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Gonçalves Júnior J, dos Santos AM, Sampaio RAAF, do Nascimento Silva T, Martines G, de Araújo DB, Cândido EL, Shinjo SK. Spirituality, Religiosity, and Mental Health in Patients with Idiopathic Inflammatory Myopathies: A Brazilian Multicentric Case-Control Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2024; 21:653. [PMID: 38928900 PMCID: PMC11203193 DOI: 10.3390/ijerph21060653] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/18/2024] [Revised: 05/12/2024] [Accepted: 05/13/2024] [Indexed: 06/28/2024]
Abstract
No published studies have investigated the correlation between religiosity, spirituality, mental health, and idiopathic inflammatory myopathy (IIM) or systemic autoimmune myopathy. Therefore, we aimed to evaluate the association between religiosity/spirituality, sociodemographic factors, and the mental health of IIM patients. This is a multicenter case-control study that included 151 patients with IIMs and 95 individuals without autoimmune diseases (controls), held between August 2022 and April 2023. This study used a semi-structured questionnaire that included sociodemographic information and the juxtaposition of the following questionnaires: the Attitudes Related to Spirituality Scale (ARES); the Duke University Religion Index (DUKE), which is composed of the organizational religious affiliation (ORA), non-organizational religious affiliation (NORA), and intrinsic religiosity (IR) domains; and the General Health Questionnaire-12 (GHQ-12). Data were analyzed using Epi Info software 7.2.5 (Centers for Disease Control and Prevention, Atlanta, GA, USA). A comparison between the mean values of the ARES, DUKE, and GHQ-12 scales was made using the Wilcoxon-Mann-Whitney and Kruskal-Wallis tests. A logistic regression test was used with the variables whose difference was statistically significant in the univariate analysis. Correlation analysis was performed using the Spearman rho coefficient. A higher prevalence of evangelicals and a lower prevalence of Catholics (p < 0.050) were seen in the IIM group compared to controls. Positive association was demonstrated between IIMs and the pardo ethnicity (OR = 2.26, 95% CI = 1.20-4.25, p = 0.011), highest ORA (OR = 2.81, 95% CI = 1.53-5.15, p < 0.001), NORA (OR = 3.99, 95% CI = 1.94-8·18, p < 0.001), IR (OR = 5.27, 95% CI = 2.32-11.97, p < 0.001), and ARES values (OR = 1.08, 95% CI = 1.04-1.13, p < 0.001). Mental health levels were compared between the groups (p > 0.999). Therefore, higher levels of religiosity and spirituality were observed in the IIM group than in the control group, but there was a similar distribution of mental health levels. The following can be cited as advantages of the present study: (i) the large sample for a rare disease with the presence of a control group; (ii) the multicenter characteristic with participation from three regions of Brazil; (iii) being the first study to map aspects of religiosity, spirituality, and mental health in IIMs.
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Affiliation(s)
- Jucier Gonçalves Júnior
- School of Medicine, Universidade Federal do Cariri, Barbalha 63180-000, Ceará, Brazil
- Division of Rheumatology, Faculdade de Medicina FMUSP, Universidade de São Paulo, São Paulo 01246-903, São Paulo, Brazil
| | - Alexandre Moura dos Santos
- Division of Rheumatology, Faculdade de Medicina FMUSP, Universidade de São Paulo, São Paulo 01246-903, São Paulo, Brazil
| | | | - Thalita do Nascimento Silva
- Division of Rheumatology, Universidade Estadual do Ceará (UECE), Hospital Geral Doutor Cesar Cals, Fortaleza 60015-152, Ceará, Brazil
| | - Giovanna Martines
- Division of Rheumatology, Universidade Federal de Pelotas (UFPel), Pelotas 96010-610, Rio Grande do Sul, Brazil
| | - Daniel Brito de Araújo
- Division of Rheumatology, Universidade Federal de Pelotas (UFPel), Pelotas 96010-610, Rio Grande do Sul, Brazil
| | - Estelita Lima Cândido
- Programa de Pós-Graduação em Ciências da Saúde, Universidade Federal do Cariri (UFCA), Barbalha 63180-000, Ceará, Brazil
| | - Samuel Katsuyuki Shinjo
- Division of Rheumatology, Faculdade de Medicina FMUSP, Universidade de São Paulo, São Paulo 01246-903, São Paulo, Brazil
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Ramdani H, Moueqqit O, Lahmar A, Gonçalves Júnior J, Cândido EL, Shinjo SK. The effect of the COVID-19 pandemic on the mental health of patients with rheumatic diseases. Front Psychiatry 2022; 13:1007101. [PMID: 36353574 PMCID: PMC9638125 DOI: 10.3389/fpsyt.2022.1007101] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/23/2022] [Accepted: 10/03/2022] [Indexed: 11/13/2022] Open
Affiliation(s)
- Hiba Ramdani
- Faculty of Medicine and Pharmacy of Oujda, Mohammed First University of Oujda, Oujda, Morocco
| | - Othman Moueqqit
- Faculty of Medicine and Pharmacy of Oujda, Mohammed First University of Oujda, Oujda, Morocco
| | - Abdelilah Lahmar
- Faculty of Medicine and Pharmacy of Oujda, Mohammed First University of Oujda, Oujda, Morocco
| | - Jucier Gonçalves Júnior
- Division of Rheumatology, Faculdade de Medicina FMUSP, Universidade de São Paulo, São Paulo, Brazil
| | | | - Samuel Katsuyuki Shinjo
- Division of Rheumatology, Faculdade de Medicina FMUSP, Universidade de São Paulo, São Paulo, Brazil
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