Healing the Heart: A Randomized Pilot Study of a Spiritual Retreat for Depression in Acute Coronary Syndrome Patients

Warber, Sara; Ingerman, Sandra; Moura, Vera Lucia; Wunder, Jenna; Northrop, Alyssa; Gillespie, Brenda W.; Durda, Kate; Smith, Katherine L.; Rhodes, Katherine S.; Rubenfire, Melvyn

doi:10.1016/j.explore.2011.04.002

Cited by 37 publications

(27 citation statements)

References 39 publications

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“…47 However, by having a higher level of selftrust, individuals with CHD may create confidence, which could transmute negative thoughts and beliefs about the negative sides of their disease. 48,49 Whether their disease will improve or not, having trust can have an impact on believing that they can influence the outcome and on regaining a sense of internal control, 47 which may reduce depressive symptoms and anxiety.…”

Section: Discussionmentioning

confidence: 99%

“…In addition, connectedness with nature may also create feeling of security, which in turn could reduce anger. 49 In this study, we included 3 facets of social support: support from friends, support from family, and support from significant others. A sum of the 3 scales yields a global satisfaction of social support that indicates the level of perceived social support.…”

Section: Discussionmentioning

confidence: 99%

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Spirituality and Negative Emotions in Individuals With Coronary Heart Disease

Ginting

Näring

Kwakkenbos

et al. 2015

Journal of Cardiovascular Nursing

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Many individuals with coronary heart disease (CHD) experience disease-related anxiety, depressive symptoms, and anger. Spirituality may be helpful to cope with these negative emotions. Research findings on the role of spirituality in dealing with negative emotions are inconsistent. In this study, we examined the associations between 7 dimensions of spirituality (ie, meaningfulness, trust, acceptance, caring for others, connectedness with nature, transcendent experiences, and spiritual activities) and negative emotions among individuals with CHD in Indonesia, controlling for perceived social support as well as demographic and clinical characteristics. In total, 293 individuals with CHD were recruited from the 3 largest hospitals in Bandung, Indonesia. They completed the Spiritual Attitude and Involvement List, the Beck Depression Inventory-II, the Trait Anxiety Scale of the State Trait Anxiety Inventory, the Multidimensional Anger Inventory, and the Multidimensional Scale of Perceived Social Support. Hierarchical linear regression analyses indicated that a higher overall level of spirituality was associated with lower levels of depressive symptoms, less anxiety, and less anger. Specifically, a higher level of trust was significantly associated with both less depressive symptoms and less anxiety. Higher levels of caring for others and spiritual activities were associated with less anxiety, and a higher level of connectedness with nature was associated with less anger. These findings underscore the importance of specific dimensions of spirituality as a potentially independent buffer against negative emotions in individuals with CHD.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Spirituality and Negative Emotions in Individuals With Coronary Heart Disease

Ginting

Näring

Kwakkenbos

et al. 2015

Journal of Cardiovascular Nursing

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“…For example, Delaney et al (2011) reported reduced depression scores among community-dwelling patients with cardiovascular disease following an individualized one-month spirituality-based intervention on health-related outcomes (Delaney, Barrere, & Helming, 2011). Warber et al (Warber et al., 2011) examined the effects of a nondenominational spiritual retreat on depression and other measures of wellbeing in post acute coronary syndrome patients. A four-day spiritual retreat intervention included guided imagery, meditation, drumming, journal writing, and nature-based activities.…”

Section: Introductionmentioning

confidence: 99%

The role of gratitude in spiritual well-being in asymptomatic heart failure patients.

Mills¹,

Redwine

Wilson

et al. 2015

Spirituality in Clinical Practice

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Spirituality and gratitude are associated with wellbeing. Few if any studies have examined the role of gratitude in heart failure (HF) patients or whether it is a mechanism through which spirituality may exert its beneficial effects on physical and mental health in this clinical population. This study examined associations bet ween gratitude, spiritual wellbeing, sleep, mood, fatigue, cardiac-specific self-efficacy, and inflammation in 186 men and women with Stage B asymptomatic HF (age 66.5 years ±10). In correlational analysis, gratitude was associated with better sleep (r=-.25, p<0.01), less depressed mood (r=-.41, p<0.01), less fatigue (r=-.46, p<0.01), and better self-efficacy to maintain cardiac function (r=.42, p<0.01). Patients expressing more gratitude also had lower levels of inflammatory biomarkers (r=-.17, p<0.05). We further explored relationships among these variables by examining a putative pathway to determine whether spirituality exerts its beneficial effects through gratitude. We found that gratitude fully mediated the relationship between spiritual wellbeing and sleep quality (z=−2.35, SE=.03, p=.02) and also the relationship between spiritual wellbeing and depressed mood (z=−4.00, SE=.075, p<.001). Gratitude also partially mediated the relationships between spiritual wellbeing and fatigue (z=−3.85, SE=.18, p<.001), and between spiritual wellbeing and self-efficacy (z=2.91, SE=.04, p=.003). In sum, we report that gratitude and spiritual wellbeing are related to better mood and sleep, less fatigue, and more self-efficacy, and that gratitude fully or partially mediates the beneficial effects of spiritual wellbeing on these endpoints. Efforts to increase gratitude may be a treatment for improving wellbeing in HF patients’ lives and be of potential clinical value.

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“…For example, indigenous norms and values emphasizing the close spiritual bond between humans and nature are increasingly studied (De Pater, 2010;Verschuuren et al, 2010). A growing body of evidence suggests that connection with nature benefits a person's well-being to different degrees (Chalquist, 2009;Feral, 1998;MacKerron & Mourato, 2013;Martens et al, 2011;Mayer & Frantz, 2004;Warber et al, 2011), including in the long term (DeMares, 2000;Fredrickson & Anderson, 1999;Snell & Simmonds, 2012). Many authors expect that environmental loss could be countered by increased societal recognition of the human connection to nature (Garfield et al, 2014;Harvey, 2003;Zylstra et al, 2014).…”

Section: Introductionmentioning

confidence: 99%

“…In this understanding, spiritual experiences radically shift the worldview from isolated selfidentities toward collective and transcendental self-identities, where nature is part of a larger self, comparable to family (Davis, 2011;Liu & Robertson, 2011). A lasting process of transformation is seen as an important remedy for the ailment of disconnection with nature, which could otherwise cause a variety of psychological dysfunctions (Chalquist, 2009;Feral, 1998;Louv, 2005;Warber et al, 2011) and destructive behavior to nature (Davis, 1998;Garfield et al, 2014;Mayer & Frantz, 2004;Zylstra et al, 2014).…”

Section: Introductionmentioning

confidence: 99%

An Encounter with One's Deeper Self and Energy: A Phenomenological Study Among Spiritually Engaged Individuals in the Netherlands

2015

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Natural environments are the setting for spiritual experiences for people from all over the world. Interpretative phenomenological explorations of such experiences are scarce, even though the method suits the topic. We conducted field interviews with 18 Dutch visitors of a Dutch spiritual festival on how they (1) describe spiritual experiences in natural environments and (2) see the role of different natural attributes in these experiences. Principle descriptive concepts for spiritual experiences were a deeper self and spiritual energy. Aspects of nature facilitating such experiences were wilder sites, open spaces, sacred sites, sites remembered from childhood, old trees, animals, water, and fire, each adding a quality to the experience that resembled its innate properties. Participants agreed on the positive impact of these experiences on their well-being, mentioning different degrees of long-term benefit.

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Healing the Heart: A Randomized Pilot Study of a Spiritual Retreat for Depression in Acute Coronary Syndrome Patients

Cited by 37 publications

References 39 publications

Spirituality and Negative Emotions in Individuals With Coronary Heart Disease

Spirituality and Negative Emotions in Individuals With Coronary Heart Disease

The role of gratitude in spiritual well-being in asymptomatic heart failure patients.

An Encounter with One's Deeper Self and Energy: A Phenomenological Study Among Spiritually Engaged Individuals in the Netherlands

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