Spiritual care may impact mental health and medication adherence in HIV+ populations

Oji, Valerie; Hung, Leslie C; Abbasgholizadeh, Reza; Hamilton, Flora; Essien, E. James; Nwulia, Evaristus

doi:10.2147/hiv.s126309

Cited by 30 publications

(46 citation statements)

References 56 publications

(88 reference statements)

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“…Of note, virtually all HIV‐infected caregivers in this study were already stably connected to HIV care and routine monitoring for HIV and general health. Given these critical preconditions, child QOL and psychosocial indices being comparable for HIV affected and unaffected caregivers may partly reflect a tangible benefit of HAART, access to routine health monitoring and possibly additional HIV‐related support services – for example, spiritual care , mental health counselling and nutritional supplementation that may be more common for HIV‐infected compared to HIV‐uninfected caregivers. Specific studies in the African setting – preferably prospective in design with larger sample size, are needed to clarify these findings including the suggestive evidence of caregiver HIV‐positive status‐associated deficits in QOL and positive outlook observed only among community control children.…”

Section: Discussionmentioning

confidence: 99%

Caregiver socioemotional health as a determinant of child well‐being in school‐aged and adolescent Ugandan children with and without perinatal HIV exposure

Webster

Bruyn

Zalwango

et al. 2019

Tropical Med Int Health

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Objective Caregiver socio‐emotional attributes are major determinants of child well‐being. This investigation in vulnerable school‐aged Ugandan children estimates relationships between children's well‐being and their caregiver's anxiety, depression and social support. Methods Perinatally HIV‐infected, HIV‐exposed uninfected and HIV‐unexposed Ugandan children and their caregivers were enrolled. Perinatal HIV status was determined by 18 months of age using DNA‐polymerase chain‐reaction test; status was confirmed via HIV rapid diagnostic test when children were 6–18 years old. Five indicators of child well‐being (distress, hopelessness, positive future orientation, esteem and quality of life (QOL)) and caregivers’ socioemotional status (depressive symptoms, anxiety and social support) were measured using validated, culturally adapted and translated instruments. Categories based on tertiles of each caregiver psychosocial indicator were defined. Linear regression analyses estimated percent differences (β) and corresponding 95% confidence intervals (CI) for child well‐being in relation to caregiver's psychosocial status. Results As per tertile increment, caregiver anxiety was associated with 2.7% higher distress (95%CI:0.2%, 5.3%) and lower self‐esteem/QOL (β = −1.3%/−2.6%; 95%CI: −5.0%,‐0.2%) in their children. Child distress/hopelessness increased (β = 3.3%/7.6%; 95%CI:0.4%, 14.7%) and self‐esteem/QOL decreased 2.3% (β = −2.3%/−4.4%; 95%CI: −7.2%, −1.3%) as per tertile increment in caregiver depression. Higher caregiver social support was associated with lower distress and higher positive outlook (β = 3%; 95%CI:1.4%, 4.5%) in their children. HIV‐infected/exposed children had most caregiver depression‐related QOL deficit (β = −5.2%/−6.8%; 95%CI: −12.4%, −0.2%) and HIV‐unexposed children had most caregiver social support‐related enhancements in positive outlook (β=4.5%; 95%CI:1.9%, 7.1%). Conclusions Caregiver anxiety, depressive symptoms and low social support were associated with worse well‐being in school‐aged and adolescent children. Improvement of caregiver mental health and strengthening caregiver social support systems may be a viable strategy for improving well‐being of vulnerable children and adolescents in this setting.

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Section: Discussionmentioning

confidence: 99%

Caregiver socioemotional health as a determinant of child well‐being in school‐aged and adolescent Ugandan children with and without perinatal HIV exposure

Webster

Bruyn

Zalwango

et al. 2019

Tropical Med Int Health

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“…Similarly, Oji et al (2017) mentioned the term faith on several occasions but did not reveal any religious affiliations.…”

Section: Resultsmentioning

confidence: 99%

“…In the case of HIV, it was suggested that an increase in religiosity/spirituality could improve the viral load and the level of CD4 cells (Aronson et al, 2006). Religion was often used as a coping mechanism and was linked to a higher social support, a lower rate of depression and PTSD, and an increased adherence to treatment in the case of HIV (Oji et al, 2017). Cancer patients with higher religiosity/spirituality experienced peace and felt safer emotionally (Jim et al, 2015).…”

Section: Discussionmentioning

confidence: 99%

Effects of Spirituality on Patients' Health Outcomes

Charles¹

2018

Preprint

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Spirituality is a concept that is recently getting increased attention. Often misunderstood or confused with other concepts such as religion or culture, it has a broader meaning and transcends culture, religion, and geographic boundaries. The importance of spirituality in patient care remains controversial amongst providers. An integrative review of the literature was conducted to examine the impact of spirituality on health outcomes. Literature was searched over a 20 year period using CINAHL and PUBMED. The framework that guided this project was Martha Rogers’s Theory of Unitary Human Being that focuses on the interaction between individuals and their environment. In the method section, terms often confused with spirituality were described. Ten articles that described the effects of spirituality on health outcomes and that met the inclusion and exclusion criteria were analyzed. The included literature was critiqued using the Polit and Beck appraisal tool and presented in tables, then a cross-analysis of these articles was conducted and described. The literature supported that there are numerous positive outcomes, physical or psychological associated with spirituality. The implications and recommendations for advanced practice were also discussed.

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“…It has been reported that approximately 90% of Iranians (USA 84%) report a religious affiliation, and 96% of Iranians (USA 82%) report religion as at least somewhat or very important in their lives (Hajiesmaeili et al 2016;The Pew Research Center 2008). Several systematic reviews of the literature support a relationship between religiosity promoting improved health behaviors (Oji et al 2017;Saad and Medeiros 2017) and lower all-cause mortality (Hatah et al 2015;McCullough et al 2000;Powell et al 2003;Saad and Medeiros 2017). Emerging evidence suggests that R/S are correlated with improved mental and physical health outcomes, including decreased rates of depression (Bonelli et al 2012;El-Hady and Kandeel 2017;Frih et al 2017;Kazemi and Baharami 2014;Saisunantararom et al 2015), anxiety, post-traumatic stress disorder, suicide, and coronary heart disease (Bashar et al 2018).…”

Section: Religiosity and Spiritualitymentioning

confidence: 99%

Impact of Religiosity on Delirium Severity Among Critically Ill Shi’a Muslims: A Prospective Multi-Center Observational Study

Farzanegan

Elkhatib²,

Elgazzar

et al. 2019

J Relig Health

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This study assesses the impact of religiosity on delirium severity and patient outcomes among Shi'a Muslim intensive care unit (ICU) patients. We conducted a prospective observational cohort study in 21 ICUs from 6 Iranian academic medical centers. Delirium was assessed using the Confusion Assessment Method for the ICU (CAM-ICU) tool. Eligible patients were intubated, receiving mechanical ventilation (MV) for ≥ 48 h. Illness severity was assessed using Acute Physiology and Chronic Health Evaluation II (APACHE II) scores. A total of 4200 patients were enrolled. Patient religiosity was categorized as more (40.6%), moderate (42.3%), or less (17.1%) based on responses to patient and surrogate questionnaires. The findings suggest that lower pre-illness religiosity may be associated with greater delirium severity, MV duration, and ICU and hospital LOS. The lower mortality in the less religiosity group may be related in part to a greater proportion of female patients, but it remains unclear whether and to what extent greater religiosity impacted treatment decisions by patients and families. Further investigation is needed to validate and clarify the mechanism of the mortality findings.

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Spiritual care may impact mental health and medication adherence in HIV+ populations

Cited by 30 publications

References 56 publications

Caregiver socioemotional health as a determinant of child well‐being in school‐aged and adolescent Ugandan children with and without perinatal HIV exposure

Caregiver socioemotional health as a determinant of child well‐being in school‐aged and adolescent Ugandan children with and without perinatal HIV exposure

Effects of Spirituality on Patients' Health Outcomes

Impact of Religiosity on Delirium Severity Among Critically Ill Shi’a Muslims: A Prospective Multi-Center Observational Study

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