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Martins H, Domingues TD, Caldeira S. Spiritual distress and religious involvement among cancer patients receiving chemotherapy: A longitudinal study. Int J Nurs Knowl 2024; 35:272-280. [PMID: 37634945 DOI: 10.1111/2047-3095.12442] [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: 05/06/2023] [Accepted: 08/14/2023] [Indexed: 08/29/2023]
Abstract
PURPOSE To determine the trajectories of spiritual distress and religious involvement among cancer patients during chemotherapy. METHODS A prospective longitudinal study was conducted over 15 months with quarterly data collection, in a total of with five cut points. Data collection was applied a questionnaire that embraced sociodemographic characteristics, clinical profile, Spiritual Distress Scale, and Belief into Action Scale. Regarding, data analysis was performed univariate, bivariate, and multivariate statistics, and the study was approved by the Ethics Committee. FINDINGS From the 322 cancer patients at the beginning, the attrition rate was 17.5% in the last time point. Most of participants were women (56.6%), with an average age of 60.3 years, and had a religious affiliation (93.7%). Statistically significant values were found of spiritual distress and religious involvement across the five cuts. At the end of 3 months after starting chemotherapy, the highest value of spiritual distress and the lowest value of religious involvement were reached. CONCLUSIONS Cancer patients who are submitted to chemotherapy, after 3 months of treatment experience the peak of spiritual distress and the lowest value of religious involvement. This critical period for nurses' is required a massive approach regarding spiritual and religious needs. IMPLICATIONS FOR NURSING PRACTICE Therefore, knowing the trajectories of spiritual distress and religious involvement during a certain period allows for the anticipating of planning of nursing therapeutic interventions in order to promote spiritual health and spiritual well-being outcomes in cancer patients.
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Affiliation(s)
- Helga Martins
- Centre for Interdisciplinary Research in Health, Institute of Health Sciences, Universidade Católica Portuguesa, Lisbon, Portugal
- Invited Adjunct Professor at the Polytechnic Institute of Beja, Beja, Portugal
- Fellow Researcher in the Post Doctoral Program in Integral Human Development, CADOS
| | - Tiago D Domingues
- Centre of Statistics and its Applications - CEAUL, Universidade de Lisboa, Lisbon, Portugal
| | - Sílvia Caldeira
- Centre for Interdisciplinary Research in Health, Institute of Health Sciences, Universidade Católica Portuguesa, Lisbon, Portugal
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Wüthrich-Grossenbacher U, Mutsinze A, Wolf U, Maponga CC, Midzi N, Mutsaka-Makuvaza MJ, Merten S. Spiritual and religious aspects influence mental health and viral load: a quantitative study among young people living with HIV in Zimbabwe. BMJ Glob Health 2023; 8:e012671. [PMID: 37586783 PMCID: PMC10432672 DOI: 10.1136/bmjgh-2023-012671] [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: 04/24/2023] [Accepted: 07/13/2023] [Indexed: 08/18/2023] Open
Abstract
INTRODUCTION The role of religion and spirituality as social determinants of health has been widely discussed. Studies among people living with HIV describe positive and negative influences of religion and spirituality on health outcomes. With a HIV prevalence of 14.8% for females and 8.6% for males, and 22 000 AIDS-related deaths in 2020, HIV infection remains a life-threatening condition in Zimbabwe, especially in young people. The aim of this research was to measure the influence of religion and spirituality on the health outcomes of young people living with HIV in Zimbabwe. METHODS A quantitative questionnaire with three different validated measures of religion and spirituality (Belief into Action Scale, Brief Religious Coping Index, Religious and Spiritual Struggles Scale), demographic, cultural, behavioural and health questions was administered to 804 young Zvandiri programme clients in rural, urban and peri-urban Zimbabwe between July and October 2021. Regression analysis established significant relations between the result of the three different measures and mental health and viral load results. RESULTS Religious coping significantly reduced the probability of common mental disorder, while high religious activity increased the risk. The Religious and Spiritual Struggles Scale proved to be a reliable indicator of higher viral loads, risk for treatment failure and the probability of common mental disorder. CONCLUSIONS All three measures of religion and spirituality related to health outcomes. More research is needed to generalise and further explore these findings. Because the Religious and Spiritual Struggles Scale was a strong indicator for both, higher viral loads and common mental disorder, we suggest that it should be used and validated in other sub-Saharan contexts. It could serve as a new diagnostic tool for the early detection and prevention of treatment failure as well as of common mental disorder.
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Affiliation(s)
| | | | - Ursula Wolf
- Institute of Complementary and Integrative Medicine, University of Bern, Bern, Switzerland
| | | | - Nicholas Midzi
- National Institute of Health Research, Ministry of Health and Child Care, Harare, Zimbabwe
| | - Masceline Jenipher Mutsaka-Makuvaza
- National Institute of Health Research, Ministry of Health and Child Care, Harare, Zimbabwe
- College of Medicine and Health Sciences, School of Medicine and Pharmacy, Department of Microbiology and Parasitology, University of Rwanda, Butare, Rwanda
| | - Sonja Merten
- Faculty of Medicine, University of Basel, Basel, Switzerland
- Epidemiology and Public Health, Swiss Tropical and Public Health Institute, Basel, Switzerland
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Ferreira-Valente A, Van Dyke BP, Day MA, Teotónio do Carmo C, Pais-Ribeiro J, Pimenta F, Costa RM, Jensen MP. Immediate Effects of Hypnosis, Mindfulness Meditation, and Prayer on Cold Pressor Outcomes: A Four-Arm Parallel Experimental Study. J Pain Res 2022; 15:4077-4096. [PMID: 36582659 PMCID: PMC9793782 DOI: 10.2147/jpr.s388082] [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: 09/05/2022] [Accepted: 12/12/2022] [Indexed: 12/25/2022] Open
Abstract
Purpose Previous research supports the usefulness of hypnosis (HYP), mindfulness meditation (MM), and prayer as pain self-management strategies in adults with chronic pain. However, their effects on acute pain have been less researched, and no previous head-to-head study compared the immediate effects of these three approaches on pain-related outcomes. This study compared the immediate effects of HYP, MM, and Christian prayer (CP) on pain intensity, pain tolerance, and stress as assessed by heart rate variability (HRV). Participants and Methods A total of 232 healthy adults were randomly assigned to, and completed, a single 20-minute session of MM, SH, CP, or an attention control (CN), and underwent two cycles (one pre- and one post-intervention) of Cold Pressor Arm Wrap (CPAW). Sessions were audio-delivered. Participants responded to pre- and post-intervention pain intensity measurements. Pain tolerance (sec) was assessed during the CPAW cycles. HRV was assessed at baseline, and at pre- and post-intervention CPAW cycles. The study protocol was pre-registered at the ClinicalTrials.gov registry (NCT04491630). Results Small within-group decreases in pain intensity and small increases in pain tolerance were found for HYP and MM from the pre- to the post-intervention. Small within-group improvements in the LH/HF ratio were also found for HYP. The exploratory between-group pairwise comparisons revealed a medium effect size effects of HYP on pain tolerance relative to the control condition. The effects of CP were positive, but small and not statistically significant. Only small to medium, though non-significant, Time × Group interaction effects were found. Conclusion Study results suggest that single short-term HYP and MM sessions, but not biblical-based CP, may be useful for acute pain self-management, with HYP being the slightly superior option. Future research should compare the effects of different types of prayer and examine the predictors and moderators of these pain approaches' effects on pain-related outcomes.
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Affiliation(s)
- Alexandra Ferreira-Valente
- William James Center for Research, Ispa – University Institute, Lisbon, Portugal,Department of Rehabilitation Medicine, University of Washington, Seattle, WA, USA,Research Center for Human Development, Faculty of Education and Psychology, Universidade Católica Portuguesa, Porto, Portugal,Correspondence: Alexandra Ferreira-Valente, Research Center for Human Development, Faculty of Education and Psychology, Universidade Católica Portuguesa, Rua de Diogo Botelho, Porto, 1327 4169-005, Portugal, Tel +351 226196200, Email
| | | | - Melissa A Day
- Department of Rehabilitation Medicine, University of Washington, Seattle, WA, USA,School of Psychology, Faculty of Health & Behavioral Sciences, University of Queensland, Brisbane, Australia
| | | | - José Pais-Ribeiro
- William James Center for Research, Ispa – University Institute, Lisbon, Portugal
| | - Filipa Pimenta
- William James Center for Research, Ispa – University Institute, Lisbon, Portugal
| | - Rui M Costa
- William James Center for Research, Ispa – University Institute, Lisbon, Portugal
| | - Mark P Jensen
- Department of Rehabilitation Medicine, University of Washington, Seattle, WA, USA
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Castro LS, Balboni TA, Lobo TC, Moreira RSL, Koenig HG, Peteet JR, Cintra F. Assessing Religious Commitment in a Multicultural Inpatient Setting: A Psychometric Evaluation of the 10-item Belief into Action Scale. JOURNAL OF RELIGION AND HEALTH 2021; 60:3576-3590. [PMID: 33710465 DOI: 10.1007/s10943-021-01223-8] [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: 02/26/2021] [Indexed: 06/12/2023]
Abstract
Religious and spiritual (R/S) issues impact medical decision-making, particularly among highly R/S populations, for whom existing measures have limitations in identifying levels of R/S commitment. The Belief into Action (BIAc) scale was designed for this purpose and was never tested among hospitalized patients. We interviewed 152 patients (51% men) with a mean age of 48.9 years (SD = 15.2), having either cancer (27%), cardiovascular (26%), rheumatic (21%), or other diseases (26%). Cronbach alpha was .82 and a 3-factor structure (subjective, social, and private religious commitment) was the most robust. Results suggest the BIAc has adequate convergent, divergent, and incremental validity compared to other well-established questionnaires and is appropriate for the inpatient setting.
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Affiliation(s)
- Laura S Castro
- Departamento de Medicina, Disciplina de Cardiologia, Universidade Federal de São Paulo, R. Napoleão de Barros, 715, Térreo, Vl. Clementino, São Paulo, 04024-002, Brazil.
- Department of Psychosocial Oncology and Palliative Care, Dana Farber Cancer Institute, Boston, MA, USA.
| | - Tracy A Balboni
- Department of Psychosocial Oncology and Palliative Care, Dana Farber Cancer Institute, Boston, MA, USA
| | - Talita C Lobo
- Departamento de Medicina, Disciplina de Cardiologia, Universidade Federal de São Paulo, R. Napoleão de Barros, 715, Térreo, Vl. Clementino, São Paulo, 04024-002, Brazil
| | - Rita Simone L Moreira
- Departamento de Medicina, Disciplina de Cardiologia, Universidade Federal de São Paulo, R. Napoleão de Barros, 715, Térreo, Vl. Clementino, São Paulo, 04024-002, Brazil
| | - Harold G Koenig
- Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC, USA
- Department of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia
| | - John R Peteet
- Department of Psychosocial Oncology and Palliative Care, Dana Farber Cancer Institute, Boston, MA, USA
| | - Fatima Cintra
- Departamento de Medicina, Disciplina de Cardiologia, Universidade Federal de São Paulo, R. Napoleão de Barros, 715, Térreo, Vl. Clementino, São Paulo, 04024-002, Brazil
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Martins H, Caldeira S, Domingues TD, Vieira M, Koenig HG. Validation of the Duke University Religion Index (DUREL) in Portuguese Cancer Patients Undergoing Chemotherapy. JOURNAL OF RELIGION AND HEALTH 2021; 60:3562-3575. [PMID: 33415599 DOI: 10.1007/s10943-020-01143-z] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 11/24/2020] [Indexed: 06/12/2023]
Abstract
Religion is one of the strategies used to cope with life stressful events, particularly in cancer patients. This study aimed to translate, adapt and validate the 5-item Duke University Religion Index (DUREL) into European Portuguese. This is a cross-sectional study in a sample of cancer patients receiving chemotherapy. Data were collected in July-October 2018, and the study was approved by the ethics committee of the institution. A sample of 150 participants was included (64.7% female and 35.3% male), aged 35-83 years, and mainly Catholic (86.7%). Participants who were females, older, had lower education and from evangelical religious traditions scored higher on the total score. The Cronbach's alpha was 0.89. Factor analysis revealed a one-factor solution. Convergent validity was achieved between DUREL and BIAC (r = 0.78; p < 0.01). The DUREL European Portuguese version is a valid and reliable tool for measuring religious commitment in cancer patients undergoing chemotherapy.
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Affiliation(s)
- Helga Martins
- Centre for Interdisciplinary Research in Health, Institute of Health Sciences, Universidade Católica Portuguesa, Palma de Cima, 1649-023, Lisbon, Portugal
| | - Sílvia Caldeira
- Centre for Interdisciplinary Research in Health, Institute of Health Sciences, Universidade Católica Portuguesa, Palma de Cima, 1649-023, Lisbon, Portugal.
| | - Tiago Dias Domingues
- Centre of Statistics and Its Applications - CEAUL, Universidade de Lisboa, Lisbon, Portugal
| | - Margarida Vieira
- Centre for Interdisciplinary Research in Health, Institute of Health Sciences, Universidade Católica Portuguesa, Rua de Diogo Botelho 1327, 4169-005, Oporto, Portugal
| | - Harold G Koenig
- Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC, USA
- Department of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia
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Rammouz I, Aalouane R, El Fakir S, El Ghazi M, Bennoudi H, Trimasse N, Madaoui R, Boujraf S, Koenig HG. Cultural Adaptation and Validation of the Moroccan Arabic Version of the Muslim Belief into Action (BIAC) Scale. JOURNAL OF RELIGION AND HEALTH 2021; 60:549-562. [PMID: 33140316 DOI: 10.1007/s10943-020-01111-7] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 10/10/2020] [Indexed: 06/11/2023]
Abstract
Various approaches have been developed to comprehensively assess multiple dimensions of religiosity. The Belief into Action (BIAC) Scale was developed for this purpose and to evaluate the degree of translation of personal beliefs into real-life actions. The goal of the present study was to assess the validity and reliability of the Moroccan Arabic version of the Muslim BIAC, designed to assess the religiosity of Muslims. This study was conducted in two stages. First, the original version of Muslim BIAC was translated from English to Arabic using a standard forward-backward translation procedure. Second, the Moroccan Arabic version of the Muslim BIAC was administered to a sample of 132 students at Ibn Zohr University, Agadir, Morocco (mean age 22.2 years). The average score on the BIAC was 46.1 (SD = 17.2). The Cronbach's alpha for internal reliability was 0.81, with alphas for removed items ranging from 0.77 to 0.82. Test-retest reliability by intraclass correlation coefficient (ICC) was 0.87 (95% CI = 0.83-0.91). Discriminant validity indicated relatively weak correlations with depressive symptoms (r = - 0.06) and perceived stress (r = 0.08). The Moroccan Arabic version of the Muslim BIAC is a reliable and valid measure of religious involvement that can be used to assess the relationship between religiosity and health in Moroccan Arabic populations.
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Affiliation(s)
- Ismail Rammouz
- Clinical Neurosciences Laboratory, Faculty of Medicine, Sidi Mohamed Ben Abdellah University, Fez, Morocco.
- Health Sciences Research Laboratory, Ibn Zohr University, Agadir, Morocco.
- Department of Psychiatry, Faculty of Medicine, Ibn Zohr University, BP 7519, Quartier Tilila, 80060, Agadir, Morocco.
| | - Rachid Aalouane
- Clinical Neurosciences Laboratory, Faculty of Medicine, Sidi Mohamed Ben Abdellah University, Fez, Morocco
- Department of Psychiatry, University Hospital of Fez, Fez, Morocco
| | - Samira El Fakir
- Laboratory of Epidemiology, Clinical Research and Health Community, Faculty of Medicine and Pharmacy of Fez, Fez, Morocco
| | - Mohamed El Ghazi
- Department of English Studies, Ibn Zohr University, Agadir, Morocco
| | - Hanane Bennoudi
- Department of English Studies, Ibn Zohr University, Agadir, Morocco
| | - Naima Trimasse
- School of Education (EFES), Ibn Zohr University, Agadir, Morocco
| | - Redouane Madaoui
- School of Education (EFES), Ibn Zohr University, Agadir, Morocco
| | - Saïd Boujraf
- Clinical Neurosciences Laboratory, Faculty of Medicine, Sidi Mohamed Ben Abdellah University, Fez, Morocco
| | - Harold G Koenig
- Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC, USA
- Department of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia
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