsy and improve knowledge about this important health dimension among professionals, patients, and caregivers to explore their full treatment and supportive potential.
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Affiliation(s)
- Rodrigo Luiz Vancini
- Universidade Federal do Espírito Santo, Center of Physical Education and Sports. Vitória, Espírito Santo, Brazil
| | - Claudio Andre Barbosa de Lira
- Universidade Federal de Goiás, Dance and Physical Education College, Sector of Human and Exercise Physiology. Goiânia, Goiás, Brazil
| | | | - Dulce Aparecida Barbosa
- Universidade Federal de São Paulo, Paulista School of Nursing, Department of Nursing. São Paulo, Brazil
| | - Ricardo Mario Arida
- Universidade Federal de São Paulo, Department of Physiology. São Paulo, Brazil
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Effect of the Spiritist “passe” energy therapy in reducing anxiety in volunteers: A randomized controlled trial. Complement Ther Med 2016; 27:18-24. [DOI: 10.1016/j.ctim.2016.05.002] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/03/2016] [Revised: 04/28/2016] [Accepted: 05/04/2016] [Indexed: 11/21/2022] Open
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