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Garnsey CL, Magin ZE, Park CL. ACEs and Mental and Behavioral Health: Examining Maltreatment vs. Household Dysfunction and the Moderating Role of Spirituality. JOURNAL OF CHILD & ADOLESCENT TRAUMA 2024; 17:507-516. [PMID: 38938932 PMCID: PMC11199445 DOI: 10.1007/s40653-023-00571-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 09/11/2023] [Indexed: 06/29/2024]
Abstract
Purpose Different types of adverse childhood experiences (ACEs) may be differentially linked to mental and behavioral health. Additionally, spirituality is associated with well-being, but little research has examined whether it is protective in the context of ACEs. The present study examines the influence of maltreatment and household dysfunction ACEs on distress, substance use, and sexual risk taking, and tests whether spirituality moderates the associations between childhood maltreatment, household dysfunction and distress, substance use, and sexual risk taking. Method 314 college students completed the ACE-Q and measures of general mental (distress) and behavioral (substance use, sexual risk taking) health. To examine the distinct effects of maltreatment and household dysfunction on mental and behavior health, linear regression models that included both ACE types as predictors were constructed for each of the health variables. Moderation between spirituality and each type of ACEs was then examined for each outcome. Results Childhood maltreatment predicted greater distress and sexual risk-taking even after accounting for household dysfunction, and household dysfunction predicted greater substance use even after accounting for childhood maltreatment. Childhood maltreatment interacted significantly with spirituality to predict distress, but in the opposite direction than was hypothesized. That is, the relationship between cumulative childhood maltreatment ACEs and distress was stronger among those with higher levels of spirituality. Conclusions Results suggest that childhood maltreatment and household dysfunction ACEs are linked to distinct mental and behavioral health consequences among young adults. Additionally, while spirituality is associated generally with better mental and behavioral health, our findings suggest that it does not buffer the impacts of childhood maltreatment or household dysfunction.
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Affiliation(s)
- Camille L. Garnsey
- Department of Psychological Science, University of Connecticut, 406 Babbidge Road, Unit 1020, Storrs, CT 06269 USA
| | - Zachary E. Magin
- Department of Psychological Science, University of Connecticut, 406 Babbidge Road, Unit 1020, Storrs, CT 06269 USA
| | - Crystal L. Park
- Department of Psychological Science, University of Connecticut, 406 Babbidge Road, Unit 1020, Storrs, CT 06269 USA
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Young S, Walter S, Wang K, Piamjariyakul U, Lewis F. The influence of spirituality on caregiver burden and quality of life in older adult informal caregivers. Geriatr Nurs 2024; 58:127-134. [PMID: 38797023 DOI: 10.1016/j.gerinurse.2024.05.013] [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: 01/12/2024] [Revised: 05/05/2024] [Accepted: 05/13/2024] [Indexed: 05/29/2024]
Abstract
BACKGROUND Caregiver burden (CB) reduces quality of life (QOL) and causes poor health outcomes. Spirituality impacts this relationship. AIMS To determine prevalence of CB and investigate relationships among CB, spirituality, and QOL in older U.S. adult informal caregivers (n = 754). METHODS This was a cross-sectional, descriptive secondary analysis of data from the 2020 Health and Retirement Study using GLM and SEM. RESULTS Caregiver mean age was 65.93 (SD=8.37). Caregivers were primarily female (n = 456, 54.0%), White (n = 500, 79.5%), and married (n = 469, 65.3%). Most caregivers had moderate CB (n = 369, 49.8%). Black caregivers who were spiritual (p=.031) and caregivers with a high school diploma/GED who were spiritual (p=.021) had lower CB. Lower CB was correlated with higher QOL (p=< 0.001). SEM depicting an influencing effect of spirituality revealed good model fit (NFI=0.988; IFI=0.993; TLI=0.983; PCFI=0.397, RMSEA=0.043; χ2=9.577, p=.048, DF=4) CONCLUSIONS: Fostering spirituality in older adult caregivers could reduce CB and improve QOL.
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Affiliation(s)
- Stephanie Young
- West Virginia University, School of Nursing, 64 Medical Center Dr., Morgantown, WV 26506, USA.
| | - Suzy Walter
- West Virginia University, School of Nursing, 64 Medical Center Dr., Morgantown, WV 26506, USA
| | - Kesheng Wang
- West Virginia University, School of Nursing, 64 Medical Center Dr., Morgantown, WV 26506, USA
| | - Ubolrat Piamjariyakul
- West Virginia University, School of Nursing, 64 Medical Center Dr., Morgantown, WV 26506, USA
| | - Feylyn Lewis
- Vanderbilt University, School of Nursing, 461 21st St Ave South, Nashville, TN 37240, USA
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Vitorino LM, Machado Teixeira PH, Dominato PC, de Azevedo MPC, Resende MM, Lucchetti G. The effectiveness of spiritual care training on medical students' self-reported competencies: A quasi-experimental study. Palliat Support Care 2024; 22:251-257. [PMID: 37042249 DOI: 10.1017/s1478951523000408] [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] [Indexed: 04/13/2023]
Abstract
OBJECTIVES To evaluate the effectiveness of spiritual care training on medical students' self-reported competencies. METHODS This is a quasi-experimental (controlled and non-randomized) study including 115 Brazilian medical students. Participants were enrolled into 2 groups: fourth-year students (n = 64) who received spiritual care training and sixth-year students (n = 51) who did not receive this training - control group (i.e., usual teaching). Participants answered a self-reported Spiritual Care Competence Scale. Comparisons between groups were performed and effect sizes were reported. RESULTS Providing a spiritual care training resulted in significantly higher self-reported scores for the dimensions of "Assessment" (d = 0.99), "Improvement of care" (d = 0.69), "Counseling (d = 0.88)," "Referral" (d = 0.75), and "Total Spiritual Care" (d = 1.044) as compared to the control group. Likewise, 21 out of 27 items of the Spiritual Care Competence Scale were significantly higher for the intervention group, presenting effect sizes (d) ranging between 0.428 and 1.032. SIGNIFICANCE OF RESULTS Medical students receiving spiritual care training showed greater self-reported competencies as compared to those in the usual teaching. These results reinforce the importance of promoting spirituality teaching in medical schools.
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Affiliation(s)
| | | | | | | | | | - Giancarlo Lucchetti
- School of Medicine, Federal University of Juiz de Fora, Juiz de Fora, Brazil
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4
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Li L, Liu X, Wang P, Qu M, Xiu M. Correlations of religious beliefs with anxiety and depression of Chinese adolescents. Front Psychiatry 2024; 15:1354922. [PMID: 38495911 PMCID: PMC10940464 DOI: 10.3389/fpsyt.2024.1354922] [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: 12/13/2023] [Accepted: 02/19/2024] [Indexed: 03/19/2024] Open
Abstract
Objective This study was designed to investigate the prevalence of religious belief and its relationship with psychiatric symptoms among Chinese adolescents. Methods This study recruited 11,603 adolescents in Grades 7-9 from March 21 to 31, 2020 in five cities in China. The religious beliefs of adolescents were collected by asking whether they held religious beliefs and what type of religious beliefs they held. The Patient Health Questionnaire-9 (PHQ-9) and the Generalized Anxiety Disorder-7 Scale (GAD-7) were used to assess depressive and anxiety symptoms in all adolescents. Demographics, religious beliefs, and mental health status were collected through the professional version of Wenjuanxing. Results Of 11,069 valid questionnaires collected, 847 (7.7%) reported holding religious beliefs. Adolescents with religious beliefs showed significantly more severe symptoms of depression and anxiety compared to those without religious beliefs (both p<0.05). Logistic regression analysis revealed that religious belief was a risk factor for symptoms of depression (OR = 1.37, 95%CI: 1.16-1.61, p < 0.001) and anxiety (OR = 1.49, 95%CI: 1.23-1.79, p < 0.001) after controlling age, gender, and parental marital status. Conclusions Our findings suggest that religiousness in adolescents was associated with a higher likelihood of depression/more intense depressive symptoms. In addition, religious Chinese adolescents should be provided with more resources to help them cope with mental health concerns.
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Affiliation(s)
- Lejun Li
- Department of Neurology, Suzhou TCM Hospital Affiliated to Nanjing University of Chinese Medicine, Suzhou, China
| | - Xiliang Liu
- Qingdao Mental Health Center, Qingdao, China
| | - Pingping Wang
- Neurology Department, Xuan Wu Hospital of Capital Medical University, Beijing, China
| | - Miao Qu
- Neurology Department, Xuan Wu Hospital of Capital Medical University, Beijing, China
| | - Meihong Xiu
- Peking University Huilongguan Clinical Medical School, Beijing Huilongguan Hospital, Beijing, China
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Lee BK, Groenenboom J, Miftari N. Teaching a Canadian Experiential Course in Religion and Spirituality for Undergraduates in Addiction Counseling and Health Sciences: A Social Constructivist Framework. JOURNAL OF RELIGION AND HEALTH 2024; 63:595-618. [PMID: 38114845 DOI: 10.1007/s10943-023-01960-y] [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: 11/13/2023] [Indexed: 12/21/2023]
Abstract
Religion and spirituality (RS) are integral to counseling and health but their incorporation into the curricula of these professions is still lacking. Limited literature is available on how to effectively teach such courses. This article presents a promising experiential, interactive model for an RS course designed for undergraduate students pursuing careers in addictions counseling, therapeutic recreation, and public health. An online course conducted during the COVID-19 pandemic adopted a social constructivist framework that encompassed four key components in its design and delivery: assessing prior knowledge, creating cognitive dissonance, applying new knowledge with feedback, reflecting on learning. Students' feedback in the course indicated their broadened understanding of the plurality of RS orientations and their acquisition of foundational skills with an increased confidence in bringing RS conversations into their practice. This article provides a conceptual and practical framework for educators to develop an RS course for a diverse representation of students and encourages further evaluation of the proposed model to assess its impact on learning outcomes.
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Affiliation(s)
- Bonnie K Lee
- Faculty of Health Sciences, University of Lethbridge, 4401 University Drive, Lethbridge, AB, T1K 3M4, Canada.
| | - Jamie Groenenboom
- Faculty of Health Sciences, University of Lethbridge, 4401 University Drive, Lethbridge, AB, T1K 3M4, Canada
| | - Naser Miftari
- Prentice Institute for Global Population and Economy, University of Lethbridge, Lethbridge, AB, Canada
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Alnasser LA, Moro MF, Naseem MT, Bilal L, Akkad M, Almeghim R, Al-Habeeb A, Al-Subaie AS, Altwaijri YA. Social determinants of anxiety and mood disorders in a nationally-representative sample - Results from the Saudi National Mental Health Survey (SNMHS). Int J Soc Psychiatry 2024; 70:166-181. [PMID: 37740657 DOI: 10.1177/00207640231197944] [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: 09/24/2023]
Abstract
INTRODUCTION Social determinants of health (SDH) influence and modify the risk for mental health disorders. To our knowledge, no study has explored SDH in the context of mental health in Saudi Arabia (SA) using population-based data. This study investigated the association between several SDH and anxiety and mood disorders in SA. METHODS We utilized data from the nationally-representative Saudi National Mental Health Survey (SNMHS) conducted in 2014 to 2016. This study examined associations between personal-level, socioeconomic, physical health, and family environment characteristics and anxiety and mood disorders. Participants were classified as having anxiety-only disorders, mood-only disorders, or comorbidity of both disorders. Multinomial logistic regression models were employed to examine the associations between SDH and anxiety and/or mood disorders, comparing them to participants who had not experienced these disorders. RESULTS A total of 4,004 participants were included in this analysis; the lifetime prevalence of disorders was: anxiety only (18%), mood only (3.8%), and comorbidity of both (5.3%). Regression models indicated that females, young adults (26-35 years), individuals with a higher level of education, and those who were separated or widowed had higher odds of experiencing anxiety and/or mood disorders. Furthermore, there was a significant and direct association between having physical chronic conditions and all three categories of anxiety and mood disorders. Experiencing Adverse Childhood Events (ACEs) was also associated with a significant risk of developing anxiety and/or mood disorders, with the highest risk associated with physical or sexual abuse, followed by violence and neglect. CONCLUSION This study underscores the correlation between several personal-level, socioeconomic, and environmental SDH and anxiety and mood disorders in SA. These findings provide a foundation for future analyses examining the intricate interplay between upstream and downstream SDH in SA. Such research can enhance local scientific knowledge, aid in planning for social services, and inform policy decisions and treatment strategies.
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Affiliation(s)
- Lubna A Alnasser
- Population Health Research Section, King Abdullah International Medical Research Center, Riyadh, Saudi Arabia
- King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia
| | | | - Mohammad Talal Naseem
- Biostatistics, Epidemiology and Scientific Computing Department, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia
- King Salman Center for Disability Research, Riyadh, Saudi Arabia
- SABIC Psychological Health Research & Applications Chair, College of Medicine, King Saud University, Riyadh, Saudi Arabia
| | - Lisa Bilal
- Biostatistics, Epidemiology and Scientific Computing Department, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia
- King Salman Center for Disability Research, Riyadh, Saudi Arabia
- SABIC Psychological Health Research & Applications Chair, College of Medicine, King Saud University, Riyadh, Saudi Arabia
| | - Marya Akkad
- Biostatistics, Epidemiology and Scientific Computing Department, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia
- King Salman Center for Disability Research, Riyadh, Saudi Arabia
- SABIC Psychological Health Research & Applications Chair, College of Medicine, King Saud University, Riyadh, Saudi Arabia
| | - Reema Almeghim
- Population Health Research Section, King Abdullah International Medical Research Center, Riyadh, Saudi Arabia
| | - Abdulhameed Al-Habeeb
- National Center for Mental Health Prevention, Ministry of Health, Riyadh, Saudi Arabia
| | - Abdullah S Al-Subaie
- SABIC Psychological Health Research & Applications Chair, College of Medicine, King Saud University, Riyadh, Saudi Arabia
- Edrak Medical Center, Riyadh, Saudi Arabia
| | - Yasmin A Altwaijri
- Biostatistics, Epidemiology and Scientific Computing Department, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia
- King Salman Center for Disability Research, Riyadh, Saudi Arabia
- SABIC Psychological Health Research & Applications Chair, College of Medicine, King Saud University, Riyadh, Saudi Arabia
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Park SY, Yourell J, McAlister KL, Huberty J. Exploring Generation Z and Young Millennials' Perspectives of a Spiritual Self-Care App and Their Spiritual Identity (Skylight): Qualitative Semistructured Interview Study. JMIR Form Res 2023; 7:e54284. [PMID: 38064199 PMCID: PMC10784987 DOI: 10.2196/54284] [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: 11/03/2023] [Revised: 12/06/2023] [Accepted: 12/07/2023] [Indexed: 12/29/2023] Open
Abstract
BACKGROUND Generation Z and young millennials (ages 18-35 years), collectively referred to as GenZennials, are connected to technology and the internet like no other generation before them. This has mental health implications, such as increased rates of anxiety and stress. Recent research has shown that app-based mental health interventions can be useful to address such mental health concerns. However, spirituality is an untapped resource, especially since GenZennials largely identify as spiritual and already integrate spiritual practices into their self-care. OBJECTIVE There were four objectives to this study: (1) comprehensively explore reasons why GenZennials use a spiritual self-care app (ie, Skylight; Radiant Foundation), (2) understand how GenZennials identify spiritually, (3) understand the app's relevance to GenZennials, and (4) gather feedback and suggestions to improve the app. METHODS Semistructured interviews were conducted with 23 GenZennials (ages 18-35 years; mean 28.7, SD 5.0 years; n=20, 87% female) who used the Skylight app. Interviews were 30 to 60 minutes and conducted on Zoom. Thematic analysis was used to analyze interviews. RESULTS Five major categories emerged from the analysis, each encompassing one to several themes: (1) reasons for using the Skylight app, (2) content favorites, (3) defining spiritual identity, (4) relevance to GenZennials, and (5) overall improvement recommendations. Participants used the app for various reasons including to relax, escape, or ground themselves; improve mood; and enhance overall health and wellness. Participants also cited the app's variety of content offerings and its free accessibility as their primary reasons for using it. Most participants identified themselves as solely spiritual (8/23/35%) among the options provided (ie, spiritual or religious or both), and they appreciated the app's inclusive content. Participants felt that the app was relevant to their generation as it offered modern content (eg, spiritual self-care activities and short content). Participants recommended adding more personalization capabilities, content, and representation to the app. CONCLUSIONS This is the first study to qualitatively explore GenZennials' perspectives and the use of a spiritual self-care app. Our findings should inform the future creation and improvement of spiritual self-care apps aimed at cultivating GenZennials' spiritual and mental well-being. Future research is warranted to examine the effects of using a spiritual self-care app on GenZennial mental health.
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Affiliation(s)
- Susanna Y Park
- Skylight, Radiant Foundation, Salt Lake City, UT, United States
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Tutzer F, Schurr T, Frajo-Apor B, Pardeller S, Plattner B, Schmit A, Conca A, Fronthaler M, Haring C, Holzner B, Huber M, Marksteiner J, Miller C, Perwanger V, Pycha R, Schmidt M, Sperner-Unterweger B, Hofer A. Relevance of spirituality and perceived social support to mental health of people with pre-existing mental health disorders during the COVID-19 pandemic: a longitudinal investigation. Soc Psychiatry Psychiatr Epidemiol 2023:10.1007/s00127-023-02590-1. [PMID: 38112803 DOI: 10.1007/s00127-023-02590-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/04/2023] [Accepted: 10/30/2023] [Indexed: 12/21/2023]
Abstract
BACKGROUND The COVID-19 pandemic and related measures have negatively impacted mental health worldwide. The main objective of the present longitudinal study was to investigate mental health in people living in Tyrol (Austria) and South Tyrol (Italy) during the COVID-19 pandemic and to report the prevalence of psychological distress among individuals with versus those without pre-existing mental health disorders (MHD) in the long-term (summer 2020-winter 2022). Here, we specifically focus on the relevance of spirituality and perceived social support in this regard. METHODS 161 individuals who had been diagnosed with MHD and 446 reference subjects participated in this online survey. Electronic data capture was conducted using the Computer-based Health Evaluation System and included both sociodemographic and clinical aspects as well as standardized questionnaires on psychological distress, spirituality, and the perception of social support. RESULTS The prevalence of psychological distress was significantly higher in individuals with MHD (36.6% vs. 12.3%) and remained unchanged among both groups over time. At baseline, the perception of social support was significantly higher in healthy control subjects, whereas the two groups were comparable in regards of the subjective relevance of faith. Reference subjects indicated significantly higher spiritual well-being in terms of the sense of meaning in life and peacefulness, which mediated in large part the between-group difference of psychological distress at follow-up. Notably, both faith and the perception of social support did not prove to be relevant in this context. CONCLUSIONS These findings point to a consistently high prevalence of psychological distress among people suffering from MHD and underscore the prominent role of meaning in life and peacefulness as a protective factor in times of crisis. Therapeutic strategies that specifically target spirituality may have a beneficial impact on mental health.
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Affiliation(s)
- Franziska Tutzer
- Division of Psychiatry I, Department of Psychiatry, Psychotherapy, Psychosomatics and Medical Psychology, Medical University Innsbruck, Anichstr. 35, 6020, Innsbruck, Austria.
| | - Timo Schurr
- Division of Psychiatry I, Department of Psychiatry, Psychotherapy, Psychosomatics and Medical Psychology, Medical University Innsbruck, Anichstr. 35, 6020, Innsbruck, Austria
| | - Beatrice Frajo-Apor
- Division of Psychiatry I, Department of Psychiatry, Psychotherapy, Psychosomatics and Medical Psychology, Medical University Innsbruck, Anichstr. 35, 6020, Innsbruck, Austria
| | - Silvia Pardeller
- Division of Psychiatry I, Department of Psychiatry, Psychotherapy, Psychosomatics and Medical Psychology, Medical University Innsbruck, Anichstr. 35, 6020, Innsbruck, Austria
| | - Barbara Plattner
- Department of Psychiatry, General Hospital of Bolzano, Sanitary Agency of South Tyrol, Bolzano, Italy
| | - Anna Schmit
- Division of Psychiatry I, Department of Psychiatry, Psychotherapy, Psychosomatics and Medical Psychology, Medical University Innsbruck, Anichstr. 35, 6020, Innsbruck, Austria
| | - Andreas Conca
- Department of Psychiatry, General Hospital of Bolzano, Sanitary Agency of South Tyrol, Bolzano, Italy
| | - Martin Fronthaler
- Therapy Center Bad Bachgart, Sanitary Agency of South Tyrol, Rodengo, Italy
| | - Christian Haring
- Department of Psychiatry and Psychotherapy B, State Hospital Hall in Tyrol, Hall in Tyrol, Austria
| | - Bernhard Holzner
- Division of Psychiatry I, Department of Psychiatry, Psychotherapy, Psychosomatics and Medical Psychology, Medical University Innsbruck, Anichstr. 35, 6020, Innsbruck, Austria
| | - Markus Huber
- Department of Psychiatry, General Hospital of Brunico, Sanitary Agency of South Tyrol, Brunico, Italy
| | - Josef Marksteiner
- Department of Psychiatry and Psychotherapy A, State Hospital Hall in Tyrol, Hall in Tyrol, Austria
| | - Carl Miller
- Department of Psychiatry, County Hospital Kufstein, Kufstein, Austria
| | - Verena Perwanger
- Department of Psychiatry, General Hospital of Merano, Sanitary Agency of South Tyrol, Merano, Italy
| | - Roger Pycha
- Department of Psychiatry, General Hospital of Bressanone, Sanitary Agency of South Tyrol, Bressanone, Italy
| | - Martin Schmidt
- Department of Psychiatry, County Hospital Lienz, Lienz, Austria
| | - Barbara Sperner-Unterweger
- Division of Psychiatry II, Department of Psychiatry, Psychotherapy, Psychosomatics and Medical Psychology, Medical University Innsbruck, Innsbruck, Austria
| | - Alex Hofer
- Division of Psychiatry I, Department of Psychiatry, Psychotherapy, Psychosomatics and Medical Psychology, Medical University Innsbruck, Anichstr. 35, 6020, Innsbruck, Austria
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Berhanu KZ, Shiferaw AA. The mediating role of healthy lifestyle behavior in the relationship between religious practice and academic achievement in university students. BMC Psychol 2023; 11:416. [PMID: 38012783 PMCID: PMC10683229 DOI: 10.1186/s40359-023-01455-1] [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: 02/19/2023] [Accepted: 11/19/2023] [Indexed: 11/29/2023] Open
Abstract
BACKGROUND The issues of religious practice, healthy lifestyle behavior and academic achievement are global agendas. Most previous research has focused on either one or two of the variables, not three of them (e.g. just the relationship between religious practice and healthy lifestyle behavior). And addressing these three issues, by and large, demands a systemic approach to re-thinking the current level and improving it. OBJECTIVE To examine the causal relationship between religious practice, healthy lifestyle behavior, and academic achievement in the case of Debre Markos University (DMU) and Injibara University (IU), Ethiopia. METHODS Four hundred forty students are participated voluntarily using random sampling techniques. To attain this objective, a cross-sectional research method design was used. RESULTS The mean scores of students' healthy lifestyle behavior is more than average in all aspects. MANOVA results revealed that batch, ethnicity (region), and the university did not display a statistically significant difference among the composite (or combined) scores of both students' healthy lifestyles and religious practice. However, religious affiliation and gender religious practice and have an effect on religious practice and healthy lifestyle behavior respectively. The correlation output informs that religious practice and healthy lifestyle behavior are positively and significantly correlated with each other. Religious practice also significantly predicted students' healthy lifestyle behavior. Despite this, the academic achievement of students didn't have any relationship with their religious practice and healthy lifestyle behavior. CONCLUSION University students' healthy lifestyle behavior doesn't play an intervening variable in the effect of religious practice on academic achievement. Possible practical implications and recommendations have been forwarded.
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Affiliation(s)
- Kelemu Zelalem Berhanu
- Department of Education Leadership and Management, Faculty of Education, University of Johannesburg, 524 Auckland Park, Johannesburg, South Africa, Gauteng
| | - Abraham Abeje Shiferaw
- Department of Psychology, Debre Markos University, 269, Debre Markos, Amhara Region, Ethiopia.
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Fekih-Romdhane F, El Tawil N, El Zouki CJ, Jaalouk K, Obeid S, Hallit S. Psychometric properties of an Arabic translation of the shortest version of the Central Religiosity Scale (CRS-5) in a sample of young adults. BMC Psychol 2023; 11:400. [PMID: 37980533 PMCID: PMC10657561 DOI: 10.1186/s40359-023-01431-9] [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: 05/25/2023] [Accepted: 11/06/2023] [Indexed: 11/20/2023] Open
Abstract
BACKGROUND There is a dearth of research on religiosity in Arabic-speaking populations, partly due to a lack of universal, standardized and valid instruments to assess this construct. We sought through this study to establish the psychometric properties of an Arabic translation of the shortest version of the Central Religiosity Scale (CRS-5), a widely used measure of religiosity that can be applicable to most religious traditions, thus allowing for worldwide cultural and trans-religious comparisons. METHOD A total of 352 Lebanese young adults enrolled in this study with a mean age of 25.08 years (SD = 9.25) and 73.3% women. The forward-backward method was adopted to translate the original English version of the CRS-5 to Arabic. RESULTS We ran an Exploratory Factor Analysis for the CRS-5 to test whether the expected dimensionality is suitable for the subsequent Confirmatory Factor Analysis (CFA). The model found replicates the originally proposed five items and one-factor model. Our findings demonstrated that the Arabic CRS-5 achieved good levels of composite reliability, with a McDonald's ω coefficient of .85. A multi-group CFA was modelled for the examination of measurement invariance of the Arabic CRS-5 across gender at the metric, configural, and scalar levels. Between-gender comparisons revealed no significant differences between males and females regarding CRS-5 scores. Finally, we found that religiosity was positively correlated with positive mental health aspects (i.e., social support) and inversely correlated with negative mental health aspects (i.e., suicidal ideation, depression, social anxiety and entrapment); thus attesting for the convergent validity of the CRS-5 as a measure of centrality of religiosity. CONCLUSION Pending further validations with larger and more representative populations, we preliminarily suggest that the Arabic CRS-5 is psychometrically sound, and can be recommended for use for research and clinical purposes in Arabic-speaking people of various religions and cultures.
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Affiliation(s)
- Feten Fekih-Romdhane
- The Tunisian Center of Early Intervention in Psychosis, Department of Psychiatry "Ibn Omrane", Razi Hospital, 2010, Manouba, Tunisia
- Faculty of Medicine of Tunis, Tunis El Manar University, Tunis, Tunisia
| | - Nathalie El Tawil
- Faculty of Arts and Sciences, Holy Spirit University of Kaslik, P.O. Box 446, Jounieh, Lebanon
| | - Christian-Joseph El Zouki
- School of Medicine and Medical Sciences, Holy Spirit University of Kaslik, P.O. Box 446, Jounieh, Lebanon
- UFR de Médecine, Université de Picardie Jules Verne, 1 Rue des Louvels, Amiens, 80037, France
- Faculté d'Ingénierie et de Management de la Santé, 42 rue Ambroise Paré, Loos, 59120, France
| | | | - Sahar Obeid
- Social and Education Sciences Department, School of Arts and Sciences, Lebanese American University, Jbeil, Lebanon.
| | - Souheil Hallit
- School of Medicine and Medical Sciences, Holy Spirit University of Kaslik, P.O. Box 446, Jounieh, Lebanon.
- Psychology Department, College of Humanities, Efat University, Jeddah, 21478, Saudi Arabia.
- Applied Science Research Center, Applied Science Private University, Amman, Jordan.
- Research Department, Psychiatric Hospital of the Cross, Jal Eddib, Lebanon.
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Aggarwal S, Wright J, Morgan A, Patton G, Reavley N. Religiosity and spirituality in the prevention and management of depression and anxiety in young people: a systematic review and meta-analysis. BMC Psychiatry 2023; 23:729. [PMID: 37817143 PMCID: PMC10563335 DOI: 10.1186/s12888-023-05091-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/25/2023] [Accepted: 08/08/2023] [Indexed: 10/12/2023] Open
Abstract
Historically, religion has had a central role in shaping the psychosocial and moral development of young people. While religiosity and spirituality have been linked to positive mental health outcomes in adults, their role during the developmental context of adolescence, and the mechanisms through which such beliefs might operate, is less well understood. Moreover, there is some evidence that negative aspects of religiosity are associated with poor mental health outcomes. Guided by lived experience consultants, we undertook a systematic review and quality appraisal of 45 longitudinal studies and 29 intervention studies identified from three electronic databases (Medline, PsycINFO and Scopus) exploring the role of religiosity and spiritual involvement (formal and informal) in prevention and management of depression and anxiety in young people aged 10 to 24 years. Most studies were from high-income countries and of low to moderate quality. Meta-analysis of high-quality longitudinal studies (assessed using Joanna Briggs Institute critical appraisal tools, n = 25) showed a trend towards association of negative religious coping (i.e., feeling abandoned by or blaming God) with greater depressive symptoms over time (Pearson's r = 0.09, 95% confidence interval (CI) -0.009, 0.188) whereas spiritual wellbeing was protective against depression (Pearson's r = -0.153, CI -0.187, -0.118). Personal importance of religion was not associated with depressive symptoms overall (Pearson's r = -0.024, CI-0.053, 0.004). Interventions that involved religious and spiritual practices for depression and anxiety in young people were mostly effective, although the study quality was typically low and the heterogeneity in study designs did not allow for a meta-analysis. The lived experience consultants described spirituality and religious involvement as central to their way of life and greatly valued feeling watched over during difficult times. While we require more evidence from low- and middle-income countries, in younger adolescents and for anxiety disorders, the review provides insight into how spirituality and religious involvement could be harnessed to design novel psychological interventions for depression and anxiety in young people.Review RegistrationThe systematic review was funded by Wellcome Trust Mental Health Priority Area 'Active Ingredients' 2021 commission and registered with PROSPERO 2021 (CRD42021281912).
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Affiliation(s)
- Shilpa Aggarwal
- Public Health Foundation of India, Gurgaon, Haryana, India.
- Centre for Adolescent Health, Murdoch Children's Research Institute, 50 Flemington Road, Melbourne, VIC, 3052, Australia.
- Deakin University, Geelong, Australia.
| | - Judith Wright
- Centre for Mental Health, Melbourne School of Population and Global Health, University of Melbourne, Victoria, Australia
| | - Amy Morgan
- Centre for Mental Health, Melbourne School of Population and Global Health, University of Melbourne, Victoria, Australia
| | - George Patton
- Department of Paediatrics, University of Melbourne, Melbourne, VIC, Australia
| | - Nicola Reavley
- Centre for Mental Health, Melbourne School of Population and Global Health, University of Melbourne, Victoria, Australia
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12
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Yousofvand V, Torabi M, Oshvandi K, Kazemi S, Khazaei S, Khazaei M, Azizi A. Impact of a spiritual care program on the sleep quality and spiritual health of Muslim stroke patients: A randomized controlled trial. Complement Ther Med 2023; 77:102981. [PMID: 37640165 DOI: 10.1016/j.ctim.2023.102981] [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: 06/24/2023] [Revised: 08/23/2023] [Accepted: 08/25/2023] [Indexed: 08/31/2023] Open
Abstract
OBJECTIVES Stroke patients often experience poor sleep quality and spiritual health due to complications and limitations. In this situation, implementing spiritual care may reduce these problems. Therefore, this study aimed to examine the effect of a spiritual care program on sleep quality and spiritual health of Muslim stroke patients. METHODS This was a two-group randomized clinical trial conducted in Hamadan, Iran, in 2021, with 117 stroke patients. The samples were selected by convenience sampling and assigned to experimental (N = 59) and control (N = 58) groups based on random permutation blocks. The data were collected using the demographic information form, the Pittsburgh Sleep Quality Index, the Paloutzian and Ellison Spiritual Well-Being Scale, and the Modified Rankin Scale before and one month after the intervention. The experimental group received five daily sessions of spiritual care for 45-60 min based on standard and local methods, including patient orientation and identification of spiritual needs, religious care, supportive spiritual care, and beneficial evaluations. Data were analyzed by chi-square test, Fisher's exact test, independent t-test, and paired t-test at 0.05 significance level in SPSS 21. RESULTS The socio-demographic characteristics were similar between the groups (p > 0.05). At baseline, there was no significant difference in sleep quality and spiritual health between the experimental and control groups (p > 0.05). However, after the intervention, the sleep quality and spiritual health of patients in the experimental group improved significantly compared with the control group (p < 0.05). CONCLUSION The spiritual care program improved sleep quality and spiritual health of stroke patients; therefore, nurses should consider these aspects to provide holistic care.
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Affiliation(s)
- Vahid Yousofvand
- Department of Medical-Surgical Nursing, Student Research Committee, Hamadan University of Medical Sciences, Hamadan, Iran
| | - Mohammad Torabi
- Chronic Diseases (Home Care) Research Centre, Malayer School of Nursing, Hamadan University of Medical Sciences, Hamadan, Iran
| | - Khodayar Oshvandi
- Mother and Child Care Research Center, School of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran
| | - Saeid Kazemi
- Department of Islamic Education, School of Medicine, Hamadan University of Medical Sciences, Hamadan, Iran
| | - Salman Khazaei
- Department of Epdemiology, Research Center for Health Sciences, Hamadan University of Medical Sciences, Hamadan, Iran
| | - Mojtaba Khazaei
- Department of Neurology, Besat Educational and Medical Center, School of Medicine, Hamadan University of Medical Sciences, Hamadan, Iran
| | - Azim Azizi
- Department of Medical -Surgical Nursing, Chronic Diseases (Home Care) Research Centre, School of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran.
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13
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Bonsu AS, Anim-Boamah K, Newton C, Antwi OA, Yendork JS. Family Neglect and Perspectives on Patients Living with Mental Health Disorders on the Street. Community Ment Health J 2023; 59:1364-1374. [PMID: 37004655 DOI: 10.1007/s10597-023-01123-z] [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: 10/07/2022] [Accepted: 03/21/2023] [Indexed: 04/04/2023]
Abstract
In Ghana, some persons living with mental illness end up on the street. Whereas most instances have resulted from family neglect, the paucity of effective social services to cater for neglected persons with mental health disorder persons is disturbing. The present study explored family caregivers' perspectives on reasons why families neglect persons living with mental illness to be homeless and their suggestions on how families and society could prevent such occurrences. Using a qualitative approach, individual interviews were conducted with twenty family caregivers of persons living with a mental health disorder. Results revealed multifactorial causation to family neglect and provide directions for future research. Findings highlight the need for mental health rehabilitation programmes to consider family caregivers' perspectives on the causes of neglect and ways to improve mental health rehabilitation, which must be factored into policies for effectiveness. Suggestions on family and society's role to prevent such occurrences are discussed.
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14
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Rafati F, Mangolian Shahrbabaki P, Dastyar N, Pilevarzadeh M, Mehralizadeh A. Relationship Between the Psychological Distress and Spiritual Well-Being in Pregnant Women Exposed to Domestic Violence: A Cross-Sectional Study in Iran. JOURNAL OF RELIGION AND HEALTH 2023; 62:3252-3266. [PMID: 36894696 DOI: 10.1007/s10943-023-01785-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 02/23/2023] [Indexed: 06/18/2023]
Abstract
Maternal psychological distress is often associated with domestic violence. Spiritual well-being can affect the psychological capacity to deal with distress. This study aimed to investigate the relationship between psychological distress and spiritual well-being in pregnant women exposed to domestic violence. This cross-sectional study was conducted on 305 pregnant women subjected to domestic violence in southern Iran. The participants were selected using the census method. Data were collected using the Spiritual Well-being Scale (SWB), the Kessler Psychological Distress Scale (K10), and the Hurt, Insult, Threaten, Scream (HITS) screening tool (short form) and were analyzed with descriptive and inferential statistics (t-test, ANOVA, the Spearman correlation coefficient, and multiple linear regression) in SPSS software version 24. The mean scores ± standard deviation of the participants' psychological distress, spiritual well-being, and domestic violence were 24.68 ± 6.43, 79.89 ± 18.98, and 11.24 ± 1.5, respectively. The results showed that psychological distress had a significant negative correlation with spiritual well-being (ρ = - 0.84, P < 0.001) and domestic violence (ρ = - 0.73, P < 0.001). The results of the multiple linear regression analysis also showed that spiritual well-being and domestic violence could predict the psychological distress of pregnant women who were exposed to domestic violence, which explained 73% of the psychological distress in the participants. According to the study results, spiritually oriented education can be provided for women to reduce their psychological distress. Also, it is recommended that necessary interventions be used to reduce domestic violence and empower women to prevent it.
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Affiliation(s)
- Foozieh Rafati
- Department of Nursing, School of Nursing and Midwifery, Jiroft University of Medical Sciences, Sabzevaran Square, PO Box: 7861763730, Jiroft, Kerman, Iran
| | - Parvin Mangolian Shahrbabaki
- Department of Nursing, Razi Faculty of Nursing and Midwifery, Nursing Research Center, Kerman University of Medical Sciences, Haft-Bagh Highway, PO Box: 7861763730, Kerman, Iran
| | - Neda Dastyar
- Department of Midwifery, Nursing and Midwifery School, Jiroft University of Medical Sciences, Sabzevaran Square, PO Box: 7861763730, Jiroft, Kerman, Iran.
| | - Motahareh Pilevarzadeh
- Department of Nursing, School of Nursing and Midwifery, Jiroft University of Medical Sciences, Sabzevaran Square, PO Box: 7861763730, Jiroft, Kerman, Iran
| | - Akbar Mehralizadeh
- Department of Statistics and Epidemiology, School of Medicine, Jiroft University of Medical Sciences, Sabzevaran Square, PO Box: 7861763730, Jiroft, Kerman, Iran
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15
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Ruppe NM, Clawson AH, Nwankwo CN, Blair AL. Longitudinal Associations Between Depression and Religiosity/Spirituality Among Individuals with Asthma in the United States. JOURNAL OF RELIGION AND HEALTH 2023:10.1007/s10943-023-01903-7. [PMID: 37665416 DOI: 10.1007/s10943-023-01903-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 08/22/2023] [Indexed: 09/05/2023]
Abstract
There is limited literature examining the longitudinal stability of depressive symptoms for individuals with asthma, or how religiosity/spirituality relates to depressive symptoms across time. The present study aimed to identify the stability of and the longitudinal associations between depressive symptoms and R/S across multiple developmental periods for adolesents with asthma (N = 998) within the United States. Depressive symptoms (βrange 0.33 - 0.60) and R/S (βrange 0.26 - 0.73) were stable across time, with some variability. A cross-lagged association demonstrated that use of R/S in young adulthood (Wave 3) was associated with decreased depressive symptoms in adulthood (β = -0.17, p < .001, CI - 0.25 - - 0.09, SE = 0.04). Use of R/S in adolescence (Wave 2) was predictive of increased depression in adulthood (β = 0.13, p < .001, CI 0.05 - 0.20, SE = 0.04). Results demonstrated differential relations between R/S and depressive symptoms across development, and highlight the potential importance of integrating conversations focused on R/S within healthcare settings, especially as R/S during young adulthood may buffer against or reduce depressive symptoms in adulthood.
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Affiliation(s)
- Nicole M Ruppe
- Department of Psychology, Oklahoma State University, Stillwater, OK, USA.
- Center for Pediatric Psychology, Oklahoma State University, Stillwater, OK, USA.
- Center for Healthcare Delivery Science, Nemours Children's Hospital, Wilmington, DE, 19803, USA.
| | - Ashley H Clawson
- Center for the Study of Tobacco, Department of Health Behavior and Health Education, Fay W. Boozman College of Public Health, University of Arkansas for Medical Sciences, 4301 West Markham St., #820, Little Rock, AR, 72205, USA
| | - Cara N Nwankwo
- Department of Psychology, Oklahoma State University, Stillwater, OK, USA
- Center for Pediatric Psychology, Oklahoma State University, Stillwater, OK, USA
| | - Alexandra L Blair
- Department of Psychology, Oklahoma State University, Stillwater, OK, USA
- Center for Pediatric Psychology, Oklahoma State University, Stillwater, OK, USA
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16
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de Rezende-Pinto A, Moreira-Almeida A. Guidelines for integrating spirituality into the prevention and treatment of alcohol and other substance use disorders. REVISTA BRASILEIRA DE PSIQUIATRIA (SAO PAULO, BRAZIL : 1999) 2023; 45:274-279. [PMID: 36753624 PMCID: PMC10288482 DOI: 10.47626/1516-4446-2022-2984] [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: 11/30/2022] [Accepted: 01/16/2023] [Indexed: 02/10/2023]
Abstract
Alcohol and other substance use disorders are complex problems with multiple variables and determinants, requiring a multidimensional approach to prevention and treatment. A robust body of research shows that religiosity and spirituality (R/S) play a prominent role in these disorders; however, how to apply this knowledge remains unclear. We present practical guidelines on how to integrate R/S into substance use prevention and treatment in an ethical, evidence-based manner. These guidelines have been endorsed by prominent academic leaders in these topics and by health associations affiliated with the three major Brazilian religions. The integration of R/S is part of a respectful, person-centered, interdisciplinary approach, which imposes neither religious beliefs nor secular worldviews. The most critical interventions include collecting a history of spiritual and religious beliefs, practices, and experiences and evaluating how these may be used positively in treatment. It is also essential that health professionals are encouraged to value and respect the R/S of patients, and that religious groups recognize that professional and technical interventions can make a valuable contribution to preventing and treating these disorders.
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Affiliation(s)
- Alexandre de Rezende-Pinto
- Núcleo de Pesquisas em Espiritualidade e Saúde, Faculdade de Medicina, Universidade Federal de Juiz de Fora, Juiz de Fora, MG, Brazil
| | - Alexander Moreira-Almeida
- Núcleo de Pesquisas em Espiritualidade e Saúde, Faculdade de Medicina, Universidade Federal de Juiz de Fora, Juiz de Fora, MG, Brazil
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17
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Lam SU, Xie Q, Goldberg SB. Situating Meditation Apps Within the Ecosystem of Meditation Practice: Population-Based Survey Study. JMIR Ment Health 2023; 10:e43565. [PMID: 37115618 PMCID: PMC10182467 DOI: 10.2196/43565] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/15/2022] [Revised: 03/11/2023] [Accepted: 03/13/2023] [Indexed: 04/29/2023] Open
Abstract
BACKGROUND Meditation apps have the potential to increase access to evidence-based strategies to promote mental health. However, it is currently unclear how meditation apps are situated within the broader landscape of meditation practice and what factors may influence engagement with them. OBJECTIVE This study aimed to clarify the prevalence and correlates of meditation app use in a population-based sample of individuals with lifetime exposure to meditation in the United States. In addition, we sought to identify the concerns and desired features of meditation apps among those with lifetime exposure to meditation. METHODS A total of 953 participants completed an initial screening survey. Of these 953 participants, 434 (45.5%) reported lifetime exposure to meditation and completed a follow-up survey (434/470, 92.3% response rate) assessing their meditation app use, anxiety, depression, loneliness, initial motivation for meditation, and concerns about and desired features of meditation apps. RESULTS Almost half (434/953, 45.5%) of the participants who completed the screening survey reported lifetime exposure to meditation. Among those with lifetime exposure to meditation (ie, meditators), more than half (255/434, 58.8%) had used meditation apps at least once in their lives, and 21.7% (94/434) used meditation apps weekly or daily (ie, active users). Younger age, higher anxiety, and a mental health motivation for practicing meditation were associated with lifetime exposure to meditation apps. Among meditators, those with lifetime exposure to meditation apps were more likely to report concerns about apps, including concerns regarding the cost and effectiveness of apps, time required for use, technical issues with apps, and app user-friendliness. Meditators who used meditation apps weekly or daily (ie, active users) were younger, less likely to be men and non-Latinx White individuals and have lower income, and more likely to have an initial spiritual motivation for meditation. Active users reported more concerns regarding usability and technical problems and were less likely to report disinterest in apps. Headspace and Calm were the most frequently used apps. Tips and reminders for practice, encouragement of "mini" practices, and mental health content were the most desired features. Participants were less interested in social features (eg, the ability to communicate with other users or teachers). CONCLUSIONS Meditation apps are commonly used by meditators in the United States, with a higher use among certain demographic groups. Future studies may increase user engagement in meditation apps by addressing concerns (eg, cost and effectiveness) and incorporating desired features (eg, tips and reminders for practice).
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Affiliation(s)
- Sin U Lam
- Department of Counseling Psychology, University of Wisconsin-Madison, Madison, WI, United States
- Center for Healthy Minds, University of Wisconsin-Madison, Madison, WI, United States
| | - Qiang Xie
- Department of Counseling Psychology, University of Wisconsin-Madison, Madison, WI, United States
- Center for Healthy Minds, University of Wisconsin-Madison, Madison, WI, United States
| | - Simon B Goldberg
- Department of Counseling Psychology, University of Wisconsin-Madison, Madison, WI, United States
- Center for Healthy Minds, University of Wisconsin-Madison, Madison, WI, United States
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18
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Stanford MS, Stiers MR, Soileau K. Integrating Religion and Spirituality into Psychiatric Outpatient Treatment in the United States. JOURNAL OF RELIGION AND HEALTH 2023:10.1007/s10943-023-01821-8. [PMID: 37101093 DOI: 10.1007/s10943-023-01821-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 04/14/2023] [Indexed: 06/19/2023]
Abstract
It is common for mental health clients to desire that religion and spirituality (RS) be integrated into their treatment. Despite this preference, clients' RS beliefs often go overlooked in therapy for a variety of reasons including lack of provider training on integration, fear of causing offense, or concerns about wrongly influencing clients. The present study assessed the effectiveness of using a psychospiritual therapeutic curriculum to integrate RS into psychiatric outpatient treatment for highly religious clients (n = 150) seeking services through a faith-based clinic. The curriculum was well accepted by both clinicians and clients, and a comparison of clinical assessments administered at intake and program exit (clients averaged 6.5 months in the program) showed significant improvement across a broad range of psychiatric symptoms. These results suggest the use of a religiously integrated curriculum within a broader psychiatric treatment program is beneficial and may be a way to overcome clinicians' RS concerns and shortcomings while meeting religious clients' desires for inclusion.
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Affiliation(s)
- Matthew S Stanford
- Hope and Healing Center and Institute, 717 Sage Rd., Houston, TX, 77056, USA.
| | - Madeline R Stiers
- Hope and Healing Center and Institute, 717 Sage Rd., Houston, TX, 77056, USA
| | - Keaton Soileau
- Hope and Healing Center and Institute, 717 Sage Rd., Houston, TX, 77056, USA
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19
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Wnuk M. The Indirect Relationship Between Spiritual Experiences and Subjective Wellbeing Through Hope? A Sample of Chilean Students. JOURNAL OF RELIGION AND HEALTH 2023; 62:964-983. [PMID: 34797458 PMCID: PMC10042982 DOI: 10.1007/s10943-021-01459-4] [Citation(s) in RCA: 11] [Impact Index Per Article: 11.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Accepted: 11/03/2021] [Indexed: 06/13/2023]
Abstract
Spirituality and religiousness are important factors for adolescents wellbeing. Little is known about the mechanisms underlying the positive relationship between spirituality as well as religiousness and subjective wellbeing. This study aimed to verify, whether, in a sample of Chilean students, religiousness is indirectly related to hope through spiritual experiences, and whether spiritual experiences are indirectly related to subjective wellbeing via hope. The sample consisted of 177 Chilean students and the following measures were applied: the Daily Spiritual Experiences Scale, the Herth Hope Index, the Satisfaction With Life Scale, the Positive and Negative Affect Schedule, and one item measuring the frequencies of prayer and Mass attendance. According to obtained results religiousness was indirectly, positively related to hope through spiritual experiences. In turn spiritual experiences were indirectly, positively related to subjective wellbeing through hope. Conducted research confirmed the beneficial role of religious practices, spiritual experiences, and hope for Chilean students' subjective wellbeing and the presence of mechanisms underlying the relationships between religiousness as well as spirituality and subjective wellbeing.
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Affiliation(s)
- Marcin Wnuk
- Department of Work and Organizational Psychology, Adam Mickiewicz University, Szamarzewskiego 89AB, 60-568, Poznań, Poland.
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20
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Lassiter JM, O'Garro-Moore JK, Anwar K, Smallwood SW, Burnett-Zeigler IE, Stepleman L, Sizemore KM, Grov C, Rendina HJ. Spirituality, self-compassion, and anxiety among sexual minority men: a longitudinal mediation analysis. ANXIETY, STRESS, AND COPING 2023; 36:229-240. [PMID: 35114866 PMCID: PMC9346091 DOI: 10.1080/10615806.2022.2033235] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/02/2021] [Revised: 01/18/2022] [Accepted: 01/18/2022] [Indexed: 02/04/2023]
Abstract
BACKGROUND AND OBJECTIVE Research related to anxiety among sexual minority men (SMM) typically focuses on risk factors. It has seldom examined factors that may be associated with lower levels of anxiety. This gap in the literature represents an opportunity to explore positive psychological factors that may be related to lower levels of anxiety among this group. Spirituality and self-compassion are two positive psychological factors that have been associated with reduced anxiety in general samples but have been understudied among SMM. This study aimed to determine the longitudinal associations between spirituality, self-compassion, and anxiety. DESIGN AND METHODS Guided by an Afrocentric psychological framework, we conducted a secondary quantitative analysis with data from a racially and ethnically diverse sample of 697 U.S. SMM. RESULTS Utilizing Hayes PROCESS Macro Model 4, we found that spirituality at baseline was positively associated with self-compassion at baseline, which in turn was inversely associated with anxiety at 12-month follow-up. CONCLUSIONS Overall, our findings provide evidence that spirituality and self-compassion are two positive psychological factors that are inversely associated with anxiety among SMM.
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Affiliation(s)
| | - Jared K O'Garro-Moore
- Department of Psychiatry, Columbia University Irving Medical Center, New York, NY, USA
| | - Kainaat Anwar
- Department of Psychology, Rowan University, Glassboro, NJ, USA
| | - Stacy W Smallwood
- Department of Health Policy & Community Health, Georgia Southern University, Statesboro, GA, USA
| | - Inger E Burnett-Zeigler
- Department of Psychiatry and Behavioral Sciences, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA
| | - Lara Stepleman
- Department of Psychiatry and Health Behavior, Medical College of Georgia, Augusta, GA, USA
| | - K Marie Sizemore
- Department of Psychiatry (RWJMS), Rutgers University, New Brunswick, NJ, USA
| | - Christian Grov
- CUNY Graduate School of Public Health and Health Policy, New York, NY, USA
- CUNY Institute for Implementation Science in Population Health, New York, NY, USA
| | - H Jonathon Rendina
- Department of Epidemiology, Milken Institute School of Public Health, George Washington University, Washington, DC, USA
- Whitman-Walker Institute, Washington, DC, USA
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21
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Maurya RK, Jain S, Grey B, Clarfied J. Evolution and process of spiritual awakening: A grounded theory study. COUNSELLING & PSYCHOTHERAPY RESEARCH 2023. [DOI: 10.1002/capr.12618] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/10/2023]
Affiliation(s)
| | - Sachin Jain
- University of Providence Great Falls United States
| | - Brittn Grey
- University of Providence Great Falls United States
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22
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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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23
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Hurst DJ, Heric A, Collier KM. Religion/Spirituality Curriculum in US Osteopathic Medical Schools: A Survey. South Med J 2023; 116:51-56. [PMID: 36578119 DOI: 10.14423/smj.0000000000001499] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/30/2022]
Abstract
OBJECTIVE Several articles have been published on the relationship between religion, spirituality, and health during the past 2 decades. Corresponding to this, professional medical organizations such as the Association of American Medical Colleges and the National Board of Osteopathic Medical Examiners have created competencies for medical students that include being able to understand how a patient's religious/spiritual beliefs may affect their health. It is not, however, certain how and to what extent medical schools implement religion/spirituality in medicine training into their curriculum. Our objective in this study was to quantify and assess the implementation of religion/spirituality in medicine curricula at US osteopathic medical schools. METHODS In early 2021, an electronic survey was sent to individuals in curriculum positions at all US osteopathic medical school main and branch locations. The survey consisted of questions regarding the presence or absence of curriculum on religion/spirituality in medicine at their school, and, if it was present, what it consisted of. RESULTS Ten institutions responded to the survey, with the majority (80%) stating they did not have religion/spirituality curriculum at their institution. CONCLUSIONS Based on the current evidence, there may be a downward trend in osteopathic medical schools providing formal education on religion/spirituality in medicine.
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Affiliation(s)
- Daniel J Hurst
- From the Department of Family Medicine, Rowan University School of Osteopathic Medicine, Stratford, New Jersey
| | - Alyssa Heric
- Rowan University School of Osteopathic Medicine, Stratford, New Jersey
| | - Kristin M Collier
- University of Michigan Medical School Program on Health, Spirituality and Religion and Department of Internal Medicine, University of Michigan Medical School, Ann Arbor
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Davari S, Boogar IR, Talepasand S, Evazi MR. The Effect of Religious-Spiritual Psychotherapy on Illness Perception and Inner Strength among Patients with Breast Cancer in Iran. JOURNAL OF RELIGION AND HEALTH 2022; 61:4302-4319. [PMID: 35690697 DOI: 10.1007/s10943-022-01594-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 05/20/2022] [Indexed: 06/15/2023]
Abstract
Women diagnosed with breast cancer often suffer from illness-related issues, which negatively impact their illness perception and inner strength following diagnosis and/or during treatment. An investigation of the effectiveness of religious-spiritual psychotherapy based on the Twelver Shia Sects of Islam (RSP-TSS) was conducted among hospitalized cancer patients to determine whether it improved their disease perception and inner strength. Forty-five women (ages 31-58) diagnosed with breast cancer in Iran were randomly assigned to RSP-TSS (n = 15), attention control (n = 15) and untreated control groups (n = 15). To meet the needs of hospitalized participants, the manualized RSP-TSS protocol was adapted to consist of ten sessions, each lasting 90 min. Sessions were conducted once weekly for 10 weeks. Primary outcome measures were the Revised Illness Perception Questionnaire (IPQ-R) and the Inner Strength Questionnaire (ISQ). Data were collected in pre-intervention, post-intervention, and 4 months following the intervention. Repeated MANOVA measures showed that, as compared with the attention control and untreated control groups, the RSP-TSS group achieved significant improvements in illness perception and inner strengths, and those gains were maintained during the 4-month follow-up. By reframing illness perception and building inner strength, spiritual and religious-based interventions may improve patients coping with cancer and improve the quality of life for women hospitalized with breast cancer. These promising results warrant further investigation into the efficacy of spiritual and religious-based interventions to remediate illness perception and inner strength problems in women diagnosed with serious medical illnesses.
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Affiliation(s)
- Safoora Davari
- Department of Clinical Psychology, Faculty of Psychology and Educational Sciences, Semnan University, 356411156, Mahdishahr, Semnan, Iran
| | - Isaac Rahimian Boogar
- Department of Clinical Psychology, Faculty of Psychology and Educational Sciences, Semnan University, 356411156, Mahdishahr, Semnan, Iran.
| | - Siavash Talepasand
- Department of Educational Psychology, Faculty of Psychology and Educational Sciences, Semnan University, Semnan, Iran
| | - Mohamad Reza Evazi
- Department of Internal Medicine, School of Medicine, Hormozgan University of Medical Sciences, Bandar Abbas, Iran
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Garza RH, Williams MY, Ntiri SO, Hampton MD, Yan AF. Intersectionality Impacts Survivorship: Identity-Informed Recommendations to Improve the Quality of Life of African American Breast Cancer Survivors in Health Promotion Programming. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph191912807. [PMID: 36232105 PMCID: PMC9564905 DOI: 10.3390/ijerph191912807] [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] [Received: 08/19/2022] [Revised: 09/28/2022] [Accepted: 10/04/2022] [Indexed: 05/31/2023]
Abstract
(1) Background: African American women breast cancer survivors face unique experiences that impact their quality of life as they transition beyond treatments. Experiences may be complicated by living at the intersection of systemically oppressed identities, including gender, race, social class, and cancer-related disability. Using the Black Feminist Thought (BFT) framework and the PEN-3 cultural model, this qualitative study sought to: (a) understand African American women breast cancer survivors' lived experiences; (b) examine how the multiple intersecting factors of race, gender, social class/socioeconomic status, and cancer-related disability impact their quality of life; and (c) inform future health promotion programming that is culturally relevant to AAWBCS to improve their quality of life. (2) Methods: Seven focus groups were conducted with 30 African American breast cancer survivors in a Midwestern metropolitan region. Focus groups were audiotaped and transcribed verbatim. Framework analyses were conducted to identify themes with NVivo qualitative analysis software. (3) Results: Four themes emerged: (a) caregiving roles provide both support and challenges for survivors, (b) the "strong Black woman" is inherent in survivor experiences, (c) intersectionality impacts survivorship, and (d) African American women resist oppression through culturally specific supports and advocacy. (4) Conclusions: The intervention point of entry should be at the peer support group level and centered on family and provide community-based support and services. Future research should move upstream to address social determinants of health, including racism, sexism, and ableism; there is a critical need to discuss how structural racism affects health care and develop interventions to address racial discrimination and racial bias in health care.
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Affiliation(s)
- Rose Hennessy Garza
- Joseph J Zilber School of Public Health, University of Wisconsin-Milwaukee, Milwaukee, WI 53205, USA
| | - Michelle Y. Williams
- Division of Research, Patient Care Services, Stanford Healthcare, Palo Alto, CA 94304, USA
- Division of Primary Care and Population Health, Department of Medicine, Stanford University School of Medicine, Palo Alto, CA 94304, USA
| | - Shana O. Ntiri
- Department of Family & Community Medicine, University of Maryland School of Medicine, Baltimore, MD 21201, USA
| | | | - Alice F. Yan
- Division of Research, Patient Care Services, Stanford Healthcare, Palo Alto, CA 94304, USA
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Cetty L, Jeyagurunathan A, Roystonn K, Devi F, Abdin E, Tang C, Verma S, Chong SA, Ramsay J, Subramaniam M. Religiosity, Religious Coping and Distress Among Outpatients with Psychosis in Singapore. JOURNAL OF RELIGION AND HEALTH 2022; 61:3677-3697. [PMID: 35752728 PMCID: PMC9509299 DOI: 10.1007/s10943-022-01596-4] [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: 05/24/2022] [Indexed: 06/15/2023]
Abstract
This study aimed to investigate the prevalence of religious coping and explore the association between religious coping, religiosity, and distress symptoms amongst 364 outpatients diagnosed with psychosis in Singapore. Positive and Negative Religious Coping (PRC and NRC), religiosity (measuring the constructs of Organised Religious Activity (ORA), Non-Organised Religious Activity (NORA), and Intrinsic Religiosity (IR)) and severity of distress symptoms (depression, anxiety and stress) were self-reported by the participants. The majority of participants (68.9%) reported religion to be important in coping with their illness. Additionally, multiple linear regression analyses found that NRC was significantly associated with higher symptoms of distress. In contrast, ORA was significantly associated with lower anxiety symptom scores. Overall, the study indicates the importance of religion in coping with psychosis and the potential value in incorporating religious interventions in mental health care.
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Affiliation(s)
- Laxman Cetty
- Research Division, Institute of Mental Health, Buangkok Green Medical Park, 10 Buangkok View, Singapore, 539747, Singapore.
| | - Anitha Jeyagurunathan
- Research Division, Institute of Mental Health, Buangkok Green Medical Park, 10 Buangkok View, Singapore, 539747, Singapore
| | - Kumarasan Roystonn
- Research Division, Institute of Mental Health, Buangkok Green Medical Park, 10 Buangkok View, Singapore, 539747, Singapore
| | - Fiona Devi
- Research Division, Institute of Mental Health, Buangkok Green Medical Park, 10 Buangkok View, Singapore, 539747, Singapore
| | - Edimansyah Abdin
- Research Division, Institute of Mental Health, Buangkok Green Medical Park, 10 Buangkok View, Singapore, 539747, Singapore
| | - Charmaine Tang
- Department of Psychosis, Institute of Mental Health, Buangkok Green Medical Park, 10 Buangkok View, Singapore, 539747, Singapore
| | - Swapna Verma
- Department of Psychosis, Institute of Mental Health, Buangkok Green Medical Park, 10 Buangkok View, Singapore, 539747, Singapore
| | - Siow Ann Chong
- Research Division, Institute of Mental Health, Buangkok Green Medical Park, 10 Buangkok View, Singapore, 539747, Singapore
| | - Jonathan Ramsay
- College of Healthcare Sciences, James Cook University, 149 Sims Drive, Singapore, 387380, Singapore
| | - Mythily Subramaniam
- Research Division, Institute of Mental Health, Buangkok Green Medical Park, 10 Buangkok View, Singapore, 539747, Singapore
- Lee Kong Chian School of Medicine, Nanyang Technological University, 11 Mandalay Road, Singapore, 308232, Singapore
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Abstract
ABSTRACT This study examined the relationship between eight measures of religious involvement and five anxiety disorders among a nationally representative sample of African-Americans ( N = 3403). The Diagnostic and Statistical Manual of Mental Disorders, 4th Edition , World Mental Health Composite International Diagnostic Interview was used to assess 12-month and lifetime prevalence for each disorder. Logistic regression indicated weekly service attendance was inversely associated with 12-month and lifetime panic disorder, lifetime agoraphobia, and 12-month and lifetime posttraumatic stress disorder (PTSD). Prayer was inversely associated with 12-month agoraphobia, 12-month social phobia, and lifetime PTSD. Listening to religious radio and looking to God for strength were also inversely related to, respectively, 12-month and lifetime panic disorder. Conversely, reading religious materials was positively associated with 12-month panic disorder, 12-month agoraphobia, lifetime PTSD, and lifetime generalized anxiety disorder. The results are discussed in light of conceptual models that specify multiple and sometimes divergent pathways through which religion impacts health, and suggestions for clinicians addressing anxiety disorders are delineated.
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Affiliation(s)
| | | | - Linda M Chatters
- School of Public Health and Social Work, University of Michigan, Ann Arbor, Michigan
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Religious-based interventions for depression: A systematic review and meta-analysis of experimental studies. J Affect Disord 2022; 309:289-296. [PMID: 35500682 DOI: 10.1016/j.jad.2022.04.126] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/21/2021] [Revised: 04/14/2022] [Accepted: 04/19/2022] [Indexed: 11/21/2022]
Abstract
BACKGROUND Depression is the most prevalent mental disorder. In the treatment of depressive symptoms, patients' religious practices and beliefs are often not considered. We carried out a systematic review and meta-analysis of RCTs to analyse the effect of religious interventions on depression. METHODS A literature screening was performed on August 2021, using the Cochrane Collaboration, PubMed, Scopus, and Web of Science databases. Primary source articles published from 2015 to August 2021 in peer-reviewed journals were eligible for inclusion if data were presented on religious interventions' effects on depression. RESULTS The literature search yielded 208 potentially relevant publications. Eight articles were identified and included in the review. One of the articles was excluded from the meta-analysis because it did not report the mean data for the baseline and follow-up assessment results. From the 7 out of 8 included studies, the results consistently indicated that religious-based interventions effectively reduced depressive symptoms among vulnerable persons with chronic medical illness, pregnant women, haemodialysis patients, elderly nursing home residents, people with major depressive disorders or dysthymia, and coronary artery bypass graft surgery patients. LIMITATIONS The definition of the religious-based intervention varied substantially among the trials. These differences can make interpretation and comparing implications on the treatment of depression difficult. CONCLUSION Compared to standard/other usual therapies for treating depression, religious-based interventions provide superior effects. This review and meta-analysis strongly suggest that patients' religious beliefs should be considered when diagnosing and treating depression.
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Chaudhary M, Chopra S, Kaur J. Cohesion as a cardinal antecedent in virtual team performance: a meta-analysis. TEAM PERFORMANCE MANAGEMENT 2022. [DOI: 10.1108/tpm-02-2022-0017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Purpose
Advances in information technology have revolutionised the working environment. The concept of working in virtual teams was in existence in the developed part of the globe since 1960s. In developing economies, it emerged in the recent decades and gained impetus during the ongoing pandemic. This paper aims to propose examining the relationship between team cohesion and virtual team performance with the help of meta-analysis.
Design/methodology/approach
On published research, combined random effect meta-analysis and moderator analysis were done with the aid of Meta-essential 1.5 software. The preferred reporting items for systematic reviews and meta-analyses was designed for systematic meta-analysis.
Findings
The meta-analysis shows significant effect of cohesion on virtual team performance (r = 0.40, p < 0.000). Study outcomes indicate a positive relationship between team cohesion and virtual team performance. High heterogeneity was found and moderator analysis was performed to examine the heterogeneity.
Research limitations/implications
According to the findings, the performance of teams of different sizes, tenure and occupation should not be viewed as equivalent. Results of the study can be generalised to business (employees), education (students) and online gaming teams.
Practical implications
Managers should be aware of cohesion concerns in work process because they may foreshadow future performance challenges or reflect other organisational issues affecting virtual team performance. The relationship between team cohesion and team performance is predicted by team occupation, size and time.
Originality/value
To the best of the authors’ knowledge, this work is a first attempt to undertake meta-analysis to study the relationship between team cohesion and virtual team performance.
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The efficacy of religious and spiritual interventions in nursing care to promote mental, physical and spiritual health: A systematic review and meta-analysis. Appl Nurs Res 2022; 67:151618. [DOI: 10.1016/j.apnr.2022.151618] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2022] [Revised: 06/22/2022] [Accepted: 07/11/2022] [Indexed: 11/23/2022]
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de Diego-Cordero R, Ávila-Mantilla A, Vega-Escaño J, Lucchetti G, Badanta B. The Role of Spirituality and Religiosity in Healthcare During the COVID-19 Pandemic: An Integrative Review of the Scientific Literature. JOURNAL OF RELIGION AND HEALTH 2022; 61:2168-2197. [PMID: 35348988 PMCID: PMC8960681 DOI: 10.1007/s10943-022-01549-x] [Citation(s) in RCA: 13] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 03/14/2022] [Indexed: 05/04/2023]
Abstract
The pandemic caused by the new coronavirus SARS-CoV-2 has been affecting populations globally since the end of 2019. Previous studies have indicated that spirituality in these times of crisis serves as a source of hope and well-being that helps people get through the day. This study investigated the role of spirituality and religiosity in healthcare during the COVID-19 pandemic. An integrative review of the scientific literature available on PubMed, Scopus, and Web of Science databases and a review of the gray literature in the Information System on Gray Literature in Europe (OpenGrey) were carried out. From a total of 1,338 articles searched; 25 articles were included in this review (22 quantitative observational, 2 qualitative and one randomized controlled trial). Our findings revealed the importance of including spirituality in clinical practice for both health professionals and patients. On the one hand, spirituality can be considered a good coping strategy used by healthcare professionals to promote mental health and well-being during the COVID-19 pandemic and resulting in greater patient satisfaction with the care given. On the other hand, addressing spiritual needs of individuals leads to a reduction in stress, anxiety, depression, and an increase in resilience and hope among patients.
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Affiliation(s)
- Rocío de Diego-Cordero
- Research Group PAIDI-CTS 969 Innovation in HealthCare and Social Determinants of Health, Department of Nursing, Faculty of Nursing, Physiotherapy and Podiatry, University of Seville, 41009 Seville, Spain
| | - Amanda Ávila-Mantilla
- Department of Nursing, Faculty of Nursing, Physiotherapy and Podiatry, University of Seville, 41009 Seville, Spain
| | - Juan Vega-Escaño
- Department of Nursing, Faculty of Nursing, Physiotherapy and Podiatry, University of Seville, c/Avenzoar, 6, 41009 Seville, Spain
| | - Giancarlo Lucchetti
- School of Medicine, Federal University of Juiz de Fora, Juiz de Fora, Brazil
| | - Bárbara Badanta
- Research Group PAIDI-CTS 1050 Complex Care, Chronicity and Health Outcomes, Department of Nursing, Faculty of Nursing, Physiotherapy and Podiatry, University of Seville, 41009 Seville, Spain
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Harris S, Tao H. The Impact of US Nurses' Personal Religious and Spiritual Beliefs on Their Mental Well-Being and Burnout: A Path Analysis. JOURNAL OF RELIGION AND HEALTH 2022; 61:1772-1791. [PMID: 33630228 PMCID: PMC7905975 DOI: 10.1007/s10943-021-01203-y] [Citation(s) in RCA: 10] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Accepted: 01/30/2021] [Indexed: 06/12/2023]
Abstract
This study addresses the gap in the literature regarding the impact of nurses' personal religious and spiritual beliefs on their mental well-being and burnout. A model of the association between these factors was tested based on surveys of 207 nurses located in southeastern USA and analyzed to determine the association between religion/spirituality, mental well-being, and burnout. A path analysis supported a model in which, through its positive impact on mental well-being, religion/spirituality was negatively associated with emotional exhaustion and depersonalization and positively associated with personal accomplishment.
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Affiliation(s)
- Stephanie Harris
- Center for Whole-Person Research, AdventHealth, 301 E. Princeton Street, Orlando, FL 32804 USA
| | - Hong Tao
- Center for Whole-Person Research, AdventHealth, 301 E. Princeton Street, Orlando, FL 32804 USA
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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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Malviya S, Zupan B, Meredith P. Evidence of religious/spiritual singing and movement in mental health: A systematic review. Complement Ther Clin Pract 2022; 47:101567. [DOI: 10.1016/j.ctcp.2022.101567] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/23/2021] [Revised: 02/13/2022] [Accepted: 02/24/2022] [Indexed: 12/12/2022]
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Religiosity, Religious Fundamentalism, Heterosexism, and Support for Lesbian and Gay Civil Rights: A Moderated Mediation Approach. SOCIAL SCIENCES-BASEL 2022. [DOI: 10.3390/socsci11040174] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/10/2022]
Abstract
Support for lesbian and gay (LG) civil rights has increased in recent decades, but heterosexism is still prevalent, particularly among highly religious populations. Evidence suggests, however, that it may not be affiliation, but rather conviction in one’s beliefs that relates to prejudicial attitudes. The aims of this study were to examine the relationships among religiosity, heterosexism, and level of support for LG civil rights, as well as potential moderating effects by religious fundamentalism. This study used Amazon’s Mechanical Turk (Mturk) to recruit a U.S. national sample (n = 407) to participate in an online survey. A mediation model was constructed with religiosity leading to heterosexism, which diminished support for LG civil rights. This mediation model was expanded into moderated mediations with three types of religious fundamentalism as moderators. Heterosexism fully mediated the relationship between religiosity and support for LG civil rights. A moderated mediation was observed for aspects of religious fundamentalism reflecting external authority and worldly rejection (but not fixed religion) such that the mediation was present only when participants had high levels of these types of religious fundamentalism. Despite the belief that religious people endorse higher levels of heterosexism and that this influences their support for LG civil rights, this is only true when religiosity is also coupled with fundamentalist belief systems reflecting external authority and worldly rejection.
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Stizzi A, Negrola E, Iacona E, Naglieri M, Scalici G, Testoni I. Reconstructing Social Relationships in a Post-Lockdown Suburban Area of Southern Italy Using Pastoral Counselling. PASTORAL PSYCHOLOGY 2022; 71:245-256. [PMID: 35261397 PMCID: PMC8895359 DOI: 10.1007/s11089-022-00999-0] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 02/09/2022] [Indexed: 06/14/2023]
Abstract
The growing interest in spirituality has enabled numerous avenues of pastoral counselling support, which can be a useful resource for improving quality of life in the context of significant social deprivation. The aim of this research was to investigate the role of the spiritual dimension of pastoral support interventions created to help the inhabitants of a strongly deprived territory in Southern Italy during the COVID-19 pandemic. Eight people between the ages of 28 and 67 took part in the study. A qualitative research design was applied via online interviews with the participants, who were operators of a pastoral counselling service located on the outskirts of a suburban town. The main emergent themes were the importance of religiosity and spirituality in the lives of the participants, the role that these two aspects play in the lives of those who carry out activities devoted to helping others, and the ways in which these dimensions are used within support programmes responding to the needs of an area characterized by socioeconomic and psychosocial problems. The interviews revealed how pastoral counselling can be useful in situations of stress in highly deprived areas.
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Affiliation(s)
- Antonio Stizzi
- Theological Faculty of Puglia, Largo S. Sabino, 1, 70122 Bari, Italy
| | - Ester Negrola
- Department of Philosophy, Sociology, Education and Applied Psychology (FISPPA), University of Padova, Via Venezia 14, 35131 Padova, Italy
| | - Erika Iacona
- Department of Philosophy, Sociology, Education and Applied Psychology (FISPPA), University of Padova, Via Venezia 14, 35131 Padova, Italy
| | - Maria Naglieri
- Fondazione Opera Santi Medici, Piazza Mons Aurelio Marena, 34, 70032 Bitonto (Ba), Italy
| | - Giorgio Scalici
- Instituto de Etnomusicologia – Centro de Estudos em Música e Dança, Faculdade de Ciências Sociais E Humanas, Universidade Nova de Lisboa, Av. de Berna, 26 C, 1069-06 Lisboa, Portugal
| | - Ines Testoni
- Department of Philosophy, Sociology, Education and Applied Psychology (FISPPA), University of Padova, Via Venezia 14, 35131 Padova, Italy
- Emili Sagol Creative Arts Therapies Research Center, Faculty of Social Welfare and Health Sciences, University of Haifa, Haifa, Israel
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Pleizier T, Schuhmann C. How the Military Context Shapes Spiritual Care Interventions by Military Chaplains. THE JOURNAL OF PASTORAL CARE & COUNSELING : JPCC 2022; 76:4-14. [PMID: 35098792 DOI: 10.1177/15423050221076462] [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: 06/14/2023]
Abstract
Spiritual care interventions depend upon the context in which care is provided, its institutional setting and the actors involved. In order to understand the relationship between interventions in spiritual care and the context in which care is provided, we study the spiritual interventions of military chaplains against the background of the armed forces. In our study, we demonstrate that the military context needs its own conceptualization to understand the pastoral practices of military chaplains. This article uses a qualitative comparative methodology and is based upon 13 case studies that have been generated over the course of five years by a team of eight military chaplains within the framework of the Dutch Case Study Project. The analysis results in four concepts that describe the relationship between spiritual care practices and the context of the armed forces in more detail: structuring pastoral availability, positioning within the military environment, existential negotiation of being human and being a soldier and transforming military time. We conclude that the study of spiritual care in context leads to a contextualized understanding of spiritual care practices and stimulates comparison of pastoral care practices across contexts.
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Affiliation(s)
- Theo Pleizier
- 428260Protestant Theological University, Groningen, Netherlands
- 36513University for Humanistic Studies, Utrecht, Netherlands
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Biancalani G, Azzola C, Sassu R, Marogna C, Testoni I. Spirituality for Coping with the Trauma of a Loved One's Death During the COVID-19 Pandemic: An Italian Qualitative Study. PASTORAL PSYCHOLOGY 2022; 71:173-185. [PMID: 35194250 PMCID: PMC8853234 DOI: 10.1007/s11089-021-00989-8] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 12/11/2021] [Indexed: 05/31/2023]
Abstract
Spirituality may be a key factor in reducing the negative psychological effects of traumatic events and a means by which the experience of grief can be processed. The objective of the present research is to assess whether and how spirituality provided concrete support in those who lost a loved one during the COVID-19 pandemic. The participants are 8 people from the most affected cities in northern Italy. They were interviewed in depth, the interviews were transcribed and the texts were analyzed through Interpretive Phenomenological Analysis. The results show that spirituality has been found to be a protective factor with regard to the processing of grief in crisis situations such as the COVID-19 pandemic, in particular with regard to the belief that the deceased loved one is now in an otherworldly dimension. In addition, the celebration of a funeral rite offers support to the grieving person in the early stages of mourning thus laying the foundation for a healthy grieving process. It is therefore important to support individual spirituality, which can be a useful tool for processing the traumatic experience, especially in difficult times such as the COVID-19 pandemic.
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Affiliation(s)
- Gianmarco Biancalani
- Department of Philosophy, Sociology, Education and Applied Psychology (FISPPA), University of Padova, Padova, Italy
| | - Claudia Azzola
- Department of Philosophy, Sociology, Education and Applied Psychology (FISPPA), University of Padova, Padova, Italy
| | - Raluca Sassu
- Department of Journalism, Public Relations, Sociology and Psychology, Lucian Blaga” University of Sibiu, Sibiu, Romania
| | - Cristina Marogna
- Department of Philosophy, Sociology, Education and Applied Psychology (FISPPA), University of Padova, Padova, Italy
| | - Ines Testoni
- Department of Philosophy, Sociology, Education and Applied Psychology (FISPPA), University of Padova, Padova, Italy
- Emili Sagol Creative Arts Therapies Research Center, Faculty of Social Welfare and Health Sciences, University of Haifa, Haifa, Israel
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Schuttenberg EM, Johnston AM, Drury MJ, Sneider JT, Silveri MM, Rosmarin DH. Effects of Sexual Orientation on Spiritual Psychotherapy for Inpatient, Residential & Intensive Treatment. PSYCHIATRIC RESEARCH AND CLINICAL PRACTICE 2022; 4:21-27. [PMID: 36101716 PMCID: PMC9175756 DOI: 10.1176/appi.prcp.20210026] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2021] [Revised: 10/27/2021] [Accepted: 11/30/2021] [Indexed: 11/30/2022] Open
Abstract
Objectives Spiritual psychotherapy addresses mental health concerns by integrating spirituality/religion into treatment. There is scant research on how such approaches interact with sexual minority status. We sought to identify and compare how sexual minority and heterosexual patients respond to spiritual psychotherapy. Method We collected data from heterosexual (n = 66) and sexual minority (n = 15) patients who self‐referred to participate in Spiritual Psychotherapy for Inpatient Residential & Intensive Treatment (SPIRIT), a spiritually‐integrated, group‐based, cognitive‐behavioral treatment. Results We did not find significant differences between heterosexual and sexual minority patients across demographic/clinical variables, spiritual/religious characteristics, or effects of SPIRIT. Both groups reported notable perceived benefit of SPIRIT. Conclusions Although not specifically tailored for sexual minority patients, or intended to reconcile spiritual/religious conflicts around sexual identity, programs like SPIRIT may benefit sexual minority patients by providing a safe space to explore both sexual orientation and religious identity. In turn, this may help sexual minority patients develop frameworks to recruit spirituality/religion in the process of coping with distress, as a catalyst for clinical change. To our knowledge, this is the first study to examine responses to spiritually integrated therapy among sexual minority individuals. Sexual minority and heterosexual patients were equivalent with regard to clinical severity, spiritual/religious characteristics, and spiritual distress. Sexual minority and heterosexual individuals benefited equally from spiritually‐integrated therapy. Spiritual/religious involvement and spiritual distress did not differentially predict perceived benefit from spiritually‐integrated psychotherapy among sexual minority or heterosexual patients. Findings underscore the importance of clinicians being open to exploration of relevant spiritual/religious topics with all patients, without assumption that such themes may be inherently problematic for sexual minorities.
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Affiliation(s)
- Eleanor M. Schuttenberg
- Spirituality & Mental Health Program, McLean Hospital, Belmont, Massachusetts (E. M. Schuttenberg, A. M. Johnston, M. J. Drury, D. H. Rosmarin); Neurodevelopmental Laboratory on Addictions and Mental Health, McLean Hospital, Belmont, Massachusetts (E. M. Schuttenberg, J. T. Sneider, M. M. Silveri); Brain Imaging Center, McLean Hospital, Belmont, Massachusetts (J. T. Sneider, M. M. Silveri); Department of Psychiatry, Harvard Medical School, Boston, Massachusetts (J. T. Sneider, M. M. Silveri, D. H. Rosmarin)
| | - Alana M. Johnston
- Spirituality & Mental Health Program, McLean Hospital, Belmont, Massachusetts (E. M. Schuttenberg, A. M. Johnston, M. J. Drury, D. H. Rosmarin); Neurodevelopmental Laboratory on Addictions and Mental Health, McLean Hospital, Belmont, Massachusetts (E. M. Schuttenberg, J. T. Sneider, M. M. Silveri); Brain Imaging Center, McLean Hospital, Belmont, Massachusetts (J. T. Sneider, M. M. Silveri); Department of Psychiatry, Harvard Medical School, Boston, Massachusetts (J. T. Sneider, M. M. Silveri, D. H. Rosmarin)
| | - Mia J. Drury
- Spirituality & Mental Health Program, McLean Hospital, Belmont, Massachusetts (E. M. Schuttenberg, A. M. Johnston, M. J. Drury, D. H. Rosmarin); Neurodevelopmental Laboratory on Addictions and Mental Health, McLean Hospital, Belmont, Massachusetts (E. M. Schuttenberg, J. T. Sneider, M. M. Silveri); Brain Imaging Center, McLean Hospital, Belmont, Massachusetts (J. T. Sneider, M. M. Silveri); Department of Psychiatry, Harvard Medical School, Boston, Massachusetts (J. T. Sneider, M. M. Silveri, D. H. Rosmarin)
| | - Jennifer T. Sneider
- Spirituality & Mental Health Program, McLean Hospital, Belmont, Massachusetts (E. M. Schuttenberg, A. M. Johnston, M. J. Drury, D. H. Rosmarin); Neurodevelopmental Laboratory on Addictions and Mental Health, McLean Hospital, Belmont, Massachusetts (E. M. Schuttenberg, J. T. Sneider, M. M. Silveri); Brain Imaging Center, McLean Hospital, Belmont, Massachusetts (J. T. Sneider, M. M. Silveri); Department of Psychiatry, Harvard Medical School, Boston, Massachusetts (J. T. Sneider, M. M. Silveri, D. H. Rosmarin)
| | - Marisa M. Silveri
- Spirituality & Mental Health Program, McLean Hospital, Belmont, Massachusetts (E. M. Schuttenberg, A. M. Johnston, M. J. Drury, D. H. Rosmarin); Neurodevelopmental Laboratory on Addictions and Mental Health, McLean Hospital, Belmont, Massachusetts (E. M. Schuttenberg, J. T. Sneider, M. M. Silveri); Brain Imaging Center, McLean Hospital, Belmont, Massachusetts (J. T. Sneider, M. M. Silveri); Department of Psychiatry, Harvard Medical School, Boston, Massachusetts (J. T. Sneider, M. M. Silveri, D. H. Rosmarin)
| | - David H. Rosmarin
- Spirituality & Mental Health Program, McLean Hospital, Belmont, Massachusetts (E. M. Schuttenberg, A. M. Johnston, M. J. Drury, D. H. Rosmarin); Neurodevelopmental Laboratory on Addictions and Mental Health, McLean Hospital, Belmont, Massachusetts (E. M. Schuttenberg, J. T. Sneider, M. M. Silveri); Brain Imaging Center, McLean Hospital, Belmont, Massachusetts (J. T. Sneider, M. M. Silveri); Department of Psychiatry, Harvard Medical School, Boston, Massachusetts (J. T. Sneider, M. M. Silveri, D. H. Rosmarin)
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Litalien M, Atari DO, Obasi I. The Influence of Religiosity and Spirituality on Health in Canada: A Systematic Literature Review. JOURNAL OF RELIGION AND HEALTH 2022; 61:373-414. [PMID: 33409859 DOI: 10.1007/s10943-020-01148-8] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 11/25/2020] [Indexed: 06/12/2023]
Abstract
The association between religion and health has been the subject of growing interest in academia. However, limited reviews of such studies in Canada exist. The paper systematically reviews and synthesizes existing literature on the relationship between spirituality and health in Canada. Available general databases such as: Medline; Web of Science, PubMed, Sociological abstract, Social Service Abstracts, Google scholar, Humanities International Index, JSTOR, CPI.Q Canadian Periodicals, and American Theological Library Association were searched for the period between 2000 and April 2019 inclusive. Collected data were then systematically analysed for common themes about spirituality and health in Canada. In total, 151 articles were found, but only 128 had relevance with the study objectives. Overall, the analysis showed that religion and spirituality do influence health behaviours, and well-being. However, more gender-based studies need to be conducted to tease out the differences in religion/spirituality and health across different genders, and ethnic groups in Canada.
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Affiliation(s)
- Manuel Litalien
- Social Welfare and Social Development, Nipissing University, 100 College Drive, Box 5002, North Bay, ON, P1B 8L7, Canada.
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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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de Abreu Costa M, Moreira-Almeida A. Religion-Adapted Cognitive Behavioral Therapy: A Review and Description of Techniques. JOURNAL OF RELIGION AND HEALTH 2022; 61:443-466. [PMID: 34518980 PMCID: PMC8837510 DOI: 10.1007/s10943-021-01345-z] [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] [Accepted: 07/08/2021] [Indexed: 05/12/2023]
Abstract
Systematic reviews have shown the efficacy of religion-adapted cognitive behavioral therapy (R-CBT); however, many clinicians lack practical knowledge of these protocols. We describe here the techniques of religious adaptation to CBT that have proved effective. We selected randomized clinical trials comparing R-CBT with control conditions in clients with a diagnosis of a psychiatric disorder and extracted the information from their adapted manuals. The most frequent religious adaptations were the integration of religious content to perform cognitive restructuring, psychoeducation and motivation; engagement in religious activities such as behavioral activation, meditation, or prayer to help cognitive restructuring, using religious values and coping strategies. A description of these techniques is presented here, as well as some practical examples.
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Affiliation(s)
- Marianna de Abreu Costa
- Graduate Program in Psychiatry and Behavioral Sciences, Universidade Federal Do Rio Grande Do Sul (UFRGS), Rua Ramiro Barcelos, 2350, Rio Branco, Porto Alegre, RS, 90035-007, Brazil.
| | - Alexander Moreira-Almeida
- Research Center in Spirituality and Health (NUPES), School of Medicine, Universidade Federal de Juiz de Fora (UFJF), Rua José Lourenço Kelmer, s/n, São Pedro, Juiz de Fora, MG, Brazil
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Malviya S, Meredith P, Zupan B, Kerley L. Identifying alternative mental health interventions: a systematic review of randomized controlled trials of chanting and breathwork. JOURNAL OF SPIRITUALITY IN MENTAL HEALTH 2022. [DOI: 10.1080/19349637.2021.2010631] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/09/2023]
Affiliation(s)
- Shikha Malviya
- School of Health, Medical and Applied Sciences, Central Queensland University, Rockhampton, Australia
| | - Pamela Meredith
- School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Australia
- School of Health and Behavioural Sciences, University of the Sunshine Coast, Sunshine Coast, Australia
| | - Barbra Zupan
- School of Health, Medical and Applied Sciences, Central Queensland University, Rockhampton, Australia
| | - Lachlan Kerley
- School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Australia
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Vitorino LM, Cazerta MF, Corrêa NR, Foresto EDP, Oliveira MAFD, Lucchetti G. The Influence of Religiosity and Spirituality on the Happiness, Optimism, and Pessimism of Brazilian Medical Students. HEALTH EDUCATION & BEHAVIOR 2021; 49:10901981211057535. [PMID: 34963363 DOI: 10.1177/10901981211057535] [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: 11/16/2022]
Abstract
BACKGROUND Mental health problems are very common among medical students, becoming a concern for health care professionals and educators. Despite the fact that there is a growing body of literature supporting the role of religiosity and spirituality (RS) on mental health and on positive psychology outcomes, little evidence is available among medical students, a population subjected to important distress. AIMS This study aimed to investigate the role of RS on the levels of optimism, pessimism, and happiness among Brazilian medical students. METHODS This is a cross-sectional study including medical students from the first to the eighth semester of a private medical school. The instruments used were: TOT-R for optimism and pessimism, Lyubomirsk and Lepper subjective happiness scale, and sociodemographic profile. The independent variables were Brazilian Portuguese Duke University Religiosity Scale for religiosity, Brief Spiritual Religious Coping (SRC) for negative and positive SRC; and Facit-Sp for spiritual well-being. RESULTS A total of 353 medical students were included (response rate 97.51%). Higher levels of intrinsic religiosity and peace were associated with greater happiness and optimism. However, negative SRC was associated with lower levels of happiness and optimism and higher levels of pessimism. CONCLUSION Medical students tend to use their RS as a resource for dealing with the challenges of medical school, influencing their happiness and optimism. In this context, it seems that religiousness acts in two different ways, not only have positive but also negative outcomes among the participants.
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Banasik-Jemielniak N, Jemielniak D, Pędzich W. Intercessory Rote Prayer, Life Longevity and the Mortality of Roman Catholic Bishops: An Exploratory Study. JOURNAL OF RELIGION AND HEALTH 2021; 60:3871-3885. [PMID: 33721174 PMCID: PMC8542532 DOI: 10.1007/s10943-021-01214-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Accepted: 02/17/2021] [Indexed: 06/12/2023]
Abstract
Based on a computational analysis of a large dataset, this study explores if there is a significant longevity effect of intercessory prayer for a named individual's well-being, if he receives a very high number of prayers per annum for an extended period. We relied on an observational cohort study, based on data from 1988 to 2018, including 857 Roman Catholic bishops, 500 Catholic priests, and 3038 male academics from six countries. We measured the covariance of the mean length of life, controlled for nationality. It was found that there is a main effect for occupation F(2, 4391) = 4.07, p = 0.017, ηp2 = 0.002, with pairwise comparisons indicating significant differences between the mean life duration of bishops (M = 30,489) and of priests (M = 29,894), but none between the academic teachers (M = 30,147) and either of the other groups. A comparison analysis between bishops from the largest and the smallest dioceses showed no significant difference t(67.31) = 1.61, p = 0.11. The first analysis proved that bishops live longer than priests, but due to a marginal effect size this result should be treated with caution. No difference was found between the mean length of life of bishops from the largest and the smallest dioceses.
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Affiliation(s)
| | - Dariusz Jemielniak
- Management in Networked and Digital Societies (MINDS) Department, Kozminski University, Warsaw, Poland.
| | - Wojciech Pędzich
- Management in Networked and Digital Societies (MINDS) Department, Kozminski University, Warsaw, Poland
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Braghetta CC, Gorenstein C, Wang YP, Martins CB, Leão FC, Peres MFP, Lucchetti G, Vallada H. Development of an Instrument to Assess Spirituality: Reliability and Validation of the Attitudes Related to Spirituality Scale (ARES). Front Psychol 2021; 12:764132. [PMID: 34803846 PMCID: PMC8600364 DOI: 10.3389/fpsyg.2021.764132] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/25/2021] [Accepted: 10/12/2021] [Indexed: 11/24/2022] Open
Abstract
Background: Several instruments that measure spirituality present overlaps with positive emotions, impacting the interpretation of their findings. In order to minimize these problems, we aimed to develop, assess the reliability and validate a new scale to evaluate spirituality. Methods: The instrument was designed using a theoretical framework minimizing tautological issues (i.e., Koenig's framework), a qualitative study investigating the definitions of spirituality, the development of the first version of instrument by experts' meetings and a qualitative cognitive debriefing. Then, the instrument was examined for its content validity by a multidisciplinary group of judges and was pilot-tested in two different groups - less religious (medical students - n = 85) and more religious (practicing religious members - n = 85). Finally, psychometric properties and validity were assessed. Results: The developed Attitudes Related to Spirituality Scale (ARES) is a self-report 11-item instrument using five-level Likert items. ARES presented appropriate psychometric properties revealing excellent internal consistency (alpha = 0.98) and temporal stability (ICC = 0.98). Likewise, ARES was strongly correlated with other validated R/S instruments (i.e., Duke Religion Index and Brief Multidimensional Measure of Religiousness/Spirituality) and was able to discriminate higher and lower religious groups. In the exploratory factor analysis, a unidimensional structure of the scale was described. Fit indices for the scale demonstrated good fit in the unidimensional model. Conclusion: The ARES is a reliable, valid and stable one-dimension instrument that is appropriate for use in the Portuguese-speaking population. Descriptors: Spirituality; Scale; Factorial Analysis; Instrument; Measure; Psychometrics.
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Affiliation(s)
- Camilla Casaletti Braghetta
- Departamento de Psiquiatria, Faculdade de Medicina (FMUSP), Instituto de Psiquiatria, Universidade de São Paulo, Programa de Saúde, Espiritualidade e Religiosidade, São Paulo, Brazil
- Laboratório de Psicopatologia e Terapêutica Psiquiátrica (LIM-23), Departamento de Psiquiatria, Faculdade de Medicina (FMUSP), Instituto de Psiquiatria, Universidade de São Paulo, São Paulo, Brazil
| | - Clarice Gorenstein
- Laboratório de Psicopatologia e Terapêutica Psiquiátrica (LIM-23), Departamento de Psiquiatria, Faculdade de Medicina (FMUSP), Instituto de Psiquiatria, Universidade de São Paulo, São Paulo, Brazil
- Departamento de Farmacologia, Instituto de Ciências Biomédicas, Universidade de São Paulo, São Paulo, Brazil
| | - Yuan Pang Wang
- Laboratório de Psicopatologia e Terapêutica Psiquiátrica (LIM-23), Departamento de Psiquiatria, Faculdade de Medicina (FMUSP), Instituto de Psiquiatria, Universidade de São Paulo, São Paulo, Brazil
| | - Camila Bertini Martins
- Departamento de Medicina Preventiva, Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, Brazil
| | - Frederico Camelo Leão
- Departamento de Psiquiatria, Faculdade de Medicina (FMUSP), Instituto de Psiquiatria, Universidade de São Paulo, Programa de Saúde, Espiritualidade e Religiosidade, São Paulo, Brazil
| | - Mario Fernando Prieto Peres
- Departamento de Psiquiatria, Faculdade de Medicina (FMUSP), Instituto de Psiquiatria, Universidade de São Paulo, Programa de Saúde, Espiritualidade e Religiosidade, São Paulo, Brazil
| | - Giancarlo Lucchetti
- School of Medicine, Federal University of Juiz de Fora, Minas Gerais, Brazil
| | - Homero Vallada
- Departamento de Psiquiatria, Faculdade de Medicina (FMUSP), Instituto de Psiquiatria, Universidade de São Paulo, Programa de Saúde, Espiritualidade e Religiosidade, São Paulo, Brazil
- Laboratório de Psicopatologia e Terapêutica Psiquiátrica (LIM-23), Departamento de Psiquiatria, Faculdade de Medicina (FMUSP), Instituto de Psiquiatria, Universidade de São Paulo, São Paulo, Brazil
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Litchke LG, Quinn B, Turner K, Trapp K. Therapeutic Recreation Activities Combined with a 12-Step Faith-Based Program for Adults Experiencing Addiction, Mental Health, and Homelessness: A Case Study. ALCOHOLISM TREATMENT QUARTERLY 2021. [DOI: 10.1080/07347324.2021.1981181] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Affiliation(s)
- Lyn Gorbett Litchke
- Faculty of Health Sciences, University of Lethbridge, Lethbridge, Alberta, Canada
| | - Bonnie Quinn
- Faculty of Health Sciences, University of Lethbridge, Lethbridge, Alberta, Canada
| | - Kassandra Turner
- Faculty of Health Sciences, University of Lethbridge, Lethbridge, Alberta, Canada
| | - Kelci Trapp
- Faculty of Health Sciences, University of Lethbridge, Lethbridge, Alberta, Canada
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Borges CC, Dos Santos PR, Alves PM, Borges RCM, Lucchetti G, Barbosa MA, Porto CC, Fernandes MR. Association between spirituality/religiousness and quality of life among healthy adults: a systematic review. Health Qual Life Outcomes 2021; 19:246. [PMID: 34674713 PMCID: PMC8529786 DOI: 10.1186/s12955-021-01878-7] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2021] [Accepted: 10/04/2021] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Health-related quality of life (HRQoL) is determined by multiple factors that include components such as spirituality and religiousness (S/R). Even though various systematic reviews have investigated the association between S/R and improved health outcomes in the most different groups, healthy young individuals are seldom addressed. OBJECTIVE To assess the association between S/R and HRQoL among young, healthy individuals. METHODS Systematic review of papers published in the last ten years and indexed in four academic research databases (PubMed, Web of Science, Cochrane Library, and Scopus) and two gray literature databases. Inclusion criteria were studies assessing S/R and HRQoL using validated instruments and assessing healthy adults (i.e., non-clinical patients, not belonging to any specific group of chronic diseases), aged between 18 and 64 years old. RESULTS Ten out of 1,952 studies met the inclusion criteria: nine cross-sectional and one longitudinal cohort study, in which 89% of the participants were college students. Nine studies report a positive association between S/R and HRQoL, while one study did not report any significant association. The main HRQoL domains associated with S/R were the psychological, social relationships, and environment domains, while the S/R most influent facets/components were optimism, inner strength, peace, high control, hope, and happiness. CONCLUSIONS Higher S/R levels among healthy adult individuals were associated with higher HRQoL levels, suggesting the S/R can be an important strategy to deal with adverse environmental situations even among those without chronic diseases, enhancing the wellbeing of individuals. Registration of systematic review: PROSPERO-CRD42018104047.
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Affiliation(s)
- Cezimar Correia Borges
- Faculdade de Medicina, Programa Ciências da Saúde, Universidade Federal de Goiás, Secretaria - 1ª Av. s/n - Setor Universitário, Goiânia, Goiás, CEP: 74605-020, Brazil. .,Unicerrado, Centro Universitário de Goiatuba, Rod. GO-320 s/n - Jardim Santa Paula, Goiatuba, Goiás, CEP: 75600-000, Brazil. .,Universidade Estadual de Goiás, Unidade Universitária de Itumbiara, Av. Modesto de Carvalho s/n - Distrito Agroindustrial, Itumbiara, Goiás, Brazil.
| | - Patrícia Roberta Dos Santos
- Faculdade de Medicina, Programa Ciências da Saúde, Universidade Federal de Goiás, Secretaria - 1ª Av. s/n - Setor Universitário, Goiânia, Goiás, CEP: 74605-020, Brazil
| | - Polissandro Mortoza Alves
- Faculdade de Medicina, Programa Ciências da Saúde, Universidade Federal de Goiás, Secretaria - 1ª Av. s/n - Setor Universitário, Goiânia, Goiás, CEP: 74605-020, Brazil.,Universidade Estadual de Goiás, Unidade Universitária de Itumbiara, Av. Modesto de Carvalho s/n - Distrito Agroindustrial, Itumbiara, Goiás, Brazil
| | - Renata Custódio Maciel Borges
- Universidade Estadual de Goiás, Unidade Universitária de Itumbiara, Av. Modesto de Carvalho s/n - Distrito Agroindustrial, Itumbiara, Goiás, Brazil
| | - Giancarlo Lucchetti
- Faculdade de Medicina, Universidade Federal de Juiz de Fora, Av. Eugênio do Nascimento, s/n° - Dom Bosco, Juiz de Fora, Minas Gerais, CEP: 36038-330, Brazil
| | - Maria Alves Barbosa
- Faculdade de Medicina, Programa Ciências da Saúde, Universidade Federal de Goiás, Secretaria - 1ª Av. s/n - Setor Universitário, Goiânia, Goiás, CEP: 74605-020, Brazil
| | - Celmo Celeno Porto
- Faculdade de Medicina, Programa Ciências da Saúde, Universidade Federal de Goiás, Secretaria - 1ª Av. s/n - Setor Universitário, Goiânia, Goiás, CEP: 74605-020, Brazil
| | - Marcos Rassi Fernandes
- Faculdade de Medicina, Programa Ciências da Saúde, Universidade Federal de Goiás, Secretaria - 1ª Av. s/n - Setor Universitário, Goiânia, Goiás, CEP: 74605-020, Brazil
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Hindmarch T, Dalrymple J, Smith M, Barclay S. Spiritual interventions for cancer pain: a systematic review and narrative synthesis. BMJ Support Palliat Care 2021; 12:1-9. [PMID: 34667066 DOI: 10.1136/bmjspcare-2021-003102] [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: 04/05/2021] [Accepted: 08/31/2021] [Indexed: 11/04/2022]
Abstract
BackgroundPain is a common and debilitating cancer-related symptom. In palliative care, physical, psychological, social and spiritual factors are thought to contribute to individual experience of pain. Consequently, spiritual care interventions are advocated in the management of cancer-related pain. AIM To systematically review the published literature concerning spiritual interventions in the management of cancer-related pain. METHODOLOGY Seven databases (Medline, CINAHL, EMBASE, PsycINFO, Cochrane, Scopus and Web of Science) were searched for quantitative studies of pain in patients with cancer receiving spiritual care interventions, with additional reference and citation searches. Research quality and relevance was appraised using Gough's 'Weight of Evidence' framework prior to narrative synthesis. RESULTS The search identified 12 822 articles, of which 11 were included in the synthesis. Few studies have investigated spiritual interventions in the management of cancer pain: a minority of these demonstrate statistical benefit. Some evidence suggests spiritual care may aid in coping with pain, rather than altering pain intensity. Spiritual interventions are well received by patients with cancer and do not appear to cause harm. CONCLUSION Current evidence provides limited support for the use of spiritual care interventions in the management of cancer pain. The paucity and heterogeneity of literature points to a need for high-quality research with judgements of spiritual intervention efficacy made on an individual basis. PROSPERO REGISTRATION NUMBER CRD42020190194.
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Affiliation(s)
- Thomas Hindmarch
- Health Services and Primary Care Unit, Norwich Medical School, University of East Anglia, Norwich, UK
| | - James Dalrymple
- Health Services and Primary Care Unit, Norwich Medical School, University of East Anglia, Norwich, UK
| | - Matthew Smith
- The Library, University of East Anglia, Norwich, UK, Norwich, UK
| | - Stephen Barclay
- Health Services and Primary Care Unit, Norwich Medical School, University of East Anglia, Norwich, UK
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Afshar M, Sadat Z, Bagheri M. The Effect of Spiritual Counseling on Hope in Patients with Multiple Sclerosis: A Randomized Clinical Trial. INTERNATIONAL JOURNAL OF COMMUNITY BASED NURSING AND MIDWIFERY 2021; 9:313-324. [PMID: 34604400 PMCID: PMC8479289 DOI: 10.30476/ijcbnm.2021.88605.1523] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/14/2020] [Revised: 05/30/2021] [Accepted: 06/01/2021] [Indexed: 11/19/2022]
Abstract
Background: Spiritual practices have recently emerged as beneficial to both mental and physical health. The present study was conducted to determine the effect
of spiritual counseling on hope among patients with Multiple Sclerosis (MS). Methods: This single blind randomized controlled clinical trial was conducted on the patients with MS in April-June 2020, Kashan, Iran.
50 patients were randomly assigned to two 25-member groups. The patients in the intervention group participated in eight 60-minute spiritual counseling program.
They were asked to fill out the demographic information questionnaire before the intervention and Herth Hope Index (HHI) before, immediately (in the 4th week of the study)
and a month after the intervention (in the 8th week of the study). Data were analyzed using Chi-square, independent samples t-test and
repeated measures ANOVA in SPSS version 16. The significance level was considered P<0.05. Results: The results showed that the differences between the two groups before the intervention were not statistically significant in terms of demographic variables (P>0.05)
and the mean score of hope (P=0.61). However, the total mean score of HHI in the intervention group was significantly different from the control group
immediately and a month after the intervention (44.95±1.42 VS. 31.66±2.45 and 43.25±1.84 VS. 30.58±2.24), respectively (P<0.001).
According to the results of the repeated measures ANOVA, the level of hope and its dimensions significantly changed in the intervention group over time (P<0.001). Conclusion: The results of the present study showed that spiritual counseling promoted the hope score in patients with MS.
It is recommended that spiritual counseling should be use as a complementary therapy along with other counseling treatments to increase hope in patients with MS. Trial Registration Number: IRCT20190819044567N
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Affiliation(s)
- Mohammad Afshar
- Trauma Nursing Research Center, Kashan University of Medical Sciences, Kashan, Iran
| | - Zohreh Sadat
- Trauma Nursing Research Center, Kashan University of Medical Sciences, Kashan, Iran
| | - Mohhammad Bagheri
- Department of Psychiatric Nursing, Kashan University of Medical Sciences, Kashan, Iran
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