A Randomized Controlled Trial to Assess Effectiveness of a Spiritually-Based Intervention to Help Chronically Ill Adults

McCauley, Jeanne; Haaz, Steffany; Tarpley, Margaret J.; Koenig, Harold G.; Bartlett, Susan J.

doi:10.2190/pm.41.1.h

Cited by 24 publications

(35 citation statements)

References 33 publications

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“…These results provide a rationale for the design of psycho-spiritual intervention trials targeting religious struggle in HD patients, as such interventions might potentially alleviate psychological distress and improve HD patients' HRQoL. A few systematic investigations of spiritually-based treatment procedures for patients with chronic diseases have been recently reported with encouraging results [51][52][53].…”

Section: Discussionmentioning

confidence: 99%

The relationship between religious coping, psychological distress and quality of life in hemodialysis patients

Ramírez

Macêdo

Sales

et al. 2012

Journal of Psychosomatic Research

131

103

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Section: Discussionmentioning

confidence: 99%

The relationship between religious coping, psychological distress and quality of life in hemodialysis patients

Ramírez

Macêdo

Sales

et al. 2012

Journal of Psychosomatic Research

131

103

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“…At 3 weeks, the intervention group showed greater reductions in depressive symptoms, improvement in QOL, and an improved sense of interpersonal caring from their physician . McCauley et al assigned a 28‐minute video and workbook encouraging spiritual coping to 100 chronically ill patients. Energy improved in the intervention group, and while improvements in pain, mood, health perceptions, illness intrusiveness, and self‐efficacy were not statistically significant, the exercise was inoffensive to patients and required no additional clinician time.…”

Section: Spiritual Carementioning

confidence: 99%

Spirituality and religion in oncology

Peteet

Balboni

2013

CA A Cancer J Clinicians

211

167

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Despite the difficulty in clearly defining and measuring spirituality, a growing literature describes its importance in oncology and survivorship. Religious/spiritual beliefs influence patients' decision-making with respect to both complementary therapies and aggressive care at the end of life. Measures of spirituality and spiritual well-being correlate with quality of life in cancer patients, cancer survivors, and caregivers. Spiritual needs, reflective of existential concerns in several domains, are a source of significant distress, and care for these needs has been correlated with better psychological and spiritual adjustment as well as with less aggressive care at the end of life. Studies show that while clinicians such as nurses and physicians regard some spiritual care as an appropriate aspect of their role, patients report that they provide it infrequently. Many clinicians report that their religious/spiritual beliefs influence their practice, and practices such as mindfulness have been shown to enhance clinician self-care and equanimity. Challenges remain in the areas of conceptualizing and measuring spirituality, developing and implementing training for spiritual care, and coordinating and partnering with chaplains and religious communities.

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“…Therefore, four weeks after intervention were consid-ered as the appropriate time for measurement. Similarly, McCauley et al (39) carried out a study to assess the effectiveness of a spirituality-based intervention on chronically ill patients' health and found that their intervention was effective in reducing depressive symptoms and promoting adaptation. Moreover, Zamaniyan et al (28) reported the effectiveness of spiritual group therapy in enhancing the quality of life and the psychological well-being of patients with breast cancer.…”

Section: Discussionmentioning

confidence: 99%

“…The total score of BAI was reported to have a significant correlation with the total score of the Hamilton anxiety rating scale (r = 0.72), confirming its criterion validity. Moreover, the test-retest correlation coefficient and Cronbach's alpha value of the inventory were reported to be 0.83 and 0.92, respectively (38,39).…”

Section: Instrumentsmentioning

confidence: 99%

Effects of Spirituality Education Program on Depression and Anxiety among Patients with Multiple Sclerosis: A Randomized-Controlled Trial

Amiri

Hajfiroozabadi

Amiri

et al. 2020

Jundishapur J Chronic Dis Care

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Background: Around 50%-60% of patients with multiple sclerosis suffer from different levels of anxiety and depression. Patients with multiple sclerosis, due to their unique conditions, have limitations on using medications and psychotherapies to manage their depression and anxiety. Objectives: The aim of this study was to assess the effects of a spirituality education program on the anxiety and depression of patients with multiple sclerosis. Methods: A pretest-posttest two-group randomized-controlled trial was conducted in 2018 on a convenience sample of 64 patients with multiple sclerosis. Patients were randomly allocated to an experimental group and a control group. In the experimental group, patients received spirituality education in eight 90-min weekly sessions. The Beck Depression and the Anxiety Inventory were used for data collection. For data analysis, we used frequency distribution tables, repeated measures ANOVA (RM-ANOVA), and independent t-test. Results: The post-test mean scores of depression and anxiety were significantly lower in the experimental group than in the control group (P < 0.05). Moreover, the results of the RM-ANOVA test illustrated that in the experimental group, the depression score significantly decreased from 22.86 ± 3.86 at baseline to 14.27 ± 4.62 after the intervention (P < 0.001). Additionally, the anxiety score in this group significantly decreased from 20.82 ± 4.26 at baseline to 13.55 ± 4.74 after the intervention (P < 0.001). Conclusions: The findings show that spirituality education is effective in reducing the symptoms of depression and anxiety among patients with multiple sclerosis.

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A Randomized Controlled Trial to Assess Effectiveness of a Spiritually-Based Intervention to Help Chronically Ill Adults

Abstract: A minimal intervention encouraging spiritual coping was inoffensive to patients, associated with increased energy, and required no additional clinician time.

Cited by 24 publications

References 33 publications

The relationship between religious coping, psychological distress and quality of life in hemodialysis patients

The relationship between religious coping, psychological distress and quality of life in hemodialysis patients

Spirituality and religion in oncology

Effects of Spirituality Education Program on Depression and Anxiety among Patients with Multiple Sclerosis: A Randomized-Controlled Trial

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