• Islamic religious leaders' knowledge and attitudes towards AIDS and their perception of people living with HIV/AIDS: a qualitative study F. A. Abu-Moghli et al. Islamic religious leaders' knowledge and attitudes towards AIDS.

    Type Journal Article
    Author Fathieh Abu-Moghli
    Author Manar Nabolsi
    Author Inaam Khalaf
    Author Wafika Suliman
    Abstract This qualitative descriptive study explored Muslim religious leaders' perception, knowledge and attitudes towards AIDS, AIDS prevention and their attitudes towards people living with HIV/AIDS (PLWHA). Twenty Islamic religious leaders (males and females) participated in two audio-taped focus group discussions. A content analysis approach was used to analyse the data as appropriate for descriptive qualitative inquiry. The study results showed that Muslim religious leaders do not perceive AIDS as a major health problem in Jordan, and that following the Islamic values lowers the risky behaviours. The religious leaders reflected varied responses to PLWHA but they agreed that they have responsibilities towards the prevention of HIV/AIDS, and that sex education contributes to healthy behaviours, and consequently to the prevention of HIV transmission. The findings of this study provided an insight into Muslim religious leaders' perception of PLWHA and highlighted the importance of their role in the prevention of AIDS. The study recommended that health care professionals, including nurses and health policy makers, should involve religious leaders in all efforts directed at planning and setting policies aimed at the prevention of HIV/AIDS and the treatment of infected people. Nurses should be responsible for conducting HIV/AIDS prevention programs in different settings utilizing relevant religious guidelines and teachings, in addition to providing holistic care to AIDS patients with emphasis on the spiritual dimension.
    Publication Scandinavian Journal of Caring Sciences
    Volume 24
    Issue 4
    Pages 655-662
    Date December 2010
    DOI 10.1111/j.1471-6712.2009.00757.x
    ISSN 02839318
    Short Title Islamic religious leaders' knowledge and attitudes towards AIDS and their perception of people living with HIV/AIDS
    Library Catalog EBSCOhost
    Date Added Thursday, September 29, 2011 8:58:46 AM
    Modified Thursday, September 29, 2011 8:58:46 AM

    Tags:

    • AIDS (Disease)
    • AIDS (Disease) -- Prevention
    • ATTITUDE (Psychology)
    • CONTENT analysis (Communication)
    • empirical research
    • Focus Groups
    • HEALTH literacy
    • INTERVIEWING
    • ISLAM
    • JORDAN
    • LEADERS
    • PSYCHOLOGICAL factors
    • Qualitative Research
    • religion
    • RESEARCH -- Methodology
    • SOUND recordings
    • SPIRITUAL care (Medical care)

    Notes:

    •  This study explored   twenty Islamic religious leaders' (males and females) perception, knowledge and attitudes towards AIDS, AIDS prevention and attitudes towards people living with HIV/AIDS (PLWHA).  Results showed that Muslim religious leaders do not perceive AIDS as a major health problem in Jordan, and that following the Islamic values lowers the risky behaviours. The religious leaders reflected varied responses to PLWHA but they agreed that they have responsibilities towards the prevention of HIV/AIDS, and that sex education contributes to healthy behaviours, and consequently to the prevention of HIV transmission.


  • Complementary and Alternative Medicine Use among Women with Breast Cancer

    Type Journal Article
    Author Shelley R. Adler
    Abstract The legacy of 19th-century social theories applied to the study of non-mainstream treatment use continues to affect contemporary research into complementary and alternative medicine (CAM). Quantitatively based studies of CAM use have been hindered by the lack of an adequate lexicon, inaccurate characterizations of the people who use CAM, and underestimates of the prevalence of usage. Results from a qualitative prospective cohort study challenge previous stereotypes by indicating that CAM usage does not increase dramatically with the initial diagnosis of cancer and that younger women are more likely to use CAM than older women. Qualitative research methods are uniquely appropriate for obtaining accurate information about health practices that, despite growing acceptance in some areas of society, are still viewed as outside of the mainstream.
    Publication Medical Anthropology Quarterly
    Volume 13
    Issue 2
    Pages 214-222
    Date Jun., 1999
    Series New Series
    ISSN 07455194
    URL http://www.jstor.org.ezproxy.bu.edu/stable/649645
    Accessed Monday, October 12, 2009 11:56:49 PM
    Library Catalog JSTOR
    Extra ArticleType: primary_article / Full publication date: Jun., 1999 / Copyright © 1999 American Anthropological Association
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Notes:

    • Results from a qualitative prospective cohort study challenge previous stereotypes by indicating that CAM usage does not increase dramatically with the initial diagnosis of cancer and that younger women are more likely to use CAM than older women.

  • Religion and spirituality in coping with advanced breast cancer: perspectives from Malaysian Muslim women

    Type Journal Article
    Author Farizah Ahmad
    Author Mazanah binti Muhammad
    Author Amini Amir Abdullah
    Abstract This article is part of a larger study on the role of spirituality in coping with breast cancer among Malaysian Muslim women. The study seeks to reveal the meaning of the experience through the stories of three Muslim women surviving advanced breast cancer, to better understand the deep meanings that inform their experiences with spirituality and transformation as they cope with the challenges of breast cancer. Data were gathered using in-depth interview. Qualitative methods were used in identifying two themes--illness as an awakening and hope and freedom comes from surrendering to God. The themes were discussed in the context of two broad areas: (1) what are the new meanings these women discovered in their experiences with cancer; and (2) how did the new meanings change their lives? The study suggests that cancer survivors' experiences with cancer and their learning processes must be understood within the appropriate cultural context. This is especially so for spirituality. The common emphasis of spirituality on relationship with God, self and others, may significantly influence how people learn to live with cancer.
    Publication Journal of Religion and Health
    Volume 50
    Issue 1
    Pages 36-45
    Date Mar 2011
    Journal Abbr J Relig Health
    DOI 10.1007/s10943-010-9401-4
    ISSN 1573-6571
    Short Title Religion and spirituality in coping with advanced breast cancer
    URL http://www.ncbi.nlm.nih.gov/pubmed/20924683
    Accessed Monday, April 04, 2011 7:48:36 PM
    Library Catalog NCBI PubMed
    Extra PMID: 20924683
    Date Added Thursday, September 29, 2011 8:56:31 AM
    Modified Thursday, September 29, 2011 8:56:31 AM

    Notes:

    • This article is part of a larger study on the role of spirituality in coping with breast cancer among Malaysian Muslim women. The study seeks to reveal the meaning of the experience through the stories of three Muslim women surviving advanced breast cancer, to better understand the deep meanings that inform their experiences with spirituality and transformation as they cope with the challenges of breast cancer. Data were gathered using in-depth interview. Qualitative methods were used in identifying two themes--illness as an awakening and hope and freedom comes from surrendering to God. The themes were discussed in the context of two broad areas: (1) what are the new meanings these women discovered in their experiences with cancer; and (2) how did the new meanings change their lives? The study suggests that cancer survivors' experiences with cancer and their learning processes must be understood within the appropriate cultural context. This is especially so for spirituality. The common emphasis of spirituality on relationship with God, self and others, may significantly influence how people learn to live with cancer.

  • Divine love and deep connections: a long-term followup of patients surviving cardiac surgery

    Type Journal Article
    Author Amy L Ai
    Author Daniel E Hall
    Abstract We examined experiencing divine love as an indicator of affective spiritual growth in a prospective cohort of 200 patients surviving cardiac surgery. These patients previously completed two-wave preoperative interviews when standardized cardiac surgery data were also collected. The information included left ventricular ejection fraction, New York Heart Association Classification, baseline health (physical and mental), optimism, hope, religiousness, prayer coping, religious/spiritual coping, and demographics. We then measured divine love at 900 days postoperatively. Hierarchical linear regression indicated the direct effect of positive religious coping on experiences of divine love, controlling for other key variables. Postoperatively perceived spiritual support was entered at the final step as an explanatory factor, which appeared to mediate the coping effect. None of the other faith factors predicted divine love. Further research regarding divine love and spiritual support may eventually guide clinical attempts to support patients' spiritual growth as an independently relevant outcome of cardiac surgery.
    Publication Journal of Aging Research
    Volume 2011
    Pages 841061
    Date 2011
    Journal Abbr J Aging Res
    DOI 10.4061/2011/841061
    ISSN 2090-2212
    Short Title Divine love and deep connections
    URL http://www.ncbi.nlm.nih.gov/pubmed/21748012
    Accessed Wednesday, July 13, 2011 6:15:27 PM
    Library Catalog NCBI PubMed
    Extra PMID: 21748012
    Date Added Thursday, September 29, 2011 8:54:25 AM
    Modified Thursday, September 29, 2011 8:54:25 AM

    Notes:

    • The authors examined experiencing divine love as an indicator of affective spiritual growth in a prospective cohort of 200 patients surviving cardiac surgery. These patients previously completed two-wave preoperative interviews when standardized cardiac surgery data were also collected. The information included left ventricular ejection fraction, New York Heart Association Classification, baseline health (physical and mental), optimism, hope, religiousness, prayer coping, religious/spiritual coping, and demographics. The authors then measured divine love at 900 days postoperatively. Hierarchical linear regression indicated the direct effect of positive religious coping on experiences of divine love, controlling for other key variables. Postoperatively perceived spiritual support was entered at the final step as an explanatory factor, which appeared to mediate the coping effect. None of the other faith factors predicted divine love. Further research regarding divine love and spiritual support may eventually guide clinical attempts to support patients' spiritual growth as an independently relevant outcome of cardiac surgery.

  • Spiritual struggle related to plasma interleukin-6 prior to cardiac surgery.

    Type Journal Article
    Author Amy L. Ai
    Author E Mitchell Seymour
    Author Terrence N. Tice
    Author Ziad Kronfol
    Author Steven F. Bolling
    Abstract Spiritual struggle appeared consistently to predict poor health outcomes, including mortality. Despite surging interest in the health benefits of religion and spirituality, the health hassle of existential conflicts and proinflammatory cytokines as a potential physiological mechanism has been overlooked. Based on psychological and theological assumptions, we argue for the universal nature of spiritual struggle, a crisis-related existential conflict, and for investigating its physiological influence as essential to understanding human nature. Increased levels of inflammatory cytokines such as interleukin-6 (IL-6) have been linked with adverse health outcomes and negative emotions. This study thus examined spiritual struggle related to plasma IL-6 in 235 adult patients undergoing cardiac surgery, along with positive religious coping, general coping, and optimism, controlling for standardized clinical medical indicators. Multiple regression analysis, following a preplanned sequence, showed that spiritual struggle (p = .011), behavioral coping (p = .013) were positively associated with excess plasma IL-6, controlling for medical correlates (e.g., left ventricular ejection fraction). We conclude that spiritual struggle, indicating the crisis in an existential relation, and behavioral coping strategies are associated with elevated pre-operative plasma IL-6. The interdisciplinary implications are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved). (from the journal abstract)
    Publication Psychology of Religion and Spirituality
    Volume 1
    Issue 2
    Pages 112-128
    Date May 2009
    DOI 10.1037/a0015775
    ISSN 1941-1022
    Library Catalog EBSCOhost
    Date Added Thursday, September 29, 2011 9:06:18 AM
    Modified Thursday, September 29, 2011 9:06:18 AM

    Tags:

    • cardiac diseases & cardiac surgery
    • Coping Behavior
    • coping with stress
    • Heart Disorders
    • Heart Surgery
    • immune-inflammatory marker interleukin-6
    • Interleukins
    • religion
    • spiritual struggle
    • spirituality
    • Stress

    Notes:

    • Spiritual struggle appeared consistently to predict poor health outcomes, including mortality. Despite surging interest in the health benefits of religion and spirituality, the health hassle of existential conflicts and proinflammatory cytokines as a potential physiological mechanism has been overlooked. Based on psychological and theological assumptions, we argue for the universal nature of spiritual struggle, a crisis-related existential conflict, and for investigating its physiological influence as essential to understanding human nature. Increased levels of inflammatory cytokines such as interleukin-6 (IL-6) have been linked with adverse health outcomes and negative emotions. This study thus examined spiritual struggle related to plasma IL-6 in 235 adult patients undergoing cardiac surgery, along with positive religious coping, general coping, and optimism, controlling for standardized clinical medical indicators. Multiple regression analysis, following a preplanned sequence, showed that spiritual struggle (p = .011), behavioral coping (p = .013) were positively associated with excess plasma IL-6, controlling for medical correlates (e.g., left ventricular ejection fraction). We conclude that spiritual struggle, indicating the crisis in an existential relation, and behavioral coping strategies are associated with elevated pre-operative plasma IL-6. The interdisciplinary implications are discussed.

  • Private prayer and quality of life in cardiac patients: Pathways of cognitive coping and social support.

    Type Journal Article
    Author Amy L. Ai
    Author Connie S. Corley
    Author Christopher Peterson
    Author Bu Huang
    Author Terrence N. Tice
    Abstract Despite the growing evidence linking faith with health and well-being, national leaders noted the need to explore the mechanism underlying these linkages. The goal of this prospective study was to investigate the psychosocial mechanisms involved in the preoperative use of private prayer for coping and the effects of such act on short-term quality of life (SPQOL) in 294 patients following open-heart surgery. Using established instruments, three interviews were conducted with middle-aged and older patients (average age 62) at two weeks and two days preoperatively, then 36 days postoperatively. The endpoints were assessed with levels of distress (e.g., depression and anxiety) and fatigue symptoms. Structural equation modeling was used to test a theoretical model. The final model showed the indirect influence of using prayer for coping on SPQOL through the mediation of cognitive coping and perceived social support. However, this mediation was not observed for behavioral, anger, and avoidant coping. Psychosocial factors may explain the potential role of using prayer for coping on short-term postoperative quality of life. (PsycINFO Database Record (c) 2010 APA, all rights reserved) (journal abstract)
    Publication Social Work in Health Care
    Volume 48
    Issue 4
    Pages 471-494
    Date May 2009
    DOI 10.1080/00981380802589829
    ISSN 0098-1389
    Short Title Private prayer and quality of life in cardiac patients
    Library Catalog EBSCOhost
    Date Added Thursday, September 29, 2011 9:06:18 AM
    Modified Thursday, September 29, 2011 9:06:18 AM

    Tags:

    • cardiac patients
    • Coping
    • Coping Behavior
    • Heart Surgery
    • prayer
    • private prayer
    • Quality of Life
    • short term quality of life

    Notes:

    • Despite the growing evidence linking faith with health and well-being, national leaders noted the need to explore the mechanism underlying these linkages. The goal of this prospective study was to investigate the psychosocial mechanisms involved in the preoperative use of private prayer for coping and the effects of such act on short-term quality of life (SPQOL) in 294 patients following open-heart surgery. Using established instruments, three interviews were conducted with middle-aged and older patients (average age 62) at two weeks and two days preoperatively, then 36 days postoperatively. The endpoints were assessed with levels of distress (e.g., depression and anxiety) and fatigue symptoms. Structural equation modeling was used to test a theoretical model. The final model showed the indirect influence of using prayer for coping on SPQOL through the mediation of cognitive coping and perceived social support. However, this mediation was not observed for behavioral, anger, and avoidant coping. Psychosocial factors may explain the potential role of using prayer for coping on short-term postoperative quality of life.

  • Pathways to postoperative hostility in cardiac patients: mediation of coping, spiritual struggle and interleukin-6

    Type Journal Article
    Author Amy Lee Ai
    Author Kenneth Pargament
    Author Ziad Kronfol
    Author Terrence N. Tice
    Author Hoa Appel
    Abstract Using structural equation modeling, we estimated major pathways from preoperative distress, indicated by anxiety and other factors, to postoperative hostility in cardiac patients. Sequential interviews were conducted before and after surgery. Standardized medical and surgical indices were selected from a national database. Results showed that preoperative spiritual struggle mediated indirect effects of anxiety and anger coping on Interleukin-6 (IL-6) immediately before surgery. The link between spiritual struggle and IL-6 further mediated the indirect effects of anxiety and anger coping on postoperative hostility. Anger coping mediated the harmful influence of anxiety and counteracted the protection of positive religious coping on adjustment.
    Publication Journal of Health Psychology
    Volume 15
    Issue 2
    Pages 186-195
    Date Mar 2010
    Journal Abbr J Health Psychol
    DOI 10.1177/1359105309345556
    ISSN 1461-7277
    Short Title Pathways to postoperative hostility in cardiac patients
    Accessed Monday, March 22, 2010 8:11:27 PM
    Library Catalog NCBI PubMed
    Extra PMID: 20207662
    Date Added Thursday, September 29, 2011 9:04:02 AM
    Modified Thursday, September 29, 2011 9:04:02 AM

    Notes:

    • Using structural equation modeling, we estimated major pathways from preoperative distress, indicated by anxiety and other factors, to postoperative hostility in cardiac patients. Sequential interviews were conducted before and after surgery. Standardized medical and surgical indices were selected from a national database. Results showed that preoperative spiritual struggle mediated indirect effects of anxiety and anger coping on Interleukin-6 (IL-6) immediately before surgery. The link between spiritual struggle and IL-6 further mediated the indirect effects of anxiety and anger coping on postoperative hostility. Anger coping mediated the harmful influence of anxiety and counteracted the protection of positive religious coping on adjustment.

  • Prayer and reverence in naturalistic, aesthetic, and socio-moral contexts predicted fewer complications following coronary artery bypass.

    Type Journal Article
    Author Amy L. Ai
    Author Paul Wink
    Author Terrence N. Tice
    Author Steven F. Bolling
    Author Marshall Shearer
    Abstract This prospective study explores prayer, reverence, and other aspects of faith in postoperative complications and hospital length of stay of patients undergoing coronary artery bypass graft surgery. Alongside traditional religiousness measures, we examined sense of reverence in religious and secular contexts. Face-to-face interviews were conducted with 177 patients 2 weeks before surgery at a medical center. Medical variables were retrieved from the national Society of Thoracic Surgeons’ Database. Logistic and multiple regression models were performed to predict outcomes. Prayer frequencies were associated with reduced complications but not hospitalization. Sense of reverence in secular contexts predicted fewer complications and shorter hospitalization. Controlling for complications reduced the initial influence of reverence on hospitalization, suggesting the potential mediation of complications. No interaction between demographics and faith factors was evident. The role of faith in medicine is complex and context-dependent. Future studies are needed on mediating factors. [ABSTRACT FROM AUTHOR]
    Publication Journal of Behavioral Medicine
    Volume 32
    Issue 6
    Pages 570-581
    Date December 2009
    DOI 10.1007/s10865-009-9228-1
    ISSN 01607715
    URL http://search.ebscohost.com.ezproxy.bu.edu/login.aspx?
    direct=true&db=pbh&AN=45362477&…
    Accessed Thursday, December 31, 2009 11:20:45 AM
    Library Catalog EBSCOhost
    Date Added Thursday, September 29, 2011 9:04:55 AM
    Modified Thursday, September 29, 2011 9:04:55 AM

    Tags:

    • CORONARY artery bypass
    • DISEASES -- Religious aspects
    • HEART -- Blood-vessels
    • PATIENTS
    • SURGERY -- Complications

    Notes:

    • This prospective study explores prayer, reverence, and other aspects of faith in postoperative complications and hospital length of stay of patients undergoing coronary artery bypass graft surgery. Alongside traditional religiousness measures, we examined sense of reverence in religious and secular contexts. Face-to-face interviews were conducted with 177 patients 2 weeks before surgery at a medical center. Medical variables were retrieved from the national Society of Thoracic Surgeons’ Database. Logistic and multiple regression models were performed to predict outcomes. Prayer frequencies were associated with reduced complications but not hospitalization. Sense of reverence in secular contexts predicted fewer complications and shorter hospitalization. Controlling for complications reduced the initial influence of reverence on hospitalization, suggesting the potential mediation of complications. No interaction between demographics and faith factors was evident. The role of faith in medicine is complex and context-dependent. Future studies are needed on mediating factors

  • Long-term Adjustment After Surviving Open Heart Surgery: The Effect of Using Prayer for Coping Replicated in a Prospective Design

    Type Journal Article
    Author A L Ai
    Author K L Ladd
    Author C Peterson
    Author C A Cook
    Author M Shearer
    Author H G Koenig
    Abstract PURPOSE: despite the growing evidence for effects of religious factors on cardiac health in general populations, findings are not always consistent in sicker and older populations. We previously demonstrated that short-term negative outcomes (depression and anxiety) among older adults following open heart surgery are partially alleviated when patients employ prayer as part of their coping strategy. The present study examines multifaceted effects of religious factors on long-term postoperative adjustment, extending our previous findings concerning prayer and coping with cardiac disease. DESIGN AND METHODS: analyses capitalized on a preoperative survey and medical variables from the Society of Thoracic Surgeons' National Database of patients undergoing open heart surgery. The current participants completed a mailed survey 30 months after surgery. Two hierarchical regressions were performed to evaluate the extent to which religious factors predicted depression and anxiety, after controlling for key demographics, medical indices, and mental health. RESULTS: predicting lower levels of depression at the follow-up were preoperative use of prayer for coping, optimism, and hope. Predicting lower levels of anxiety at the follow-up were subjective religiousness, marital status, and hope. Predicting poorer adjustment were reverence in religious contexts, preoperative mental health symptoms, and medical comorbidity. Including optimism and hope in the model did not eliminate effects of religious factors. Several other religious factors had no long-term influences. IMPLICATIONS: the influence of religious factors on the long-term postoperative adjustment is independent and complex, with mediating factors yet to be determined. Future research should investigate mechanisms underlying religion-health relations.
    Publication The Gerontologist
    Volume 50
    Issue 6
    Pages 798-809
    Date Dec 2010
    Journal Abbr Gerontologist
    DOI 10.1093/geront/gnq046
    ISSN 1758-5341
    Short Title Long-term Adjustment After Surviving Open Heart Surgery
    URL http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/20634280
    Accessed Tuesday, January 18, 2011 6:59:24 PM
    Library Catalog NCBI PubMed
    Extra PMID: 20634280
    Date Added Thursday, September 29, 2011 8:58:27 AM
    Modified Thursday, September 29, 2011 8:58:27 AM

    Notes:

    • A study examines multifaceted effects of religious factors on long-term postoperative adjustment, extending author's previous findings concerning prayer and coping with cardiac disease.

  • "If God wanted me yesterday, I wouldn't be here today": religious and spiritual themes in patients' experiences of advanced cancer

    Type Journal Article
    Author Sara R Alcorn
    Author Michael J Balboni
    Author Holly G Prigerson
    Author Amy Reynolds
    Author Andrea C Phelps
    Author Alexi A Wright
    Author Susan D Block
    Author John R Peteet
    Author Lisa A Kachnic
    Author Tracy A Balboni
    Abstract BACKGROUND: This study sought to inductively derive core themes of religion and/or spirituality (R/S) active in patients' experiences of advanced cancer to inform the development of spiritual care interventions in the terminally ill cancer setting. METHODS: This is a multisite, cross-sectional, mixed-methods study of randomly-selected patients with advanced cancer (n = 68). Scripted interviews assessed the role of R/S and R/S concerns encountered in the advanced cancer experience. Qualitative and quantitative data were analyzed. Theme extraction was performed with interdisciplinary input (sociology of religion, medicine, theology), utilizing grounded theory. Spearman correlations determined the degree of association between R/S themes. Predictors of R/S concerns were assessed using linear regression and analysis of variance. RESULTS: Most participants (n = 53, 78%) stated that R/S had been important to the cancer experience. In descriptions of how R/S was related to the cancer experience, five primary R/S themes emerged: coping, practices, beliefs, transformation, and community. Most interviews (75%) contained two or more R/S themes, with 45% mentioning three or more R/S themes. Multiple significant subtheme interrelationships were noted between the primary R/S themes. Most participants (85%) identified 1 or more R/S concerns, with types of R/S concerns spanning the five R/S themes. Younger, more religious, and more spiritual patients identified R/S concerns more frequently (beta = -0.11, p < 0.001; beta = 0.83, p = 0.03; and beta = 0.89, p = 0.04, respectively). CONCLUSIONS: R/S plays a variety of important and inter-related roles for most advanced cancer patients. Future research is needed to determine how spiritual care can incorporate these five themes and address R/S concerns.
    Publication Journal of Palliative Medicine
    Volume 13
    Issue 5
    Pages 581-588
    Date May 2010
    Journal Abbr J Palliat Med
    DOI 10.1089/jpm.2009.0343
    ISSN 1557-7740
    Short Title "If God wanted me yesterday, I wouldn't be here today"
    Accessed Friday, June 04, 2010 9:28:33 AM
    Library Catalog NCBI PubMed
    Extra PMID: 20408763
    Date Added Thursday, September 29, 2011 9:04:35 AM
    Modified Thursday, September 29, 2011 9:04:35 AM

    Notes:

    • This study sought to inductively derive core themes of religion and/or spirituality (R/S) active in patients' experiences of advanced cancer to inform the development of spiritual care interventions in the terminally ill cancer setting. The authors concluded that R/S plays a variety of important and inter-related roles for most advanced cancer patients. Future research is needed to determine how spiritual care can incorporate these five themes and address R/S concerns.

  • Perception among medical students in Riyadh, Saudi Arabia, regarding alcohol and substance abuse in the community: a cross-sectional survey

    Type Journal Article
    Author Ali AlHaqwi
    Abstract BACKGROUND:This study was conducted to examine the perception and views of medical students regarding the extent of alcohol and substance abuse in the community and the possible predisposing factors for this problem.METHODS:It is a cross-sectional study involving samples from two medical colleges in Riyadh, Saudi Arabia. The students who decided to participate in the study without the offer of any incentives filled an anonymous, self administered questionnaire which had been designed to meet the purpose of the study. RESULTS:Two hundred and fifteen out of three hundred and thirty students (65% response rate) participated in this study. About 75% of them believe that alcohol and substance abuse is a common problem in the community. Students' views also correspond with the reported view that the problem is mainly present in young adult males. Married males and senior students perceived the problem as more serious than their other colleagues. Students perceived that alcohol was the most commonly abused drug in the community, followed by amphetamines, heroin, cannabis and cocaine. They believe that influence of friends, life stressors, tobacco smoking and curiosity are the most important predisposing factors for abuse of alcohol and other substances. According to the students' perception, the main beneficial effect of alcohol and substance abuse was stress alleviation. About 3% of the students have also indicated that they may use alcohol or some other substance in the future.CONCLUSION:Despite scarce information on the subject and a strong religious belief in Saudi Arabia against the use of alcohol and other addictive substances, a significant majority of the medical students in Riyadh, the capital of Saudi Arabia, perceived that alcohol and substance abuse is a common problem in the community. Some students appear to perceive the seriousness of the problem less than others. Efforts are needed to educate young men and women at an early stage of their academic life, as a medical student about the existence of this problem in the community, its consequences and predisposing factors. Teaching teenagers and young adults about stress coping strategies may be of special importance in reducing the risk of alcohol and substance abuse.
    Publication Substance Abuse Treatment, Prevention, and Policy
    Volume 5
    Issue 1
    Pages 2
    Date 2010
    DOI 10.1186/1747-597X-5-2
    ISSN 1747-597X
    Short Title Perception among medical students in Riyadh, Saudi Arabia, regarding alcohol and substance abuse in the community
    URL http://www.substanceabusepolicy.com/content/5/1/2
    Accessed Tuesday, February 23, 2010 6:48:18 AM
    Library Catalog BioMed Central and More
    Date Added Thursday, September 29, 2011 9:04:35 AM
    Modified Thursday, September 29, 2011 9:04:35 AM

    Tags:

    • Islam
  • Effectiveness of skill-based substance abuse intervention among male adolescents in an Islamic country: case of the Islamic Republic of Iran

    Type Journal Article
    Author Hamid Allahverdipour
    Author Mohsen Bazargan
    Author Abdollah Farhadinasab
    Author Alireza Hidarnia
    Author Saeed Bashirian
    Abstract The prevalence of substance abuse among adolescents from low- and middle-income countries is increasing drastically and requires immediate intervention. The objective of this longitudinal quasi-experimental panel study was to design and implement a skill-based intervention to prevent and reduce substance use among urban adolescents who attended 2 randomly selected high-schools in Tehran, Iran. One-year post intervention data show that substance abuse, knowledge, attitudes, peer resistance skills, level of self-control, self-efficacy, and perceived susceptibility among intervention group were significantly improved, whereas level of self control and attitudes against substance abuse among the control group deteriorated. To efficiently prevent substance abuse among youth primary preventive interventions should be implemented before onset of substance abuse to improve resistance skills and provide adolescents with information and skills needed to develop anti-drug norms.
    Publication Journal of Drug Education
    Volume 39
    Issue 2
    Pages 211-222
    Date 2009
    Journal Abbr J Drug Educ
    ISSN 0047-2379
    Short Title Effectiveness of skill-based substance abuse intervention among male adolescents in an Islamic country
    Accessed Friday, January 29, 2010 11:01:12 AM
    Library Catalog NCBI PubMed
    Extra PMID: 19999706
    Date Added Thursday, September 29, 2011 9:04:02 AM
    Modified Thursday, September 29, 2011 9:04:02 AM

    Tags:

    • Adolescent
    • Adolescent Behavior
    • Health Knowledge, Attitudes, Practice
    • Humans
    • Iran
    • ISLAM
    • Longitudinal Studies
    • Male
    • Primary Prevention
    • Smoking
    • Substance-Related Disorders
  • Addiction treatment intervention: an uncontrolled prospective pilot study of spiritual self-schema therapy with latina women

    Type Journal Article
    Author Hortensia Amaro
    Author Cielo Magno-Gatmaytan
    Author Michael Meléndez
    Author Dharma E Cortés
    Author Sandra Arevalo
    Author Arthur Margolin
    Abstract Spiritual Self-Schema (3-S) is a weekly 8-session, mindfulness-based, manual-guided, individual intervention targeting addiction and human immunodeficiency virus (HIV) risk behaviors that integrates cognitive behavioral strategies with Buddhist principles and clients' religious/spiritual beliefs. 3-S is efficacious for reducing drug use and HIV risk behaviors among mixed-gender, methadone-maintained outpatients. The study goal was to conduct a preliminary evaluation of 3-S therapy among urban, low-income Latinas (n = 13) in residential addiction treatment. Data gathered via in-person interviews (baseline, 8 and 20 weeks postentry) showed high rates of 3-S acceptability and positive changes in a number of outcomes relevant to recovery from addiction and to HIV prevention, including impulsivity, spirituality, motivation for change, and HIV prevention knowledge. The study findings are promising; however, a controlled study with longer follow-up is needed to rigorously assess the efficacy of 3-S therapy with Latinas in substance abuse treatment.
    Publication Substance Abuse: Official Publication of the Association for Medical Education and Research in Substance Abuse
    Volume 31
    Issue 2
    Pages 117-125
    Date Apr 2010
    Journal Abbr Subst Abus
    DOI 10.1080/08897071003641602
    ISSN 1547-0164
    Short Title Addiction treatment intervention
    Accessed Sunday, April 25, 2010 5:27:24 PM
    Library Catalog NCBI PubMed
    Extra PMID: 20408063
    Date Added Thursday, September 29, 2011 9:04:35 AM
    Modified Thursday, September 29, 2011 9:04:35 AM
  • Effect of yoga-nidra on blood glucose level in diabetic patients

    Type Journal Article
    Author S Amita
    Author S Prabhakar
    Author I Manoj
    Author S Harminder
    Author T Pavan
    Abstract Diabetes is a metabolic disorder, which has become a major health challenge worldwide. South East Asian countries have a highest burden of diabetes. In India the prevalence of diabetes is rising rapidly especially in the urban population because of increasing obesity and reduced physical activity. An objective of this study is to evaluate the effect of Yoga-Nidra on blood glucose level in diabetic patients. This study was conducted on 41, middle aged, type-2 diabetic patients, who were on oral hypoglycaemic. These patients were divided in to two groups: (a) 20 patients on oral hypoglycaemic with yoga-nidra, and (b) 21 were on oral hypoglycaemic alone. Yoga-nidra practiced for 30 minutes daily up to 90 days, parameters were recorded every. 30th day. Results of this study showed that most of the symptoms were subsided (P < 0.004, significant), and fall of mean blood glucose level was significant after 3-month of Yoga-nidra. This fall was 21.3 mg/dl, P < 0.0007, (from 159 +/- 12.27 to 137.7 +/- 23.15,) in fasting and 17.95 mg/dl, P = 0.02, (from 255.45 +/- 16.85 to 237.5 +/- 30.54) in post prandial glucose level. Results of this study suggest that subjects on Yoga-nidra with drug regimen had better control in their fluctuating blood glucose and symptoms associated with diabetes, compared to those were on oral hypoglycaemics alone.
    Publication Indian Journal of Physiology and Pharmacology
    Volume 53
    Issue 1
    Pages 97-101
    Date 2009 Jan-Mar
    Journal Abbr Indian J. Physiol. Pharmacol
    ISSN 0019-5499
    Accessed Tuesday, February 22, 2011 6:37:01 PM
    Library Catalog NCBI PubMed
    Extra PMID: 19810584
    Date Added Thursday, September 29, 2011 9:06:18 AM
    Modified Thursday, September 29, 2011 9:06:18 AM

    Tags:

    • Adult
    • Aged
    • Blood Glucose
    • Diabetes Mellitus, Type 2
    • Female
    • Humans
    • Hypoglycemic Agents
    • Male
    • Middle Aged
    • yoga
  • Efficacy of short-term life-review interviews on the spiritual well-being of terminally ill cancer patients

    Type Journal Article
    Author Michiyo Ando
    Author Tatsuya Morita
    Author Tatsuo Akechi
    Author Takuya Okamoto
    Abstract CONTEXT: There is a little information about effective psychotherapies to enhance the spiritual well-being of terminally ill cancer patients. OBJECTIVES: The primary aim of the study was to examine the efficacy of a one-week Short-Term Life Review for the enhancement of spiritual well-being, using a randomized controlled trial. The secondary aim was to assess the effect of this therapy on anxiety and depression, suffering, and elements of a good death. METHODS: The subjects were 68 terminally ill cancer patients randomly allocated to a Short-Term Life-Review interview group or a control group. The patients completed questionnaires pre- and post-treatment, including the meaning of life domain from the Functional Assessment of Chronic Illness Therapy-Spiritual (FACIT-Sp) scale, the Hospital Anxiety and Depression Scale (HADS), a numeric scale for psychological suffering, and items from the Good Death Inventory (Hope, Burden, Life Completion, and Preparation). RESULTS: The FACIT-Sp, Hope, Life Completion, and Preparation scores in the intervention group showed significantly greater improvement compared with those of the control group (FACIT-Sp, P<0.001; Hope, P<0.001; Life Completion, P<0.001; and Preparation, P<0.001). HADS, Burden, and Suffering scores in the intervention group also had suggested greater alleviation of suffering compared with the control group (HADS, P<0.001; Burden, P<0.007; Suffering, P<0.001). CONCLUSION: We conclude that the Short-Term Life Review is effective in improving the spiritual well-being of terminally ill cancer patients, and alleviating psychosocial distress and promoting a good death.
    Publication Journal of Pain and Symptom Management
    Volume 39
    Issue 6
    Pages 993-1002
    Date Jun 2010
    Journal Abbr J Pain Symptom Manage
    DOI 10.1016/j.jpainsymman.2009.11.320
    ISSN 1873-6513
    Accessed Wednesday, July 07, 2010 10:19:26 AM
    Library Catalog NCBI PubMed
    Extra PMID: 20538183
    Date Added Thursday, September 29, 2011 9:04:02 AM
    Modified Thursday, September 29, 2011 9:04:02 AM

    Notes:

    • The primary aim of the study was to examine the efficacy of a one-week Short-Term Life Review for the enhancement of spiritual well-being, using a randomized controlled trial. The secondary aim was to assess the effect of this therapy on anxiety and depression, suffering, and elements of a good death.

  • The Efficacy of Mindfulness-Based Meditation Therapy on Anxiety, Depression, and Spirituality in Japanese Patients with Cancer

    Type Journal Article
    Author Michiyo Ando
    Author Tatsuya Morita
    Author Tatsuo Akechi
    Author Sayoko Ito
    Author Masaya Tanaka
    Author Yuka Ifuku
    Author Toshimichi Nakayama
    Abstract Abstract Objective: The primary goal of the study was to assess the efficacy of mindfulness-based meditation therapy on anxiety, depression, and spiritual well-being of Japanese patients undergoing anticancer treatment. A secondary goal was to assess the relationships among anxiety, depression, spiritual well-being, growth, appreciation, pain, and symptoms. Methods: The subjects were 28 patients who were receiving anticancer treatment. The subjects participated in two sessions of mindfulness-based meditation therapy, including breathing, yoga movement and meditation. Each patient was taught the program in the first session, then exercised at home with a CD, and subsequently met the interviewer in a second session after 2 weeks. Primary physicians recruited the patients and interviews were conducted individually by nurses or psychologists with training in the program. Patients completed preintervention and postintervention questionnaires on anxiety and depression (Hospital Anxiety and Depression Scale [HADS]), spiritual well-being (Functional Assessment of Chronic Illness Therapy-Spiritual [FACIT-Sp]), and appreciation, growth, pain, and symptoms. Results: HADS scores significantly decreased from 12 +/- 5.3 to 8.6 +/- 6.3 (p = 0.004) after the intervention, and FACIT-Sp increased from 32 +/- 6.5 to 33 +/- 6.9 (p = 0.69), but the change was not significant. There were significant associations between FACIT-Sp and HADS (r = -0.78, p = 000), FACIT-Sp and growth (r = -0.35, p = 0.04), FACIT-Sp and pain (r = -0.41, p = 0.02), and growth and appreciation (r = 0.45, p = 0.009). Conclusions: Mindfulness-based meditation therapy may be effective for anxiety and depression in Japanese cancer patients, and spiritual well-being is related to anxiety and depression, growth, and pain. The negative correlation of spirituality with growth differs from the results of previous studies and the mechanism of this effect needs to be investigated further.
    Publication Journal of Palliative Medicine
    Date Aug 28, 2009
    Journal Abbr J Palliat Med
    DOI 10.1089/jpm.2009.0143
    ISSN 1557-7740
    URL http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/19715397
    Accessed Friday, September 18, 2009 6:31:38 PM
    Library Catalog NCBI PubMed
    Extra PMID: 19715397
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Tags:

    • prepub

    Notes:

    • The primary goal of the study was to assess the efficacy of mindfulness-based meditation therapy on anxiety, depression, and spiritual well-being of Japanese patients undergoing anticancer treatment. Conclusions: Mindfulness-based meditation therapy may be effective for anxiety and depression in Japanese cancer patients, and spiritual well-being is related to anxiety and depression, growth, and pain.

  • Spiritual well-being in individuals with fibromyalgia syndrome: relationships with symptom pattern variability, uncertainty, and psychosocial adaptation

    Type Journal Article
    Author Cheryl Anema
    Author Mary Johnson
    Author Janice M Zeller
    Author Louis Fogg
    Author Joan Zetterlund
    Abstract This study examined relationships among symptom pattern variability, uncertainty, spiritual well-being, and psychosocial adaptation in individuals with fibromyalgia syndrome (FMS). A survey design was used with 58 individuals with FMS. The Fibromyalgia Symptom Pattern Questionnaire, Mishel Uncertainty in Illness Scale--Community Form, Spiritual Well-Being Scale, and Psychosocial Adjustment to Illness Scale-Self Report were used to collect data. Positive relationships were found between symptom pattern variability and uncertainty and between uncertainty and poor psychosocial adaptation; spiritual well-being moderated the relationship between uncertainty and psychosocial adaptation. A positive sense of well-being aided adaptation to symptoms and uncertainties of FMS. Spiritual well-being had a greater effect on the relationship between symptom pattern variability and uncertainty than expected.
    Publication Research and Theory for Nursing Practice
    Volume 23
    Issue 1
    Pages 8-22
    Date 2009
    Journal Abbr Res Theory Nurs Pract
    ISSN 1541-6577
    Short Title Spiritual well-being in individuals with fibromyalgia syndrome
    URL http://www.ncbi.nlm.nih.gov/pubmed/19418885
    Accessed Friday, November 13, 2009 8:02:45 PM
    Library Catalog NCBI PubMed
    Extra PMID: 19418885
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Tags:

    • Adaptation, Psychological
    • Adult
    • Attitude to Health
    • Female
    • Fibromyalgia
    • Humans
    • Internet
    • Male
    • mental health
    • Models, Psychological
    • Nursing Methodology Research
    • Quality of Life
    • Questionnaires
    • Regression Analysis
    • Religion and Psychology
    • Self Care
    • Severity of Illness Index
    • spirituality
    • Stress, Psychological
    • Uncertainty

    Notes:

    • This study examined relationships among symptom pattern variability, uncertainty, spiritual well-being, and psychosocial adaptation in individuals with fibromyalgia syndrome (FMS). A survey design was used with 58 individuals with FMS. The Fibromyalgia Symptom Pattern Questionnaire, Mishel Uncertainty in Illness Scale--Community Form, Spiritual Well-Being Scale, and Psychosocial Adjustment to Illness Scale-Self Report were used to collect data. Positive relationships were found between symptom pattern variability and uncertainty and between uncertainty and poor psychosocial adaptation; spiritual well-being moderated the relationship between uncertainty and psychosocial adaptation. A positive sense of well-being aided adaptation to symptoms and uncertainties of FMS. Spiritual well-being had a greater effect on the relationship between symptom pattern variability and uncertainty than expected.

  • Spirituality, sense of coherence, and coping responses in women receiving treatment for alcohol and drug addiction

    Type Journal Article
    Author Sandra Arévalo
    Author Guillermo Prado
    Author Hortensia Amaro
    Abstract PURPOSE: To examine the role of spirituality, sense of coherence, and coping responses in relation to stress and trauma symptoms among women in substance abuse treatment. DATA SOURCES/STUDY SETTING: Data for the present analyses were obtained from baseline interviews of 393 women in an urban area of Massachusetts. Interviews were conducted from April 2003 to September 2006. Participants came from four substance abuse treatment programs (three residential and one outpatient) participating in the Mother's Hope, Mind and Spirit Study, an evaluation of an intervention funded by the Substance Abuse and Mental Health Services Administration (SAMSHA). PRINCIPAL FINDINGS: Stress was significantly associated with drug addiction severity and trauma symptoms were significantly related to alcohol addiction severity. Spirituality, sense of coherence, and coping responses did not mediate the relationship between perceived stress, and posttraumatic stress, and alcohol and drug addiction severity. However, negative and significant associations were found between perceived stress and spirituality, sense of coherence and coping responses, and between posttraumatic stress symptomatology and sense of coherence. CONCLUSION: Enhanced substance abuse treatments that increase spirituality, sense of coherence, and coping responses may be beneficial in helping women in substance abuse treatment to manage stress and posttraumatic stress symptoms. However, further research is needed to identify the pathways through which spirituality, sense of coherence and coping responses may mediate the effects of stress and posttraumatic stress symptoms on alcohol and drug addiction severity.
    Publication Evaluation and Program Planning
    Volume 31
    Issue 1
    Pages 113-123
    Date Feb 2008
    Journal Abbr Eval Program Plann
    DOI 10.1016/j.evalprogplan.2007.05.009
    ISSN 1873-7870
    URL http://www.ncbi.nlm.nih.gov/pubmed/17825910
    Accessed Friday, November 13, 2009 5:55:08 PM
    Library Catalog NCBI PubMed
    Extra PMID: 17825910
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Tags:

    • Adaptation, Psychological
    • Adolescent
    • Adult
    • Age Factors
    • Alcoholism
    • Attitude to Health
    • Female
    • Follow-Up Studies
    • Humans
    • Logistic Models
    • Massachusetts
    • Patient Compliance
    • Patient Dropouts
    • Poverty
    • Probability
    • Registries
    • Retrospective Studies
    • Risk Factors
    • Sick Role
    • social support
    • spirituality
    • Stress, Psychological
    • Substance Abuse Treatment Centers
    • Substance-Related Disorders
    • Treatment Outcome
    • Urban Population

    Notes:

    • Purpose: To examine the role of spirituality, sense of coherence, and coping responses in relation to stress and trauma symptoms among women in substance abuse treatment. PRINCIPAL Findings: Stress was significantly associated with drug addiction severity and trauma symptoms were significantly related to alcohol addiction severity. Spirituality, sense of coherence, and coping responses did not mediate the relationship between perceived stress, and posttraumatic stress, and alcohol and drug addiction severity.

  • Multimodal analgesia for chronic pain: rationale and future directions

    Type Journal Article
    Author Charles E Argoff
    Author Phillip Albrecht
    Author Gordon Irving
    Author Frank Rice
    Abstract Chronic pain is a multifaceted disease requiring multimodal treatment. Clinicians routinely employ various combinations of pharmacologic, interventional, cognitive-behavioral, rehabilitative, and other nonmedical therapies despite the paucity of robust evidence in support of such an approach. Therapies are selected consistent with the biopsychosocial model of chronic pain, reflecting the subjective nature of the pain complaint, and the myriad stressors that shape it. Elucidating mechanisms that govern normal sensation in the periphery has provided insights into the biochemical, molecular, and neuroanatomic correlates of chronic pain, an understanding of which is leading increasingly to mechanism-specific multidrug therapies. Peripheral and central neuroplastic reorganization underlying the disease of chronic pain is influenced by patient-specific emotions, cognition, and memories, further impairing function and idiosyncratically defining the illness of chronic pain. Clinical perceptions of these and related subjective elements associated with the suffering of chronic pain drive psychosocial treatments, including, among other options, relaxation therapies, coping skills development, and cognitive-behavioral therapy. Treatment selection is thus guided by comprehensive assessment of the phenomenology and inferred pathophysiology of the pain syndrome; patient goals, preferences, and expectations; behavioral, cognitive, and physical function; and level of risk. Experiential, practice-based evidence may be necessary for improving patient care, but it is insufficient; certainly, well-designed studies are needed to support therapeutic decision making. This review will discuss the biochemical basis of pain, factors that govern its severity and chronicity, and foundational elements for current and emerging multimodal treatment strategies.
    Publication Pain Medicine
    Volume 10
    Issue Suppl 2
    Pages S53-66
    Date Jul 2009
    Journal Abbr Pain Med
    DOI 10.1111/j.1526-4637.2009.00669.x
    ISSN 1526-4637
    Short Title Multimodal analgesia for chronic pain
    URL http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/19691685
    Accessed Sunday, November 01, 2009 10:26:37 AM
    Library Catalog NCBI PubMed
    Extra PMID: 19691685
    Date Added Thursday, September 29, 2011 9:04:55 AM
    Modified Thursday, September 29, 2011 9:04:55 AM

    Notes:

    • Chronic pain is a multifaceted disease requiring multimodal treatment. Clinicians routinely employ various combinations of pharmacologic, interventional, cognitive-behavioral, rehabilitative, and other nonmedical therapies despite the paucity of robust evidence in support of such an approach. Therapies are selected consistent with the biopsychosocial model of chronic pain, reflecting the subjective nature of the pain complaint, and the myriad stressors that shape it. Elucidating mechanisms that govern normal sensation in the periphery has provided insights into the biochemical, molecular, and neuroanatomic correlates of chronic pain, an understanding of which is leading increasingly to mechanism-specific multidrug therapies. Peripheral and central neuroplastic reorganization underlying the disease of chronic pain is influenced by patient-specific emotions, cognition, and memories, further impairing function and idiosyncratically defining the illness of chronic pain. Clinical perceptions of these and related subjective elements associated with the suffering of chronic pain drive psychosocial treatments, including, among other options, relaxation therapies, coping skills development, and cognitive-behavioral therapy. Treatment selection is thus guided by comprehensive assessment of the phenomenology and inferred pathophysiology of the pain syndrome; patient goals, preferences, and expectations; behavioral, cognitive, and physical function; and level of risk. Experiential, practice-based evidence may be necessary for improving patient care, but it is insufficient; certainly, well-designed studies are needed to support therapeutic decision making. This review will discuss the biochemical basis of pain, factors that govern its severity and chronicity, and foundational elements for current and emerging multimodal treatment strategies.

  • Patient attitudes concerning the inclusion of spirituality into addiction treatment

    Type Journal Article
    Author RuthM Arnold
    Author S Kelly Avants
    Author Arthur Margolin
    Author David Marcotte
    Abstract The purpose of this exploratory study was 3-fold: (a) to determine how 'spirituality' is defined by inner-city HIV-positive drug users; (b) to determine perceived relationships between spirituality and abstinence, harm reduction, and health promotion; and (c) to assess interest in a spirituality-based intervention. Opioid-dependent patients enrolled in an inner-city methadone maintenance program participated in the study; 21 participated in focus groups and 47 completed a questionnaire. In the focus groups, two predominant themes emerged: spirituality as a source of strength/protection of self, and spirituality as a source of altruism/protection of others. A large majority of the larger sample expressed an interest in receiving spirituality-focused treatment, reporting that such an intervention would be helpful for reducing craving and HIV risk behavior, following medical recommendations, and increasing hopefulness. African American women perceived spirituality as more helpful in their recovery than did African American men.
    Publication Journal of Substance Abuse Treatment
    Volume 23
    Issue 4
    Pages 319-326
    Date Dec 2002
    Journal Abbr J Subst Abuse Treat
    ISSN 0740-5472
    URL http://www.ncbi.nlm.nih.gov/pubmed/12495793
    Accessed Thursday, November 12, 2009 11:03:08 PM
    Library Catalog NCBI PubMed
    Extra PMID: 12495793
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Tags:

    • Adult
    • Attitude
    • Connecticut
    • Female
    • Focus Groups
    • Harm Reduction
    • HIV Infections
    • Humans
    • Male
    • Patient Compliance
    • Questionnaires
    • Religion and Medicine
    • spirituality
    • Substance-Related Disorders
    • Urban Population

    Notes:

    • The purpose of this exploratory study was 3-fold: (a) to determine how ‘spirituality’ is defined by inner-city HIV-positive drug users; (b) to determine perceived relationships between spirituality and abstinence, harm reduction, and health promotion; and (c) to assess interest in a spirituality-based intervention.

  • The relationship between religiosity and subjective well-being: A case of Kuwaiti car accident victims.

    Type Journal Article
    Author Hadi Ridha Ashkanani
    Abstract Researchers have long recognized the influence of religion on a person’s health and well-being. This study explores the influence of religion on the wellbeing of traumatized people. The study population included people who had experienced significant trauma in their lives from a severe car accident. The study sample included individuals who had been traumatized through severe injury in car accidents, families of those who have been badly injured, and families of those who were killed in car accidents. Demographic and socioeconomic variables served as independent factors in measuring subjective well-being. Descriptive, bivariate, and multiple regression analyses were used to measure the relationship between religiosity and subjective well-being of a traumatized person. Results showed that there was a positive relationship between religiosity and well-being, that income of the traumatized affected well-being positively, and that age of the traumatized affected well-being negatively. There was no effect of group difference (severely injured, family of severely injured, and family of a killed one) on well-being. (PsycINFO Database Record (c) 2010 APA, all rights reserved) (journal abstract)
    Publication Traumatology
    Volume 15
    Issue 1
    Pages 23-28
    Date March 2009
    Series Culture and international contributions
    DOI 10.1177/1534765608323500
    ISSN 1534-7656
    Short Title The relationship between religiosity and subjective well-being
    Library Catalog EBSCOhost
    Date Added Thursday, September 29, 2011 9:06:18 AM
    Modified Thursday, September 29, 2011 9:06:18 AM

    Tags:

    • car accident victims
    • Emotional Trauma
    • Health
    • Motor Traffic Accidents
    • religion
    • religiosity
    • subjective well being
    • Trauma
    • Victimization
    • well being
  • Religiosity and its relation to quality of life in Christian Orthodox cancer patients undergoing chemotherapy

    Type Journal Article
    Author Konstantinos Assimakopoulos
    Author Katerina Karaivazoglou
    Author Amalia A Ifanti
    Author Miltiadis K Gerolymos
    Author Haralabos P Kalofonos
    Author Gregoris Iconomou
    Abstract OBJECTIVES The first objective of the current observational study was to assess the levels of religiosity in Greek Christian Orthodox cancer patients receiving chemotherapy. The second objective was to evaluate the associations between religiosity and quality of life (QoL), an endpoint of considerable importance in clinical cancer research and practice. METHOD One hundred eighteen adult outpatients with solid tumors, who consented to participate, were administered the Systems of Belief Inventory (SBI-15R) and the European Organisation for Research and Treatment of Cancer (EORTC QLQ-C30) questionnaire. RESULTS The analysis revealed high scores on religiosity, especially among female patients, who reported significantly higher levels of religious beliefs and practices as well as perceived social support provided by the religious community than did their male counterparts. Of all EORTC QOL-C30 subscales, only global QoL was found to be significantly associated with the SBI-15R religious beliefs subscale. The analysis revealed no significant correlations between the SBI-15R social support subscale and all QoL subscales. CONCLUSIONS The current study reported high levels of religiosity among Greek Christian Orthodox cancer patients. However, levels of religiosity were only weakly associated with patients' QoL. The SBI-15R appeared to be a well-accepted and reliable tool, potentially useful for future research in Greek settings. Wide-scale studies from the same and diverse religious and cultural backgrounds are needed to clarify further the connections between religiosity, QoL, coping, and other health outcomes with the aim to devise appropriate multicomponent interventions to enhance patients' QoL.
    Publication Psycho-Oncology
    Volume 18
    Issue 3
    Pages 284-289
    Date Mar 2009
    Journal Abbr Psychooncology
    DOI 10.1002/pon.1402
    ISSN 1099-1611
    URL http://www.ncbi.nlm.nih.gov/pubmed/18702046
    Accessed Monday, March 28, 2011 6:29:00 PM
    Library Catalog NCBI PubMed
    Extra PMID: 18702046
    Date Added Thursday, September 29, 2011 9:06:18 AM
    Modified Thursday, September 29, 2011 9:06:18 AM

    Tags:

    • Antineoplastic Combined Chemotherapy Protocols
    • Christianity
    • Female
    • Humans
    • Male
    • Middle Aged
    • Neoplasms
    • Quality of Life
    • Questionnaires
    • religion

    Notes:

    • The first objective of the current observational study was to assess the levels of religiosity in Greek Christian Orthodox cancer patients receiving chemotherapy. The second objective was to evaluate the associations between religiosity and quality of life (QoL), an endpoint of considerable importance in clinical cancer research and practice.

  • Religiosity and participation in mutual-aid support groups for addiction

    Type Journal Article
    Author Randolph G Atkins
    Author James E Hawdon
    Abstract Mutual-aid support groups play a vital role in substance abuse treatment in the United States. A national survey of mutual-aid support groups for addiction was conducted to identify key differences between participants in recovery groups. Survey data indicate that active involvement in support groups significantly improves one's chances of remaining clean and sober, regardless of the group in which one participates. Respondents whose individual beliefs better matched those of their primary support groups showed greater levels of group participation, resulting in better outcomes as measured by increased number of days clean and sober. Religious respondents were more likely to participate in 12-step groups and Women for Sobriety. Nonreligious respondents were significantly less likely to participate in 12-step groups. Religiosity had little impact on SMART Recovery participation but actually decreased participation in Secular Organizations for Sobriety. These results have important implications for treatment planning and matching individuals to appropriate support groups.
    Publication Journal of Substance Abuse Treatment
    Volume 33
    Issue 3
    Pages 321-331
    Date Oct 2007
    Journal Abbr J Subst Abuse Treat
    DOI 10.1016/j.jsat.2007.07.001
    ISSN 0740-5472
    URL http://www.ncbi.nlm.nih.gov/pubmed/17889302
    Accessed Friday, November 13, 2009 5:57:48 PM
    Library Catalog NCBI PubMed
    Extra PMID: 17889302
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Tags:

    • Adolescent
    • Adult
    • Aged
    • Aged, 80 and over
    • Alcoholism
    • Behavior, Addictive
    • Female
    • Health Care Surveys
    • Humans
    • Male
    • Middle Aged
    • Recurrence
    • Self-Help Groups
    • spirituality
    • Substance-Related Disorders
    • Temperance
    • Treatment Outcome

    Notes:

    • A national survey of mutual-aid support groups for addiction was conducted to identify key differences between participants in recovery groups. Survey data indicate that active involvement in support groups significantly improves one’s chances of remaining clean and sober, regardless of the group in which one participates. Respondents whose individual beliefs better matched those of their primary support groups showed greater levels of group participation.

  • Religiosity and quality of life in breast cancer patients

    Type Journal Article
    Author Branka Aukst-Margetić
    Author Miro Jakovljević
    Author Dragutin Ivanec
    Author Branimir Margetić
    Author Duliano Ljubicić
    Author Mirko Samija
    Abstract Our aim was to assess relations between the quality of life and religiosity in breast cancer patients. The participants were 115 consecutively admitted female in-patients with breast cancer in the radiotherapy unit in the course of six months. The measures used were Santa Clara Strength of Religious Faith Questionnaire (SCSORF), World Health Organisation Well-Being Index Five (WHO-WBI 5) and International Breast Cancer Study Group Quality of Life (IBCSG-QL) Questionnaire. The participants responded on three statements relating to religious coping with cancer. Moderate religiosity was associated with perception of worse physical health. The statement "the illness decreased my faith" was associated with worse quality of life (QOL) domains: less well-being, more pain, poor physical health, more effort to cope, worse fatigue and less general satisfaction. The statement "the faith helps me in illness" was associated with higher social support.
    Publication Collegium Antropologicum
    Volume 33
    Issue 4
    Pages 1265-1271
    Date Dec 2009
    Journal Abbr Coll Antropol
    ISSN 0350-6134
    Accessed Saturday, February 20, 2010 12:14:08 PM
    Library Catalog NCBI PubMed
    Extra PMID: 20102080
    Date Added Thursday, September 29, 2011 9:04:02 AM
    Modified Thursday, September 29, 2011 9:04:02 AM
  • The benefits of yoga for rheumatoid arthritis: results of a preliminary, structured 8-week program

    Type Journal Article
    Author Humeira Badsha
    Author Vishwas Chhabra
    Author Cathy Leibman
    Author Ayman Mofti
    Author Kok Ooi Kong
    Abstract The aim of this study was to measure the effects of a bi-weekly Raj yoga program on rheumatoid arthritis (RA) disease activity. Subjects were recruited from among RA patients in Dubai, United Arab Emirates by email invitations of the RA database. Demographic data, disease activity indices, health assessment questionnaire (HAQ), and quality of life (QOL) by SF-36 were documented at enrollment and after completion of 12 sessions of Raj yoga. A total of 47 patients were enrolled: 26 yoga and 21 controls. Baseline demographics were similar in both groups. Patients who underwent yoga had statistically significant improvements in DAS28 and HAQ, but not QOL. Our pilot study of 12 sessions of yoga for RA was able to demonstrate statistically significant improvements in RA disease parameters. We believe that a longer duration of treatment could result in more significant improvements.
    Publication Rheumatology International
    Volume 29
    Issue 12
    Pages 1417-1421
    Date Oct 2009
    Journal Abbr Rheumatol. Int
    DOI 10.1007/s00296-009-0871-1
    ISSN 1437-160X
    Short Title The benefits of yoga for rheumatoid arthritis
    URL http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/19184028
    Accessed Monday, October 19, 2009 9:17:00 PM
    Library Catalog NCBI PubMed
    Extra PMID: 19184028
    Date Added Thursday, September 29, 2011 9:04:55 AM
    Modified Thursday, September 29, 2011 9:04:55 AM
  • Chronic pain and fatigue: Associations with religion and spirituality

    Type Journal Article
    Author M Baetz
    Author R Bowen
    Abstract BACKGROUND: Conditions with chronic, non-life-threatening pain and fatigue remain a challenge to treat, and are associated with high health care use. Understanding psychological and psychosocial contributing and coping factors, and working with patients to modify them, is one goal of management. An individual's spirituality and/or religion may be one such factor that can influence the experience of chronic pain or fatigue. METHODS: The Canadian Community Health Survey (2002) obtained data from 37,000 individuals 15 years of age or older. From these data, four conditions with chronic pain and fatigue were analyzed together -- fibromyalgia, back pain, migraine headaches and chronic fatigue syndrome. Additional data from the survey were used to determine how religion and spirituality affect psychological well-being, as well as the use of various coping methods. RESULTS: Religious persons were less likely to have chronic pain and fatigue, while those who were spiritual but not affiliated with regular worship attendance were more likely to have those conditions. Individuals with chronic pain and fatigue were more likely to use prayer and seek spiritual support as a coping method than the general population. Furthermore, chronic pain and fatigue sufferers who were both religious and spiritual were more likely to have better psychological well-being and use positive coping strategies. INTERPRETATION: Consideration of an individual's spirituality and/or religion, and how it may be used in coping may be an additional component to the overall management of chronic pain and fatigue.
    Publication Pain Research & Management: The Journal of the Canadian Pain Society = Journal De La Société Canadienne Pour Le Traitement De La Douleur
    Volume 13
    Issue 5
    Pages 383-388
    Date 2008 Sep-Oct
    Journal Abbr Pain Res Manag
    ISSN 1203-6765
    Short Title Chronic pain and fatigue
    URL http://www.ncbi.nlm.nih.gov/pubmed/18958309
    Accessed Friday, November 13, 2009 7:31:10 PM
    Library Catalog NCBI PubMed
    Extra PMID: 18958309
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Tags:

    • Adaptation, Psychological
    • Adolescent
    • Adult
    • Aged
    • Canada
    • Chronic Disease
    • Cross-Sectional Studies
    • Fatigue Syndrome, Chronic
    • Female
    • Health Surveys
    • Humans
    • Linear Models
    • Male
    • Middle Aged
    • Pain
    • religion
    • Young Adult

    Notes:

    • The Canadian Community Health Survey (2002) obtained data from 37,000 individuals 15 years of age or older. From these data, four conditions with chronic pain and fatigue were analyzed together -- fibromyalgia, back pain, migraine headaches and chronic fatigue syndrome. Additional data from the survey were used to determine how religion and spirituality affect psychological well-being, as well as the use of various coping methods.

  • "It depends": viewpoints of patients, physicians, and nurses on patient-practitioner prayer in the setting of advanced cancer

    Type Journal Article
    Author Michael J Balboni
    Author Amenah Babar
    Author Jennifer Dillinger
    Author Andrea C Phelps
    Author Emily George
    Author Susan D Block
    Author Lisa Kachnic
    Author Jessica Hunt
    Author John Peteet
    Author Holly G Prigerson
    Author Tyler J Vanderweele
    Author Tracy A Balboni
    Abstract CONTEXT Although prayer potentially serves as an important practice in offering religious/spiritual support, its role in the clinical setting remains disputed. Few data exist to guide the role of patient-practitioner prayer in the setting of advanced illness. OBJECTIVES To inform the role of prayer in the setting of life-threatening illness, this study used mixed quantitative-qualitative methods to describe the viewpoints expressed by patients with advanced cancer, oncology nurses, and oncology physicians concerning the appropriateness of clinician prayer. METHODS This is a cross-sectional, multisite, mixed-methods study of advanced cancer patients (n=70), oncology physicians (n=206), and oncology nurses (n=115). Semistructured interviews were used to assess respondents' attitudes toward the appropriate role of prayer in the context of advanced cancer. Theme extraction was performed based on interdisciplinary input using grounded theory. RESULTS Most advanced cancer patients (71%), nurses (83%), and physicians (65%) reported that patient-initiated patient-practitioner prayer was at least occasionally appropriate. Furthermore, clinician prayer was viewed as at least occasionally appropriate by the majority of patients (64%), nurses (76%), and physicians (59%). Of those patients who could envision themselves asking their physician or nurse for prayer (61%), 86% would find this form of prayer spiritually supportive. Most patients (80%) viewed practitioner-initiated prayer as spiritually supportive. Open-ended responses regarding the appropriateness of patient-practitioner prayer in the advanced cancer setting revealed six themes shaping respondents' viewpoints: necessary conditions for prayer, potential benefits of prayer, critical attitudes toward prayer, positive attitudes toward prayer, potential negative consequences of prayer, and prayer alternatives. CONCLUSION Most patients and practitioners view patient-practitioner prayer as at least occasionally appropriate in the advanced cancer setting, and most patients view prayer as spiritually supportive. However, the appropriateness of patient-practitioner prayer is case specific, requiring consideration of multiple factors.
    Publication Journal of Pain and Symptom Management
    Volume 41
    Issue 5
    Pages 836-847
    Date May 2011
    Journal Abbr J Pain Symptom Manage
    DOI 10.1016/j.jpainsymman.2010.07.008
    ISSN 1873-6513
    Short Title "It depends"
    URL http://www.ncbi.nlm.nih.gov/pubmed/21276700
    Accessed Wednesday, June 08, 2011 6:32:39 PM
    Library Catalog NCBI PubMed
    Extra PMID: 21276700
    Date Added Thursday, September 29, 2011 8:55:16 AM
    Modified Thursday, September 29, 2011 8:55:16 AM

    Notes:

    • Although prayer potentially serves as an important practice in offering religious/spiritual support, its role in the clinical setting remains disputed. Few data exist to guide the role of patient-practitioner prayer in the setting of advanced illness. The aim of the study was to inform the role of prayer in the setting of life-threatening illness, this study used mixed quantitative-qualitative methods to describe the viewpoints expressed by patients with advanced cancer, oncology nurses, and oncology physicians concerning the appropriateness of clinician prayer.

  • Provision of spiritual care to patients with advanced cancer: associations with medical care and quality of life near death

    Type Journal Article
    Author Tracy Anne Balboni
    Author Mary Elizabeth Paulk
    Author Michael J Balboni
    Author Andrea C Phelps
    Author Elizabeth Trice Loggers
    Author Alexi A Wright
    Author Susan D Block
    Author Eldrin F Lewis
    Author John R Peteet
    Author Holly Gwen Prigerson
    Abstract PURPOSE: To determine whether spiritual care from the medical team impacts medical care received and quality of life (QoL) at the end of life (EoL) and to examine these relationships according to patient religious coping. PATIENTS AND METHODS: Prospective, multisite study of patients with advanced cancer from September 2002 through August 2008. We interviewed 343 patients at baseline and observed them (median, 116 days) until death. Spiritual care was defined by patient-rated support of spiritual needs by the medical team and receipt of pastoral care services. The Brief Religious Coping Scale (RCOPE) assessed positive religious coping. EoL outcomes included patient QoL and receipt of hospice and any aggressive care (eg, resuscitation). Analyses were adjusted for potential confounders and repeated according to median-split religious coping. RESULTS: Patients whose spiritual needs were largely or completely supported by the medical team received more hospice care in comparison with those not supported (adjusted odds ratio [AOR] = 3.53; 95% CI, 1.53 to 8.12, P = .003). High religious coping patients whose spiritual needs were largely or completely supported were more likely to receive hospice (AOR = 4.93; 95% CI, 1.64 to 14.80; P = .004) and less likely to receive aggressive care (AOR = 0.18; 95% CI, 0.04 to 0.79; P = .02) in comparison with those not supported. Spiritual support from the medical team and pastoral care visits were associated with higher QOL scores near death (20.0 [95% CI, 18.9 to 21.1] v 17.3 [95% CI, 15.9 to 18.8], P = .007; and 20.4 [95% CI, 19.2 to 21.1] v 17.7 [95% CI, 16.5 to 18.9], P = .003, respectively). CONCLUSION: Support of terminally ill patients' spiritual needs by the medical team is associated with greater hospice utilization and, among high religious copers, less aggressive care at EoL. Spiritual care is associated with better patient QoL near death.
    Publication Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology
    Volume 28
    Issue 3
    Pages 445-452
    Date Jan 20, 2010
    Journal Abbr J. Clin. Oncol
    DOI 10.1200/JCO.2009.24.8005
    ISSN 1527-7755
    Short Title Provision of spiritual care to patients with advanced cancer
    Accessed Saturday, January 23, 2010 10:42:58 PM
    Library Catalog NCBI PubMed
    Extra PMID: 20008625
    Date Added Thursday, September 29, 2011 9:04:35 AM
    Modified Thursday, September 29, 2011 9:04:35 AM

    Notes:

    • To determine whether spiritual care from the medical team impacts medical care received and quality of life (QoL) at the end of life (EoL) and to examine these relationships according to patient religious coping.

  • Support of Cancer Patients' Spiritual Needs and Associations with Medical Care Costs at the End of Life (419-C)

    Type Journal Article
    Author Tracy Balboni
    Author Michael Balboni
    Author M. Elizabeth Paulk
    Author Andrea Phelps
    Author Alexi Wright
    Author John Peteet
    Author Susan Block
    Author Chris Lathan
    Author Tyler VanderWeele
    Author Holly Prigerson
    Abstract Objectives 1. Recognize spiritual care as a key domain of palliative care with known implications for patient well-being and medical care intensity at the end of life. 2. Recognize the association of spiritual care with medical care costs at the end of life. 3. Discuss the study design and limitations, and future study directions implicated by the study findings. Background. Spiritual care is associated with better patient well-being and less intensive end-of-life (EOL) medical care. It remains unclear if spiritual care is associated with lower EOL costs, particularly among groups predisposed to receive aggressive care. Research objectives. Determine the relationship of spiritual care to EOL costs. Methods. Prospective, multi-site study of 339 terminal cancer patients accrued September 2002–August 2008 and followed until death. Spiritual care was measured by patients’ reports that the healthcare team supported their religious/spiritual needs. EOL care and costs in the last week were compared among patients whose spiritual needs were well-supported versus those not. Analyses were adjusted for confounders and repeated among racial/ethnic minority and high religious coping patients. Results. In comparison to patients receiving less spiritual care, patients whose religious/spiritual needs were well-supported by clinic staff were more likely to receive a week or more of hospice (54% versus 72.8%; p = 0.01) and less likely to die in an ICU (5.1% versus 1.0%, p = 0.03). Among racial/ethnic minorities and high religious coping patients, those with well-supported R/S needs received less ICU care (11.3% versus 1.2%, p = 0.03 and 13.1% versus 1.6%, p = 0.02), more hospice care (43% versus 75.3%, p = 0.01 and 45.3% versus 73.1%, p = 0.007) and had fewer ICU deaths (11.2% versus 1.2%, p = .03 and 7.7% versus 0.6%, p = .009). EOL costs were lower when clinicians supported patients’ spiritual needs ($4,947 versus $2,833, p = 0.03), particularly among racial/ethnic minorities ($6,533 versus $2,276, p = 0.02) and high religious coping patients ($6,344 versus $,2431, p = 0.005). Conclusion. Cancer patients whose spiritual needs are well-supported by the healthcare team have lower EOL costs, particularly among racial/ethnic minorities and high religious coping patients. Implications for research, policy, or practice. Further research to define spiritual care and spiritual care education are required.
    Publication Journal of Pain and Symptom Management
    Volume 41
    Issue 1
    Pages 243-244
    Date January 2011
    DOI 10.1016/j.jpainsymman.2010.10.131
    ISSN 0885-3924
    Accessed Tuesday, February 15, 2011 7:00:24 PM
    Library Catalog ScienceDirect
    Date Added Thursday, September 29, 2011 8:57:52 AM
    Modified Thursday, September 29, 2011 8:57:52 AM

    Notes:

    • Determine the relationship of spiritual care to end of life costs.

  • Effect of Iyengar yoga practice on fatigue and diurnal salivary cortisol concentration in breast cancer survivors

    Type Journal Article
    Author Jacquelyn Banasik
    Author Holly Williams
    Author Mel Haberman
    Author Sally E Blank
    Author Robert Bendel
    Abstract In this study of the effect of regular Iyengar yoga practice on measures of self-perceived psychosocial function and diurnal salivary cortisol secretion in stage II-IV breast cancer survivors, women were randomly assigned to attend yoga practice for 90 min twice weekly for 8 weeks (n = 9) or to a wait-listed, noninterventional control group (n = 9). Traditional Iyengar yoga routines that progressively increased in difficulty as participants gained strength and flexibility were used. After 8 weeks, the yoga group had lower morning and 5 p.m. salivary cortisol and improved emotional well-being and fatigue scores.
    Publication Journal of the American Academy of Nurse Practitioners
    Volume 23
    Issue 3
    Pages 135-142
    Date Mar 2011
    Journal Abbr J Am Acad Nurse Pract
    DOI 10.1111/j.1745-7599.2010.00573.x
    ISSN 1745-7599
    URL http://www.ncbi.nlm.nih.gov/pubmed/21355946
    Accessed Monday, April 04, 2011 7:46:40 PM
    Library Catalog NCBI PubMed
    Extra PMID: 21355946
    Date Added Thursday, September 29, 2011 8:56:10 AM
    Modified Thursday, September 29, 2011 8:56:10 AM

    Notes:

    • This study examines the effect of regular lyengar yoga practice on measures of self-perceived psychosocial function and diurnal salivary cortisol secretion in stage II-IV breast cancer survivors.

  • Qualitative systemic review of randomized controlled trials on complementary and alternative medicine treatments in fibromyalgia

    Type Journal Article
    Author Julia Baranowsky
    Author Petra Klose
    Author Frauke Musial
    Author Winfried Haeuser
    Author Gustav Dobos
    Author Jost Langhorst
    Abstract Abstract The objectives of the study were identification, quality evaluation and summary of RCTs on complementary and alternative medicine as defined by the National Institute of Health with the exception of dietary and nutritional supplements. A computerized search of databases from 1990 (year of publication of the ACR criteria for fibromyalgia) to July 2007 was performed. The RCTs were assessed by a methodological quality score. A total of 23 RCTs issued from 1992 to 2007 on acupuncture, balneotherapy, thermotherapy, magnetic therapy, homeopathy, manual manipulation, mind–body medicine, diet therapy and music therapy were identified. The RCTs had an average group size of 25 with the number of groups ranging from two to four. The quality score assessment of the RCTs yielded a mean score of 51 out of 100. The average methodological quality of the identified studies was fairly low. Best evidence was found for balneotherapy/hydrotherapy in multiple studies. Positive results were also noted for homeopathy and mild infrared hyperthermia in 1 RCT in each field. Mindfulness meditation showed mostly positive results in two trials and acupuncture mixed results in multiple trials with a tendency toward positive results. Tendencies for improvement were furthermore noted in single trials of the Mesendieck system, connective tissue massage and to some degree for osteopathy and magnet therapy. No positive evidence could be identified for Qi Gong, biofeedback, and body awareness therapy.
    Publication Rheumatology International
    Date 2009
    DOI 10.1007/s00296-009-0977-5
    URL http://dx.doi.org.ezproxy.bu.edu/10.1007/s00296-009-0977-5
    Accessed Saturday, September 26, 2009 3:09:08 PM
    Library Catalog SpringerLink
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Tags:

    • prepub

    Notes:

    • This study investigates the effects of alternative therapies on fibromyalgia. Mindfulness meditation was found to have generally beneficial results, while acupuncture had mixed results that tended positive. No effects were found for Qi Gong, biofeedback, or body awareness therapy.

  • Acute effects of transcendental meditation on hemodynamic functioning in middle-aged adults

    Type Journal Article
    Author V A Barnes
    Author F A Treiber
    Author J R Turner
    Author H Davis
    Author W B Strong
    Abstract OBJECTIVE: Increased peripheral vasoconstriction (ie, total peripheral resistance, or TPR) has been implicated as playing an important role in the early development of essential hypertension. Some studies have demonstrated that Transcendental Meditation (TM) reduces high blood pressure, but the hemodynamic adjustments behind these blood pressure reductions have not been elucidated. The aim of this study was to provide a preliminary investigation of the acute effects of TM on TPR. METHODS: Subjects were 32 healthy adults (16 women and 16 men; 30 white and two African American; mean age, 46.4 +/- 3.9 years). Subjects were divided into a TM group of long-term TM practitioners (eight white women, nine white men, and one African American man; mean years of twice-daily TM practice, 22.4 +/- 6.7) and a control group (eight white women, five white men, and one African American man). Hemodynamic functioning was assessed immediately before and during three conditions: 20 minutes of rest with eyes open (all subjects), 20 minutes of TM (TM group), and 20 minutes of eyes-closed relaxation (control group). RESULTS: During eyes-open rest, the TM group had decreases in systolic blood pressure (SBP) and TPR, compared with increases in the control group (SBP: -2.5 vs. +2.4 mm Hg, p < .01; TPR: -0.7 vs. +0.5 mm Hg/liter per minute, p < .004). During TM, there was a greater decrease in SBP due to a concomitantly greater decrease in TPR compared with the control group during eyes-closed relaxation (SBP: -3.0 vs. +2.1 mm Hg, p < .04; TPR: -1.0 vs. +0.3 mm Hg/liter per minute, p < .03). CONCLUSIONS: TPR decreased significantly during TM. Decreases in vasoconstrictive tone during TM may be the hemodynamic mechanism responsible for reduction of high blood pressure over time. The results of this study provide a preliminary contribution to the understanding of the underlying hemodynamic mechanisms responsible for the beneficial influence of TM on cardiovascular risk factors.
    Publication Psychosomatic Medicine
    Volume 61
    Issue 4
    Pages 525-531
    Date 1999 Jul-Aug
    Journal Abbr Psychosom Med
    ISSN 0033-3174
    URL http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/10443761
    Accessed Tuesday, October 20, 2009 9:45:08 PM
    Library Catalog NCBI PubMed
    Extra PMID: 10443761
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Tags:

    • Adult
    • Blood Pressure
    • Female
    • Heart Rate
    • Hemodynamics
    • Hypertension
    • Life Style
    • Male
    • Meditation
    • Middle Aged
    • Questionnaires
    • Vascular Resistance

    Notes:

    • Some studies have demonstrated that Transcendental Meditation (TM) reduces high blood pressure, but the hemodynamic adjustments behind these blood pressure reductions have not been elucidated. The aim of this study was to provide a preliminary investigation of the acute effects of TM on TPR. Conclusions: TPR decreased significantly during TM.

  • God and genes in the caring professions: clinician and clergy perceptions of religion and genetics

    Type Journal Article
    Author Virginia L Bartlett
    Author Rolanda L Johnson
    Abstract Little is known about how care providers' perceptions of religion and genetics affect interactions with patients/parishioners. This study investigates clinicians' and clergy's perceptions of and experiences with religion and genetics in their clinical and pastoral interactions. This is an exploratory qualitative study designed to elicit care providers' descriptions of experiences with religion and genetics in clinical or pastoral interactions. Thirteen focus groups were conducted with members of the caring professions: physicians, nurses, and genetics counselors (clinicians), ministers and chaplains (clergy). Preliminary analysis of qualitative data is presented here. Preliminary analysis highlights four positions in professional perceptions of the relationship between science and faith. Further, differences among professional perceptions appear to influence perceptions of needed or available resources for interactions with religion and genetics. Clinicians' and clergy's perceptions of how religion and genetics relate are not defined solely by professional affiliation. These non-role-defined perceptions may affect clinical and pastoral interactions, especially regarding resources for patients and parishioners.
    Publication American Journal of Medical Genetics. Part C, Seminars in Medical Genetics
    Volume 151C
    Issue 1
    Pages 41-51
    Date Feb 15, 2009
    Journal Abbr Am J Med Genet C Semin Med Genet
    DOI 10.1002/ajmg.c.30201
    ISSN 1552-4876
    Short Title God and genes in the caring professions
    Accessed Tuesday, February 22, 2011 7:57:30 PM
    Library Catalog NCBI PubMed
    Extra PMID: 19170091
    Date Added Thursday, September 29, 2011 9:07:00 AM
    Modified Thursday, September 29, 2011 9:07:00 AM

    Tags:

    • Adult
    • Clergy
    • Female
    • Genetics, Medical
    • Humans
    • Male
    • Questionnaires
    • religion
  • Spirituality, well-being, and quality of life in people with rheumatoid arthritis

    Type Journal Article
    Author Susan J Bartlett
    Author Ralph Piedmont
    Author Andrew Bilderback
    Author Alan K Matsumoto
    Author Joan M Bathon
    Publication Arthritis and Rheumatism
    Volume 49
    Issue 6
    Pages 778-783
    Date Dec 15, 2003
    Journal Abbr Arthritis Rheum
    DOI 10.1002/art.11456
    ISSN 0004-3591
    URL http://www.ncbi.nlm.nih.gov/pubmed/14673963
    Accessed Friday, November 13, 2009 12:39:52 PM
    Library Catalog NCBI PubMed
    Extra PMID: 14673963
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Tags:

    • Adaptation, Psychological
    • Arthritis, Rheumatoid
    • Female
    • Humans
    • Male
    • Middle Aged
    • Quality of Life
    • Questionnaires
    • Sickness Impact Profile
    • spirituality
  • Spirituality and support for family presence during invasive procedures and resuscitations in adults

    Type Journal Article
    Author Nancy Baumhover
    Author Linda Hughes
    Abstract BACKGROUND: Many health care professionals believe that they provide holistic care. The role of spirituality, a known variable of holism, has not been explored in relation to the support among health care professionals for family presence during invasive procedures and resuscitative efforts in adults. OBJECTIVE: To determine the relationship between spirituality of health care professionals and their support for family presence during invasive procedures and resuscitative efforts in adults. METHODS: In this descriptive correlational study, 108 participants (physicians, physician assistants, and nurses) completed the Howden Spirituality Assessment Scale and a survey to measure their support for family presence. RESULTS: A significant positive relationship was found between spirituality and support for family presence during resuscitative efforts in adults (r = 0.24, P = .05) and a significant negative correlation was found between support for family presence and the age of the health care professional (r = - 0.27, P = .01). No significant correlations were found between any of the study variables and invasive procedures in adults. CONCLUSIONS: Adopting a more holistic perspective may support family presence, especially during resuscitative efforts in adults. Allowing the option for patients' families to remain present promotes holistic family-centered care.
    Publication American Journal of Critical Care: An Official Publication, American Association of Critical-Care Nurses
    Volume 18
    Issue 4
    Pages 357-366
    Date July 2009
    Journal Abbr Am. J. Crit. Care
    DOI 10.4037/ajcc2009759
    ISSN 1062-3264
    URL http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/19556414
    Accessed Saturday, September 26, 2009 4:13:14 PM
    Library Catalog NCBI PubMed
    Extra PMID: 19556414
    Date Added Thursday, September 29, 2011 9:05:38 AM
    Modified Thursday, September 29, 2011 9:05:38 AM
  • Psychosocial factors, quality of life, and psychological distress: ethnic differences in patients with heart failure

    Type Journal Article
    Author Melanie K Bean
    Author Douglas Gibson
    Author Maureen Flattery
    Author Angela Duncan
    Author Michael Hess
    Abstract Advances in treatment have prolonged life in heart failure (HF) patients, leading to increased attention to quality of life (QOL) and psychological functioning. It is not clear if ethnic differences exist in factors associated with psychological well-being. We examined psychosocial factors associated with depression and anxiety in 97 HF patients. Medical records were reviewed and patients (M age 53, 50% African American) completed surveys examining social support, coping, spirituality, and QOL for their association with depression and anxiety. Multiple regressions suggested that psychosocial factors were associated with psychological health. Patients with lower social support, lower meaning/peace and more negative coping reported greater depression; positive coping, and lower meaning/peace were associated with higher anxiety. Ethnicity stratified models suggested that spiritual well-being was associated with depression only among African Americans and QOL partially mediated this relationship. Findings suggest the importance of considering the unique psychosocial needs of diverse populations to appropriately target clinical interventions.
    Publication Progress in Cardiovascular Nursing
    Volume 24
    Issue 4
    Pages 131-140
    Date Dec 2009
    Journal Abbr Prog Cardiovasc Nurs
    DOI 10.1111/j.1751-7117.2009.00051.x
    ISSN 1751-7117
    Short Title Psychosocial factors, quality of life, and psychological distress
    Accessed Sunday, January 24, 2010 5:24:05 PM
    Library Catalog NCBI PubMed
    Extra PMID: 20002337
    Date Added Thursday, September 29, 2011 9:04:35 AM
    Modified Thursday, September 29, 2011 9:04:35 AM

    Notes:

    • Advances in treatment have prolonged life in heart failure (HF) patients, leading to increased attention to quality of life (QOL) and psychological functioning. It is not clear if ethnic differences exist in factors associated with psychological well-being. We examined psychosocial factors associated with depression and anxiety in 97 HF patients. Medical records were reviewed and patients (M age 53, 50% African American) completed surveys examining social support, coping, spirituality, and QOL for their association with depression and anxiety. Multiple regressions suggested that psychosocial factors were associated with psychological health. Patients with lower social support, lower meaning/peace and more negative coping reported greater depression; positive coping, and lower meaning/peace were associated with higher anxiety. Ethnicity stratified models suggested that spiritual well-being was associated with depression only among African Americans and QOL partially mediated this relationship. Findings suggest the importance of considering the unique psychosocial needs of diverse populations to appropriately target clinical interventions.

  • Effects of mindful yoga on sleep in pregnant women: a pilot study

    Type Journal Article
    Author Amy E Beddoe
    Author Kathryn A Lee
    Author Sandra J Weiss
    Author Holly Powell Kennedy
    Author Chin-Po Paul Yang
    Abstract Purpose: The purpose of this experimental pilot study was to measure the effects of a mindfulness-based yoga intervention on sleep in pregnant women. Methods: Fifteen healthy, nulliparous women in their second or third trimesters with singleton pregnancies attended weekly mindfulness meditation and prenatal Hatha yoga classes in the community for 7 weeks. Sleep variables, as estimated by 72 hr of continuous wrist actigraphy and the General Sleep Disturbance Scale (GSDS), were recorded at baseline (Time 1) and postintervention (Time 2). Control data were obtained by evaluating sleep in the third-trimester group at Time 1. Due to small sample size, data were analyzed using parametric and nonparametric statistics. Results: Women who began the intervention in the second trimester had significantly fewer awakenings, less wake time during the night, and less perceived sleep disturbance at Time 2 than at baseline. Those who began during the third trimester had poorer sleep over time in spite of the intervention. Women who began the intervention in their second trimester had less awake time at Time 2 compared to third-trimester controls at Time 1. Conclusions: Mindful yoga shows promise for women in their second trimester of pregnancy to diminish total number of awakenings at night and improve sleep efficiency and merits further exploration. Results from this pilot study provide the data to estimate sample size and design and implement powered and more controlled studies in the future.
    Publication Biological Research for Nursing
    Volume 11
    Issue 4
    Pages 363-370
    Date Apr 2010
    Journal Abbr Biol Res Nurs
    DOI 10.1177/1099800409356320
    ISSN 1552-4175
    Short Title Effects of mindful yoga on sleep in pregnant women
    Accessed Monday, March 29, 2010 3:38:23 PM
    Library Catalog NCBI PubMed
    Extra PMID: 20338897
    Date Added Thursday, September 29, 2011 9:04:02 AM
    Modified Thursday, September 29, 2011 9:04:02 AM

    Notes:

    • This study explores the effects of yoga practice on sleep patterns among women in their second and third trimesters of pregnancy.  "Mindful yoga shows promise for women in their second trimester of pregnancy to diminish total number of awakenings at night and improve sleep efficiency and merits further exploration. Results from this pilot study provide the data to estimate sample size and design and implement powered and more controlled studies in the future."

  • Spirituality in persons with heart failure

    Type Journal Article
    Author Theresa A Beery
    Author Linda S Baas
    Author Christopher Fowler
    Author Gordon Allen
    Abstract Spiritual expression has been proposed as a dimension of quality of life. Persons with chronic diseases such as AIDS or cancer have described the value of spiritual expression in living with their illnesses. The authors examined the role spirituality plays in the lives of 58 people with heart failure being treated medically or by transplant. Instruments used included the Medical Outcome Survey Short Form 36 and Index of Well-Being measures of quality of life, the Spiritual Well-Being Scale, and the Relative Importance Scale. Combined spirituality scores predicted 24% of the variance in global quality of life. There were no significant gender differences in spiritual well-being or quality of life.
    Publication Journal of Holistic Nursing: Official Journal of the American Holistic Nurses' Association
    Volume 20
    Issue 1
    Pages 5-25; quiz 26-30
    Date Mar 2002
    Journal Abbr J Holist Nurs
    ISSN 0898-0101
    URL http://www.ncbi.nlm.nih.gov/pubmed/11898688
    Accessed Thursday, November 12, 2009 9:16:10 PM
    Library Catalog NCBI PubMed
    Extra PMID: 11898688
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Tags:

    • Adult
    • Aged
    • Cross-Sectional Studies
    • Faith Healing
    • Female
    • Heart Failure
    • Humans
    • Longitudinal Studies
    • Male
    • Middle Aged
    • Quality of Life
    • Questionnaires
    • Religion and Medicine
    • spirituality
    • Time Factors

    Notes:

    • The authors examined the role spirituality plays in the lives of 58 people with heart failure being treated medically or by transplant. Instruments used included the Medical Outcome Survey Short Form 36 and Index of Well-Being measures of quality of life, the Spiritual Well-Being Scale, and the Relative Importance Scale. Combined spirituality scores predicted 24% of the variance in global quality of life. There were no significant gender differences in spiritual well-being or quality of life.

  • Reflections by inner-city drug users on a Buddhist-based spirituality-focused therapy: a qualitative study

    Type Journal Article
    Author Mark Beitel
    Author Marla Genova
    Author Zev Schuman-Olivier
    Author Ruth Arnold
    Author S Kelly Avants
    Author Arthur Margolin
    Abstract A manual-guided, spirituality-focused intervention--spiritual self-schema (3-S) therapy--for the treatment of addiction and HIV-risk behavior was developed as part of a Stage I behavioral therapies development project. It is theoretically grounded in cognitive and Buddhist psychologies and may be suitable for individuals of diverse faiths. The therapy development process began with focus groups to assess addicted clients' perceived need for a spirituality-focused intervention. The therapy was then codified in manual format, and a controlled clinical trial was conducted. Here the authors report on inner-city, methadone-maintained clients' personal experiences that were recorded in semistructured interviews following completion of the therapy. Findings from this qualitative study support the value of integrating spirituality-focused interventions into addiction treatment for the purpose of increasing motivation for drug abstinence and HIV prevention.
    Publication The American Journal of Orthopsychiatry
    Volume 77
    Issue 1
    Pages 1-9
    Date Jan 2007
    Journal Abbr Am J Orthopsychiatry
    DOI 10.1037/0002-9432.77.1.1
    ISSN 0002-9432
    Short Title Reflections by inner-city drug users on a Buddhist-based spirituality-focused therapy
    URL http://www.ncbi.nlm.nih.gov/pubmed/17352579
    Accessed Friday, November 13, 2009 5:28:21 PM
    Library Catalog NCBI PubMed
    Extra PMID: 17352579
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Tags:

    • Adult
    • Attitude to Health
    • Buddhism
    • Female
    • Humans
    • Male
    • Meditation
    • Middle Aged
    • Questionnaires
    • Risk-Taking
    • Spiritual Therapies
    • spirituality
    • Substance-Related Disorders
    • Treatment Outcome
    • Urban Population

    Notes:

    • A manual-guided, spirituality-focused intervention--spiritual self-schema (3-S) therapy--for the treatment of addiction and HIV-risk behavior was developed as part of a Stage I behavioral therapies development project. It is theoretically grounded in cognitive and Buddhist psychologies and may be suitable for individuals of diverse faiths. THere the authors report on inner-city, methadone-maintained clients’ personal experiences that were recorded in semistructured interviews following completion of the therapy.

  • Spiritual well-being and depression in patients with heart failure

    Type Journal Article
    Author David B Bekelman
    Author Sydney M Dy
    Author Diane M Becker
    Author Ilan S Wittstein
    Author Danetta E Hendricks
    Author Traci E Yamashita
    Author Sheldon H Gottlieb
    Abstract BACKGROUND: In patients with chronic heart failure, depression is common and associated with poor quality of life, more frequent hospitalizations, and higher mortality. Spiritual well-being is an important, modifiable coping resource in patients with terminal cancer and is associated with less depression, but little is known about the role of spiritual well-being in patients with heart failure. OBJECTIVE: To identify the relationship between spiritual well-being and depression in patients with heart failure. DESIGN: Cross-sectional study. PARTICIPANTS: Sixty patients aged 60 years or older with New York Heart Association class II-IV heart failure. MEASUREMENTS: Spiritual well-being was measured using the total scale and 2 subscales (meaning/peace, faith) of the Functional Assessment of Chronic Illness Therapy-Spiritual Well-being scale, depression using the Geriatric Depression Scale-Short Form (GDS-SF). RESULTS: The median age of participants was 75 years. Nineteen participants (32%) had clinically significant depression (GDS-SF > 4). Greater spiritual well-being was strongly inversely correlated with depression (Spearman's correlation -0.55, 95% confidence interval -0.70 to -0.35). In particular, greater meaning/peace was strongly associated with less depression (r = -.60, P < .0001), while faith was only modestly associated (r = -.38, P < .01). In a regression analysis accounting for gender, income, and other risk factors for depression (social support, physical symptoms, and health status), greater spiritual well-being continued to be significantly associated with less depression (P = .05). Between the 2 spiritual well-being subscales, only meaning/peace contributed significantly to this effect (P = .02) and accounted for 7% of the variance in depression. CONCLUSIONS: Among outpatients with heart failure, greater spiritual well-being, particularly meaning/peace, was strongly associated with less depression. Enhancement of patients' sense of spiritual well-being might reduce or prevent depression and thus improve quality of life and other outcomes in this population.
    Publication Journal of General Internal Medicine
    Volume 22
    Issue 4
    Pages 470-477
    Date Apr 2007
    Journal Abbr J Gen Intern Med
    DOI 10.1007/s11606-006-0044-9
    ISSN 1525-1497
    URL http://www.ncbi.nlm.nih.gov/pubmed/17372795
    Accessed Friday, November 13, 2009 5:31:19 PM
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    Extra PMID: 17372795
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Tags:

    • Aged
    • Aged, 80 and over
    • Cross-Sectional Studies
    • Depressive Disorder
    • Female
    • Heart Failure
    • Humans
    • Male
    • Quality of Life
    • Sickness Impact Profile
    • spirituality

    Notes:

    • Objective: To identify the relationship between spiritual well-being and depression in patients with heart failure. Conclusions: Among outpatients with heart failure, greater spiritual well-being, particularly meaning/peace, was strongly associated with less depression.

  • God Image as a Function of Self-Esteem and Locus of Control

    Type Journal Article
    Author Peter Benson
    Author Bernard Spilka
    Abstract A cognitive consistency framework was adopted to predict that a believer's level of self-esteem and his location on the locus of control dimension influence his description and definition of God. On a sample of 128 Catholic subjects with approximately identical religious backgrounds, self-esteem was positively related to loving-accepting God-images and negatively to rejecting images. Locus of control was unrelated to controlling beliefs. Statistical and methodological controls were utilized to offer an interpretation that self-esteem may be a major determinant of God-images. It was proposed that these findings have important implications for understanding the dynamics of personal religion.
    Publication Journal for the Scientific Study of Religion
    Volume 12
    Issue 3
    Pages 297-310
    Date Sep., 1973
    ISSN 00218294
    URL http://www.jstor.org.ezproxy.bu.edu/stable/1384430
    Accessed Thursday, October 22, 2009 10:39:03 PM
    Library Catalog JSTOR
    Extra ArticleType: primary_article / Full publication date: Sep., 1973 / Copyright © 1973 Society for the Scientific Study of Religion
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Notes:

    • A cognitive consistency framework was adopted to predict that a believer’s level of self-esteem and his location on the locus of control dimension influence his description and definition of God. On a sample of 128 Catholic subjects with approximately identical religious backgrounds, self-esteem was positively related to loving-accepting God-images and negatively to rejecting images. Locus of control was unrelated to controlling beliefs.

  • Taking It to the Pews: a CBPR-guided HIV awareness and screening project with black churches

    Type Journal Article
    Author Jannette Berkley-Patton
    Author Carole Bowe-Thompson
    Author Andrea Bradley-Ewing
    Author Starlyn Hawes
    Author Erin Moore
    Author Eric Williams
    Author David Martinez
    Author Kathy Goggin
    Abstract Utilizing a community-based participatory research (CBPR) approach is a potentially effective strategy for exploring the development, implementation, and evaluation of HIV interventions in African American churches. This CBPR-guided study describes a church-based HIV awareness and screening intervention (Taking It to the Pews [TIPS]) that fully involved African American church leaders in all phases of the research project. Findings from the implementation and evaluation phases indicated that church leaders delivered TIPS Tool Kit activities on an ongoing basis (about twice a month) over a 9-month period. TIPS church members were highly exposed to TIPS activities (e.g., 91% reported receiving HIV educational brochures, 84% heard a sermon about HIV). Most (87%) believed that the church should talk about HIV, and 77% believed that the church should offer HIV screening. These findings suggest that implementing an HIV intervention in Black church settings is achievable, particularly when a CBPR approach is used.
    Publication AIDS Education and Prevention: Official Publication of the International Society for AIDS Education
    Volume 22
    Issue 3
    Pages 218-237
    Date Jun 2010
    Journal Abbr AIDS Educ Prev
    DOI 10.1521/aeap.2010.22.3.218
    ISSN 1943-2755
    Short Title Taking It to the Pews
    Accessed Wednesday, July 07, 2010 10:24:01 AM
    Library Catalog NCBI PubMed
    Extra PMID: 20528130
    Date Added Thursday, September 29, 2011 9:04:35 AM
    Modified Thursday, September 29, 2011 9:04:35 AM

    Tags:

    • Adult
    • African Americans
    • Community-Based Participatory Research
    • Female
    • Focus Groups
    • HIV Infections
    • Humans
    • Kansas
    • Male
    • Mass Screening
    • Missouri
    • Patient Education as Topic
    • religion

    Notes:

    • <div> <div>This community-based participatory research (CBPR) guided study describes a church-based HIV awareness and screening intervention that fully involved African American church leaders in all phases of the research project. Findings presented in the article suggest that implementing an HIV intervention in Black church settings is achievable, particularly when a CBPR approach is used.<br /><span><br /><a href="../../../../zotero.jar%21/content/zotero/tinymce/note.html"></a></span></div> </div>

  • Religiosity in a hemodialysis population and its relationship to satisfaction with medical care, satisfaction with life, and adherence

    Type Journal Article
    Author Elisheva Berman
    Author Jon F Merz
    Author Michael Rudnick
    Author Richard W Snyder
    Author Katherine K Rogers
    Author James Lee
    Author David Johnson
    Author Ari Mosenkis
    Author Ajay Israni
    Author Paul R Wolpe
    Author Joshua H Lipschutz
    Abstract BACKGROUND: The religious beliefs and spirituality of patients on hemodialysis (HD) therapy have not been studied extensively. Studies of the dialysis population seem to indicate that religion may be associated with increased patient satisfaction with life and increased levels of social support. METHODS: Using multiple religiosity scales and scales to assess patient satisfaction with life and social support, we studied the relationship between religiosity and medical and/or social factors and adherence to treatment in 74 HD patients. RESULTS: High scores on the Intrinsic Religiosity Scale were associated strongly with high scores on the Satisfaction With Life Scale, whereas age and high Organizational Religious Activity Scale scores were associated strongly with high scores on the Satisfaction With Medical Care Scale. Older age was associated strongly with increased adherence. No relationship existed between religiosity and adherence in our population. CONCLUSION: Religious beliefs are related strongly to measures of satisfaction with life, whereas religious behaviors are related to satisfaction with medical care. Age is the single most important demographic factor associated with adherence. Because of the complex nature of religiosity, additional investigation is in order.
    Publication American Journal of Kidney Diseases: The Official Journal of the National Kidney Foundation
    Volume 44
    Issue 3
    Pages 488-497
    Date Sep 2004
    Journal Abbr Am. J. Kidney Dis
    ISSN 1523-6838
    URL http://www.ncbi.nlm.nih.gov/pubmed/15332222
    Accessed Friday, November 13, 2009 1:00:23 PM
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    Extra PMID: 15332222
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Tags:

    • Adult
    • Aged
    • Aged, 80 and over
    • Attitude to Health
    • Female
    • Humans
    • Linear Models
    • Male
    • Middle Aged
    • Patient Compliance
    • Patient Satisfaction
    • Quality of Life
    • religion
    • Renal Dialysis

    Notes:

    • The religious beliefs and spirituality of patients on hemodialysis (HD) therapy have not been studied extensively. Studies of the dialysis population seem to indicate that religion may be associated with increased patient satisfaction with life and increased levels of social support. Using multiple religiosity scales and scales to assess patient satisfaction with life and social support, we studied the relationship between religiosity and medical and/or social factors and adherence to treatment in 74 HD patients.

  • Effect Of Rosary Prayer And Yoga Mantras On Autonomic Cardiovascular Rhythms: Comparative Study

    Type Journal Article
    Author Luciano Bernardi
    Author Peter Sleight
    Author Gabriele Bandinelli
    Author Simone Cencetti
    Author Lamberto Fattorini
    Author Johanna Wdowczyc-Szulc
    Author Alfonso Lagi
    Abstract Objective To test whether rhythmic formulas such as the rosary and yoga mantras can synchronise and reinforce inherent cardiovascular rhythms and modify baroreflex sensitivity. Design Comparison of effects of recitation of the Ave Maria (in Latin) or of a mantra, during spontaneous and metronome controlled breathing, on breathing rate and on spontaneous oscillations in RR interval, and on blood pressure and cerebral circulation. Setting Florence and Pavia, Italy. Participants 23 healthy adults. Main outcome measures Breathing rate, regularity of breathing, baroreflex sensitivity, frequency of cardiovascular oscillations. Results Both prayer and mantra caused striking, powerful, and synchronous increases in existing cardiovascular rhythms when recited six times a minute. Baroreflex sensitivity also increased significantly, from 9.5 (SD 4.6) to 11.5 (4.9) ms/mm Hg, P<0.05. Conclusion Rhythm formulas that involve breathing at six breaths per minute induce favourable psychological and possibly physiological effects.
    Publication BMJ: British Medical Journal
    Volume 323
    Issue 7327
    Pages 1446-1449
    Date Dec. 22 - 29, 2001
    ISSN 09598138
    Short Title Effect Of Rosary Prayer And Yoga Mantras On Autonomic Cardiovascular Rhythms
    URL http://www.jstor.org.ezproxy.bu.edu/stable/25468612
    Accessed Sunday, November 08, 2009 11:13:54 PM
    Library Catalog JSTOR
    Extra ArticleType: primary_article / Full publication date: Dec. 22 - 29, 2001 / Copyright © 2001 BMJ Publishing Group
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Notes:

    • This study investigated whether rhythmic formulas such as the rosary and yoga mantras can synchronise and reinforce inherent cardiovascular rhythms and modify baroreflex sensitivity. The authors conclude that rhythm formulas that involve breathing at six breaths per minute induce favourable psychological and possibly physiological effects.

  • Using Spirituality to Cope With Early-Stage Alzheimer's Disease

    Type Journal Article
    Author L. Beuscher
    Author V. T. Grando
    Abstract This study describes how individuals with early-stage Alzheimer’s disease (AD) use spirituality to cope with losses of self-esteem, independence, and social interaction. Faith, prayer, connection to church, and family support enhanced the ability of people with early-stage AD to keep a positive attitude.
    Publication Western Journal of Nursing Research
    Volume 31
    Issue 5
    Pages 583-598
    Date 03/2009
    Journal Abbr Western Journal of Nursing Research
    DOI 10.1177/0193945909332776
    ISSN 0193-9459
    URL http://wjn.sagepub.com/cgi/doi/10.1177/0193945909332776
    Date Added Thursday, September 29, 2011 9:05:38 AM
    Modified Thursday, September 29, 2011 9:05:38 AM
  • Religious support, motives for having large families, and psychological functioning among religious Jewish mothers

    Type Journal Article
    Author Jeffery P Bjorck
    Author Aryeh Lazar
    Abstract The effects of religious support, maternal motivations for having large families, and their interactions on psychological functioning were assessed in a sample of 79 religious Israeli Jewish mothers of six or more children. Religious support from religious leaders, community, and G-d--as well as faith-focused maternal motivation--were all positively related to adaptive psychological functioning. In contrast, self-focused maternal motivation was negatively related to adaptive functioning. Moreover, religious support and maternal motivation were both related to psychological functioning even after controlling for social support. Finally, several significant interactions between religious support and maternal motivation emerged and are also discussed.
    Publication Journal of Religion and Health
    Volume 50
    Issue 1
    Pages 177-194
    Date Mar 2011
    Journal Abbr J Relig Health
    DOI 10.1007/s10943-009-9294-2
    ISSN 1573-6571
    URL http://www.ncbi.nlm.nih.gov/pubmed/19862620
    Accessed Monday, April 04, 2011 7:48:36 PM
    Library Catalog NCBI PubMed
    Extra PMID: 19862620
    Date Added Thursday, September 29, 2011 8:56:10 AM
    Modified Thursday, September 29, 2011 8:56:10 AM

    Notes:

    • This study finds that religious support from religious leaders, religious communities and G-d, along with religiously oriented maternal motivation, positively correlate with adaptive psychological functioning.  This is in contrast to internal maternal motivation which is negatively correlated with adaptive psychological functioning.

  • Exercise intervention in brain injury: a pilot randomized study of Tai Chi Qigong

    Type Journal Article
    Author H Blake
    Author M Batson
    Abstract OBJECTIVE: To examine the effects of a brief Tai Chi Chuan Qigong ('Qigong') exercise intervention on individuals with traumatic brain injury. DESIGN: A single-centre randomized controlled trial pilot study. SETTING: A registered charity day centre in the community. SUBJECTS: Twenty individuals with traumatic brain injury. INTERVENTION: Intervention participants attended a Qigong exercise session for one hour per week over eight weeks. Control participants engaged in non-exercise-based social and leisure activities for the same intervention period. MEASURES: Outcome was assessed at baseline and post intervention using the General Health Questionnaire-12, the Physical Self-Description Questionnaire and the Social Support for Exercise Habits Scale, to measure perceived mood, self-esteem, flexibility, coordination, physical activity and social support. RESULTS: Groups were comparable at baseline. After the intervention, mood was improved in the exercise group when compared with controls (U = 22.0, P =0.02). Improvements in self-esteem (Z = 2.397, P =0.01) and mood (Z = -2.032, P =0.04) across the study period were also evident in the exercise group only. There were no significant differences in physical functioning between groups. In view of the sample size, these findings are inconclusive. CONCLUSIONS: This study provides preliminary evidence that a brief Qigong exercise intervention programme may improve mood and self-esteem for individuals with traumatic brain injury. This needs to be tested in a large-scale randomized trial.
    Publication Clinical Rehabilitation
    Volume 23
    Issue 7
    Pages 589-598
    Date Jul 2009
    Journal Abbr Clin Rehabil
    DOI 10.1177/0269215508101736
    ISSN 1477-0873
    Short Title Exercise intervention in brain injury
    URL http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/19237436
    Accessed Monday, November 02, 2009 1:01:12 PM
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    Extra PMID: 19237436
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Notes:

    • Objective: To examine the effects of a brief Tai Chi Chuan Qigong (‘Qigong’) exercise intervention on individuals with traumatic brain injury. Conclusions: This study provides preliminary evidence that a brief Qigong exercise intervention programme may improve mood and self-esteem for individuals with traumatic brain injury.

  • Spirituality, religion, and clinical outcomes in patients recovering from an acute myocardial infarction

    Type Journal Article
    Author James A Blumenthal
    Author Michael A Babyak
    Author Gail Ironson
    Author Carl Thoresen
    Author Lynda Powell
    Author Susan Czajkowski
    Author Matthew Burg
    Author Francis J Keefe
    Author Patrick Steffen
    Author Diane Catellier
    Abstract OBJECTIVE: To assess the prospective relationship between spiritual experiences and health in a sample of patients surviving an acute myocardial infarction (AMI) with depression or low social support. METHODS: A subset of 503 patients participating in the enhancing recovery in coronary heart disease (ENRICHD) trial completed a Daily Spiritual Experiences (DSE) questionnaire within 28 days from the time of their AMI. The questionnaire assessed three spirituality variables-worship service/church attendance, prayer/meditation, and total DSE score. Patients also completed the Beck Depression Inventory to assess depressive symptoms and the ENRICHD Social Support Inventory to determine perceived social support. The sample was subsequently followed prospectively every 6 months for an average of 18 months to assess all-cause mortality and recurrent AMI. RESULTS: Of the 503 participants who completed the DSE questionnaire at the time of index AMI, 61 (12%) participants either died or sustained a recurrent MI during the follow-up period. After adjustment for gender, education level, ethnicity, and a composite medical prognosis risk score derived specifically for the ENRICHD trial, we observed no relationship between death or nonfatal AMI and total spirituality as measured by the DSE (p = .446), worship service attendance (p = .120), or frequency of prayer/meditation (p = .679). CONCLUSION: We found little evidence that self-reported spirituality, frequency of church attendance, or frequency of prayer is associated with cardiac morbidity or all-cause mortality post AMI in patients with depression and/or low perceived support.
    Publication Psychosomatic Medicine
    Volume 69
    Issue 6
    Pages 501-508
    Date 2007 Jul-Aug
    Journal Abbr Psychosom Med
    DOI 10.1097/PSY.0b013e3180cab76c
    ISSN 1534-7796
    URL http://www.ncbi.nlm.nih.gov/pubmed/17636153
    Accessed Friday, November 13, 2009 5:49:44 PM
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    Extra PMID: 17636153
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Tags:

    • Depressive Disorder
    • Female
    • Humans
    • Male
    • Middle Aged
    • mortality
    • Myocardial Infarction
    • Randomized Controlled Trials as Topic
    • Recurrence
    • religion
    • Risk
    • social support
    • spirituality
    • Treatment Outcome
    • United States

    Notes:

    • Objective: To assess the prospective relationship between spiritual experiences and health in a sample of patients surviving an acute myocardial infarction (AMI) with depression or low social support. Conclusion: We found little evidence that self-reported spirituality, frequency of church attendance, or frequency of prayer is associated with cardiac morbidity or all-cause mortality post AMI in patients with depression and/or low perceived support.

  • Religiosity associated with prolonged survival in liver transplant recipients

    Type Journal Article
    Author Franco Bonaguidi
    Author Claudio Michelassi
    Author Franco Filipponi
    Author Daniele Rovai
    Abstract We tested the hypothesis that religiosity (ie, seeking God's help, having faith in God, trusting in God, and trying to perceive God's will in the disease) is associated with improved survival in patients with end-stage liver disease who have undergone orthotopic liver transplantation. We studied a group of 179 candidates for liver transplantation who responded to a questionnaire on religiosity during the pretransplant psychological evaluation and underwent transplantation between 2004 and 2007. The demographic data, educational level, employment status, clinical data, and results of the questionnaire were compared with the survival of patients during follow-up, regardless of the cause of any deaths. Factorial analysis of responses to the questionnaire revealed 3 main factors: searching for God (active), waiting for God (passive), and fatalism. The consistency of the matrix was very high (consistency index = 0.92). Eighteen patients died during follow-up (median time = 21 months). In multivariate analysis, only the searching for God factor [hazard ratio (HR) = 2.95, 95% confidence interval (CI) = 1.05-8.32, ?(2) = 4.205, P = 0.040] and the posttransplant length of stay in the intensive care unit (HR = 1.05, 95% CI = 1.01-1.08, ?(2) = 8.506, P = 0.035) were independently associated with survival, even after adjustments for the waiting for God factor, fatalism, age, sex, marital status, employment, educational level, viral etiology, Child-Pugh score, serum creatinine level, time from the questionnaire to transplantation, donor age, and intraoperative bleeding. Patients who did not present the searching for God factor were younger than those who did, but they had shorter survival times (P = 0.037) and a 3-fold increased relative risk of dying (HR = 3.01, 95% CI = 1.07-8.45). In conclusion, religiosity is associated with prolonged survival in patients undergoing liver transplantation.
    Publication Liver Transplantation: Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society
    Volume 16
    Issue 10
    Pages 1158-1163
    Date Oct 2010
    Journal Abbr Liver Transpl
    DOI 10.1002/lt.22122
    ISSN 1527-6473
    URL http://www.ncbi.nlm.nih.gov/pubmed/20818656
    Accessed Monday, November 15, 2010 3:07:21 PM
    Date Added Thursday, September 29, 2011 8:59:31 AM
    Modified Thursday, September 29, 2011 8:59:31 AM
  • Increases in positive reappraisal coping during a group-based mantram intervention mediate sustained reductions in anger in HIV-positive persons

    Type Journal Article
    Author Jill E Bormann
    Author Adam W Carrico
    Abstract BACKGROUND: There is evidence that various meditation practices reduce distress, but little is known about the mechanisms of frequently repeating a mantram-a spiritual word or phrase-on distress reduction. Mantram repetition is the portable practice of focusing attention frequently on a mantram throughout the day without a specific time, place, or posture. PURPOSE: We examined the hypothesis of whether increases in positive reappraisal coping or distancing coping mediated the sustained decreases in anger found following a group-based mantram intervention that was designed to train attention and promote awareness of internal experiences. METHOD: A secondary analysis was performed on data collected from a randomized controlled trial that compared a group-based mantram intervention (n = 46) to an attention-matched control (n = 47) in a community sample of human immunodeficiency virus-positive adults. Positive reappraisal and distancing coping were explored as potential mediators of anger reduction. RESULTS: Participants in the mantram intervention reported significant increases in positive reappraisal coping over the 5-week intervention period, whereas the control group reported decreases. Increases in positive reappraisal coping during the 5-week intervention period appear to mediate the effect of mantram on decreased anger at 22-week follow-up. CONCLUSIONS: Findings suggest that a group-based mantram intervention may reduce anger by enhancing positive reappraisal coping.
    Publication International Journal of Behavioral Medicine
    Volume 16
    Issue 1
    Pages 74-80
    Date March 2009
    Journal Abbr Int J Behav Med
    DOI 10.1007/s12529-008-9007-3
    ISSN 1532-7558
    URL http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/19127438
    Accessed Tuesday, September 15, 2009 12:41:09 AM
    Library Catalog NCBI PubMed
    Extra PMID: 19127438
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Tags:

    • Adaptation, Psychological
    • Adolescent
    • Adult
    • Anger
    • Female
    • Follow-Up Studies
    • HIV Seropositivity
    • Homosexuality, Female
    • Homosexuality, Male
    • Humans
    • Male
    • Meditation
    • Middle Aged
    • Personality Inventory
    • Psychotherapy, Group
    • Sick Role
    • spirituality
    • Treatment Outcome
    • Young Adult

    Notes:

    • We examined the hypothesis of whether increases in positive reappraisal coping or distancing coping mediated the sustained decreases in anger found following a group-based mantram intervention. Findings suggest that a group-based mantram intervention may reduce anger by enhancing positive reappraisal coping.

  • Effects of spiritual mantram repetition on HIV outcomes: a randomized controlled trial

    Type Journal Article
    Author Jill E Bormann
    Author Allen L Gifford
    Author Martha Shively
    Author Tom L Smith
    Author Laura Redwine
    Author Ann Kelly
    Author Sheryl Becker
    Author Madeline Gershwin
    Author Patricia Bone
    Author Wendy Belding
    Abstract We examined the efficacy of a psycho-spiritual intervention of mantram repetition--a word or phrase with spiritual associations repeated silently throughout the day--on psychological distress (intrusive thoughts, stress, anxiety, anger, depression), quality of life enjoyment and satisfaction, and existential spiritual well-being in HIV-infected adults. Using a 2-group by 4-time repeated measures design, 93 participants were randomly assigned to mantram (n = 46) or attention control group (n = 47). Over time, the mantram group improved significantly more than the control group in reducing trait-anger and increasing spiritual faith and spiritual connectedness. Actual mantram practice measured by wrist counters was inversely associated with non-HIV related intrusive thoughts and positively associated with quality of life, total existential spiritual well-being, meaning/peace, and spiritual faith. Intent-to-treat findings suggest that a mantram group intervention and actual mantram practice each make unique contributions for managing psychological distress and enhancing existential spiritual well-being in adults living with HIV/AIDS.
    Publication Journal of Behavioral Medicine
    Volume 29
    Issue 4
    Pages 359-376
    Date Aug 2006
    Journal Abbr J Behav Med
    DOI 10.1007/s10865-006-9063-6
    ISSN 0160-7715
    Short Title Effects of spiritual mantram repetition on HIV outcomes
    URL http://www.ncbi.nlm.nih.gov/pubmed/16847590
    Accessed Friday, November 13, 2009 4:41:49 PM
    Library Catalog NCBI PubMed
    Extra PMID: 16847590
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Tags:

    • Adaptation, Psychological
    • Adult
    • Anger
    • Antiretroviral Therapy, Highly Active
    • CD4 Lymphocyte Count
    • depression
    • Female
    • Follow-Up Studies
    • HIV Infections
    • HIV-1
    • Humans
    • Male
    • Meditation
    • Middle Aged
    • Outcome Assessment (Health Care)
    • Practice (Psychology)
    • Religion and Psychology
    • RNA, Viral
    • spirituality
    • Stress, Psychological
    • Viral Load

    Notes:

    • We examined the efficacy of a psycho-spiritual intervention of mantram repetition--a word or phrase with spiritual associations repeated silently throughout the day--on psychological distress (intrusive thoughts, stress, anxiety, anger, depression), quality of life enjoyment and satisfaction, and existential spiritual well-being in HIV-infected adults.

  • The relationship between addiction and religion and its possible implication for care

    Type Journal Article
    Author Laurence Borras
    Author Yasser Khazaal
    Author Riaz Khan
    Author Sylvia Mohr
    Author Yves-Alexandre Kaufmann
    Author Daniele Zullino
    Author Philippe Huguelet
    Abstract Spirituality is a topic of increasing interest to clinicians and researchers interested in addiction because its perceived role in the promotion of meaningfulness in the recovery from addiction. Our review of the literature evaluates different domains relative to the relation between addiction, religion, and psychiatric treatment. Spirituality as a protective or precipitating factor for substance use and as a key component of recovery will be debated. Illustrations of its potential and limitations as a component of treatment will be presented. Types of investigation and integration of this dimension in an eventual therapeutic process strictly respecting the needs and specificities of each one will be discussed.
    Publication Substance Use & Misuse
    Volume 45
    Issue 14
    Pages 2357-2410
    Date Dec 2010
    Journal Abbr Subst Use Misuse
    DOI 10.3109/10826081003747611
    ISSN 1532-2491
    URL http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/21039108
    Accessed Tuesday, January 18, 2011 7:06:17 PM
    Library Catalog NCBI PubMed
    Extra PMID: 21039108
    Date Added Thursday, September 29, 2011 8:58:27 AM
    Modified Thursday, September 29, 2011 8:58:27 AM
  • The contribution of spirituality and spiritual coping to anxiety and depression in women with a recent diagnosis of gynecological cancer

    Type Journal Article
    Author N Boscaglia
    Author D M Clarke
    Author T W Jobling
    Author M A Quinn
    Abstract The objective of this study was to determine whether, after accounting for illness and demographic variables, spiritual involvement and beliefs and positive and negative spiritual coping could account for any of the variation in anxiety and depression among women within 1 year's diagnosis of gynecological cancer (GC). One hundred patients from outpatient GC clinics at two Melbourne-based hospitals completed a brief structured interview and self-report measures of anxiety, depression, spirituality, and spiritual coping. Using two sequential regression analyses, we found that younger women with more advanced disease, who used more negative spiritual coping, had a greater tendency towards depression and that the use of negative spiritual coping was associated with greater anxiety scores. Although not statistically significant, patients with lower levels of generalized spirituality also tended to be more depressed. The site of disease and phase of treatment were not predictive of either anxiety or depression. We conclude that spirituality and spiritual coping are important to women with GC and that health professionals in the area should consider these issues.
    Publication International Journal of Gynecological Cancer: Official Journal of the International Gynecological Cancer Society
    Volume 15
    Issue 5
    Pages 755-761
    Date 2005 Sep-Oct
    Journal Abbr Int. J. Gynecol. Cancer
    DOI 10.1111/j.1525-1438.2005.00248.x
    ISSN 1048-891X
    URL http://www.ncbi.nlm.nih.gov/pubmed/16174220
    Accessed Friday, November 13, 2009 3:26:18 PM
    Library Catalog NCBI PubMed
    Extra PMID: 16174220
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Tags:

    • Adaptation, Psychological
    • Adult
    • Aged
    • Anxiety
    • depression
    • Female
    • Genital Neoplasms, Female
    • Humans
    • Middle Aged
    • spirituality

    Notes:

    • The objective of this study was to determine whether, after accounting for illness and demographic variables, spiritual involvement and beliefs and positive and negative spiritual coping could account for any of the variation in anxiety and depression among women within 1 year’s diagnosis of gynecological cancer (GC).

  • Yoga for persistent fatigue in breast cancer survivors: results of a pilot study

    Type Journal Article
    Author Julienne E Bower
    Author Deborah Garet
    Author Beth Sternlieb
    Abstract Approximately one-third of breast cancer survivors experiences persistent fatigue for months or years after successful treatment completion. There is a lack of evidence-based treatments for cancer-related fatigue, particularly among cancer survivors. This single-arm pilot study evaluated the feasibility and preliminary efficacy of a yoga intervention for fatigued breast cancer survivors based on the Iyengar tradition. Iyengar yoga prescribes specific poses for individuals with specific medical problems and conditions; this trial emphasized postures believed to be effective for reducing fatigue among breast cancer survivors, including inversions and backbends performed with the support of props. Twelve women were enrolled in the trial, and 11 completed the full 12-week course of treatment. There was a significant improvement in fatigue scores from pre- to post-intervention that was maintained at the 3-month post-intervention followup. Significant improvements were also observed in measures of physical function, depressed mood, and quality of life. These results support the acceptability of this intervention and suggest that it may have beneficial effects on persistent post-treatment fatigue. However, results require replication in a larger randomized controlled trial.
    Publication Evidence-Based Complementary and Alternative Medicine: eCAM
    Volume 2011
    Pages 623168
    Date 2011
    Journal Abbr Evid Based Complement Alternat Med
    DOI 10.1155/2011/623168
    ISSN 1741-4288
    Short Title Yoga for persistent fatigue in breast cancer survivors
    Accessed Sunday, February 13, 2011 10:14:00 AM
    Library Catalog NCBI PubMed
    Extra PMID: 21274288
    Date Added Thursday, September 29, 2011 8:57:35 AM
    Modified Thursday, September 29, 2011 8:57:35 AM

    Tags:

    • breast cancer
    • Fatigue
    • Iyengar
    • yoga

    Notes:

    • Approximately one-third of breast cancer survivors experiences persistent fatigue for months or years after successful treatment completion.  There is a lack of evidence-based treatments for cancer-related fatigue, particularly among cancer survivors.  This single-arm pilot study evaluated the feasibility and preliminary efficacy of a yoga intervention for fatigued breast cancer survivors based on the Iyengar tradition.  Iyengar yoga prescribes specific poses for individuals with specific medical problems and conditions; this trial emphasized postures believed to be effective for reducing fatigue among breast cancer survivors, including inversions and backbends performed with the support of props. Twelve women were enrolled in the trial, and 11 completed the full 12-week course of treatment.  There was a significant improvement in fatigue scores from pre- to post-intervention that was maintained at the 3-month post-intervention followup.  Significant improvements were also observed in measures of physical function, depressed mood, and quality of life.  These results support the acceptability of this intervention and suggest that it may have beneficial effects on persistent post-treatment fatigue.  However, results require replication in a larger randomized controlled trial.

  • Spirituality and care of prostate cancer patients: a pilot study

    Type Journal Article
    Author Janice Bowie
    Author Kim Dobson Sydnor
    Author Michal Granot
    Abstract PURPOSE: To explore the integration of spirituality into medical care for African-American men coping with prostate cancer. PROCEDURES: A total of 14 African-American prostate cancer patients completed a self-administered quantitative survey examining the dimension of spirituality as a resource for coping. FINDINGS: A high proportion of survivors reported a general religious orientation as expressed through church affiliation and frequent church attendance. A majority (67%) had spoken with their doctors about their spiritual and religious beliefs and more than half the physicians had solicited their patients' spiritual beliefs as part of their handling of prostate cancer. While one-third of the men reported their doctors had been in contact with their clergy, two-thirds would like their doctor and clergy to be in contact with one another. CONCLUSIONS: This is a pilot study that incorporated both qualitative and quantitative data collection but with the small sample, has limited generalizability. However, this work does suggest that integrating spirituality and religion into medical care may be beneficial to prostate cancer patients. Physicians and physician organizations should engage in future research in this area.
    Publication Journal of the National Medical Association
    Volume 95
    Issue 10
    Pages 951-954
    Date Oct 2003
    Journal Abbr J Natl Med Assoc
    ISSN 0027-9684
    Short Title Spirituality and care of prostate cancer patients
    URL http://www.ncbi.nlm.nih.gov/pubmed/14620707
    Accessed Thursday, November 12, 2009 11:31:57 PM
    Library Catalog NCBI PubMed
    Extra PMID: 14620707
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Tags:

    • Adaptation, Psychological
    • Aged
    • Humans
    • Male
    • Middle Aged
    • Physician-Patient Relations
    • Pilot Projects
    • Prostatic Neoplasms
    • spirituality

    Notes:

    • Purpose: To explore the integration of spirituality into medical care for African-American men coping with prostate cancer. Findings: A high proportion of survivors reported a general religious orientation as expressed through church affiliation and frequent church attendance. While one-third of the men reported their doctors had been in contact with their clergy, two-thirds would like their doctor and clergy to be in contact with one another.

  • The Cancer and Deity Questionnaire: A New Religion and Cancer Measure

    Type Journal Article
    Author Elizabeth S. Bowman
    Author James A. Beitman
    Author Oxana Palesh
    Author John E. Pérez
    Author Cheryl Koopman
    Abstract We evaluated a new measure, the Cancer and Deity Questionnaire (CDQ), which assesses perceived relations with God after a cancer diagnosis. Based on object relations theory, the 12-item CDQ assesses benevolent and abandoning God representations. Sixty-one older participants with recent cancer diagnoses completed the questionnaire at baseline, and 52 of these participants completed the same questionnaire at follow-up. Internal consistency was excellent for the Benevolence scale (agr = .97) and good for the Abandonment scale (agr = .80). Moderate correlations with the Spiritual Well-Being Scale support divergent validity. Correlations between CDQ scales and the Styles of Religious Coping scales support convergent validity. The CDQ is brief, easily scored, practical for psycho-oncology research, and adaptable for use with other illnesses.
    Publication Journal of Psychosocial Oncology
    Volume 27
    Issue 4
    Pages 435-453
    Date October 2009
    DOI 10.1080/07347330903181913
    ISSN 0734-7332
    Short Title The Cancer and Deity Questionnaire
    URL http://www.informaworld.com.ezproxy.bu.edu/10.1080/07347330903181913
    Accessed Monday, November 02, 2009 8:23:22 PM
    Library Catalog Informaworld
    Date Added Thursday, September 29, 2011 9:05:21 AM
    Modified Thursday, September 29, 2011 9:05:21 AM

    Notes:

    • We evaluated a new measure, the Cancer and Deity Questionnaire (CDQ), which assesses perceived relations with God after a cancer diagnosis. Based on object relations theory, the 12-item CDQ assesses benevolent and abandoning God representations. Sixty-one older participants with recent cancer diagnoses completed the questionnaire at baseline, and 52 of these participants completed the same questionnaire at follow-up. Internal consistency was excellent for the Benevolence scale (α = .97) and good for the Abandonment scale (α = .80). Moderate correlations with the Spiritual Well-Being Scale support divergent validity. Correlations between CDQ scales and the Styles of Religious Coping scales support convergent validity. The CDQ is brief, easily scored, practical for psycho-oncology research, and adaptable for use with other illnesses.

  • Religiosity and HIV risk behaviors in African-American students

    Type Journal Article
    Author Kimberly Boyd-Starke
    Author Oliver W Hill
    Author John Fife
    Author Marcina Whittington
    Abstract The participants were 256 African-American students between the ages of 18 and 25, from two historically Black universities. The purpose of this study was to see how dimensions of religiosity and spirituality influenced the HIV risk behavior in African-American college students. Each participant completed the Expressions of Spirituality Inventory (ESI) and a survey of sexual attitudes, beliefs, and behaviors. The data were analyzed using a series of ANOVAs, t tests, and correlations. The results from the study confirmed that there was a relationship between religiosity/spirituality and one's tendency to engage in HIV risk behaviors in the population of African-American college students. Interestingly, this study was able to reveal that traditional indicators of religiosity, such as association and church attendance, were not predictors of any of the risky sexual behaviors or attitudes. The portions of religiosity with the greatest impact on these behaviors were the Experiential/Phenomenological, the Existential Well-being, and the Cognitive dimensions, with high scores on each indicative of less likelihood of engaging in risky sexual behaviors.
    Publication Psychological Reports
    Volume 108
    Issue 2
    Pages 528-536
    Date Apr 2011
    Journal Abbr Psychol Rep
    ISSN 0033-2941
    URL http://www.ncbi.nlm.nih.gov/pubmed/21675567
    Accessed Wednesday, July 13, 2011 6:11:45 PM
    Library Catalog NCBI PubMed
    Extra PMID: 21675567
    Date Added Thursday, September 29, 2011 8:54:25 AM
    Modified Thursday, September 29, 2011 8:54:25 AM

    Tags:

    • Adolescent
    • Adult
    • African Americans
    • Female
    • Health Knowledge, Attitudes, Practice
    • Health Surveys
    • HIV Infections
    • Humans
    • Male
    • Personality Inventory
    • Psychometrics
    • Religion and Medicine
    • spirituality
    • Statistics as Topic
    • Students
    • Substance-Related Disorders
    • Unsafe Sex
    • Young Adult

    Notes:

    •  The purpose of this study was to see how dimensions of religiosity and spirituality influenced the HIV risk behavior in African-American college students. 256 African-American students between the ages of 18 and 25 were participants. The results from the study confirmed that there was a relationship between religiosity/spirituality and one's tendency to engage in HIV risk behaviors in the population of African-American college students. The portions of religiosity with the greatest impact on these behaviors were the Experiential/Phenomenological, the Existential Well-being, and the Cognitive dimensions.

  • Mindfulness training in stuttering therapy: A tutorial for speech-language pathologists

    Type Journal Article
    Author Michael P. Boyle
    Abstract <p><br/>The use of mindfulness training for increasing psychological well-being in a variety of clinical and nonclinical populations has exploded over the last decade. In the area of stuttering, it has been widely recognized that effective long-term management often necessitates treatment of cognitive and affective dimensions of the disorder in addition to behavioral components. Yet, mindfulness based strategies and their possible usefulness in stuttering management have not been described in detail in the literature. This article seeks to engage professionals who treat stuttering in a conversation about the possible usefulness of incorporating mindfulness training into stuttering management. A review of the literature reveals that there is a substantial overlap between what is required for effective stuttering management and the benefits provided by mindfulness practices. Mindfulness practice results in decreased avoidance, increased emotional regulation, and acceptance in addition to improved sensory-perceptual processing and attentional regulation skills. These skills are important for successful long-term stuttering management on both psychosocial and sensory-motor levels. It is concluded that the integration of mindfulness training and stuttering treatment appears practical and worthy of exploration. Mindfulness strategies adapted for people who stutter may help in the management of cognitive, affective, and behavioral challenges associated with stuttering.<br/>Educational objectives: Readers should be able to: (1) describe what mindfulness is and how it is cultivated; (2) identify the benefits that can be produced from mindfulness practice; (3) summarize how the benefits of mindfulness practice parallel what is often required for effective long-term stuttering management; and (4) identify specific mindfulness techniques that can be taught in stuttering therapy and explain their rationale.</p>
    Publication Journal of Fluency Disorders
    Volume 36
    Issue 2
    Pages 122-129
    Date June 2011
    DOI 16/j.jfludis.2011.04.005
    ISSN 0094-730X
    Short Title Mindfulness training in stuttering therapy
    URL http://www.sciencedirect.com/science/article/pii/S0094730X11000386
    Accessed Wednesday, July 13, 2011 7:02:08 PM
    Library Catalog ScienceDirect
    Date Added Thursday, September 29, 2011 8:54:25 AM
    Modified Thursday, September 29, 2011 8:54:25 AM

    Tags:

    • Acceptance
    • Mindfulness
    • Stuttering
    • treatment
  • A broader framework for exploring the influence of spiritual experience in the wake of stressful life events: examining connections between posttraumatic growth and psycho-spiritual transformation.

    Type Journal Article
    Author Peter Bray
    Abstract The literature suggests that spiritual domains of experience may be influential to an individual's growth in the aftermath of stressful life events. This paper explores the role that spiritual experience might play in the process of posttraumatic growth by examining two quite different approaches to transformational growth: Lawrence Calhoun and Richard Tedeschi's posttraumatic growth model; and Stanislav and Christina Grof's framework of psycho-spiritual transformation. Both approaches are briefly outlined, compared and discussed. Some observations are made about their shared understanding of the human potential for growth and the significance of spiritual experience in the struggle to master distressing life events. A further hypothetical model is presented that marries the two approaches and offers the opportunity for individuals in the posttraumatic process and helping professionals to examine their experiences in a broader context. [ABSTRACT FROM AUTHOR]
    Publication Mental Health, Religion & Culture
    Volume 13
    Issue 3
    Pages 293-308
    Date April 2010
    DOI 10.1080/13674670903367199
    ISSN 13674676
    Short Title A broader framework for exploring the influence of spiritual experience in the wake of stressful life events
    Accessed Friday, May 07, 2010 3:27:30 PM
    Library Catalog EBSCOhost
    Date Added Thursday, September 29, 2011 9:04:35 AM
    Modified Thursday, September 29, 2011 9:04:35 AM

    Tags:

    • MIDLIFE crisis
    • Post-traumatic stress disorder
    • Psychotherapy
    • STRESS (Psychology)
    • TRAUMATIC neuroses

    Notes:

  • Spirituality and meaning in supportive care: spirituality- and meaning-centered group psychotherapy interventions in advanced cancer

    Type Journal Article
    Author William Breitbart
    Abstract Existential and spiritual issues are at the frontier of new clinical and research focus in palliative and supportive care of cancer patients. As concepts of adequate supportive care expand beyond a focus on pain and physical symptom control, existential and spiritual issues such as meaning, hope and spirituality in general have received increased attention from supportive care clinicians and clinical researchers. This paper reviews the topics of spirituality and end-of-life care, defines spirituality, and suggests measures of spirituality that deal with two of its main components: faith/religious beliefs and meaning/spiritual well-being. These two constructs of spirituality are reviewed in terms of their role in supportive care. Finally, a review of existing psychotherapeutic interventions for spiritual suffering are reviewed and a novel meaning-centered group psychotherapy for advanced cancer patients is described.
    Publication Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer
    Volume 10
    Issue 4
    Pages 272-280
    Date May 2002
    Journal Abbr Support Care Cancer
    DOI 10.1007/s005200100289
    ISSN 0941-4355
    Short Title Spirituality and meaning in supportive care
    URL http://www.ncbi.nlm.nih.gov/pubmed/12029426
    Accessed Thursday, November 12, 2009 9:37:37 PM
    Library Catalog NCBI PubMed
    Extra PMID: 12029426
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Tags:

    • Attitude to Health
    • Humans
    • Neoplasms
    • Palliative Care
    • Psychotherapy
    • Psychotherapy, Group
    • Quality of Life
    • Religion and Medicine
    • Self Concept
    • Terminal Care

    Notes:

    • This paper reviews the topics of spirituality and end-of-life care, defines spirituality, and suggests measures of spirituality that deal with two of its main components: faith/religious beliefs and meaning/spiritual well-being.

  • Meaning-centered group psychotherapy for patients with advanced cancer: a pilot randomized controlled trial

    Type Journal Article
    Author William Breitbart
    Author Barry Rosenfeld
    Author Christopher Gibson
    Author Hayley Pessin
    Author Shannon Poppito
    Author Christian Nelson
    Author Alexis Tomarken
    Author Anne Kosinski Timm
    Author Amy Berg
    Author Colleen Jacobson
    Author Brooke Sorger
    Author Jennifer Abbey
    Author Megan Olden
    Abstract OBJECTIVES: An increasingly important concern for clinicians who care for patients at the end of life is their spiritual well-being and sense of meaning and purpose in life. In response to the need for short-term interventions to address spiritual well-being, we developed Meaning Centered Group Psychotherapy (MCGP) to help patients with advanced cancer sustain or enhance a sense of meaning, peace and purpose in their lives, even as they approach the end of life. METHODS: Patients with advanced (stage III or IV) solid tumor cancers (N=90) were randomly assigned to either MCGP or a supportive group psychotherapy (SGP). Patients were assessed before and after completing the 8-week intervention, and again 2 months after completion. Outcome assessment included measures of spiritual well-being, meaning, hopelessness, desire for death, optimism/pessimism, anxiety, depression and overall quality of life. RESULTS: MCGP resulted in significantly greater improvements in spiritual well-being and a sense of meaning. Treatment gains were even more substantial (based on effect size estimates) at the second follow-up assessment. Improvements in anxiety and desire for death were also significant (and increased over time). There was no significant improvement on any of these variables for patients participating in SGP. CONCLUSIONS: MCGP appears to be a potentially beneficial intervention for patients' emotional and spiritual suffering at the end of life. Further research, with larger samples, is clearly needed to better understand the potential benefits of this novel intervention.
    Publication Psycho-Oncology
    Volume 19
    Issue 1
    Pages 21-28
    Date Jan 2010
    Journal Abbr Psychooncology
    DOI 10.1002/pon.1556
    ISSN 1099-1611
    Short Title Meaning-centered group psychotherapy for patients with advanced cancer
    Accessed Sunday, January 24, 2010 5:22:37 PM
    Library Catalog NCBI PubMed
    Extra PMID: 19274623
    Date Added Thursday, September 29, 2011 9:04:02 AM
    Modified Thursday, September 29, 2011 9:04:02 AM

    Notes:

    • An increasingly important concern for clinicians who care for patients at the end of life is their spiritual well-being and sense of meaning and purpose in life. In response to the need for short-term interventions to address spiritual well-being, the authors developed Meaning Centered Group Psychotherapy (MCGP) to help patients with advanced cancer sustain or enhance a sense of meaning, peace and purpose in their lives, even as they approach the end of life.

  • The effect of Johrei healing on substance abuse recovery: a pilot study

    Type Journal Article
    Author Audrey J Brooks
    Author Gary E Schwartz
    Author Katie Reece
    Author Gerry Nangle
    Abstract OBJECTIVE: The purpose of the present study was to determine the effectiveness of Johrei healing, a form of energy healing, on substance use and psychologic symptoms in a sample of clients receiving substance abuse treatment. METHODS: Twenty-one (21) persons in residential substance-abuse treatment participated in a randomized, wait-list control pilot study of Johrei healing. Twelve (12) of the participants received three 20-minute Johrei sessions for 5 weeks in addition to their regular treatment. RESULTS: The results are from the first treatment wave. Individual healing sessions were evaluated pre-post with the Johrei Experience Scale. Participants showed significant decreases in stress/depression and physical pain and increases in positive emotional/spiritual state, energy, and overall well-being after an individual Johrei healing session. The Global Assessment of Individual Need (GAIN), Profile of Mood States (POMS), General Alcoholics Anonymous Tools of Recovery, and 12-Step Participation scales were administered before and after the 5-week intervention to assess change in substance use, psychologic distress, mood, and 12-Step participation. Improvements in depression and trauma symptoms, externalizing behaviors (GAIN), and vigor (POMS) were found for the treatment group. Despite comparable 12-Step attendance the treatment group showed greater improvement than the wait-list control group in the use of 12-Step recovery tools. No difference in substance use was found between the two groups. CONCLUSIONS: Variables related to substance use and relapse showed improvement in the treatment group suggesting that Johrei healing shows promise and should be studied with a larger sample, over a longer treatment period, with sham controls.
    Publication Journal of Alternative and Complementary Medicine (New York, N.Y.)
    Volume 12
    Issue 7
    Pages 625-631
    Date Sep 2006
    Journal Abbr J Altern Complement Med
    DOI 10.1089/acm.2006.12.625
    ISSN 1075-5535
    Short Title The effect of Johrei healing on substance abuse recovery
    URL http://www.ncbi.nlm.nih.gov/pubmed/16970532
    Accessed Friday, November 13, 2009 4:52:23 PM
    Library Catalog NCBI PubMed
    Extra PMID: 16970532
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Tags:

    • Adult
    • Anxiety
    • Community Mental Health Services
    • depression
    • Double-Blind Method
    • Female
    • Humans
    • Male
    • Mental Healing
    • Middle Aged
    • Mind-Body Relations (Metaphysics)
    • Pilot Projects
    • Quality of Life
    • Questionnaires
    • spirituality
    • Stress, Psychological
    • Substance-Related Disorders
    • Treatment Outcome

    Notes:

    • The purpose of the present study was to determine the effectiveness of Johrei healing, a form of energy healing, on substance use and psychologic symptoms in a sample of clients receiving substance abuse treatment. Conclusions: Variables related to substance use and relapse showed improvement in the treatment group suggesting that Johrei healing shows promise and should be studied with a larger sample, over a longer treatment period, with sham controls.

  • An examination of the relationship between multiple dimensions of religiosity, blood pressure, and hypertension

    Type Journal Article
    Author Anna C Buck
    Author David R Williams
    Author Marc A Musick
    Author Michelle J Sternthal
    Abstract Researchers have established the role of heredity and lifestyle in the occurrence of hypertension, but the potential role of psychosocial factors, especially religiosity, is less understood. This paper analyzes the relationship between multiple dimensions of religiosity and systolic blood pressure, diastolic blood pressure, and hypertension using data taken from the Chicago Community Adult Health Study, a probability sample of adults (N=3105) aged 18 and over living in the city of Chicago, USA. Of the primary religiosity variables examined here, attendance and public participation were not significantly related to the outcomes. Prayer was associated with an increased likelihood of hypertension, and spirituality was associated with increased diastolic blood pressure. The addition of several other religiosity variables to the models did not appear to affect these findings. However, variables for meaning and forgiveness were associated with lower diastolic blood pressure and a decreased likelihood of hypertension outcomes. These findings emphasize the importance of analyzing religiosity as a multidimensional phenomenon. This study should be regarded as a first step toward systematically analyzing a complex relationship.
    Publication Social Science & Medicine (1982)
    Volume 68
    Issue 2
    Pages 314-322
    Date Jan 2009
    Journal Abbr Soc Sci Med
    DOI 10.1016/j.socscimed.2008.10.010
    ISSN 0277-9536
    URL http://www.ncbi.nlm.nih.gov/pubmed/19019516
    Accessed Monday, March 28, 2011 6:23:36 PM
    Library Catalog NCBI PubMed
    Extra PMID: 19019516
    Date Added Thursday, September 29, 2011 9:06:18 AM
    Modified Thursday, September 29, 2011 9:06:18 AM

    Tags:

    • Adolescent
    • Adult
    • Aged
    • Aged, 80 and over
    • Blood Pressure
    • Chicago
    • Female
    • Humans
    • Hypertension
    • Logistic Models
    • Male
    • Middle Aged
    • Religion and Medicine
    • social support
    • Socioeconomic Factors
    • spirituality
    • Stress, Psychological
    • Young Adult

    Notes:

    • Researchers have established the role of heredity and lifestyle in the occurrence of hypertension, but the potential role of psychosocial factors, especially religiosity, is less understood. This paper analyzes the relationship between multiple dimensions of religiosity and systolic blood pressure, diastolic blood pressure, and hypertension using data taken from the Chicago Community Adult Health Study, a probability sample of adults (N=3105) aged 18 and over living in the city of Chicago, USA. Of the primary religiosity variables examined here, attendance and public participation were not significantly related to the outcomes. Prayer was associated with an increased likelihood of hypertension, and spirituality was associated with increased diastolic blood pressure. The addition of several other religiosity variables to the models did not appear to affect these findings. However, variables for meaning and forgiveness were associated with lower diastolic blood pressure and a decreased likelihood of hypertension outcomes. These findings emphasize the importance of analyzing religiosity as a multidimensional phenomenon. This study should be regarded as a first step toward systematically analyzing a complex relationship.

  • An examination of the relationship between multiple dimensions of religiosity, blood pressure, and hypertension

    Type Journal Article
    Author Anna C Buck
    Author David R Williams
    Author Marc A Musick
    Author Michelle J Sternthal
    Abstract Researchers have established the role of heredity and lifestyle in the occurrence of hypertension, but the potential role of psychosocial factors, especially religiosity, is less understood. This paper analyzes the relationship between multiple dimensions of religiosity and systolic blood pressure, diastolic blood pressure, and hypertension using data taken from the Chicago Community Adult Health Study, a probability sample of adults (N=3105) aged 18 and over living in the city of Chicago, USA. Of the primary religiosity variables examined here, attendance and public participation were not significantly related to the outcomes. Prayer was associated with an increased likelihood of hypertension, and spirituality was associated with increased diastolic blood pressure. The addition of several other religiosity variables to the models did not appear to affect these findings. However, variables for meaning and forgiveness were associated with lower diastolic blood pressure and a decreased likelihood of hypertension outcomes. These findings emphasize the importance of analyzing religiosity as a multidimensional phenomenon. This study should be regarded as a first step toward systematically analyzing a complex relationship.
    Publication Social Science & Medicine (1982)
    Volume 68
    Issue 2
    Pages 314-322
    Date Jan 2009
    Journal Abbr Soc Sci Med
    DOI 10.1016/j.socscimed.2008.10.010
    ISSN 0277-9536
    URL http://www.ncbi.nlm.nih.gov/pubmed/19019516
    Accessed Friday, November 13, 2009 7:36:13 PM
    Library Catalog NCBI PubMed
    Extra PMID: 19019516
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Tags:

    • Adolescent
    • Adult
    • Aged
    • Aged, 80 and over
    • Blood Pressure
    • Chicago
    • Female
    • Humans
    • Hypertension
    • Logistic Models
    • Male
    • Middle Aged
    • Religion and Medicine
    • social support
    • Socioeconomic Factors
    • spirituality
    • Stress, Psychological
    • Young Adult

    Notes:

    • This paper analyzes the relationship between multiple dimensions of religiosity and systolic blood pressure, diastolic blood pressure, and hypertension. Of the primary religiosity variables examined here, attendance and public participation were not significantly related to the outcomes. Prayer was associated with an increased likelihood of hypertension, and spirituality was associated with increased diastolic blood pressure.

  • Alcohol intake and its correlates in a transitional predominantly Muslim population in southeastern Europe

    Type Journal Article
    Author Genc Burazeri
    Author Jeremy D. Kark
    Abstract OBJECTIVE: Our aim was to assess alcohol consumption and its correlates in Albania, a predominantly Muslim though largely secular Southeast European republic in transition from rigidly structured socialism to a market-oriented system. METHODS: A population-based sample of Tirana residents aged 35-74 years was interviewed and examined in 2003-2006 (450 men and 235 women with data on alcohol intake, 65.5% response). Multivariable-adjusted logistic regression was used to assess the association of drinking frequency, quantity and type of drink with socioeconomic, psychosocial and coronary risk characteristics. RESULTS: 30.6% (95%CI=26.3%-34.9%) of men, age-standardized to the 2005 census, and 5.6% (95%CI=2.6%-8.6%) of women reported almost daily intake of alcohol, whereas 17.0% (95%CI=13.4%-20.5%) of men and 46.6% (95%CI=40.2%-53.1%) of women abstained. In men, frequent drinking was positively associated with age and not receiving financial support from close family emigrants, and was strongly inversely related to religious observance in both Muslims and Christians. In women it was associated with smoking and upward social mobility. Alcohol intake was not associated with religious affiliation in either sex. In men, intake of spirits (predominantly raki) and beer were associated with lower socioeconomic indices, smoking and obesity (beer only), whereas wine intake was associated with financial security, being secular, and not smoking. Among men, 11.3% (95%CI=8.3%-14.3%) reported high intakes (> or =210 g of pure alcohol/week) and 6.0% (95%CI=3.8%-8.3%) very high intakes (> or = 420 g/week). High intakes were associated with frequent, rather than episodic, drinking. CONCLUSIONS: Our study may be the first to provide information on alcohol intake and its characteristics in an Albanian population sample, one of the few predominantly Muslim countries in Europe. Alcohol consumption in women was extremely low. However, consistent very heavy intake of alcohol appears to be more frequent among Albanian men than in many former communist countries in Europe, and is cause for concern.
    Publication Addictive Behaviors
    Volume 35
    Issue 7
    Pages 706-713
    Date Jul 2010
    Journal Abbr Addict Behav
    DOI 10.1016/j.addbeh.2010.03.015
    ISSN 1873-6327
    Accessed Tuesday, July 27, 2010 12:13:51 PM
    Library Catalog NCBI PubMed
    Extra PMID: 20381259
    Date Added Thursday, September 29, 2011 9:03:23 AM
    Modified Thursday, September 29, 2011 9:03:23 AM
  • Are spirituality and religiosity resources for patients with chronic pain conditions?

    Type Journal Article
    Author Arndt Büssing
    Author Andreas Michalsen
    Author Hans-Joachim Balzat
    Author Ralf-Achim Grünther
    Author Thomas Ostermann
    Author Edmund A M Neugebauer
    Author Peter F Matthiessen
    Abstract OBJECTIVE: We studied whether or not spirituality/religiosity is a relevant resource for patients with chronic pain conditions, and to analyze interrelations between spirituality/religiosity (SpREUK Questionnaire; SpREUK is an acronym of the German translation of "Spiritual and Religious Attitudes in Dealing with Illness"), adaptive coping styles that refer to the concept of locus of disease control (AKU Questionnaire; AKU is an acronym of the German translation of "Adaptive Coping with Disease"), life satisfaction, and appraisal dimensions. PATIENTS: In a multicenter cross-sectional study, 580 patients with chronic pain conditions were enrolled. RESULTS: We found that the patients relied on both external powerful sources of disease control and on internal powers and virtues, while Trust in Higher Source (intrinsic religiosity) or Illness as Chance (reappraisal) were valued moderately; Search for Meaningful Support/Access (spiritual quest orientation) was of minor relevance. Stepwise regression analyses revealed that the internal sources of disease control, such as Conscious and Healthy Way of Living and Positive Attitudes, were (apart from the religious denomination) the strongest predictors of patients' reliance on spirituality/religiosity. Both behavioral styles were rated significantly lower in patients who regarded themselves as neither religious nor spiritual. Positive disease interpretations such as Challenge and Value were clearly associated with a spiritual quest orientation and intrinsic religiosity. CONCLUSION: The associations between spirituality/religiosity, positive appraisals. and internal adaptive coping strategies indicate that the utilization of spirituality/religiosity goes far beyond fatalistic acceptance, but can be regarded as an active coping process. The findings support the need for further research concerning the contributions of spiritual coping in adjustment to chronic pain.
    Publication Pain Medicine (Malden, Mass.)
    Volume 10
    Issue 2
    Pages 327-339
    Date Mar 2009
    Journal Abbr Pain Med
    DOI 10.1111/j.1526-4637.2009.00572.x
    ISSN 1526-4637
    Accessed Tuesday, February 22, 2011 7:38:03 PM
    Library Catalog NCBI PubMed
    Extra PMID: 19284487
    Date Added Thursday, September 29, 2011 9:06:18 AM
    Modified Thursday, September 29, 2011 9:06:18 AM

    Tags:

    • Adaptation, Psychological
    • Attitude to Health
    • Chronic Disease
    • Cross-Sectional Studies
    • Female
    • Humans
    • Male
    • Middle Aged
    • Pain
    • Questionnaires
    • Spiritualism
    • spirituality

    Notes:

    • A study about whether or not spirituality/religiosity is a relevant resource for patients with chronic pain conditions, and to analyze interrelations between spirituality/religiosity (SpREUK Questionnaire; SpREUK is an acronym of the German translation of “Spiritual and Religious Attitudes in Dealing with Illness”), adaptive coping styles that refer to the concept of locus of disease control (AKU Questionnaire; AKU is an acronym of the German translation of “Adaptive Coping with Disease”), life satisfaction, and appraisal dimensions.

  • Yoga lifestyle intervention reduces blood pressure in HIV-infected adults with cardiovascular disease risk factors

    Type Journal Article
    Author W. T. Cade
    Author D. N. Reeds
    Author K. E. Mondy
    Author E. T. Overton
    Author J. Grassino
    Author S. Tucker
    Author C. Bopp
    Author E. Laciny
    Author S. Hubert
    Author S. Lassa-Claxton
    Author K. E. Yarasheski
    Abstract OBJECTIVE: People living with HIV infection are at increased risk for developing cardiovascular disease (CVD). Safe and effective interventions for lowering CVD risk in HIV infection are high priorities. We conducted a prospective, randomized, controlled study to evaluate whether a yoga lifestyle intervention improves CVD risk factors, virological or immunological status, or quality of life (QOL) in HIV-infected adults relative to standard of care treatment in a matched control group. METHODS: Sixty HIV-infected adults with mild-moderate CVD risk were assigned to 20 weeks of supervised yoga practice or standard of care treatment. Baseline and week 20 measures were: 2-h oral glucose tolerance test with insulin monitoring, body composition, fasting serum lipid/lipoprotein profile, resting blood pressures, CD4 T-cell count and plasma HIV RNA, and the Medical Outcomes Study Short Form (SF)-36 health-related QOL inventory. RESULTS: Resting systolic and diastolic blood pressures improved more (P=0.04) in the yoga group (-5 +/- 2 and -3 +/- 1 mmHg, respectively) than in the standard of care group (+1 +/- 2 and+2 +/- 2 mmHg, respectively). However, there was no greater reduction in body weight, fat mass or proatherogenic lipids, or improvements in glucose tolerance or overall QOL after yoga. Immune and virological status was not adversely affected. CONCLUSION: Among traditional lifestyle modifications, yoga is a low-cost, simple to administer, nonpharmacological, popular behavioural intervention that can lower blood pressure in pre-hypertensive HIV-infected adults with mild-moderate CVD risk factors.
    Publication HIV Medicine
    Volume 11
    Issue 6
    Pages 379-388
    Date Jul 1, 2010
    Journal Abbr HIV Med
    DOI 10.1111/j.1468-1293.2009.00801.x
    ISSN 1468-1293
    Accessed Tuesday, July 27, 2010 12:18:01 PM
    Library Catalog NCBI PubMed
    Extra PMID: 20059570
    Date Added Thursday, September 29, 2011 9:03:23 AM
    Modified Thursday, September 29, 2011 9:03:23 AM

    Notes:

    • This article presents a prospective, randomized, controlled study to evaluate whether a yoga lifestyle intervention improves cardiovascular disease risk factors, virological or immunological status, or quality of life (QOL) in HIV-infected adults relative to standard of care treatment in a matched control group.  The results showed that among traditional lifestyle modifications, yoga is a low-cost, simple to administer, nonpharmacological, popular behavioural intervention that can lower blood pressure in pre-hypertensive HIV-infected adults with mild–moderate cardiovascular risk factors.

  • Mindfulness-Based Cancer Recovery: A Step-by-step MBSR Approach to Help You Cope With Treatment and Reclaim Your Life

    Type Book
    Author Linda E. Carlson
    Author Michael Speca
    Place Oakland, Calif.
    Publisher New Harbinger Publications
    Date 2011-02-03
    ISBN 1572248874
    Short Title Mindfulness-Based Cancer Recovery
    Library Catalog Amazon.com
    Date Added Thursday, September 29, 2011 8:57:14 AM
    Modified Thursday, September 29, 2011 8:57:14 AM

    Notes:

    • This is a book about the Mindfulness-Based Cancer Recovery program based on mindfulness-based stress reduction (MBSR), a therapeutic combination of mindfulness meditation and gentle yoga now offered to cancer survivors and their loved ones in hundreds of medical centers, hospitals, and clinics worldwide

  • Spirituality/religiosity promotes acceptance-based responding and 12-step involvement

    Type Journal Article
    Author Adam W Carrico
    Author Elizabeth V Gifford
    Author Rudolf H Moos
    Abstract BACKGROUND: Previous investigations have observed that spirituality/religiosity (S/R) is associated with enhanced 12-step involvement. However, relatively few studies have attempted to examine the mechanisms for this effect. For the present investigation, we examined whether acceptance-based responding (ABR) - awareness or acknowledgement of internal experiences that allows one to consider and perform potentially adaptive responses - accounted for the effect of S/R on 12-step self-help group involvement 2 years after a treatment episode. METHODS: Data were collected as part of a multi-site treatment outcome study with 3698 substance-dependent male veterans recruited at baseline. Assessments were conducted at baseline, discharge, 1-year follow-up, and 2-year follow-up. We utilized structural equation modeling to examine the relationships among latent variables of S/R, ABR, and 12-step involvement over time. RESULTS: In the final model, S/R was not directly related to 12-step involvement at 2-year follow-up. However, S/R predicted enhanced ABR at 1-year follow-up after accounting for discharge levels of ABR. In turn, ABR at 1-year follow-up predicted increased 12-step involvement at 2-year follow-up after accounting for discharge levels of 12-step involvement. CONCLUSIONS: S/R promotes the use of post-treatment self-regulation skills that, in turn, directly contribute to ongoing 12-step self-help group involvement.
    Publication Drug and Alcohol Dependence
    Volume 89
    Issue 1
    Pages 66-73
    Date Jun 15, 2007
    Journal Abbr Drug Alcohol Depend
    DOI 10.1016/j.drugalcdep.2006.12.004
    ISSN 0376-8716
    URL http://www.ncbi.nlm.nih.gov/pubmed/17229532
    Accessed Friday, November 13, 2009 5:12:03 PM
    Library Catalog NCBI PubMed
    Extra PMID: 17229532
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Tags:

    • Adaptation, Psychological
    • Adult
    • Aftercare
    • Alcoholics Anonymous
    • Alcoholism
    • Awareness
    • Cognitive Therapy
    • COMBINED modality therapy
    • Female
    • Follow-Up Studies
    • Humans
    • Male
    • Middle Aged
    • Models, Psychological
    • Patient Acceptance of Health Care
    • Religion and Psychology
    • Self-Help Groups
    • spirituality
    • Substance-Related Disorders
    • Veterans

    Notes:

    • For the present investigation, we examined whether acceptance-based responding (ABR) - awareness or acknowledgement of internal experiences that allows one to consider and perform potentially adaptive responses - accounted for the effect of S/R on 12-step self-help group involvement 2 years after a treatment episode. Conclusions: S/R promotes the use of post-treatment self-regulation skills that, in turn, directly contribute to ongoing 12-step self-help group involvement.

  • Yoga of Awareness program for menopausal symptoms in breast cancer survivors: results from a randomized trial

    Type Journal Article
    Author James W Carson
    Author Kimberly M Carson
    Author Laura S Porter
    Author Francis J Keefe
    Author Victoria L Seewaldt
    Abstract GOAL OF WORK: Breast cancer survivors have limited options for the treatment of hot flashes and related symptoms. Further, therapies widely used to prevent recurrence in survivors, such as tamoxifen, tend to induce or exacerbate menopausal symptoms. The aim of this preliminary, randomized controlled trial was to evaluate the effects of a yoga intervention on menopausal symptoms in a sample of survivors of early-stage breast cancer (stages IA-IIB). MATERIALS AND METHODS: Thirty-seven disease-free women experiencing hot flashes were randomized to the 8-week Yoga of Awareness program (gentle yoga poses, meditation, and breathing exercises) or to wait-list control. The primary outcome was daily reports of hot flashes collected at baseline, posttreatment, and 3 months after treatment via an interactive telephone system. Data were analyzed by intention to treat. MAIN RESULTS: At posttreatment, women who received the yoga program showed significantly greater improvements relative to the control condition in hot-flash frequency, severity, and total scores and in levels of joint pain, fatigue, sleep disturbance, symptom-related bother, and vigor. At 3 months follow-up, patients maintained their treatment gains in hot flashes, joint pain, fatigue, symptom-related bother, and vigor and showed additional significant gains in negative mood, relaxation, and acceptance. CONCLUSIONS: This pilot study provides promising support for the beneficial effects of a comprehensive yoga program for hot flashes and other menopausal symptoms in early-stage breast cancer survivors.
    Publication Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer
    Volume 17
    Issue 10
    Pages 1301-1309
    Date Oct 2009
    Journal Abbr Support Care Cancer
    DOI 10.1007/s00520-009-0587-5
    ISSN 1433-7339
    Short Title Yoga of Awareness program for menopausal symptoms in breast cancer survivors
    URL http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/19214594
    Accessed Saturday, September 26, 2009 3:29:26 PM
    Library Catalog NCBI PubMed
    Extra PMID: 19214594
    Date Added Thursday, September 29, 2011 9:04:55 AM
    Modified Thursday, September 29, 2011 9:04:55 AM

    Tags:

    • prepub

    Notes:

    • Breast cancer survivors have limited options for the treatment of hot flashes and related symptoms. Further, therapies widely used to prevent recurrence in survivors, such as tamoxifen, tend to induce or exacerbate menopausal symptoms. The aim of this preliminary, randomized controlled trial was to evaluate the effects of a yoga intervention on menopausal symptoms in a sample of survivors of early-stage breast cancer (stages IA-IIB).

  • A pilot randomized controlled trial of the Yoga of Awareness program in the management of fibromyalgia

    Type Journal Article
    Author James W. Carson
    Author Kimberly M. Carson
    Author Kim D. Jones
    Author Robert M. Bennett
    Author Cheryl L. Wright
    Author Scott D. Mist
    Abstract A mounting body of literature recommends that treatment for fibromyalgia (FM) encompass medications, exercise and improvement of coping skills. However, there is a significant gap in determining an effective counterpart to pharmacotherapy that incorporates both exercise and coping. The aim of this randomized controlled trial was to evaluate the effects of a comprehensive yoga intervention on FM symptoms and coping. A sample of 53 female FM patients were randomized to the 8-week Yoga of Awareness program (gentle poses, meditation, breathing exercises, yoga-based coping instructions, group discussions) or to wait-listed standard care. Data were analyzed by intention to treat. At post-treatment, women assigned to the yoga program showed significantly greater improvements on standardized measures of FM symptoms and functioning, including pain, fatigue, and mood, and in pain catastrophizing, acceptance, and other coping strategies. This pilot study provides promising support for the potential benefits of a yoga program for women with FM.
    Publication Pain
    Volume 151
    Issue 2
    Pages 530-539
    Date November 2010
    DOI 10.1016/j.pain.2010.08.020
    ISSN 0304-3959
    URL http://www.sciencedirect.com/science/article/B6T0K-5173SRD-2/2/dc5c04474927262f84615ac322a2a2ae
    Accessed Monday, December 13, 2010 8:42:26 PM
    Date Added Thursday, September 29, 2011 8:59:00 AM
    Modified Thursday, September 29, 2011 8:59:00 AM

    Tags:

    • Fibromyalgia
    • Meditation
    • Mindfulness
    • Pain
    • Randomized controlled trial
    • yoga
  • A Model for Integrating a Mind/Body Approach to Cardiac Rehabilitation: Outcomes and Correlators

    Type Journal Article
    Author Aggie Casey
    Author Bei-Hung Chang
    Author James Huddleston
    Author Narmin Virani
    Author Herbert Benson
    Author Jeffery Dusek
    Abstract PURPOSE: Although cardiac rehabilitation programs have been shown to decrease cardiovascular risk, morbidity, and mortality, few programs have integrated a balanced mind/body approach in which patients are taught the relaxation response and utilize cognitive behavior skills for stress management, along with diet and exercise. We examined the medical and psychological outcomes of patients treated in such a cardiac rehabilitation program in a general hospital setting. METHODS: From 1997 to 2005, outcomes were measured in 637 patients with coronary artery disease at baseline and after a 3-month program. Components of the intervention included smoking cessation, moderate aerobic exercise, nutrition counseling, relaxation response training, and cognitive/behavioral skills. RESULTS: Men and women improved significantly with respect to medical outcomes (blood pressure, lipids, weight, exercise conditioning, frequency of symptoms of chest pain and shortness of breath) and psychological outcomes (general severity index, depression, anxiety, and hostility) (P < .0001). Patients considered "at higher risk" for cardiac events due to high baseline measures improved their measures to a less than "at higher risk" level. Data indicate that specific components of the intervention, that is, increased relaxation response practice and exercise, significantly contributed to these improvements (P < .05). Furthermore, age and gender differences, particularly for psychological measures, were found; younger patients and female patients had greater improvements than older patients and male patients. CONCLUSIONS: This study provides preliminary data for a subsequent randomized control trial to test mind/body-based interventions to determine the most effective outcomes at an affordable cost.
    Publication Journal of Cardiopulmonary Rehabilitation and Prevention
    Volume 29
    Issue 4
    Pages 230-238
    Date July 2009
    Journal Abbr J Cardiopulm Rehabil Prev
    DOI 10.1097/HCR.0b013e3181a33352
    ISSN 1932-7501
    Short Title A Model for Integrating a Mind/Body Approach to Cardiac Rehabilitation
    Accessed Tuesday, September 08, 2009 7:25:25 PM
    Library Catalog NCBI PubMed
    Extra PMID: 19451830
    Date Added Thursday, September 29, 2011 9:05:38 AM
    Modified Thursday, September 29, 2011 9:05:38 AM

    Tags:

    • Cardiac rehabilitation
    • Mind and body
  • Yoga improves quality of life and benefit finding in women undergoing radiotherapy for breast cancer

    Type Journal Article
    Author Kavita D Chandwani
    Author Bob Thornton
    Author George H Perkins
    Author Banu Arun
    Author N V Raghuram
    Author H R Nagendra
    Author Qi Wei
    Author Lorenzo Cohen
    Abstract This study examined the effects of yoga on quality of life (QOL) and psychosocial outcomes in women with breast cancer undergoing radiotherapy. Sixty-one women were randomly assigned to either a yoga or a wait-list group. Yoga classes were taught biweekly during the 6 weeks of radiotherapy. Participants completed measures of QOL, fatigue, benefit finding (finding meaning in the cancer experience), intrusive thoughts, sleep disturbances, depressive symptoms, and anxiety before radiotherapy and then again 1 week, 1 month, and 3 months after the end of radiotherapy. General linear model analyses revealed that compared to the control group, the yoga group reported significantly better general health perception (p = .005) and physical functioning scores (p = .04) 1 week postradiotherapy; higher levels of intrusive thoughts 1 month postradiotherapy (p = .01); and greater benefit finding 3 months postradiotherapy (p = .01). There were no other group differences in other QOL subscales for fatigue, depression, or sleep scores. Exploratory analyses indicated that intrusive thoughts 1 month after radiotherapy were significantly positively correlated with benefit finding 3 months after radiotherapy (r = .36, p = .011). Our results indicated that the yoga program was associated with statistically and clinically significant improvements in aspects of QOL.
    Publication Journal of the Society for Integrative Oncology
    Volume 8
    Issue 2
    Pages 43-55
    Date 2010
    Journal Abbr J Soc Integr Oncol
    ISSN 1715-894X
    Accessed Sunday, April 25, 2010 5:36:24 PM
    Library Catalog NCBI PubMed
    Extra PMID: 20388445
    Date Added Thursday, September 29, 2011 9:04:02 AM
    Modified Thursday, September 29, 2011 9:04:02 AM
  • Acupuncture and relaxation response for substance use disorder recovery.

    Type Journal Article
    Author Bei-Hung Chang
    Author Elizabeth Sommers
    Author Lawrence Herz
    Abstract Background & Aims: Substance abuse is a major health problem in the US population, particularly among veterans. Current treatments for substance abuse in the form of pharmacologic, behavioural, or psychosocial therapy can be effective in limited instances. We investigated the effect of using two complementary and alternative approaches, acupuncture and the relaxation response, to treat veterans who are recovering from substance use disorders. Methods: We conducted a controlled trial at a US Veterans Administration homeless residential rehabilitation programme. Study participants were randomly assigned to acupuncture, relaxation response or usual care groups. Results: Both acupuncture and the relaxation response interventions were well received by the veterans with high intervention attendance rates (75% and 80%, respectively). The acupuncture group had significantly greater reductions in craving and anxiety levels and greater improvements in the spirituality dimension of quality of life, while the relaxation response group had significantly greater reductions in anxiety level and greater improvements in mental health and spirituality dimensions of quality of life than usual care. The two intervention groups had no significant difference in any outcome measures. Conclusions: This trial provided promising pilot data for larger studies to validate the effects of acupuncture and the relaxation response for relapse prevention. (PsycINFO Database Record (c) 2010 APA, all rights reserved) (journal abstract)
    Publication Journal of Substance Use
    Volume 15
    Issue 6
    Pages 390-401
    Date December 2010
    DOI 10.3109/14659890903580466
    ISSN 1465-9891
    Library Catalog EBSCOhost
    Date Added Thursday, September 29, 2011 8:58:27 AM
    Modified Thursday, September 29, 2011 8:58:27 AM

    Tags:

    • Acupuncture
    • DRUG abuse
    • Drug Rehabilitation
    • Recovery
    • Recovery (Disorders)
    • Relaxation
    • relaxation responses
    • Responses
    • substance use disorder

    Notes:

  • Relaxation response and spirituality: Pathways to improve psychological outcomes in cardiac rehabilitation

    Type Journal Article
    Author Bei-Hung Chang
    Author Aggie Casey
    Author Jeffery A Dusek
    Author Herbert Benson
    Abstract OBJECTIVES: Studies have shown beneficial effects from practicing the relaxation response (RR). Various pathways for these effects have been investigated. Previous small studies suggest that spirituality might be a pathway for the health effects of the RR. In this study, we tested the hypothesis that increased spiritual well-being by eliciting the RR is one pathway resulting in improved psychological outcomes. METHODS: This observational study included 845 outpatients who completed a 13-week mind/body Cardiac Rehabilitation Program. Patients self-reported RR practice time in a questionnaire before and after the 13-week program. Similarly, data on spiritual well-being, measured by the subscale of Spiritual Growth of the Health-Promoting Lifestyle Profile II, were collected. The psychological distress levels were measured by the Symptom Checklist-90-Revised. We tested the mediation effect of spiritual well-being using regression analyses. RESULTS: Significant increases in RR practice time (75 min/week, effect size/ES=1.05) and spiritual well-being scores (ES=0.71) were observed after participants completed the program (P<.0001). Patients also improved on measures of depression, anxiety, hostility and the global severity index with medium effect sizes (0.25 to 0.48, P<.0001). Greater increases in RR practice time were associated with enhanced spiritual well-being (beta=.08, P=.01); and enhanced spiritual well-being was associated with improvements in psychological outcomes (beta=-0.14 to -0.22, P<.0001). CONCLUSION: Our data demonstrated a possible dose-response relationship among RR practice, spiritual and psychological well-being. Furthermore, the data support the hypothesis that spiritual well-being may serve as a pathway of how RR elicitation improves psychological outcomes. These findings might contribute to improved psychological care of cardiac patients.
    Publication Journal of Psychosomatic Research
    Volume 69
    Issue 2
    Pages 93-100
    Date Aug 2010
    Journal Abbr J Psychosom Res
    DOI 10.1016/j.jpsychores.2010.01.007
    ISSN 1879-1360
    Short Title Relaxation response and spirituality
    Accessed Tuesday, July 27, 2010 11:54:14 AM
    Library Catalog NCBI PubMed
    Extra PMID: 20624507
    Date Added Thursday, September 29, 2011 9:02:43 AM
    Modified Thursday, September 29, 2011 9:02:43 AM

    Notes:

    • A study to test the hypothesis that increased spiritual well-being by eliciting the relaxation response is one pathway resulting in improved psychological outcomes. The data demonstrated a possible dose-response relationship among relaxation relationship, spiritual and psychological well-being.

  • The combined effect of relaxation response and acupuncture on quality of life in patients with HIV: a pilot study

    Type Journal Article
    Author Bei-Hung Chang
    Author Ulrike Boehmer
    Author Yue Zhao
    Author Elizabeth Sommers
    Abstract OBJECTIVES: Treatment advances have transformed human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS) into a chronic manageable disease; quality of life (QoL) has become an important health outcome. Some studies have shown the individual effects of acupuncture and the relaxation response (RR) in improving QoL of patients with HIV/AIDS. In light of the presumed shared features of acupuncture and the RR, we conducted a pilot study to examine the effects of adding the RR to usual acupuncture treatment on improving the QoL of HIV/AIDS patients. DESIGN: Two-arm double-blind randomized controlled trial. SETTINGS/LOCATION AND SUBJECTS: We enrolled 119 patients with HIV/AIDS (mean age 46 years, 85% male) who had at least 1 of the highly prevalent HIV-related symptoms and who were receiving acupuncture treatment in an acupuncture clinic in Boston, MA. INTERVENTION: We randomized patients into intervention (N = 58) and control (N = 61) groups. All participants received individualized acupuncture treatments prescribed by their acupuncturists. While receiving acupuncture treatment, the intervention group wore earphones to listen to tapes with instructions to elicit the RR followed by soft music that was routinely played in the clinic; the control group listened only to soft music. OUTCOME MEASURES: Three (3) QoL scales: the Medical Outcomes Study HIV health survey, the Functional Assessment of HIV Infection, and the Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being, measured at baseline, 4-week, 8-week, and 12-week follow-ups. RESULTS: At the 12-week follow-up, the intervention group showed significant improvements in emotional (p = 0.0002), spiritual/peace (p = 0.02), physical (p = 0.003) and mental health (p = 0.0003) QoL from baseline. Results of mixed effects regression models indicated linear trends of improvement over time in these dimensions of QoL for the intervention group (p < 0.02). In the control group, the only significant improvement was observed in the emotional QoL (p < 0.01). The intervention group showed trends of greater improvements than the control group (p = 0.07 for 12-week physical health QoL). CONCLUSIONS: Data from this pilot trial suggested that adding the RR to acupuncture may enhance improvement in QoL of patients with HIV/AIDS. Further investigation on this putative synergistic effect is warranted.
    Publication Journal of Alternative and Complementary Medicine (New York, N.Y.)
    Volume 13
    Issue 8
    Pages 807-815
    Date Oct 2007
    Journal Abbr J Altern Complement Med
    DOI 10.1089/acm.2007.7024
    ISSN 1075-5535
    Short Title The combined effect of relaxation response and acupuncture on quality of life in patients with HIV
    URL http://www.ncbi.nlm.nih.gov/pubmed/17983336
    Accessed Friday, November 13, 2009 6:15:56 PM
    Library Catalog NCBI PubMed
    Extra PMID: 17983336
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Tags:

    • Acquired Immunodeficiency Syndrome
    • Acupuncture Therapy
    • Adult
    • COMBINED modality therapy
    • Double-Blind Method
    • Female
    • Humans
    • mental health
    • Middle Aged
    • Patient Satisfaction
    • Pilot Projects
    • Quality of Life
    • Questionnaires
    • Relaxation
    • spirituality
    • Treatment Outcome

    Notes:

    • Some studies have shown the individual effects of acupuncture and the relaxation response (RR) in improving QoL of patients with HIV/AIDS. We conducted a pilot study to examine the effects of adding the RR to usual acupuncture treatment on improving the QoL of HIV/AIDS patients. Data from this pilot trial suggested that adding the RR to acupuncture may enhance improvement in QoL of patients with HIV/AIDS.

  • Effects of external qigong therapy on osteoarthritis of the knee. A randomized controlled trial

    Type Journal Article
    Author Kevin W Chen
    Author Adam Perlman
    Author Jason G Liao
    Author Alex Lam
    Author Joy Staller
    Author Leonard H Sigal
    Abstract The objective of our study was to assess the efficacy of external qigong therapy (EQT), a traditional Chinese medicine practice, in reducing pain and improving functionality of patients with knee osteoarthritis (OA). One hundred twelve adults with knee OA were randomized to EQT or sham treatment (control); 106 completed treatment and were analyzed. Two therapists performed EQT individually, five to six sessions in 3 weeks. The sham healer mimicked EQT for the same number of sessions and duration. Patients and examining physician were blinded. Primary outcomes were Western Ontario MacMaster (WOMAC) pain and function; other outcomes included McGill Pain Questionnaire, time to walk 15 m, and range of motion squatting. Results of patients treated by the two healers were analyzed separately. Both treatment groups reported significant reduction in WOMAC scores after intervention. Patients treated by healer 2 reported greater reduction in pain (mean improvement -25.7 +/- 6.6 vs. -13.1 +/- 3.0; p < 0.01) and more improvement in functionality (-28.1 +/- 9.7 vs. -13.2 +/- 3.4; p < 0.01) than those in sham control and reduction in negative mood but not in anxiety or depression. Patients treated by healer 1 experienced improvement similar to control. The results of therapy persisted at 3 months follow-up for all groups. Mixed-effect models confirmed these findings with controlling for possible confounders. EQT might have a role in the treatment of OA, but our data indicate that all EQT healers are not equivalent. The apparent efficacy of EQT appears to be dependent on some quality of the healer. Further study on a larger scale with multiple EQT healers is necessary to determine the role (if any) of EQT in the treatment of OA and to identify differences in EQT techniques.
    Publication Clinical Rheumatology
    Volume 27
    Issue 12
    Pages 1497-1505
    Date Dec 2008
    Journal Abbr Clin. Rheumatol
    DOI 10.1007/s10067-008-0955-4
    ISSN 1434-9949
    URL http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/18654733
    Accessed Monday, November 02, 2009 1:05:34 PM
    Library Catalog NCBI PubMed
    Extra PMID: 18654733
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Tags:

    • Breathing Exercises
    • Female
    • Humans
    • Male
    • Middle Aged
    • Osteoarthritis, Knee
    • Pain Measurement
    • Recovery of Function
    • Severity of Illness Index

    Notes:

    • Qigong therapy may be an important complement to conventional medicine in treating diabetes, but the quality of studies needs to be improved.

  • An analytical review of the Chinese literature on Qigong therapy for diabetes mellitus

    Type Journal Article
    Author Kevin W Chen
    Author Tianjun Liu
    Author Haibo Zhang
    Author Zhongpeng Lin
    Abstract Diabetes rates have doubled in China over the past decade. However, as conventional medicine offers neither a sound explanation nor an effective cure, patients with diabetes increasingly seek complementary and alternative therapies. It was reported that the traditional Chinese medical approach, Qigong, might produce therapeutic benefits with minimal side-effects in this condition. The Qigong Database, the China National Knowledge Infrastructure, and the library databases of Chinese institutions from 1978 to middle of 2008 on open trials, laboratory studies, and controlled clinical studies were reviewed. Over 35 studies were identified and reviewed. Qigong therapy for diabetic patients included self-practice, group qi-field therapy, external qi therapy, and Qigong in combination with other therapies. Only 2 randomized controlled trials were found; both evaluate Qigong as an adjuvant to conventional therapy. All studies reported some therapeutic effect or improvement. Some reported significant reduction in fasting plasma glucose. Others reported complete cures, which were unlikely to be the result of placebo effect as objective outcome measures were used. Qigong therapy may be an important complement to conventional medicine in treating diabetes, but the quality of studies needs to be improved. These preliminary data are promising and support the need for further randomized controlled trials.
    Publication The American Journal of Chinese Medicine
    Volume 37
    Issue 3
    Pages 439-457
    Date 2009
    Journal Abbr Am. J. Chin. Med
    ISSN 0192-415X
    URL http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/19606506
    Accessed Monday, November 02, 2009 12:58:40 PM
    Library Catalog NCBI PubMed
    Extra PMID: 19606506
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Tags:

    • Breathing Exercises
    • Databases, Factual
    • Diabetes Mellitus
    • Humans
    • Medicine, Chinese Traditional
    • Qi

    Notes:

    • The objective of our study was to assess the efficacy of external qigong therapy (EQT), a traditional Chinese medicine practice, in reducing pain and improving functionality of patients with knee osteoarthritis (OA). The apparent efficacy of EQT appears to be dependent on some quality of the healer.

  • Medical versus spiritual orientations: Differential patient views toward recovery

    Type Journal Article
    Author Benjamin Cheney
    Author Marc Galanter
    Author Helen Dermatis
    Author Stephen Ross
    Abstract BACKGROUND: Relapse among patients in substance abuse treatment has generated interest in identifying attitudinal factors that sustain recovery. OBJECTIVE: To assess the relationship of attitudes toward approaches to motivation for treatment and Twelve Step beliefs. METHODS: Dually diagnosed patients (N = 100) completed a survey assessing treatment attitudes, motivation, and Twelve Step beliefs. RESULTS: Endorsement of medical services was positively correlated with motivation but unrelated to Twelve Step beliefs. Endorsement of religious services was unrelated to motivation but was associated with Twelve Step beliefs. CONCLUSIONS: Patients may have differing perceptions regarding routes to recovery based on preferences for professional services or spiritual resources.
    Publication The American Journal of Drug and Alcohol Abuse
    Volume 35
    Issue 5
    Pages 301-304
    Date 2009
    Journal Abbr Am J Drug Alcohol Abuse
    DOI 10.1080/00952990903060119
    ISSN 1097-9891
    Short Title Medical versus spiritual orientations
    Accessed Tuesday, February 22, 2011 6:42:14 PM
    Library Catalog NCBI PubMed
    Extra PMID: 19637102
    Date Added Thursday, September 29, 2011 9:07:00 AM
    Modified Thursday, September 29, 2011 9:07:00 AM

    Tags:

    • Adult
    • Attitude to Health
    • Diagnosis, Dual (Psychiatry)
    • Female
    • Humans
    • Male
    • Mental Disorders
    • Middle Aged
    • Motivation
    • Patient Selection
    • Questionnaires
    • Recurrence
    • Religion and Medicine
    • Religion and Psychology
    • spirituality
    • Substance Abuse Treatment Centers
    • Substance-Related Disorders
  • A Randomized Trial Comparing Acupuncture, Simulated Acupuncture, and Usual Care for Chronic Low Back Pain

    Type Journal Article
    Author Daniel C. Cherkin
    Author Karen J. Sherman
    Author Andrew L. Avins
    Author Janet H. Erro
    Author Laura Ichikawa
    Author William E. Barlow
    Author Kristin Delaney
    Author Rene Hawkes
    Author Luisa Hamilton
    Author Alice Pressman
    Author Partap S. Khalsa
    Author Richard A. Deyo
    Abstract Background Acupuncture is a popular complementary and alternative treatment for chronic back pain. Recent European trials suggest similar short-term benefits from real and sham acupuncture needling. This trial addresses the importance of needle placement and skin penetration in eliciting acupuncture effects for patients with chronic low back pain. Methods A total of 638 adults with chronic mechanical low back pain were randomized to individualized acupuncture, standardized acupuncture, simulated acupuncture, or usual care. Ten treatments were provided over 7 weeks by experienced acupuncturists. The primary outcomes were back-related dysfunction (Roland-Morris Disability Questionnaire score; range, 0-23) and symptom bothersomeness (0-10 scale). Outcomes were assessed at baseline and after 8, 26, and 52 weeks. Results At 8 weeks, mean dysfunction scores for the individualized, standardized, and simulated acupuncture groups improved by 4.4, 4.5, and 4.4 points, respectively, compared with 2.1 points for those receiving usual care (P < .001). Participants receiving real or simulated acupuncture were more likely than those receiving usual care to experience clinically meaningful improvements on the dysfunction scale (60% vs 39%; P < .001). Symptoms improved by 1.6 to 1.9 points in the treatment groups compared with 0.7 points in the usual care group (P < .001). After 1 year, participants in the treatment groups were more likely than those receiving usual care to experience clinically meaningful improvements in dysfunction (59% to 65% vs 50%, respectively; P = .02) but not in symptoms (P > .05). Conclusions Although acupuncture was found effective for chronic low back pain, tailoring needling sites to each patient and penetration of the skin appear to be unimportant in eliciting therapeutic benefits. These findings raise questions about acupuncture's purported mechanisms of action. It remains unclear whether acupuncture or our simulated method of acupuncture provide physiologically important stimulation or represent placebo or nonspecific effects. Trial Registration clinicaltrials.gov Identifier: NCT00065585
    Publication Arch Intern Med
    Volume 169
    Issue 9
    Pages 858-866
    Date May 11, 2009
    DOI 10.1001/archinternmed.2009.65
    URL http://archinte.ama-assn.org/cgi/content/abstract/169/9/858
    Accessed Monday, September 21, 2009 2:58:21 PM
    Library Catalog HighWire
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Notes:

    • This trial addresses the importance of needle placement and skin penetration in eliciting acupuncture effects for patients with chronic low back pain. Participants in the treatment groups were more likely than those receiving usual care to experience clinically meaningful improvements in dysfunction (59% to 65% vs 50%, respectively; P = .02) but not in symptoms (P > .05). Although acupuncture was found effective for chronic low back pain, tailoring needling sites to each patient and penetration of the skin appear to be unimportant in eliciting therapeutic benefits.

  • Relaxation training for essential hypertension at the worksite: I. The untreated mild hypertensive

    Type Journal Article
    Author M A Chesney
    Author G W Black
    Author G E Swan
    Author M M Ward
    Abstract This industry-based randomized study compared the effects of behavioral treatment (BT) and blood pressure monitoring (BPM) on blood pressure (BP) change in 158 unmedicated persons with mild hypertension (diastolic blood pressure 90 to 104 mm Hg). Participants recruited by a three-stage screening were randomly assigned to BT or BPM groups and stratified by entry diastolic blood pressure (DBP), age, and sex. BT participants received relaxation training, with or without the addition of biofeedback, cognitive restructuring, and health behavior change components. During the study, all participants were followed by their usual care physicians and received medical advice. At 18 weeks into the study, after the BT groups completed training, both the BT and BPM groups showed significant reductions in systolic blood pressure (SBP) and DBP assessed in the company medical clinic (7.4 and 9.0 mm Hg SBP and 4.5 and 5.9 mm Hg DBP, respectively). These reductions were maintained throughout the 36-week follow-up period. Reductions in BP assessed at the participants' worksite were similar for BT and BPM participants throughout most of the trial, indicating little advantage to the inclusion of behavioral interventions over monitoring alone. Differences in BP changes observed among participants receiving various combinations of behavioral treatment components indicated that the cognitive restructuring component reduced SBP in the worksite by an additional 5.4 mm Hg (p less than 0.05). Possible explanations for the BP changes observed in the BPM group and implications of the results for the treatment of unmedicated mild hypertensives are discussed.
    Publication Psychosomatic Medicine
    Volume 49
    Issue 3
    Pages 250-263
    Date 1987 May-Jun
    Journal Abbr Psychosom Med
    ISSN 0033-3174
    Short Title Relaxation training for essential hypertension at the worksite
    URL http://www.ncbi.nlm.nih.gov/pubmed/3299442
    Accessed Thursday, September 03, 2009 12:58:45 AM
    Library Catalog NCBI PubMed
    Extra PMID: 3299442
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Tags:

    • Adult
    • Aged
    • Behavior Therapy
    • Biofeedback (Psychology)
    • Blood Pressure
    • Female
    • Humans
    • Hypertension
    • Male
    • Middle Aged
    • Occupational Diseases
    • Relaxation Therapy
    • Social Environment

    Notes:

    • This industry-based randomized study compared the effects of behavioral treatment (BT) and blood pressure monitoring (BPM) on blood pressure (BP) change in 158 unmedicated persons with mild hypertension (diastolic blood pressure 90 to 104 mm Hg). At 18 weeks into the study, after the BT groups completed training, both the BT and BPM groups showed significant reductions in systolic blood pressure (SBP) and DBP assessed in the company medical clinic.

  • Mindfulness-based interventions for chronic pain: a systematic review of the evidence

    Type Journal Article
    Author Alberto Chiesa
    Author Alessandro Serretti
    Abstract OBJECTIVES Chronic pain is a common disabling illness that does not completely respond to current medical treatments. As a consequence, in recent years many alternative interventions have been suggested. Among them, mindfulness-based interventions (MBIs) are receiving growing attention. The aim of the present article is to review controlled studies investigating the efficacy of MBIs for the reduction of pain and the improvement of depressive symptoms in patients suffering from chronic pain. METHODS A literature search was undertaken using MEDLINE,(®) ISI web of knowledge, the Cochrane database, and references of retrieved articles. The search included articles written in English published up to July 2009. The data were independently extracted by two reviewers from the original reports. Quality of included trials was also assessed. RESULTS Ten (10) studies were considered eligible for the present review. Current studies showed that MBIs could have nonspecific effects for the reduction of pain symptoms and the improvement of depressive symptoms in patients with chronic pain, while there is only limited evidence suggesting specific effects of such interventions. Further findings evidenced some improvements in psychologic measures related to chronic pain such as copying with pain following MBIs as well. DISCUSSION There is not yet sufficient evidence to determine the magnitude of the effects of MBIs for patients with chronic pain. Main limitations of reviewed studies include small sample size, absence of randomization, the use of a waiting list control group that does not allow distinguishing of specific from nonspecific effects of MBI as well as differences among interventions. CONCLUSIONS However, because of these preliminary results, further research in larger properly powered and better designed studies is warranted.
    Publication Journal of Alternative and Complementary Medicine (New York, N.Y.)
    Volume 17
    Issue 1
    Pages 83-93
    Date Jan 2011
    Journal Abbr J Altern Complement Med
    DOI 10.1089/acm.2009.0546
    ISSN 1557-7708
    Short Title Mindfulness-based interventions for chronic pain
    URL http://www.ncbi.nlm.nih.gov/pubmed/21265650
    Accessed Wednesday, July 13, 2011 6:15:27 PM
    Library Catalog NCBI PubMed
    Extra PMID: 21265650
    Date Added Thursday, September 29, 2011 8:54:25 AM
    Modified Thursday, September 29, 2011 8:54:25 AM

    Tags:

    • Chronic Disease
    • depression
    • Humans
    • Meditation
    • Mind-Body Relations, Metaphysical
    • Outcome Assessment (Health Care)
    • Pain, Intractable

    Notes:

    • Chronic pain is a common disabling illness that does not completely respond to current medical treatments. As a consequence, in recent years many alternative interventions have been suggested. Among them, mindfulness-based interventions (MBIs) are receiving growing attention. The aim of the present article is to review controlled studies investigating the efficacy of MBIs for the reduction of pain and the improvement of depressive symptoms in patients suffering from chronic pain.A literature search was undertaken using MEDLINE,(®) ISI web of knowledge, the Cochrane database, and references of retrieved articles. The search included articles written in English published up to July 2009. The data were independently extracted by two reviewers from the original reports. Quality of included trials was also assessed.Ten (10) studies were considered eligible for the present review. Current studies showed that MBIs could have nonspecific effects for the reduction of pain symptoms and the improvement of depressive symptoms in patients with chronic pain, while there is only limited evidence suggesting specific effects of such interventions. Further findings evidenced some improvements in psychologic measures related to chronic pain such as copying with pain following MBIs as well.There is not yet sufficient evidence to determine the magnitude of the effects of MBIs for patients with chronic pain. Main limitations of reviewed studies include small sample size, absence of randomization, the use of a waiting list control group that does not allow distinguishing of specific from nonspecific effects of MBI as well as differences among interventions.However, because of these preliminary results, further research in larger properly powered and better designed studies is warranted.

  • The effect of religious practice on the prevalence of knee osteoarthritis

    Type Journal Article
    Author Surachai Chokkhanchitchai
    Author Tanee Tangarunsanti
    Author Suphaneewan Jaovisidha
    Author Kanokrat Nantiruj
    Author Suchela Janwityanujit
    Abstract The aim of this study is to evaluate the effect of religious practice on the prevalence, severity, and patterns of knee osteoarthritis (OA) in a Thai elderly population with the same ethnicity and culture but different religions. A house-to-house survey was conducted in two subdistricts of Phranakhon Sri Ayutthaya province where inhabitants are a mixture of Buddhists and Muslims. One hundred fifty-three Buddhists and 150 Muslims aged >or= 50 years were evaluated demographically, physically, and radiographically. Those suffering knee pains were questioned about severity using the Western Ontario and McMaster University Osteoarthritis Index (WOMAC) scores and examined for their range of knee motion. Radiographic knee OA (ROA) was defined as Kellgren-Lawrence radiographic grade >or=2 while symptomatic knee OA (SOA) was defined as knee symptoms of at least 1 month in a knee with ROA. Muslims had on average a higher number of daily religious practices than their Buddhist neighbors (p < 0.001). The prevalence of knee pain and ROA was significantly higher in Buddhists than in Muslims (67.11 vs. 55.80, p = 0.02 for knee pain; 85.62 vs. 70.67, p = 0.02 for ROA). For SOA, Buddhists showed a trend towards higher prevalence than Muslims (47.71 vs. 37.32, p = 0.068). No significant difference was found when the range of motion and WOMAC scores were compared between the two groups. Muslims had a lower prevalence of OA than their Buddhists counterparts with the same ethnicity but different religious practice. The Muslim way of praying since childhood, forcing the knees into deep flexion, may stretch the soft tissue surrounding the knee and decrease stiffness and contact pressure of the articular cartilage.
    Publication Clinical Rheumatology
    Volume 29
    Issue 1
    Pages 39-44
    Date Jan 2010
    Journal Abbr Clin. Rheumatol
    DOI 10.1007/s10067-009-1295-8
    ISSN 1434-9949
    Accessed Sunday, January 24, 2010 4:50:04 PM
    Library Catalog NCBI PubMed
    Extra PMID: 19830384
    Date Added Thursday, September 29, 2011 9:04:02 AM
    Modified Thursday, September 29, 2011 9:04:02 AM
  • Religion and spirituality in coping with breast cancer: perspectives of Chilean women

    Type Journal Article
    Author Ivanka Choumanova
    Author Stan Wanat
    Author Ronald Barrett
    Author Cheryl Koopman
    Abstract This study examined the roles of religion and spirituality in relation to coping with breast cancer in Chilean women. Specifically, the purpose of the study was to examine how these patients used religion and spirituality to cope with their illness; how their illness changed the roles of religion and spirituality in their lives; and their views regarding whether, and if so how, spiritual faith can help patients recuperate from breast cancer. Twenty-seven women with breast cancer who were patients at a clinic in Santiago, Chile were recruited to participate in one-on-one interviews. The transcribed interviews were analyzed using the "constant comparative method" to seek patterns and organize the content into specific themes. Women viewed religion and spirituality as primary resources for themselves and others to use in coping with breast cancer. Women's use of religion and spirituality was manifested in praying, in their perceived dependence on God to intercede and guide them through their illness, and in obtaining social support from other persons in their faith community. Half (13/26) of the women reported that their cancer prompted an increased emphasis on religion and spirituality in their lives by deepening their faith in God. Almost all (26/27) participants endorsed the belief that spiritual faith can help cancer patients to recuperate. These findings suggest that health care providers working should be aware of the culturally dependent roles that religion and spirituality play in women's coping with breast cancer.
    Publication The Breast Journal
    Volume 12
    Issue 4
    Pages 349-352
    Date 2006 Jul-Aug
    Journal Abbr Breast J
    DOI 10.1111/j.1075-122X.2006.00274.x
    ISSN 1075-122X
    Short Title Religion and spirituality in coping with breast cancer
    URL http://www.ncbi.nlm.nih.gov/pubmed/16848845
    Accessed Friday, November 13, 2009 4:42:09 PM
    Library Catalog NCBI PubMed
    Extra PMID: 16848845
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Tags:

    • Adaptation, Psychological
    • Adult
    • Aged
    • Aged, 80 and over
    • Breast Neoplasms
    • Chile
    • Female
    • Humans
    • Middle Aged
    • religion
    • Religion and Psychology
    • spirituality

    Notes:

    • This study examined the roles of religion and spirituality in relation to coping with breast cancer in Chilean women. Specifically, the purpose of the study was to examine how these patients used religion and spirituality to cope with their illness; how their illness changed the roles of religion and spirituality in their lives; and their views regarding whether, and if so how, spiritual faith can help patients recuperate from breast cancer.

  • Spiritual distress to spiritual transformation: Stroke survivor narratives from Hong Kong

    Type Journal Article
    Author Esther O.W. Chow
    Author Holly Nelson-Becker
    Abstract Cardiovascular accident (stroke) is a leading cause of long-term disability for older adults worldwide, including Hong Kong. The stroke event leaves stroke survivors experiencing great distress as they struggle to regain physical ability and develop a frame of meaning. In a Chinese context, several religious traditions and secular philosophies including Buddhism, Daoism, Christianity, and Confucianism contribute to reconstruction of a meaningful post-stroke self. Symbolic interactionism interpreted by Charmaz (1987) and social constructionism offer perspectives for this work. This paper reports on a qualitative study about the spiritual transformation of 11 female stroke survivors in Hong Kong using a naturalistic inquiry approach. Data was analyzed using NVivo to create common categories and profiles. After an initial period of despair and disequilibrium, participants drew on social/environmental resources and personal spiritual resources to reconnect to spiritually-rich beliefs and practices. The stroke ultimately resulted in transformation of the loss and creation of a resilient post-stroke self. Implications suggest that the spiritual transformation process is complex in a diverse society and social care professionals do well to recognize and support culturally relevant spiritual expressions.
    Publication Journal of Aging Studies
    Volume 24
    Issue 4
    Pages 313-324
    Date December 2010
    DOI 10.1016/j.jaging.2010.06.001
    ISSN 0890-4065
    Short Title Spiritual distress to spiritual transformation
    URL http://www.sciencedirect.com.ezproxy.bu.edu/science/article/B6W51-50WYSMV-1/2/289fb6ce9c435a49b8e4868a82503a3b
    Accessed Tuesday, January 18, 2011 8:06:19 PM
    Library Catalog ScienceDirect
    Date Added Thursday, September 29, 2011 8:58:27 AM
    Modified Thursday, September 29, 2011 8:58:27 AM

    Tags:

    • Culture
    • Disability
    • Self-making
    • Spiritual recovery
    • spirituality
    • Stroke
    • Suffering
  • Drug users' spiritual beliefs, locus of control and the disease concept in relation to Narcotics Anonymous attendance and six-month outcomes.

    Type Journal Article
    Author G Christo
    Author C Franey
    Abstract Narcotics Anonymous (NA) is an important support network for drug users emerging from abstinence based treatments. However, the views of NA on 'spirituality' and the 'disease' nature of addiction could be seen as encouraging an external attributional style and have been cited as reasons for non-attendance. After 6 months ninety percent of 101 drug users in treatment were followed up. Narcotics Anonymous attendance was inversely related to drug use for those who had left residential care. We found that spiritual beliefs and disease concept beliefs were not prerequisites for attendance of NA. Spiritual beliefs were not found to cause external attributions for previous drug use or possible future lapse events. It emerged that the most powerful predictors of non-attendance were positive attitudes to the use of alcohol. Treatment implications are discussed.
    Publication Drug and Alcohol Dependence
    Volume 38
    Issue 1
    Pages 51-56
    Date April 1995
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Notes:

    •  After 6 months ninety percent of 101 drug users in treatment were followed up. Narcotics Anonymous attendance was inversely related to drug use for those who had left residential care. We found that spiritual beliefs and disease concept beliefs were not prerequisites for attendance of NA. Spiritual beliefs were not found to cause external attributions for previous drug use or possible future lapse events.

  • Racial differences in desistance from substance abuse: the impact of religious involvement on recovery

    Type Journal Article
    Author Doris C Chu
    Author Hung-En Sung
    Abstract This study examines variations by race in the relationship between religiosity and desistance from substance abuse. Although most studies have included race as a control variable, only a few studies compared the equivalence of associations among religiosity, delinquency, recovery from substance abuse, and other variables between Black and White samples. Using data from the intake and 12-month follow-up survey of the Drug Abuse Treatment Outcome Study, this study examines levels of religious involvement of Black and White drug treatment clients. In addition, it empirically tests whether religious involvement exerts differential effects on Black and White clients' recovery from substance abuse. It was found that Black clients reported higher levels of religious involvement (measured by church attendance) than did White clients. Data indicated that religious behavior at 1-year follow-up was positively associated with Black clients' recovery from substance abuse. In contrast, religious behavior was not a significant predictor of White clients' desistance from substance abuse. Directions for future research and policy implications are discussed.
    Publication International Journal of Offender Therapy and Comparative Criminology
    Volume 53
    Issue 6
    Pages 696-716
    Date Dec 2009
    Journal Abbr Int J Offender Ther Comp Criminol
    DOI 10.1177/0306624X08320207
    ISSN 1552-6933
    Short Title Racial differences in desistance from substance abuse
    URL http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/18647819
    Accessed Monday, December 28, 2009 1:08:32 PM
    Library Catalog NCBI PubMed
    Extra PMID: 18647819
    Date Added Thursday, September 29, 2011 9:04:55 AM
    Modified Thursday, September 29, 2011 9:04:55 AM
  • The experience of persons with allergic respiratory symptoms: practicing yoga as a self-healing modality

    Type Journal Article
    Author Prapaporn Chukumnerd
    Author Urai Hatthakit
    Author Arphorn Chuaprapaisilp
    Abstract The purpose of this study was to describe the experience of persons with allergic respiratory symptoms who practice yoga as a self-healing modality. Fifteen participants were interviewed. Using the content analysis method, 5 themes emerged from the data: perceived positive effects, powerful and harmonious inner energy, mindfulness and self-awareness, understanding self and others, and promoting and achieving a state of balance and harmony. These findings foster the value of knowing the experience of persons who practice yoga as an intervention in holistic nursing.
    Publication Holistic Nursing Practice
    Volume 25
    Issue 2
    Pages 63-70
    Date 2011 Mar-Apr
    Journal Abbr Holist Nurs Pract
    DOI 10.1097/HNP.0b013e31820dbbae
    ISSN 1550-5138
    Short Title The experience of persons with allergic respiratory symptoms
    URL http://www.ncbi.nlm.nih.gov/pubmed/21325906
    Accessed Monday, April 04, 2011 7:46:40 PM
    Library Catalog NCBI PubMed
    Extra PMID: 21325906
    Date Added Thursday, September 29, 2011 8:56:10 AM
    Modified Thursday, September 29, 2011 8:56:10 AM
  • Exploring Spiritual Well-Being Among Survivors of Colorectal and Lung Cancer

    Type Journal Article
    Author Kimberly S. Clay
    Author Costellia Talley
    Author Karen B. Young
    Abstract This descriptive, exploratory study is part of a larger observational study of the quality of cancer care delivered to population-based cohorts of newly diagnosed patients with lung and colorectal cancer. The current study explores the role of spiritual well-being in adjustment to life after the cancer diagnosis, utilizing the Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being-Expanded (FACIT-Sp-Ex) Scale. Survey data collected from 304 newly diagnosed cancer survivors were analyzed to explore important aspects of spirituality, such as sense of meaning in one's life, harmony, peacefulness, and a sense of strength and comfort from one's faith. Spiritual well-being scores, particularly meaning/peace, were statistically significant for African Americans, women, and colorectal cancer survivors. These findings amplify a need for oncology social workers and other practitioners to assess spiritual well-being in cancer survivors in an effort to strengthen psychosocial treatment plans. Implications for social work practice and research are discussed.
    Publication Journal of Religion & Spirituality in Social Work: Social Thought
    Volume 29
    Issue 1
    Pages 14-32
    Date 2010
    DOI 10.1080/15426430903479247
    ISSN 1542-6432
    URL http://www.informaworld.com/10.1080/15426430903479247
    Accessed Tuesday, July 27, 2010 11:52:40 AM
    Library Catalog Informaworld
    Date Added Thursday, September 29, 2011 9:03:23 AM
    Modified Thursday, September 29, 2011 9:03:23 AM

    Notes:

    • This descriptive, exploratory study is part of a larger observational study of the quality of cancer care delivered to population‐based cohorts of newly diagnosed patients with lung and colorectal cancer. The current study explores the role of spiritual well‐being in adjustment to life after the cancer diagnosis, utilizing the Functional Assessment of Chronic Illness Therapy–Spiritual Well‐Being–Expanded (FACIT‐Sp‐Ex) Scale. Survey data collected from 304 newly diagnosed cancer survivors were analyzed to explore important aspects of spirituality, such as sense of meaning in one's life, harmony, peacefulness, and a sense of strength and comfort from one's faith. Spiritual well‐being scores, particularly meaning/peace, were statistically significant for African Americans, women, and colorectal cancer survivors. These findings amplify a need for oncology social workers and other practitioners to assess spiritual well‐being in cancer survivors in an effort to strengthen psychosocial treatment plans. Implications for social work practice and research are discussed.

  • Religiosity and Alcohol Behavior: An Exploration of Reference Group Theory

    Type Journal Article
    Author John K. Cochran
    Author Leonard Beeghley
    Author E. Wilbur Bock
    Abstract This study examines the relationship between religiosity and alcohol use and perceived misuse. Unlike most past research, we focus on adults rather than adolescents and distinguish among specific Protestant denominations. We also use a more appropriate statistical technique and place the findings in a theoretical context. The analysis shows that religiosity is clearly related to alcohol use, mainly because people's religion serves as a reference group influencing their behavior. The analysis also shows that religiosity is not related to perceived misuse of alcohol, mainly because societal norms are congruent with religious norms and, hence, appear to overwhelm any effect of religion.
    Publication Sociological Forum
    Volume 3
    Issue 2
    Pages 256-276
    Date Spring, 1988
    ISSN 08848971
    Short Title Religiosity and Alcohol Behavior
    URL http://www.jstor.org.ezproxy.bu.edu/stable/684367
    Accessed Friday, October 30, 2009 3:54:34 PM
    Library Catalog JSTOR
    Extra ArticleType: primary_article / Full publication date: Spring, 1988 / Copyright © 1988 Springer
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Notes:

    • This study examines the relationship between religiosity and alcohol use and perceived misuse. Unlike most past research, we focus on adults rather than adolescents and distinguish among specific Protestant denominations. We also use a more appropriate statistical technique and place the findings in a theoretical context. The analysis shows that religiosity is clearly related to alcohol use, mainly because people’s religion serves as a reference group influencing their behavior.

  • Regulation, religious experience, and epilepsy: a lens on complementary therapies

    Type Journal Article
    Author Michael H Cohen
    Abstract Complementary and alternative medical (CAM) therapies include chiropractic, acupuncture and traditional Oriental medicine, massage therapy, and herbal remedies; mind-body therapies (such as meditative practices and visualization); and folk practices and religious healing. Of these, modalities based on spiritual healing create a number of conundrums for the clinician, including legal, regulatory, and ethical issues. Further, the historic relationship between the study of epilepsy and religious experience suggests particular, potential associations between CAM therapies (and especially spiritual healing) and care for epileptic patients. There are at least two dimensions to this exploration: first, the widespread use of spiritual healing for treatment of epilepsy; and second, the hypothesized connection between epileptic seizures and mystical states. A number of legal rules help address potential abuse of authority by health care professionals, and include: (1) medical licensure; (2) scope of practice; (3) professional discipline; (4) malpractice; and (5) fraud. This article offers a preliminary resource for clinicians interested in these topics.
    Publication Epilepsy & Behavior: E&B
    Volume 4
    Issue 6
    Pages 602-606
    Date Dec 2003
    Journal Abbr Epilepsy Behav
    ISSN 1525-5050
    Short Title Regulation, religious experience, and epilepsy
    URL http://www.ncbi.nlm.nih.gov/pubmed/14698692
    Accessed Friday, November 13, 2009 12:37:30 PM
    Library Catalog NCBI PubMed
    Extra PMID: 14698692
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Tags:

    • Complementary Therapies
    • Epilepsy
    • Health Services Needs and Demand
    • Humans
    • Mental Healing
    • religion
    • Social Control, Formal
    • Spiritual Therapies
    • spirituality

    Notes:

    • The historic relationship between the study of epilepsy and religious experience suggests particular, potential associations between CAM therapies (and especially spiritual healing) and care for epileptic patients. There are at least two dimensions to this exploration: first, the widespread use of spiritual healing for treatment of epilepsy; and second, the hypothesized connection between epileptic seizures and mystical states.

  • Does religiosity protect against cognitive and behavioral decline in Alzheimer's dementia?

    Type Journal Article
    Author A Coin
    Author E Perissinotto
    Author M Najjar
    Author A Girardi
    Author E M Inelmen
    Author G Enzi
    Author E Manzato
    Author G Sergi
    Abstract BACKGROUND: several studies have shown that religiosity has beneficial effects on health, mortality and pathological conditions; little is known about religiosity in Alzheimer's disease and the progression of its cognitive, behavioral and functional symptoms. Our aim was to identify any relationship between religiosity and the progression of cognitive impairment and behavioral disorders in mild-moderate Alzheimer's disease, and any relationship between the patient's religiosity and the stress in caregivers. MATERIALS AND METHODS: 64 patients with Alzheimer's disease were analyzed at baseline and 12 months later using the Mini-Mental State Examination (MMSE), the Behavioral Religiosity Scale (BRS) and the Francis Short Scale (FSS). Caregivers were also questioned on the patient's functional abilities (ADL, IADL), the behavioral disturbances (NPI), and on their stress (NPI-D, CBI). Patients were divided into 2 groups according to BRS: a score of <24 meant no or low religiosity (LR), while a score of > or =24 meant moderate or high religiosity (HR). FINDINGS: LR patients had worsened more markedly after 12 months in their total cognitive and behavioral test scores. Stress was also significantly higher in the caregivers of the LR group. Global BRS and FSS scores correlated significantly with variations after 1 year in the MMSE (r: 0.50), NPI (r:-0.51), NPI-D (r:-0.55) and CBI (r:-0.62). A low religiosity coincided with a higher risk of cognitive impairment, considered as a 3-point decrease in MMSE score (OR 6.7, CI: 1.8-24.7). INTERPRETATION: higher levels of religiosity in Alzheimer's dementia seem to correlate with a slower cognitive and behavioral decline, with a corresponding significant reduction of the caregiver's burden.
    Publication Current Alzheimer Research
    Volume 7
    Issue 5
    Pages 445-452
    Date Aug 2010
    Journal Abbr Curr Alzheimer Res
    ISSN 1875-5828
    URL http://www.ncbi.nlm.nih.gov/pubmed/20088813
    Extra PMID: 20088813
    Date Added Thursday, September 29, 2011 9:02:43 AM
    Modified Thursday, September 29, 2011 9:02:43 AM
  • Spirituality and sexual orientation: relationship to mental well-being and functional health status

    Type Journal Article
    Author Christopher L Coleman
    Abstract BACKGROUND: Research has shown that spirituality has a positive effect on physical and mental health; however, few studies have explored the influence of spirituality and sexuality on mental well-being and functional health status in people with human immunodeficiency virus (HIV)/acquired immunodeficiency syndrome (AIDS). AIM: This descriptive cross-sectional study was designed to examine the relationships among spirituality, sexual orientation, mental well-being and aspects of functional health status (physical, role, social and cognitive functioning) in a sample of 117 African-American men and women living with HIV/AIDS. METHODS: Spirituality was measured using the Spiritual Well-Being Scale. A demographic questionnaire gathered data on sexual orientation, age and gender. The Medical Outcomes Study Questionnaire-30 assessed aspects of functional health status and mental well-being. The HIV Symptom Checklist for Persons With HIV disease was used to collect data on HIV symptoms. The data were collected in 1996. FINDINGS: The findings indicate that spirituality had a direct relationship with cognitive and social functioning and was inversely related to HIV symptoms. Sexual orientation had direct relationships with mental well-being, cognitive, physical, social and role functioning. t-Tests showed that heterosexual participants reported poorer mental well-being and functional health status compared with homosexual participants. Regression analysis showed that spirituality, sexual orientation, age and HIV symptoms contributed significantly to mental well-being and functional health status. CONCLUSIONS: The regression analysis showed that spirituality, sexual orientation, age and HIV symptoms contributed significantly to mental well-being and functional health status. Further research is needed to explore the various ways that sexual orientation influences health status findings in those with HIV disease in certain segments of the population. The findings support the inclusion of spirituality as a variable when examining mental well-being and physical health. Finally, given the limitations of the design, more rigorous methods should be employed to understand further the contribution of spirituality to the health status of African-Americans living with HIV, because of its social importance to this particular community.
    Publication Journal of Advanced Nursing
    Volume 43
    Issue 5
    Pages 457-464
    Date Sep 2003
    Journal Abbr J Adv Nurs
    ISSN 0309-2402
    Short Title Spirituality and sexual orientation
    URL http://www.ncbi.nlm.nih.gov/pubmed/12919264
    Accessed Thursday, November 12, 2009 11:23:27 PM
    Library Catalog NCBI PubMed
    Extra PMID: 12919264
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Tags:

    • Adult
    • African Americans
    • Attitude to Health
    • Cross-Sectional Studies
    • Female
    • Health Status
    • HIV Infections
    • Humans
    • Male
    • mental health
    • Questionnaires
    • Regression Analysis
    • Religion and Psychology
    • Sexual behavior
    • Socioeconomic Factors
    • spirituality

    Notes:

    • This descriptive cross-sectional study was designed to examine the relationships among spirituality, sexual orientation, mental well-being and aspects of functional health status (physical, role, social and cognitive functioning) in a sample of 117 African-American men and women living with HIV/AIDS. Conclusions: The regression analysis showed that spirituality, sexual orientation, age and HIV symptoms contributed significantly to mental well-being and functional health status.

  • Fire and ice. Natives, alcohol and spirituality, a northern health paradigm

    Type Journal Article
    Author P Colorado
    Publication Arctic Medical Research
    Volume 47 Suppl 1
    Pages 598-603
    Date 1988
    Journal Abbr Arctic Med Res
    ISSN 0782-226X
    URL http://www.ncbi.nlm.nih.gov/pubmed/3272696
    Accessed Thursday, November 12, 2009 5:08:50 PM
    Library Catalog NCBI PubMed
    Extra PMID: 3272696
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Tags:

    • Alcoholism
    • Arctic Regions
    • Canada
    • Cultural Characteristics
    • Culture
    • Humans
    • Indians, North American
    • Religion and Psychology
    • Risk Factors
    • Social Environment
  • Effect of Religiosity and Spirituality on Drug Treatment Outcomes.

    Type Journal Article
    Author Bradley T. Conner
    Author M. Douglas Anglin
    Author Jeffery Annon
    Author Douglas Longshore
    Abstract This study empirically tested one component of a comprehensive model of the role of religiosity and spirituality (R/S) in drug treatment that is presented as a companion article in this special issue. Data collected from individuals dependent on heroin receiving narcotic replacement therapy were used to assess the effects of R/S on drug treatment outcomes. Based on their R and S scores, participants were assigned to one of four groups: those whose scores remained consistently high across the 12-month study period were compared to those whose scores were consistently low, increased, or decreased across the same period. Results indicated that at both study completion (12 months after admission) and 6 months after that participants in the consistently high and increasing spirituality groups self-reported significantly fewer days of heroin and cocaine/crack use than those in the consistently low group ( p < 0.05). There were no significant differences among the religiosity groups on self-reported heroin or cocaine/crack use. Results from χ2 analyses indicated that at 12 months the results of urinalysis for the presence of opiates, but not cocaine/crack, were dependent on spirituality group membership ( p < 0.01) but not religiosity group membership. Results also indicated that at the 6-month follow-up, there were significantly more participants in the decreasing group who were not in maintenance treatment who had a positive urinalysis and fewer in the increasing group than would be expected if the two variables were independent ( p < 0.05). Implications for addictions health services are discussed. [ABSTRACT FROM AUTHOR]
    Publication Journal of Behavioral Health Services & Research
    Volume 36
    Issue 2
    Pages 189-198
    Date April 2009
    DOI 10.1007/s11414-008-9145-z
    ISSN 10943412
    Library Catalog EBSCOhost
    Date Added Thursday, September 29, 2011 9:06:18 AM
    Modified Thursday, September 29, 2011 9:06:18 AM

    Tags:

    • DRUG addiction -- Treatment
    • DRUG addiction -- Treatment -- Religious aspects
    • OUTCOME assessment (Medical care) -- Research
    • RELIGIOUSNESS -- Research
    • SPIRITUALITY -- Therapeutic use
  • Effect of religiosity and spirituality on drug treatment outcomes

    Type Journal Article
    Author Bradley T Conner
    Author M Douglas Anglin
    Author Jeffery Annon
    Author Douglas Longshore
    Abstract This study empirically tested one component of a comprehensive model of the role of religiosity and spirituality (R/S) in drug treatment that is presented as a companion article in this special issue. Data collected from individuals dependent on heroin receiving narcotic replacement therapy were used to assess the effects of R/S on drug treatment outcomes. Based on their R and S scores, participants were assigned to one of four groups: those whose scores remained consistently high across the 12-month study period were compared to those whose scores were consistently low, increased, or decreased across the same period. Results indicated that at both study completion (12 months after admission) and 6 months after that participants in the consistently high and increasing spirituality groups self-reported significantly fewer days of heroin and cocaine/crack use than those in the consistently low group (p < 0.05). There were no significant differences among the religiosity groups on self-reported heroin or cocaine/crack use. Results from chi(2) analyses indicated that at 12 months the results of urinalysis for the presence of opiates, but not cocaine/crack, were dependent on spirituality group membership (p < 0.01) but not religiosity group membership. Results also indicated that at the 6-month follow-up, there were significantly more participants in the decreasing group who were not in maintenance treatment who had a positive urinalysis and fewer in the increasing group than would be expected if the two variables were independent (p < 0.05). Implications for addictions health services are discussed.
    Publication The Journal of Behavioral Health Services & Research
    Volume 36
    Issue 2
    Pages 189-198
    Date Apr 2009
    Journal Abbr J Behav Health Serv Res
    DOI 10.1007/s11414-008-9145-z
    ISSN 1556-3308
    URL http://www.ncbi.nlm.nih.gov/pubmed/18770043
    Accessed Friday, November 13, 2009 7:12:23 PM
    Library Catalog NCBI PubMed
    Extra PMID: 18770043
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Tags:

    • Adult
    • Analgesics, Opioid
    • Cocaine-Related Disorders
    • Female
    • Heroin Dependence
    • Humans
    • Male
    • Methadone
    • Methadyl Acetate
    • Middle Aged
    • Narcotics
    • Religion and Medicine
    • spirituality
    • Treatment Outcome

    Notes:

    • Data collected from individuals dependent on heroin receiving narcotic replacement therapy were used to assess the effects of R/S on drug treatment outcomes. Results indicated that at both study completion (12 months after admission) and 6 months after that participants in the consistently high and increasing spirituality groups self-reported significantly fewer days of heroin and cocaine/crack use than those in the consistently low group (p < 0.05). There were no significant differences among the religiosity groups on self-reported heroin or cocaine/crack use.

  • Case Study of a Chaplain's Spiritual Care for a Patient with Advanced Metastatic Breast Cancer

    Type Journal Article
    Author Rhonda S Cooper
    Abstract The case study seeks to describe an oncology chaplain's pastoral relationship with a 64-year-old woman with advanced metastatic breast cancer. The patient's distress was complicated by a history of anxiety and other chronic medical conditions. Approximately 16 pastoral encounters occurred during the last year of the patient's life. The patient, chaplain, and the pastoral conversations are presented as well as a retrospective assessment of them. The chaplain's interventions were appropriate for the patient's spiritual needs, particularly in regard to her fear of death, loneliness, grief that her life was "too short" and estrangement from her inherited faith tradition, with observable benefits for the patient. The oncology chaplain has a distinctive role in the healthcare team as one who can meet the patient at the point of their spiritual need, provide appropriate interventions and, thereby, ameliorate the distress, particularly in regard to death anxiety, peace of mind, and issues of meaning.
    Publication Journal of Health Care Chaplaincy
    Volume 17
    Issue 1
    Pages 19-37
    Date Jan 2011
    Journal Abbr J Health Care Chaplain
    DOI 10.1080/08854726.2011.559832
    ISSN 1528-6916
    URL http://www.ncbi.nlm.nih.gov/pubmed/21534064
    Accessed Wednesday, June 08, 2011 6:55:06 PM
    Library Catalog NCBI PubMed
    Extra PMID: 21534064
    Date Added Thursday, September 29, 2011 8:55:16 AM
    Modified Thursday, September 29, 2011 8:55:16 AM

    Notes:

    • The case study seeks to describe an oncology chaplain's pastoral relationship with a 64-year-old woman with advanced metastatic breast cancer. The patient's distress was complicated by a history of anxiety and other chronic medical conditions. Approximately 16 pastoral encounters occurred during the last year of the patient's life. The patient, chaplain, and the pastoral conversations are presented as well as a retrospective assessment of them. The chaplain's interventions were appropriate for the patient's spiritual needs, particularly in regard to her fear of death, loneliness, grief that her life was "too short" and estrangement from her inherited faith tradition, with observable benefits for the patient. The oncology chaplain has a distinctive role in the healthcare team as one who can meet the patient at the point of their spiritual need, provide appropriate interventions and, thereby, ameliorate the distress, particularly in regard to death anxiety, peace of mind, and issues of meaning.

  • Changes in religiousness and spirituality attributed to HIV/AIDS: are there sex and race differences?

    Type Journal Article
    Author Sian Cotton
    Author Joel Tsevat
    Author Magdalena Szaflarski
    Author Ian Kudel
    Author Susan N Sherman
    Author Judith Feinberg
    Author Anthony C Leonard
    Author William C Holmes
    Abstract BACKGROUND/OBJECTIVE: Having a serious illness such as HIV/AIDS raises existential issues, which are potentially manifested as changes in religiousness and spirituality. The objective of this study was (1) to describe changes in religiousness and spirituality of people with HIV/AIDS, and (2) to determine if these changes differed by sex and race. METHODS: Three-hundred and forty-seven adults with HIV/AIDS from 4 sites were asked demographic, clinical, and religious/spiritual questions. Six religious/spiritual questions assessed personal and social domains of religiousness and spirituality. RESULTS: Eighty-eight participants (25%) reported being "more religious" and 142 (41%) reported being "more spiritual" since being diagnosed with HIV/AIDS. Approximately 1 in 4 participants also reported that they felt more alienated by a religious group since their HIV/AIDS diagnosis and approximately 1 in 10 reported changing their place of religious worship because of HIV/AIDS. A total of 174 participants (50%) believed that their religiousness/spirituality helped them live longer. Fewer Caucasians than African Americans reported becoming more spiritual since their HIV/AIDS diagnosis (37% vs 52%, respectively; P<.015), more Caucasians than African Americans felt alienated from religious communities (44% vs 21%, respectively; P<.001), and fewer Caucasians than African Americans believed that their religiousness/spirituality helped them live longer (41% vs 68% respectively; P<.001). There were no significantly different reported changes in religious and spiritual experiences by sex. CONCLUSIONS: Many participants report having become more spiritual or religious since contracting HIV/AIDS, though many have felt alienated by a religious group-some to the point of changing their place of worship. Clinicians conducting spiritual assessments should be aware that changes in religious and spiritual experiences attributed to HIV/AIDS might differ between Caucasian and African Americans.
    Publication Journal of General Internal Medicine
    Volume 21 Suppl 5
    Pages S14-20
    Date Dec 2006
    Journal Abbr J Gen Intern Med
    DOI 10.1111/j.1525-1497.2006.00641.x
    ISSN 1525-1497
    Short Title Changes in religiousness and spirituality attributed to HIV/AIDS
    URL http://www.ncbi.nlm.nih.gov/pubmed/17083495
    Accessed Friday, November 13, 2009 4:55:54 PM
    Library Catalog NCBI PubMed
    Extra PMID: 17083495
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Tags:

    • Adult
    • African Americans
    • Female
    • HIV Infections
    • Humans
    • Life Change Events
    • Male
    • Odds Ratio
    • Religion and Psychology
    • Sex Distribution
    • Social Alienation
    • United States

    Notes:

    • The purpose of this study is to characterize spirituality/religion in a large and diverse sample of patients with HIV/AIDS by using several measures of spirituality/religion, to examine associations between spirituality/religion and a number of demographic, clinical, and psychosocial variables, and to assess changes in levels of spirituality over 12 to 18 months. Conclusions: Most patients with HIV/AIDS belonged to an organized religion and use their religion to cope with their illness. Patients with greater optimism, greater self-esteem, greater life satisfaction, minorities, and patients who drink less alcohol tend to be both more spiritual and religious. Spirituality levels remain stable over 12 to 18 months.

  • Spirituality and religion in patients with HIV/AIDS

    Type Journal Article
    Author Sian Cotton
    Author Christina M Puchalski
    Author Susan N Sherman
    Author Joseph M Mrus
    Author Amy H Peterman
    Author Judith Feinberg
    Author Kenneth I Pargament
    Author Amy C Justice
    Author Anthony C Leonard
    Author Joel Tsevat
    Abstract BACKGROUND: Spirituality and religion are often central issues for patients dealing with chronic illness. The purpose of this study is to characterize spirituality/religion in a large and diverse sample of patients with HIV/AIDS by using several measures of spirituality/religion, to examine associations between spirituality/religion and a number of demographic, clinical, and psychosocial variables, and to assess changes in levels of spirituality over 12 to 18 months. METHODS: We interviewed 450 patients from 4 clinical sites. Spirituality/religion was assessed by using 8 measures: the Functional Assessment of Chronic Illness Therapy-Spirituality-Expanded scale (meaning/peace, faith, and overall spirituality); the Duke Religion Index (organized and nonorganized religious activities, and intrinsic religiosity); and the Brief RCOPE scale (positive and negative religious coping). Covariates included demographics and clinical characteristics, HIV symptoms, health status, social support, self-esteem, optimism, and depressive symptoms. RESULTS: The patients' mean (SD) age was 43.3 (8.4) years; 387 (86%) were male; 246 (55%) were minorities; and 358 (80%) indicated a specific religious preference. Ninety-five (23%) participants attended religious services weekly, and 143 (32%) engaged in prayer or meditation at least daily. Three hundred thirty-nine (75%) patients said that their illness had strengthened their faith at least a little, and patients used positive religious coping strategies (e.g., sought God's love and care) more often than negative ones (e.g., wondered whether God has abandoned me; P<.0001). In 8 multivariable models, factors associated with most facets of spirituality/religion included ethnic and racial minority status, greater optimism, less alcohol use, having a religion, greater self-esteem, greater life satisfaction, and lower overall functioning (R2=.16 to .74). Mean levels of spirituality did not change significantly over 12 to 18 months. CONCLUSIONS: Most patients with HIV/AIDS belonged to an organized religion and use their religion to cope with their illness. Patients with greater optimism, greater self-esteem, greater life satisfaction, minorities, and patients who drink less alcohol tend to be both more spiritual and religious. Spirituality levels remain stable over 12 to 18 months.
    Publication Journal of General Internal Medicine
    Volume 21 Suppl 5
    Pages S5-13
    Date Dec 2006
    Journal Abbr J Gen Intern Med
    DOI 10.1111/j.1525-1497.2006.00642.x
    ISSN 1525-1497
    URL http://www.ncbi.nlm.nih.gov/pubmed/17083501
    Accessed Friday, November 13, 2009 4:57:34 PM
    Library Catalog NCBI PubMed
    Extra PMID: 17083501
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Tags:

    • Adaptation, Psychological
    • Adult
    • Alcohol Drinking
    • Ethnic Groups
    • Female
    • Follow-Up Studies
    • HIV Infections
    • Humans
    • Logistic Models
    • Male
    • Multivariate Analysis
    • Personal Satisfaction
    • Religion and Psychology
    • Residence Characteristics
    • Self Concept
    • social support
    • spirituality
    • United States

    Notes:

    • The objective of this study was (1) to describe changes in religiousness and spirituality of people with HIV/AIDS, and (2) to determine if these changes differed by sex and race. Conclusions: Many participants report having become more spiritual or religious since contracting HIV/AIDS, though many have felt alienated by a religious group-some to the point of changing their place of worship.

  • A randomised controlled trial of yoga for the treatment of chronic low back pain: Results of a pilot study

    Type Journal Article
    Author Helen Cox
    Author Helen Tilbrook
    Author John Aplin
    Author Anna Semlyen
    Author David Torgerson
    Author Alison Trewhela
    Author Ian Watt
    Abstract Objective To conduct a pilot trial of yoga for the treatment of chronic low back pain (LBP) to inform the feasibility and practicality of conducting a full-scale trial in the UK; and to assess the efficacy of yoga for the treatment of chronic low back pain.Design A pragmatic randomised controlled trial was undertaken comparing yoga to usual care.Participants Twenty participants who had presented to their GP with chronic low back pain in the previous 18 months were recruited via GP records from one practice in York, UK.Interventions Twenty patients were randomised to either 12 weekly 75-min sessions of specialised yoga plus written advice, or usual care plus written advice. Allocation was 50/50.Main outcome measures Recruitment rate, levels of intervention attendance, and loss to follow-up were the main non-clinical outcomes. Change as measured by the Roland and Morris disability questionnaire was the primary clinical outcome. Changes in the Aberdeen back pain scale, SF-12, EQ-5D, and pain self-efficacy were secondary clinical outcomes. Data were collected via postal questionnaire at baseline, 4 weeks, and 12 weeks follow-up.Results Of the 286 patients identified from the GP database, 52 (18%) consented and returned the eligibility questionnaire, out of these 20 (6.9%) were eligible and randomised. The total percentage of patients randomised from the GP practice population was 0.28%. Ten patients were randomised to yoga, receiving an average of 1.7 sessions (range 0-5), and 10 were randomised to usual care. At 12 weeks follow-up data was received from 60% of patients in the yoga group and 90% of patients in the usual care group (75% overall). No significant differences were seen between groups in clinical outcomes apart from on the Aberdeen back pain scale at four weeks follow-up where the yoga group reported significantly less pain.Conclusion This pilot study provided useful data and information to inform the design and development of a full-scale trial of yoga for CLBP in the UK. A key finding is the calculation of GP practice total list size required for patient recruitment in a full-scale trial, and the need to implement methods to increase class attendance.
    Publication Complementary Therapies in Clinical Practice
    Volume 16
    Issue 4
    Pages 187-193
    Date November 2010
    DOI 10.1016/j.ctcp.2010.05.007
    ISSN 1744-3881
    URL http://www.sciencedirect.com/science/article/B7MFN-509GR3B-1/2/adf6032c11dcb605d64dd43d35061e3a
    Accessed Monday, December 13, 2010 8:33:53 PM
    Date Added Thursday, September 29, 2011 8:59:00 AM
    Modified Thursday, September 29, 2011 8:59:00 AM

    Tags:

    • Feasibility
    • Low Back Pain
    • Pilot study
    • Primary care
    • RCT
    • yoga

    Notes:

    • This book is about a a pilot trial of yoga for the treatment of chronic low back pain (LBP) to inform the feasibility and practicality of conducting a full-scale trial in the UK; and to assess the efficacy of yoga for the treatment of chronic low back pain. This pilot study provided useful data and information to inform the design and development of a full-scale trial of yoga for CLBP in the UK. A key finding is the calculation of GP practice total list size required for patient recruitment in a full-scale trial, and the need to implement methods to increase class attendance.

  • A pragmatic multi-centred randomised controlled trial of yoga for chronic low back pain: trial protocol

    Type Journal Article
    Author Helen Cox
    Author Helen Tilbrook
    Author John Aplin
    Author Ling-Hsiang Chuang
    Author Catherine Hewitt
    Author Shalmini Jayakody
    Author Anna Semlyen
    Author Marta O Soares
    Author David Torgerson
    Author Alison Trewhela
    Author Ian Watt
    Author Gill Worthy
    Abstract A systematic review revealed three small randomised controlled trials of yoga for low back pain, all of which showed effects on back pain that favoured the yoga group. To build on these studies a larger trial, with longer term follow-up, and a number of different yoga teachers delivering the intervention is required. This study protocol describes the details of a randomised controlled trial (RCT) to determine the effectiveness and cost-effectiveness of Yoga for chronic Low Back Pain, which is funded by Arthritis Research Campaign (arc) and is being conducted by the University of York. 262 patients will be recruited from GP practices in 5 centres in England. Patients will be randomised to receive usual care or 12 weekly classes of yoga. A yoga programme will be devised that can be delivered by yoga teachers of the two main national yoga organisations in the UK (British Wheel of Yoga and Iyengar Yoga Association (UK)). Trial registration: Current controlled trials registry ISRCTN81079604 (date registered 30/03/2007).
    Publication Complementary Therapies in Clinical Practice
    Volume 16
    Issue 2
    Pages 76-80
    Date May 2010
    Journal Abbr Complement Ther Clin Pract
    DOI 10.1016/j.ctcp.2009.09.010
    ISSN 1873-6947
    Short Title A pragmatic multi-centred randomised controlled trial of yoga for chronic low back pain
    Accessed Sunday, April 25, 2010 6:12:10 PM
    Library Catalog NCBI PubMed
    Extra PMID: 20347837
    Date Added Thursday, September 29, 2011 9:04:02 AM
    Modified Thursday, September 29, 2011 9:04:02 AM

    Notes:

    • A systematic review revealed three small randomised controlled trials of yoga for low back pain, all of which showed effects on back pain that favoured the yoga group. To build on these studies a larger trial, with longer term follow-up, and a number of different yoga teachers delivering the intervention is required. This study protocol describes the details of a randomised controlled trial (RCT) to determine the effectiveness and cost-effectiveness of Yoga for chronic Low Back Pain, which is funded by Arthritis Research Campaign (arc) and is being conducted by the University of York. 262 patients will be recruited from GP practices in 5 centres in England. Patients will be randomised to receive usual care or 12 weekly classes of yoga. A yoga programme will be devised that can be delivered by yoga teachers of the two main national yoga organisations in the UK (British Wheel of Yoga and Iyengar Yoga Association (UK)).

  • The Native American healing experience

    Type Journal Article
    Author Don Coyhis
    Author Richard Simonelli
    Abstract Recovery from addiction to alcohol and other drugs is taking place with the assistance of culture-specific methods in American Indian and Alaska Native communities in North America. These communities utilize many of the recovery approaches that make up today's best practices, but they also use their own cultural and ethnic strengths as an important part of their addictions recovery. The Wellbriety Movement among Native people is one such expression of culture-specific healing for North Americans having the heritage of indigenous peoples. The rallying call, "Our culture is prevention," expresses an approach unique in addictions recovery processes anywhere.
    Publication Substance Use & Misuse
    Volume 43
    Issue 12-13
    Pages 1927-1949
    Date 2008
    Journal Abbr Subst Use Misuse
    DOI 10.1080/10826080802292584
    ISSN 1532-2491
    URL http://www.ncbi.nlm.nih.gov/pubmed/19016172
    Accessed Friday, November 13, 2009 7:35:41 PM
    Library Catalog NCBI PubMed
    Extra PMID: 19016172
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Tags:

    • Alcoholism
    • Health promotion
    • Humans
    • Indians, North American
    • Medicine, Traditional
    • Models, Theoretical
    • Montana
    • North America
    • Program Development
    • spirituality
    • Substance-Related Disorders

    Notes:

    • Recovery from addiction to alcohol and other drugs is taking place with the assistance of culture-specific methods in American Indian and Alaska Native communities in North America. These communities utilize many of the recovery approaches that make up today’s best practices, but they also use their own cultural and ethnic strengths as an important part of their addictions recovery. The Wellbriety Movement among Native people is one such expression of culture-specific healing for North Americans having the heritage of indigenous peoples. The rallying call, “Our culture is prevention,” expresses an approach unique in addictions recovery processes anywhere.

  • Religion and Cancer: Examining the Possible Connections

    Type Journal Article
    Author Jacquelyn N. Crane
    Abstract Numerous sound scientific studies (cross-sectional and longitudinal) have found a positive correlation between religion and physical and mental health. In particular, there is evidence that demonstrates that religion helps cancer patients better adjust to and cope with their disease, at least psychologically. However, some research suggests that mediating factors associated with religion may explain the positive effects of religion on health. This article argues that even if this is the case, there is still intrinsic value to religion in that the mediators themselves are strongly connected to religion, and therefore religion is important to the patient in terms of coping, support, hope, and meaning. This has possible important implications for clinical practice.
    Publication Journal of Psychosocial Oncology
    Volume 27
    Issue 4
    Pages 469-486
    Date October 2009
    DOI 10.1080/07347330903182010
    ISSN 0734-7332
    Short Title Religion and Cancer
    URL http://www.informaworld.com.ezproxy.bu.edu/10.1080/07347330903182010
    Accessed Monday, November 02, 2009 8:20:36 PM
    Library Catalog Informaworld
    Date Added Thursday, September 29, 2011 9:04:55 AM
    Modified Thursday, September 29, 2011 9:04:55 AM

    Notes:

    • Numerous sound scientific studies (cross-sectional and longitudinal) have found a positive correlation between religion and physical and mental health. In particular, there is evidence that demonstrates that religion helps cancer patients better adjust to and cope with their disease, at least psychologically. However, some research suggests that mediating factors associated with religion may explain the positive effects of religion on health. This article argues that even if this is the case, there is still intrinsic value to religion in that the mediators themselves are strongly connected to religion, and therefore religion is important to the patient in terms of coping, support, hope, and meaning. This has possible important implications for clinical practice.

  • Mindfulness meditation training effects on CD4+ T lymphocytes in HIV-1 infected adults: a small randomized controlled trial

    Type Journal Article
    Author J David Creswell
    Author Hector F Myers
    Author Steven W Cole
    Author Michael R Irwin
    Abstract Mindfulness meditation training has stress reduction benefits in various patient populations, but its effects on biological markers of HIV-1 progression are unknown. The present study tested the efficacy of an 8-week Mindfulness-based stress reduction (MBSR) meditation program compared to a 1-day control seminar on CD4+ T lymphocyte counts in stressed HIV infected adults. A single-blind randomized controlled trial was conducted with enrollment and follow-up occurring between November 2005 and December 2007. A diverse community sample of 48 HIV-1 infected adults was randomized and entered treatment in either an 8-week MBSR or a 1-day control stress reduction education seminar. The primary outcome was circulating counts of CD4+ T lymphocytes. Participants in the 1-day control seminar showed declines in CD4+ T lymphocyte counts whereas counts among participants in the 8-week MBSR program were unchanged from baseline to post-intervention (time x treatment condition interaction, p=.02). This effect was independent of antiretroviral (ARV) medication use. Additional analyses indicated that treatment adherence to the mindfulness meditation program, as measured by class attendance, mediated the effects of mindfulness meditation training on buffering CD4+ T lymphocyte declines. These findings provide an initial indication that mindfulness meditation training can buffer CD4+ T lymphocyte declines in HIV-1 infected adults. Clinical Trials Registration: clinicaltrials.gov, Identifier: NCT00600561.
    Publication Brain, Behavior, and Immunity
    Volume 23
    Issue 2
    Pages 184-188
    Date Feb 2009
    Journal Abbr Brain Behav. Immun
    DOI 10.1016/j.bbi.2008.07.004
    ISSN 1090-2139
    Short Title Mindfulness meditation training effects on CD4+ T lymphocytes in HIV-1 infected adults
    URL http://www.ncbi.nlm.nih.gov/pubmed/18678242
    Accessed Monday, March 28, 2011 6:29:00 PM
    Library Catalog NCBI PubMed
    Extra PMID: 18678242
    Date Added Thursday, September 29, 2011 9:06:18 AM
    Modified Thursday, September 29, 2011 9:06:18 AM

    Tags:

    • Adult
    • CD4-Positive T-Lymphocytes
    • Female
    • Follow-Up Studies
    • HIV Infections
    • HIV-1
    • Humans
    • Male
    • Meditation
    • Middle Aged
    • Stress, Psychological
    • Time Factors
    • Treatment Outcome

    Notes:

    • The present study tested the efficacy of an 8-week Mindfulness-based stress reduction (MBSR) meditation program compared to a 1-day control seminar on CD4+ T lymphocyte counts in stressed HIV infected adults. The authors' findings provide an initial indication that mindfulness meditation training can buffer CD4+ T lymphocyte declines in HIV-1 infected adults.

  • Evaluation of the Breathworks Mindfulness-Based Pain Management Programme: Effects on Well-Being and Multiple Measures of Mindfulness

    Type Journal Article
    Author B. Cusens
    Author G. B. Duggan
    Author K. Thorne
    Author V. Burch
    Abstract Two studies of a mindfulness training programme are presented. Study 1 reports on a pilot investigation of the impact on well-being of the Breathworks mindfulness-based pain management programme. Significant positive change was found on self-report measures of depression, outlook, catastrophizing and pain self-efficacy in the Intervention Group, but not the Comparison Group. Particularly large effects were found for pain acceptance. These results support the short-term efficacy of the Breathworks programme and reinforce the importance of acceptance for positive outcome with chronic pain patients. Study 2 investigated alterations in mindfulness following participation in the Breathworks programme. Subjective and non-subjective measures of mindfulness were used. Scores on the Mindful Attention Awareness Scale were significantly higher at Time 2 in the Intervention Group, but not in the Comparison Group. There was no change on a measure of sustained attention. Results from an Implicit Association Test provided some support for an increased awareness of positive stimuli, following the intervention. These results are discussed with reference to the mechanisms of mindfulness. Copyright (C) 2009 John Wiley & Sons, Ltd.
    Publication Clinical Psychology and Psychotherapy
    Volume 17
    Issue 1
    Pages 63-78
    Date JAN-FEB 2010
    DOI 10.1002/cpp.653
    ISSN 1063-3995
    Short Title Evaluation of the Breathworks Mindfulness-Based Pain Management Programme
    Accessed Thursday, March 25, 2010 1:35:19 PM
    Library Catalog ISI Web of Knowledge
    Date Added Thursday, September 29, 2011 9:04:02 AM
    Modified Thursday, September 29, 2011 9:04:02 AM

    Notes:

    • Two studies of a mindfulness training program are presented. Study 1 reports on a pilot investigation of the impact on well-being of the Breathworks mindfulness-based pain management program. Significant positive change was found on self-report measures of depression, outlook, catastrophizing and pain self-efficacy in the Intervention Group, but not the Comparison Group. Particularly large effects were found for pain acceptance. These results support the short-term efficacy of the Breathworks program and reinforce the importance of acceptance for positive outcome with chronic pain patients. Study 2 investigated alterations in mindfulness following participation in the Breathworks program. Subjective and non-subjective measures of mindfulness were used. Scores on the Mindful Attention Awareness Scale were significantly higher at Time 2 in the Intervention Group, but not in the Comparison Group. There was no change on a measure of sustained attention. Results from an Implicit Association Test provided some support for an increased awareness of positive stimuli, following the intervention. These results are discussed with reference to the mechanisms of mindfulness.

  • Spiritual Well-Being and Health-Related Quality of Life Among African-American Women with HIV/AIDS

    Type Journal Article
    Author Safiya George Dalmida
    Author Marcia McDonnell Holstad
    Author Colleen Diiorio
    Author Gary Laderman
    Abstract Many HIV-positive women regard spirituality as an important part of their lives and spirituality may have positive impact on their health-related quality of life (HRQOL). Particularly among African American women with HIV, spirituality may serve as a cultural and psychological resource. This descriptive, crosssectional study examined associations between spiritual well-being (SWB) and its components, existential well-being (EWB) and religious well-being (RWB), and dimensions of HRQOL among a non-random sample of 118 African American HIV-positive women. A secondary analysis of data from two similar, NIH-funded studies: The Get Busy Living (GBL) Project and the KHARMA Project, was conducted. Baseline data on women from both studies were combined into one database and statistical analyses, including descriptive, correlation and hierarchical regression analyses, were conducted. Existential well-being was significantly positively (β =.74; p=.014) associated with the physical composite of HRQOL and accounted for a significant amount of unique variance (10.0%) beyond that explained by socio-demographic variables, religious well-being (RWB), HIV medication adherence, CD4 cell count and percentage, HIV viral load, and depressive symptoms. EWB was also significantly positively (β =.57; p=.024) associated with the mental health composite of HRQOL. Depressive symptomatology was also significantly inversely (β =.40; p=.004) associated with mental HRQOL. EWB accounted for a significant amount of additional variance (6.3%) beyond that explained by other variables. Spirituality is an important factor in the lives and quality of life of African American women and women living with HIV/AIDS. Further research is needed to examine relationships between spirituality and HRQOL among HIV-positive African American women.
    Publication Applied Research in Quality of Life
    Volume 6
    Issue 2
    Pages 139-157
    Date Jun 2011
    Journal Abbr Appl Res Qual Life
    DOI 10.1007/s11482-010-9122-6
    ISSN 1871-2576
    URL http://www.ncbi.nlm.nih.gov/pubmed/21731593
    Accessed Wednesday, July 13, 2011 6:11:45 PM
    Library Catalog NCBI PubMed
    Extra PMID: 21731593
    Date Added Thursday, September 29, 2011 8:54:25 AM
    Modified Thursday, September 29, 2011 8:54:25 AM

    Notes:

    • The authors argue in this study that many HIV-positive women regard spirituality as an important part of their lives.This descriptive, crosssectional study examined associations between spiritual well-being (SWB) and its components, existential well-being (EWB) and religious well-being (RWB), and dimensions of HRQOL among a non-random sample of 118 African American HIV-positive women.

  • Spiritual well-being, depressive symptoms, and immune status among women living with HIV/AIDS

    Type Journal Article
    Author Safiya George Dalmida
    Author Marcia McDonnell Holstad
    Author Colleen Diiorio
    Author Gary Laderman
    Abstract Spirituality is a resource some HIV-positive women use to cope with HIV, and it also may have positive impact on physical health. This cross-sectional study examined associations of spiritual well-being, with depressive symptoms, and CD4 cell count and percentages among a non-random sample of 129 predominantly African-American HIV-positive women. Significant inverse associations were observed between depressive symptoms and spiritual well-being (r = -.55, p = .0001), and its components, existential well-being (r = -.62, p = .0001) and religious well-being (r = -.36, p = .0001). Significant positive associations were observed between existential well-being and CD4 cell count (r = .19, p < .05) and also between spiritual well-being (r = .24, p < .05), religious well-being (r = .21, p < .05), and existential well-being (r = .22, p < .05) and CD4 cell percentages. In this sample of HIV-positive women, spiritual well-being, existential well-being, and religious well-being accounted for a significant amount of variance in depressive symptoms and CD4 cell percentages, above and beyond that explained by demographic variables, HIV medication adherence, and HIV viral load (log). Depressive symptoms were not significantly associated with CD4 cell counts or percentages. A significant relationship was observed between spiritual/religious practices (prayer/meditation and reading spiritual/religious material) and depressive symptoms. Further research is needed to examine relationships between spirituality and mental and physical health among HIV-positive women.
    Publication Women & Health
    Volume 49
    Issue 2-3
    Pages 119-143
    Date 2009 Mar-May
    Journal Abbr Women Health
    DOI 10.1080/03630240902915036
    ISSN 0363-0242
    Accessed Tuesday, February 22, 2011 6:53:36 PM
    Library Catalog NCBI PubMed
    Extra PMID: 19533506
    Date Added Thursday, September 29, 2011 9:06:18 AM
    Modified Thursday, September 29, 2011 9:06:18 AM

    Tags:

    • Acquired Immunodeficiency Syndrome
    • Adaptation, Psychological
    • Adult
    • African Americans
    • Aged
    • Aged, 80 and over
    • CD4 Lymphocyte Count
    • Cross-Sectional Studies
    • depression
    • Female
    • Health Status
    • HIV Seropositivity
    • Humans
    • Meditation
    • mental health
    • Middle Aged
    • religion
    • Socioeconomic Factors
    • spirituality
    • Young Adult

    Notes:

    • Spirituality is a resource some HIV-positive women use to cope with HIV, and it also may have positive impact on physical health. This cross-sectional study examined associations of spiritual well-being, with depressive symptoms, and CD4 cell count and percentages among a non-random sample of 129 predominantly African-American HIV-positive women. A significant relationship was observed between spiritual/religious practices (prayer/meditation and reading spiritual/religious material) and depressive symptoms. Further research is needed to examine relationships between spirituality and mental and physical health among HIV-positive women.

  • Spiritual well-being, depressive symptoms, and immune status among women living with HIV/AIDS

    Type Journal Article
    Author Safiya George Dalmida
    Author Marcia McDonnell Holstad
    Author Colleen Diiorio
    Author Gary Laderman
    Abstract Spirituality is a resource some HIV-positive women use to cope with HIV, and it also may have positive impact on physical health. This cross-sectional study examined associations of spiritual well-being, with depressive symptoms, and CD4 cell count and percentages among a non-random sample of 129 predominantly African-American HIV-positive women. Significant inverse associations were observed between depressive symptoms and spiritual well-being (r = -.55, p = .0001), and its components, existential well-being (r = -.62, p = .0001) and religious well-being (r = -.36, p = .0001). Significant positive associations were observed between existential well-being and CD4 cell count (r = .19, p < .05) and also between spiritual well-being (r = .24, p < .05), religious well-being (r = .21, p < .05), and existential well-being (r = .22, p < .05) and CD4 cell percentages. In this sample of HIV-positive women, spiritual well-being, existential well-being, and religious well-being accounted for a significant amount of variance in depressive symptoms and CD4 cell percentages, above and beyond that explained by demographic variables, HIV medication adherence, and HIV viral load (log). Depressive symptoms were not significantly associated with CD4 cell counts or percentages. A significant relationship was observed between spiritual/religious practices (prayer/meditation and reading spiritual/religious material) and depressive symptoms. Further research is needed to examine relationships between spirituality and mental and physical health among HIV-positive women.
    Publication Women & Health
    Volume 49
    Issue 2-3
    Pages 119-143
    Date 2009 Mar-May
    Journal Abbr Women Health
    DOI 10.1080/03630240902915036
    ISSN 0363-0242
    URL http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/19533506
    Accessed Monday, September 14, 2009 11:46:22 PM
    Library Catalog NCBI PubMed
    Extra PMID: 19533506
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Tags:

    • Acquired Immunodeficiency Syndrome
    • Adaptation, Psychological
    • Adult
    • African Americans
    • Aged
    • Aged, 80 and over
    • CD4 Lymphocyte Count
    • Cross-Sectional Studies
    • depression
    • Female
    • Health Status
    • HIV Seropositivity
    • Humans
    • Meditation
    • mental health
    • Middle Aged
    • religion
    • Socioeconomic Factors
    • spirituality
    • Young Adult

    Notes:

    • This cross-sectional study examined associations of spiritual well-being, with depressive symptoms, and CD4 cell count and percentages among a non-random sample of 129 predominantly African-American HIV-positive women. A significant relationship was observed between spiritual/religious practices (prayer/meditation and reading spiritual/religious material) and depressive symptoms.

  • Restorative yoga for women with breast cancer: findings from a randomized pilot study

    Type Journal Article
    Author Suzanne C Danhauer
    Author Shannon L Mihalko
    Author Gregory B Russell
    Author Cassie R Campbell
    Author Lynn Felder
    Author Kristin Daley
    Author Edward A Levine
    Abstract OBJECTIVES: Restorative yoga (RY) is a gentle type of yoga that may be beneficial for cancer patients and post-treatment survivors. Study goals were: to determine the feasibility of implementing a RY intervention for women with breast cancer; and to examine group differences in self-reported emotional, health-related quality of life, and symptom outcomes. METHODS: Women with breast cancer (n=44; mean age 55.8 years) enrolled in this study; 34% were actively undergoing cancer treatment. Study participants were randomized to the intervention (10 weekly 75-minute RY classes) or a waitlist control group. Participants completed questionnaires at Week 0 (baseline) and Week 10 (immediately post-intervention for the yoga group). RESULTS: Group differences favoring the yoga group were seen for mental health, depression, positive affect, and spirituality (peace/meaning). Significant baseline*group interactions were observed for negative affect and emotional well-being. Women with higher negative affect and lower emotional well-being at baseline derived greater benefit from the yoga intervention compared to those with similar values at baseline in the control group. The yoga group demonstrated a significant within-group improvement in fatigue; no significant difference was noted for the control group. CONCLUSIONS: Although limited by sample size, these pilot data suggest potential benefit of RY on emotional outcomes and fatigue in cancer patients. This study demonstrates that a RY intervention is feasible for women with breast cancer; implications for study design and implementation are noted with an emphasis on program adoption and participant adherence.
    Publication Psycho-Oncology
    Volume 18
    Issue 4
    Pages 360-368
    Date Apr 2009
    Journal Abbr Psychooncology
    DOI 10.1002/pon.1503
    ISSN 1099-1611
    Short Title Restorative yoga for women with breast cancer
    Accessed Tuesday, February 22, 2011 7:47:07 PM
    Library Catalog NCBI PubMed
    Extra PMID: 19242916
    Date Added Thursday, September 29, 2011 9:06:18 AM
    Modified Thursday, September 29, 2011 9:06:18 AM

    Tags:

    • Adult
    • Aged
    • Breast Neoplasms
    • Feasibility Studies
    • Female
    • Health promotion
    • Health Status
    • Humans
    • Middle Aged
    • Neoplasm Staging
    • Pilot Projects
    • Quality of Life
    • Questionnaires
    • yoga

    Notes:

    • Study goals of this study were to determine the feasibility of implementing a RY intervention for women with breast cancer; and to examine group differences in self-reported emotional, health-related quality of life, and symptom outcomes.

  • Beliefs in karma and reincarnation among survivors of violent trauma--a community survey

    Type Journal Article
    Author Jonathan R T Davidson
    Author Kathryn M Connor
    Author Li-Ching Lee
    Abstract BACKGROUND: This survey was designed to examine beliefs in karma and reincarnation among survivors of violent trauma in the general US population. METHODS: Two community surveys were conducted in 2001. From a sample of 1,969 respondents, two groups were created based on level of agreement with karmic belief. This sample forms the basis of this report. Information was obtained as to mental and physical health, resilience, exposure to violent trauma, and posttraumatic stress disorder (PTSD) symptom severity, and the cohorts were compared on these variables. RESULTS: Five percent of the sample admitted strong agreement to a belief in karma and reincarnation (n=99), while 77% strongly disagreed with these beliefs (n=1,511). Characteristics associated with agreement included being non-white, unmarried, and in poor physical and mental health. Moreover, agreement was associated with more extensive traumatization, including abuse, rape, and loss of a family member through violent death, as well as more severe posttraumatic stress symptoms. CONCLUSIONS: Few people subscribe strongly to a belief in karma and reincarnation in the US population, but personal experience of trauma may be associated with greater acceptance, as well as certain demographic and health-associated variables. The importance of holding such beliefs, which may represent an important way of coping following violent trauma, deserves further study.
    Publication Social Psychiatry and Psychiatric Epidemiology
    Volume 40
    Issue 2
    Pages 120-125
    Date Feb 2005
    Journal Abbr Soc Psychiatry Psychiatr Epidemiol
    DOI 10.1007/s00127-005-0857-6
    ISSN 0933-7954
    URL http://www.ncbi.nlm.nih.gov/pubmed/15685403
    Accessed Friday, November 13, 2009 2:21:04 PM
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    Extra PMID: 15685403
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Tags:

    • Adult
    • Age Distribution
    • Aged
    • Aged, 80 and over
    • Buddhism
    • Diagnostic and Statistical Manual of Mental Disorders
    • Female
    • Humans
    • Male
    • Middle Aged
    • religion
    • Severity of Illness Index
    • spirituality
    • Stress Disorders, Post-Traumatic
    • Violence

    Notes:

    • Background: This survey was designed to examine beliefs in karma and reincarnation among survivors of violent trauma in the general US population. Conclusions: Few people subscribe strongly to a belief in karma and reincarnation in the US population, but personal experience of trauma may be associated with greater acceptance, as well as certain demographic and health-associated variables.

  • Interactions Among Sex, Ethnicity, Religion, and Gender Role Expectations of Pain

    Type Journal Article
    Author Ruth Defrin
    Author Ilana Eli
    Author Dorit Pud
    Abstract <p>Background<br/>Sex, gender, ethnicity, and religion are powerful factors that may affect pain experience. Recently, gender role expectations of pain (GREP) were suggested to account for some of the differences in pain perception between men and women. However, the interaction between GREP and ethnicity and religion was not examined. This interaction was studied with regard to pain sensitivity, pain endurance, and willingness to report pain.Objective<br/>Our objective was to study the interaction among GREP, sex, and ethno-religious belonging.Method<br/>Participants (548 healthy men and women) of 3 different ethno-religious groups (341 Jews, 105 Muslim-Arabs, 102 Christian-Arabs) completed the GREP questionnaire; pain sensitivity, pain endurance, and willingness to report pain were analyzed.Results<br/>Men of all 3 ethno-religious groups perceived themselves and other men as less sensitive and less willing to report pain than typical women. Women of all 3 ethno-religious groups perceived themselves and other women as more sensitive and more willing to report pain than men. Ethno-religious differences were observed in the attitudes towards typical men and women, with Christian men and women exhibiting stronger stereotypical views regarding pain sensitivity and pain endurance.Conclusions<br/>Individual's perceptions of pain regarding one's self compared with the same or opposite sex were similar regardless of ethno-religious belonging and were related to sex. However, attitudes on pain of typical men and women seemed to be influenced by ethno-religious belonging. This differential effect of ethno-religion on GREP with relation to sex suggests that these factors should be considered when pain perception is evaluated.</p>
    Publication Gender Medicine
    Volume 8
    Issue 3
    Pages 172-183
    Date June 2011
    DOI 16/j.genm.2011.04.001
    ISSN 1550-8579
    URL http://www.sciencedirect.com/science/article/pii/S155085791100060X
    Accessed Wednesday, July 13, 2011 6:39:15 PM
    Library Catalog ScienceDirect
    Date Added Thursday, September 29, 2011 8:54:25 AM
    Modified Thursday, September 29, 2011 8:54:25 AM

    Tags:

    • ETHNICITY
    • gender role expectations
    • pain perception
    • religion
    • sex

    Notes:

    • This study examined the interaction among gender role expectations of pain, sex, and ethno-religious belonging. The study surveyed 548 healthy men and women of three different religious groups, 341 Jews, 105, Muslim-Arabs and 102 Christian-Arabs. The study concluded that individual's perception of pain regarding one's self compared with the same opposite sex were similar regardless of ethno-linguistic belonging and were related to sex.  

  • Ecospirituality: the experience of environmental meditation in patients with cardiovascular disease

    Type Journal Article
    Author Colleen Delaney
    Author Cynthia Barrere
    Abstract Ecospirituality provides a framework for exploring the spiritual dimension of person and environment and the dynamic interplay between this sacred dyad and human health. The aim of this phenomenological study was to explore and describe the experience of environmental meditation by using a new, spirituality-based meditation intervention that focused on ecospirituality with patients with cardiovascular disease. A convenience sample of 6 women and 2 men with ages ranging from 42 to 64 years and a mean age of 57 years (SD = 8.33 years) participated in the study. From the 8 journals and the researchers' field notebooks, 85 significant phrases or sentences were extracted, transposed into formulated meanings, and later collapsed into 4 theme clusters: Entering a New Time Zone, Environmental Reawakening, Finding a New Rhythm, and Becoming a Healing Environment. The findings of this study provide beginning support for holistic nurses and other healthcare professionals to integrate the use of ecospirituality meditation into their care of patients with cardiovascular disease and the groundwork for further exploration of the spiritual dimension of person and environment.
    Publication Holistic Nursing Practice
    Volume 23
    Issue 6
    Pages 361-369
    Date 2009 Nov-Dec
    Journal Abbr Holist Nurs Pract
    DOI 10.1097/HNP.0b013e3181bf381c
    ISSN 1550-5138
    Short Title Ecospirituality
    URL http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/19901611
    Accessed Monday, November 23, 2009 7:29:33 PM
    Library Catalog NCBI PubMed
    Extra PMID: 19901611
    Date Added Thursday, September 29, 2011 9:04:55 AM
    Modified Thursday, September 29, 2011 9:04:55 AM

    Notes:

    • Ecospirituality provides a framework for exploring the spiritual dimension of person and environment and the dynamic interplay between this sacred dyad and human health. The aim of this phenomenological study was to explore and describe the experience of environmental meditation by using a new, spirituality-based meditation intervention that focused on ecospirituality with patients with cardiovascular disease. A convenience sample of 6 women and 2 men with ages ranging from 42 to 64 years and a mean age of 57 years (SD = 8.33 years) participated in the study. From the 8 journals and the researchers' field notebooks, 85 significant phrases or sentences were extracted, transposed into formulated meanings, and later collapsed into 4 theme clusters: Entering a New Time Zone, Environmental Reawakening, Finding a New Rhythm, and Becoming a Healing Environment. The findings of this study provide beginning support for holistic nurses and other healthcare professionals to integrate the use of ecospirituality meditation into their care of patients with cardiovascular disease and the groundwork for further exploration of the spiritual dimension of person and environment.

  • Spirituality, Religiosity, and Spiritual Pain in Advanced Cancer Patients

    Type Journal Article
    Author Marvin O. Delgado-Guay
    Author David Hui
    Author Henrique A. Parsons
    Author Kathy Govan
    Author Maxine De la Cruz
    Author Steven Thorney
    Author Eduardo Bruera
    Abstract <p>Context<br/>Spirituality, religiosity, and spiritual pain may affect advanced cancer patients' symptom expression, coping strategies, and quality of life.Objectives<br/>To examine the prevalence and intensity of spirituality, religiosity, and spiritual pain, and how spiritual pain was associated with symptom expression, coping, and spiritual quality of life.Methods<br/>We interviewed 100 advanced cancer patients at the M.D. Anderson palliative care outpatient clinic in Houston, TX. Self-rated spirituality, religiosity, and spiritual pain were assessed using numeric rating scales (0 = lowest, 10 = highest). Patients also completed validated questionnaires assessing symptoms (Edmonton Symptom Assessment Scale [ESAS] and Hospital Anxiety and Depression Scale), coping (Brief COPE and Brief R-COPE), the value attributed by the patient to spirituality/religiosity in coping with cancer (Systems of Belief Inventory-15R), and spiritual quality of life (Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being-Expanded [FACIT-Sp-Ex]).Results<br/>The median age was 53 years (range 21-85) and 88% were Christians. Almost all patients considered themselves spiritual (98%) and religious (98%), with a median intensity of 9 (interquartile range 7-10) of 10 and 9 (range 5-10) of 10, respectively. Spiritual pain was reported in 40 (44%) of 91 patients, with a median score of 3 (1-6) among those with spiritual pain. Spiritual pain was significantly associated with lower self-perceived religiosity (7 vs. 10, P = 0.002) and spiritual quality of life (FACIT-Sp-Ex 68 vs. 81, P = 0.001). Patients with spiritual pain reported that it contributed adversely to their physical/emotional symptoms (P < 0.001). There was a trend toward increased depression, anxiety, anorexia, and drowsiness, as measured by the ESAS, among patients with spiritual pain (P < 0.05), although this was not significant after Bonferroni correction.Conclusion<br/>A vast majority of advanced cancer patients receiving palliative care considered themselves spiritual and religious. Spiritual pain was common and was associated with lower self-perceived religiosity and spiritual quality of life.</p>
    Publication Journal of Pain and Symptom Management
    Volume 41
    Issue 6
    Pages 986-994
    Date June 2011
    DOI 16/j.jpainsymman.2010.09.017
    ISSN 0885-3924
    URL http://www.sciencedirect.com/science/article/pii/S0885392411000200
    Accessed Wednesday, July 13, 2011 7:02:37 PM
    Library Catalog ScienceDirect
    Date Added Thursday, September 29, 2011 8:54:25 AM
    Modified Thursday, September 29, 2011 8:54:25 AM

    Tags:

    • Cancer
    • Coping
    • Palliative Care
    • Quality of Life
    • religiosity
    • spiritual pain
    • spirituality

    Notes:

    • Spirituality, religiosity, and spiritual pain may affect advanced cancer patients’ symptom expression, coping strategies, and quality of life.The object of this study was to examine the prevalence and intensity of spirituality, religiosity, and spiritual pain, and how spiritual pain was associated with symptom expression, coping, and spiritual quality of life.

  • The influence of religiosity and spirituality on drinking behaviors: differences between students attending two southern universities

    Type Journal Article
    Author Dixie L Dennis
    Author William Cox
    Author Anne Black
    Author Susan Muller
    Abstract The purpose of this study was to determine if students (n = 431) from two southern universities-one in the "buckle" of the Bible-belt, the other a southern "border" state-have different drinking behaviors depending on their religiosity and spirituality. Approximately 95% of students indicated that they had at least one drink of alcohol during their lives, with almost 82% reporting that they used alcohol in the past 30 days. Binge drinking among underage students increased every year (approximately 43% to almost 70%). Students from the buckle university had higher degrees of religiosity and spirituality and reported fewer unhealthy drinking behaviors than those from the border university. By creating a learning environment where students are encouraged to increase the spiritual dimension of health, health educators may alleviate potentially deadly consequences of alcohol.
    Publication Journal of Drug Education
    Volume 39
    Issue 1
    Pages 95-112
    Date 2009
    Journal Abbr J Drug Educ
    ISSN 0047-2379
    Short Title The influence of religiosity and spirituality on drinking behaviors
    Accessed Tuesday, February 22, 2011 6:35:05 PM
    Library Catalog NCBI PubMed
    Extra PMID: 19886164
    Date Added Thursday, September 29, 2011 9:06:18 AM
    Modified Thursday, September 29, 2011 9:06:18 AM

    Tags:

    • Adolescent
    • Adult
    • Alcohol Drinking
    • Alcoholic Intoxication
    • Female
    • Humans
    • Male
    • Questionnaires
    • Southeastern United States
    • spirituality
    • Students
    • Universities
    • Young Adult
  • Predictors of Yoga Use Among Patients With Breast Cancer

    Type Journal Article
    Author Krupali Desai
    Author Marjorie A. Bowman
    Author Mary Lou Galantino
    Author Chanita Hughes-Halbert
    Author Neha Vapiwala
    Author Angela DeMichele
    Author Jun J. Mao
    Abstract Objective Emerging research suggests that yoga may be beneficial for reducing symptoms and improving quality of life among breast cancer patients. However, very little is known about the characteristics of breast cancer patients who use yoga; thus, this study seeks to identify the sociodemographic and clinical characteristics of yoga users among this population.Design A cross-sectional survey study was conducted.Setting The study was conducted at an outpatient breast oncology clinic at a large university hospital.Participants Three hundred postmenopausal breast cancer patients currently receiving aromatase inhibitors were included in this study.Main outcome measurement Self-reported use of yoga following the cancer diagnosis was collected along with sociodemographic and clinical data. Multivariate logistic regression was used to identify independent predictors of yoga use among breast cancer patients.Results Of 300 participants, 53 (17.7%) reported having used yoga following cancer diagnosis. White patients were significantly more likely to use yoga than nonwhite patients (P = .02). Higher education level, lower BMI (body mass index), part-time employment status, previous chemotherapy, and radiation therapy were all associated with greater yoga use (all P < .05). Controlling for other factors, greater yoga use was independently associated with higher education level (adjusted odds ratio [AOR] 2.72, 95% confidence interval [CI], 1.15-6.46), and lower BMI (AOR 0.25, 95% CI, 0.09-0.66).Conclusion Yoga use following breast cancer diagnosis was substantially higher for white patients and those with lower BMI and higher education levels. Considering its potential benefits for symptom management in cancer, more research is needed to understand the attitudes and barriers to yoga use among individuals with nonwhite race, lower education, and higher BMI level. Such investigation will help design yoga programs that are aligned to the needs of these populations.
    Publication EXPLORE: The Journal of Science and Healing
    Volume 6
    Issue 6
    Pages 359-363
    Date November
    DOI 10.1016/j.explore.2010.08.002
    ISSN 1550-8307
    URL http://www.sciencedirect.com/science/article/B7MF9-51BY623-8/2/82c6a90f180d89bb3b0e06d1e07a70b5
    Accessed Monday, December 13, 2010 8:35:30 PM
    Date Added Thursday, September 29, 2011 8:59:00 AM
    Modified Thursday, September 29, 2011 8:59:00 AM

    Tags:

    • breast cancer
    • complementary and alternative medicine
    • Mind-Body Therapies
    • yoga

    Notes:

    • Emerging research suggests that yoga may be beneficial for reducing symptoms and improving quality of life among breast cancer patients. However, very little is known about the characteristics of breast cancer patients who use yoga; thus, this study seeks to identify the sociodemographic and clinical characteristics of yoga users among this population.

  • With God's help i can do it: crack users? Formal and informal recovery experiences in El Salvador

    Type Journal Article
    Author Julia Dickson-Gomez
    Author Gloria Bodnar
    Author Carmen Eugenia Guevara
    Author Karla Rodriguez
    Author Lorena Rivas De Mendoza
    Author A Michelle Corbett
    Abstract Crack use has increased dramatically in El Salvador in the last few decades. As with other developing countries with sudden onsets of drug problems, El Salvador has few medical staff trained in addictions treatment. Little research has examined drug users? attempts to reduce or abstain from drug use in countries where government-regulated formal medical treatment for drug addiction is scarce. This paper uses qualitative and quantitative data gathered from active crack users to explore their formal and informal strategies to reduce or abstain from drugs, and compares these with components of informal and formal treatment in developed countries.
    Publication Substance Use & Misuse
    Volume 46
    Issue 4
    Pages 426-439
    Date 2011
    Journal Abbr Subst Use Misuse
    DOI 10.3109/10826084.2010.495762
    ISSN 1532-2491
    Short Title With God's help i can do it
    URL http://www.ncbi.nlm.nih.gov/pubmed/20735191
    Accessed Wednesday, July 13, 2011 6:15:27 PM
    Library Catalog NCBI PubMed
    Extra PMID: 20735191
    Date Added Thursday, September 29, 2011 8:54:25 AM
    Modified Thursday, September 29, 2011 8:54:25 AM

    Tags:

    • Cocaine-Related Disorders
    • Crack Cocaine
    • Developing Countries
    • El Salvador
    • Faith Healing
    • Health Services Accessibility
    • Health Surveys
    • Humans
    • Interviews as Topic
    • Religion and Medicine
  • The effect of Ramadan fasting on maternal serum lipids, cortisol levels and fetal development

    Type Journal Article
    Author Ebru Dikensoy
    Author Ozcan Balat
    Author Bahar Cebesoy
    Author Ayhan Ozkur
    Author Hulya Cicek
    Author Gunay Can
    Abstract OBJECTIVE To determine the effects of fasting during the month of Ramadan on fetal development and maternal serum cortisol and lipid profile. METHODS This study was performed in Obstetrics and Gynecology Department of Gaziantep University Hospital, between 23 September 2006 and 23 October 2006 (during the month of Ramadan). Thirty-six consecutive healthy women with uncomplicated pregnancies of 20 weeks or more, who were fasting during Ramadan, were included in the study group (group 1). The control group (group 2) consisted of 29 healthy pregnant women, who were not fasting during the study period. For evaluating Ramadan's effect on fetus, Doppler ultrasonography was performed on all subjects in the beginning and then once a week until the end of Ramadan for the following measurements: increase of fetal biparietal diameter (BPD), increase of fetal femur length (FL), increase of estimated fetal body weight (EFBW), fetal biophysical profile (BPP), amniotic fluid index (AFI), and umbilical artery systole/diastole (S/D) ratio. Maternal serum cortisol, triglyceride, total cholesterol, low-density lipoprotein (LDL), high-density lipoprotein (HDL), very low density lipoprotein (VLDL), and LDL/HDL ratio were also evaluated before and after Ramadan. RESULTS No significant difference was found between the two groups for the fetal age, maternal weight gain (kilogram), estimated fetal weight gain (EFWG), fetal BPP, AFI, and umbilical artery S/D ratio. In the fasting group, the maternal serum cortisol levels on day 20 were significantly higher than the initial levels obtained 1 week prior to Ramadan (p < 0.05). Although no significant increases were observed in total cholesterol and triglyceride levels in the fasting group, these increases were significantly higher than those in the control group (p < 0.05). LDL and VLDL levels showed a non-significant decrease at the end of the Ramadan. HDL levels showed a slight increase, but LDL/HDL ratios were significantly decreased in fasting group (p < 0.05). CONCLUSION The results of this study showed that maternal serum cortisol level was elevated while LDL/HDL ratio were decreased in healthy women with uncomplicated pregnancies of 20 weeks or more, who were fasting during Ramadan. No untoward effect of Ramadan was observed on intrauterine fetal development.
    Publication Archives of Gynecology and Obstetrics
    Volume 279
    Issue 2
    Pages 119-123
    Date Feb 2009
    Journal Abbr Arch. Gynecol. Obstet
    DOI 10.1007/s00404-008-0680-x
    ISSN 1432-0711
    URL http://www.ncbi.nlm.nih.gov/pubmed/18488237
    Accessed Monday, March 28, 2011 6:29:00 PM
    Library Catalog NCBI PubMed
    Extra PMID: 18488237
    Date Added Thursday, September 29, 2011 9:06:18 AM
    Modified Thursday, September 29, 2011 9:06:18 AM

    Tags:

    • Adult
    • Cholesterol
    • Fasting
    • Female
    • Fetal Development
    • Fetal Weight
    • Gestational Age
    • Holidays
    • Humans
    • Hydrocortisone
    • ISLAM
    • Lipids
    • Lipoproteins, HDL
    • Lipoproteins, LDL
    • Pregnancy
    • Triglycerides
    • Weight Gain

    Notes:

    • This study finds that fasting during Ramadan, while resulting in some altered biochemical markers by comparison with women who are not fasting and with pre-fasting indicators, does not have perceptible intrauterine effects on the fetus.

  • Psychosocial interventions as adjunct therapy for patients with rheumatoid arthritis: a systematic review

    Type Journal Article
    Author Rukmal Kumari Dissanayake
    Author James V. Bertouch
    Publication International Journal of Rheumatic Diseases
    Volume 13
    Issue 4
    Pages 324-334
    Date 10/2010
    DOI 10.1111/j.1756-185X.2010.01563.x
    ISSN 17561841
    URL http://onlinelibrary.wiley.com/doi/10.1111/j.1756-185X.2010.01563.x/abstract
    Accessed Monday, October 11, 2010 11:50:02 AM
    Date Added Thursday, September 29, 2011 8:59:31 AM
    Modified Thursday, September 29, 2011 8:59:31 AM
  • The influence of changes in women’s religious affiliation on contraceptive use and fertility among the Kassena-Nankana of northern Ghana.

    Type Journal Article
    Author Henry V. Doctor
    Author James F. Phillips
    Author Evelyn Sakeah
    Abstract Religious affiliation is undergoing major changes in rural Sahelian Africa, with profound consequences for customs that are grounded in traditional belief systems. This study examines the influence of women's religious affiliation on contraceptive use and fertility among the Kassena-Nankana of northern Ghana. Analysis of longitudinal data for women in 1995 and 2003 shows that 61 percent of women changed their religion, with shifts from traditional beliefs to Christianity being dominant. Moreover, women were more likely than men to make such a change. Regression results show that, compared with those who did not change, switching from traditional religion to Christianity or Islam is associated with increased contraceptive use and decreased fertility. The more rapid change in religious affiliation among women than men may have social consequences for the status of women, signaling a trend toward greater autonomy in the family and new aspirations, values, and behavior as evidenced by the proportion of people adopting contraceptives. (PsycINFO Database Record (c) 2010 APA, all rights reserved) (journal abstract)
    Publication Studies in Family Planning
    Volume 40
    Issue 2
    Pages 113-122
    Date June 2009
    DOI 10.1111/j.1728-4465.2009.00194.x
    ISSN 0039-3665
    Library Catalog EBSCOhost
    Date Added Thursday, September 29, 2011 9:06:18 AM
    Modified Thursday, September 29, 2011 9:06:18 AM

    Tags:

    • BIRTH control
    • contraceptive usage
    • Fertility
    • Ghana
    • Oral Contraceptives
    • religious affiliation
    • women's religious affiliation

    Notes:

    • This study finds that changes of religious affiliation from African traditional religions to either Christianity or Islam in Northern Ghana results in increased contraceptive use and decreased fertility.  This trend of conversion among women has many social effects that improve the status of women in these societies as they adopt behaviors and attitudes commensurate with economic and political empowerment.

  • Numinous-like auras and spirituality in persons with partial seizures

    Type Journal Article
    Author Rima Dolgoff-Kaspar
    Author Alan B Ettinger
    Author Sarit A Golub
    Author Kenneth Perrine
    Author Cynthia Harden
    Author Susan D Croll
    Abstract This study investigated hyperreligiosity in persons with partial epilepsy by exploring a relationship between aura symptoms and spirituality. It was reasoned that patients with high frequencies of auras that are suggestive of metaphysical phenomena, termed numinous-like auras, would report increased spirituality of an unconventional form, both during their seizures and generally. Numinous-like auras included: dreaminess/feeling of detachment, autoscopy, derealization, depersonalization, time speed alterations, bodily distortions, and pleasure. A high-frequency aura group, low-frequency aura group, and nonseizure reference group were compared on the Expressions of Spirituality-Revised. The High group had significantly greater Experiential/Phenomenological Dimension and Paranormal Beliefs factor scores than the Low group, and significantly greater Experiential/Phenomenological Dimension factor scores than the reference group. There were no differences between the Low group and the reference group. In addition, there were no differences among the three groups on traditional measures of religiosity. The results provide preliminary evidence that epilepsy patients with frequent numinous-like auras have greater ictal and interictal spirituality of an experiential, personalized, and atypical form, which may be distinct from traditional, culturally based religiosity. This form of spirituality may be better described by the term cosmic spirituality than hyperreligiosity. It is speculated that this spirituality is due to an overactivation and subsequent potentiation of the limbic system, with frequent numinous-like auras indicating sufficient activation for this process to occur. It is likely that numinous-like experiences foster cosmic spirituality in a number of circumstances, including seizures, psychosis, near-death experiences, psychedelic drug use, high-elevation exposure, and also normal conditions.
    Publication Epilepsia
    Volume 52
    Issue 3
    Pages 640-644
    Date Mar 2011
    Journal Abbr Epilepsia
    DOI 10.1111/j.1528-1167.2010.02957.x
    ISSN 1528-1167
    URL http://www.ncbi.nlm.nih.gov/pubmed/21395568
    Accessed Monday, April 04, 2011 7:42:30 PM
    Library Catalog NCBI PubMed
    Extra PMID: 21395568
    Date Added Thursday, September 29, 2011 8:56:10 AM
    Modified Thursday, September 29, 2011 8:56:10 AM
  • Yoga therapy decreases dyspnea-related distress and improves functional performance in people with chronic obstructive pulmonary disease: a pilot study

    Type Journal Article
    Author DorAnne Donesky-Cuenco
    Author Huong Q Nguyen
    Author Steven Paul
    Author Virginia Carrieri-Kohlman
    Abstract BACKGROUND: There has been limited study of yoga training as a complementary exercise strategy to manage the symptom of dyspnea in patients with chronic obstructive pulmonary disease (COPD). PURPOSE: The primary purpose of this pilot study was to evaluate a yoga program for its safety, feasibility, and efficacy for decreasing dyspnea intensity (DI) and dyspnea-related distress (DD) in older adults with COPD. METHODS: Clinically stable patients with COPD (n = 29; age 69.9 +/- 9.5; forced expiratory volume in 1 second (FEV(1)) 47.7 +/- 15.6% predicted; female = 21) were randomized to a 12-week yoga program specifically designed for people with COPD or usual-care control (UC). The twice-weekly yoga program included asanas (yoga postures) and visama vritti pranayama (timed breathing). Safety measure outcomes included heart rate, oxygen saturation, dyspnea, and pain. Feasibility was measured by patient-reported enjoyment, difficulty, and adherence to yoga sessions. At baseline and at 12 weeks, DI and DD were measured during incremental cycle ergometry and a 6-minute walk (6MW) test. Secondary efficacy outcomes included physical performance, psychologic well-being, and health-related quality of life (HRQoL). RESULTS: Yoga training was safe and feasible for patients with COPD. While yoga training had only small effects on DI after the 6MW test (effect size [ES], 0.20; p = 0.60), there were greater reductions in DD in the yoga group compared to UC (ES, 0.67; p = 0.08). Yoga training also improved 6MW distance (+71.7 +/- 21.8 feet versus -27.6 +/- 36.2 feet; ES = 0.78, p = 0.04) and self-reported functional performance (ES = 0.79, p = 0.04) compared to UC. There were small positive changes in muscle strength and HRQoL. CONCLUSIONS: Elderly patients with COPD participated safely in a 12-week yoga program especially designed for patients with this chronic illness. After the program, the subjects tolerated more activity with less DD and improved their functional performance. These findings need to be confirmed in a larger, more sufficiently powered efficacy study.
    Publication Journal of Alternative and Complementary Medicine (New York, N.Y.)
    Volume 15
    Issue 3
    Pages 225-234
    Date Mar 2009
    Journal Abbr J Altern Complement Med
    DOI 10.1089/acm.2008.0389
    ISSN 1557-7708
    Short Title Yoga therapy decreases dyspnea-related distress and improves functional performance in people with chronic obstructive pulmonary disease
    Accessed Tuesday, February 22, 2011 7:43:04 PM
    Library Catalog NCBI PubMed
    Extra PMID: 19249998
    Date Added Thursday, September 29, 2011 9:06:18 AM
    Modified Thursday, September 29, 2011 9:06:18 AM

    Tags:

    • Activities of Daily Living
    • Aged
    • Dyspnea
    • Female
    • Humans
    • Male
    • Middle Aged
    • Muscle Strength
    • Pilot Projects
    • Pulmonary Disease, Chronic Obstructive
    • Quality of Life
    • Questionnaires
    • Self Care
    • Self Efficacy
    • Severity of Illness Index
    • Treatment Outcome
    • yoga

    Notes:

    • The primary purpose of this pilot study was to evaluate a yoga program for its safety, feasibility, and efficacy for decreasing dyspnea intensity and dyspnea-related distress in older adults with chronic obstructive pulmonary disease.After the program, the subjects tolerated more activity with less dyspnea-related distress and improved their functional performance. These findings need to be confirmed in a larger, more sufficiently powered efficacy study.

  • Spirituality and Alzheimer's

    Type Journal Article
    Author Laurence Dopson
    Publication Nursing Older People
    Volume 17
    Issue 4
    Pages 39
    Date Jun 2005
    Journal Abbr Nurs Older People
    ISSN 1472-0795
    URL http://www.ncbi.nlm.nih.gov/pubmed/15968863
    Accessed Friday, November 13, 2009 3:13:56 PM
    Library Catalog NCBI PubMed
    Extra PMID: 15968863
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Tags:

    • Aged
    • Alzheimer Disease
    • Attitude of Health Personnel
    • Attitude to Health
    • Health Status
    • Holistic Health
    • Humans
    • Religion and Psychology
    • spirituality
  • Thinking through the body: The conceptualization of yoga as therapy for individuals with eating disorders.

    Type Journal Article
    Author Laura Douglass
    Abstract Yoga has historically been viewed as a discipline that increases self-awareness through body based practices, meditation, self-study, and the reading of philosophical texts. In the 21st century the mindfulness techniques of yoga have been adapted as an adjunct to the treatment of individuals with eating disorders. In an effort to understand the conceptualization of yoga as therapy for individuals with eating disorders, this article juxtaposes how mindfulness based yoga is regarded in three disciplines: sociology, neuroscience, and the "spiritual texts" of yoga. (PsycINFO Database Record (c) 2010 APA, all rights reserved) (journal abstract)
    Publication Eating Disorders: The Journal of Treatment & Prevention
    Volume 19
    Issue 1
    Pages 83-96
    Date January 2011
    Series Eating disorders and mindfulness
    DOI 10.1080/10640266.2011.533607
    ISSN 1064-0266
    Short Title Thinking through the body
    Library Catalog EBSCOhost
    Date Added Thursday, September 29, 2011 8:57:52 AM
    Modified Thursday, September 29, 2011 8:57:52 AM

    Tags:

    • Concept formation
    • conceptualization
    • eating disorders
    • Mindfulness
    • neuroscience
    • Neurosciences
    • Sociology
    • yoga
    • yoga therapy
  • The effects of deep breathing training on pain management in the emergency department

    Type Journal Article
    Author La Vonne A Downey
    Author Leslie S Zun
    Abstract PURPOSE: The purpose of this study was to measure the impact of deep breathing exercises on the pain levels in patients who presented to the emergency department (ED) with pain as their chief complaint. A secondary purpose was to measure the impact of deep breathing teaching on indicators of patient satisfaction. METHODS: This was an observational study of patients who presented to the ED with pain as their chief complaint to an urban level one Emergency Department. Patients were randomized into a control group and an experimental group. The control group received the usual treatment for pain. The experimental group received the usual treatment for pain, but also received deep breathing exercises. For the measurement of pain prior to treatment, the brief pain inventory (BPI) was used. The visual analogy system (VAS) was used to measure pain prior to and after treatment and deep breathing were administered. For the measurement of patient satisfaction, the medical interview satisfaction scale (MISS) was used. RESULTS: There was no significant difference between those who received the deep breathing education and those that did not with regards to postmedication pain levels. There was however, a significant difference in customer service satisfaction within the area of doctor/patient rapport and intention to follow treatment. CONCLUSION: The usefulness of deep breathing exercises was shown to be ineffective in reducing pain levels; however, the majority of those who received deep breathing education felt it was useful. The exercise was effective in increasing patient's feelings of rapport and intentions to follow their doctor's directives.
    Publication Southern Medical Journal
    Volume 102
    Issue 7
    Pages 688-692
    Date Jul 2009
    Journal Abbr South. Med. J
    DOI 10.1097/SMJ.0b013e3181a93fc5
    ISSN 1541-8243
    URL http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/19487995
    Accessed Monday, October 12, 2009 11:37:33 AM
    Library Catalog NCBI PubMed
    Extra PMID: 19487995
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Tags:

    • Adolescent
    • Adult
    • Aged
    • Breathing Exercises
    • Emergency Service, Hospital
    • Female
    • Humans
    • Male
    • Middle Aged
    • Pain
    • Pain Measurement
    • Patient Satisfaction
    • Physician-Patient Relations
    • Young Adult

    Notes:

    • Purpose: The purpose of this study was to measure the impact of deep breathing exercises on the pain levels in patients who presented to the emergency department (ED) with pain as their chief complaint. A secondary purpose was to measure the impact of deep breathing teaching on indicators of patient satisfaction. Results: There was no significant difference between those who received the deep breathing education and those that did not with regards to postmedication pain levels.

  • Might massage or guided meditation provide "means to a better end"? Primary outcomes from an efficacy trial with patients at the end of life

    Type Journal Article
    Author Lois Downey
    Author Paula Diehr
    Author Leanna J Standish
    Author Donald L Patrick
    Author Leila Kozak
    Author Douglass Fisher
    Author Sean Congdon
    Author William E Lafferty
    Abstract This article reports findings from a randomized controlled trial of massage and guided meditation with patients at the end of life. Using data from 167 randomized patients, the authors considered patient outcomes through 10 weeks post-enrollment, as well as next-of-kin ratings of the quality of the final week of life for 106 patients who died during study participation. Multiple regression models demonstrated no significant treatment effects of either massage or guided meditation, delivered up to twice a week, when compared with outcomes of an active control group that received visits from hospice-trained volunteers on a schedule similar to that of the active treatment arms. The authors discuss the implications of their findings for integration of these complementary and alternative medicine therapies into standard hospice care.
    Publication Journal of Palliative Care
    Volume 25
    Issue 2
    Pages 100-108
    Date July 2009
    Journal Abbr J Palliat Care
    ISSN 0825-8597
    Short Title Might massage or guided meditation provide "means to a better end"?
    URL http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/19678461
    Accessed Saturday, September 26, 2009 4:18:37 PM
    Library Catalog NCBI PubMed
    Extra PMID: 19678461
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Tags:

    • Adult
    • Aged
    • Aged, 80 and over
    • Female
    • Hospice Care
    • Humans
    • Least-Squares Analysis
    • Male
    • Massage
    • Meditation
    • Middle Aged
    • Multivariate Analysis
    • Pain
    • Quality of Life
    • social support
    • Survival Analysis
    • Terminal Care
    • Washington

    Notes:

    • This article reports findings from a randomized controlled trial of massage and guided meditation with patients at the end of life. Multiple regression models demonstrated no significant treatment effects of either massage or guided meditation, delivered up to twice a week, when compared with outcomes of an active control group that received visits from hospice-trained volunteers on a schedule similar to that of the active treatment arms.

  • Religiosity As a Protective Factor Against HIV Risk Among Young Transgender Women

    Type Journal Article
    Author Nadia Dowshen
    Author Christine M. Forke
    Author Amy K. Johnson
    Author Lisa M. Kuhns
    Author David Rubin
    Author Robert Garofalo
    Abstract <p>Purpose<br/>Young transgender women (YTW) face many challenges to their well-being, including homelessness, joblessness, victimization, and alarming rates of HIV infection. Little has been written about factors that might help in preventing HIV in this population. Our objective was to examine the role of religion in the lives of YTW and its relationship to HIV risk.Methods<br/>This study is derived from baseline data collected for an HIV prevention intervention. A convenience sample of YTW aged 16-25 years from Chicago were recruited consecutively and completed an audio computer-assisted self-interview. Logistic regression models were used to evaluate the relationship between sexual risk taking (sex work, multiple anal sex partners, unprotected receptive anal sex), alcohol use, formal religious practices (service attendance, reading/studying scripture), and God consciousness (prayer, thoughts about God).Results<br/>A total of 92 YTW participated in the study, their mean age being 20.4 years; 58% were African American, 21% white, and 22% other. On multivariate logistic regression, alcohol use was significantly associated with sexual risk in both models, with adjusted odds ratio (OR) of 5.28 (95% confidence intervals [CI]: 1.96-14.26) in the Formal Practices model and 3.70 (95% CI: 1.53-8.95) in the God Consciousness model. Controlling for alcohol use, it was found that Formal Practices was significantly associated with sexual risk (OR = .29, 95% CI: .11-.77), but God Consciousness was not (OR = .60, 95% CI: .25-1.47).Conclusion<br/>Among YTW, formal religious practices may attenuate sexual risk-taking behaviors and therefore HIV risk. Further research is needed to explore the role of the religion in the lives of YTW as a protective asset.</p>
    Publication Journal of Adolescent Health
    Volume 48
    Issue 4
    Pages 410-414
    Date April 2011
    DOI 10.1016/j.jadohealth.2010.07.021
    ISSN 1054-139X
    URL http://www.sciencedirect.com/science/article/B6T80-513F031-4/2/0c0998076862c39f5e1e30d105e3b991
    Accessed Monday, May 09, 2011 7:20:33 PM
    Library Catalog ScienceDirect
    Date Added Thursday, September 29, 2011 8:55:31 AM
    Modified Thursday, September 29, 2011 8:55:31 AM

    Tags:

    • Adolescent
    • ALCOHOL
    • Female
    • HIV
    • religion
    • Sexual risk
    • Transgender

    Notes:

    • The authors' objective was to examine the role of religion in the lives of young transgender women (YTW) and its relationship to HIV risk.  Results showed that among YTW, formal religious practices may attenuate sexual risk-taking behaviors and therefore HIV risk. Further research is needed to explore the role of the religion in the lives of YTW as a protective asset.

  • Impact and outcomes of an iyengar yoga program in a cancer centre

    Type Journal Article
    Author M D Duncan
    Author A Leis
    Author J W Taylor-Brown
    Abstract BACKGROUND: Individuals have increasingly sought complementary therapies to enhance health and well-being during cancer, although little evidence of their effect is available. OBJECTIVES: We investigated how an Iyengar yoga program affects the self-identified worst symptom in a group of participants. whether quality of life, spiritual well-being, and mood disturbance change over the Iyengar yoga program and at 6 weeks after the program. how, from a participant's perspective, the Iyengar yoga program complements conventional cancer treatment. PATIENTS AND METHODS: This pre-post instrumental collective case study used a mixed methods design and was conducted at a private Iyengar yoga studio. The sample consisted of 24 volunteers (23 women, 1 man; 88% Caucasian; mean age: 49 years) who were currently on treatment or who had been treated for cancer within the previous 6 months, and who participated in ten 90-minute weekly Iyengar yoga classes. The main outcome measures were most-bothersome symptom (Measure Your Medical Outcome Profile 2 instrument), quality of life and spiritual well-being (Functional Assessment of Chronic Illness Therapy-General subscale and Spiritual subscale), and mood disturbance (Profile of Mood States-Short Form). Participant perspectives were obtained in qualitative interviews. RESULTS: Statistically significant improvements were reported in most-bothersome symptom (t((23)) = 5.242; p < 0.001), quality of life (F((2,46)) = 14.5; p < 0.001), spiritual well-being (F((2,46)) = 14.4; p < 0.001), and mood disturbance (F((2,46)) = 10.8; p < 0.001) during the program. At follow-up, quality of life (t((21)) = -3.7; p = 0.001) and mood disturbance (t((21)) = 2.4; p = 0.025) significantly improved over time. Categorical aggregation of the interview data showed that participants felt the program provided them with various benefits not included on the outcomes questionnaires. CONCLUSIONS: Over the course of the Iyengar Yoga for Cancer program, participants reported an improvement in overall well-being. The program was also found to present participants with a holistic approach to care and to provide tools to effectively manage the demands of living with cancer and its treatment.
    Publication Current Oncology (Toronto, Ont.)
    Volume 15 Suppl 2
    Pages s109.es72-78
    Date Aug 2008
    Journal Abbr Curr Oncol
    ISSN 1198-0052
    URL http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/18769575
    Accessed Monday, November 09, 2009 12:42:45 AM
    Library Catalog NCBI PubMed
    Extra PMID: 18769575
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Notes:

    • Objectives We investigated how an Iyengar yoga program affects the self-identified worst symptom in a group of participants. whether quality of life, spiritual well-being, and mood disturbance change over the Iyengar yoga program and at 6 weeks after the program. Conclusions: Over the course of the Iyengar Yoga for Cancer program, participants reported an improvement in overall well-being.

  • The Effect of Religious Concentration and Affiliation on County Cancer Mortality Rates

    Type Journal Article
    Author Jeffrey W. Dwyer
    Author Leslie L. Clarke
    Author Michael K. Miller
    Abstract Previous research has documented lower cancer mortality rates among religious groups characterized by doctrinal orthodoxy and behavioral conformity. In addition, there is evidence that the general population in an area with a high concentration of religious participants may experience health benefits resulting from diminished exposure to or increased social disapproval of behaviors related to cancer mortality. This research examines the effect of religious concentration and denominational affiliation on county cancer mortality rates. Our findings suggest that religion has a significant impact on mortality rates for all malignancies combined, for digestive cancer, and for respiratory cancer when we control for demographic, environmental, and regional factors known to affect cancer mortality. These results provide new insight into the relationship between religion and health at the macro or community level and suggest that the influence of religion on social structure warrants further attention.
    Publication Journal of Health and Social Behavior
    Volume 31
    Issue 2
    Pages 185-202
    Date Jun., 1990
    ISSN 00221465
    URL http://www.jstor.org.ezproxy.bu.edu/stable/2137172
    Accessed Friday, September 25, 2009 12:09:51 PM
    Library Catalog JSTOR
    Extra ArticleType: primary_article / Full publication date: Jun., 1990 / Copyright © 1990 American Sociological Association
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Notes:

    • Our findings suggest that religion has a significant impact on mortality rates for all malignancies combined, for digestive cancer, and for respiratory cancer when we control for demographic, environmental, and regional factors known to affect cancer mortality.

  • Religiosity and decreased risk of substance use disorders: is the effect mediated by social support or mental health status?

    Type Journal Article
    Author Mark J Edlund
    Author Katherine M Harris
    Author Harold G Koenig
    Author Xiaotong Han
    Author Greer Sullivan
    Author Rhonda Mattox
    Author Lingqi Tang
    Abstract OBJECTIVE: The negative association between religiosity (religious beliefs and church attendance) and the likelihood of substance use disorders is well established, but the mechanism(s) remain poorly understood. We investigated whether this association was mediated by social support or mental health status. METHOD: We utilized cross-sectional data from the 2002 National Survey on Drug Use and Health (n = 36,370). We first used logistic regression to regress any alcohol use in the past year on sociodemographic and religiosity variables. Then, among individuals who drank in the past year, we regressed past year alcohol abuse/dependence on sociodemographic and religiosity variables. To investigate whether social support mediated the association between religiosity and alcohol use and alcohol abuse/dependence we repeated the above models, adding the social support variables. To the extent that these added predictors modified the magnitude of the effect of the religiosity variables, we interpreted social support as a possible mediator. We also formally tested for mediation using path analysis. We investigated the possible mediating role of mental health status analogously. Parallel sets of analyses were conducted for any drug use, and drug abuse/dependence among those using any drugs as the dependent variables. RESULTS: The addition of social support and mental health status variables to logistic regression models had little effect on the magnitude of the religiosity coefficients in any of the models. While some of the tests of mediation were significant in the path analyses, the results were not always in the expected direction, and the magnitude of the effects was small. CONCLUSIONS: The association between religiosity and decreased likelihood of a substance use disorder does not appear to be substantively mediated by either social support or mental health status.
    Publication Social Psychiatry and Psychiatric Epidemiology
    Volume 45
    Issue 8
    Pages 827-836
    Date Aug 2010
    Journal Abbr Soc Psychiatry Psychiatr Epidemiol
    DOI 10.1007/s00127-009-0124-3
    ISSN 1433-9285
    URL http://www.ncbi.nlm.nih.gov/pubmed/19714282
    Extra PMID: 19714282
    Date Added Thursday, September 29, 2011 9:02:43 AM
    Modified Thursday, September 29, 2011 9:02:43 AM
  • Deconstructing spiritual well-being: existential well-being and HRQOL in cancer survivors

    Type Journal Article
    Author Donald Edmondson
    Author Crystal L Park
    Author Thomas O Blank
    Author Juliane R Fenster
    Author Mary Alice Mills
    Abstract We demonstrate the utility of partitioning the spiritual well-being (SpWB) construct into spiritual and religious components using results from a study of the relationship of existential well-being to health-related quality of life (HRQOL) in a sample of 237 cancer survivors. Existential and religious well-being were measured using the FACIT-Sp-12 and HRQOL was measured using the mental and physical component scores of the SF-12. In hierarchical linear regression analyses, existential well-being fully mediated religious well-being's effect on HRQOL and explained unique variance in both the mental and physical HRQOL domains, controlling for demographic, disease, and psychosocial variables previously shown to impact HRQOL. Religious well-being was not predictive of HRQOL.
    Publication Psycho-Oncology
    Volume 17
    Issue 2
    Pages 161-169
    Date Feb 2008
    Journal Abbr Psychooncology
    DOI 10.1002/pon.1197
    ISSN 1057-9249
    Short Title Deconstructing spiritual well-being
    URL http://www.ncbi.nlm.nih.gov/pubmed/17506077
    Accessed Friday, November 13, 2009 5:43:37 PM
    Library Catalog NCBI PubMed
    Extra PMID: 17506077
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Tags:

    • Adult
    • existentialism
    • Female
    • Humans
    • Male
    • Middle Aged
    • Neoplasms
    • Quality of Life
    • Questionnaires
    • spirituality
    • Survivors

    Notes:

    • We demonstrate the utility of partitioning the spiritual well-being (SpWB) construct into spiritual and religious components using results from a study of the relationship of existential well-being to health-related quality of life (HRQOL) in a sample of 237 cancer survivors.

  • God, Disease, and Spiritual Dilemmas: Reading the Lives of Women with Breast Cancer

    Type Journal Article
    Author Megan Eide
    Author Ann Milliken Pederson
    Abstract To write about the disease of breast cancer from both scientific and spiritual perspectives is to reflect upon our genetic and spiritual ancestry. We examine the issues involved in breast cancer at the intersections of spirituality, technology, and science, using the fundamental thing we know about being human: our bodies. Our goal in this essay is to offer close readings of women's spiritual and bodily journeys through the disease of breast cancer. We have discovered that both illness and health come within the stories of particular people and particular disciplines. And to learn more about breast cancer, both scientific and spiritual aspects, one must be attentive to such particularities. Medicine and religion are bodily experiences, and being a body-self is what it means to be human.
    Publication Zygon
    Volume 44
    Issue 1
    Pages 85-96
    Date 2009
    DOI 10.1111/j.1467-9744.2009.00987.x
    Short Title God, Disease, and Spiritual Dilemmas
    URL http://dx.doi.org/10.1111/j.1467-9744.2009.00987.x
    Accessed Monday, August 17, 2009 6:42:30 PM
    Library Catalog Wiley InterScience
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Notes:

    • Our goal in this essay is to offer close readings of women’s spiritual and bodily journeys through the disease of breast cancer.

  • Randomized trial of two mind-body interventions for weight-loss maintenance

    Type Journal Article
    Author Charles Elder
    Author Cheryl Ritenbaugh
    Author Scott Mist
    Author Mikel Aickin
    Author Jennifer Schneider
    Author Heather Zwickey
    Author Pat Elmer
    Abstract OBJECTIVE: Regain of weight after initial weight loss constitutes a major factor contributing to the escalating obesity epidemic. The objective of this study was to determine the feasibility and clinical impact of two mind-body interventions for weight-loss maintenance. DESIGN: Randomized, balanced, controlled trial. SETTING: Large-group model health maintenance organization. PARTICIPANTS: Overweight and obese adults were recruited to a 12-week behavioral weight-loss program. Participants meeting threshold weight loss and attendance requirements were eligible for randomization. INTERVENTIONS: The three weight-loss maintenance interventions were qigong (QI), Tapas Acupressure Technique (TAT (registered trademark of Tapas Fleming, L.Ac.), and a self-directed support (SDS) group as an attention control. OUTCOMES: The main outcome measure was weight loss maintenance at 24 weeks postrandomization. Patient interviews explored additional benefits of the interventions, as well as barriers and facilitators to compliance. RESULTS: Eighty-eight percent (88%) of randomized patients completed the study. There were no significant study-related adverse events. At 24 weeks, the TAT group maintained 1.2 kg more weight loss than the SDS group did (p = 0.09), and 2.8 kg more weight loss than the QI group did (p = 0.00), only regaining 0.1 kg. A separation test (0.05 level, 0.95 power) indicated that TAT merits further study. A secondary analysis revealed that participants reporting a previous history of recurrent unsuccessful weight loss were more likely to regain weight if assigned to the SDS arm, but this effect was suppressed in both the QI and TAT groups (p = 0.03). Although QI participants reported important general health benefits, the instruction sequence was too brief, given the complexity of the intervention. CONCLUSIONS: TAT warrants further research for weight-loss maintenance. Any further research on qigong should use a modification of our protocol.
    Publication Journal of Alternative and Complementary Medicine (New York, N.Y.)
    Volume 13
    Issue 1
    Pages 67-78
    Date 2007 Jan-Feb
    Journal Abbr J Altern Complement Med
    DOI 10.1089/acm.2006.6237
    ISSN 1075-5535
    URL http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/17309380
    Accessed Monday, November 02, 2009 1:09:06 PM
    Library Catalog NCBI PubMed
    Extra PMID: 17309380
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Tags:

    • Acupressure
    • Adult
    • Analysis of Variance
    • Attitude to Health
    • Breathing Exercises
    • Female
    • Humans
    • Male
    • Middle Aged
    • Mind-Body Relations (Metaphysics)
    • Obesity
    • Patient Compliance
    • Patient Satisfaction
    • Questionnaires
    • Research Design
    • Treatment Outcome
    • Weight Loss

    Notes:

    • The objective of this study was to determine the feasibility and clinical impact of two mind-body interventions for weight-loss maintenance.

  • Jewish ethnicity and pancreatic cancer mortality in a large u.s. Cohort

    Type Journal Article
    Author Ronald C. Eldridge
    Author Susan M. Orsillo
    Author Christina C. Newton
    Author Michael Goodman
    Author Alpa V. Patel
    Author Eric J. Jacobs
    Abstract BACKGROUND An association between Jewish ethnicity and pancreatic cancer risk was suggested by analyses comparing pancreatic cancer mortality rates between Jews and non-Jews in New York in the 1950s. These analyses lacked information on potential confounding factors and the association between Jewish ethnicity and pancreatic cancer has not been examined in any contemporary U.S. population or in any cohort study. METHODS We examined the association between Jewish ethnicity and pancreatic cancer mortality among approximately 1 million participants in the Cancer Prevention Study II cohort. Participants completed a questionnaire at enrollment in 1982 which included information on religion, smoking, obesity, and diabetes. During follow-up through 2006, there were 6,727 pancreatic cancer deaths, including 480 among Jewish participants. Proportional hazards modeling was used to calculate multivariable rate ratios (RR). RESULTS After adjusting for age, sex, smoking, body mass index, and diabetes, pancreatic cancer mortality was higher among Jewish participants than among non-Jewish whites (RR = 1.43; 95% CI, 1.30-1.57). In analyses by birthplace, RRs were 1.59 (95% CI, 1.31-1.93) for North American-born Jews with North American-born parents, 1.43 (95% CI, 1.27-1.61) for North American-born Jews with 1 or more parents born outside North America, and 1.03 (0.73, 1.44) for Jews born outside North America (P(heterogeneity) = 0.07). CONCLUSIONS These results support a higher risk of developing pancreatic cancer among U.S. Jews that is not explained by established risk factors. Impact: Future studies may clarify the role of specific environmental or genetic factors responsible for higher risk among U.S. Jews. Cancer Epidemiol Biomarkers Prev; 20(4); 691-8. ©2011 AACR.
    Publication Cancer Epidemiology, Biomarkers & Prevention
    Volume 20
    Issue 4
    Pages 691-698
    Date Apr 2011
    Journal Abbr Cancer Epidemiol. Biomarkers Prev
    DOI 10.1158/1055-9965.EPI-10-1196
    ISSN 1538-7755
    URL http://www.ncbi.nlm.nih.gov/pubmed/21278327
    Accessed Monday, May 09, 2011 7:02:13 PM
    Library Catalog NCBI PubMed
    Extra PMID: 21278327
    Date Added Thursday, September 29, 2011 8:55:31 AM
    Modified Thursday, September 29, 2011 8:55:31 AM

    Notes:

    • A study to examine the association between Jewish ethnicity and pancreatic cancer mortality among approximately 1 million participants in the Cancer Prevention Study II cohort. Participants completed a questionnaire at enrollment in 1982 which included information on religion, smoking, obesity, and diabetes. During follow-up through 2006, there were 6,727 pancreatic cancer deaths, including 480 among Jewish participants. Proportional hazards modeling was used to calculate multivariable rate ratios (RR).

  • Mind-body therapies in integrative oncology

    Type Journal Article
    Author Gary Elkins
    Author William Fisher
    Author Aimee Johnson
    Abstract There is growing interest in mind-body therapies as adjuncts to mainstream cancer treatment, and an increasing number of patients turn to these interventions for the control of emotional stress associated with cancer. Increased research funding has enabled many such interventions to be evaluated for their efficacy, including studies of mind-body interventions to reduce pain, anxiety, insomnia, anticipatory, and treatment-related nauseas, hot flashes, and improved mood. Mind-body treatments evaluated for their utility in oncology include relaxation therapies, biofeedback, meditation and hypnosis, yoga, art and music therapy, tai chi, and qigong. Although studies are not always methodologically sound and results mixed, a growing number of well-designed studies provide convincing evidence that mind-body techniques are beneficial adjuncts to cancer treatment. The evidence is sufficient to recommend further investigation and adoption of these techniques in mainstream oncology care.
    Publication Current Treatment Options in Oncology
    Volume 11
    Issue 3-4
    Pages 128-140
    Date Dec 2010
    Journal Abbr Curr Treat Options Oncol
    DOI 10.1007/s11864-010-0129-x
    ISSN 1534-6277
    URL http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/21116746
    Accessed Tuesday, January 18, 2011 6:58:52 PM
    Library Catalog NCBI PubMed
    Extra PMID: 21116746
    Date Added Thursday, September 29, 2011 8:58:27 AM
    Modified Thursday, September 29, 2011 8:58:27 AM

    Notes:

    • There is growing interest in mind-body therapies as adjuncts to mainstream cancer treatment, and an increasing number of patients turn to these interventions for the control of emotional stress associated with cancer. Increased research funding has enabled many such interventions to be evaluated for their efficacy, including studies of mind-body interventions to reduce pain, anxiety, insomnia, anticipatory, and treatment-related nauseas, hot flashes, and improved mood. Mind-body treatments evaluated for their utility in oncology include relaxation therapies, biofeedback, meditation and hypnosis, yoga, art and music therapy, tai chi, and qigong. Although studies are not always methodologically sound and results mixed, a growing number of well-designed studies provide convincing evidence that mind-body techniques are beneficial adjuncts to cancer treatment. The evidence is sufficient to recommend further investigation and adoption of these techniques in mainstream oncology care.

  • Attention management as a treatment for chronic pain

    Type Journal Article
    Author Minna M. Elomaa
    Author Amanda C. de C. Williams
    Author Eija A. Kalso
    Abstract Attention management is often included in cognitive-behavioural treatments (CBT). The aim of this study was to evaluate the effects of attention management strategies in the treatment for chronic pain. The present pilot study consisted of six weekly 90-min treatment sessions and was based on a CBT attention management manual describing techniques such as attention diversion, imagery and mindfulness exercises. The intended outcomes were reduction in pain-related anxiety and hypervigilance to pain and decrease in pain impact of everyday life, measured by self-report. Information was collected at baseline, pre-treatment, post-treatment, and at 3 and 6 months follow-up. The results at the end of treatment, and at 3-month follow-up, show significant reductions in pain-related anxiety, hypervigilance and interference of pain (effect sizes 0.40-0.90). Reduction in pain-related interference and anxiety remained at the 6-month follow-up. The results indicate that attention control skills can be a useful method to reduce anxiety in the short term. Clinical implications of the results are discussed.
    Publication European Journal of Pain
    Volume 13
    Issue 10
    Pages 1062-1067
    Date November 2009
    DOI 10.1016/j.ejpain.2008.12.002
    ISSN 1090-3801
    URL http://www.sciencedirect.com.ezproxy.bu.edu/science/article/B6WF3-4VC745B-1/2/ca6907b49c3ecb19f2c338d6d9107606
    Accessed Monday, November 23, 2009 8:54:26 PM
    Library Catalog ScienceDirect
    Date Added Thursday, September 29, 2011 9:04:55 AM
    Modified Thursday, September 29, 2011 9:04:55 AM

    Tags:

    • Attention management
    • Chronic pain
    • Cognitive-behavioural therapy
    • Pain-related anxiety

    Notes:

    • Attention management is often included in cognitive-behavioural treatments (CBT). The aim of this study was to evaluate the effects of attention management strategies in the treatment for chronic pain. The present pilot study consisted of six weekly 90-min treatment sessions and was based on a CBT attention management manual describing techniques such as attention diversion, imagery and mindfulness exercises. The intended outcomes were reduction in pain-related anxiety and hypervigilance to pain and decrease in pain impact of everyday life, measured by self-report. Information was collected at baseline, pre-treatment, post-treatment, and at 3 and 6 months follow-up. The results at the end of treatment, and at 3-month follow-up, show significant reductions in pain-related anxiety, hypervigilance and interference of pain (effect sizes 0.40–0.90). Reduction in pain-related interference and anxiety remained at the 6-month follow-up. The results indicate that attention control skills can be a useful method to reduce anxiety in the short term. Clinical implications of the results are discussed.

  • Cancer mortality among Mormons

    Type Journal Article
    Author James E. Enstrom
    Abstract Preliminary results show that the 1970-72 cancer mortality rate among California Mormon adults is about one-half to three-fourths that of the general California population for most cancer sites, including many sites with an unclear etiology. Furthermore, the cancer death rate in the predominately Mormon state of Utah is about two-thirds to three-fourths of the United States rate, and the lowest in the entire country. Mormons are a large, health-conscious religious group whose Church doctrine forbids the use of tobacco, alcohol, coffee, and tea, and recommends a nutritious diet. Initial indications are that Mormons as a whole smoke and drink about half as much as the general population, and that active Mormons abstain almost completely from tobacco and alcohol. However, they appear to be fairly similar to the general white population in other respects, such as socioeconomic status and urbanization. The significance of these findings is discussed.
    Publication Cancer
    Volume 36
    Issue 3
    Pages 825-841
    Date 1975
    DOI 10.1002/1097-0142(197509)36:3<825::AID-CNCR2820360302>3.0.CO;2-Q
    URL http://dx.doi.org/10.1002/1097-0142(197509)36:3<825::AID-CNCR2820360302>3.0.CO;2-Q
    Accessed Friday, October 30, 2009 10:50:32 PM
    Library Catalog Wiley InterScience
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Notes:

    • The 1970-72 cancer mortality rate among California Mormon adults is about one-half to three-fourths that of the general California population for most cancer sites. Furthermore, the cancer death rate in the predominately Mormon state of Utah is the lowest in the entire country. Mormons are a large, health-conscious religious group whose Church doctrine forbids the use of tobacco, alcohol, coffee, and tea, and recommends a nutritious diet.

  • A randomized controlled trial examining Iyengar yoga for young adults with rheumatoid arthritis: a study protocol

    Type Journal Article
    Author Subhadra Evans
    Author Laura Cousins
    Author Jennie Ci Tsao
    Author Saskia Subramanian
    Author Beth Sternlieb
    Author Lonnie K Zeltzer
    Abstract Background Rheumatoid arthritis is a chronic, disabling disease that can compromise mobility, daily functioning, and health-related quality of life, especially in older adolescents and young adults. In this project, we will compare a standardized Iyengar yoga program for young people with rheumatoid arthritis to a standard care wait-list control condition. Methods/Design Seventy rheumatoid arthritis patients aged 16-35 years will be randomized into either the 6-week Iyengar yoga program (12 - 1.5 hour sessions twice weekly) or the 6-week wait-list control condition. A 20% attrition rate is anticipated. The wait-list group will receive the yoga program following completion of the first arm of the study. We will collect data quantitatively, using questionnaires and markers of disease activity, and qualitatively using semi-structured interviews. Assessments include standardized measures of general and arthritis-specific function, pain, mood, and health-related quality of life, as well as qualitative interviews, blood pressure/resting heart rate measurements, a medical exam and the assessment of pro-inflammatory cytokines. Data will be collected three times: before treatment, post-treatment, and two months following the treatment. Discussion Results from this study will provide critical data on non-pharmacologic methods for enhancing function in rheumatoid arthritis patients. In particular, results will shed light on the feasibility and potential efficacy of a novel intervention for rheumatoid arthritis symptoms, paving the way for a larger clinical trial.
    Publication Trials
    Volume 12
    Issue 15
    Pages 19
    Date 2011
    Journal Abbr Trials
    DOI 10.1186/1745-6215-12-19
    ISSN 1745-6215
    Short Title A randomized controlled trial examining Iyengar yoga for young adults with rheumatoid arthritis
    Accessed Sunday, February 13, 2011 10:16:21 AM
    Library Catalog NCBI PubMed
    Extra PMID: 21255431
    Date Added Thursday, September 29, 2011 8:57:35 AM
    Modified Thursday, September 29, 2011 8:57:35 AM

    Tags:

    • Irritable Bowel Syndrome
    • Iyengar yoga
    • Protocol
    • yoga
    • Youth
  • Characteristics and Predictors of Short-Term Outcomes in Individuals Self-selecting Yoga or Physical Therapy for Treatment of Chronic Low Back Pain

    Type Journal Article
    Author Dian Dowling Evans
    Author Michael Carter
    Author Richard Panico
    Author Laura Kimble
    Author Jennifer T. Morlock
    Author Manjula Judith Spears
    Abstract Objective To compare clinical and demographic characteristics of individuals self-selecting yoga or physical therapy (PT) for treatment of chronic low back pain (cLBP) and to examine predictors of short-term pain and functional outcomes.Design Descriptive, longitudinal study.Settings A hospital-based clinic that offers modified integral yoga classes for cLBP and 2 outpatient PT clinics that offer exercise-based PT.Participants Adults (n = 53) with cLBP >=12 weeks: yoga (n = 27), PT (n = 26).Methods Yoga participants attended a 6-week, once weekly, 2-hour yoga class. PT participants underwent twice weekly, 1-hour individualized PT. Data were collected at baseline and at 6 weeks. Groups were compared by using [chi]2 and independent samples t-tests. Hierarchical linear regression was used to predict treatment outcomes.Main Outcome Measures Disability (Roland Morris Disability Questionnaire), health status (Rand Short Form 36 Health Survey 1.0), pain bothersomeness (numerical rating scale), back pain self-efficacy (Back Pain Self-Efficacy Scale), and treatment satisfaction.Results At baseline, yoga participants were significantly less disabled (P = .013), had higher health status (P = .023), greater pain self-efficacy (P = .012), and less average pain bothersomeness (P = .001) compared with PT participants. At 6 weeks, when controlling for baseline group differences, greater pain self-efficacy was the strongest predictor for reduced pain and higher function for the entire sample. A significant group interaction by baseline pain self-efficacy predicted disability at 6 weeks. PT participants with low pain self-efficacy reported significantly greater disability than those with high pain self-efficacy. Yoga participants with low and high pain self-efficacy had similar disability outcomes.Conclusion These findings strengthen evidence that self-efficacy is associated with cLBP outcomes, especially in individuals self-selecting PT. Further research to evaluate outcomes after yoga and PT in participants with low pain self-efficacy is needed.
    Publication PM&R
    Volume 2
    Issue 11
    Pages 1006-1015
    Date November 2010
    DOI 10.1016/j.pmrj.2010.07.006
    ISSN 1934-1482
    URL http://www.sciencedirect.com/science/article/B8JHF-51H17J4-4/2/6959a54ca69cbc0d8d6e5a0a12743296
    Accessed Monday, December 13, 2010 8:42:18 PM
    Date Added Thursday, September 29, 2011 8:59:19 AM
    Modified Thursday, September 29, 2011 8:59:19 AM

    Notes:

    • To compare clinical and demographic characteristics of individuals self-selecting yoga or physical therapy (PT) for treatment of chronic low back pain (cLBP) and to examine predictors of short-term pain and functional outcomes. Descriptive, longitudinal study.A hospital-based clinic that offers modified integral yoga classes for cLBP and 2 outpatient PT clinics that offer exercise-based PT.Adults (n = 53) with cLBP ≥12 weeks: yoga (n = 27), PT (n = 26).Yoga participants attended a 6-week, once weekly, 2-hour yoga class. PT participants underwent twice weekly, 1-hour individualized PT. Data were collected at baseline and at 6 weeks. Groups were compared by using χ2 and independent samples t-tests. Hierarchical linear regression was used to predict treatment outcomes.Disability (Roland Morris Disability Questionnaire), health status (Rand Short Form 36 Health Survey 1.0), pain bothersomeness (numerical rating scale), back pain self-efficacy (Back Pain Self-Efficacy Scale), and treatment satisfaction. At baseline, yoga participants were significantly less disabled (P = .013), had higher health status (P = .023), greater pain self-efficacy (P = .012), and less average pain bothersomeness (P = .001) compared with PT participants. At 6 weeks, when controlling for baseline group differences, greater pain self-efficacy was the strongest predictor for reduced pain and higher function for the entire sample. A significant group interaction by baseline pain self-efficacy predicted disability at 6 weeks. PT participants with low pain self-efficacy reported significantly greater disability than those with high pain self-efficacy. Yoga participants with low and high pain self-efficacy had similar disability outcomes.These findings strengthen evidence that self-efficacy is associated with cLBP outcomes, especially in individuals self-selecting PT. Further research to evaluate outcomes after yoga and PT in participants with low pain self-efficacy is needed.

  • Iyengar yoga for young adults with rheumatoid arthritis: results from a mixed-methods pilot study

    Type Journal Article
    Author Subhadra Evans
    Author Mona Moieni
    Author Rebecca Taub
    Author Saskia K Subramanian
    Author Jennie C I Tsao
    Author Beth Sternlieb
    Author Lonnie K Zeltzer
    Abstract CONTEXT: Rheumatoid arthritis (RA) is a chronic disease that often impacts patient's quality of life. For young people with RA, there is a need for rehabilitative approaches that have been shown to be safe and to lead to improved functioning. OBJECTIVES: This pilot study investigated the feasibility of a single-arm, group-administered, six-week, biweekly Iyengar yoga (IY) program for eight young adults with RA. METHODS: IY is known for its use of props, therapeutic sequences designed for patient populations, emphasis on alignment, and a rigorous teacher training. Treatment outcomes were evaluated using a mixed-methods approach that combined quantitative results from standardized questionnaires and qualitative interviews with participants. RESULTS: Initial attrition was 37% (n=3) after the first week because of scheduling conflicts and a prior non-RA related injury. However, the remaining participants (n=5) completed between 75% and 100% of treatment sessions (mean=95%). No adverse events were reported. The quantitative results indicated significant improvements in pain, pain disability, depression, mental health, vitality, and self-efficacy. Interviews demonstrated improvement in RA symptoms and functioning but uncertainty about whether the intervention affected pain. CONCLUSION: These preliminary findings indicate that IY is a feasible complementary approach for young people with RA, although larger clinical trials are needed to demonstrate safety and efficacy.
    Publication Journal of Pain and Symptom Management
    Volume 39
    Issue 5
    Pages 904-913
    Date May 2010
    Journal Abbr J Pain Symptom Manage
    DOI 10.1016/j.jpainsymman.2009.09.018
    ISSN 1873-6513
    Short Title Iyengar yoga for young adults with rheumatoid arthritis
    Accessed Friday, June 04, 2010 9:28:21 AM
    Library Catalog NCBI PubMed
    Extra PMID: 20471550
    Date Added Thursday, September 29, 2011 9:04:02 AM
    Modified Thursday, September 29, 2011 9:04:02 AM
  • Mucosal Immunity Modulated by Integrative Meditation in a Dose-Dependent Fashion

    Type Journal Article
    Author Yaxin Fan
    Author Yi-Yuan Tang
    Author Yinghua Ma
    Author Michael I. Posner
    Abstract After four weeks of Integrative Body–Mind Training (IBMT), participants showed significantly increased salivary basal sIgA levels compared to participants trained for 4 weeks in relaxation. An additional IBMT practice session immediately after acute stress produced significantly higher sIgA release for the IBMT-trained group in comparison with controls at week 2 and 4.
    Publication The Journal of Alternative and Complementary Medicine
    Volume 16
    Issue 2
    Pages 151-155
    Date 02/2010
    Journal Abbr The Journal of Alternative and Complementary Medicine
    DOI 10.1089/acm.2009.0234
    ISSN 1075-5535
    URL http://www.liebertonline.com/doi/abs/10.1089/acm.2009.0234
    Date Added Thursday, September 29, 2011 9:04:02 AM
    Modified Thursday, September 29, 2011 9:04:02 AM
  • The role of the spiritual dimension of the self as the prime determinant of health

    Type Journal Article
    Author K Faull
    Author M D Hills
    Abstract PURPOSE: To present a clinical commentary on the relationship of spirituality to healthcare for those with chronic physical conditions. METHOD: A spiritually based theory of self-identity was presented, based on selected literature to identify the process of health attainment for those with chronic conditions. The resultant Health Change Process Theory was then discussed in relation to relevant empirical research and the implications for rehabilitation practice were outlined. RESULTS: The development of a resilient, intrinsic, spiritually based concept of self was found to be pivotal to health outcomes in rehabilitation. This was then incorporated within a Health Change Process Theory to explain and predict the course followed by people with chronic disorders to achieve health. CONCLUSION: The Health Change Process Theory provides an inclusive framework within which acute and chronic rehabilitation healthcare can be merged to maximise health outcomes. Nevertheless, a need remains to develop a quantitative measure of individual holistic health, based on this theory, to facilitate its use in rehabilitation practice. This paper forwards an explanation for the process that people experiencing chronic physical disabilities undergo as they achieve health. A concept of self that identifies the spiritual core as the component that determines the constancy and continuity of self as a whole which is necessary for health is presented as the basis of the rehabilitative health process.
    Publication Disability and Rehabilitation
    Volume 28
    Issue 11
    Pages 729-740
    Date Jun 15, 2006
    Journal Abbr Disabil Rehabil
    DOI 10.1080/09638280500265946
    ISSN 0963-8288
    URL http://www.ncbi.nlm.nih.gov/pubmed/16809216
    Accessed Friday, November 13, 2009 4:38:48 PM
    Library Catalog NCBI PubMed
    Extra PMID: 16809216
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Tags:

    • Adaptation, Psychological
    • Chronic Disease
    • Health
    • Humans
    • Self Concept
    • spirituality

    Notes:

    • Purpose: To present a clinical commentary on the relationship of spirituality to healthcare for those with chronic physical conditions. Results: The development of a resilient, intrinsic, spiritually based concept of self was found to be pivotal to health outcomes in rehabilitation.

  • The QE Health Scale (QEHS): assessment of the clinical reliability and validity of a spiritually based holistic health measure

    Type Journal Article
    Author K Faull
    Author M D Hills
    Abstract PURPOSE: To assess the clinical reliability and validity of a holistic health measure, the QE Health Scale (QEHS), for use with people with physical disabilities. METHOD: A test-retest design saw the QEHS administered and compared with established measures of health at admission and discharge from three-week inpatient rehabilitation programmes. Data was analysed by factor and correlation analysis. Clinician-reported credibility and usefulness of the theoretical basis of the QEHS, the QEHS itself, and Patient Profiles derived from the QEHS were also used to evaluate clinical validity. RESULTS: The QEHS was judged to possess satisfactory reliability and validity. CONCLUSION: The QEHS is a clinically reliable, valid, credible and useful holistic health instrument to facilitate client-centred therapeutic interventions, inform decision-making and evaluate outcomes for people with physical disabilities.
    Publication Disability and Rehabilitation
    Volume 29
    Issue 9
    Pages 701-716
    Date May 15, 2007
    Journal Abbr Disabil Rehabil
    DOI 10.1080/09638280600926611
    ISSN 0963-8288
    Short Title The QE Health Scale (QEHS)
    URL http://www.ncbi.nlm.nih.gov/pubmed/17453992
    Accessed Friday, November 13, 2009 5:38:28 PM
    Library Catalog NCBI PubMed
    Extra PMID: 17453992
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Tags:

    • Disability Evaluation
    • Disabled Persons
    • Female
    • Holistic Health
    • Humans
    • Male
    • Middle Aged
    • Patient Admission
    • Patient Discharge
    • Prospective Studies
    • Reproducibility of Results
    • spirituality

    Notes:

    • Purpose: To assess the clinical reliability and validity of a holistic health measure, the QE Health Scale (QEHS), for use with people with physical disabilities. Results: The QEHS was judged to possess satisfactory reliability and validity.

  • Investigation of health perspectives of those with physical disabilities: the role of spirituality as a determinant of health

    Type Journal Article
    Author K Faull
    Author M D Hills
    Author G Cochrane
    Author J Gray
    Author M Hunt
    Author C McKenzie
    Author L Winter
    Abstract PURPOSE: To identify key determinants of health and the process of health attainment for people with musculoskeletal disabilities. METHOD: Focus groups of people with musculoskeletal disorders, including 30 members and their five trained facilitators, provided data. Discussed were 'What is health for you?' and 'What has helped, or would help you achieve this health?' Delphi-structured analysis identified health themes and a health process model was developed with the facilitators comprising the expert panel. RESULTS: Health was perceived as centred on relationships that required a spiritual awareness for a strong and resilient identity. The Self Attributes Model developed portrays the processes perceived to be required for health. CONCLUSIONS: Although physical, social and psychological interventions are essential aspects of health intervention, by themselves they are not sufficient. Also required for health is a strong resilient self resulting from interaction and connection with other people and the natural world. Moreover, development of such an identity requires a spiritual world-view comprising an acknowledgement of the essence of self and focus upon the nature of the connection of this essence with all other aspects of life. Further research is required to advance understanding of the process by which this occurs for people with chronic disorders.
    Publication Disability and Rehabilitation
    Volume 26
    Issue 3
    Pages 129-144
    Date Feb 4, 2004
    Journal Abbr Disabil Rehabil
    DOI 10.1080/09595230020029365
    ISSN 0963-8288
    Short Title Investigation of health perspectives of those with physical disabilities
    URL http://www.ncbi.nlm.nih.gov/pubmed/14754624
    Accessed Friday, November 13, 2009 12:44:21 PM
    Library Catalog NCBI PubMed
    Extra PMID: 14754624
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Tags:

    • Adult
    • Aged
    • Aged, 80 and over
    • Attitude to Health
    • Delphi Technique
    • Disabled Persons
    • Female
    • Focus Groups
    • Friends
    • Health Behavior
    • Health Status
    • Humans
    • Male
    • Middle Aged
    • spirituality
    • Wit and Humor as Topic

    Notes:

    • Purpose: To identify key determinants of health and the process of health attainment for people with musculoskeletal disabilities. Results: Health was perceived as centred on relationships that required a spiritual awareness for a strong and resilient identity.

  • Burden of cardiovascular risk factors, subclinical atherosclerosis, and incident cardiovascular events across dimensions of religiosity: The multi-ethnic study of atherosclerosis

    Type Journal Article
    Author Matthew Feinstein
    Author Kiang Liu
    Author Hongyan Ning
    Author George Fitchett
    Author Donald M Lloyd-Jones
    Abstract BACKGROUND: Religious involvement has been associated with improved health practices and outcomes; however, no ethnically diverse community-based study has examined differences in cardiac risk factors, subclinical cardiovascular disease, and cardiovascular disease (CVD) events across levels of religiosity. METHODS AND RESULTS: We included 5474 white, black, Hispanic, and Chinese participants who attended examination 2 of the National Heart, Lung, and Blood Institute's Multi-Ethnic Study of Atherosclerosis (MESA). We compared cross-sectional differences in cardiac risk factors and subclinical CVD and longitudinal CVD event rates across self-reported levels of religious participation, prayer/meditation, and spirituality. Multivariable-adjusted regression models were fitted to assess associations of measures of religiosity with risk factors, subclinical CVD, and CVD events. MESA participants (52.4% female; mean age, 63) with greater levels of religious participation were more likely to be female and black. After adjustment for demographic covariates, participants who attended services daily, compared with never, were significantly more likely to be obese (adjusted odds ratio 1.57, 95% confidence interval [CI] 1.12 to 1.72) but less likely to smoke (adjusted odds ratio 0.39, 95% CI 0.26 to 0.58). Results were similar for those with frequent prayer/meditation or high levels of spirituality. There were no consistent patterns of association observed between measures of religiosity and presence/extent of subclinical CVD at baseline or incident CVD events during longitudinal follow-up in the course of 4 years. CONCLUSIONS: Our results do not confirm those of previous studies associating greater religiosity with overall better health risks and status, at least with regard to CVD. There was no reduction in risk for CVD events associated with greater religiosity.
    Publication Circulation
    Volume 121
    Issue 5
    Pages 659-666
    Date Feb 9, 2010
    Journal Abbr Circulation
    DOI 10.1161/CIRCULATIONAHA.109.879973
    ISSN 1524-4539
    Short Title Burden of cardiovascular risk factors, subclinical atherosclerosis, and incident cardiovascular events across dimensions of religiosity
    Accessed Saturday, February 20, 2010 12:14:12 PM
    Library Catalog NCBI PubMed
    Extra PMID: 20100975
    Date Added Thursday, September 29, 2011 9:04:02 AM
    Modified Thursday, September 29, 2011 9:04:02 AM

    Notes:

    • Religious involvement has been associated with improved health practices and outcomes; however, no ethnically diverse community-based study has examined differences in cardiac risk factors, subclinical cardiovascular disease, and cardiovascular disease (CVD) events across levels of religiosity.The study included 5474 white, black, Hispanic, and Chinese participants who attended examination 2 of the National Heart, Lung, and Blood Institute’s Multi-Ethnic Study of Atherosclerosis (MESA). We compared cross-sectional differences in cardiac risk factors and subclinical CVD and longitudinal CVD event rates across self-reported levels of religious participation, prayer/meditation, and spirituality. Multivariable-adjusted regression models were fitted to assess associations of measures of religiosity with risk factors, subclinical CVD, and CVD events. MESA participants (52.4% female; mean age, 63) with greater levels of religious participation were more likely to be female and black. After adjustment for demographic covariates, participants who attended services daily, compared with never, were significantly more likely to be obese (adjusted odds ratio 1.57, 95% confidence interval [CI] 1.12 to 1.72) but less likely to smoke (adjusted odds ratio 0.39, 95% CI 0.26 to 0.58). Results were similar for those with frequent prayer/meditation or high levels of spirituality. There were no consistent patterns of association observed between measures of religiosity and presence/extent of subclinical CVD at baseline or incident CVD events during longitudinal follow-up in the course of 4 years. The results do not confirm those of previous studies associating greater religiosity with overall better health risks and status, at least with regard to CVD. There was no reduction in risk for CVD events associated with greater religiosity.

  • Measuring mindfulness and examining its relationship with alcohol use and negative consequences

    Type Journal Article
    Author Anne C Fernandez
    Author Mark D Wood
    Author L A R Stein
    Author Joseph S Rossi
    Abstract Mindfulness has been proposed as a useful adjunct to alcohol abuse treatment. However, very little research has examined the basic relationship between alcohol use and mindfulness. Inconsistency in definition and measurement of mindfulness across studies makes such research difficult to interpret and conduct. Therefore, the current research sought to validate an emerging mindfulness measure, the Five Facet Mindfulness Questionnaire (FFMQ), and examine its relationship with alcohol use and alcohol-related negative consequences among a sample of 316 college-aged adults. The purported factor structure of the FFMQ was examined using confirmatory factor analysis. Structural equation modeling was used to examine relations among mindfulness, alcohol use, and alcohol-related negative consequences. Consistent with past research, results supported the five-factor structure of the FFMQ. Structural equation modeling analyses revealed that two awareness-based factors of mindfulness were negatively related to alcohol use. After controlling for alcohol use, one acceptance-based factor (nonjudging of thoughts and feelings) was negatively related to alcohol-related consequences, and one awareness-based factor was positively related to consequences (all ps < .05). Effect sizes were small-medium. The results reported here inform the burgeoning development of mindfulness-based addiction treatment and provide additional psychometric validation of the FFMQ.
    Publication Psychology of Addictive Behaviors: Journal of the Society of Psychologists in Addictive Behaviors
    Volume 24
    Issue 4
    Pages 608-616
    Date Dec 2010
    Journal Abbr Psychol Addict Behav
    DOI 10.1037/a0021742
    ISSN 1939-1501
    Accessed Sunday, February 13, 2011 10:38:46 AM
    Library Catalog NCBI PubMed
    Extra PMID: 21198223
    Date Added Thursday, September 29, 2011 8:57:52 AM
    Modified Thursday, September 29, 2011 8:57:52 AM

    Tags:

    • Alcohol Abuse
    • Mindfulness
  • Firm Believers? Religion, Body Weight, and Well-Being

    Type Journal Article
    Author Kenneth F. Ferraro
    Abstract Most religions have proscriptions or prescriptions regarding the consumption of food; yet little attention has been given to the relationship between religion and body weight. This paper explores two major questions: (1) Is religion related to body weight, especially the prevalence of obesity? (2) Does religion intensify, mitigate, or counterbalance the effects of body weight on well-being? Two data sources are used in this exploratory study. First, state-level ecological data on religion and body weight show that body weight is somewhat higher in states with a higher proportion of church and temple members. Second, a national sample of adults surveyed in 1986 is used for the bulk of the analysis (N=3,497). Three dimensions of religiosity (practice, identity, and comfort) and three measures of body weight (underweight, overweight, and overall body mass) are examined. Religious practice is associated with all measures of well-being and generally acts to counterbalance the negative effect of body weight on well-being. Obese persons are more likely to be depressed and have lower levels of health satisfaction despite their higher levels of religious practice.
    Publication Review of Religious Research
    Volume 39
    Issue 3
    Pages 224-244
    Date Mar., 1998
    ISSN 0034673X
    Short Title Firm Believers?
    URL http://www.jstor.org.ezproxy.bu.edu/stable/3512590
    Accessed Friday, September 25, 2009 12:08:55 PM
    Library Catalog JSTOR
    Extra ArticleType: primary_article / Full publication date: Mar., 1998 / Copyright © 1998 Religious Research Association, Inc.
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Notes:

    • Most religions have proscriptions or prescriptions regarding the consumption of food; yet little attention has been given to the relationship between religion and body weight. This paper explores two major questions: (1) Is religion related to body weight, especially the prevalence of obesity? (2) Does religion intensify, mitigate, or counterbalance the effects of body weight on well-being?

  • Family Rituals, Religious Involvement, and Drug Attitudes among Recovering Substance Abusers.

    Type Journal Article
    Author John E. Fife
    Author Micah McCreary
    Author Tashia Brewer
    Author Adekunle A. Adegoke
    Abstract This study aims to examine the relationship between family rituals, religious involvement, mental health, and drug attitudes among 141 African-American women recovering from substance abuse. Results indicate a significant negative relationship between religious attendance and substance abuse. A hierarchical regression analysis found that mental health problems and mental health problem severity together were significant predictors of substance use, and that church attendance with one's family (religious ritual) accounted for a significant portion of the variance for substance abuse, above and beyond the variance accounted for by mental health problems and drug attitudes. [ABSTRACT FROM AUTHOR]
    Publication North American Journal of Psychology
    Volume 13
    Issue 1
    Pages 87-98
    Date March 2011
    ISSN 15277143
    Library Catalog EBSCOhost
    Date Added Thursday, September 29, 2011 8:56:10 AM
    Modified Thursday, September 29, 2011 8:56:10 AM

    Tags:

    • AFRICAN American women
    • FAMILIES -- Religious aspects
    • HUMAN behavior
    • mental health
    • SOCIAL psychology
    • WOMEN -- Substance use
  • Baseline predictors of ninety percent or higher antiretroviral therapy adherence in a diverse urban sample: the role of patient autonomy and fatalistic religious beliefs

    Type Journal Article
    Author S Finocchario-Kessler
    Author D Catley
    Author J Berkley-Patton
    Author M Gerkovich
    Author K Williams
    Author J Banderas
    Author K Goggin
    Abstract The role of patient autonomy and influence of religious/spiritual beliefs on antiretroviral therapy (ART) adherence is to date not fully understood. This study assessed baseline predictors of high ART adherence (≥90%) measured by electronic drug monitors (EDM) at 12 and 24 weeks after enrollment in a randomized controlled trial testing behavioral interventions to improve ART adherence. Baseline data were collected with audio computer-assisted self interviews (ACASI) surveys among a diverse urban sample of HIV-infected participants (n = 204) recruited from community clinics in a large midwestern city. Baseline variables included a range of established ART adherence predictors as well as several less frequently studied variables related to patient autonomy and religious/spiritual beliefs. Statistically significant (p < 0.05) variables identified in univariate analyses were included in subsequent multivariate analyses predicting higher than 90% adherence at 12 and 24 weeks. Several baseline predictors retained statistical significance in multivariate analysis at 24 weeks. Baseline levels of autonomous support from friends and family, motivation to adhere, and having an active coping style were all positively associated with adherence, while the belief that God is in control of one's health was negatively associated with adherence. Results indicate that effective interventions should include a focus on promoting patients' autonomous regulation and religious/spiritual beliefs regarding ART adherence.
    Publication AIDS Patient Care and STDs
    Volume 25
    Issue 2
    Pages 103-111
    Date Feb 2011
    Journal Abbr AIDS Patient Care STDS
    DOI 10.1089/apc.2010.0319
    ISSN 1557-7449
    Short Title Baseline predictors of ninety percent or higher antiretroviral therapy adherence in a diverse urban sample
    Accessed Tuesday, March 15, 2011 2:21:34 PM
    Library Catalog NCBI PubMed
    Extra PMID: 21235403
    Date Added Thursday, September 29, 2011 8:56:57 AM
    Modified Thursday, September 29, 2011 8:56:57 AM

    Tags:

    • Antiretroviral Therapy Adherence
    • Fatalism

    Notes:

    • This study assessed baseline predictors of high antiretroviral therapy (ART) adherence (≥90%) measured by electronic drug monitors (EDM) at 12 and 24 weeks after enrollment in a randomized controlled trial testing behavioral interventions to improve ART adherence.  The object was to better understand the role of influence of religious/spiritual beliefs on antiretroviral therapy (ART). Results indicate that effective interventions should include a focus on promoting patients' autonomous regulation and religious/spiritual beliefs regarding ART adherence.

  • Daily spiritual experiences, systolic blood pressure, and hypertension among midlife women in SWAN

    Type Journal Article
    Author George Fitchett
    Author Lynda H Powell
    Abstract Background There is reasonable evidence that religious beliefs and activities are associated with lower blood pressure and less hypertension. It is not known if daily spiritual experiences have similar effects. Purpose We examined the relationship between an eight-item version of the Daily Spiritual Experiences Scale (DSES) and systolic blood pressure (SBP) and hypertension. Methods With data from 1,060 Caucasian and 598 African-American midlife women participating in Study of Women's Health Across the Nation, in race-stratified models, we used regression equations, logistic regression, and mixed effects regression to estimate the relationship between DSES group and SBP and hypertensive status. Results We found little difference across DSES groups in adjusted mean SBP for either Caucasian or African-American women. Nor did DSES protect against 3-year increases in SBP, hypertensive status, or incident hypertension. Conclusions Daily spiritual experiences do not appear protective for SBP or hypertension in midlife women. Further research should examine factors that condition the religion–BP relationship.
    Publication Annals of Behavioral Medicine: A Publication of the Society of Behavioral Medicine
    Volume 37
    Issue 3
    Pages 257-267
    Date Jun 2009
    Journal Abbr Ann Behav Med
    DOI 10.1007/s12160-009-9110-y
    ISSN 1532-4796
    Accessed Tuesday, February 22, 2011 6:41:30 PM
    Library Catalog NCBI PubMed
    Extra PMID: 19662465
    Date Added Thursday, September 29, 2011 9:06:18 AM
    Modified Thursday, September 29, 2011 9:06:18 AM

    Tags:

    • Adult
    • African Americans
    • Age Factors
    • Blood Pressure
    • Cross-Sectional Studies
    • European Continental Ancestry Group
    • Female
    • Health Surveys
    • Humans
    • Hypertension
    • Longitudinal Studies
    • Middle Aged
    • Models, Statistical
    • spirituality
    • Women's Health

    Notes:

    • There is reasonable evidence that religious beliefs and activities are associated with lower blood pressure and less hypertension. It is not known if daily spiritual experiences have similar effects. The study examined the relationship between an eight-item version of the Daily Spiritual Experiences Scale (DSES) and systolic blood pressure (SBP) and hypertension. With data from 1,060 Caucasian and 598 African-American midlife women participating in Study of Women's Health Across the Nation, in race-stratified models, the authors used regression equations, logistic regression, and mixed effects regression to estimate the relationship between DSES group and SBP and hypertensive status. The authors found little difference across DSES groups in adjusted mean SBP for either Caucasian or African-American women. Nor did DSES protect against 3-year increases in SBP, hypertensive status, or incident hypertension. Daily spiritual experiences do not appear protective for SBP or hypertension in midlife women. Further research should examine factors that condition the religion–BP relationship.

  • A qualitative analysis of mindfulness-based cognitive therapy (MBCT) in Parkinson's disease

    Type Journal Article
    Author Lee Fitzpatrick
    Author Jane Simpson
    Author Alistair Smith
    Abstract OBJECTIVES: To analyse the experiences of participants with Parkinson's disease (PD), who participated in an 8-week mindfulness-based cognitive therapy (MBCT) course. DESIGN AND METHOD: Interpretative phenomenological analysis guided the design and method used in this study. A total of twelve participants (seven men and five women) with PD were recruited prior to and following participation in an MBCT course and interviewed with a semi-structured interview schedule. One participant who opted out of the course was also interviewed. The researcher also participated in another MBCT course to enhance their understanding of the participants' experience, keeping a detailed diary as a means of acknowledging bias in the analysis process. Themes were summarized from transcripts and later classified into superordinate themes, which were compared across all cases. Transcripts were also read and analysed by a second author and participants were given the opportunity to comment upon emerging themes. RESULTS: Major themes included (1) changing patterns of coping; (2) the role of mindfulness in consolidating existing coping skills in the context of loss; (3) group support in the context of loss and society that stigmatizes difference; and (4) the dualism of experience between Parkinson's and mindful meditation. CONCLUSIONS: This study has indicated that MBCT could benefit people with PD and was an acceptable form of group intervention.
    Publication Psychology and Psychotherapy
    Volume 83
    Issue Pt 2
    Pages 179-192
    Date Jun 2010
    Journal Abbr Psychol Psychother
    DOI 10.1348/147608309X471514
    ISSN 1476-0835
    Accessed Wednesday, July 07, 2010 11:42:04 AM
    Library Catalog NCBI PubMed
    Extra PMID: 19843353
    Date Added Thursday, September 29, 2011 9:04:02 AM
    Modified Thursday, September 29, 2011 9:04:02 AM
  • Mindfulness-based cognitive therapy for individuals whose lives have been affected by cancer: a randomized controlled trial

    Type Journal Article
    Author Elizabeth Foley
    Author Andrew Baillie
    Author Malcolm Huxter
    Author Melanie Price
    Author Emma Sinclair
    Abstract OBJECTIVE: This study evaluated the effectiveness of mindfulness-based cognitive therapy (MBCT) for individuals with a diagnosis of cancer. METHOD: Participants (N = 115) diagnosed with cancer, across site and stage, were randomly allocated to either the treatment or the wait-list condition. Treatment was conducted at 1 site, by a single therapist, and involved participation in 8 weekly 2-hr sessions that focused on mindfulness. Participants meditated for up to 1 hr daily and attended an additional full-day session during the course. Participants were assessed before treatment and 10 weeks later; this second assessment occurred immediately after completion of the program for the treatment condition. The treatment condition was also assessed at 3 months postintervention. All postinitial assessments were completed by assessors who were blind to treatment allocation. RESULTS: There were large and significant improvements in mindfulness (effect size [ES] = 0.55), depression (ES = 0.83), anxiety (ES = 0.59), and distress (ES = 0.53) as well as a trend for quality of life (ES = 0.30) for MBCT participants compared to those who had not received the training. The wait-list group was assessed before and after receiving the intervention and demonstrated similar change. CONCLUSIONS: These improvements represent clinically meaningful change and provide evidence for the provision of MBCT within oncology settings.
    Publication Journal of Consulting and Clinical Psychology
    Volume 78
    Issue 1
    Pages 72-79
    Date Feb 2010
    Journal Abbr J Consult Clin Psychol
    DOI 10.1037/a0017566
    ISSN 1939-2117
    Short Title Mindfulness-based cognitive therapy for individuals whose lives have been affected by cancer
    Accessed Saturday, February 20, 2010 12:14:52 PM
    Library Catalog NCBI PubMed
    Extra PMID: 20099952
    Date Added Thursday, September 29, 2011 9:04:02 AM
    Modified Thursday, September 29, 2011 9:04:02 AM

    Notes:

    • This study evaluated the effectiveness of mindfulness-based cognitive therapy (MBCT) for individuals with a diagnosis of cancer.

  • Mindfulness meditation for women with chronic pelvic pain: a pilot study

    Type Journal Article
    Author Sarah D Fox
    Author Ellen Flynn
    Author Rebecca H Allen
    Abstract OBJECTIVE Chronic pelvic pain (CPP) is a common condition that can be difficult to treat. Mindfulness meditation improves outcomes in patients with cancer pain, low back pain and migraine headaches. This study evaluates feasibility and efficacy of mindfulness for patients with CPP. STUDY DESIGN Women with CPP were enrolled in an 8-week mindfulness program. Pre-assessments and post-assessments included daily pain scores, the Short Form-36 Health Status Inventory, Kentucky Inventory of Mindfulness Score and the Inventory of Depressive Symptomatology. RESULTS Twelve out of 22 enrolled subjects completed the program and had significant improvement in daily maximum pain scores (p = 0.02), physical function (p = 0.01), mental health (p = 0.01) and social function (p = 0.02). The mindfulness scores improved significantly in all measures (p < 0.01). CONCLUSION Data from this pilot study show the feasibility of mindfulness meditation in women with CPP. Initial pilot data suggest that quality of life and mindfulness outcomes may improve with mindfulness meditation and justify further investigation with a randomized, controlled trial.
    Publication The Journal of Reproductive Medicine
    Volume 56
    Issue 3-4
    Pages 158-162
    Date 2011 Mar-Apr
    Journal Abbr J Reprod Med
    ISSN 0024-7758
    Short Title Mindfulness meditation for women with chronic pelvic pain
    URL http://www.ncbi.nlm.nih.gov/pubmed/21542535
    Accessed Wednesday, June 08, 2011 6:59:07 PM
    Library Catalog NCBI PubMed
    Extra PMID: 21542535
    Date Added Thursday, September 29, 2011 8:54:49 AM
    Modified Thursday, September 29, 2011 8:54:49 AM

    Tags:

    • Adult
    • Chronic Disease
    • Female
    • Humans
    • Meditation
    • Middle Aged
    • Pain Measurement
    • Pelvic Pain
    • Pilot Projects
    • Quality of Life
    • Questionnaires
    • Treatment Outcome

    Notes:

    • Chronic pelvic pain (CPP) is a common condition that can be difficult to treat. Mindfulness meditation improves outcomes in patients with cancer pain, low back pain and migraine headaches. This study evaluates feasibility and efficacy of mindfulness for patients with CPP. Women with CPP were enrolled in an 8-week mindfulness program. Pre-assessments and post-assessments included daily pain scores, the Short Form-36 Health Status Inventory, Kentucky Inventory of Mindfulness Score and the Inventory of Depressive Symptomatology. Twelve out of 22 enrolled subjects completed the program and had significant improvement in daily maximum pain scores (p = 0.02), physical function (p = 0.01), mental health (p = 0.01) and social function (p = 0.02). The mindfulness scores improved significantly in all measures (p < 0.01).Data from this pilot study show the feasibility of mindfulness meditation in women with CPP. Initial pilot data suggest that quality of life and mindfulness outcomes may improve with mindfulness meditation and justify further investigation with a randomized, controlled trial.

  • Breast Cancer Screening Adherence: Does Church Attendance Matter?

    Type Journal Article
    Author Sarah A. Fox
    Author Kathryn Pitkin
    Author Christopher Paul
    Author Sally Carson
    Author Naihua Duan
    Abstract Little is known about the health behaviors of church attendees. This article reviewed telephone interview data of 1,517 women who were church members from 45 churches located in Los Angeles County to determine their breast cancer screening status and to identify the key predictors of screening. Almost all of this sample (96%) reported attending church at least once a month. Key predictors of screening included physician-patient communication, ethnic background, and having medical insurance. Although church-related predictors were not significantly related to screening adherence, the authors compared community-based screening rates from another sample to their sample rates and found that, when controlling for income and education, church members fared better on mammography screening than women who were community residents. This finding suggests that frequent church attendance contributes to better mammography screening status and that the relationship between religious involvement and health behaviors needs further explanation.
    Publication Health Educ Behav
    Volume 25
    Issue 6
    Pages 742-758
    Date December 1, 1998
    DOI 10.1177/109019819802500605
    Short Title Breast Cancer Screening Adherence
    URL http://heb.sagepub.com/cgi/content/abstract/25/6/742
    Accessed Friday, October 30, 2009 3:09:00 PM
    Library Catalog Sage Journals Online
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Notes:

    • This article reviewed telephone interview data of 1,517 women who were church members from 45 churches located in Los Angeles County to determine their breast cancer screening status and to identify the key predictors of screening.

  • A review of faith-based HIV prevention programs

    Type Journal Article
    Author Shelley A Francis
    Author Joan Liverpool
    Abstract HIV disproportionately affects people of color, suggesting a need for innovative prevention programs and collaborations as part of prevention efforts. African Americans have close ties to the church and faith-based organizations. African American faith communities were slow to address HIV prevention, but in recent years, they have become more involved in such activities. This study reviews the empirical literature on faith-based HIV prevention programs among African American populations. Several successful faith-based/public health collaborations are identified, and the limitations and strengths of faith-based prevention programs are discussed. Recommendations are provided for developing effective faith-based/public health collaborations.
    Publication Journal of Religion and Health
    Volume 48
    Issue 1
    Pages 6-15
    Date Mar 2009
    Journal Abbr J Relig Health
    DOI 10.1007/s10943-008-9171-4
    ISSN 1573-6571
    Accessed Tuesday, February 22, 2011 7:48:02 PM
    Library Catalog NCBI PubMed
    Extra PMID: 19229620
    Date Added Thursday, September 29, 2011 9:06:18 AM
    Modified Thursday, September 29, 2011 9:06:18 AM

    Tags:

    • HIV Infections
    • Humans
    • Religion and Medicine
    • Substance-Related Disorders

    Notes:

    • <div class="abstractText"> <div class="Abstract" lang="en"><a name="Abs1"></a> This study reviews the empirical literature on faith-based HIV prevention programs among African American populations. Several successful faith-based/public health collaborations are identified, and the limitations and strengths of faith-based prevention programs are discussed. Recommendations are provided for developing effective faith-based/public health collaborations.</div> </div>

  • Traditional Indian medicine and homeopathy for HIV/AIDS: a review of the literature

    Type Journal Article
    Author M Fritts
    Author C C Crawford
    Author D Quibell
    Author A Gupta
    Author W B Jonas
    Author I Coulter
    Author S A Andrade
    Abstract BACKGROUND: Allopathic practitioners in India are outnumbered by practitioners of traditional Indian medicine and homeopathy (TIMH), which is used by up to two-thirds of its population to help meet primary health care needs, particularly in rural areas. India has an estimated 2.5 million HIV infected persons. However, little is known about TIMH use, safety or efficacy in HIV/AIDS management in India, which has one of the largest indigenous medical systems in the world. The purpose of this review was to assess the quality of peer-reviewed, published literature on TIMH for HIV/AIDS care and treatment. RESULTS: Of 206 original articles reviewed, 21 laboratory studies, 17 clinical studies, and 6 previous reviews of the literature were identified that covered at least one system of TIMH, which includes Ayurveda, Unani medicine, Siddha medicine, homeopathy, yoga and naturopathy. Most studies examined either Ayurvedic or homeopathic treatments. Only 4 of these studies were randomized controlled trials, and only 10 were published in MEDLINE-indexed journals. Overall, the studies reported positive effects and even "cure" and reversal of HIV infection, but frequent methodological flaws call into question their internal and external validity. Common reasons for poor quality included small sample sizes, high drop-out rates, design flaws such as selection of inappropriate or weak outcome measures, flaws in statistical analysis, and reporting flaws such as lack of details on products and their standardization, poor or no description of randomization, and incomplete reporting of study results. CONCLUSION: This review exposes a broad gap between the widespread use of TIMH therapies for HIV/AIDS, and the dearth of high-quality data supporting their effectiveness and safety. In light of the suboptimal effectiveness of vaccines, barrier methods and behavior change strategies for prevention of HIV infection and the cost and side effects of antiretroviral therapy (ART) for its treatment, it is both important and urgent to develop and implement a rigorous research agenda to investigate the potential risks and benefits of TIMH and to identify its role in the management of HIV/AIDS and associated illnesses in India.
    Publication AIDS Research and Therapy
    Volume 5
    Pages 25
    Date 2008
    Journal Abbr AIDS Res Ther
    DOI 10.1186/1742-6405-5-25
    ISSN 1742-6405
    Short Title Traditional Indian medicine and homeopathy for HIV/AIDS
    URL http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/19102742
    Accessed Monday, November 09, 2009 12:56:07 AM
    Library Catalog NCBI PubMed
    Extra PMID: 19102742
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Notes:

    • The purpose of this review was to assess the quality of peer-reviewed, published literature on traditional Indian medicine and homeopathy for HIV/AIDS care and treatment. Conclusion: This review exposes a broad gap between the widespread use of TIMH therapies for HIV/AIDS, and the dearth of high-quality data supporting their effectiveness and safety.

  • Spirituality and recovery in 12-step programs: an empirical model

    Type Journal Article
    Author Marc Galanter
    Abstract Alcoholics Anonymous (AA) and other 12-step programs are widely employed in the addiction rehabilitation community. It is therefore important for researchers and clinicians to have a better understanding of how recovery from addiction takes place, in terms of psychological mechanisms associated with spiritual renewal. A program like AA is described here as a spiritual recovery movement, that is, one that effects compliance with its behavioral norms by engaging recruits in a social system that promotes new and transcendent meaning in their lives. The mechanisms underlying the attribution of new meaning in AA are considered by recourse to the models of positive psychology and social network support; both models have been found to be associated with constructive health outcomes in a variety of contexts. By drawing on available empirical research, it is possible to define the diagnosis of addiction and the criteria for recovery in spiritually oriented terms.
    Publication Journal of Substance Abuse Treatment
    Volume 33
    Issue 3
    Pages 265-272
    Date Oct 2007
    Journal Abbr J Subst Abuse Treat
    DOI 10.1016/j.jsat.2007.04.016
    ISSN 0740-5472
    Short Title Spirituality and recovery in 12-step programs
    URL http://www.ncbi.nlm.nih.gov/pubmed/17889297
    Accessed Friday, November 13, 2009 5:57:34 PM
    Library Catalog NCBI PubMed
    Extra PMID: 17889297
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Tags:

    • Alcoholics Anonymous
    • Alcoholism
    • Behavior, Addictive
    • empirical research
    • Humans
    • Models, Psychological
    • Patient Compliance
    • Recurrence
    • Religion and Medicine
    • social support
    • Substance-Related Disorders
    • Temperance

    Notes:

    • A program like AA is described here as a spiritual recovery movement, that is, one that effects compliance with its behavioral norms by engaging recruits in a social system that promotes new and transcendent meaning in their lives. The mechanisms underlying the attribution of new meaning in AA are considered by recourse to the models of positive psychology and social network support; both models have been found to be associated with constructive health outcomes in a variety of contexts.

  • The concept of spirituality in relation to addiction recovery and general psychiatry

    Type Journal Article
    Author Marc Galanter
    Abstract This chapter is directed at defining the nature of spirituality and its relationship to empirical research and clinical practice. A preliminary understanding of the spiritual experience can be achieved on the basis of diverse theoretical and empirically grounded sources, which will be delineated: namely, physiology, psychology, and cross-cultural sources. Furthermore, the impact of spirituality on mental health and addiction in different cultural and clinical settings is explicated regarding both beneficial and compromising outcomes. Illustrations of its application in addiction and general psychiatry are given: in meditative practices, Alcoholics Anonymous, and treatment programs for addiction singly and comorbid with major mental illness. Given its prominence in Alcoholics Anonymous and related Twelve-Step groups, spirituality plays an important role in the rehabilitation of many substance-dependent people. The issue of spirituality, however, is prominent within contemporary culture as well in the form of theistic orientation, as evidenced in a probability sampling of American adults, among whom 95% of respondents reply positively when asked if they believe in "God or a universal spirit." Responses to a follow-up on this question suggest that this belief affects the daily lives of the majority (51%) of those sampled, as they indicated that they had talked to someone about God or some aspect of their faith or spirituality within the previous 24 h (Gallup, 2002).
    Publication Recent Developments in Alcoholism: An Official Publication of the American Medical Society on Alcoholism, the Research Society on Alcoholism, and the National Council on Alcoholism
    Volume 18
    Pages 125-140
    Date 2008
    Journal Abbr Recent Dev Alcohol
    ISSN 0738-422X
    URL http://www.ncbi.nlm.nih.gov/pubmed/19115767
    Accessed Friday, November 13, 2009 7:45:18 PM
    Library Catalog NCBI PubMed
    Extra PMID: 19115767
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Tags:

    • Alcoholics Anonymous
    • Alcoholism
    • Behavior, Addictive
    • Humans
    • Meditation
    • Psychiatry
    • Psychology
    • spirituality

    Notes:

    • This chapter is directed at defining the nature of spirituality and its relationship to empirical research and clinical practice.

  • Research on spirituality and Alcoholics Anonymous

    Type Journal Article
    Author M Galanter
    Publication Alcoholism, Clinical and Experimental Research
    Volume 23
    Issue 4
    Pages 716-719
    Date Apr 1999
    Journal Abbr Alcohol. Clin. Exp. Res
    ISSN 0145-6008
    URL http://www.ncbi.nlm.nih.gov/pubmed/10235308
    Accessed Thursday, November 12, 2009 7:40:08 PM
    Library Catalog NCBI PubMed
    Extra PMID: 10235308
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Tags:

    • Alcoholics Anonymous
    • Alcoholism
    • Attitude to Health
    • Humans
    • Models, Psychological
    • Religion and Psychology
    • Research
  • The effect of group aerobic exercise and t'ai chi on functional outcomes and quality of life for persons living with acquired immunodeficiency syndrome

    Type Journal Article
    Author Mary Lou Galantino
    Author Kay Shepard
    Author Larry Krafft
    Author Arthur Laperriere
    Author Joseph Ducette
    Author Alfred Sorbello
    Author Michael Barnish
    Author David Condoluci
    Author John T Farrar
    Abstract OBJECTIVE: This study aimed to assess the usefulness of two interventions in a group rehabilitation medicine setting to determine strategies and exercise guidelines for long-term care of the HIV/AIDS population with human immunodeficiency virus (HIV) and/or acquired immunodeficiency syndrome (AIDS). DESIGN: This was a randomized clinical trial investigating the effects of tai chi (TC) and aerobic exercise (EX) on functional outcomes and quality of life (QOL) in patients with AIDS. SETTING: Two outpatient infectious disease clinics in a mid-atlantic state were the setting. SUBJECTS AND INTERVENTION: Thirty-eight (38) subjects with advanced HIV (AIDS) were randomized to one of three groups: TC, EX, or control. Experimental groups exercised twice weekly for 8 weeks. OUTCOME MEASURES: The primary outcomes included QOL as measured by the Medical Outcomes Short Form (MOS-HIV) and Spirituality Well-Being Scale (SWB). Functional measures included the functional reach (FR) for balance, sit and reach (SR) for flexibility, and sit-up (SU) test for endurance. The physical performance test (PPT) was used to determine overall function, and the Profile of Mood States (POMS) was used to evaluate psychologic changes. To consider the patients' explanations for these measurements, qualitative data were collected from subjects' journals, focus groups, and nonparticipant observation. RESULTS: Thirty-eight (38) subjects were included in data analysis: 13 in the TC group, 13 in the EX group, and 12 in the control group. Results of analysis of covariance showed significant changes in the exercise groups in overall functional measures (p < 0.001). The MOS-HIV showed a significant difference on the subscale of overall health (p = 0.04). The POMS showed significant main effect for time in confusion-bewilderment (p = 0.000) and tension-anxiety (p = 0.005). Three dominant themes emerged from the qualitative data, including: positive physical changes, enhanced psychologic coping, and improved social interactions. CONCLUSIONS: This study shows that TC and EX improve physiologic parameters, functional outcomes, and QOL. Group intervention provides a socialization context for management of chronic HIV disease. This study supports the need for more research investigating the effect of other types of group exercise for this population. This study sets the stage for a larger randomized controlled trial to examine the potential short- and long-term effects of group exercise that may prove beneficial in the management of advanced HIV disease. Further research is warranted to evaluate additional exercise interventions that are accessible, safe, and cost-effective for the HIV population.
    Publication Journal of Alternative and Complementary Medicine (New York, N.Y.)
    Volume 11
    Issue 6
    Pages 1085-1092
    Date Dec 2005
    Journal Abbr J Altern Complement Med
    DOI 10.1089/acm.2005.11.1085
    ISSN 1075-5535
    URL http://www.ncbi.nlm.nih.gov/pubmed/16398601
    Accessed Friday, November 13, 2009 3:33:32 PM
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    Extra PMID: 16398601
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Tags:

    • Acquired Immunodeficiency Syndrome
    • Exercise Therapy
    • Female
    • Humans
    • Male
    • Mid-Atlantic Region
    • Narration
    • Patient Satisfaction
    • Quality of Life
    • Questionnaires
    • Self Care
    • Tai Ji
    • Treatment Outcome

    Notes:

    • This study aimed to assess the usefulness of two interventions in a group rehabilitation medicine setting to determine strategies and exercise guidelines for long-term care of the HIV/AIDS population with human immunodeficiency virus (HIV) and/or acquired immunodeficiency syndrome (AIDS).

  • Relationship with God and the Quality of Life of Prostate Cancer Survivors

    Type Journal Article
    Author Terry Lynn Gall
    Abstract This study explored the role of relationship with God with respect to the quality of life of men with prostate cancer. Thirty-four men with prostate cancer completed questionnaires on demographic and illness factors, aspects of relationship with God (e.g., God image), nonreligious resources (e.g., optimism) and physical, social and emotion functioning. Results showed that relationship with God was a significant factor in the prediction of role, emotional and social functioning for these men after controlling for age, reported severity of treatment reactions and nonreligious resources. Notably, different aspects of relationship with God (e.g., causal attribution) evidenced different associations with functioning and the nonreligious resource of perceived health control. Such results suggest that relationship with God may function in a complex manner as a resource in coping with prostate cancer. Longitudinal research is needed to clarify the role of religious/spiritual resources in the short- and long-term quality of life of men with prostate cancer.
    Publication Quality of Life Research
    Volume 13
    Issue 8
    Pages 1357-1368
    Date Oct., 2004
    ISSN 09629343
    URL http://www.jstor.org.ezproxy.bu.edu/stable/4038209
    Accessed Friday, September 25, 2009 1:11:20 PM
    Library Catalog JSTOR
    Extra ArticleType: primary_article / Full publication date: Oct., 2004 / Copyright © 2004 Springer
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Notes:

    • This study explored the role of relationship with God with respect to the quality of life of men with prostate cancer. Notably, different aspects of relationship with God (e.g., causal attribution) evidenced different associations with functioning and the nonreligious resource of perceived health control.

  • The trajectory of religious coping across time in response to the diagnosis of breast cancer

    Type Journal Article
    Author Terry Lynn Gall
    Author Manal Guirguis-Younger
    Author Claire Charbonneau
    Author Peggy Florack
    Abstract OBJECTIVES: This study investigates the mobilization of religious coping in women's response to breast cancer. METHODS: Ninety-three breast cancer patients and 160 women with a benign diagnosis participated. Breast cancer patients were assessed on their use of religious coping strategies and their level of emotional distress and well-being at pre-diagnosis, 1 week pre-surgery, and 1 month, 6 months, 1 year, and 2 years post-surgery. RESULTS: In general, breast cancer patients used religious strategies more frequently than women with a benign diagnosis; however, the patterns of use were similar across time for the majority of strategies. Results showed that religious coping strategies are mobilized early on in the process of adjustment to breast cancer. Breast cancer patients' use of support or comfort-related strategies peaked around surgery and then declined, while the use of strategies that reflected more a process of meaning-making remained elevated or increased into the long-term. Positive and negative forms of religious coping were predictive of concurrent distress and emotional well-being. As well, there was evidence that the mobilization of religious coping was predictive of changes in distress and well-being across time. For example, women's increased use of active surrender coping from 1 to 6 months post-surgery was related to a concomitant decrease in emotional distress and increase in emotional well-being. CONCLUSIONS: Notably the nature of the relationship between religious coping and emotional adjustment depended on the type of religious coping strategy as well as the specific time of assessment. Specificity of information in the use of religious coping can allow health-care professionals to better identify resources and address potential points of difficulty during the process of women's adjustment to breast cancer.
    Publication Psycho-Oncology
    Volume 18
    Issue 11
    Pages 1165-1178
    Date Nov 2009
    Journal Abbr Psychooncology
    DOI 10.1002/pon.1495
    ISSN 1099-1611
    URL http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/19214984
    Accessed Monday, November 23, 2009 8:17:17 PM
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    Extra PMID: 19214984
    Date Added Thursday, September 29, 2011 9:04:55 AM
    Modified Thursday, September 29, 2011 9:04:55 AM

    Notes:

    • This study investigates the mobilization of religious coping in women's response to breast cancer. Ninety-three breast cancer patients and 160 women with a benign diagnosis participated. Breast cancer patients were assessed on their use of religious coping strategies and their level of emotional distress and well-being at pre-diagnosis, 1 week pre-surgery, and 1 month, 6 months, 1 year, and 2 years post-surgery.

  • A longitudinal study on the role of spirituality in response to the diagnosis and treatment of breast cancer

    Type Journal Article
    Author Terry Lynn Gall
    Author Elizabeth Kristjansson
    Author Claire Charbonneau
    Author Peggy Florack
    Abstract This longitudinal study addressed the role of spirituality in women's response to breast cancer. Ninety-three women diagnosed with breast cancer were assessed on various measures of image of God, positive attitude, social well-being and emotional distress at pre-diagnosis, 6 months post-surgery and 1 year post-surgery. As compared to women who dropped out of the study, this sample reported religion to be less important in their daily lives. Path analyses showed evidence of direct and indirect effects of positive and negative images of God on emotional distress in cross-sectional but not longitudinal data. A positive image of God was related to greater concurrent distress while a negative image of God was indirectly related to greater distress through the pathways of social well-being and positive attitude. In the longitudinal path model, a pre-diagnosis measure of religious salience was the only aspect of spirituality that predicted an increase in distress at 1 year post-surgery. The cross-sectional analyses provided limited support for the "religious/spiritual mobilization" hypothesis as put forth by Pargament (The psychology of religion and coping. New York: Guilford Press, 1997). There was also limited support for the mediator variables of positive attitude and social well-being as mechanisms through which spirituality influences adjustment. Finally, there was no support that spirituality acted in a protective manner rather the negative elements of spirituality were more prominent in relation to various aspects of women's adjustment to breast cancer. Such results suggest that women who were less spiritually/religiously involved prior to the onset of breast cancer and who attempt to mobilize these resources under the stress of diagnosis may experience a negative process of spiritual struggle and doubt that, in turn, has implications for their long-term adjustment.
    Publication Journal of Behavioral Medicine
    Volume 32
    Issue 2
    Pages 174-186
    Date Apr 2009
    Journal Abbr J Behav Med
    DOI 10.1007/s10865-008-9182-3
    ISSN 1573-3521
    URL http://www.ncbi.nlm.nih.gov/pubmed/18982441
    Accessed Monday, March 28, 2011 6:23:36 PM
    Library Catalog NCBI PubMed
    Extra PMID: 18982441
    Date Added Thursday, September 29, 2011 9:06:18 AM
    Modified Thursday, September 29, 2011 9:06:18 AM

    Tags:

    • Adult
    • Aged
    • Aged, 80 and over
    • Breast Neoplasms
    • Cross-Sectional Studies
    • Emotions
    • Female
    • Humans
    • Longitudinal Studies
    • Middle Aged
    • Models, Psychological
    • Questionnaires
    • religion
    • Spiritualism

    Notes:

    • This longitudinal study addressed the role of spirituality in women's response to breast cancer. Ninety-three women diagnosed with breast cancer were assessed on various measures of image of God, positive attitude, social well-being and emotional distress at pre-diagnosis, 6 months post-surgery and 1 year post-surgery. As compared to women who dropped out of the study, this sample reported religion to be less important in their daily lives. Path analyses showed evidence of direct and indirect effects of positive and negative images of God on emotional distress in cross-sectional but not longitudinal data. A positive image of God was related to greater concurrent distress while a negative image of God was indirectly related to greater distress through the pathways of social well-being and positive attitude. In the longitudinal path model, a pre-diagnosis measure of religious salience was the only aspect of spirituality that predicted an increase in distress at 1 year post-surgery. The cross-sectional analyses provided limited support for the "religious/spiritual mobilization" hypothesis as put forth by Pargament (The psychology of religion and coping. New York: Guilford Press, 1997). There was also limited support for the mediator variables of positive attitude and social well-being as mechanisms through which spirituality influences adjustment. Finally, there was no support that spirituality acted in a protective manner rather the negative elements of spirituality were more prominent in relation to various aspects of women's adjustment to breast cancer. Such results suggest that women who were less spiritually/religiously involved prior to the onset of breast cancer and who attempt to mobilize these resources under the stress of diagnosis may experience a negative process of spiritual struggle and doubt that, in turn, has implications for their long-term adjustment.

  • Cancer in Utah Mormon men by lay priesthood level

    Type Journal Article
    Author J W Gardner
    Author J L Lyon
    Abstract Mormons have been shown to have low cancer rates at several common sites, particularly those associated with tobacco and alcohol use. This likely reflects adherence to their Church doctrines advocating abstention from the use of these substances. All Mormons, however, do not adhere to the health practices of their Church, and this study classifies Utah Mormon men by their lay priesthood offices, which reflect degree of adherence to Church doctrines. Follow-up cancer rates for 1966-1970 indicate that the most devout group (Seventies and High Priests) have lung cancer rates 80% lower than those of the least devout group. The same was seen for all smoking- and alcohol-associated cancer sites combined. Cancer of the stomach and the leukemias and lymphomas also had lower rates in the most devout group. Cancers of the colon-rectum, prostate, and pancreas showed little difference in rates when classified by lay priesthood office. These data provide a demonstration of the effects of a healthy lifestyle on cancer occurrence in men.
    Publication American Journal of Epidemiology
    Volume 116
    Issue 2
    Pages 243-257
    Date Aug 1982
    Journal Abbr Am. J. Epidemiol
    ISSN 0002-9262
    URL http://www.ncbi.nlm.nih.gov/pubmed/7114035
    Accessed Saturday, October 17, 2009 3:19:02 PM
    Library Catalog NCBI PubMed
    Extra PMID: 7114035
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Tags:

    • Adolescent
    • Adult
    • Aged
    • Alcohol Drinking
    • Child
    • Child, Preschool
    • Christianity
    • Epidemiologic Methods
    • Humans
    • Infant
    • Life Style
    • Male
    • Middle Aged
    • Neoplasms
    • Religion and Medicine
    • Smoking
    • UTAH

    Notes:

    • Mormons have been shown to have low cancer rates at several common sites, particularly those associated with tobacco and alcohol use. This likely reflects adherence to their Church doctrines advocating abstention from the use of these substances. All Mormons, however, do not adhere to the health practices of their Church, and this study classifies Utah Mormon men by their lay priesthood offices, which reflect degree of adherence to Church doctrines.

  • Cancer in Utah Mormon Men by Church Activity Level

    Type Journal Article
    Author JOHN W. GARDNER
    Author JOSEPH L. LYON
    Abstract In light of iow cancer rates in Mormons which may be due to specific heaith practices advocated by the Mormon Church, this study classifies female Mormon cancer patients in Utah according to measures of adherence to Church doctrines. The distribution by Church activity level is compared for each site to a group of other cancer sites felt to represent the overall activity level distribution of Utah Mormon women. Mormon women classified as having the strongest adherence to Church doctrines had lung cancer rates during 1966-1970 much lower than did women with the weakest adherence. The relationship was not as strong, however, as that seen in Mormon men when classified by lay priesthood office. Cancer of the uterine cervix also showed lower rates in the more active groups, but this finding was not statistically significant. Cancers of the breast and ovary did not show consistent associations with Church activity level, nor did most of the gastrointestinal cancers. These data suggest that some of the differences in cancer incidence between Mormons and non-Mormons may not be explained by adherence to specific Church doctrines.
    Publication Am. J. Epidemiol.
    Volume 116
    Issue 2
    Pages 258-265
    Date August 1, 1982
    URL http://aje.oxfordjournals.org/cgi/content/abstract/116/2/258
    Accessed Friday, October 30, 2009 3:35:18 PM
    Library Catalog HighWire
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Notes:

    • This study classifies female Mormon cancer patients in Utah according to measures of adherence to Church doctrines. Mormon women classified as having the strongest adherence to Church doctrines had lung cancer rates during 1966-1970 much lower than did women with the weakest adherence.

  • Psycho-spiritual integrative therapy for women with primary breast cancer

    Type Journal Article
    Author Max Garlick
    Author Kathleen Wall
    Author Diana Corwin
    Author Cheryl Koopman
    Abstract Breast cancer presents physical and psychological challenges, but can also result in posttraumatic growth (PTG). Twenty-four women completed Psycho-Spiritual Integrative Therapy (PSIT) treatment and completed assessments for PTG and QOL before, immediately following, and 1 month after treatment. Women showed improvement (p < .01) on the FACT-B (Functional Assessment of Cancer Therapy-Breast) Physical Well-being, Emotional Well-being, and Functional Well-being subscales, on the Profile of Mood States (POMS) Depression, Anger, and Fatigue subscales (p < .05), and on their POMS Tension, Vigor and Total Mood Disturbance (TMD) scores (p < .01). Also, women showed improvement on the FACIT-Sp-Ex (Functional Assessment of Chronic Illness Therapy-Spiritual) Meaning/Peace subscale, the Spiritual Well-being total scale (p < .01), and on the New Possibilities (p < .01) and Personal Strength (p < .05) subscales of the Posttraumatic Growth Inventory (PTGI). This preliminary study suggests that PSIT may improve well being and stimulate PTG in breast cancer patients.
    Publication Journal of Clinical Psychology in Medical Settings
    Volume 18
    Issue 1
    Pages 78-90
    Date Mar 2011
    Journal Abbr J Clin Psychol Med Settings
    DOI 10.1007/s10880-011-9224-9
    ISSN 1573-3572
    URL http://www.ncbi.nlm.nih.gov/pubmed/21344265
    Accessed Monday, April 04, 2011 7:46:40 PM
    Library Catalog NCBI PubMed
    Extra PMID: 21344265
    Date Added Thursday, September 29, 2011 8:56:10 AM
    Modified Thursday, September 29, 2011 8:56:10 AM

    Notes:

    • A study of twenty four women who completed Psycho-Spiritual Integrative Therapy treatment. 

  • Use of complementary and alternative medicine in patients suffering from primary headache disorders

    Type Journal Article
    Author C Gaul
    Author R Eismann
    Author T Schmidt
    Author A May
    Author E Leinisch
    Author T Wieser
    Author S Evers
    Author K Henkel
    Author G Franz
    Author S Zierz
    Abstract Complementary and alternative medicine (CAM) is increasingly common in the treatment of primary headache disorders despite lack of evidence for efficacy in most modalities. A systematic questionnaire-based survey of CAM therapy was conducted in 432 patients who attended seven tertiary headache out-patient clinics in Germany and Austria. Use of CAM was reported by the majority (81.7%) of patients. Most frequently used CAM treatments were acupuncture (58.3%), massage (46.1%) and relaxation techniques (42.4%). Use was motivated by 'to leave nothing undone' (63.7%) and 'to be active against the disease' (55.6%). Compared with non-users, CAM users were of higher age, showed a longer duration of disease, a higher percentage of chronification, less intensity of headache, were more satisfied with conventional prophylaxis and showed greater willingness to gather information about headaches. There were no differences with respect to gender, headache diagnoses, headache-specific disability, education, income, religious attitudes or satisfaction with conventional attack therapy. A higher number of headache days, longer duration of headache treatment, higher personal costs, and use of CAM for other diseases predicted a higher number of used CAM treatments. This study confirms that CAM is widely used among primary headache patients, mostly in combination with standard care.
    Publication Cephalalgia: An International Journal of Headache
    Volume 29
    Issue 10
    Pages 1069-1078
    Date Oct 2009
    Journal Abbr Cephalalgia
    DOI 10.1111/j.1468-2982.2009.01841.x
    ISSN 1468-2982
    URL http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/19366356
    Accessed Monday, September 28, 2009 11:50:46 PM
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    Extra PMID: 19366356
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Notes:

    • A systematic questionnaire-based survey of CAM therapy was conducted in 432 patients who attended seven tertiary headache out-patient clinics in Germany and Austria. Use of CAM was reported by the majority (81.7%) of patients. This study confirms that CAM is widely used among primary headache patients, mostly in combination with standard care.

  • An emerging field in religion and reproductive health.

    Type Journal Article
    Author Laura M. Gaydos
    Author Alexandria Smith
    Author Carol J. R. Hogue
    Author John Blevins
    Abstract Separate from scholarship in religion and medicine, a burgeoning field in religion and population health, includes religion and reproductive health. In a survey of existing literature, we analyzed data by religious affiliation, discipline, geography and date. We found 377 peer-reviewed articles; most were categorized as family planning (129), sexual behavior (81), domestic violence (39), pregnancy (46), HIV/AIDS (71), and STDs (61). Most research occurred in North America (188 articles), Africa (52), and Europe (47). Article frequency increased over time, from 3 articles in 1980 to 38 articles in 2008. While field growth is evident, there is still no cohesive "scholarship" in religion and reproductive health. (PsycINFO Database Record (c) 2010 APA, all rights reserved) (journal abstract)
    Publication Journal of Religion and Health
    Volume 49
    Issue 4
    Pages 473-484
    Date December 2010
    DOI 10.1007/s10943-010-9323-1
    ISSN 0022-4197
    Library Catalog EBSCOhost
    Date Added Thursday, September 29, 2011 8:58:46 AM
    Modified Thursday, September 29, 2011 8:58:46 AM

    Tags:

    • Health
    • Medicine
    • population health
    • religion
    • Reproductive health

    Notes:

    • This article synthesizes the emerging field of religion and reproductive health.  It finds that while numerous publications are coming out in genres related to the field, there is not yet a coherence to the scholarly endeavor of research in this field.

  • Development of a bibliography on religion, spirituality and addictions

    Type Journal Article
    Author Cynthia Geppert
    Author Michael P Bogenschutz
    Author William R Miller
    Abstract INTRODUCTION AND AIMS: The aim of this study was to develop a comprehensive annotated public-domain bibliography of the literature on spirituality and addictions to facilitate future research and scholarship. DESIGN AND METHODS: A search was conducted of all citations listed in the MEDLINE, PsychINFO and ALTA Religion databases covering a period from 1941 to 2004 using the following search terms: substance abuse, substance dependence, addiction, religion, spirituality. A group of experts in the field then classified each citation according to empirically derived categories. RESULTS: A total of 1353 papers met the search parameters and were classified into 10 non-exclusive categories: (1) attitudes toward spirituality and substance use, (2) commentaries, (3) spiritual practices and development in recovery, (4) spiritual and religion variables in the epidemiology of substance abuse, (5) psychoactive substances and spiritual experiences, (6) religious and spiritual interventions, (7) literature reviews, (8) measurement of spirituality and addictions, (9) 12-Step spirituality and (10) youth and development. DISCUSSION AND CONCLUSIONS: The literature is voluminous, but has focused primarily in a few areas. Common findings included an inverse relationship between religiosity and substance use/abuse, reduced use among those practising meditation and protective effects of 12-Step group involvement during recovery. Although sound instruments are available for measuring spirituality, studies have tended to use simplistic, often single-item measures.
    Publication Drug and Alcohol Review
    Volume 26
    Issue 4
    Pages 389-395
    Date Jul 2007
    Journal Abbr Drug Alcohol Rev
    DOI 10.1080/09595230701373826
    ISSN 0959-5236
    URL http://www.ncbi.nlm.nih.gov/pubmed/17564874
    Accessed Friday, November 13, 2009 5:46:25 PM
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    Extra PMID: 17564874
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Tags:

    • Bibliography as Topic
    • Databases, Bibliographic
    • Humans
    • Internet
    • Religion and Psychology
    • Self-Help Groups
    • spirituality
    • Substance-Related Disorders

    Notes:

    • The aim of this study was to develop a comprehensive annotated public-domain bibliography of the literature on spirituality and addictions to facilitate future research and scholarship.

  • Lifetime alcohol use, abuse and dependence among university students in Lebanon: exploring the role of religiosity in different religious faiths

    Type Journal Article
    Author Lilian A Ghandour
    Author Elie G Karam
    Author Wadih E Maalouf
    Abstract AIMS To examine alcohol consumption and the role of religiosity in alcohol use disorders in Christian, Druze and Muslim youth in Lebanon, given their distinct religious doctrines and social norms. METHODS Using a self-completed anonymous questionnaire, data were collected on 1837 students, selected randomly from two large private universities in Beirut. Life-time abuse and dependence were measured as per the Diagnostic and Statistical Manual version IV. FINDINGS Alcohol use was more common in Christians, who started drinking younger and were twice as likely to be diagnosed with abuse and dependence. However, among ever drinkers, the odds of alcohol use disorders were comparable across religious groups. Believing in God and practising one's faith were related inversely to alcohol abuse and dependence in all religious groups, even among ever drinkers (belief in God only). The associations were sometimes stronger for Muslims, suggesting that religiosity may play a larger role in a more proscriptive religion, as postulated by'reference group theory'. CONCLUSIONS Students belonging to conservative religious groups may be shielded from the opportunity to try alcohol. Once an ever drinker, however, religion is not related to the odds of an alcohol use disorder. Religiosity (i.e. belief in God and religious practice) is, nevertheless, related inversely to alcohol-related problems, even among drinkers. Findings from this culturally and religiously diverse Arab country corroborate the international literature on religion, religiosity and alcohol use, highlighting potential differences between Christians and Muslims.
    Publication Addiction (Abingdon, England)
    Volume 104
    Issue 6
    Pages 940-948
    Date Jun 2009
    Journal Abbr Addiction
    DOI 10.1111/j.1360-0443.2009.02575.x
    ISSN 1360-0443
    Short Title Lifetime alcohol use, abuse and dependence among university students in Lebanon
    URL http://www.ncbi.nlm.nih.gov/pubmed/19466919
    Accessed Tuesday, June 14, 2011 9:26:23 AM
    Library Catalog NCBI PubMed
    Extra PMID: 19466919
    Date Added Thursday, September 29, 2011 9:06:18 AM
    Modified Thursday, September 29, 2011 9:06:18 AM

    Tags:

    • Adolescent
    • Alcohol Drinking
    • Alcoholism
    • Christianity
    • Female
    • Humans
    • ISLAM
    • Lebanon
    • Male
    • Students
    • Young Adult
  • Religious involvement and seroprevalence of six infectious diseases in US adults

    Type Journal Article
    Author R F Gillum
    Author Cheryl L Holt
    Abstract OBJECTIVE: In the United States, religious practice is inversely associated with several chronic conditions, but no reports show whether it is inversely associated with prevalence of positive serology for infections. METHODS: Data on a multiethnic, national sample included 11,507 persons aged 17 years and over with complete data on frequency of attendance at religious services (FARS) and serologic testing for six pathogens. RESULTS: Even after controlling for multiple confounders, persons attending religious services weekly (19.8%) or more (19.6%) were less likely to be seropositive for herpes simplex type 2 (HSV-2) than those attending less frequently (23.7%) or never (25.1%, P = 0.001). Analyses revealed the association to be partially accounted for by reduced risky sexual behavior and illegal drug use among frequent attenders. No associations were found with three enteric pathogens. CONCLUSION: Infection with HSV-2 and hepatitis C virus (HCV) was inversely associated with FARS, independent of multiple confounders.
    Publication Southern Medical Journal
    Volume 103
    Issue 5
    Pages 403-408
    Date May 2010
    Journal Abbr South. Med. J
    DOI 10.1097/SMJ.0b013e3181beac80
    ISSN 1541-8243
    Accessed Friday, June 04, 2010 9:30:51 AM
    Library Catalog NCBI PubMed
    Extra PMID: 20375957
    Date Added Thursday, September 29, 2011 9:04:02 AM
    Modified Thursday, September 29, 2011 9:04:02 AM

    Tags:

    • Adult
    • Helicobacter Infections
    • Helicobacter pylori
    • Hepatitis A
    • Hepatitis B
    • Hepatitis C
    • Herpes Genitalis
    • Herpesvirus 2, Human
    • Humans
    • religion
    • Risk-Taking
    • Seroepidemiologic Studies
    • Sexual behavior
    • Substance-Related Disorders
    • Toxoplasmosis
    • United States
  • Associations between religious involvement and behavioral risk factors for HIV/AIDS in American women and men in a national health survey

    Type Journal Article
    Author R F Gillum
    Author Cheryl L Holt
    Abstract <AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Acquired immunodeficiency syndrome (AIDS), caused by human immunodeficiency virus (HIV), is a leading cause of death.</AbstractText> <AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">We tested the hypothesis that religious variables would be inversely associated with prevalence of HIV/AIDS risk factors.</AbstractText> <AbstractText Label="METHODS" NlmCategory="METHODS">A 2002 national survey included 9,837 individuals aged 15-44 years with complete data on religious involvement, sexual, and drug use behaviors.</AbstractText> <AbstractText Label="RESULTS" NlmCategory="RESULTS">Women who never attended services had over two times greater odds of reporting HIV risk factors than those attending weekly or more after adjusting for age and race/ethnicity (p &lt; 0.0001) and over 60% greater after adjusting for multiple confounders, but no significant association was seen in men. Mainline Protestants had lower odds of reporting risk factors than those with no affiliation. No significant independent associations were found with importance of religion.</AbstractText> <AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Women with public religious involvement had lower prevalence of any HIV risk factors while only affiliation was so associated in men.</AbstractText>
    Publication Annals of Behavioral Medicine: A Publication of the Society of Behavioral Medicine
    Volume 40
    Issue 3
    Pages 284-293
    Date Dec 2010
    Journal Abbr Ann Behav Med
    DOI 10.1007/s12160-010-9218-0
    ISSN 1532-4796
    URL http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/20697858
    Accessed Tuesday, January 18, 2011 6:51:42 PM
    Library Catalog NCBI PubMed
    Extra PMID: 20697858
    Date Added Thursday, September 29, 2011 8:58:27 AM
    Modified Thursday, September 29, 2011 8:58:27 AM

    Notes:

    • Authors of this study tested the hypothesis that religious variables would be inversely associated with prevalence of HIV/AIDS risk factors. Using a 2002 national survey including 9,837 individuals aged 15-44 years, the results showed that women with public religious involvement had lower prevalence of any HIV risk factors while only affiliation was so associated in men.

  • Associations between breast cancer risk factors and religiousness in American women in a national health survey

    Type Journal Article
    Author F Gillum
    Author Carla Williams
    Abstract Breast cancer is a leading cause of death in American women. Data are lacking from representative samples of total populations on the association of risk factors for breast cancer and religiousness. The sixth cycle of the National Survey of Family Growth (NSFG VI) included 3,766 women aged 30-44 years with complete data on self-reported religiousness, and selected breast cancer risk factors. Of women in the analysis, 1,008 reported having four or more breast cancer risk factors. Women who never attended services were over seven times more likely to report having four or more risk factors than those who attended more than weekly (P < 0.0001). After adjusting for age, race, Hispanic ethnicity, nativity, education and marital status by logistic regression, women who never attended services were still over six times more likely to report having four or more risk factors (P < 0.0001). The combination of frequent attendance at religious services, very high importance of religion in daily life, and self-identification as a Protestant evangelical was particularly protective. Multiple dimensions of religiousness are independently associated with multiple breast cancer risk factors.
    Publication Journal of Religion and Health
    Volume 48
    Issue 2
    Pages 178-188
    Date Jun 2009
    Journal Abbr J Relig Health
    DOI 10.1007/s10943-008-9187-9
    ISSN 1573-6571
    Accessed Tuesday, February 22, 2011 7:12:02 PM
    Library Catalog NCBI PubMed
    Extra PMID: 19421868
    Date Added Thursday, September 29, 2011 9:06:18 AM
    Modified Thursday, September 29, 2011 9:06:18 AM

    Tags:

    • Adult
    • Age Distribution
    • Age Factors
    • Alcohol Drinking
    • Breast Feeding
    • Breast Neoplasms
    • Contraceptives, Oral
    • Ethnic Groups
    • Female
    • Humans
    • Interviews as Topic
    • Menarche
    • Odds Ratio
    • Population Surveillance
    • religion
    • Religion and Medicine
    • Risk Factors
    • Smoking
    • Socioeconomic Factors
    • United States

    Notes:

    • A study on breast cancer on the association of risk factors for breast cancer and religiousness. After adjusting for age, race, Hispanic ethnicity, nativity, education and marital status by logistic regression, women who never attended services were still over six times more likely to report having four or more risk factors

  • The importance of spirituality in the lives of domestic violence survivors

    Type Journal Article
    Author Tameka L Gillum
    Author Cris M Sullivan
    Author Deborah I Bybee
    Abstract Women with abusive partners utilize a variety of coping strategies to deal with and heal from the violence and sense of betrayal they have experienced. For many women, their trust in a higher power and the support they receive from their faith community is integral to their healing. Of 151 women interviewed for this study, the majority (97%) noted that spirituality or God was a source of strength or comfort for them. Extent of religious involvement predicted increased psychological well-being and decreased depression. For women of color, greater religious involvement was also related to increased social support. Implications for research and direct services are discussed.
    Publication Violence Against Women
    Volume 12
    Issue 3
    Pages 240-250
    Date Mar 2006
    Journal Abbr Violence Against Women
    DOI 10.1177/1077801206286224
    ISSN 1077-8012
    URL http://www.ncbi.nlm.nih.gov/pubmed/16456150
    Accessed Friday, November 13, 2009 3:39:23 PM
    Library Catalog NCBI PubMed
    Extra PMID: 16456150
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Tags:

    • Adult
    • Battered Women
    • depression
    • Female
    • Humans
    • Interpersonal Relations
    • Middle Aged
    • Pregnancy
    • Pregnancy Complications
    • Pregnant Women
    • Prenatal Care
    • Quality of Life
    • spirituality
    • Survivors
    • Women's Health

    Notes:

    • Women with abusive partners utilize a variety of coping strategies to deal with and heal from the violence and sense of betrayal they have experienced. For many women, their trust in a higher power and the support they receive from their faith community is integral to their healing.

  • Spirituality and quality of life in gynecologic oncology patients

    Type Journal Article
    Author M E Gioiella
    Author B Berkman
    Author M Robinson
    Abstract PURPOSE: The inclusion of spiritual well-being in healthcare assessments can provide insight into patients' needs and coping resources. This study explored the relationship between spiritual well-being and quality of life (QOL) in gynecologic oncology patients in an attempt to clarify the significance of spiritual well-being in the assessment process. DESCRIPTION OF STUDY: Eighteen women with gynecologic cancer completed a self-administered questionnaire that obtained sociodemographic, medical, spiritual, and functional information. The Spiritual Well-being Scale was used to assess spiritual well-being, and the Functional Living Index: Cancer (FLIC) measured QOL. Data were analyzed using descriptive statistics, comparison of means, and analysis of variance. RESULTS: Patients with gynecologic cancers other than ovarian reported a better QOL and a higher degree of spiritual, existential, and religious well-being. Older patients consistently reported higher degrees of spiritual well-being and QOL than did younger patients. Married patients consistently reported higher degrees of spiritual well-being than patients who were not married (never married or separated). Catholic patients scored higher in degrees of religious and spiritual well-being as well as in FLIC scores than other patients. CLINICAL IMPLICATIONS: Health professionals do not generally assess spiritual well-being in their evaluations of patients' needs. The findings from this study support the inclusion of spirituality as part of routine patient assessment and intervention. Clinical intervention that would increase a patient's level of spiritual awareness and his or her level of comfort associated with a personal perspective on death could help decrease the patient's level of psychosocial distress. Despite the medical establishment's bias to the contrary, religion and spirituality are positively associated with both physical and mental health and may be particularly significant to terminally ill patients. The curricula of medical, nursing, and other health schools should be redesigned appropriately.
    Publication Cancer Practice
    Volume 6
    Issue 6
    Pages 333-338
    Date 1998 Nov-Dec
    Journal Abbr Cancer Pract
    ISSN 1065-4704
    URL http://www.ncbi.nlm.nih.gov/pubmed/9824424
    Accessed Thursday, November 12, 2009 7:37:57 PM
    Library Catalog NCBI PubMed
    Extra PMID: 9824424
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Tags:

    • Activities of Daily Living
    • Adaptation, Psychological
    • Adult
    • Aged
    • Analysis of Variance
    • Female
    • Genital Neoplasms, Female
    • Humans
    • Middle Aged
    • NEEDS assessment
    • Nursing Methodology Research
    • Oncologic Nursing
    • Pastoral Care
    • Quality of Life
    • Questionnaires
    • Religion and Psychology

    Notes:

    • This study explored the relationship between spiritual well-being and quality of life (QOL) in gynecologic oncology patients in an attempt to clarify the significance of spiritual well-being in the assessment process.

  • Associations between religiosity and sexual and contraceptive behaviors

    Type Journal Article
    Author Melanie A Gold
    Author Anya V Sheftel
    Author Laurel Chiappetta
    Author Amanda J Young
    Author Allan Zuckoff
    Author Carlo C DiClemente
    Author Brian A Primack
    Abstract STUDY OBJECTIVE: To determine associations between religiosity and female adolescents' sexual and contraceptive behaviors. DESIGN: We conducted a secondary analysis on data from a randomized controlled trial comparing interventions designed to prevent pregnancy and sexually transmitted diseases (STDs). Multivariable modeling assessed the association between a religiosity index consisting of items related to religious behaviors and impact of religious beliefs on decisions and sexual outcomes. PARTICIPANTS: 572 female adolescents aged 13 to 21, recruited via a hospital-based adolescent clinic and community-wide advertisements. MAIN OUTCOME MEASURES: Sexual experience, pregnancy, STDs, number of lifetime partners, frequency of sexual activity, previous contraceptive use, and planned contraceptive use. RESULTS: Mean participant age was 17.4 +/- 2.2 years and 68% had been sexually active. Most (74.1%) had a religious affiliation and over half (52.8%) reported that their religious beliefs impact their decision to have sex at least "somewhat." Multivariate analyses showed that, compared with those with low religiosity, those with high religiosity were less likely to have had sexual intercourse (OR = 0.23, 95% CI = 0.14, 0.39). Among sexually active participants, those with high religiosity were less likely to have been pregnant (OR = 0.46, 95% CI = 0.22, 0.97), to have had an STD (OR = 0.42, 95% CI = 0.22, 0.81), or to have had multiple (>or=4) lifetime partners (OR = 0.38, 95% CI = 0.21, 0.68) compared to those with low religiosity. Levels of religiosity were not significantly associated with frequency of intercourse, contraception use at last intercourse, or planned contraceptive use. CONCLUSION: In this cohort, religiosity appeared to be a protective factor rather than a risk factor with regard to sexual behavior and was not associated with contraception use.
    Publication Journal of Pediatric and Adolescent Gynecology
    Volume 23
    Issue 5
    Pages 290-297
    Date Oct 2010
    Journal Abbr J Pediatr Adolesc Gynecol
    DOI 10.1016/j.jpag.2010.02.012
    ISSN 1873-4332
    URL http://www.ncbi.nlm.nih.gov/pubmed/20493738
    Accessed Monday, November 15, 2010 3:09:33 PM
    Date Added Thursday, September 29, 2011 8:59:31 AM
    Modified Thursday, September 29, 2011 8:59:31 AM

    Notes:

    • This study of religiosity and sexual and contraceptive behaviors among female adolescents finds that those with high levels of religiosity are less likely than those with low levels of religiosity to have intercourse.  Of those that did have intercourse, those with high religiosity were less likely to be pregnant, have an STD, or have multiple lifetime partners.  Levels of religiosity were not, however, correlated to frequency of intercourse or contraceptive use.

  • Medical student and patient attitudes toward religion and spirituality in the recovery process.

    Type Journal Article
    Author L.M. Goldfarb
    Author M. Galanter
    Author D. McDowell
    Author H. Lifshutz
    Author H. Dermatitis
    Abstract This study compares the views on spirituality of dually diagnosed patients (diagnosed with both substance abuse and general psychiatric disorders) and medical students in order to investigate their respective orientations toward spirituality and their views of the importance of spirituality in the treatment of addiction. We administered a modified version of Feagin's "Orientation to Life and God Scale" to assess religious and spiritual orientation in both the patients and students. A second series of items was developed and administered in order to compare the patients' and students' perceptions of the relative importance of a religious and spiritual orientation in substance abuse treatment. A third series of items was also given to compare the nature of religious and health-related services on the inpatient unit that patients and students most wanted to see improved. We found that the medical students responsible for treating substance abuse are significantly less religiously and spirituality oriented than the patients they treat, and that the students do not indicate that spirituality is an important component in the care of these patients. It may be clinically relevant to train medical students in the potential importance of spirituality in addiction treatment so that they can incorporate spirituality into the treatment of addictions.
    Publication American Journal of Drug and Alcohol Abuse
    Volume 22
    Issue 4
    Pages 549-561
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Notes:

    • This study compares the views on spirituality of dually diagnosed patients (diagnosed with both substance abuse and general psychiatric disorders) and medical students in order to investigate their respective orientations toward spirituality and their views of the importance of spirituality in the treatment of addiction. We found that the medical students responsible for treating substance abuse are significantly less religiously and spirituality oriented than the patients they treat, and that the students do not indicate that spirituality is an important component in the care of these patients.

  • Sacred moments: implications on well-being and stress

    Type Journal Article
    Author Elisha David Goldstein
    Abstract This research provides a theoretical, empirical, and qualitative examination of the role of cultivating sacred moments in daily life on subjective well-being (SWB), psychological well-being (PWB), and stress. Seventy-three participants were randomly assigned to two groups: (a) a 3-week intervention group where members were instructed in cultivating sacred moments, or (b) a 3-week control group where members were instructed in writing about daily activities. Findings indicate that the intervention was equally as effective as an adapted therapeutic writing intervention. There were significant effects over time across multiple assessments related to SWB, PWB, stress, and daily spiritual experiences after the 3-week intervention and again 6 weeks later. Qualitative analysis complemented and enriched the findings of these results. This study introduces a new intervention into the field of clinical psychology and extends the findings of prior research.
    Publication Journal of Clinical Psychology
    Volume 63
    Issue 10
    Pages 1001-1019
    Date Oct 2007
    Journal Abbr J Clin Psychol
    DOI 10.1002/jclp.20402
    ISSN 0021-9762
    Short Title Sacred moments
    URL http://www.ncbi.nlm.nih.gov/pubmed/17828765
    Accessed Friday, November 13, 2009 5:56:48 PM
    Library Catalog NCBI PubMed
    Extra PMID: 17828765
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Tags:

    • Activities of Daily Living
    • Adult
    • Attention
    • Female
    • Happiness
    • Holistic Health
    • Humans
    • Male
    • Mental Healing
    • Middle Aged
    • Narration
    • Psychotherapy
    • Religion and Psychology
    • spirituality
    • Stress, Psychological
    • Writing

    Notes:

    • @font-face { font-family: "Garamond"; }p.MsoNormal, li.MsoNormal, div.MsoNormal { margin: 6pt 0in 0.0001pt; text-align: justify; font-size: 12pt; font-family: "Times New Roman"; }p.BibEntryAnnotation, li.BibEntryAnnotation, div.BibEntryAnnotation { margin: 6pt 0in 0.0001pt 0.25in; text-align: justify; font-size: 12pt; font-family: "Times New Roman"; font-style: italic; }div.Section1 { page: Section1; }

      This research provides a theoretical, empirical, and qualitative examination of the role of cultivating sacred moments in daily life on subjective well-being (SWB), psychological well-being (PWB), and stress. Findings indicate that the intervention was equally as effective as an adapted therapeutic writing intervention.

       

  • The role of religiosity, social support, and stress-related growth in protecting against HIV risk among transgender women.

    Type Journal Article
    Author Sarit A. Golub
    Author Ja'Nina J. Walker
    Author Buffie Longmire-Avital
    Author David S. Bimbi
    Author Jeffrey T. Parsons
    Abstract Transgender women completed questionnaires of religiosity, social support, stigma, stress-related growth, and sexual risk behavior. In a multivariate model, both social support and religious stress-related growth were significant negative predictors of unprotected anal sex, but religious behaviors and beliefs emerged as a significant positive predictor. The interaction between religious behaviors and beliefs and social support was also significant, and post-hoc analyses indicated that high-risk sex was least likely among individuals with high-levels of social support but low levels of religious behaviors and beliefs. These data have important implications for understanding factors that might protect against HIV risk for transgender women. (PsycINFO Database Record (c) 2010 APA, all rights reserved) (journal abstract)
    Publication Journal of Health Psychology
    Volume 15
    Issue 8
    Pages 1135-1144
    Date November 2010
    DOI 10.1177/1359105310364169
    ISSN 1359-1053
    Date Added Thursday, September 29, 2011 8:59:00 AM
    Modified Thursday, September 29, 2011 8:59:00 AM

    Tags:

    • Human Females
    • protective factors
    • religiosity
    • sexual risk behavior
    • Sexual Risk Taking
    • social support
    • Stress
    • Transgender
    • transgender women

    Notes:

    • Transgender women completed questionnaires of religiosity, social support, stigma, stress-related growth, and sexual risk behavior. In a multivariate model, both social support and religious stress-related growth were significant negative predictors of unprotected anal sex, but religious behaviors and beliefs emerged as a significant positive predictor. The interaction between religious behaviors and beliefs and social support was also significant, and post-hoc analyses indicated that high-risk sex was least likely among individuals with high-levels of social support but low levels of religious behaviors and beliefs. These data have important implications for understanding factors that might protect against HIV risk for transgender women.

  • Support for spirituality in smoking cessation: results of pilot survey

    Type Journal Article
    Author David Gonzales
    Author Donovan Redtomahawk
    Author Barbara Pizacani
    Author Wendy G Bjornson
    Author Janet Spradley
    Author Elizabeth Allen
    Author Paul Lees
    Abstract Patient spiritual resources are increasingly included in the treatment of medical conditions such as cancers and alcohol and drug dependence, but use of spiritual resources is usually excluded from tobacco dependence treatment. We hypothesized that this omission may be linked to perceived resistance from smokers. To examine this hypothesis, we conducted a pilot survey to assess whether current smokers would consider spiritual, including religious, resources helpful if they were planning to quit. Smokers at least 18 years of age at Oregon Health & Science University in Portland, Oregon, (N=104) completed a brief survey of smoking behaviors and spiritual beliefs. None were attempting to quit. Of these individuals, 92 (88%) reported some history of spiritual resources (spiritual practice or belief in a Higher Power), and of those respondents, 78% reported that using spiritual resources to quit could be helpful, and 77% reported being open to having their providers encourage use of spiritual resources when quitting. Results of logistic regression analysis indicated that those aged 31-50 years (OR=3.3), those over age 50 years (OR=5.4), and women (OR=3.4) were significantly more likely to have used spiritual resources in the past. Of the 92 smokers with any history of spiritual resources, those smoking more than 15 cigarettes/day were significantly more receptive to provider encouragement of spiritual resources in a quit attempt (OR=5.4). Our data are consistent with overall beliefs in the United States about spirituality and recent trends to include spirituality in health care. We conclude that smokers, especially heavier smokers, may be receptive to using spiritual resources in a quit attempt and that spirituality in tobacco dependence treatment warrants additional investigation and program development.
    Publication Nicotine & Tobacco Research: Official Journal of the Society for Research on Nicotine and Tobacco
    Volume 9
    Issue 2
    Pages 299-303
    Date Feb 2007
    Journal Abbr Nicotine Tob. Res
    DOI 10.1080/14622200601078582
    ISSN 1462-2203
    Short Title Support for spirituality in smoking cessation
    URL http://www.ncbi.nlm.nih.gov/pubmed/17365761
    Accessed Friday, November 13, 2009 5:29:17 PM
    Library Catalog NCBI PubMed
    Extra PMID: 17365761
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Tags:

    • Adolescent
    • Adult
    • Counseling
    • Data Collection
    • Female
    • Humans
    • Male
    • Middle Aged
    • Pilot Projects
    • Smoking
    • Smoking Cessation
    • spirituality

    Notes:

    • We conducted a pilot survey to assess whether current smokers would consider spiritual, including religious, resources helpful if they were planning to quit. We conclude that smokers, especially heavier smokers, may be receptive to using spiritual resources in a quit attempt and that spirituality in tobacco dependence treatment warrants additional investigation and program development.

  • Evaluating the direction of effects in the relationship between religious versus non-religious activities, academic success, and substance use.

    Type Journal Article
    Author Marie Good
    Author Teena Willoughby
    Abstract This longitudinal study tested the influence of involvement and selection hypotheses for the association between religious versus non-religious activity involvement and two salient indicators of adolescent psychosocial adjustment (substance use and academic achievement). Participants included 3,993 Canadian adolescents (49.4% girls) who were surveyed each year from grades 9–12. More frequent religious attendance (but not non-religious club involvement) in one grade predicted lower levels of substance use in the next grade. Higher levels of non-religious club involvement (but not religious service attendance) in one grade predicted higher academic achievement in the next grade, and higher academic achievement in one grade predicted more frequent non-religious club involvement in the next grade. The effects were robust, as they were invariant across grade and significant after controlling for individual, peer, and family characteristics. Most importantly, these results suggest that religious activities are not just another club, but, rather, that different developmental assets may be fostered in religious as compared to non-religious activities. understanding and promoting positive developmental features, both religious and non-religious structured activities are seen as environments where intrapersonal and interpersonal assets may be fostered in adolescents (e.g., Dworkin et al. 2003; King and Furrow 2004). Religious activities (e.g., attendance at church), however, may be a particularly unique form of structured activity where young people may have experiences not typically gained in other types of clubs (e.g., Smith 2003a). Different assets, therefore, may be fostered by religious, as compared to non-religious clubs. Similarly, different types of adolescents may be drawn to participate in religious versus non-religious activities. Differences between religious and non-religious activities have been largely overlooked within the literature, as religious activities often are not examined as a unique category (e.g., Gardner et al. 2008). Not surprisingly, then, potential differences in the relationships between religious versus non-religious activities and adolescent psychosocial adjustment also have not been examined. In the present study, we evaluate differential relationships between participation in these activities and two commonly-studied indicators of adjustment in adolescence (substance use and academic achievement), with a focus on assessing differences in the direction of effects for religious versus non-religious activities as well as the robustness of these effects across time and in the presence of multiple control variables. (PsycINFO Database Record (c) 2011 APA, all rights reserved) (journal abstract)
    Publication Journal of Youth and Adolescence
    Volume 40
    Issue 6
    Pages 680-693
    Date June 2011
    DOI 10.1007/s10964-010-9581-y
    ISSN 0047-2891
    Library Catalog EBSCOhost
    Date Added Thursday, September 29, 2011 8:54:25 AM
    Modified Thursday, September 29, 2011 8:54:25 AM

    Tags:

    • ACADEMIC achievement
    • academic success
    • adolescent psychosocial adjustment
    • psychosocial development
    • religious activities
    • Religious Practices
  • Hidden Mission of the Psyche in Abuse and Addiction

    Type Journal Article
    Author Christian Gostecnik
    Author Tanja Repic
    Author Mateja Cvetek
    Author Robert Cvetek
    Abstract Traumatic experiences can become the central mental content in our psychic structure and can deeply mark all our later perceptions and experiences of our surroundings. We can claim something similar also for addictions of all kinds. In this article, we will demonstrate that recurring traumatic experiences and abuse as well as addiction represent a hidden mission of psyche for resolution and a great cry of longing for salvation.
    Publication Journal of Religion and Health
    Volume 49
    Issue 3
    Pages 361-376
    Date 6/2010
    Journal Abbr J Relig Health
    DOI 10.1007/s10943-009-9264-8
    ISSN 0022-4197
    Accessed Wednesday, October 06, 2010 8:56:44 PM
    Library Catalog CrossRef
    Date Added Thursday, September 29, 2011 9:02:29 AM
    Modified Thursday, September 29, 2011 9:02:29 AM
  • Intensive meditation for refractory pain and symptoms

    Type Journal Article
    Author Madhav Goyal
    Author Jennifer Haythornthwaite
    Author David Levine
    Author Diane Becker
    Author Dhananjay Vaidya
    Author Felicia Hill-Briggs
    Author Daniel Ford
    Abstract OBJECTIVE: The objective of this study was to assess patient interest in intensive meditation training for chronic symptoms. DESIGN AND SETTING: This was a cross-sectional anonymous survey among six chronic disease clinics in Baltimore including Chronic Kidney Disease, Crohn's Disease, Headache, Renal Transplant Recipients, General Rheumatology, and lupus clinic. SUBJECTS: Subjects were 1119 consecutive patients registering for their appointments at these clinics. OUTCOME MEASURES: Outcome measures were 6-month pain, global symptomatology, four-item perceived stress scale, use of complementary and alternative medicine (CAM) therapies, and attitudes toward use of meditation for managing symptoms. We then gave a scripted description of an intensive, 10-day meditation training retreat. Patient interest in attending such a retreat was assessed. RESULTS: Seventy-seven percent (77%) of patients approached completed the survey. Fifty-three percent (53%) of patients reported moderate to severe pain over the past 6 months. Eighty percent (80%) reported use of some CAM therapy in the past. Thirty-five percent (35%) thought that learning meditation would improve their health, and 49% thought it would reduce stress. Overall, 39% reported interest in attending the intensive 10-day meditation retreat. Among those reporting moderate to severe pain or stress, the percentages were higher (48% and 59%). In a univariate analysis, higher education, nonworking/disabled status, female gender, higher stress, higher pain, higher symptomatology, and any CAM use were all associated with a greater odds of being moderately to very interested in an intensive 10-day meditation retreat. A multivariate model that included prior use of CAM therapies as predictors of interest in the program fit the data significantly better than a model not including CAM therapies (p = 0.0013). CONCLUSIONS: Over 50% of patients followed in chronic disease clinics complain of moderate to severe pain. Patients with persistent pain or stress are more likely to be interested in intensive meditation.
    Publication Journal of Alternative and Complementary Medicine
    Volume 16
    Issue 6
    Pages 627-631
    Date Jun 2010
    Journal Abbr J Altern Complement Med
    DOI 10.1089/acm.2009.0372
    ISSN 1557-7708
    Accessed Wednesday, July 07, 2010 11:34:39 AM
    Library Catalog NCBI PubMed
    Extra PMID: 20569029
    Date Added Thursday, September 29, 2011 9:04:35 AM
    Modified Thursday, September 29, 2011 9:04:35 AM

    Notes:

    • The object of this study was to assess patient interest in intensive meditation training for chronic symptoms. The study concluded that over 50% of patients followed in chronic disease clinics complain of moderate to severe pain. Patients with persistent pain or stress are more likely to be interested in intensive meditation.

  • Frequency of church attendance and blood pressure elevation

    Type Journal Article
    Author Thomas W. Graham
    Author Berton H. Kaplan
    Author Joan C. Cornoni-Huntley
    Author Sherman A. James
    Author Caroline Becker
    Author Curtis G. Hames
    Author Siegfried Heyden
    Abstract Blood pressure levels were examined with regard to church attendance patterns in a group of white male heads of households who appeared in the 1967–1969 follow-up examination of the Evans County Cardiovascular Epidemiologic Study. A consistent pattern of lower systolic and diastolic blood pressures among frequent church attenders was found compared to that of infrequent attenders which was not due to the effects of age, obesity, cigarette smoking, or socioeconomic status.
    Publication Journal of Behavioral Medicine
    Volume 1
    Issue 1
    Pages 37-43
    Date March 01, 1978
    DOI 10.1007/BF00846585
    URL http://dx.doi.org/10.1007/BF00846585
    Accessed Friday, October 30, 2009 3:05:59 PM
    Library Catalog SpringerLink
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Notes:

    • Blood pressure levels were examined with regard to church attendance patterns in a group of white male heads of households who appeared in the 1967–1969 follow-up examination of the Evans County Cardiovascular Epidemiologic Study. A consistent pattern of lower systolic and diastolic blood pressures among frequent church attenders was found compared to that of infrequent attenders which was not due to the effects of age, obesity, cigarette smoking, or socioeconomic status.

  • Complementary and alternative therapy use before and after breast cancer diagnosis: the Pathways Study

    Type Journal Article
    Author Heather Greenlee
    Author Marilyn L Kwan
    Author Isaac Joshua Ergas
    Author Karen J Sherman
    Author Sarah E Krathwohl
    Author Christine Bonnell
    Author Marion M Lee
    Author Lawrence H Kushi
    Abstract Many women use complementary and alternative medicine (CAM) to maintain or improve their health. We describe CAM use among the first 1,000 participants enrolled in the Pathways Study, an ongoing prospective cohort study of women diagnosed with breast cancer (BC). Participants, identified by rapid case ascertainment in Kaiser Permanente Northern California, are women > or = 21 years diagnosed with first invasive BC. Comprehensive baseline data are collected on CAM use through in-person interviews. Study participants include 70.9% non-Hispanic whites, 10.2% Hispanics, 9.0% Asians, 6.5% African-Americans, and 3.4% others. Most women (82.2%) were diagnosed with AJCC stage I/II BC at average (+/-SD) age 59.5 (+/-12.0) years and reported prior use of at least one form of CAM (96.5% of participants). In the 5 years before diagnosis, CAM therapies used at least weekly by >20% of women included green tea, glucosamine, omega-3 fatty acids, prayer and religion. CAM use was high (86.1% of participants) in the period immediately following diagnosis; 47.5% used botanical supplements, 47.2% used other natural products, 28.8% used special diets, 64.2% used mind-body healing, and 26.5% used body/energy/other treatments. In multivariable analyses, frequent use of each CAM modality before and after diagnosis was associated with use of other CAM modalities and other health behaviors (i.e., high fruit/vegetable intake, lower BMI). CAM use before and after BC diagnosis is common in this diverse group of women. Our results emphasize the need for clinicians to discuss CAM use with all BC patients.
    Publication Breast Cancer Research and Treatment
    Volume 117
    Issue 3
    Pages 653-665
    Date Oct 2009
    Journal Abbr Breast Cancer Res. Treat
    DOI 10.1007/s10549-009-0315-3
    ISSN 1573-7217
    Short Title Complementary and alternative therapy use before and after breast cancer diagnosis
    URL http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/19184414
    Accessed Monday, September 28, 2009 10:34:46 PM
    Library Catalog NCBI PubMed
    Extra PMID: 19184414
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Notes:

    • Many women use complementary and alternative medicine (CAM) to maintain or improve their health. We describe CAM use among the first 1,000 participants enrolled in the Pathways Study, an ongoing prospective cohort study of women diagnosed with breast cancer (BC).

  • Specifying the effects of religion on medical helpseeking: the case of infertility

    Type Journal Article
    Author Arthur Greil
    Author Julia McQuillan
    Author Maureen Benjamins
    Author David R Johnson
    Author Katherine M Johnson
    Author Chelsea R Heinz
    Abstract Several recent studies have examined the connection between religion and medical service utilization. This relationship is complicated because religiosity may be associated with beliefs that either promote or hinder medical helpseeking. The current study uses structural equation modeling to examine the relationship between religion and fertility-related helpseeking using a probability sample of 2183 infertile women in the United States. We found that, although religiosity is not directly associated with helpseeking for infertility, it is indirectly associated through mediating variables that operate in opposing directions. More specifically, religiosity is associated with greater belief in the importance of motherhood, which in turn is associated with increased likelihood of helpseeking. Religiosity is also associated with greater ethical concerns about infertility treatment, which are associated with decreased likelihood of helpseeking. Additionally, the relationships are not linear throughout the helpseeking process. Thus, the influence of religiosity on infertility helpseeking is indirect and complex. These findings support the growing consensus that religiously-based behaviours and beliefs are associated with levels of health service utilization.
    Publication Social Science & Medicine (1982)
    Volume 71
    Issue 4
    Pages 734-742
    Date Aug 2010
    Journal Abbr Soc Sci Med
    DOI 10.1016/j.socscimed.2010.04.033
    ISSN 1873-5347
    URL http://www.ncbi.nlm.nih.gov/pubmed/20547437
    Extra PMID: 20547437
    Date Added Thursday, September 29, 2011 9:03:07 AM
    Modified Thursday, September 29, 2011 9:03:07 AM

    Notes:

    • While confirming recent findings that religiously-based behaviors are correlated to health service utilization, this study nevertheless finds that religiosity is only indirectly associated with greater likelihood of help-seeking for infertility treatment as religiosity is correlated with a stronger belief in the importance of motherhood.  This finding is complicated by the fact that higher religiosity is also correlated with stronger ethical concerns about infertility treatment.  The value of the study is in assessing the indirect nature of associations between religiosity and health service utilization.

  • Patient-perceived changes in the system of values after cancer diagnosis

    Type Journal Article
    Author Elżbieta Greszta
    Author Maria J Siemińska
    Abstract A cross-sectional study investigated changes in patients' value systems following a diagnosis of cancer. Fifty patients at 1 to 6 months following cancer diagnosis, were asked to compare their current values with their recollection of past values. Using the Rokeach Value Survey we obtained statistically significant results showing that twenty-seven out of thirty-six values changed their importance from the patients' perspective: 16 values significantly increased, while 11 values significantly decreased in importance. Changes with respect to nine values were insignificant. We indentified clusters of values increasing in importance the most: Religious morality (Salvation, Forgiving, Helpful, Clean), Personal orientation (Self-Respect, True Friendship, Happiness), Self-constriction (Self-Controlled, Obedient, Honest), Family security (Family Security, Responsible), and Delayed gratification (Wisdom, Inner Harmony). We also observed that the following value clusters decreased in importance: Immediate gratification (An Exciting Life, Pleasure, A Comfortable Life); Self-expansion (Capable, Ambitious, Broadminded), Competence (A Sense of Accomplishment, Imaginative, Intellectual). The remaining values belonged to clusters that as a group changed slightly or not at all. Practical implications of the study are discussed.
    Publication Journal of Clinical Psychology in Medical Settings
    Volume 18
    Issue 1
    Pages 55-64
    Date Mar 2011
    Journal Abbr J Clin Psychol Med Settings
    DOI 10.1007/s10880-011-9221-z
    ISSN 1573-3572
    URL http://www.ncbi.nlm.nih.gov/pubmed/21373853
    Accessed Monday, April 04, 2011 7:46:40 PM
    Library Catalog NCBI PubMed
    Extra PMID: 21373853
    Date Added Thursday, September 29, 2011 8:56:31 AM
    Modified Thursday, September 29, 2011 8:56:31 AM

    Notes:

    • A cross-sectional study investigated changes in patients' value systems following a diagnosis of cancer.

  • Participant experiences of a mindfulness-based cognitive therapy group for cardiac rehabilitation

    Type Journal Article
    Author K Griffiths
    Author P M Camic
    Author J M Hutton
    Abstract Recently there has been a growth of interest in mindfulness-based psychotherapeutic approaches across a range of medical problems. Cardiac rehabilitation patients often suffer from stress, worry, anxiety and depression, all of which can lead to poor prognosis and worsening of cardiac symptoms. Using interpretive phenomenological analysis (IPA) of participant experiences, this study reports on the first known Mindfulness-based Cognitive Therapy group adapted for cardiac rehabilitation. Analysis identified the development of awareness, commitment, within group experiences, relating to the material and acceptance as central experiential themes. The use of the approach was supported for this population.
    Publication Journal of Health Psychology
    Volume 14
    Issue 5
    Pages 675-681
    Date Jul 2009
    Journal Abbr J Health Psychol
    DOI 10.1177/1359105309104911
    ISSN 1359-1053
    URL http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/19515682
    Accessed Sunday, November 01, 2009 10:43:21 AM
    Library Catalog NCBI PubMed
    Extra PMID: 19515682
    Date Added Thursday, September 29, 2011 9:04:55 AM
    Modified Thursday, September 29, 2011 9:04:55 AM

    Tags:

    • Adaptation, Psychological
    • Aged
    • Anxiety Disorders
    • Awareness
    • Cognitive Therapy
    • Depressive Disorder
    • Female
    • Heart Diseases
    • Humans
    • Male
    • Middle Aged
    • Mind-Body Relations (Metaphysics)
    • Stress, Psychological
    • Treatment Outcome

    Notes:

    • Recently there has been a growth of interest in mindfulness-based psychotherapeutic approaches across a range of medical problems. Cardiac rehabilitation patients often suffer from stress, worry, anxiety and depression, all of which can lead to poor prognosis and worsening of cardiac symptoms. Using interpretive phenomenological analysis (IPA) of participant experiences, this study reports on the first known Mindfulness-based Cognitive Therapy group adapted for cardiac rehabilitation. Analysis identified the development of awareness, commitment, within group experiences, relating to the material and acceptance as central experiential themes. The use of the approach was supported for this population.

  • Mindfulness meditation training to reduce symptom distress in transplant patients: rationale, design, and experience with a recycled waitlist

    Type Journal Article
    Author Cynthia R Gross
    Author Mary Jo Kreitzer
    Author Maryanne Reilly-Spong
    Author Nicole Y Winbush
    Author E Katherine Schomaker
    Author William Thomas
    Abstract BACKGROUND: Solid organ transplant recipients must take immune suppressive medications that have side effects, cause complications, and lead to distressing symptoms that reduce health-related quality of life (QOL). Mindfulness meditation has been shown to reduce these symptoms in other patient populations, and it is unlikely to interfere with the immune suppressive medication regimen. PURPOSE: This article describes the design and rationale of a clinical trial to determine whether training in mindfulness meditation can reduce depression, anxiety and insomnia after transplantation, and summarizes baseline characteristics of the participants. METHODS: Transplant recipients were randomized in equal numbers to one of three arms: a Mindfulness-based Stress Reduction (MBSR) program consisting of 8 weeks of group instruction, home practice and telephone monitoring; a time and attention control Health Education program; or a waitlist arm. After serving 6 months as waitlist controls, these participants were re-randomized to MBSR or Health Education. Evaluations were obtained at baseline (prior to the active interventions), 8 weeks, 6 months, and 1 year (after randomization to MBSR or Health Education only). The primary analysis will compare composite symptom scores between MBSR and Health Education, initially or after serving in the waitlist. Subsequent analyses will compare these two groups on depression, anxiety, and insomnia symptom scales and secondary outcomes of health-related QOL, actigraphy, and health care utilization. A separate analysis, using only data collected before re-randomization, will compare short-term outcomes between the waitlist and active treatment arms. RESULTS: One hundred fifty recipients were randomized and 72% of waitlist participants (31/43) were recycled to an active intervention after 6 months. Patient characteristics were balanced across trial arms after initial and secondary randomizations. LIMITATIONS: Transplant recipients are a very select population. Their adherence to the intervention and willingness to serve as waitlist controls prior to re-randomization may be atypical. Participants were not blinded to treatment and primary outcomes are self-reports. CONCLUSION: The innovative design used in the trial enabled the waitlist group to directly contribute to the number in the primary analysis of active arms, and to also serve as an internal validation test. The trial may be a useful model for trials involving very small target populations.
    Publication Clinical Trials (London, England)
    Volume 6
    Issue 1
    Pages 76-89
    Date Feb 2009
    Journal Abbr Clin Trials
    DOI 10.1177/1740774508100982
    ISSN 1740-7745
    Short Title Mindfulness meditation training to reduce symptom distress in transplant patients
    Accessed Tuesday, February 22, 2011 7:42:55 PM
    Library Catalog NCBI PubMed
    Extra PMID: 19254938
    Date Added Thursday, September 29, 2011 9:06:18 AM
    Modified Thursday, September 29, 2011 9:06:18 AM

    Tags:

    • depression
    • DISEASE management
    • Health Education
    • Humans
    • Informed Consent
    • Meditation
    • Organ Transplantation
    • Randomized Controlled Trials as Topic
    • Research Design
    • Sample Size
    • Sleep Initiation and Maintenance Disorders
    • Stress, Psychological
    • Waiting Lists
  • Religiosity, spirituality, and cancer fatalism beliefs on delay in breast cancer diagnosis in African American women

    Type Journal Article
    Author Mary Magee Gullatte
    Author Otis Brawley
    Author Anita Kinney
    Author Barbara Powe
    Author Kathi Mooney
    Abstract African American women are more likely than any other racial or ethnic group to present with a later stage of breast cancer at initial diagnosis. Delay in breast cancer detection is a critical factor in diagnosis at a later stage. Available data indicate a delay of 3 months or more is a significant factor in breast cancer mortalty. Numerous factors have been reported as contributing to delay in time to seek medical care including religiosity, spirituality, and fatalistic beliefs. This study examined the influence of religiosity, spirituality, and cancer fatalism on delay in diagnosis and breast cancer stage in African American women with self-detected breast symptoms. A descriptive correlation, retrospective methodology using an open-ended questionnaire and three validated measurement scales were used: the Religious Problem Solving Scale (RPSS), the Religious Coping Activity Scale (RCAS) subscale measuring spiritually based coping, and the modified Powe Fatalism Inventory (mPFI). A convenience sample of 129 women ages between 30 and 84 years who self-reported detecting a breast symptom before diagnosis of breast cancer within the preceding 12 months were included in the study. Outcome variables were time to seek medical care and breast cancer stage. Other variables of interest included marital status, income, education, insurance status, and to whom the women spoke about their breast symptoms. Data were analyzed using descriptive statistics, logistic regression analysis, Pearson r correlations, Mann-Whitney U analysis, and Chi Square analysis. Participants were found to be highly religious and spiritual but not fatalistic. While most women delayed more than 3 months in seeking medical care, no associations were found between the three predictor variables and time to seek medical care. The median delay in time from self detection of a breast symptom to seeking medical care was 5.5 months. Women who were less educated, unmarried, and talked to God only about their breast change were significantly more likely to delay seeking medical care. An association was found between disclosing a breast symptom to God only and delay in seeking medical care. In contrast, women who had told a person about their breast symptom were more likely to seek medical care sooner. African American women who delayed seeking medical care for longer than 3 months were more likely to present with a later stage of breast cancer than women who sought care within 3 months of symptom discovery.
    Publication Journal of Religion and Health
    Volume 49
    Issue 1
    Pages 62-72
    Date Mar 2010
    Journal Abbr J Relig Health
    DOI 10.1007/s10943-008-9232-8
    ISSN 1573-6571
    Accessed Tuesday, February 22, 2011 7:55:57 PM
    Library Catalog NCBI PubMed
    Extra PMID: 19184437
    Date Added Thursday, September 29, 2011 9:06:18 AM
    Modified Thursday, September 29, 2011 9:06:18 AM

    Tags:

    • Adult
    • African Americans
    • Aged
    • Aged, 80 and over
    • Attitude to Health
    • Breast Neoplasms
    • Early Diagnosis
    • Female
    • Humans
    • Middle Aged
    • Neoplasms
    • Religion and Psychology
    • spirituality
    • Time Factors

    Notes:

    • African American women are more likely than any other racial or ethnic group to present with a later stage of breast cancer at initial diagnosis. Delay in breast cancer detection is a critical factor in diagnosis at a later stage. Available data indicate a delay of 3
      months or more is a significant factor in breast cancer mortalty. Numerous factors have been reported as contributing to delay in time to seek medical care including religiosity, spirituality, and fatalistic beliefs. This study examined the influence of religiosity, spirituality, and cancer fatalism on delay in diagnosis and breast cancer stage in African American women with self-detected breast symptoms. A descriptive correlation, retrospective methodology using an open-ended questionnaire and three validated measurement scales were used: the Religious Problem Solving Scale (RPSS), the Religious Coping Activity Scale (RCAS) subscale measuring spiritually based coping, and the modified Powe Fatalism Inventory (mPFI). A convenience sample of 129 women ages between 30 and 84 years who self-reported detecting a breast symptom before diagnosis of breast cancer within the preceding 12 months were included in the study. Outcome variables were time to seek medical care and breast cancer stage. Other variables of interest included.

  • Clinical effect of qigong practice on essential hypertension: a meta-analysis of randomized controlled trials

    Type Journal Article
    Author Xinfeng Guo
    Author Bin Zhou
    Author Tsutomu Nishimura
    Author Satoshi Teramukai
    Author Masanori Fukushima
    Abstract OBJECTIVES: This study was designed to quantitatively assess the effectiveness of self-practiced qigong for treatment of essential hypertension. METHODS: Six major electronic databases were searched up to July 2006 to retrieve any potential randomized controlled trials designed to evaluate the clinical effectiveness of self-practiced qigong for essential hypertension reported in any language, with main outcome measures as systolic blood pressure (SBP) and diastolic blood pressure (DBP). The quality of included studies were assessed with the Jadad Scale and a customized standard quality assessment scale. RESULTS: Ninety-two (92) studies were identified. Nine (9) of these studies qualified for meta-analysis, comprising a total of 908 cases. Results were as follows: (1) The mean decrease of SBP in those practicing qigong was a 17.03 mm Hg reduction (95% confidence interval (CI) 11.53-22.52) compared with nonspecific intervention controls, but not superior to that in drug controls (1.19 mm Hg, 95% CI -5.40-7.79) and conventional exercise controls (-1.51 mm Hg, 95% CI -6.98-3.95). (2) Mean decrease of DBP in those practicing qigong was 9.98 mm Hg (95% CI 2.55-17.41) compared with nonspecific intervention controls, but not superior to that in drug controls (2.49 mm Hg, 95% CI -0.16-5.13) and conventional exercise controls (-1.59 mm Hg, 95% CI -4.91-1.74). (3) No obvious side effects were identified. CONCLUSIONS: Self-practiced qigong for less than 1 year is better in decreasing BP in patients with essential hypertension than in no-treatment controls, but is not superior to that in active controls. More methodologically strict studies are needed to prove real clinical benefits of qigong, and to explore its potential mechanism.
    Publication Journal of Alternative and Complementary Medicine (New York, N.Y.)
    Volume 14
    Issue 1
    Pages 27-37
    Date 2008 Jan-Feb
    Journal Abbr J Altern Complement Med
    DOI 10.1089/acm.2007.7213
    ISSN 1075-5535
    Short Title Clinical effect of qigong practice on essential hypertension
    URL http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/18199012
    Accessed Monday, November 02, 2009 1:06:52 PM
    Library Catalog NCBI PubMed
    Extra PMID: 18199012
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Tags:

    • Blood Pressure
    • Breathing Exercises
    • CONFIDENCE intervals
    • Exercise
    • Humans
    • Hypertension
    • Odds Ratio
    • Patient Satisfaction
    • Randomized Controlled Trials as Topic
    • Self Care
    • Treatment Outcome

    Notes:

    • This study was designed to quantitatively assess the effectiveness of self-practiced qigong for treatment of essential hypertension. Conclusions: Self-practiced qigong for less than 1 year is better in decreasing BP in patients with essential hypertension than in no-treatment controls, but is not superior to that in active controls.

  • Religion, HIV/AIDS and sexual risk-taking among men in Ghana

    Type Journal Article
    Author Stephen Obeng Gyimah
    Author Eric Y. Tenkorang
    Author Baffour K. Takyi
    Author Jones Adjei
    Author Gabriel Fosu
    Abstract Although a growing body of research has linked religious involvement with HIV/AIDS protective behaviour in Africa, the focus has mainly been on women. Given the patriarchal nature of African culture, this paper argues for the inclusion of men, a critical group whose sexual behaviours have increasingly been linked to the spread and sustenance of the virus in the region. Drawing on different theoretical discourses and using data from the 2003 Ghana Demographic and Health Survey, this paper examines how religious affiliation influences men's risky sexual behaviours. While the results from the bivariate analysis suggested that Muslims and Traditionalists were significantly less likely to engage in risky sexual behaviour compared with Christians, those differences disappeared once socioeconomic variables were controlled, rendering support for the selectivity thesis. This finding could benefit programmatic and policy formulation regarding AIDS prevention in Ghana.
    Publication Journal of Biosocial Science
    Volume 42
    Issue 4
    Pages 531-547
    Date Jul 2010
    Journal Abbr J Biosoc Sci
    DOI 10.1017/S0021932010000027
    ISSN 1469-7599
    Accessed Tuesday, July 27, 2010 12:20:24 PM
    Library Catalog NCBI PubMed
    Extra PMID: 20211045
    Date Added Thursday, September 29, 2011 9:03:23 AM
    Modified Thursday, September 29, 2011 9:03:23 AM

    Notes:

    • Given the patriarchal nature of African culture, this paper argues for the inclusion of men, a critical group whose sexual behaviours have increasingly been linked to the spread and sustenance of the virus in the region. Drawing on different theoretical discourses and using data from the 2003 Ghana Demographic and Health Survey, this paper examines how religious affiliation influences men's risky sexual behaviours. While the results from the bivariate analysis suggested that Muslims and Traditionalists were significantly less likely to engage in risky sexual behaviour compared with Christians, those differences disappeared once socioeconomic variables were controlled, rendering support for the selectivity thesis. This finding could benefit programmatic and policy formulation regarding AIDS prevention in Ghana.

  • The effect of Qigong on fibromyalgia (FMS): a controlled randomized study

    Type Journal Article
    Author Thomas Haak
    Author Berit Scott
    Abstract PURPOSE: To evaluate the effect of a 7-week Qigong intervention on subjects with Fibromyalgia Syndrome (FMS). METHODS: The study was a controlled randomized study with repeated measures. Fifty-seven FMS female subjects were randomly assigned to an intervention group (n = 29) or a waiting-list control group (n = 28). After completion of the experimental part, the control group received the same intervention. Collection of data was made at pre- and post-treatment and at 4-month follow-up for both groups. RESULTS: During the experimental part of the study, significant improvements were found for the intervention group, at posttreatment, regarding different aspects of pain and psychological health and distress. Almost identical results were found for the combined group. At 4-month follow-up, the majority of these results were either maintained or improved. CONCLUSION: The overall results show that Qigong has positive and reliable effects regarding FMS. A high degree of completion, 93%, and contentment with the intervention further support the potential of the treatment. The results of the study are encouraging and suggest that Qigong intervention could be a useful complement to medical treatment for subjects with FMS.
    Publication Disability and Rehabilitation
    Volume 30
    Issue 8
    Pages 625-633
    Date 2008
    Journal Abbr Disabil Rehabil
    DOI 10.1080/09638280701400540
    ISSN 0963-8288
    Short Title The effect of Qigong on fibromyalgia (FMS)
    URL http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/17852292
    Accessed Monday, November 02, 2009 1:07:19 PM
    Library Catalog NCBI PubMed
    Extra PMID: 17852292
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Tags:

    • Adult
    • Breathing Exercises
    • Female
    • Fibromyalgia
    • Humans
    • Middle Aged
    • Pain
    • Quality of Life
    • Treatment Outcome

    Notes:

    • Purpose: To evaluate the effect of a 7-week Qigong intervention on subjects with Fibromyalgia Syndrome (FMS). Results: During the experimental part of the study, significant improvements were found for the intervention group, at posttreatment, regarding different aspects of pain and psychological health and distress. Almost identical results were found for the combined group. At 4-month follow-up, the majority of these results were either maintained or improved. Conclusion: The overall results show that Qigong has positive and reliable effects regarding FMS.

  • Yoga for arthritis: a scoping review

    Type Journal Article
    Author Steffany Haaz
    Author Susan J Bartlett
    Abstract This article reviews the existing literature on using yoga for arthritis. It includes peer-reviewed research from clinical trials (published from 1980 to 2010) that used yoga as an intervention for arthritis and reported quantitative findings. Eleven studies were identified, including 4 randomized controlled trials (RCTs) and 4 non-RCTs. All trials were small and control groups varied. No adverse events were reported, and attrition was comparable or better than that typical for exercise interventions. Evidence was strongest for reduced disease symptoms (tender/swollen joints, pain) and disability and for improved self-efficacy and mental health. Interventions, research methods, and disease diagnoses were heterogeneous.
    Publication Rheumatic Diseases Clinics of North America
    Volume 37
    Issue 1
    Pages 33-46
    Date Feb 2011
    Journal Abbr Rheum. Dis. Clin. North Am
    DOI 10.1016/j.rdc.2010.11.001
    ISSN 1558-3163
    Short Title Yoga for arthritis
    Accessed Sunday, February 13, 2011 10:35:37 AM
    Library Catalog NCBI PubMed
    Extra PMID: 21220084
    Date Added Thursday, September 29, 2011 8:57:35 AM
    Modified Thursday, September 29, 2011 8:57:35 AM

    Tags:

    • Exercise
    • Literature Review
    • Mindfulness
    • Osteoarthritis
    • Physical activity
    • Rheumatoid Arthritis
    • yoga
  • Mediation of family alcoholism risk by religious affiliation types

    Type Journal Article
    Author Jon Randolph Haber
    Author Theodore Jacob
    Abstract OBJECTIVE: Religious affiliation is inversely associated with alcohol dependence (AD). Our previous findings indicated that when a religious affiliation differentiated itself from cultural norms, then high-risk adolescents (those having parents with alcoholism history) raised with these affiliations exhibited fewer AD symptoms compared with adolescents of other religious affiliations and nonreligious adolescents. The first of two studies reported here provides a needed replication of our previous findings for childhood religious affiliation using a different sample, and the second study extends examination to current religious affiliation. METHOD: A national sample of male and female adolescents/young adults (N = 1,329; mean age = 19.6 years) was selected who were the offspring of members of the Vietnam era Twin Registry. Parental alcoholism, religious affiliation types, and their interactions were examined as predictors of offspring AD symptoms. RESULTS: (1) Offspring reared with a differentiating religious affiliation during child-hood exhibited significantly fewer AD symptoms as young adults; (2) offspring with current differentiating religious affiliation also exhibited fewer AD symptoms; this main effect was not weakened by adding other measures of religiousness to the model; (3) differentiating religious affiliation was correlated with both family alcoholism risk and offspring outcome, and removed the association between family alcoholism risk and offspring outcome, thus indicating that differentiating religious affiliation was at least a partial mediator of the association between family AD history risk and offspring AD outcome. CONCLUSIONS: Current results indicate that religious differentiation is an inverse mediator of alcoholism risk for offspring with or without parental AD history and regardless of the influence of other religion variables. Results replicated our previous report on religious upbringing between ages 6 and 13 years and indicated an even stronger effect when current differentiating affiliation was examined.
    Publication Journal of Studies on Alcohol and Drugs
    Volume 70
    Issue 6
    Pages 877-889
    Date Nov 2009
    Journal Abbr J Stud Alcohol Drugs
    ISSN 1938-4114
    URL http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/19895764
    Accessed Monday, November 23, 2009 8:01:31 PM
    Library Catalog NCBI PubMed
    Extra PMID: 19895764
    Date Added Thursday, September 29, 2011 9:04:55 AM
    Modified Thursday, September 29, 2011 9:04:55 AM
  • The God-Shaped Hole' Addictive Disorders and the Search for Perfection.

    Type Journal Article
    Author W. Bryce Hagedorn
    Author Holly J. Hartwig Moorhead
    Abstract Clients with addictive disorders who have an internalized need for perfection benefit from an integration of spirituality into counseling treatment. This article provides d review of the literature, offers a spiritual approach for working with clients who struggle with addiction and perfectionism, and provides a case study to demonstrate the effectiveness of the integration of spirituality and counseling. [ABSTRACT FROM AUTHOR]
    Publication Counseling & Values
    Volume 55
    Issue 1
    Pages 63-78
    Date October 2010
    ISSN 01607960
    Date Added Thursday, September 29, 2011 8:59:59 AM
    Modified Thursday, September 29, 2011 8:59:59 AM

    Tags:

    • Counseling
    • PERFECTIONISM (Personality trait)
    • RELIGIOUS life
    • Soul
    • spirituality
  • Does religious involvement protect against early drinking? A behavior genetic approach

    Type Journal Article
    Author K. Paige Harden
    Abstract BACKGROUND: Adolescent involvement in religious organizations has been hypothesized to protect against early age at first drink. However, the correlation between adolescent religiosity and later age at first drink may be confounded by environmental or genetic differences between families. This study tests whether, after controlling for shared environmental and genetic confounds using a behavior genetic design, the association between individual levels of religiosity and earlier age at first drink is still evident. METHOD: Twin and sibling pairs were drawn from the National Longitudinal Study of Adolescent Health, a nationally-representative sample of US adolescents. Age at first drink was measured as how old adolescents were when they first had a drink of beer, wine, or liquor. Religiosity was measured using four items concerning frequency of religious activities and importance of religious beliefs. Using twins and siblings who were discordant for religiosity, analyses tested whether religious adolescents had a later age at first drink than their non-religious co-twins/co-siblings. RESULTS: Religious adolescents did not differ from their non-religious siblings in their mean age at first drink. Results from survival models indicate that environmental differences between families completely account for the correlation between religiosity and later age at first drink. CONCLUSIONS: Results suggest that individual religious involvement is a proxy variable for family or cultural environments that are salient for when adolescents initiate alcohol use. Future research is needed to identify specific protective environments in religious families. These results have implications for both public policy and etiological theory.
    Publication Journal of Child Psychology and Psychiatry, and Allied Disciplines
    Volume 51
    Issue 7
    Pages 763-771
    Date Jul 2010
    Journal Abbr J Child Psychol Psychiatry
    DOI 10.1111/j.1469-7610.2010.02247.x
    ISSN 1469-7610
    Short Title Does religious involvement protect against early drinking?
    Accessed Tuesday, July 27, 2010 12:20:26 PM
    Library Catalog NCBI PubMed
    Extra PMID: 20406334
    Date Added Thursday, September 29, 2011 9:03:23 AM
    Modified Thursday, September 29, 2011 9:03:23 AM
  • AIDS, sexuality, and the Black church : making the wounded whole

    Type Book
    Author Angelique Harris
    Series Martin Luther King, Jr. Memorial Studies in Religion, Culture, and Social Development
    Place New York
    Publisher P. Lang
    Date 2010
    ISBN 9781433109430
    Date Added Thursday, September 29, 2011 9:04:02 AM
    Modified Thursday, September 29, 2011 9:04:02 AM

    Notes:

    • In AIDS, Sexuality, and the Black Church, Angelique Harris examines the formation of the Black Church AIDS movement and the organizational development of The Balm in Gilead. This research begins from the perspective that the Black Church is working to address AIDS, and details how this work is being done. Harris couches her findings within social movement theory, the sociology of health and illness, social marketing, and the social construction of knowledge. This text provides a unique lens through which to examine AIDS discourse within the Black community. AIDS, Sexuality, and the Black Church is essential reading for AIDS scholars, researchers, and community activists alike.

  • Religiosity/spirituality and pain in patients with sickle cell disease

    Type Journal Article
    Author M Ojinga Harrison
    Author Christopher L Edwards
    Author Harold G Koenig
    Author Hayden B Bosworth
    Author Laura Decastro
    Author Mary Wood
    Abstract Religion/spirituality has been identified by individuals with sickle cell disease (SCD) as an important factor in coping with stress and in determining quality of life. Research has demonstrated positive associations between religiosity/spirituality and better physical and mental health outcomes. However, few studies have examined the influence religiosity/spirituality has on the experience of pain in chronically ill patients. Our aim was to examine three domains of religiosity/spirituality (church attendance, prayer/Bible study, intrinsic religiosity) and evaluate their association with measures of pain. We studied a consecutive sample of 50 SCD outpatients and found that church attendance was significantly associated with measures of pain. Attending church once or more per week was associated with the lowest scores on pain measures. These findings were maintained after controlling for age, gender, and disease severity. Prayer/Bible study and intrinsic religiosity were not significantly related to pain in our study. Positive associations are consistent with recent literature, but our results expose new aspects of the relationship for African American patients. We conclude that religious involvement likely plays a significant role in modulating the pain experience of African American patients with SCD and may be an important factor for future study in other populations of chronically ill pain sufferers.
    Publication The Journal of Nervous and Mental Disease
    Volume 193
    Issue 4
    Pages 250-257
    Date Apr 2005
    Journal Abbr J. Nerv. Ment. Dis
    ISSN 0022-3018
    URL http://www.ncbi.nlm.nih.gov/pubmed/15805821
    Accessed Friday, November 13, 2009 2:26:31 PM
    Library Catalog NCBI PubMed
    Extra PMID: 15805821
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Tags:

    • Adaptation, Psychological
    • Adolescent
    • Adult
    • African Americans
    • Aged
    • Ambulatory Care
    • Anemia, Sickle Cell
    • Female
    • Follow-Up Studies
    • Humans
    • Male
    • Middle Aged
    • Pain
    • Pain Measurement
    • Psychiatric Status Rating Scales
    • Quality of Life
    • religion
    • Religion and Psychology
    • Severity of Illness Index
    • spirituality
    • Stress, Psychological

    Notes:

  • Positive and negative religious coping and well-being in women with breast cancer

    Type Journal Article
    Author Randy Hebert
    Author Bozena Zdaniuk
    Author Richard Schulz
    Author Michael Scheier
    Abstract BACKGROUND: Although religions is important to many people with cancer, few studies have explored the relationship between religious coping and well-being in a prospective manner, using validated measures, while controlling for important covariates. METHODS: One hundred ninety-eight women with stage I or II and 86 women with stage IV stage breast cancer were recruited. Standardized assessment instruments and structured questions were used to collect data at study entry and 8 to 12 months later. Religious coping was measured with validated measures of positive and negative religious coping. Linear regression models were used to explore the relationships between positive and negative religious coping and overall physical and mental well-being, depression, and life satisfaction. RESULTS: The percentage of women who used positive religious coping (i.e., partnering with God or looking to God for strength, support, or guidance) "a moderate amount" or "a lot" was 76%. Negative religious coping (i.e., feeling abandoned by or anger at God) was much less prevalent; 15% of women reported feeling abandoned by or angry at God at least "a little." Positive religious coping was not associated with any measures of well-being. Negative religious coping predicted worse overall mental health, depressive symptoms, and lower life satisfaction after controlling for sociodemographics and other covariates. In addition, changes in negative religious coping from study entry to follow-up predicted changes in these well-being measures over the same time period. Cancer stage did not moderate the relationships between religious coping and well-being. CONCLUSIONS: Negative religious coping methods predict worse mental heath and life satisfaction in women with breast cancer.
    Publication Journal of Palliative Medicine
    Volume 12
    Issue 6
    Pages 537-545
    Date Jun 2009
    Journal Abbr J Palliat Med
    DOI 10.1089/jpm.2008.0250
    ISSN 1557-7740
    Accessed Tuesday, February 22, 2011 6:55:49 PM
    Library Catalog NCBI PubMed
    Extra PMID: 19508140
    Date Added Thursday, September 29, 2011 9:06:18 AM
    Modified Thursday, September 29, 2011 9:06:18 AM

    Tags:

    • Adaptation, Psychological
    • Adult
    • Breast Neoplasms
    • Female
    • Humans
    • Pennsylvania
    • Personal Satisfaction
    • Questionnaires
    • Religion and Medicine

    Notes:

    • A study that explores the relationship between religious coping and well-being in a prospective manner, using validated measures, while controlling for important covariates.

  • Traditional Medicine and the Treatment of Drug Addicts: Three Examples from Southeast Asia

    Type Journal Article
    Author H. K. Heggenhougen
    Publication Medical Anthropology Quarterly
    Volume 16
    Issue 1
    Pages 3-7
    Date Nov., 1984
    ISSN 07455194
    Short Title Traditional Medicine and the Treatment of Drug Addicts
    URL http://www.jstor.org.ezproxy.bu.edu/stable/648713
    Accessed Tuesday, October 20, 2009 9:53:06 PM
    Library Catalog JSTOR
    Extra ArticleType: primary_article / Full publication date: Nov., 1984 / Copyright © 1984 American Anthropological Association
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM
  • Spiritual/Religious experiences and in-treatment outcome in an inner-city program for heroin and cocaine dependence

    Type Journal Article
    Author Adrienne Heinz
    Author David H Epstein
    Author Kenzie L Preston
    Abstract Although spirituality is an integral component of some of the most popular approaches to substance abuse treatment, there is little empirical evidence for a causal relationship between spirituality and treatment success. In the present study, 169 (121 male) opiate- or cocaine-abusing treatment seekers completed the Index of Spiritual Experience (INSPIRIT), a questionnaire that assesses both spirituality and religiosity. Responses were analyzed in terms of demographic variables and in-treatment outcome, which was determined by treatment retention and drug screens from observed biweekly urine collections. Religious/spiritual beliefs were common in these participants and were associated with in-treatment outcome: total INSPIRIT score was weakly correlated (r = .16, p < .04) with number of subsequent cocaine-negative urines, and participants reporting that they frequently spent time on religious/spiritual activities showed significantly better outcomes in terms of subsequent drug use and treatment retention. Women and African Americans were more likely than men and non-African Americans to report religious and spiritual beliefs or experiences on several individual items, and African Americans had higher INSPIRIT scores than Caucasians. The results suggest that spiritual and religious experience plays a role in substance abuse recovery and that demographic characteristics should be considered in the design of spiritually oriented behavioral interventions for addiction.
    Publication Journal of Psychoactive Drugs
    Volume 39
    Issue 1
    Pages 41-49
    Date Mar 2007
    Journal Abbr J Psychoactive Drugs
    ISSN 0279-1072
    URL http://www.ncbi.nlm.nih.gov/pubmed/17523584
    Accessed Friday, November 13, 2009 5:45:07 PM
    Library Catalog NCBI PubMed
    Extra PMID: 17523584
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Tags:

    • Adult
    • African Americans
    • Baltimore
    • Cocaine-Related Disorders
    • DEMOGRAPHY
    • Female
    • Health Knowledge, Attitudes, Practice
    • Heroin Dependence
    • Humans
    • Male
    • Middle Aged
    • Pilot Projects
    • Prospective Studies
    • Questionnaires
    • religion
    • Sex Factors
    • spirituality
    • Substance Abuse Treatment Centers
    • Treatment Outcome
    • Urban Health Services

    Notes:

    • In the present study, 169 (121 male) opiate- or cocaine-abusing treatment seekers completed the Index of Spiritual Experience (INSPIRIT), a questionnaire that assesses both spirituality and religiosity. The results suggest that spiritual and religious experience plays a role in substance abuse recovery and that demographic characteristics should be considered in the design of spiritually oriented behavioral interventions for addiction.

  • Religious practice, blood transfusion, and major medical procedures

    Type Journal Article
    Author Sarah Hivey
    Author Nicholas Pace
    Author John P Garside
    Author Andrew R Wolf
    Abstract In this debate, we explore the dilemmas between the law, the ethical issues, the good clinical practice, and the wishes of the family. In the scenario chosen, the issues center around not only the senior family members but also of an older child with some rights to self-determination. There are no absolute rights or wrongs to this case, which is based on a synthesis of other actual clinical scenarios. The maze of considerations are not easy to negotiate, and in the final analysis, the surgeon and the anesthetist must also be comfortable with the decisions as they are the active elements that have to practically manage a clinical crisis should it occur. The participants in this debate are all UK based, and as such the legal standpoint reflects UK legislation, and the ethical and clinical reviews are strongly influenced by current attitudes within UK and Europe that may not be exactly mirrored in different cultural frameworks. However, in this article, it is the broad principles behind the differing responses that are important, which it is hoped will stimulate reflection of attitudes and management in different cultural frameworks.
    Publication Paediatric Anaesthesia
    Volume 19
    Issue 10
    Pages 934-946
    Date Oct 2009
    Journal Abbr Paediatr Anaesth
    DOI 10.1111/j.1460-9592.2009.03139.x
    ISSN 1460-9592
    URL http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/19754485
    Accessed Monday, October 19, 2009 8:33:57 PM
    Library Catalog NCBI PubMed
    Extra PMID: 19754485
    Date Added Thursday, September 29, 2011 9:05:21 AM
    Modified Thursday, September 29, 2011 9:05:21 AM
  • Sub-Saharan African women living with HIV/AIDS: an exploration of general and spiritual coping strategies

    Type Journal Article
    Author David R Hodge
    Author Jini L Roby
    Abstract From a global perspective, the typical person living with HIV/AIDS is likely a sub-Saharan African woman. Yet despite calls from NASW to adopt a global outlook on the HIV/AIDS crisis, little research has examined how such women cope. In this study, the authors used a mixed-methods approach to explore how one sample of sub-Saharan African women (N = 162) attending an AIDS clinic in Entebbe, Uganda, cope with their circumstances. The results reveal the importance of indigenous service providers, spirituality, and, to a lesser extent, social support. Approximately 85 percent of the women reported that spirituality played some role in their ability to cope. Among these, 43 percent indicated that spirituality was the most important factor that kept them going. The most widely used spiritual coping strategies consisted of support from other believers, prayer, and trusting in God.
    Publication Social Work
    Volume 55
    Issue 1
    Pages 27-37
    Date Jan 2010
    Journal Abbr Soc Work
    ISSN 0037-8046
    Short Title Sub-Saharan African women living with HIV/AIDS
    Accessed Sunday, January 24, 2010 5:23:11 PM
    Library Catalog NCBI PubMed
    Extra PMID: 20069938
    Date Added Thursday, September 29, 2011 9:04:02 AM
    Modified Thursday, September 29, 2011 9:04:02 AM

    Notes:

    • In this study, authors add needed research to how one sample of sub-Saharan African women attending an AIDS clinic in Entebbe, Uganda cope with their circumstances.  The results reveal the importance

  • Effect of spirituality on successful recovery from spinal surgery

    Type Journal Article
    Author Scott D Hodges
    Author S Craig Humphreys
    Author Jason C Eck
    Abstract BACKGROUND: Many patients believe prayer helps them recover from health problems. Benefits of spirituality on other illnesses and surgical procedures have been reported. It is unknown whether patients with strong spiritual beliefs have a greater propensity for successful recovery from spinal surgery. METHODS: In this study, 188 patients having spinal surgery completed the visual analog pain scale (VAS) and the Oswestry functional capacity questionnaire (OSW) before and after operation, and the scores were used to assess surgical outcome. Degree of spirituality was assessed using the INSPIRIT survey. RESULTS: Paired t test revealed significant improvements in both the VAS and OSW outcome measures. Linear regression analysis revealed no correlation between change in either VAS or OSW. CONCLUSIONS: These results suggest that recovery from spinal surgery may be more dependent on proper patient selection and surgical technique than on patient spiritual beliefs.
    Publication Southern Medical Journal
    Volume 95
    Issue 12
    Pages 1381-1384
    Date Dec 2002
    Journal Abbr South. Med. J
    ISSN 0038-4348
    URL http://www.ncbi.nlm.nih.gov/pubmed/12597302
    Accessed Thursday, November 12, 2009 11:09:56 PM
    Library Catalog NCBI PubMed
    Extra PMID: 12597302
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Tags:

    • Humans
    • Pain Measurement
    • Questionnaires
    • Regression Analysis
    • Spine
    • spirituality
    • Surgical Procedures, Operative
    • Treatment Outcome

    Notes:

    • In this study, 188 patients having spinal surgery completed the visual analog pain scale (VAS) and the Oswestry functional capacity questionnaire (OSW) before and after operation, and the scores were used to assess surgical outcome. Conclusions: Results suggest that recovery from spinal surgery may be more dependent on proper patient selection and surgical technique than on patient spiritual beliefs.

  • Does church participation facilitate tobacco control? A report on Korean immigrants

    Type Journal Article
    Author C Richard Hofstetter
    Author John W Ayers
    Author Veronica L Irvin
    Author D Eastern Kang Sim
    Author Suzanne C Hughes
    Author Frederick Reighard
    Author Melbourne F Hovell
    Abstract BACKGROUND: This study explores hypotheses linking church attendance to smoking prevalence, cessation, exposure to environmental tobacco smoke (ETS), and household smoking bans among Korean immigrants in California. METHODS: Data were drawn from telephone interviews with Korean adults (N = 2085) based on a probability sample during 2005-2006 in which 86% of those contacted completed interviews. RESULTS: Koreans who reported that they had attended church were less likely to be current smokers and to be exposed to ETS, and more likely to have quit smoking and to have a complete smoking ban than non-attenders after statistical controls for behavioral covariates. DISCUSSION: Whether or not participants reported attending church was associated with increased tobacco control practices. Public health interventions may profit by seeking to expand cooperation with religious congregations to facilitate efforts to promote healthy lifestyles among immigrant populations beyond the influences of church attendance.
    Publication Journal of Immigrant and Minority Health / Center for Minority Public Health
    Volume 12
    Issue 2
    Pages 187-197
    Date Apr 2010
    Journal Abbr J Immigr Minor Health
    DOI 10.1007/s10903-009-9228-9
    ISSN 1557-1920
    Short Title Does church participation facilitate tobacco control?
    Accessed Tuesday, February 22, 2011 7:52:48 PM
    Library Catalog NCBI PubMed
    Extra PMID: 19205883
    Date Added Thursday, September 29, 2011 9:07:00 AM
    Modified Thursday, September 29, 2011 9:07:00 AM
  • Does church participation facilitate tobacco control? A report on Korean immigrants.

    Type Journal Article
    Author C. Richard Hofstetter
    Author John W. Ayers
    Author Veronica L. Irvin
    Author D. Eastern Kang Sim
    Author Suzanne C. Hughes
    Author Frederick Reighard
    Author Melbourne F. Hovell
    Abstract Background: This study explores hypotheses linking church attendance to smoking prevalence, cessation, exposure to environmental tobacco smoke (ETS), and household smoking bans among Korean immigrants in California. Methods: Data were drawn from telephone interviews with Korean adults (N = 2085) based on a probability sample during 2005–2006 in which 86% of those contacted completed interviews. Results: Koreans who reported that they had attended church were less likely to be current smokers and to be exposed to ETS, and more likely to have quit smoking and to have a complete smoking ban than non-attenders after statistical controls for behavioral covariates. Discussion: Whether or not participants reported attending church was associated with increased tobacco control practices. Public health interventions may profit by seeking to expand cooperation with religious congregations to facilitate efforts to promote healthy lifestyles among immigrant populations beyond the influences of church attendance. (PsycINFO Database Record (c) 2010 APA, all rights reserved) (journal abstract)
    Publication Journal of Immigrant and Minority Health
    Volume 12
    Issue 2
    Pages 187-197
    Date April 2010
    DOI 10.1007/s10903-009-9228-9
    ISSN 1557-1912
    Short Title Does church participation facilitate tobacco control?
    Accessed Tuesday, June 15, 2010 10:21:27 AM
    Library Catalog EBSCOhost
    Date Added Thursday, September 29, 2011 9:04:02 AM
    Modified Thursday, September 29, 2011 9:04:02 AM

    Tags:

    • church participation
    • Environment
    • environmental tobacco smoke
    • Immigration
    • Korean Cultural Groups
    • Korean immigrants
    • Religious Practices
    • smoking bans
    • Smoking Cessation
    • tobacco control
    • Tobacco Smoking
  • Role of religion in cancer coping among African Americans: A qualitative examination.

    Type Journal Article
    Author Cheryl L. Holt
    Author Lee Caplan
    Author Emily Schulz
    Author Victor Blake
    Author Penny Southward
    Author Ayanna Buckner
    Author Hope Lawrence
    Abstract The present study used qualitative methods to examine if and how African Americans with cancer use religiosity in coping. Patients (N = 23) were recruited from physician offices and completed 1-1½ hour interviews. Themes that emerged included but were not limited to control over one's illness, emotional response, importance of social support, role of God as a healer, relying on God, importance of faith for recovery, prayer and scripture study, and making sense of the illness. Participants had a great deal to say about the role of religion in coping. These themes may have utility for development of support interventions if they can be operationalized and intervened upon. (PsycINFO Database Record (c) 2010 APA, all rights reserved) (journal abstract)
    Publication Journal of Psychosocial Oncology
    Volume 27
    Issue 2
    Pages 248-273
    Date April 2009
    DOI 10.1080/07347330902776028
    ISSN 0734-7332
    Short Title Role of religion in cancer coping among African Americans
    Library Catalog EBSCOhost
    Date Added Thursday, September 29, 2011 9:06:18 AM
    Modified Thursday, September 29, 2011 9:06:18 AM

    Tags:

    • African Americans
    • Blacks
    • cancer coping
    • Coping Behavior
    • faith role
    • God as healer
    • illness control
    • Neoplasms
    • Recovery
    • Recovery (Disorders)
    • religion
    • religion role
    • Religious Beliefs
    • social support

    Notes:

    • The present study used qualitative methods to examine if and how African Americans with cancer use religiosity in coping. Patients (N = 23) were recruited from physician offices and completed 1–1½ hour interviews. Themes that emerged included but were not limited to control over one's illness, emotional response, importance of social support, role of God as a healer, relying on God, importance of faith for recovery, prayer and scripture study, and making sense of the illness. Participants had a great deal to say about the role of religion in coping. These themes may have utility for development of support interventions if they can be operationalized and intervened upon.

  • Development and validation of measures of religious involvement and the cancer experience among African Americans.

    Type Journal Article
    Author Cheryl L. Holt
    Author Lee Caplan
    Author Emily Schulz
    Author Victor Blake
    Author Vivian L. Southward
    Author Ayanna V. Buckner
    Abstract Research indicates that African Americans diagnosed with cancer tend to use religion in coping. However less is known about the specific role that religion plays in the coping process. Based on previous qualitative work, five instruments were developed to assess the role of religious involvement in cancer coping: God as helper, God as healer, Faith in healing, Control over cancer and New perspective. The instruments were administered to 100 African Americans with cancer. Each exhibited high internal reliability, and concurrent and discriminant validity. These instruments may have applied value for the development of church based cancer support/survivorship interventions. (PsycINFO Database Record (c) 2010 APA, all rights reserved) (journal abstract)
    Publication Journal of Health Psychology
    Volume 14
    Issue 4
    Pages 525-535
    Date May 2009
    DOI 10.1177/1359105309103572
    ISSN 1359-1053
    Library Catalog EBSCOhost
    Date Added Thursday, September 29, 2011 9:06:18 AM
    Modified Thursday, September 29, 2011 9:06:18 AM

    Tags:

    • African Americans
    • Blacks
    • cancer experience
    • Coping Behavior
    • Diagnosis
    • Neoplasms
    • religion
    • religious involvement
    • Religious Practices
    • Test Construction
    • test development
    • Test Reliability
    • Test Validity

    Notes:

    • Research indicates that African Americans diagnosed with cancer tend to use religion in coping. However less is known about the specific role that religion plays in the coping process. Based on previous qualitative work, five instruments were developed to assess the role of religious involvement in cancer coping: God as helper, God as healer, Faith in healing, Control over cancer and New perspective. The instruments were administered to 100 African Americans with cancer. Each exhibited high internal reliability, and concurrent and discriminant validity. These instruments may have applied value for the development of church-based cancer support/survivorship interventions.

  • Addiction Treatment: Comparing Religion and Science in Application

    Type Book
    Author Daniel E. Hood
    Publisher Transaction Publishers
    Date 2011-04-26
    ISBN 1412814634
    Short Title Addiction Treatment
    Library Catalog Amazon.com
    Date Added Thursday, September 29, 2011 8:55:49 AM
    Modified Thursday, September 29, 2011 8:55:49 AM
  • An exploration of spiritual needs of Taiwanese patients with advanced cancer during the therapeutic processes

    Type Journal Article
    Author Szu-Mei Hsiao
    Author Meei-Ling Gau
    Author Christine Ingleton
    Author Tony Ryan
    Author Fu-Jin Shih
    Abstract AIMS AND OBJECTIVES This study explores the spiritual needs of patients with advanced cancer during their therapeutic process in Taiwan and analyses the influence of Chinese culture in addressing their spiritual needs. BACKGROUND Many nurse clinicians have concerns about the difficulties of providing spiritual care for ethnic-Chinese cancer clients within their cultural context, possibly as a result of lack of knowledge and training. There has been little research exploring the potential impact of Chinese cultural values on the spiritual needs of patients with advanced cancer. DESIGN Explorative qualitative enquiry was used. METHODS Data were collected through participant observation and in-depth face-to-face interviews. Transcribed interview data were analysed by using qualitative content analysis. The purposive sample (n = 33) was drawn from a leading medical center (n = 19) with 3000 beds in the capital and a community-based rural teaching hospital (n = 14) with 581 beds in Taiwan. RESULTS Four spiritual needs emerged from the analysis: the need to foster hope for survival and obtain a peaceful mindset, to fulfil the meanings of life and preserve one's dignity, to experience more reciprocal human love and finally, to receive assistance in facing death peacefully. CONCLUSION This research has shown that patients with advanced cancer need caregivers, friends and the help of their religion to meet their spiritual needs during the therapeutic processes. RELEVANCE TO CLINICAL PRACTICE The findings of this study could assist health professionals to detect the unmet spiritual needs of ethnic-Chinese patients with cancer in the context of their cultural or religious background as early as possible.
    Publication Journal of Clinical Nursing
    Volume 20
    Issue 7-8
    Pages 950-959
    Date Apr 2011
    Journal Abbr J Clin Nurs
    DOI 10.1111/j.1365-2702.2010.03278.x
    ISSN 1365-2702
    URL http://www.ncbi.nlm.nih.gov/pubmed/21044187
    Accessed Monday, May 09, 2011 7:04:27 PM
    Library Catalog NCBI PubMed
    Extra PMID: 21044187
    Date Added Thursday, September 29, 2011 8:55:49 AM
    Modified Thursday, September 29, 2011 8:55:49 AM

    Notes:

    • This study explores the spiritual needs of patients with advanced cancer during their therapeutic process in Taiwan and analyses the influence of Chinese culture in addressing their spiritual needs.

  • Role of religiosity and spirituality in complementary and alternative medicine use among cancer survivors in California

    Type Journal Article
    Author An-Fu Hsiao
    Author Mitchell D Wong
    Author Melissa F Miller
    Author Anita H Ambs
    Author Michael S Goldstein
    Author Ashley Smith
    Author Rachel Ballard-Barbash
    Author Lida S Becerra
    Author Eric M Cheng
    Author Neil S Wenger
    Abstract OBJECTIVES: Cancer survivors often turn to religion, spirituality, and complementary and alternative medicine (CAM) because they perceive these areas as being more holistic and patient-centered than conventional medicine. Because increased religiosity and spirituality have been found to be associated with higher CAM use in the general population, it was hypothesized that these factors would be important predictors of CAM use in cancer survivors. DESIGN AND SUBJECTS: The study included a subsample of 1844 people with cancer or a history of cancer from the 2003 California Health Interview Survey of CAM, a cross-sectional survey of a population-based sample of adults in California. Prevalence and predictors of religious/spiritual forms of CAM (R/S CAM) and nonreligious/nonspiritual forms of CAM (non-R/S CAM) were compared. Multivariate logistic regression was used to identify the predictors of R/S CAM and non-R/S CAM. RESULTS: Nearly two thirds of participants reported using at least 1 type of R/S CAM, and 85% reported ever using non-R/S CAM. The majority of cancer survivors reported that they were very/moderately religious or spiritual. Both religiosity and spirituality were strongly related to non-R/S CAM use, but in opposite directions. Very or moderately religious cancer survivors were less likely (odds ratio=0.30; 95% confidence interval, 0.12-0.40) than nonreligious cancer survivors to use non-R/S CAM. In contrast, very or moderately spiritual cancer survivors were more likely (odds ratio=2.42; 95% confidence interval, 1.16-6.02) than nonspiritual cancer survivors to use non-R/S CAM. CONCLUSIONS: The use of R/S CAM and non-R/S CAM is very high in cancer survivors. It may be helpful for clinicians to ascertain their patients' use of these types of CAM to integrate all forms of care used to managing their cancer.
    Publication Integrative Cancer Therapies
    Volume 7
    Issue 3
    Pages 139-146
    Date Sep 2008
    Journal Abbr Integr Cancer Ther
    DOI 10.1177/1534735408322847
    ISSN 1534-7354
    URL http://www.ncbi.nlm.nih.gov/pubmed/18815145
    Accessed Friday, November 13, 2009 7:29:02 PM
    Library Catalog NCBI PubMed
    Extra PMID: 18815145
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Tags:

    • Adult
    • Aged
    • California
    • Complementary Therapies
    • Cross-Sectional Studies
    • Female
    • Health Surveys
    • Humans
    • Logistic Models
    • Male
    • Middle Aged
    • Multivariate Analysis
    • Neoplasms
    • Religion and Medicine
    • spirituality
    • Survivors
    • Young Adult

    Notes:

    • Because increased religiosity and spirituality have been found to be associated with higher CAM use in the general population, it was hypothesized that these factors would be important predictors of CAM use in cancer survivors. Conclusions: The use of R/S CAM and non-R/S CAM is very high in cancer survivors.

  • Religion among disabled and nondisabled persons I: cross-sectional patterns in health practices, social activities, and well-being

    Type Journal Article
    Author EL Idler
    Author SV Kasl
    Publication J Gerontol B Psychol Sci Soc Sci
    Volume 52
    Issue 6
    Pages S294-305
    Date November 1, 1997
    Short Title Religion among disabled and nondisabled persons I
    URL http://psychsoc.gerontologyjournals.org/cgi/content/abstract/52/6/S294
    Accessed Tuesday, November 10, 2009 7:53:26 PM
    Library Catalog HighWire
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Notes:

    • This article and its second part explore questions such as: What is the relationship between religious involvement and functional disability among elderly people? Is being disabled different for those who frequently attend religious services? Does religious involvement have an effect on subsequent change in disability?  The authors found (a) that religious involvement in 1982 is tied to a broad array of behavioral and psychosocial resources, (b) that these resources are associated primarily with attendance at services, and not with subjective feelings of religiousness, and (c) that some of these associations are especially pronounced among disabled respondents.

  • Religion among disabled and nondisabled persons II: attendance at religious services as a predictor of the course of disability.

    Type Journal Article
    Author E.L. Idler
    Author S.V. Kasl
    Abstract Does religious involvement influence changes in physical health? We perform a longitudinal analysis of the effect of religious participation on functioning over a 12-year follow-up period, in a large, prospective, representative sample of elderly persons from New Haven, Connecticut, a religiously diverse community. To examine the possibility that disability or changes in disability may be affecting religious involvement, we perform a second longitudinal analysis of changes in religious practices. Finally, we ask whether psychosocial correlates explain the effect of religious involvement on disability. Findings are (a) that attendance at services is a strong predictor of better functioning, even when intermediate changes in functioning are included, (b) that health practices, social ties, and indicators of well-being reduce, but do not eliminate these effects, and (c) that disability has minimal effects on subsequent attendance. The findings illustrate the short- and long-term importance of religious participation to the health and well-being of elderly people, and suggest a particular significance for religious participation in the lives of disabled elders.
    Publication The Journals of Gerontology
    Volume 52
    Issue 6
    Pages S306-316
    Date Nov. 1997
    Series B
    Series Title Psychological Sciences and Social Sciences
    Journal Abbr J Gerontol B Psychol Sci Soc Sci
    URL http://www.ncbi.nlm.nih.gov/pubmed/9403524
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Notes:

    • Findings are (a) that attendance at services is a strong predictor of better functioning, even when intermediate changes in functioning are included, (b) that health practices, social ties, and indicators of well-being reduce, but do not eliminate these effects, and (c) that disability has minimal effects on subsequent attendance.

  • An increase in religiousness/spirituality occurs after HIV diagnosis and predicts slower disease progression over 4 years in people with HIV

    Type Journal Article
    Author Gail Ironson
    Author Rick Stuetzle
    Author Mary Ann Fletcher
    Abstract BACKGROUND: Most studies on religion/spirituality predicting health outcomes have been limited to church attendance as a predictor and have focused on healthy people. However, confronting a major medical crisis may be a time when people turn to the sacred. OBJECTIVE: The purpose of this study was to determine the extent to which changes in spirituality/religiousness occur after HIV diagnosis and whether changes predict disease progression. DESIGN/PARTICIPANTS: This longitudinal study examined the relationship between changes in spirituality/religiousness from before with after the diagnosis of HIV, and disease progression (CD4 and viral load [VL] every 6 months) over 4 years in 100 people with HIV. Measures included change in religiousness/spirituality after diagnosis of HIV, religiousness/spirituality at various times in one's life, church attendance, depression, hopelessness, optimism, coping (avoidant, proactive), social support, CD4/VL, and health behaviors. RESULTS: Forty-five percent of the sample showed an increase in religiousness/spirituality after the diagnosis of HIV, 42% remained the same, and 13% decreased. People reporting an increase in spirituality/religiousness after the diagnosis had significantly greater preservation of CD4 cells over the 4-year period, as well as significantly better control of VL. Results were independent of (i.e., held even after controlling for) church attendance and initial disease status (CD4/VL), medication at every time point, age, gender, race, education, health behaviors (adherence, risky sex, alcohol, cocaine), depression, hopelessness, optimism, coping (avoidant, proactive), and social support. CONCLUSIONS: There is an increase in spirituality/religiousness after HIV diagnosis, and this increase predicts slower disease progression; medical personnel should be aware of its potential importance.
    Publication Journal of General Internal Medicine
    Volume 21 Suppl 5
    Pages S62-68
    Date Dec 2006
    Journal Abbr J Gen Intern Med
    DOI 10.1111/j.1525-1497.2006.00648.x
    ISSN 1525-1497
    URL http://www.ncbi.nlm.nih.gov/pubmed/17083503
    Accessed Friday, November 13, 2009 4:57:50 PM
    Library Catalog NCBI PubMed
    Extra PMID: 17083503
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Tags:

    • Adaptation, Psychological
    • Causality
    • Disease Progression
    • Florida
    • HIV Infections
    • Humans
    • Life Change Events
    • Longitudinal Studies
    • Religion and Psychology
    • Risk-Taking
    • social support

    Notes:

    • The purpose of this study was to determine the extent to which changes in spirituality/religiousness occur after HIV diagnosis and whether changes predict disease progression. Conclusions: There is an increase in spirituality/religiousness after HIV diagnosis, and this increase predicts slower disease progression.

  • The Ironson-woods Spirituality/Religiousness Index is associated with long survival, health behaviors, less distress, and low cortisol in people with HIV/AIDS

    Type Journal Article
    Author Gail Ironson
    Author George F Solomon
    Author Elizabeth G Balbin
    Author Conall O'Cleirigh
    Author Annie George
    Author Mahendra Kumar
    Author David Larson
    Author Teresa E Woods
    Abstract The purpose of this study was to determine the reliability and validity of an instrument that measures both spirituality and religiousness, to examine the relation between spirituality and religiousness and important health outcomes for people living with HIV and to examine the potential mediators of these relations. One aim was to determine whether subscales of spirituality, religiousness, or both would be independently related to long survival in people living with AIDS. The Ironson-Woods Spirituality/Religiousness (SR) Index is presented with evidence for its reliability and validity. Four factors were identified on the Ironson-Woods SR Index (Sense of Peace, Faith in God, Religious Behavior, and Compassionate View of Others). Each subscale was significantly related to long survival with AIDS. That is, the long-term survivor (LTS) group (n = 79) scored significantly higher on these factors than did the HIV-positive comparison (COMP) group (n = 200). Long survival was also significantly related to both frequency of prayer (positively) and judgmental attitude (negatively). In addition, the Ironson-Woods SR Index yielded strong and significant correlations with less distress, more hope, social support, health behaviors, helping others, and lower cortisol levels. The relation between religious behavior and health outcomes was not due to social support. Further analyses were conducted, which identified urinary cortisol concentrations and altruistic behavior as mediators of the relation between SR and long survival.
    Publication Annals of Behavioral Medicine: A Publication of the Society of Behavioral Medicine
    Volume 24
    Issue 1
    Pages 34-48
    Date 2002
    Journal Abbr Ann Behav Med
    ISSN 0883-6612
    URL http://www.ncbi.nlm.nih.gov/pubmed/12008793
    Accessed Thursday, November 12, 2009 9:30:15 PM
    Library Catalog NCBI PubMed
    Extra PMID: 12008793
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Tags:

    • Adult
    • Female
    • Health Behavior
    • Health Status
    • HIV Infections
    • Humans
    • Hydrocortisone
    • Male
    • Middle Aged
    • Outcome Assessment (Health Care)
    • Questionnaires
    • Religion and Medicine
    • Reproducibility of Results
    • social support
    • Stress, Psychological
    • Survival Analysis

    Notes:

    • The purpose of this study was to determine the reliability and validity of an instrument that measures both spirituality and religiousness, to examine the relation between spirituality and religiousness and important health outcomes for people living with HIV and to examine the potential mediators of these relations. Each subscale was significantly related to long survival with AIDS. In addition, the Ironson-Woods SR Index yielded strong and significant correlations with less distress, more hope, social support, health behaviors, helping others, and lower cortisol levels.

  • Psychosocial adjustment to multiple sclerosis: exploration of identity redefinition

    Type Journal Article
    Author H Irvine
    Author C Davidson
    Author K Hoy
    Author A Lowe-Strong
    Abstract PURPOSE: As multiple sclerosis (MS) often occurs in the prime of life and is unpredictable in nature, there is likely to be a strong psychological effect, with changes in values and beliefs and how the individual sees him or her self. This article presents the findings of a focus group study which aimed to explore the subjective experiences of living with, and adjusting to, MS. METHOD: Seven individuals who had been diagnosed with MS for at least 5 years reflected on their reactions to being diagnosed, how they cope with the day to day challenges of the disease, and the changes that they have experienced. Data were transcribed verbatim and analysed using interpretative phenomenological analysis. RESULTS: Diagnosis was met with negative reactions: denial, concealment and diminished confidence. However, the majority reported that, over time, there were positive changes in terms of their values and outlook. It would appear that the functional difficulties and psychological challenges, such as uncertainty and depression, are ameliorated to some extent by an increased appreciation for life and spirituality. CONCLUSIONS: The findings provide insight into the psychological process of identity redefinition associated with adjusting to MS. Given this, interventions should target role/identity re-examination to assist individuals with MS in better managing the disease and enjoying life.
    Publication Disability and Rehabilitation
    Volume 31
    Issue 8
    Pages 599-606
    Date 2009
    Journal Abbr Disabil Rehabil
    DOI 10.1080/09638280802243286
    ISSN 0963-8288
    Short Title Psychosocial adjustment to multiple sclerosis
    Accessed Tuesday, February 22, 2011 7:38:29 PM
    Library Catalog NCBI PubMed
    Extra PMID: 19280434
    Date Added Thursday, September 29, 2011 9:06:18 AM
    Modified Thursday, September 29, 2011 9:06:18 AM

    Tags:

    • Adaptation, Psychological
    • Adult
    • Attitude
    • Empathy
    • Female
    • Focus Groups
    • Humans
    • Interpersonal Relations
    • Life Change Events
    • Male
    • Middle Aged
    • Multiple Sclerosis
    • Self Concept
    • social support
  • God-sent ordeals and their discontents: Ultra-orthodox Jewish women negotiate prenatal testing

    Type Journal Article
    Author Tsipy Ivry
    Author Elly Teman
    Author Ayala Frumkin
    Abstract Through narrative interviews with 20 pregnant ultra-orthodox [Haredi] Jewish women in Israel conducted between 2007 and 2009, we examine the implications for such women of prenatal testing, and of pregnancy as a gendered route of piety. We found that pregnancy signified both a divine mission and possible reproductive misfortunes. Bearing a child with a disability was taken as a test of faith and God's decree was to be accepted. Fetal anomaly created anxiety about the women's ability to fulfill their God-given task and about their position in an unwritten hierarchy of gendered righteousness. Challenging reproductive decisions were often assigned to rabbis, but this did not exempt women from viewing themselves as inadequate in their religious devotion. We conclude that prenatal testing becomes a spiritual ordeal that aggravates pregnancy tensions.
    Publication Social Science & Medicine (1982)
    Volume 72
    Issue 9
    Pages 1527-1533
    Date May 2011
    Journal Abbr Soc Sci Med
    DOI 10.1016/j.socscimed.2011.03.007
    ISSN 1873-5347
    Short Title God-sent ordeals and their discontents
    URL http://www.ncbi.nlm.nih.gov/pubmed/21470732
    Accessed Wednesday, June 08, 2011 6:37:24 PM
    Library Catalog NCBI PubMed
    Extra PMID: 21470732
    Date Added Thursday, September 29, 2011 8:55:16 AM
    Modified Thursday, September 29, 2011 8:55:16 AM

    Notes:

    • This study concludes that prenatal testing is a spiritual ordeal for ultra-Orthodox Jewish women due to the fact that finding fetal anomalies results in anxiety about the capacity of the woman to fulfill her G-d-given task of raising a disabled child, even when responsibility for making challenging reproductive decisions was handed over to a rabbi.

  • Yoga and disc degenerative disease in cervical and lumbar spine: an MR imaging-based case control study

    Type Journal Article
    Author Chin-Ming Jeng
    Author Tzu-Chieh Cheng
    Author Ching-Huei Kung
    Author Hue-Chen Hsu
    Abstract The objective of the current study was to find out whether yoga practice was beneficial to the spine by comparing degenerative disc disease in the spines of long-time yoga practitioners and non-yoga practicing controls, using an objective measurement tool, magnetic resonance imaging. This matched case-control study comprised 18 yoga instructors with teaching experience of more than 10 years and 18 non-yoga practicing asymptomatic individuals randomly selected from a health checkup database. A validated grading scale was used to grade the condition of cervical and lumbar discs seen in magnetic resonance imaging of the spine, and the resulting data analyzed statistically. The mean number of years of yoga practice for the yoga group was 12.9 ± 7.5. The overall (cervical + lumbar) disc scores of the yoga group were significantly lower (indicating less degenerative disc disease) than those of the control group (P < 0.001). The scores for the cervical vertebral discs of the yoga group were also significantly lower than those of the control group (P < 0.001), while the lower scores for the yoga group in the lumbar group approached, but did not reach, statistical significance (P = 0.055). The scores for individual discs of yoga practitioners showed significantly less degenerative disease at three disc levels, C3/C4, L2/L3 and L3/L4 (P < 0.05). Magnetic resonance imaging showed that the group of long-term practitioners of yoga studied had significantly less degenerative disc disease than a matched control group.
    Publication European Spine Journal: Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society
    Volume 20
    Issue 3
    Pages 408-413
    Date Mar 2011
    Journal Abbr Eur Spine J
    DOI 10.1007/s00586-010-1547-y
    ISSN 1432-0932
    Short Title Yoga and disc degenerative disease in cervical and lumbar spine
    URL http://www.ncbi.nlm.nih.gov/pubmed/20711844
    Accessed Monday, April 04, 2011 7:48:36 PM
    Library Catalog NCBI PubMed
    Extra PMID: 20711844
    Date Added Thursday, September 29, 2011 8:56:10 AM
    Modified Thursday, September 29, 2011 8:56:10 AM
  • Hypnosis for chronic pain management: A new hope

    Type Journal Article
    Author Mark P. Jensen
    Abstract The author advocates for research to identify and develop methods for enhancing the efficacy of hypnotic treatments in the face of a resurgence of intrest in hypnosis and hypnotic analgesia. This resurgence may be fueled by three recent trends: (1) the clear evidence that the experience of chronic pain is closely related to supraspinal nervous system activity; (2) research demonstrating that hypnosis has direct effects on the supraspinal sites that are linked to the experience of pain; and (3) research demonstrating that self-hypnosis training is effective for reducing the severity of chronic pain.
    Publication Pain
    Volume 146
    Issue 3
    Pages 235-237
    Date December 5, 2009
    DOI 10.1016/j.pain.2009.06.027
    ISSN 0304-3959
    Short Title Hypnosis for chronic pain management
    URL http://www.sciencedirect.com.ezproxy.bu.edu/science/article/B6T0K-4WR5NTJ-1/2/11e1723d7ff84e383e42a3e2f3cf4cfb
    Accessed Thursday, December 31, 2009 4:34:05 PM
    Library Catalog ScienceDirect
    Date Added Thursday, September 29, 2011 9:05:21 AM
    Modified Thursday, September 29, 2011 9:05:21 AM

    Notes:

    • The aim of this study was to demonstrate that hypnosis has direct effects on many supraspinal sites involved in the experience of pain.

  • Relationships among spiritual beliefs, religious practises, congregational support and health for individuals with traumatic brain injury.

    Type Journal Article
    Author Brick Johnstone
    Author Dong Pil Yoon
    Author Jon Rupright
    Author Stephanie Reid-Arndt
    Abstract Objective: To determine relationships among spiritual beliefs, religious practises, congregational support and health for individuals with traumatic brain injury (TBI). Design: A cross-sectional analysis of 61 individuals with TBI evaluated in an outpatient clinic using the Brief Multidimensional Measure of Religiousness/Spirituality (BMMRS) and the Medical Outcomes Scale-Short Form 36 (SF-36). Results: For persons with TBI the BMMRS Meaning and Values/Beliefs sub-scales were significantly correlated with the SF-36 General Health Perception sub-scale and the BMMRS Religious Support sub-scale was significantly correlated with the SF-36 General Mental Health sub-scale. Hierarchical regressions indicated that the BMMRS Values/Beliefs and Forgiveness sub-scales accounted for 16% additional variance in SF-36 General Health Perception scores beyond that accounted for by demographic variables (i.e. age, income); no BMMRS sub-scales accounted for additional variance in predicting the SF-36 General Mental Health sub-scale beyond that accounted for by demographic variables (i.e. age, income). Conclusions: The physical health of individuals with TBI is associated with spiritual beliefs but not religious practises or congregational support. Better mental health is associated with increasing congregationally based social support for persons with TBI. Religious practises (i.e. praying, etc.) are not related to either physical or mental health, as some persons with TBI may increase prayer with declining health status. [ABSTRACT FROM AUTHOR]
    Publication Brain Injury
    Volume 23
    Issue 5
    Pages 411-419
    Date May 2009
    DOI 10.1080/02699050902788501
    ISSN 02699052
    Library Catalog EBSCOhost
    Date Added Thursday, September 29, 2011 9:06:18 AM
    Modified Thursday, September 29, 2011 9:06:18 AM

    Tags:

    • BRAIN -- Wounds & injuries
    • MENTAL health -- Religious aspects
    • PUBLIC health -- Research
    • REHABILITATION -- Social aspects
    • religion
    • spirituality
  • Relationships among religiousness, spirituality, and health for individuals with stroke

    Type Journal Article
    Author Brick Johnstone
    Author Kelly Lora Franklin
    Author Dong Pil Yoon
    Author Joseph Burris
    Author Cheryl Shigaki
    Abstract The current study evaluated the relationships among spiritual beliefs, religious practices, physical health, and mental health for individuals with stroke. A cross-sectional analysis of 63 individuals evaluated in outpatient settings, including 32 individuals with stroke and 31 healthy controls was conducted through administration of the Brief Multidimensional Measure of Religiousness/Spirituality (BMMRS) and the Medical Outcomes Scale-Short Form 36 (SF-36). For individuals with stroke, the SF-36 General Mental Health scale was significantly correlated with only the BMMRS Religious and Spiritual Coping scale (r = .43; p < .05). No other BMMRS factors were significantly correlated with SF-36 mental or physical health scales. Non-significant trends indicated spiritual factors were primarily related to mental versus physical health. This study suggests spiritual belief that a higher power will assist in coping with illness/disability is associated with better mental health following stroke, but neither religious nor spiritual factors are associated with physical health outcomes. The results are consistent with research that suggests that spiritual beliefs may protect individuals with stroke from experiencing emotional distress.
    Publication Journal of Clinical Psychology in Medical Settings
    Volume 15
    Issue 4
    Pages 308-313
    Date Dec 2008
    Journal Abbr J Clin Psychol Med Settings
    DOI 10.1007/s10880-008-9128-5
    ISSN 1573-3572
    URL http://www.ncbi.nlm.nih.gov/pubmed/19104988
    Accessed Friday, November 13, 2009 7:43:44 PM
    Library Catalog NCBI PubMed
    Extra PMID: 19104988
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Tags:

    • Adaptation, Psychological
    • Attitude to Health
    • Cross-Sectional Studies
    • Female
    • Health Status
    • Humans
    • Male
    • mental health
    • Middle Aged
    • Questionnaires
    • Religion and Medicine
    • spirituality
    • Stress, Psychological
    • Stroke

    Notes:

    • The current study evaluated the relationships among spiritual beliefs, religious practices, physical health, and mental health for individuals with stroke. This study suggests spiritual belief that a higher power will assist in coping with illness/disability is associated with better mental health following stroke, but neither religious nor spiritual factors are associated with physical health outcomes. The results are consistent with research that suggests that spiritual beliefs may protect individuals with stroke from experiencing emotional distress.

  • Relationships among spiritual beliefs, religious practises, congregational support and health for individuals with traumatic brain injury

    Type Journal Article
    Author Brick Johnstone
    Author Dong Pil Yoon
    Author Jon Rupright
    Author Stephanie Reid-Arndt
    Abstract OBJECTIVE: To determine relationships among spiritual beliefs, religious practises, congregational support and health for individuals with traumatic brain injury (TBI). DESIGN: A cross-sectional analysis of 61 individuals with TBI evaluated in an outpatient clinic using the Brief Multidimensional Measure of Religiousness/Spirituality (BMMRS) and the Medical Outcomes Scale-Short Form 36 (SF-36). RESULTS: For persons with TBI the BMMRS Meaning and Values/Beliefs sub-scales were significantly correlated with the SF-36 General Health Perception sub-scale and the BMMRS Religious Support sub-scale was significantly correlated with the SF-36 General Mental Health sub-scale. Hierarchical regressions indicated that the BMMRS Values/Beliefs and Forgiveness sub-scales accounted for 16% additional variance in SF-36 General Health Perception scores beyond that accounted for by demographic variables (i.e. age, income); no BMMRS sub-scales accounted for additional variance in predicting the SF-36 General Mental Health sub-scale beyond that accounted for by demographic variables (i.e. age, income). CONCLUSIONS: The physical health of individuals with TBI is associated with spiritual beliefs but not religious practises or congregational support. Better mental health is associated with increasing congregationally based social support for persons with TBI. Religious practises (i.e. praying, etc.) are not related to either physical or mental health, as some persons with TBI may increase prayer with declining health status.
    Publication Brain Injury: [BI
    Volume 23
    Issue 5
    Pages 411-419
    Date May 2009
    Journal Abbr Brain Inj
    DOI 10.1080/02699050902788501
    ISSN 1362-301X
    URL http://www.ncbi.nlm.nih.gov/pubmed/19306162
    Accessed Friday, November 13, 2009 7:58:24 PM
    Library Catalog NCBI PubMed
    Extra PMID: 19306162
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Notes:

    • Objective: To determine relationships among spiritual beliefs, religious practises, congregational support and health for individuals with traumatic brain injury (TBI). Conclusions: The physical health of individuals with TBI is associated with spiritual beliefs but not religious practises or congregational support. Better mental health is associated with increasing congregationally based social support for persons with TBI.

  • End-of-life decisions in HIV-positive patients: the role of spiritual beliefs

    Type Journal Article
    Author L C Kaldjian
    Author J F Jekel
    Author G Friedland
    Abstract OBJECTIVE: To describe the role of spiritual beliefs in HIV-positive patients' end-of-life decisions. DESIGN: Inperson, cross-sectional survey. SETTING: An HIV/AIDS floor of an urban, university teaching hospital. PATIENTS: Ninety hospitalized HIV-positive patients. MAIN OUTCOME MEASURES: Prior discussions about advance directives, possession of a living will (written advance directive), fear of death, professions of hope and purpose in life, religious beliefs and practices, guilt about HIV infection, and perception of HIV as punishment. RESULTS: Of 104 eligible patients, 90 agreed to be interviewed. Twenty-four per cent of patients had discussed their resuscitation status with a physician and 17% possessed a living will; 44% of patients felt guilty about their HIV infection, 32% expressed fear of death, and 26% felt their disease was some form of punishment. Prior discussions about resuscitation status were less likely in those who perceived HIV as punishment (P=0.009) and more likely in those who believed in God's forgiveness (P=0.043). A living will was more common in those who prayed daily (P=0.025) and in those whose belief in God helped them when thinking about death (P=0.065). Fear of death was more likely in those who perceived HIV as punishment (P=0.01) or felt guilty about having HIV (P=0.039), and less likely in those who read the Bible frequently (P=0.01) or attended church regularly (P=0.015). Outcome measures did not vary significantly according sex, race, HIV risk factors, or education level. CONCLUSIONS: In this HIV-positive population, spiritual beliefs and religious practices appeared to play a role in end-of-life decisions. Discussions about end-of-life decisions may be facilitated by a patient's belief in a forgiving God and impeded by a patient's interpretation of HIV infection as punishment. Health-care providers need to recognize patients' spiritual beliefs and incorporate them into discussions about terminal care.
    Publication AIDS (London, England)
    Volume 12
    Issue 1
    Pages 103-107
    Date Jan 1, 1998
    Journal Abbr AIDS
    ISSN 0269-9370
    Short Title End-of-life decisions in HIV-positive patients
    URL http://www.ncbi.nlm.nih.gov/pubmed/9456260
    Accessed Thursday, November 12, 2009 5:37:10 PM
    Library Catalog NCBI PubMed
    Extra PMID: 9456260
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Tags:

    • Advance Care Planning
    • Cross-Sectional Studies
    • Death
    • Decision Making
    • Educational Status
    • Fear
    • Female
    • GUILT
    • HIV Infections
    • Hospitalization
    • Hospitals, University
    • Humans
    • Living Wills
    • Male
    • Punishment
    • religion
    • Religion and Psychology
    • Resuscitation Orders
    • Risk Factors
    • Sex Factors
    • spirituality
    • Vulnerable Populations

    Notes:

    • Objective: To describe the role of spiritual beliefs in HIV-positive patients’ end-of-life decisions. Conclusions: In this HIV-positive population, spiritual beliefs and religious practices appeared to play a role in end-of-life decisions. Discussions about end-of-life decisions may be facilitated by a patient’s belief in a forgiving God and impeded by a patient’s interpretation of HIV infection as punishment.

  • Correlations Between Spiritual Beliefs and Health-Related Quality of Life of Chronic Hemodialysis Patients in Taiwan

    Type Journal Article
    Author Tze-Wah Kao
    Author Pau-Chung Chen
    Author Chia-Jung Hsieh
    Author Hong-Wei Chiang
    Author Lap-Yuen Tsang
    Author Ing-Fang Yang
    Author Tun-Jun Tsai
    Author Wan-Yu Chen
    Abstract This study evaluated the correlations between spiritual beliefs and health-related quality of life (HRQOL) of hemodialysis (HD) patients in Taiwan. Participants had to complete two questionnaires: the 36-item Short Form Health Survey Questionnaire and the Royal Free Interview for Spiritual and Religious Beliefs. They were then divided into three groups according to their strength of spiritual beliefs2014having no, weak, or strong beliefs. Demographic, clinical, and laboratory data among groups were compared. Correlations between spiritual beliefs and HRQOL were then determined by the analysis of covariance and the post hoc Scheffe tests. Six hundred thirty-three patients completed the study. There were more women in the group of patients with strong beliefs (P =  0.005) and more less-educated patients in the group of patients with weak beliefs (P = 0.005). Patients with no or with strong spiritual beliefs had higher role physical (P =  0.01) and social functioning (SF) (P = 0.001) scores than patients with weak beliefs. After adjustment for gender, age, marital status, education, comorbidities, and time on dialysis, patients with no or with strong spiritual beliefs were found to have higher SF scores (P = 0.02) than patients with weak beliefs. HD patients with no or strong spiritual beliefs had higher SF HRQOL than those with weak spiritual beliefs.
    Publication Artificial Organs
    Volume 33
    Issue 7
    Pages 576-579
    Date 2009
    DOI 10.1111/j.1525-1594.2009.00739.x
    URL http://dx.doi.org.ezproxy.bu.edu/10.1111/j.1525-1594.2009.00739.x
    Accessed Sunday, November 01, 2009 12:10:55 PM
    Library Catalog Wiley InterScience
    Date Added Thursday, September 29, 2011 9:04:55 AM
    Modified Thursday, September 29, 2011 9:04:55 AM
  • The effect of religious and spiritual interventions on the biological, psychological, and spiritual outcomes of oncology patients: A meta-analytic review

    Type Journal Article
    Author ME Kaplar
    Author AB Wachholtz
    Author WH O'Brien
    Abstract In addition to biomedical forms of treatment, many cancer patients have elected to use complementary and alternative medicine (CAM) of a spiritual or religious nature. However, the effectiveness of such spiritual and religious interventions is uncertain. Using a meta-analytic approach, the present study synthesized available treatment-outcome studies on spiritual and religious interventions for cancer patients to determine the efficacy of such interventions. Effect sizes were calculated for three types of outcome measures: biological, psychological, and spiritual. The authors found that nondrug spiritual and religious interventions produced small to moderate effect sizes for treatment versus control comparisons and small effect sizes for pre- versus posttreatment comparisons. Studies that used psychedelic drugs to promote spiritual experiences produced large effect sizes for both treatment versus control and pre- versus posttreatment comparisons. Finally, they found that, overall, treatment versus control comparisons produced larger effect sizes than did pre- versus posttreatment comparisons. Limitations of the studies discussed in the present meta-analysis included the lack of control groups, randomization, and a large number of participants. The results suggest that there is a shortage of sufficiently detailed, high-quality treatment outcome studies examining the efficacy of spiritual and religious interventions for oncology patients. (C) 2004 by The Haworth Press, Inc. All rights reserved.
    Publication Journal of Psychosocial Oncology
    Volume 22
    Issue 1
    Pages 39-49
    Date 2004
    DOI 10.1300/J077v2201_03
    ISSN 0734-7332
    Short Title The effect of religious and spiritual interventions on the biological, psychological, and spiritual outcomes of oncology patients
    URL http://apps.isiknowledge.com.ezproxy.bu.edu/full_record.do?
    product=WOS&search_mode=GeneralSearch&qid=1&…
    Accessed Sunday, September 06, 2009 11:17:45 AM
    Library Catalog ISI Web of Knowledge
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Notes:

    • In addition to biomedical forms of treatment, many cancer patients have elected to use complementary and alternative medicine (CAM) of a spiritual or religious nature. However, the effectiveness of such spiritual and religious interventions is uncertain. Using a meta-analytic approach, the present study synthesized available treatment-outcome studies on spiritual and religious interventions for cancer patients to determine the efficacy of such interventions.

  • Illness cognitions as a pathway between religiousness and subjective health in chronic cardiac patients

    Type Journal Article
    Author Evangelos C Karademas
    Abstract The aim of this study was to examine the role of illness cognitions as a possible pathway between religiousness and subjective health in chronic illness. A sample of 135 chronic cardiac patients completed questionnaires about intrinsic religiousness, frequency of church service attendance, basic illness cognitions (i.e., helplessness, illness acceptance, perceived benefits), and physical and emotional well-being. According to the results, religiousness was significantly associated with subjective health. However, this relationship was indirect, with helplessness and illness acceptance serving as mediators between intrinsic religiousness and health. This finding is significant for understanding the complex relation of religiousness to chronic patients' well-being.
    Publication Journal of Health Psychology
    Volume 15
    Issue 2
    Pages 239-247
    Date Mar 2010
    Journal Abbr J Health Psychol
    DOI 10.1177/1359105309347585
    ISSN 1461-7277
    Accessed Monday, March 22, 2010 8:11:10 PM
    Library Catalog NCBI PubMed
    Extra PMID: 20207667
    Date Added Thursday, September 29, 2011 9:04:02 AM
    Modified Thursday, September 29, 2011 9:04:02 AM

    Notes:

    • The aim of this study was to examine the role of illness cognitions as a possible pathway between religiousness and subjective health in chronic illness. A sample of 135 chronic cardiac patients completed questionnaires about intrinsic religiousness, frequency of church service attendance, basic illness cognitions (i.e., helplessness, illness acceptance, perceived benefits), and physical and emotional well-being. According to the results, religiousness was significantly associated with subjective health. However, this relationship was indirect, with helplessness and illness acceptance serving as mediators between intrinsic religiousness and health. This finding is significant for understanding the complex relation of religiousness to chronic patients’ well-being.

  • Religious Coping and Cancer: Proposing an Acceptance and Commitment Therapy Approach

    Type Journal Article
    Author Maria Karekla
    Author Marios Constantinou
    Abstract A cancer diagnosis is one of the most difficult diagnoses for any person to receive and cope with. Numerous individuals turn to religion or their spiritual beliefs to find meaning through the process of coping with such a serious illness. Therefore, in recent years research on religious coping has received increased attention. The aim of the present paper is to examine the area of religious coping, along with its dimensions and ways to assess it, as it relates to cancer. Moreover, this paper presents a relatively new approach to the psychological treatment of individuals with cancer. Namely, Acceptance and Commitment Therapy (ACT) is a spiritually and religiously sensitive treatment. This approach aims to first explore a person's values (including spiritual and religious values), to subsequently help the person accept any experience that the person has no control over in light of these values, and to then commit and take actions consistent with these values. Recent evidence providing initial support for this approach is discussed. Finally, a case example is presented to illustrate how ACT may be carried out to address religious coping in outpatient clinical practice with cancer patients.
    Publication Cognitive and Behavioral Practice
    Volume 17
    Issue 4
    Pages 371-381
    Date November 2010
    DOI 10.1016/j.cbpra.2009.08.003
    ISSN 1077-7229
    URL http://www.sciencedirect.com/science/article/B7XMX-4YK2FC0-1/2/d9a5c824b787a48cf92031437619a893
    Accessed Monday, December 13, 2010 8:33:37 PM
    Date Added Thursday, September 29, 2011 8:59:19 AM
    Modified Thursday, September 29, 2011 8:59:19 AM

    Notes:

    • This paper presents a relatively new approach to the psychological treatment of individuals with cancer. Namely, Acceptance and Commitment Therapy (ACT) is a spiritually and religiously sensitive treatment. This approach aims to first explore a person's values (including spiritual and religious values), to subsequently help the person accept any experience that the person has no control over in light of these values, and to then commit and take actions consistent with these values. Recent evidence providing initial support for this approach is discussed. Finally, a case example is presented to illustrate how ACT may be carried out to address religious coping in outpatient clinical practice with cancer patients.

  • A developmental twin study of church attendance and alcohol and nicotine consumption: a model for analyzing the changing impact of genes and environment

    Type Journal Article
    Author Kenneth S Kendler
    Author John Myers
    Abstract OBJECTIVE: Church attendance is one of the most consistent predictors of alcohol and nicotine consumption. The authors sought to clarify changes in the role of genetic and environmental factors in influencing church attendance and the interrelationship between church attendance and alcohol and nicotine use from early adolescence into adulthood. METHOD: The authors used data from two interview waves 6 years apart of 1,796 male twins from a population-based register, in which respondents were asked about current and past church attendance and psychoactive drug use. Structural twin models were fitted and tested using the Mx software program. RESULTS: As twins developed from childhood through adulthood, the influence of shared environmental factors on church attendance declined dramatically while genetic factors increased. In early and late adolescence, the negative correlations between church attendance and alcohol and nicotine consumption resulted largely from shared environmental factors. In adulthood, the inverse relationship between church attendance and substance use became stronger and arose largely from genetic factors. CONCLUSIONS: As individuals mature, they increasingly shape their own social environment in large part as a result of their genetically influenced temperament. When individuals are younger and living at home, frequent church attendance reflects a range of familial and social-environmental influences that reduce levels of substance use. In adulthood, by contrast, high levels of church attendance largely index genetically influenced temperamental factors that are protective against substance use. Using genetically informative designs such as twin studies, it is possible to show that the causes of the relationship between social risk factors and substance use can change dramatically over development.
    Publication The American Journal of Psychiatry
    Volume 166
    Issue 10
    Pages 1150-1155
    Date Oct 2009
    Journal Abbr Am J Psychiatry
    DOI 10.1176/appi.ajp.2009.09020182
    ISSN 1535-7228
    Short Title A developmental twin study of church attendance and alcohol and nicotine consumption
    URL http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/19755576
    Accessed Monday, October 19, 2009 8:33:33 PM
    Library Catalog NCBI PubMed
    Extra PMID: 19755576
    Date Added Thursday, September 29, 2011 9:04:55 AM
    Modified Thursday, September 29, 2011 9:04:55 AM

    Tags:

    • Adolescent
    • Adult
    • Age Distribution
    • Age Factors
    • Alcohol Drinking
    • Child
    • Diseases in Twins
    • Genotype
    • Humans
    • Individuality
    • Male
    • Models, Genetic
    • Religion and Psychology
    • Risk Factors
    • Smoking
    • Social Environment
    • Substance-Related Disorders
    • Temperament
    • Twins
    • Twins, Dizygotic
    • Twins, Monozygotic
  • Changes in spirituality and well-being in a retreat program for cardiac patients

    Type Journal Article
    Author James E Kennedy
    Author R Anne Abbott
    Author Beth S Rosenberg
    Abstract CONTEXT: Many epidemiological studies indicate that spirituality or religion are positively correlated with health measures, but research is needed on interventions that change spirituality to verify that it actually affects health and to justify suggestions that changes in spiritual practices or beliefs may have health benefits. However, it is not clear that health interventions can influence spirituality or which techniques are effective. OBJECTIVE: To evaluate whether participation in a retreat program for cardiac patients and their partners resulted in changes in spirituality and whether changes in spirituality were related to changes in well-being meaning in life, anger, and confidence in handling problems. DESIGN: Participants filled out questionnaires before and after participating in the retreat. SETTING: Retreats were sponsored by the Health Promotion and Wellness Program, University of Wisconsin-Stevens Point, and were held in a remote training center. PARTICIPANTS: Notices were sent to cardiac rehabilitation programs and directly to heart patients, resulting in the enrollment of 72 first-time participants. INTERVENTION: The 2.5-day educational retreats included discussion and opportunities to experience healthy lifestyle options. Exercise, nutrition, stress management techniques, communication skills that enhance social support, and spiritual principles of healing were incorporated. Experiential practices included yoga, meditation, visualization, and prayer. RESULTS: Of the participants, 78% reported increased spirituality after the retreat. Changes in spirituality were positively associated with increased well-being meaning in life, confidence in handling problems, and decreased tendency to become angry. CONCLUSIONS: Programs that explore spirituality in a health context can result in increased spirituality that is associated with increased well-being and related measures. Many patients and their families want to integrate the spiritual and health dimensions of their lives. Further work is needed to develop healthcare settings that can support this integration.
    Publication Alternative Therapies in Health and Medicine
    Volume 8
    Issue 4
    Pages 64-66, 68-70, 72-73
    Date 2002 Jul-Aug
    Journal Abbr Altern Ther Health Med
    ISSN 1078-6791
    URL http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/12126175
    Accessed Monday, November 09, 2009 12:45:32 AM
    Library Catalog NCBI PubMed
    Extra PMID: 12126175
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Tags:

    • Adaptation, Psychological
    • Adult
    • Aged
    • Female
    • Heart Diseases
    • Humans
    • Life Style
    • Male
    • Mental Healing
    • Middle Aged
    • Quality of Life
    • Questionnaires
    • Self-Help Groups
    • spirituality
    • Stress, Psychological
    • Time Factors
    • Treatment Outcome
    • United States

    Notes:

    • Objective: To evaluate whether participation in a retreat program for cardiac patients and their partners resulted in changes in spirituality and whether changes in spirituality were related to changes in well-being meaning in life, anger, and confidence in handling problems. Conclusions: Programs that explore spirituality in a health context can result in increased spirituality that is associated with increased well-being and related measures.

  • Spiritual and religious beliefs in acute illness--is this a feasible area for study?

    Type Journal Article
    Author Michael King
    Author P Speck
    Author A Thomas
    Abstract In this paper we discuss the measurement of spiritual, religious and philosophical beliefs in patients admitted to hospital with acute physical illness. The discussion is based on the results of a preliminary study of the beliefs of 300 patients studied by face-to-face interview and questionnaire. Principal outcome measures at 6 months were self reported psychological and belief scores and physical state as reported in the medical records. Two thirds of patients reported a religious and/or spiritual belief system. Strength of belief was not associated with social, psychological or diagnostic factors. However, those patients with a religious and/or spiritual life view who expressed strong beliefs were likely to fare less well clinically. We conclude that empirical study of patients' beliefs is possible, though care must be exercised over the measures used. Beliefs were at least as predictive of outcome as other social and psychological factors. This area is of considerable importance to patients and should not be neglected by carers or researchers.
    Publication Social Science & Medicine
    Volume 38
    Issue 4
    Pages 631-636
    Date 1982
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Notes:

    • In this paper we discuss the measurement of spiritual, religious and philosophical beliefs in patients admitted to hospital with acute physical illness. Beliefs were at least as predictive of outcome as other social and psychological factors.

  • Alcohol use and religiousness/spirituality among adolescents

    Type Journal Article
    Author John R Knight
    Author Lon Sherritt
    Author Sion Kim Harris
    Author David W Holder
    Author John Kulig
    Author Lydia A Shrier
    Author Joy Gabrielli
    Author Grace Chang
    Abstract BACKGROUND: Previous studies indicate that religiousness is associated with lower levels of substance use among adolescents, but less is known about the relationship between spirituality and substance use. The objective of this study was to determine the association between adolescents' use of alcohol and specific aspects of religiousness and spirituality. METHODS: Twelve- to 18-year-old patients coming for routine medical care at three primary care sites completed a modified Brief Multidimensional Measure of Religiousness/Spirituality; the Spiritual Connectedness Scale; and a past-90-days alcohol use Timeline Followback calendar. We used multiple logistic regression analysis to assess the association between each religiousness/spirituality measure and odds of any past-90-days alcohol use, controlling for age, gender, race/ethnicity, and clinic site. Timeline Followback data were dichotomized to indicate any past-90-days alcohol use and religiousness/spirituality scale scores were z-transformed for analysis. RESULTS: Participants (n = 305) were 67% female, 74% Hispanic or black, and 45% from two-parent families. Mean +/- SD age was 16.0 +/- 1.8 years. Approximately 1/3 (34%) reported past-90-day alcohol use. After controlling for demographics and clinic site, Religiousness/Spirituality scales that were not significantly associated with alcohol use included: Commitment (OR = 0.81, 95% CI 0.36, 1.79), Organizational Religiousness (OR = 0.83, 95% CI 0.64, 1.07), Private Religious Practices (OR = 0.94, 95% CI 0.80, 1.10), and Religious and Spiritual Coping--Negative (OR = 1.07, 95% CI 0.91, 1.23). All of these are measures of religiousness, except for Religious and Spiritual Coping--Negative. Scales that were significantly and negatively associated with alcohol use included: Forgiveness (OR = 0.55, 95% CI 0.42-0.73), Religious and Spiritual Coping--Positive (OR = 0.67, 95% CI 0.51-0.84), Daily Spiritual Experiences (OR = 0.67, 95% CI 0.54-0.84), and Belief (OR = 0.76, 95% CI 0.68-0.83), which are all measures of spirituality. In a multivariable model that included all significant measures, however, only Forgiveness remained as a significant negative correlate of alcohol use (OR = 0.56, 95% CI 0.41, 0.74). CONCLUSIONS: Forgiveness is associated with a lowered risk of drinking during adolescence.
    Publication Southern Medical Journal
    Volume 100
    Issue 4
    Pages 349-355
    Date Apr 2007
    Journal Abbr South. Med. J
    ISSN 0038-4348
    URL http://www.ncbi.nlm.nih.gov/pubmed/17458392
    Accessed Friday, November 13, 2009 5:39:14 PM
    Library Catalog NCBI PubMed
    Extra PMID: 17458392
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Tags:

    • Adolescent
    • Alcohol Drinking
    • Child
    • Female
    • Humans
    • Male
    • Massachusetts
    • Odds Ratio
    • Prevalence
    • Prognosis
    • Prospective Studies
    • Questionnaires
    • religion
    • Spiritual Therapies

    Notes:

    • The objective of this study was to determine the association between adolescents’ use of alcohol and specific aspects of religiousness and spirituality. Conclusions: Forgiveness is associated with a lowered risk of drinking during adolescence.

  • Yoga practice in diabetes improves physical and psychological outcomes

    Type Journal Article
    Author Madhu Kosuri
    Author Gumpeny R Sridhar
    Abstract BACKGROUND: The aim of this study was to examine the effect of yoga practice on clinical and psychological outcomes in subjects with type 2 diabetes mellitus (T2DM). METHODS: In a 40-day yoga camp at the Institute of Yoga and Consciousness, ambulatory subjects with T2DM not having significant complications (n = 35) participated in a 40-day yoga camp, where yogic practices were overseen by trained yoga teachers. Clinical, biochemical, and psychological well-being were studied at baseline and at the end of the camp. RESULTS: At the end of the study, there was a reduction of body mass index (BMI) (26.514 +/- 3.355 to 25.771 +/- 3.40; P < 0.001) and anxiety (6.20 +/- 3.72 to 4.29 +/- 4.46; P < 0.05) and an improvement in total general well-being (48.6 +/- 11.13 to 52.66 +/- 52.66 +/- 12.87; P < 0.05). CONCLUSIONS: Participation of subjects with T2DM in yoga practice for 40 days resulted in reduced BMI, improved well-being, and reduced anxiety.
    Publication Metabolic Syndrome and Related Disorders
    Volume 7
    Issue 6
    Pages 515-517
    Date Dec 2009
    Journal Abbr Metab Syndr Relat Disord
    DOI 10.1089/met.2009.0011
    ISSN 1557-8518
    URL http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/19900155
    Accessed Monday, December 28, 2009 2:40:39 PM
    Library Catalog NCBI PubMed
    Extra PMID: 19900155
    Date Added Thursday, September 29, 2011 9:04:55 AM
    Modified Thursday, September 29, 2011 9:04:55 AM
  • Perceptions of death, belief systems and the process of coping with chronic pain

    Type Journal Article
    Author J A Kotarba
    Abstract Chronic pain is an on-going experience of embodied discomfort, quite often associated with neuromuscular pathologies, which fails either to heal naturally or to respond to normal medical intervention. The process of coping with chronic pain most commonly involves both the search for medical or non-medical cure, and the search for meaning for intractable suffering. In this paper, I survey various religious, philosophical and mystical belief systems and their empirical use as resources for meaning. The great variability in the ways ideas of death, the key elements extracted from belief systems during the process of coping, are used reflects the variable success in normalizing chronic pain. Theoretically, this paper adds an important dimension to the concept of the chronic illness trajectory, namely, the issue of inevitability, and discusses clinical and non-clinical aspects of depression among people with chronic pain.
    Publication Social Science & Medicine (1982)
    Volume 17
    Issue 10
    Pages 681-689
    Date 1983
    Journal Abbr Soc Sci Med
    ISSN 0277-9536
    URL http://www.ncbi.nlm.nih.gov/pubmed/6879229
    Accessed Saturday, October 17, 2009 3:44:07 PM
    Library Catalog NCBI PubMed
    Extra PMID: 6879229
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Tags:

    • Adaptation, Psychological
    • Attitude to Death
    • Chronic Disease
    • Humans
    • Pain
    • Suicide

    Notes:

    • The process of coping with chronic pain most commonly involves both the search for medical or non-medical cure, and the search for meaning for intractable suffering. In this paper, I survey various religious, philosophical and mystical belief systems and their empirical use as resources for meaning.

  • Everything changed: spiritual transformation in people with HIV

    Type Journal Article
    Author Heidemarie Kremer
    Author Gail Ironson
    Abstract OBJECTIVES: Spiritual Transformation (ST) is accompanied by dramatic changes in spiritual beliefs along with major changes in behaviors, self-view, and attitudes. This study examined types of ST, as well as its antecedents and consequences in people with HIV. METHOD: Qualitative content analysis was used to analyze interviews about ST in people's lives in two samples: people with chronic HIV-disease (chronic disease sample, n = 74) and people with HIV who identified themselves as spiritual (spiritual sample, n = 73). RESULTS: ST occurred in 39% of the chronic disease and 75% of the spiritual sample. These STs were generally positive (95%) and enduring (M = 8.71 +/- 7.43 years). ST was most frequently associated with spiritual experience (in particular near-death experience), substance-use recovery, and HIV/AIDS-diagnosis. Main antecedents were substance-use disorder, education/upbringing, and desire to change. Further themes were depression/helplessness, confrontation with illness/death, social support, and lifestyle. The top six consequences include spiritual intensification, more spiritual practices, positive feelings toward self, recovery from substance-use, finding new meaning and purpose in life, and increased self-knowledge. In the spiritual sample, there was a common pattern of hitting rock bottom with drugs, having a spiritual experience (in particular a near-death experience), and joining a drug program. CONCLUSIONS: Positive ST occurs in a sizable proportion of people with HIV. Importantly, ST often results in an enduring substance-use recovery, and an improved quality of life as indicated by enhanced gratitude, appreciation, joy, sense of peace, and reduced fear of death.
    Publication International Journal of Psychiatry in Medicine
    Volume 39
    Issue 3
    Pages 243-262
    Date 2009
    Journal Abbr Int J Psychiatry Med
    ISSN 0091-2174
    Short Title Everything changed
    Accessed Tuesday, February 22, 2011 6:34:03 PM
    Library Catalog NCBI PubMed
    Extra PMID: 19967898
    Date Added Thursday, September 29, 2011 9:06:18 AM
    Modified Thursday, September 29, 2011 9:06:18 AM

    Tags:

    • Adaptation, Psychological
    • Adult
    • Case-Control Studies
    • Chronic Disease
    • Female
    • HIV Infections
    • Humans
    • Interpersonal Relations
    • Life Change Events
    • Male
    • Qualitative Research
    • Quality of Life
    • Self Concept
    • spirituality
    • Substance-Related Disorders
  • The fork in the road: HIV as a potential positive turning point and the role of spirituality

    Type Journal Article
    Author H Kremer
    Author G Ironson
    Author L Kaplan
    Abstract We interviewed 147 HIV-positive people regarding their key life-changing experiences - involving profound changes in attitudes, behaviors, beliefs (including spiritual beliefs), or self-views - to determine the prominence of HIV as the key positive/negative turning point. HIV was the key turning point, for 37% (26% positive, 11% negative), whereas for 63% of our sample it was not. Characteristics associated with perceiving HIV as the most positive turning point included having a near-death experience from HIV, increasing spirituality after HIV diagnosis, and feeling chosen by a Higher Powerto have HIV. Notably, perceived antecedents of viewing HIV as the key positive turning point were hitting rock bottom and calling on a Higher Power. Conversely, viewing HIV as the most negative turning point was associated with declining spirituality after diagnosis. Spirituality can both negatively and positively affect coping with HIV. Promoting positive spiritual coping may offer new counseling approaches. Further, for the majority of the participants, HIV is not the key turning point, which may be an indicator of the normalization of HIV with the advent of effective treatment.
    Publication AIDS Care
    Volume 21
    Issue 3
    Pages 368-377
    Date Mar 2009
    Journal Abbr AIDS Care
    DOI 10.1080/09540120802183479
    ISSN 1360-0451
    Short Title The fork in the road
    Accessed Tuesday, February 22, 2011 7:38:32 PM
    Library Catalog NCBI PubMed
    Extra PMID: 19280412
    Date Added Thursday, September 29, 2011 9:06:18 AM
    Modified Thursday, September 29, 2011 9:06:18 AM

    Tags:

    • Adaptation, Psychological
    • Adult
    • Attitude to Health
    • Female
    • HIV Infections
    • Humans
    • Life Change Events
    • Male
    • Quality of Life
    • spirituality
    • Stress, Psychological

    Notes:

    • This study is based on interviews of 147 HIV-positive people regarding their key life-changing experiences – involving profound changes in attitudes, behaviors, beliefs (including spiritual beliefs), or self-views – to determine the prominence of HIV as the key positive/negative turning point. HIV was the key turning point, for 37% (26% positive, 11% negative), whereas for 63% of our sample it was not. Characteristics associated with perceiving HIV as the most positive turning point included having a near-death experience from HIV, increasing spirituality after HIV diagnosis, and feeling chosen by a Higher Power to have HIV. Notably, perceived antecedents of viewing HIV as the key positive turning point were hitting rock bottom and calling on a Higher Power. Conversely, viewing HIV as the most negative turning point was associated with declining spirituality after diagnosis. Spirituality can both negatively and positively affect coping with HIV. Promoting positive spiritual coping may offer new counseling approaches. Further, for the majority of the participants, HIV is not the key turning point, which may be an indicator of the normalization of HIV with the advent of effective treatment.

  • Spiritual and mind–body beliefs as barriers and motivators to HIV-treatment decision-making and medication adherence? A qualitative study.

    Type Journal Article
    Author Heidemarie Kremer
    Author Gail Ironson
    Author Martina Porr
    Abstract We examined spiritual/mind–body beliefs related to treatment decision-making and adherence in 79 HIV-positive people (35% female, 41% African American, 22% Latino, 24% White) who had been offered antiretroviral treatment by their physicians. Interviews (performed in 2003) identified spiritual/mind–body beliefs; the Adult AIDS Clinical Trials Group (ACTG) questionnaire assessed adherence and symptoms/side effects. Decision-making was influenced by health-related spiritual beliefs (e.g., calling on God/Higher Power for help/protection, God/Higher Power controls health) and mind–body beliefs (e.g., mind controls body, body tells when medication is needed). Participants believing God/Higher Power controls health were 4.75 times more likely to refuse, and participants with mind–body beliefs related to decision-making were 5.31 times more likely to defer antiretrovirals than those without those beliefs. Participants believing spirituality helps coping with side effects reported significantly better adherence and fewer symptoms/side effects. Fewer symptoms/side effects were significantly associated with the beliefs mind controls body, calling on God/Higher Power for help/protection, and spirituality helps adherence. Spiritual/mind–body beliefs as barriers or motivators to taking or adhering to treatment are important, since they may affect survival and quality of life of HIV-positive people. (PsycINFO Database Record (c) 2010 APA, all rights reserved) (journal abstract)
    Publication AIDS Patient Care and STDs
    Volume 23
    Issue 2
    Pages 119-126
    Date February 2009
    DOI 10.1089/apc.2008.0131
    ISSN 1087-2914
    Short Title Spiritual and mind–body beliefs as barriers and motivators to HIV-treatment decision-making and medication adherence?
    Library Catalog EBSCOhost
    Date Added Thursday, September 29, 2011 9:06:18 AM
    Modified Thursday, September 29, 2011 9:06:18 AM

    Tags:

    • antiretroviral treatment
    • barriers
    • Decision Making
    • drug treatment adherence
    • Dualism
    • God Concepts
    • Health Care Seeking Behavior
    • HIV
    • HIV treatment decisions
    • mind body beliefs
    • spiritual beliefs
    • spirituality
    • Treatment Barriers
    • Treatment Compliance

    Notes:

    • This study examined spiritual/mind–body beliefs related to treatment decision-making and adherence in 79 HIV-positive people (35% female, 41% African American, 22% Latino, 24% White) who had been offered antiretroviral treatment by their physicians. Interviews (performed in 2003) identified spiritual/mind–body beliefs; the Adult AIDS Clinical Trials Group (ACTG) questionnaire assessed adherence and symptoms/side effects. Decision-making was influenced by health-related spiritual beliefs (e.g., calling on God/Higher Power for help/protection, God/Higher Power controls health) and mind–body beliefs. Participants believing God/Higher Power controls health were 4.75 times more likely to refuse, and participants with mind–body beliefs related to decision-making were 5.31 times more likely to defer antiretrovirals than those without those beliefs. Participants believing spirituality helps coping with side effects reported significantly better adherence and fewer symptoms/side effects. Fewer symptoms/side effects were significantly associated with the beliefs mind controls body, calling on God/Higher Power for help/protection, and spirituality helps adherence. Spiritual/mind–body beliefs as barriers or motivators to taking or adhering to treatment are important, since they may affect survival and quality of life of HIV-positive people.

  • The fork in the road: HIV as a potential positive turning point and the role of spirituality

    Type Journal Article
    Author H Kremer
    Author G Ironson
    Author L Kaplan
    Abstract We interviewed 147 HIV-positive people regarding their key life-changing experiences - involving profound changes in attitudes, behaviors, beliefs (including spiritual beliefs), or self-views - to determine the prominence of HIV as the key positive/negative turning point. HIV was the key turning point, for 37% (26% positive, 11% negative), whereas for 63% of our sample it was not. Characteristics associated with perceiving HIV as the most positive turning point included having a near-death experience from HIV, increasing spirituality after HIV diagnosis, and feeling chosen by a Higher Powerto have HIV. Notably, perceived antecedents of viewing HIV as the key positive turning point were hitting rock bottom and calling on a Higher Power. Conversely, viewing HIV as the most negative turning point was associated with declining spirituality after diagnosis. Spirituality can both negatively and positively affect coping with HIV. Promoting positive spiritual coping may offer new counseling approaches. Further, for the majority of the participants, HIV is not the key turning point, which may be an indicator of the normalization of HIV with the advent of effective treatment.
    Publication AIDS Care
    Volume 21
    Issue 3
    Pages 368-377
    Date Mar 2009
    Journal Abbr AIDS Care
    DOI 10.1080/09540120802183479
    ISSN 1360-0451
    Short Title The fork in the road
    URL http://www.ncbi.nlm.nih.gov/pubmed/19280412
    Accessed Friday, November 13, 2009 7:55:47 PM
    Library Catalog NCBI PubMed
    Extra PMID: 19280412
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Tags:

    • Adaptation, Psychological
    • Adult
    • Attitude to Health
    • Female
    • HIV Infections
    • Humans
    • Life Change Events
    • Male
    • Quality of Life
    • spirituality
    • Stress, Psychological

    Notes:

    • We interviewed 147 HIV-positive people regarding their key life-changing experiences - involving profound changes in attitudes, behaviors, beliefs (including spiritual beliefs), or self-views - to determine the prominence of HIV as the key positive/negative turning point.

  • Spirituality influences health related quality of life in men with prostate cancer

    Type Journal Article
    Author Tracey L Krupski
    Author Lorna Kwan
    Author Arlene Fink
    Author Geoffrey A Sonn
    Author Sally Maliski
    Author Mark S Litwin
    Abstract Spirituality is interdependent with the biological, psychological, and interpersonal aspects of life. Although spirituality has been studied in breast cancer survivors, little work has been done in men with prostate cancer. We sought to determine whether lower spirituality in men with early stage prostate cancer is associated with worse general health-related quality of life (HRQOL), disease-specific HRQOL, or psychosocial health. Two hundred and twenty-two subjects were drawn from a state-funded program providing free prostate cancer treatment to indigent men. Validated instruments captured spirituality, general and disease-specific HRQOL, anxiety, symptom distress, and emotional well-being. We found a consistent relationship between spirituality and the outcomes assessed. Low spirituality was associated with significantly worse physical and mental health, sexual function and more urinary bother after controlling for covariates. All of the psychosocial variables studied reflected worse adjustment in the men with low spirituality. Because the likelihood of prostate cancer survivorship is high, interventions targeting spirituality could impact the physical and psychosocial health of many men.
    Publication Psycho-Oncology
    Volume 15
    Issue 2
    Pages 121-131
    Date Feb 2006
    Journal Abbr Psychooncology
    DOI 10.1002/pon.929
    ISSN 1057-9249
    URL http://www.ncbi.nlm.nih.gov/pubmed/15880458
    Accessed Friday, November 13, 2009 3:00:25 PM
    Library Catalog NCBI PubMed
    Extra PMID: 15880458
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Tags:

    • Aged
    • Anxiety
    • DEMOGRAPHY
    • depression
    • Health Status
    • Humans
    • Interpersonal Relations
    • Male
    • Middle Aged
    • Prostatic Neoplasms
    • Quality of Life
    • Questionnaires
    • spirituality

    Notes:

    • We sought to determine whether lower spirituality in men with early stage prostate cancer is associated with worse general health-related quality of life (HRQOL), disease-specific HRQOL, or psychosocial health. We found a consistent relationship between spirituality and the outcomes assessed. Low spirituality was associated with significantly worse physical and mental health, sexual function and more urinary bother after controlling for covariates.

  • Spirituality and religiosity in patients with HIV: A test and expansion of a model.

    Type Journal Article
    Author Ian Kudel
    Author Sian Cotton
    Author Magda Szaflarski
    Author William C. Holmes
    Author Joel Tsevat
    Abstract Background: A causal model developed by Koenig suggests that higher levels of spirituality and religiosity effect intermediary variables and eventually result in better mental health, which then positively affects physical function. Purpose/Methods: Using structural equation modeling, we tested the model and expanded versions that use self-report data of patients with HIV (n = 345). Results: All models demonstrated good overall fit with significant parameters. The final model found that increased spirituality/religiosity predicted increased religious coping, which influenced social support. Social support, in turn, positively influenced depressed mood (as a measure of mental health); depressed mood affected fatigue; and both variables predicted self-reported physical function. These three variables predicted health rating/utility for one’s health state. Additional analyses found that two covariates, religiosity and race, differentially predicted spirituality/religiosity and religious coping. Conclusion: In patients with HIV, an expanded version of Koenig's model found that increased spirituality/religiosity is positively associated with self-reported outcomes. (PsycINFO Database Record (c) 2011 APA, all rights reserved) (journal abstract)
    Publication Annals of Behavioral Medicine
    Volume 41
    Issue 1
    Pages 92-103
    Date February 2011
    DOI 10.1007/s12160-010-9229-x
    ISSN 0883-6612
    Short Title Spirituality and religiosity in patients with HIV
    Library Catalog EBSCOhost
    Date Added Thursday, September 29, 2011 8:56:57 AM
    Modified Thursday, September 29, 2011 8:56:57 AM

    Tags:

    • HIV
    • HIV patients
    • Quality of Life
    • religiosity
    • spirituality

    Notes:

    • Using structural equation modeling, this study tested the model and expanded versions that use self-report data of patients with HIV.

  • Mind-Body Treatments for the Pain-Fatigue-Sleep Disturbance Symptom Cluster in Persons with Cancer

    Type Journal Article
    Author Kristine L. Kwekkeboom
    Author Catherine H. Cherwin
    Author Jun W. Lee
    Author Britt Wanta
    Abstract Context Co-occurring pain, fatigue, and sleep disturbance comprise a common symptom cluster in patients with cancer. Treatment approaches that target the cluster of symptoms rather than just a single symptom need to be identified and tested.Objectives To synthesize evidence regarding mind-body interventions that have shown efficacy in treating two or more symptoms in the pain-fatigue-sleep disturbance cancer symptom cluster.Methods A literature search was conducted using CINAHL, Medline, and PsychInfo databases through March 2009. Studies were categorized based on the type of mind-body intervention (relaxation, imagery/hypnosis, cognitive-behavioral therapy/coping skills training [CBT/CST], meditation, music, and virtual reality), and a preliminary review was conducted with respect to efficacy for pain, fatigue, and sleep disturbance. Mind-body interventions were selected for review if there was evidence of efficacy for at least two of the three symptoms. Forty-three studies addressing five types of mind-body interventions met criteria and are summarized in this review.Results Imagery/hypnosis and CBT/CST interventions have produced improvement in all the three cancer-related symptoms individually: pain, fatigue, and sleep disturbance. Relaxation has resulted in improvements in pain and sleep disturbance. Meditation interventions have demonstrated beneficial effects on fatigue and sleep disturbance. Music interventions have demonstrated efficacy for pain and fatigue. No trials were found that tested the mind-body interventions specifically for the pain-fatigue-sleep disturbance symptom cluster.Conclusion Efficacy studies are needed to test the impact of relaxation, imagery/hypnosis, CBT/CST, meditation, and music interventions in persons with cancer experiencing concurrent pain, fatigue, and sleep disturbance. These mind-body interventions could help patients manage all the symptoms in the cluster with a single treatment strategy.
    Publication Journal of Pain and Symptom Management
    Volume 39
    Issue 1
    Pages 126-138
    Date January 2010
    DOI 10.1016/j.jpainsymman.2009.05.022
    ISSN 0885-3924
    Accessed Friday, January 29, 2010 12:39:58 PM
    Library Catalog ScienceDirect
    Date Added Thursday, September 29, 2011 9:04:02 AM
    Modified Thursday, September 29, 2011 9:04:02 AM

    Tags:

    • Cancer
    • Fatigue
    • mind-body and relaxation techniques
    • Pain
    • sleep disturbance

    Notes:

    • This study aimed to synthesize evidence regarding mind-body interventions that have shown efficacy in treating two or more symptoms in the pain-fatigue-sleep disturbance cancer symptom cluster.

  • Functional Relaxation as Complementary Therapy in Irritable Bowel Syndrome: A Randomized, Controlled Clinical Trial

    Type Journal Article
    Author Claas Lahmann
    Author Frank Röhricht
    Author Nina Sauer
    Author Michael Noll-Hussong
    Author Joram Ronel
    Author Gerhard Henrich
    Author Angela von Arnim
    Author Thomas Loew
    Abstract In a study of 80 patients with irritable bowel syndrome (IBS), participants were randomly allocated either to functional relaxation (FR) or to enhanced medical care (EMC: treatment as usual plus two counseling interviews) as control intervention with 2 weekly sessions over the 5-week trial each. Thirty-nine patients completed FR and 39 received EMC. FR was significantly superior to EMC, with a standardized effect size of 0.85. The achieved effects through FR remained stable in terms of psychic and bodily impairment after 3-month follow-up.
    Publication The Journal of Alternative and Complementary Medicine
    Volume 16
    Issue 1
    Pages 47-52
    Date 01/2010
    Journal Abbr The Journal of Alternative and Complementary Medicine
    DOI 10.1089/acm.2009.0084
    ISSN 1075-5535
    Short Title Functional Relaxation as Complementary Therapy in Irritable Bowel Syndrome
    URL http://www.liebertonline.com/doi/abs/10.1089/acm.2009.0084
    Accessed Friday, January 29, 2010 10:54:55 AM
    Library Catalog CrossRef
    Date Added Thursday, September 29, 2011 9:04:02 AM
    Modified Thursday, September 29, 2011 9:04:02 AM
  • Invocations and intoxication: does prayer decrease alcohol consumption?

    Type Journal Article
    Author Nathaniel M. Lambert
    Author Frank D. Fincham
    Author Loren D. Marks
    Author Tyler F. Stillman
    Abstract Four methodologically diverse studies (N = 1,758) show that prayer frequency and alcohol consumption are negatively related. In Study 1 (n = 824), we used a cross-sectional design and found that higher prayer frequency was related to lower alcohol consumption and problematic drinking behavior. Study 2 (n = 702) used a longitudinal design and found that more frequent prayer at Time 1 predicted less alcohol consumption and problematic drinking behavior at Time 2, and this relationship held when controlling for baseline levels of drinking and prayer. In Study 3 (n = 117), we used an experimental design to test for a causal relationship between prayer frequency and alcohol consumption. Participants assigned to pray every day (either an undirected prayer or a prayer for a relationship partner) for 4 weeks drank about half as much alcohol at the conclusion of the study as control participants. Study 4 (n = 115) replicated the findings of Study 3, as prayer again reduced drinking by about half. These findings are discussed in terms of prayer as reducing drinking motives.
    Publication Psychology of Addictive Behaviors: Journal of the Society of Psychologists in Addictive Behaviors
    Volume 24
    Issue 2
    Pages 209-219
    Date Jun 2010
    Journal Abbr Psychol Addict Behav
    DOI 10.1037/a0018746
    ISSN 1939-1501
    Short Title Invocations and intoxication
    Accessed Wednesday, July 07, 2010 9:46:31 AM
    Library Catalog NCBI PubMed
    Extra PMID: 20565147
    Date Added Thursday, September 29, 2011 9:04:02 AM
    Modified Thursday, September 29, 2011 9:04:02 AM
  • A Study of the Unique Contribution of Spiritual Coping to Health-Related Quality of Life with Heart Failure

    Type Journal Article
    Author Terry Larsen
    Publication Journal of Cardiac Failure
    Volume 16
    Issue 8, Supplement 1
    Pages S103
    Date August 2010
    DOI 10.1016/j.cardfail.2010.06.360
    ISSN 1071-9164
    Accessed Monday, September 13, 2010 8:46:32 PM
    Library Catalog ScienceDirect
    Date Added Thursday, September 29, 2011 9:02:43 AM
    Modified Thursday, September 29, 2011 9:02:43 AM

    Notes:

    • Research suggests that the heart failure (HF) population is particularly vulnerable to depression due to neurohormonal derangement and its psychological impact. HF patients with depression have been found to have more hospitalizations and poorer outcomes than those who are not depressed. The purpose of this study is to examine factors that predict health-related quality of life (HRQoL) in adults with heart failure. Its aims are (1) to examine level of religious/spiritual coping, spiritual distress, demoralization, depression and HRQoL among adults with heart failure, (2) to examine the relationships of religious/spiritual coping, spiritual distress demoralization, depression and selected demographic variables (age, gender, race/ethnicity and length of living with HF) with HRQoL. The tests revealed significant differences for positive religious/spiritual coping t(113) = 2.72, 95, 84, p < .05 by gender. Women reported lower mean HRQoL scores 58.86 (SD 26.59) than men 68.57 (SD 24.77); and used more positive religious coping 20.95 (SD 4.97) than men 18.05(SD 6.20) p < .05. Correlation analysis found depression and demoralization to be highly correlated (r = .801; p < .05). A significant negative relationship between depression and HRQoL (r = -.645, p < .001), demoralization (r = -507; p < .001) and spiritual distress (r = -.218; p < .05) was found. One-way ANOVA revealed no significant differences in KCCQ scores based upon the demographic variables. Trending towards statistical significance was found with Hispanics 21.26 (SD 5.04) who more likely to use positive religious/spiritual coping than non-Hispanic participants 17.96 (SD = 6.42, p = 0.54). Regression analysis indicate the overall model significantly predicted HRQOL R2 = 0.424, F (4,110) = 20.267, p < . 001. Depression was the only variable that significantly contributed to the model. A holistic approach to managing HF patients should consider the varied human responses of stress and coping, and be culturally sensitive and gender appropriate.

  • The impact of religion on men's blood pressure

    Type Journal Article
    Author David B. Larson
    Author Harold G. Koenig
    Author Berton H. Kaplan
    Author Raymond S. Greenberg
    Author Everett Logue
    Author Herman A. Tyroler
    Abstract Most clinical studies examining the relation between religion and blood pressure status have focused on church attendance, finding lower pressures among frequent attenders. The present study examines the effect on blood pressure status of a religious meaning variable, importance of religion, both by itself and together with frequency of church attendance. The relation between blood pressure, self-perceived importance of religion, and frequency of church attendance was examined among a rural sample of 407 white men free from hypertension or cardiovascular disease. The data confirmed an interaction between the effects of both religious variables on blood pressure status, with importance of religion having an even greater association with lower pressures than church attendance. Diastolic blood pressures of persons with high church attendance and high religious importance were significantly lower than those in the low attendance, low importance group. These differences persisted after adjusting the analyses for age, socioeconomic status, smoking, and weight-height ratio (Quetelet Index). The difference in mean diastolic pressures based on response to the religious importance variable alone was statistically and clinically significant, particularly among men aged 55 and over (6 mm) and among smokers (5 mm). These findings suggest that both religious attitudes and involvement may interact favorably in their effects on cardiovascular hemodynamics.
    Publication Journal of Religion and Health
    Volume 28
    Issue 4
    Pages 265-278
    Date December 01, 1989
    DOI 10.1007/BF00986065
    URL http://dx.doi.org/10.1007/BF00986065
    Accessed Tuesday, October 20, 2009 9:31:37 PM
    Library Catalog SpringerLink
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Notes:

    • The present study examines the effect on blood pressure status of a religious meaning variable, importance of religion, both by itself and together with frequency of church attendance.

  • Religious/spiritual coping and adjustment in individuals with cancer: unanswered questions, important trends, and future directions

    Type Journal Article
    Author Megan E. Lavery
    Author Erin L. O’Hea
    Abstract Thune-Boyle, Stygall, Keshtgar, and Newman's (2006) literature review generated inconclusive findings regarding the relationship between religious coping and illness adjustment in cancer patients. This paper aims to review studies following Thune-Boyle et al. (2006), as well as to categorise trends not previously addressed. Increasingly, current research conceptualises religious coping multidimensionally. Separating religious coping into positive and negative dimensions, negative religious coping appears negatively associated with illness adjustment, while the relationship between positive religious coping and adjustment is unclear. Findings are mixed when examining whether religious coping affects adjustment directly, with nonreligious coping and stage of cancer as potential mediators and moderators. Research suggests that religious needs assessments, as well as spiritually focused therapy may positively impact illness adjustment. Further, causal conclusions are generally curtailed by universal limitations in the design and methods of the religious coping research.
    Publication Mental Health, Religion & Culture
    Volume 13
    Issue 1
    Pages 55-65
    Date January 2010
    DOI 10.1080/13674670903131850
    ISSN 1367-4676
    Short Title Religious/spiritual coping and adjustment in individuals with cancer
    URL http://www.informaworld.com/10.1080/13674670903131850
    Accessed Monday, January 11, 2010 3:25:01 PM
    Library Catalog Informaworld
    Date Added Thursday, September 29, 2011 9:04:35 AM
    Modified Thursday, September 29, 2011 9:04:35 AM

    Notes:

    • Thune-Boyle, Stygall, Keshtgar, and Newman's (2006) literature review generated inconclusive findings regarding the relationship between religious coping and illness adjustment in cancer patients. This paper aims to review studies following Thune-Boyle et al. (2006), as well as to categorise trends not previously addressed. Increasingly, current research conceptualises religious coping multidimensionally. Separating religious coping into positive and negative dimensions, negative religious coping appears negatively associated with illness adjustment, while the relationship between positive religious coping and adjustment is unclear. Findings are mixed when examining whether religious coping affects adjustment directly, with nonreligious coping and stage of cancer as potential mediators and moderators. Research suggests that religious needs assessments, as well as spiritually focused therapy may positively impact illness adjustment. Further, causal conclusions are generally curtailed by universal limitations in the design and methods of the religious coping research.

  • The long-term impact of child abuse on religious behavior and spirituality in men

    Type Journal Article
    Author R Lawson
    Author C Drebing
    Author G Berg
    Author A Vincellette
    Author W Penk
    Abstract OBJECTIVE: Two hypotheses were tested: (1) In a sample of adult men, past experience of child abuse (sexual, physical, or emotional) will be related to higher levels of reported alienation from religion and God as shown in lower rates of current religious behavior, higher frequency of spiritual "injury," and lower stability of religious behavior and experiences; (2) More "severe" forms of abuse will be associated with higher indicators of alienation. METHOD: Data were collected from 1,207 male veterans, 527 (43.7%) of whom reported being abused as a child. Each subject completed the Spiritual Issues Assessment, a large survey which includes data about: (1) KASL Religiosity Index; (2) The Spiritual Injury Scale; and (3) Religious items from the Westberg Personal Health Inventory. RESULTS: A history of sexual abuse was related to significantly greater spiritual injury and lower stability of spiritual behaviors and experiences, but not to overall rate of current religious behavior. Surprisingly, abuse was related to increased frequency of prayer and of "spiritual experience." Multivariate analyses indicate that the effect size is relatively small and the type of abuse was less important than the presence of any form of abuse. CONCLUSIONS: The findings suggest that the impact of childhood abuse is more complex than initially hypothesized. While abuse seems to be related to continuing spiritual injury and distress, it is also related to higher levels of some spiritual activities and experiences which are usually associated with positive spirituality.
    Publication Child Abuse & Neglect
    Volume 22
    Issue 5
    Pages 369-380
    Date May 1998
    Journal Abbr Child Abuse Negl
    ISSN 0145-2134
    URL http://www.ncbi.nlm.nih.gov/pubmed/9631249
    Accessed Thursday, November 12, 2009 5:44:40 PM
    Library Catalog NCBI PubMed
    Extra PMID: 9631249
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Tags:

    • Adult
    • Child
    • CHILD abuse
    • Child Abuse, Sexual
    • Humans
    • Male
    • Religion and Psychology

    Notes:

    • Two hypotheses were tested: (1) In a sample of adult men, past experience of child abuse (sexual, physical, or emotional) will be related to higher levels of reported alienation from religion and God; (2) More “severe” forms of abuse will be associated with higher indicators of alienation. Results: A history of sexual abuse was related to significantly greater spiritual injury and lower stability of spiritual behaviors and experiences, but not to overall rate of current religious behavior. Surprisingly, abuse was related to increased frequency of prayer and of “spiritual experience.”

  • Mindfulness-based stress reduction and cancer: a meta-analysis

    Type Journal Article
    Author Dianne Ledesma
    Author Hiroaki Kumano
    Abstract OBJECTIVE This meta-analysis was conducted to investigate the effects of mindfulness-based stress reduction (MBSR) on the mental and physical health status of various cancer patients. METHODS Ten studies (randomized-controlled trials and observational studies) were found to be eligible for meta-analysis. Individual study results were categorized into mental and physical variables and Cohen's effect size d was computed for each category. RESULTS MBSR may indeed be helpful for the mental health of cancer patients (Cohen's effect size d=0.48); however, more research is needed to show convincing evidence of the effect on physical health (Cohen's effect size d=0.18). CONCLUSION The results suggest that MBSR may improve cancer patients' psychosocial adjustment to their disease.
    Publication Psycho-Oncology
    Volume 18
    Issue 6
    Pages 571-579
    Date Jun 2009
    Journal Abbr Psychooncology
    DOI 10.1002/pon.1400
    ISSN 1099-1611
    Short Title Mindfulness-based stress reduction and cancer
    URL http://www.ncbi.nlm.nih.gov/pubmed/19023879
    Accessed Monday, March 28, 2011 6:23:36 PM
    Library Catalog NCBI PubMed
    Extra PMID: 19023879
    Date Added Thursday, September 29, 2011 9:06:18 AM
    Modified Thursday, September 29, 2011 9:06:18 AM

    Tags:

    • Adaptation, Psychological
    • Aged
    • Arousal
    • Female
    • Humans
    • Male
    • Meditation
    • Middle Aged
    • Neoplasms
    • Prognosis
    • Randomized Controlled Trials as Topic
    • Sick Role
    • Stress, Psychological

    Notes:

    • This meta-analysis was conducted to investigate the effects of mindfulness-based stress reduction (MBSR) on the mental and physical health status of various cancer patients.

  • Mindfulness-based stress reduction and cancer: a meta-analysis

    Type Journal Article
    Author Dianne Ledesma
    Author Hiroaki Kumano
    Abstract OBJECTIVE: This meta-analysis was conducted to investigate the effects of mindfulness-based stress reduction (MBSR) on the mental and physical health status of various cancer patients. METHODS: Ten studies (randomized-controlled trials and observational studies) were found to be eligible for meta-analysis. Individual study results were categorized into mental and physical variables and Cohen's effect size d was computed for each category. RESULTS: MBSR may indeed be helpful for the mental health of cancer patients (Cohen's effect size d=0.48); however, more research is needed to show convincing evidence of the effect on physical health (Cohen's effect size d=0.18). CONCLUSION: The results suggest that MBSR may improve cancer patients' psychosocial adjustment to their disease.
    Publication Psycho-Oncology
    Volume 18
    Issue 6
    Pages 571-579
    Date Jun 2009
    Journal Abbr Psychooncology
    DOI 10.1002/pon.1400
    ISSN 1099-1611
    Short Title Mindfulness-based stress reduction and cancer
    URL http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/19023879
    Accessed Saturday, September 26, 2009 3:20:12 PM
    Library Catalog NCBI PubMed
    Extra PMID: 19023879
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Tags:

    • Adaptation, Psychological
    • Aged
    • Arousal
    • Female
    • Humans
    • Male
    • Meditation
    • Middle Aged
    • Neoplasms
    • Prognosis
    • Randomized Controlled Trials as Topic
    • Sick Role
    • Stress, Psychological

    Notes:

    • This meta-analysis was conducted to investigate the effects of mindfulness-based stress reduction (MBSR) on the mental and physical health status of various cancer patients. Results: MBSR may indeed be helpful for the mental health of cancer patients (Cohen’s effect size d=0.48); however, more research is needed to show convincing evidence of the effect on physical health (Cohen’s effect size d=0.18). Conclusion: The results suggest that MBSR may improve cancer patients’ psychosocial adjustment to their disease.

  • Yoga for menopausal symptoms: a systematic review

    Type Journal Article
    Author Myeong Soo Lee
    Author Jong-In Kim
    Author Jeong Yong Ha
    Author Kate Boddy
    Author Edzard Ernst
    Abstract OBJECTIVE: The aim of this study was to assess the effectiveness of yoga as a treatment option for menopausal symptoms. METHODS: We searched the literature using 14 databases from their inception to July 2008 and included all types of clinical studies regardless of their design. The methodological quality of all studies was assessed using a modified Jadad score. RESULTS: Seven studies met our inclusion criteria. Two randomized clinical trials compared the effects of yoga with those of walking or physical exercise. The meta-analysis of these data failed to show specific effects of yoga on menopausal complaints including psychological, somatic, and vasomotor symptoms. Two randomized clinical trials found no effects of yoga on total menopausal symptoms compared with wait-list control or no treatment. The remaining studies were either non-randomized (n = 1) or uncontrolled clinical trials (n = 3). They reported favorable effects of yoga on menopausal symptoms. These data collectively show that the results of rigorous studies of the effects of yoga for menopausal symptoms are unconvincing. CONCLUSION: The evidence is insufficient to suggest that yoga is an effective intervention for menopause. Further research is required to investigate whether there are specific benefits of yoga for treating menopausal symptoms.
    Publication Menopause (New York, N.Y.)
    Volume 16
    Issue 3
    Pages 602-608
    Date 2009 May-Jun
    Journal Abbr Menopause
    DOI 10.1097/gme.0b013e31818ffe39
    ISSN 1530-0374
    Short Title Yoga for menopausal symptoms
    Accessed Tuesday, February 22, 2011 7:58:32 PM
    Library Catalog NCBI PubMed
    Extra PMID: 19169169
    Date Added Thursday, September 29, 2011 9:06:18 AM
    Modified Thursday, September 29, 2011 9:06:18 AM

    Tags:

    • Hot Flashes
    • Humans
    • Male
    • Menopause
    • yoga

    Notes:

    • This article reviews the literature on the effectiveness of yoga practices for treating menopausal symptoms and finds that there is insufficient evidence to suggest that yoga practices are an effective intervention.

  • Tai chi for breast cancer patients: a systematic review

    Type Journal Article
    Author Myeong Soo Lee
    Author Tae-Young Choi
    Author Edzard Ernst
    Abstract The objective of this review was to assess the effectiveness of tai chi for supportive breast cancer care. Eleven databases were searched from inception through December 2009. Controlled trials testing tai chi in patients with breast cancer that assessed clinical outcome measures were considered. The selection of studies, data extraction, and validations were performed independently by two reviewers. Risk of bias was assessed using Cochrane criteria. Three randomized clinical trials (RCTs) and four non-randomized controlled clinical trials (CCTs) met our inclusion criteria. The three RCTs tested the effects of tai chi on breast cancer care compared with walking exercise, psychological support therapy, or spiritual growth or standard health care and showed no significant differences between tai chi and these control procedures in quality of life and psychological and physical outcome measures. The meta-analysis also failed to demonstrate significant effects of tai chi compared with control interventions (n = 38, SMD, 0.45, 95% CI −0.25 to 1.14, P = 0.21; heterogeneity: χ2 = 0.23, P = 0.63; I 2 = 0%). All of the four CCTs showed favorable effects of tai chi. Three trials suggested effectiveness in psychological and physical outcome measures, whereas one study was too poorly reported to be evaluated in detail. All of the CCTs had a high risk of bias. Collectively, the existing trial evidence does not show convincingly that tai chi is effective for supportive breast cancer care. Future studies should be of high methodological quality, with a particular emphasis on including an adequate control intervention.
    Publication Breast Cancer Research and Treatment
    Volume 120
    Issue 2
    Pages 309-316
    Date 2/2010
    Journal Abbr Breast Cancer Res Treat
    DOI 10.1007/s10549-010-0741-2
    ISSN 0167-6806
    URL http://www.springerlink.com/index/10.1007/s10549-010-0741-2
    Date Added Thursday, September 29, 2011 9:03:23 AM
    Modified Thursday, September 29, 2011 9:03:23 AM

    Notes:

    • The objective of this review was to assess the
      effectiveness of tai chi for supportive breast cancer care.
      Eleven databases were searched from inception through
      December 2009. Controlled trials testing tai chi in patients
      with breast cancer that assessed clinical outcome measures
      were considered.

  • Internal qigong for pain conditions: a systematic review

    Type Journal Article
    Author Myeong Soo Lee
    Author Max H Pittler
    Author Edzard Ernst
    Abstract The objective of this systematic review was to assess the evidence for the effectiveness of internal qigong as a treatment option for pain conditions. Nineteen databases were searched through to February 2009. Controlled clinical trials testing internal qigong in patients with pain of any origin assessing clinical outcome measures were considered. Trials using any type of internal qigong and control intervention were included. The selection of studies, data extraction, and validation were performed independently by 2 reviewers. Four randomized clinical trials (RCTs) and 3 controlled clinical trials met all inclusion criteria. One RCT suggested no significant difference for low back pain compared with electromyographic biofeedback. Two RCTs failed to show effects of internal qigong in neck pain compared with exercise therapy and waiting list control. One RCT suggested that qigong is inferior to aerobic exercise in patients with fibromyalgia. There are few RCTs testing the effectiveness of internal qigong in the management of pain conditions. Collectively, the existing trial evidence is not convincing enough to suggest that internal qigong is an effective modality for pain management. PERSPECTIVE: This review of controlled clinical trials focused on the effects of internal qigong, a self-directed energy healing intervention involving movement and meditation. Collectively, the existing trial evidence is not convincing enough to suggest that internal qigong is an effective modality for pain management. Future studies should be of high quality with particular emphasis on designing an adequate control intervention.
    Publication The Journal of Pain: Official Journal of the American Pain Society
    Volume 10
    Issue 11
    Pages 1121-1127.e14
    Date Nov 2009
    Journal Abbr J Pain
    DOI 10.1016/j.jpain.2009.03.009
    ISSN 1528-8447
    Short Title Internal qigong for pain conditions
    URL http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/19559656
    Accessed Monday, November 23, 2009 7:50:26 PM
    Library Catalog NCBI PubMed
    Extra PMID: 19559656
    Date Added Thursday, September 29, 2011 9:04:55 AM
    Modified Thursday, September 29, 2011 9:04:55 AM

    Notes:

    • The objective of this systematic review was to assess the evidence for the effectiveness of internal qigong as a treatment option for pain conditions. Nineteen databases were searched through to February 2009. Controlled clinical trials testing internal qigong in patients with pain of any origin assessing clinical outcome measures were considered. Trials using any type of internal qigong and control intervention were included. The selection of studies, data extraction, and validation were performed independently by 2 reviewers. Four randomized clinical trials (RCTs) and 3 controlled clinical trials met all inclusion criteria. One RCT suggested no significant difference for low back pain compared with electromyographic biofeedback. Two RCTs failed to show effects of internal qigong in neck pain compared with exercise therapy and waiting list control. One RCT suggested that qigong is inferior to aerobic exercise in patients with fibromyalgia. There are few RCTs testing the effectiveness of internal qigong in the management of pain conditions. Collectively, the existing trial evidence is not convincing enough to suggest that internal qigong is an effective modality for pain management. PERSPECTIVE: This review of controlled clinical trials focused on the effects of internal qigong, a self-directed energy healing intervention involving movement and meditation. Collectively, the existing trial evidence is not convincing enough to suggest that internal qigong is an effective modality for pain management. Future studies should be of high quality with particular emphasis on designing an adequate control intervention.

  • Qigong for type 2 diabetes care: a systematic review

    Type Journal Article
    Author Myeong Soo Lee
    Author Kevin W Chen
    Author Tae-Young Choi
    Author Edzard Ernst
    Abstract OBJECTIVES: To summarize and critically evaluate the evidence available from clinical trials (CTs) of qigong for patients with type 2 diabetes. METHODS: We have searched the literature using 15 databases from their respective inceptions through March 2009 without language restrictions. Risk of bias was assessed using Cochrane criteria. RESULTS: Nine CTs, which included three randomized clinical trials (RCTs), one controlled clinical trial (CCT) and five uncontrolled observational studies (UOSs), met our inclusion criteria. Three RCTs compared qigong plus usual care (including drug therapy) with usual care alone. The quality of these RCTs was poor. Their results suggested favorable effects of qigong on glycosylated hemoglobin (HbA1c), 2h plasma glucose (2hPG), insulin sensitivity, and blood viscosity. One CCT compared qigong with no treatment and failed to show favorable effects of qigong on fasting plasma glucose (FPG), 2hPG, HbA1c and insulin sensitivity. All UOSs reported beneficial effects of qigong on FPG or 2hPG. CONCLUSION: Currently there are few rigorous trials testing the effectiveness of qigong for type 2 diabetes. The studies that are available are of low methodological quality. Collectively this evidence is insufficient to suggest that qigong is an effective treatment for type 2 diabetes. Rigorously designed trials are warranted to answer the many questions that remain open.
    Publication Complementary Therapies in Medicine
    Volume 17
    Issue 4
    Pages 236-242
    Date Aug 2009
    Journal Abbr Complement Ther Med
    DOI 10.1016/j.ctim.2009.05.001
    ISSN 1873-6963
    Short Title Qigong for type 2 diabetes care
    URL http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/19632552
    Accessed Monday, November 02, 2009 12:57:47 PM
    Library Catalog NCBI PubMed
    Extra PMID: 19632552
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Tags:

    • Blood Glucose
    • Blood Physiological Phenomena
    • Breathing Exercises
    • Clinical Trials as Topic
    • Diabetes Mellitus, Type 2
    • Hemoglobin A, Glycosylated
    • Humans
    • Insulin Resistance

    Notes:

    • Objectives To summarize and critically evaluate the evidence available from clinical trials (CTs) of qigong for patients with type 2 diabetes. Conclusion: Currently there are few rigorous trials testing the effectiveness of qigong for type 2 diabetes. Collectively this evidence is insufficient to suggest that qigong is an effective treatment for type 2 diabetes.

  • Tai chi for rheumatoid arthritis: systematic review

    Type Journal Article
    Author M S Lee
    Author M H Pittler
    Author E Ernst
    Abstract The objective of this systematic review is to evaluate data from controlled clinical trials testing the effectiveness of tai chi for treating rheumatoid arthritis (RA). Systematic searches were conducted on Medline, Pubmed, AMED, British Nursing Index, CINAHL, EMBASE, PsycInfo, The Cochrane Library 2007, Issue 1, the UK National Research Register and ClinicalTrials.gov, Korean medical databases, Qigong and Energy Medicine Database and Chinese databases up to January 2007. Hand-searches included conference proceedings and our own files. There were no restrictions regarding the language of publication. All controlled trials of tai chi for patients with RA were considered for inclusion. Methodological quality was assessed using the Jadad score. The searches identified 45 potentially relevant studies. Two randomized clinical trials (RCTs) and three non-randomized controlled clinical trials (CCTs) met all inclusion criteria. The included RCTs reported some positive findings for tai chi on disability index, quality of life, depression and mood for RA patients. Two RCTs assessed pain outcomes and did not demonstrate effectiveness on pain reduction compared with education plus stretching exercise and usual activity control. The extent of heterogeneity in these RCTs prevented a meaningful meta-analysis. Currently there are few trials testing the effectiveness of tai chi in the management of RA. The studies that are available are of low methodological quality. Collectively this evidence is not convincing enough to suggest that tai chi is an effective treatment for RA. The value of tai chi for this indication therefore remains unproven.
    Publication Rheumatology (Oxford, England)
    Volume 46
    Issue 11
    Pages 1648-1651
    Date Nov 2007
    Journal Abbr Rheumatology (Oxford)
    DOI 10.1093/rheumatology/kem151
    ISSN 1462-0324
    Short Title Tai chi for rheumatoid arthritis
    URL http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/17634188
    Accessed Monday, November 02, 2009 1:08:14 PM
    Library Catalog NCBI PubMed
    Extra PMID: 17634188
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Tags:

    • Arthritis, Rheumatoid
    • Controlled Clinical Trials as Topic
    • Evidence-Based Medicine
    • Humans
    • Pain
    • Tai Ji

    Notes:

    • The objective of this systematic review is to evaluate data from controlled clinical trials testing the effectiveness of tai chi for treating rheumatoid arthritis (RA). Evidence is not convincing enough to suggest that tai chi is an effective treatment for RA. The value of tai chi for this indication therefore remains unproven.

  • Qigong for cancer treatment: a systematic review of controlled clinical trials

    Type Journal Article
    Author Myeong Soo Lee
    Author Kevin W Chen
    Author Kenneth M Sancier
    Author Edzard Ernst
    Abstract Qigong is a mind-body integrative exercise or intervention from traditional Chinese medicine used to prevent and cure ailments, to improve health and energy levels through regular practice. The aim of this systematic review is to summarize and critically evaluate the effectiveness of qigong used as a stand-alone or additional therapy in cancer care. We have searched the literature using the following databases from their respective inceptions through November 2006: MEDLINE, AMED, British Nursing Index, CINAHL, EMBASE, PsycInfo, The Cochrane Library 2006, Issue 4, four Korean Medical Databases, Qigong and Energy Medicine Database from Qigong Institute and four Chinese Databases. Randomised and non-randomised clinical trials including patients with cancer or past experience of cancer receiving single or combined qigong interventions were included. All clinical endpoints were considered. The methodological quality of the trials was assessed using the Jadad score. Nine studies met our inclusion criteria (four were randomised trials and five were non-randomised studies). Eight of these trials tested internal qigong and one trial did not reported details. The methodological quality of these studies varies greatly and was generally poor. All trials related to palliative/supportive cancer care and none to qigong as a curative treatment. Two trials suggested effectiveness in prolonging life of cancer patients and one failed to do so. We conclude that the effectiveness of qigong in cancer care is not yet supported by the evidence from rigorous clinical trials.
    Publication Acta Oncologica (Stockholm, Sweden)
    Volume 46
    Issue 6
    Pages 717-722
    Date 2007
    Journal Abbr Acta Oncol
    DOI 10.1080/02841860701261584
    ISSN 0284-186X
    Short Title Qigong for cancer treatment
    URL http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/17653892
    Accessed Tuesday, October 20, 2009 9:28:53 PM
    Library Catalog NCBI PubMed
    Extra PMID: 17653892
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Tags:

    • Antineoplastic Agents
    • Breathing Exercises
    • Databases as Topic
    • Evidence-Based Medicine
    • Medicine, Chinese Traditional
    • Neoplasms
    • Treatment Outcome

    Notes:

    • The aim of this systematic review is to summarize and critically evaluate the effectiveness of qigong used as a stand-alone or additional therapy in cancer care. We conclude that the effectiveness of qigong in cancer care is not yet supported by the evidence from rigorous clinical trials.

  • Internal Qigong for Pain Conditions: A Systematic Review

    Type Journal Article
    Author Myeong Soo Lee
    Author Max H Pittler
    Author Edzard Ernst
    Abstract The objective of this systematic review was to assess the evidence for the effectiveness of internal qigong as a treatment option for pain conditions. Nineteen databases were searched through to February 2009. Controlled clinical trials testing internal qigong in patients with pain of any origin assessing clinical outcome measures were considered. Trials using any type of internal qigong and control intervention were included. The selection of studies, data extraction, and validation were performed independently by 2 reviewers. Four randomized clinical trials (RCTs) and 3 controlled clinical trials met all inclusion criteria. One RCT suggested no significant difference for low back pain compared with electromyographic biofeedback. Two RCTs failed to show effects of internal qigong in neck pain compared with exercise therapy and waiting list control. One RCT suggested that qigong is inferior to aerobic exercise in patients with fibromyalgia. There are few RCTs testing the effectiveness of internal qigong in the management of pain conditions. Collectively, the existing trial evidence is not convincing enough to suggest that internal qigong is an effective modality for pain management. PERSPECTIVE: This review of controlled clinical trials focused on the effects of internal qigong, a self-directed energy healing intervention involving movement and meditation. Collectively, the existing trial evidence is not convincing enough to suggest that internal qigong is an effective modality for pain management. Future studies should be of high quality with particular emphasis on designing an adequate control intervention.
    Publication The Journal of Pain: Official Journal of the American Pain Society
    Date Jun 24, 2009
    Journal Abbr J Pain
    DOI 10.1016/j.jpain.2009.03.009
    ISSN 1528-8447
    Short Title Internal Qigong for Pain Conditions
    URL http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/19559656
    Accessed Saturday, September 26, 2009 3:47:59 PM
    Library Catalog NCBI PubMed
    Extra PMID: 19559656
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Notes:

    • The objective of this systematic review was to assess the evidence for the effectiveness of internal qigong as a treatment option for pain conditions. Collectively, the existing trial evidence is not convincing enough to suggest that internal qigong is an effective modality for pain management.

  • External qigong for pain conditions: a systematic review of randomized clinical trials

    Type Journal Article
    Author Myeong Soo Lee
    Author Max H Pittler
    Author Edzard Ernst
    Abstract The aim of this systematic review was to assess the clinical evidence of external qigong as a treatment option for pain conditions. Databases were searched up to January 2007. Randomized, clinical trials (RCTs) testing external qigong in patients with pain of any origin assessing clinical outcomes were considered. Trials using any type of control group were included. The selection of studies, data extraction, and validation were performed independently by at least 2 reviewers. One hundred forty-one potentially relevant studies were identified and 5 RCTs could be included. All RCTs of external qigong demonstrated greater pain reductions in the qigong groups compared with control groups. Meta-analysis of 2 RCTs showed a significant effect of external qigong compared with general care for treating chronic pain (Pain 100 mm VAS; weighted main differences, 36.3 mm; 95% CI, 22.8 to 49.8; P < .001; heterogeneity: chi(2) = 1.79, P = .18, I(2) = 44.0%, n = 80). The evidence from RCTs testing the effectiveness of external qigong for treating pain is encouraging. Further studies are warranted. PERSPECTIVE: This review of clinical studies focused on the efficacy of qigong, an energy-healing intervention used to prevent and cure ailments. A meta-analysis shows that evidence for the effectiveness of external qigong is encouraging, though further studies are warranted.
    Publication The Journal of Pain: Official Journal of the American Pain Society
    Volume 8
    Issue 11
    Pages 827-831
    Date Nov 2007
    Journal Abbr J Pain
    DOI 10.1016/j.jpain.2007.05.016
    ISSN 1526-5900
    Short Title External qigong for pain conditions
    URL http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/17690012
    Accessed Monday, November 02, 2009 1:07:40 PM
    Library Catalog NCBI PubMed
    Extra PMID: 17690012
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Tags:

    • Breathing Exercises
    • Humans
    • Pain
    • Pain Measurement
    • Randomized Controlled Trials as Topic

    Notes:

    • The aim of this systematic review was to assess the clinical evidence of external qigong as a treatment option for pain conditions. A meta-analysis shows that evidence for the effectiveness of external qigong is encouraging, though further studies are warranted.

  • Randomized controlled trial of mindfulness-based stress reduction (MBSR) for survivors of breast cancer

    Type Journal Article
    Author Cecile A. Lengacher
    Author Versie Johnson-Mallard
    Author Janice Post-White
    Author Manolete S. Moscoso
    Author Paul B. Jacobsen
    Author Thomas W. Klein
    Author Raymond H. Widen
    Author Shirley G. Fitzgerald
    Author Melissa M. Shelton
    Author Michelle Barta
    Author Matthew Goodman
    Author Charles E. Cox
    Author Kevin E. Kip
    Abstract Objectives: Considerable morbidity persists among survivors of breast cancer (BC) including high levels of psychological stress, anxiety, depression, fear of recurrence, and physical symptoms including pain, fatigue, and sleep disturbances, and impaired quality of life. Effective interventions are needed during this difficult transitional period.Methods: We conducted a randomized controlled trial of 84 female BC survivors (Stages 0-III) recruited from the H. Lee Moffitt Cancer and Research Institute. All subjects were within 18 months of treatment completion with surgery and adjuvant radiation and/or chemotherapy. Subjects were randomly assigned to a 6-week Mindfulness-Based Stress Reduction (MBSR) program designed to self-regulate arousal to stressful circumstances or symptoms (n=41) or to usual care (n=43). Outcome measures compared at 6 weeks by random assignment included validated measures of psychological status (depression, anxiety, perceived stress, fear of recurrence, optimism, social support) and psychological and physical subscales of quality of life (SF-36).Results: Compared with usual care, subjects assigned to MBSR(BC) had significantly lower (two-sided p&lt;0.05) adjusted mean levels of depression (6.3 vs 9.6), anxiety (28.3 vs 33.0), and fear of recurrence (9.3 vs 11.6) at 6 weeks, along with higher energy (53.5 vs 49.2), physical functioning (50.1 vs 47.0), and physical role functioning (49.1 vs 42.8). In stratified analyses, subjects more compliant with MBSR tended to experience greater improvements in measures of energy and physical functioning.Conclusions: Among BC survivors within 18 months of treatment completion, a 6-week MBSR(BC) program resulted in significant improvements in psychological status and quality of life compared with usual care. Copyright © 2009 John Wiley & Sons, Ltd
    Publication Psycho-Oncology
    Volume 18
    Issue 12
    Pages 1261-1272
    Date Dec 2009
    DOI 10.1002/pon.1529
    URL http://dx.doi.org.ezproxy.bu.edu/10.1002/pon.1529
    Accessed Thursday, December 17, 2009 1:43:14 PM
    Library Catalog Wiley InterScience
    Date Added Thursday, September 29, 2011 9:04:55 AM
    Modified Thursday, September 29, 2011 9:04:55 AM

    Notes:

    • We conducted a randomized controlled trial of 84 female BC survivors (Stages 0–III) recruited from the H. Lee Moffitt Cancer and Research Institute. All subjects were within 18 months of treatment completion with surgery and adjuvant radiation and/or chemotherapy. Subjects were randomly assigned to a 6-week Mindfulness-Based Stress Reduction (MBSR) program designed to self-regulate arousal to stressful circumstances or symptoms (n=41) or to usual care (n=43). Outcome measures compared at 6 weeks by random assignment included validated measures of psychological status (depression, anxiety, perceived stress, fear of recurrence, optimism, social support) and psychological and physical subscales of quality of life (SF-36).

  • Heart Rate Variability during two Relaxation Techniques in Post-MI Men

    Type Journal Article
    Author A. Leonaite
    Author A. Vainoras
    Abstract A. Leonaite, A. Vainoras. Heart Rate Variability during two Relaxation Techniques in Post-MI Men // Electronics and Electrical Engineering. - Kaunas: Technologija, 2010. - No. 5(101). - P. 107-110. This study examines the short-term effect of two relaxation techniques on heart rate variability (HRV) in patients with ischemic heart disease The focus of our work was on whether progressive muscular relaxation and body scan meditation produce any reliable changes of HRV and whether these changes are any different from those produced by a comparable period of just lying quietly. A computerized ECG analysis system "Kaunas-load", developed by the Institute of Cardiology of Kaunas Medical University, was applied for 12-lead ECG recording and analysis ECG was recorded with the patient lying quietly for 5 min before each performed technique, for 20 min during each relaxation activity and for 5 min after each performed technique Participants listened via headphone to audio-recorded relaxation instructions The changes in HRV were analyzed. The results indicate both similarities and differences in the HRV responses to different relaxing activities III 7, bibl 12 (in English, abstracts in English, Russian and Lithuanian).
    Publication Electronics and Electrical Engineering
    Volume 5
    Issue 101
    Pages 107-110
    Date 2010
    ISSN 1392-1215
    Accessed Tuesday, June 15, 2010 11:03:01 AM
    Library Catalog ISI Web of Knowledge
    Date Added Thursday, September 29, 2011 9:04:02 AM
    Modified Thursday, September 29, 2011 9:04:02 AM
  • Is religion therapeutically significant for hypertension?

    Type Journal Article
    Author Jeffrey S. Levin
    Author Harold Y. Vanderpool
    Abstract Epidemiologic studies of the effects of religion on blood pressure suggest that religious commitment is inversely associated with blood pressure and that several religious denominations or groups have relatively low rates of hypertension-related morbidity and mortality. In this review, we examine the implication that certain characteristics and functions of religion account for this association, and we posit 12 possible explanations for this finding. We propose that a salutary effect of religion on blood pressure can be explained by some combination of the following correlates or sequelae of religion: the promotion of health-related behavior; hereditary predispositions in particular groups; the healthful psychosocial effects of religious practice; and, the beneficial psychodynamics of belief systems, religious rites, and faith. Since past epidemiologic studies may have been methodologically limited or flawed, possible explanations for the findings of these studies also include epistemological confusion, measurement problems, and analytical errors. Finally, for the sake of completeness, two more speculative hypotheses are identified: superempirical and supernatural influences or pathways.
    Publication Social Science & Medicine
    Volume 29
    Issue 1
    Pages 69-78
    Date 1989
    DOI 10.1016/0277-9536(89)90129-9
    ISSN 0277-9536
    URL http://www.sciencedirect.com.ezproxy.bu.edu/science/article/B6VBF-469WW2W-1J/2/ba793086478c6c6fbc74c8141f7d38b9
    Accessed Friday, October 30, 2009 3:42:20 PM
    Library Catalog ScienceDirect
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Tags:

    • Blood Pressure
    • epidemiology
    • Hypertension
    • methodology
    • religion

    Notes:

    • This review examines the implication that certain characteristics and functions of religion account for the association between religion and reduced hypertension and posits 12 possible explanations for this finding.

  • Religious concepts among individuals with intellectual disability: A comparison between adolescents and adults.

    Type Journal Article
    Author Heftziba Lifshitz
    Author Yaacov J. Katz
    Abstract This study compared behavioral, cognitive, and motivational components of religiosity among 54 Jewish adolescents (aged 13–21 years) and 35 adults (aged 30–60 years) with intellectual disability (ID) (IQ = 40–69). A special questionnaire was constructed based on several previous studies by other authors. A different pattern was found between age groups. The adolescents fulfilled Jewish commandments to a greater extent than the adults. Social psychology theories regarding religion change/stability over the lifecycle can serve as an explanation for these findings. The cognitive component was measured using a Piagetean-type scale. The scores in prayer efficacy and providence of God were significantly higher among the adults than among the adolescents. The adults also exhibited more mature motives of fulfilling commandments (dependence on God) than the adolescents. Regression analysis indicated that among the adolescents, mental age contributed to the explained variance of the behavioral and cognitive components, while among the adults chronological age contributed to the explained variance of these components. (PsycINFO Database Record (c) 2010 APA, all rights reserved) (journal abstract)
    Publication European Journal of Special Needs Education
    Volume 24
    Issue 2
    Pages 183-201
    Date May 2009
    DOI 10.1080/08856250902793651
    ISSN 0885-6257
    Short Title Religious concepts among individuals with intellectual disability
    Library Catalog EBSCOhost
    Date Added Thursday, September 29, 2011 9:06:18 AM
    Modified Thursday, September 29, 2011 9:06:18 AM

    Tags:

    • adolescents
    • adults
    • Age differences
    • Behavior
    • behavioral components
    • cognitive components
    • Cognitive Processes
    • intellectual disabilities
    • Mental Retardation
    • Motivation
    • motivational components
    • religiosity

    Notes:

    • This study compared behavioural, cognitive, and motivational components of religiosity among 54 Jewish adolescents (aged 13–21 years) and 35 adults (aged 30–60 years) with intellectual disability (ID) (IQ=40–69). A special questionnaire was constructed which revealed a different pattern was found between age groups. The adolescents fulfilled Jewish commandments to a greater extent than the adults. The authors look at social psychology theories to serve as an explanation for these findings.

  • Assessing spirituality/religiosity in the treatment environment: the Treatment Spirituality/Religiosity Scale

    Type Journal Article
    Author Jason Lillis
    Author Elizabeth Gifford
    Author Keith Humphreys
    Author Rudolf Moos
    Abstract There has been much interest in measuring and evaluating the role of spirituality/religiosity (S/R) in substance use disorder (SUD) treatment. This study presents the initial evaluation of a new measure of S/R in the treatment environment: the Treatment Spirituality/Religiosity Scale (TSRS). The TSRS has 10 items and can be completed by both patient and staff to measure the emphasis on S/R in a given treatment program, which may have important implications for patient-program fit. Data on the TSRS were gathered from 3,018 patients and 329 staff members from 15 residential SUD treatment programs within the Department of Veterans Affairs Health Care System. The TSRS showed good internal consistency (alpha = .77), a single-factor structure, close agreement between patients and staff members (r = .93), and good discriminant validity. The TSRS appears to be a brief, easily administered, and potentially useful measure of the emphasis on S/R in residential SUD treatment programs.
    Publication Journal of Substance Abuse Treatment
    Volume 35
    Issue 4
    Pages 427-433
    Date Dec 2008
    Journal Abbr J Subst Abuse Treat
    DOI 10.1016/j.jsat.2008.02.002
    ISSN 1873-6483
    Short Title Assessing spirituality/religiosity in the treatment environment
    URL http://www.ncbi.nlm.nih.gov/pubmed/18424049
    Accessed Friday, November 13, 2009 6:53:33 PM
    Library Catalog NCBI PubMed
    Extra PMID: 18424049
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Tags:

    • Attitude of Health Personnel
    • Data Collection
    • Humans
    • Inpatients
    • Psychometrics
    • Religion and Psychology
    • spirituality
    • Substance-Related Disorders
    • United States
    • United States Department of Veterans Affairs
  • The effects of religiosity, spirituality, and social support on quality of life: a comparison between Korean American and Korean breast and gynecologic cancer survivors

    Type Journal Article
    Author Jung-won Lim
    Author Jaehee Yi
    Abstract PURPOSE/OBJECTIVES: To examine the differences in religiosity, spirituality, and quality of life (QOL) between Korean American and Korean breast and gynecologic cancer survivors and investigate the effect of religiosity, spirituality, and social support on QOL. DESIGN: Cross-sectional design. SETTING: Participants were recruited from hospitals and community-based support groups in the areas of Southern California and Seoul, Korea. SAMPLE: 161 women diagnosed with breast and gynecologic cancer (110 Koreans and 51 Korean Americans). METHODS: Participants completed a mailed questionnaire. To identify the QOL outcomes, religiosity, spirituality, and social support, four standardized measures were used. MAIN RESEARCH VARIABLES: QOL outcomes, religiosity, spirituality, religious involvement, and social support. FINDINGS: Religiosity and spirituality were related to some QOL outcomes in different patterns in Korean American and Korean breast and gynecologic cancer survivors. The effect on QOL, however, was not strong after controlling for covariates. Social support partially mediated the effect of spirituality on QOL but only among the Korean American cancer survivors. CONCLUSIONS: The findings provide evidence that the effect of religiosity and spirituality on QOL varied between Korean American and Korean survivors. The mediating effect of social support between spirituality and QOL for Korean Americans also was demonstrated. IMPLICATIONS FOR NURSING: The results present nursing practice and research implications that religiosity, spirituality, and social support need to be considered in developing services for enhancing QOL of immigrant cancer survivors.
    Publication Oncology Nursing Forum
    Volume 36
    Issue 6
    Pages 699-708
    Date Nov 2009
    Journal Abbr Oncol Nurs Forum
    DOI 10.1188/09.ONF.699-708
    ISSN 1538-0688
    Short Title The effects of religiosity, spirituality, and social support on quality of life
    URL http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/19887358
    Accessed Monday, November 23, 2009 7:35:10 PM
    Library Catalog NCBI PubMed
    Extra PMID: 19887358
    Date Added Thursday, September 29, 2011 9:04:55 AM
    Modified Thursday, September 29, 2011 9:04:55 AM

    Notes:

    • This study examines the differences in religiosity, spirituality, and quality of life (QOL) between Korean American and Korean breast and gynecologic cancer survivors and investigate the effect of religiosity, spirituality, and social support on QOL.

  • Effects of yoga on psychological health, quality of life, and physical health of patients with cancer: a meta-analysis

    Type Journal Article
    Author Kuan-Yin Lin
    Author Yu-Ting Hu
    Author King-Jen Chang
    Author Heui-Fen Lin
    Author Jau-Yih Tsauo
    Abstract Yoga is one of the most widely used complementary and alternative medicine therapies to manage illness. This meta-analysis aimed to determine the effects of yoga on psychological health, quality of life, and physical health of patients with cancer. Studies were identified through a systematic search of seven electronic databases and were selected if they used a randomized controlled trial design to examine the effects of yoga in patients with cancer. The quality of each article was rated by two of the authors using the PEDro Scale. Ten articles were selected; their PEDro scores ranged from 4 to 7. The yoga groups compared to waitlist control groups or supportive therapy groups showed significantly greater improvements in psychological health: anxiety (P = .009), depression (P = .002), distress (P = .003), and stress (P = .006). However, due to the mixed and low to fair quality and small number of studies conducted, the findings are preliminary and limited and should be confirmed through higher-quality, randomized controlled trials.
    Publication Evidence-Based Complementary and Alternative Medicine: eCAM
    Volume 2011
    Pages 659876
    Date 2011
    Journal Abbr Evid Based Complement Alternat Med
    DOI 10.1155/2011/659876
    ISSN 1741-4288
    Short Title Effects of yoga on psychological health, quality of life, and physical health of patients with cancer
    URL http://www.ncbi.nlm.nih.gov/pubmed/21437197
    Accessed Monday, April 04, 2011 7:40:12 PM
    Library Catalog NCBI PubMed
    Extra PMID: 21437197
    Date Added Thursday, September 29, 2011 8:56:10 AM
    Modified Thursday, September 29, 2011 8:56:10 AM

    Notes:

    • Yoga is one of the most widely used complementary and alternative medicine therapies to manage illness. This meta-analysis aimed to determine the effects of yoga on psychological health, quality of life, and physical health of patients with cancer. Studies were identified through a systematic search of seven electronic databases and were selected if they used a randomized controlled trial design to examine the effects of yoga in patients with cancer. The quality of each article was rated by two of the authors using the PEDro Scale. Ten articles were selected; their PEDro scores ranged from 4 to 7. The yoga groups compared to waitlist control groups or supportive therapy groups showed significantly greater improvements in psychological health: anxiety (P = .009), depression (P = .002), distress (P = .003), and stress (P = .006). However, due to the mixed and low to fair quality and small number of studies conducted, the findings are preliminary and limited and should be confirmed through higher-quality, randomized controlled trials.

  • A preliminary study of the effects of Tai Chi and Qigong medical exercise on indicators of metabolic syndrome, glycaemic control, health related quality of life, and psychological health in adults with elevated blood glucose

    Type Journal Article
    Author Xin Liu
    Author Yvette D Miller
    Author Nicola W Burton
    Author Wendy J Brown
    Abstract OBJECTIVES: To evaluate the feasibility, acceptability and effects of a Tai Chi and Qigong exercise program in adults with elevated blood glucose. Design, Setting, and PARTICIPANTS: A single group pre-post feasibility trial with 11 participants (3 male and 8 female; aged 42-65 years) with elevated blood glucose. Invervention: Participants attended Tai Chi and Qigong exercise training for 1 to 1.5 hours, 3 times per week for 12 weeks, and were encouraged to practice the exercises at home. MAIN OUTCOME MEASURES: Indicators of metabolic syndrome (body mass index[BMI], waist circumference, blood pressure, fasting blood glucose, triglycerides, HDL-cholesterol), glucose control (HbA1c, fasting insulin and insulin resistance [HOMA]), health-related quality of life; stress and depressive symptoms. RESULTS: There was good adherence and high acceptability. There were significant improvements in four of the seven indicators of metabolic syndrome including BMI (mean difference -1.05, p<0.001), waist circumference (-2.80 cm, p<0.05), and systolic (-11.64 mm Hg, p<0.01) and diastolic blood pressure (-9.73 mm Hg , p<0.001), as well as in HbA1c (-0.32 %, p<0.01), insulin resistance (-0.53, p<0.05), stress (-2.27, p<0.05), depressive symptoms (-3.60, p<0.05), and the SF-36 mental health summary score (5.13, p<0.05) and sub-scales for general health (19.00, p<0.01), mental health (10.55, p<0.01) and vitality (23.18, p<0.05. CONCLUSIONS: The program was feasible and acceptable and participants showed improvements in metabolic and psychological variables. A larger controlled trial is now needed to confirm these promising preliminary results.
    Publication British Journal of Sports Medicine
    Date Oct 16, 2008
    Journal Abbr Br J Sports Med
    DOI 10.1136/bjsm.2008.051144
    ISSN 1473-0480
    URL http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/18927159
    Accessed Monday, November 02, 2009 1:04:44 PM
    Library Catalog NCBI PubMed
    Extra PMID: 18927159
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Notes:

    • Objectives To evaluate the feasibility, acceptability and effects of a Tai Chi and Qigong exercise program in adults with elevated blood glucose. Conclusions: The program was feasible and acceptable and participants showed improvements in metabolic and psychological variables.

  • Long-term follow-up of internet-delivered exposure and mindfulness based treatment for irritable bowel syndrome

    Type Journal Article
    Author Brjánn Ljótsson
    Author Erik Hedman
    Author Perjohan Lindfors
    Author Timo Hursti
    Author Nils Lindefors
    Author Gerhard Andersson
    Author Christian Rück
    Abstract We conducted a follow-up of a previously reported study of internet-delivered cognitive behavior therapy (CBT) for IBS, based on exposure and mindfulness exercises (Ljótsson et al. (2010). Internet-delivered exposure and mindfulness based therapy for irritable bowel syndrome - a randomized controlled trial. Behaviour Research and Therapy, 48, 531-539). Seventy-five participants from the original sample of 85 (88%) reported follow-up data at 15-18 months (mean 16.4 months) after completing treatment. The follow-up sample included participants from both the original study's treatment group and waiting list after it had been crossed over to treatment. Intention-to-treat analysis showed that treatment gains were maintained on all outcome measures, including IBS symptoms, quality of life, and anxiety related to gastrointestinal symptoms, with mainly large effect sizes (within-group Cohen's d = 0.78-1.11). A total of fifty participants (59% of the total original sample; 52% of the original treatment group participants and 65% of the original waiting list participants) reported adequate relief of symptoms. Improvements at follow-up were more pronounced for the participants that had completed the full treatment and maintenance of improvement did not seem to be dependent on further treatment seeking. This study suggests that internet-delivered CBT based on exposure and mindfulness has long-term beneficial effects for IBS-patients.
    Publication Behaviour Research and Therapy
    Volume 49
    Issue 1
    Pages 58-61
    Date January 2011
    DOI 10.1016/j.brat.2010.10.006
    ISSN 0005-7967
    Accessed Tuesday, February 15, 2011 6:54:59 PM
    Library Catalog ScienceDirect
    Date Added Thursday, September 29, 2011 8:57:35 AM
    Modified Thursday, September 29, 2011 8:57:35 AM

    Tags:

    • Exposure
    • Follow-up
    • Internet therapy
    • Irritable Bowel Syndrome
    • Mindfulness
    • Self-help
  • Internet-delivered exposure and mindfulness based therapy for irritable bowel syndrome - A randomized controlled trial

    Type Journal Article
    Author Brjann Ljótsson
    Author Lisa Falk
    Author Amanda Wibron Vesterlund
    Author Erik Hedman
    Author Perjohan Lindfors
    Author Christian Rück
    Author Timo Hursti
    Author Sergej Andréewitch
    Author Liselotte Jansson
    Author Nils Lindefors
    Author Gerhard Andersson
    Abstract The aim of this study was to investigate if cognitive behavior therapy (CBT) based on exposure and mindfulness exercises delivered via the Internet would be effective in treating participants with irritable bowel syndrome (IBS). Participants were recruited through self-referral. Eighty-six participants were included in the study and randomized to treatment or control condition (an online discussion forum). One participant was excluded after randomization. The main outcome measure was IBS-symptom severity and secondary measures included IBS-related quality of life, GI-specific anxiety, depression and general functioning. Participants were assessed at pre-treatment, post-treatment and 3 month follow-up (treatment condition only). Four participants (5% of total sample) in the treatment condition did not participate in post-treatment assessment. Participants in the treatment condition reported a 42% decrease and participants in the control group reported a 12% increase in primary IBS-symptoms. Compared to the control condition, participants in the treatment group improved on all secondary outcome measures with a large between group effect size on quality of life (Cohen's d = 1.21). We conclude that CBT-based on exposure and mindfulness delivered via the Internet can be effective in treating IBS-patients, alleviating the total burden of symptoms and increasing quality of life.
    Publication Behaviour Research and Therapy
    Volume 48
    Issue 6
    Pages 531-539
    Date June 2010
    DOI 10.1016/j.brat.2010.03.003
    ISSN 0005-7967
    Accessed Tuesday, July 27, 2010 2:04:40 PM
    Library Catalog ScienceDirect
    Date Added Thursday, September 29, 2011 9:03:23 AM
    Modified Thursday, September 29, 2011 9:03:23 AM

    Tags:

    • Exposure
    • Internet therapy
    • Mindfulness
    • Self-help
  • Five-factor model personality traits, spirituality/religiousness, and mental health among people living with HIV

    Type Journal Article
    Author Corinna E Löckenhoff
    Author Gail H Ironson
    Author Conall O'Cleirigh
    Author Paul T Costa
    Abstract We examined the association between five-factor personality domains and facets and spirituality/religiousness as well as their joint association with mental health in a diverse sample of people living with HIV (n=112, age range 18-66). Spirituality/religiousness showed stronger associations with Conscientiousness, Openness, and Agreeableness than with Neuroticism and Extraversion. Both personality traits and spirituality/religiousness were significantly linked to mental health, even after controlling for individual differences in demographic measures and disease status. Personality traits explained unique variance in mental health above spirituality and religiousness. Further, aspects of spirituality and religiousness were found to mediate some of the links between personality and mental health in this patient sample. These findings suggest that underlying personality traits contribute to the beneficial effects of spirituality/religiousness among vulnerable populations.
    Publication Journal of Personality
    Volume 77
    Issue 5
    Pages 1411-1436
    Date Oct 2009
    Journal Abbr J Pers
    DOI 10.1111/j.1467-6494.2009.00587.x
    ISSN 1467-6494
    URL http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/19686457
    Accessed Friday, September 18, 2009 6:31:28 PM
    Library Catalog NCBI PubMed
    Extra PMID: 19686457
    Date Added Thursday, September 29, 2011 9:05:21 AM
    Modified Thursday, September 29, 2011 9:05:21 AM

    Tags:

    • Five Facet Mindfulness Questionnaire
    • mental health
    • MENTAL health -- Religious aspects
    • religiousness
    • spirituality

    Notes:

  • Five-Factor Model Personality Traits, Spirituality/Religiousness, and Mental Health Among People Living With HIV

    Type Journal Article
    Author Corinna E. Löckenhoff
    Author Gail H. Ironson
    Author Conall O'Cleirigh
    Author Paul T. Costa
    Abstract Researchers examined the association between five-factor personality domains and facets and spirituality/religiousness as well as their joint association with mental health among people with HIV. Spirituality/religiousness showed associations with Conscientiousness, Openness, and Agreeableness. Personality traits and spirituality/religiousness were significantly linked to mental health.
    Publication Journal of Personality
    Volume 77
    Issue 5
    Pages 1411-1436
    Date 10/2009
    DOI 10.1111/j.1467-6494.2009.00587.x
    ISSN 00223506
    URL http://doi.wiley.com/10.1111/j.1467-6494.2009.00587.x
    Date Added Thursday, September 29, 2011 9:05:38 AM
    Modified Thursday, September 29, 2011 9:05:38 AM

    Notes:

    • This study examined the association between five-factor personality domains and facets and spirituality/religiousness as well as their joint association with mental health in a diverse sample of people living with HIV (n=112, age range 18–66). Spirituality/religiousness showed stronger associations with Conscientiousness, Openness, and Agreeableness than with Neuroticism and Extraversion.

  • Five-factor model personality traits, spirituality/religiousness, and mental health among people living with HIV

    Type Journal Article
    Author Corinna E Löckenhoff
    Author Gail H Ironson
    Author Conall O'Cleirigh
    Author Paul T Costa
    Abstract We examined the association between five-factor personality domains and facets and spirituality/religiousness as well as their joint association with mental health in a diverse sample of people living with HIV (n=112, age range 18-66). Spirituality/religiousness showed stronger associations with Conscientiousness, Openness, and Agreeableness than with Neuroticism and Extraversion. Both personality traits and spirituality/religiousness were significantly linked to mental health, even after controlling for individual differences in demographic measures and disease status. Personality traits explained unique variance in mental health above spirituality and religiousness. Further, aspects of spirituality and religiousness were found to mediate some of the links between personality and mental health in this patient sample. These findings suggest that underlying personality traits contribute to the beneficial effects of spirituality/religiousness among vulnerable populations.
    Publication Journal of Personality
    Volume 77
    Issue 5
    Pages 1411-1436
    Date Oct 2009
    Journal Abbr J Pers
    DOI 10.1111/j.1467-6494.2009.00587.x
    ISSN 1467-6494
    URL http://www.ncbi.nlm.nih.gov/pubmed/19686457
    Accessed Friday, November 13, 2009 8:11:39 PM
    Library Catalog NCBI PubMed
    Extra PMID: 19686457
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Notes:

    • We examined the association between five-factor personality domains and facets and spirituality/religiousness as well as their joint association with mental health in a diverse sample of people living with HIV (n=112, age range 18-66). Spirituality/religiousness showed stronger associations with Conscientiousness, Openness, and Agreeableness than with Neuroticism and Extraversion.

  • The effect of a contemplative self-healing program on quality of life in women with breast and gynecologic cancers

    Type Journal Article
    Author Joseph J Loizzo
    Author Janey C Peterson
    Author Mary E Charlson
    Author Emily J Wolf
    Author Margaret Altemus
    Author William M Briggs
    Author Linda T Vahdat
    Author Thomas A Caputo
    Abstract Stress-related symptoms-intense fear, avoidance, intrusive thoughts--are common among breast and gynecologic cancer patients after chemotherapy and radiation. The objective of this pilot study was to determine the impact of a 20-week contemplative self-healing program among breast and gynecologic cancer survivors on self-reported quality of life (QOL), the main outcome. Assessments were performed at the first session and at 20 weeks, including QOL (FACIT-G, FACIT subscales, SF-36), anxiety, and depression (HADS). Biologic markers of immune function were obtained. A 20-week program was implemented: the initial 8 weeks addressed open-mindfulness, social-emotional self-care, visualization, and deep breathing followed by 12 weeks of exposing stress-reactive habits and developing self-healing insights. Daily practice involved CD-guided meditation and manual contemplations. Sixty-eight women were enrolled, and 46 (68%) completed the program. Participants had significant within-patient changes on FACIT-G, improving by a mean of 6.4 points. In addition, they reported clinically important improvement in emotional and functional domains and social, role-emotional, and mental health status domains on SF-36. Biologic data revealed significant improvement in maximum AM cortisol and a reduction in resting heart rate at 20 weeks. These findings suggest a contemplative self-healing program can be effective in significantly improving QOL and reducing distress and disability among female breast and gynecologic cancer survivors.
    Publication Alternative Therapies in Health and Medicine
    Volume 16
    Issue 3
    Pages 30-37
    Date 2010 May-Jun
    Journal Abbr Altern Ther Health Med
    ISSN 1078-6791
    Accessed Sunday, May 30, 2010 11:48:29 AM
    Library Catalog NCBI PubMed
    Extra PMID: 20486622
    Date Added Thursday, September 29, 2011 9:04:02 AM
    Modified Thursday, September 29, 2011 9:04:02 AM
  • Are religiosity and spirituality useful constructs in drug treatment research?

    Type Journal Article
    Author Douglas Longshore
    Author M Douglas Anglin
    Author Bradley T Conner
    Abstract Religiosity and spirituality (R/S) have been shown to be related to better outcomes in many health service areas, including drug abuse treatment. The latter area, however, lacks a fully emergent empirical framework to guide further study. Moreover, although scientists have tested isolated hypotheses, no comprehensive process model has been designed and validated, limiting conceptual development as well. This paper reviews the relevant R/S and health research literature with a primary focus on drug treatment processes. Then a conceptual model is suggested to guide future incremental study of R/S assessment and intervention development. Implications for addiction health services include increased efforts to empirically validate R/S interventions, to increase practitioner competencies in this area, and to disseminate relevant research findings.
    Publication The Journal of Behavioral Health Services & Research
    Volume 36
    Issue 2
    Pages 177-188
    Date Apr 2009
    Journal Abbr J Behav Health Serv Res
    DOI 10.1007/s11414-008-9152-0
    ISSN 1556-3308
    URL http://www.ncbi.nlm.nih.gov/pubmed/19023659
    Accessed Monday, March 28, 2011 6:23:36 PM
    Library Catalog NCBI PubMed
    Extra PMID: 19023659
    Date Added Thursday, September 29, 2011 9:07:00 AM
    Modified Thursday, September 29, 2011 9:07:00 AM

    Tags:

    • Humans
    • Religion and Medicine
    • social support
    • spirituality
    • Substance Abuse Treatment Centers
    • Substance-Related Disorders
    • Treatment Outcome
  • Are religiosity and spirituality useful constructs in drug treatment research?

    Type Journal Article
    Author Douglas Longshore
    Author M Douglas Anglin
    Author Bradley T Conner
    Abstract Religiosity and spirituality (R/S) have been shown to be related to better outcomes in many health service areas, including drug abuse treatment. The latter area, however, lacks a fully emergent empirical framework to guide further study. Moreover, although scientists have tested isolated hypotheses, no comprehensive process model has been designed and validated, limiting conceptual development as well. This paper reviews the relevant R/S and health research literature with a primary focus on drug treatment processes. Then a conceptual model is suggested to guide future incremental study of R/S assessment and intervention development. Implications for addiction health services include increased efforts to empirically validate R/S interventions, to increase practitioner competencies in this area, and to disseminate relevant research findings.
    Publication The Journal of Behavioral Health Services & Research
    Volume 36
    Issue 2
    Pages 177-188
    Date Apr 2009
    Journal Abbr J Behav Health Serv Res
    DOI 10.1007/s11414-008-9152-0
    ISSN 1556-3308
    URL http://www.ncbi.nlm.nih.gov/pubmed/19023659
    Accessed Friday, November 13, 2009 7:36:37 PM
    Library Catalog NCBI PubMed
    Extra PMID: 19023659
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Tags:

    • Humans
    • Religion and Medicine
    • social support
    • spirituality
    • Substance Abuse Treatment Centers
    • Substance-Related Disorders
    • Treatment Outcome

    Notes:

    • This paper reviews the relevant R/S and health research literature with a primary focus on drug treatment processes. Then a conceptual model is suggested to guide future incremental study of R/S assessment and intervention development. Implications for addiction health services include increased efforts to empirically validate R/S interventions, to increase practitioner competencies in this area, and to disseminate relevant research findings.

  • The integration of healing into conventional cancer care in the UK

    Type Journal Article
    Author Ava Lorenc
    Author Brenda Peace
    Author Chandrika Vaghela
    Author Nicola Robinson
    Abstract Healing encompasses Reiki, therapeutic touch and healing touch, and is often used by cancer patients to supplement their health care, but the extent of healing provision in conventional cancer care is unknown. This study used snowball sampling to map the healing provision in UK conventional cancer care settings. Sixty-seven individuals at 38 centres were identified who provided healing within conventional care, 16 NHS-based. Less than half were paid or had specialist cancer training. Self-referral was the usual route to healing, followed by hospital nurse referral. Healing was perceived as well accepted and useful by healers. Providing healing in conventional cancer care may improve patient empowerment and choice. Despite the value to patients, staff and healers, many services receive little financial support. Exchange of information and communication on referral possibilities between healers and conventional staff needs to be improved. Voluntary healer self-regulation will facilitate the safe incorporation of healing into conventional care.
    Publication Complementary Therapies in Clinical Practice
    Volume 16
    Issue 4
    Pages 222-228
    Date November 2010
    DOI 10.1016/j.ctcp.2010.03.001
    ISSN 1744-3881
    URL http://www.sciencedirect.com/science/article/B7MFN-4YVP1DH-1/2/0f9e3598f7bbbde6d0aff5fdf1014296
    Accessed Monday, December 13, 2010 8:35:12 PM
    Date Added Thursday, September 29, 2011 8:59:19 AM
    Modified Thursday, September 29, 2011 8:59:19 AM

    Tags:

    • cancer
    • Integrative care
    • Spiritual healing

    Notes:

    • Healing encompasses Reiki, therapeutic touch and healing touch, and is often used by cancer patients to supplement their health care, but the extent of healing provision in conventional cancer care is unknown. This study used snowball sampling to map the healing provision in UK conventional cancer care settings.

  • The Effectiveness of Cognitive and Behavioural Treatment of Chronic Pain in the Elderly: A Quantitative Review

    Type Journal Article
    Author LH Lunde
    Author IH Nordhus
    Author S Pallesen
    Abstract This study provides a meta-analytic review of cognitive and behavioural interventions for chronic pain in the elderly, focusing on treatment effectiveness. Included in the analysis are studies in which a comparison was made either to a control condition or to pre-treatment. A total of 12 outcome studies published or reported between January 1975 and March 2008, were identified involving participants 60 years and above and providing 16 separate treatment interventions. The analysis indicated that cognitive and behavioural interventions were effective on self-reported pain experience, yielding an overall effect size of 0.47. However, there were no significant effects of cognitive and behavioural treatment on symptoms of depression, physical functioning and medication use. Methodological issues concerning design, outcome measures and treatment are discussed and recommendations for future studies are outlined.
    Publication Journal of Clinical Psychology in Medical Settings
    Volume 16
    Issue 3
    Pages 254-262
    Date SEP 2009
    DOI 10.1007/s10880-009-9162-y
    ISSN 1068-9583
    Short Title The Effectiveness of Cognitive and Behavioural Treatment of Chronic Pain in the Elderly
    URL http://apps.isiknowledge.com.ezproxy.bu.edu/full_record.do?
    product=WOS&search_mode=GeneralSearch&qid=1&…
    Accessed Sunday, November 01, 2009 10:35:17 AM
    Library Catalog ISI Web of Knowledge
    Date Added Thursday, September 29, 2011 9:04:55 AM
    Modified Thursday, September 29, 2011 9:04:55 AM
  • Mindfulness meditation for symptom reduction in fibromyalgia: psychophysiological correlates

    Type Journal Article
    Author Elizabeth Lush
    Author Paul Salmon
    Author Andrea Floyd
    Author Jamie L Studts
    Author Inka Weissbecker
    Author Sandra E Sephton
    Abstract OBJECTIVES: Fibromyalgia, a chronic pain syndrome, is often accompanied by psychological distress and increased basal sympathetic tone. In a previous report it was shown that mindfulness-based stress-reduction (MBSR) reduced depressive symptoms in patients with fibromyalgia with gains maintained at two months follow-up (Sephton et al., Arthr Rheum 57:77-85, 2007). This second study explores the effects of MBSR on basal sympathetic (SNS) activation among women with fibromyalgia. METHODS: Participants (n = 24) responded to a television news appearance, newspaper, and radio advertisements. Effects on anxiety, depressive symptoms, and SNS activation measures were tested before and after MBSR using a within-subjects design. RESULTS: The MBSR treatment significantly reduced basal electrodermal (skin conductance level; SCL) activity (t = 3.298, p = .005) and SCL activity during meditation (t = 4.389, p = .001), consistent with reduced SNS activation. CONCLUSIONS: In this small sample, basal SNS activity was reduced following MBSR treatment. Future studies should assess how MBSR may help reduce negative psychological symptoms and attenuate SNS activation in fibromyalgia. Further clarification of psychological and physiological responses associated with fibromyalgia may lead to more beneficial treatment.
    Publication Journal of Clinical Psychology in Medical Settings
    Volume 16
    Issue 2
    Pages 200-207
    Date Jun 2009
    Journal Abbr J Clin Psychol Med Settings
    DOI 10.1007/s10880-009-9153-z
    ISSN 1573-3572
    Short Title Mindfulness meditation for symptom reduction in fibromyalgia
    URL http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/19277851
    Accessed Saturday, September 26, 2009 3:19:31 PM
    Library Catalog NCBI PubMed
    Extra PMID: 19277851
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Tags:

    • Adult
    • Aged
    • Anxiety
    • Arousal
    • depression
    • Female
    • Fibromyalgia
    • Galvanic Skin Response
    • Heart Rate
    • Humans
    • Male
    • Meditation
    • Middle Aged
    • Personality Inventory
    • Psychometrics
    • Psychophysiologic Disorders
    • Skin Temperature
    • Sympathetic Nervous System
    • Young Adult

    Notes:

    • This second study explores the effects of MBSR on basal sympathetic (SNS) activation among women with fibromyalgia. Results: The MBSR treatment significantly reduced basal electrodermal (skin conductance level; SCL) activity (t = 3.298, p = .005) and SCL activity during meditation (t = 4.389, p = .001), consistent with reduced SNS activation.

  • BOLD signal in insula is differentially related to cardiac function during compassion meditation in experts vs. novices

    Type Journal Article
    Author Antoine Lutz
    Author Lawrence L Greischar
    Author David M Perlman
    Author Richard J Davidson
    Abstract The brain and the cardiovascular system influence each other during the processing of emotion. The study of the interactions of these systems during emotion regulation has been limited in human functional neuroimaging, despite its potential importance for physical health. We have previously reported that mental expertise in cultivation of compassion alters the activation of circuits linked with empathy and theory of mind in response to emotional stimuli. Guided by the finding that heart rate increases more during blocks of compassion meditation than neutral states, especially for experts, we examined the interaction between state (compassion vs. neutral) and group (novice, expert) on the relation between heart rate and BOLD signal during presentation of emotional sounds presented during each state. Our findings revealed that BOLD signal in the right middle insula showed a significant association with heart rate (HR) across state and group. This association was stronger in the left middle/posterior insula when experts were compared to novices. The positive coupling of HR and BOLD was higher within the compassion state than within the neutral state in the dorsal anterior cingulate cortex for both groups, underlining the role of this region in the modulation of bodily arousal states. This state effect was stronger for experts than novices in somatosensory cortices and the right inferior parietal lobule (group by state interaction). These data confirm that compassion enhances the emotional and somatosensory brain representations of others' emotions, and that this effect is modulated by expertise. Future studies are needed to further investigate the impact of compassion training on these circuits.
    Publication NeuroImage
    Volume 47
    Issue 3
    Pages 1038-1046
    Date Sep 2009
    Journal Abbr Neuroimage
    DOI 10.1016/j.neuroimage.2009.04.081
    ISSN 1095-9572
    Accessed Tuesday, February 22, 2011 7:11:11 PM
    Library Catalog NCBI PubMed
    Extra PMID: 19426817
    Date Added Thursday, September 29, 2011 9:06:18 AM
    Modified Thursday, September 29, 2011 9:06:18 AM

    Tags:

    • Adult
    • Brain Mapping
    • Cerebral Cortex
    • Cerebrovascular Circulation
    • Emotions
    • Empathy
    • Female
    • Heart Rate
    • Humans
    • Image Interpretation, Computer-Assisted
    • Magnetic Resonance Imaging
    • Male
    • Meditation

    Notes:

    • The brain and the cardiovascular system influence each other during the processing of emotion. The study of the interactions of these systems during emotion regulation has been limited in human functional neuroimaging, despite its potential importance for physical health. We have previously reported that mental expertise in cultivation of compassion alters the activation of circuits linked with empathy and theory of mind in response to emotional stimuli. Guided by the finding that heart rate increases more during blocks of compassion meditation than neutral states, especially for experts, we examined the interaction between state (compassion vs. neutral) and group (novice, expert) on the relation between heart rate and BOLD signal during presentation of emotional sounds presented during each state. Our findings revealed that BOLD signal in the right middle insula showed a significant association with heart rate (HR) across state and group. This association was stronger in the left middle/posterior insula when experts were compared to novices. The positive coupling of HR and BOLD was higher within the compassion state than within the neutral state in the dorsal anterior cingulate cortex for both groups, underlining the role of this region in the modulation of bodily arousal states. This state effect was stronger for experts than novices in somatosensory cortices and the right inferior parietal lobule (group by state interaction). These data confirm that compassion enhances the emotional and somatosensory brain representations of others' emotions, and that this effect is modulated by expertise. Future studies are needed to further investigate the impact of compassion training on these circuits.

  • 98. Is Spirituality a Substitute for Connectedness? An Examination of Spirituality Among HIV-Infected Adolescents and their Families

    Type Journal Article
    Author Maureen Lyon
    Author Patricia Garvie
    Author Linda Briggs
    Author Jiangping He
    Author Robert McCarter
    Author Lawrence D'Angelo
    Publication Journal of Adolescent Health
    Volume 48
    Issue 2, Supplement 1
    Pages S68-S69
    Date February 2011
    DOI 10.1016/j.jadohealth.2010.11.145
    ISSN 1054-139X
    Short Title 98. Is Spirituality a Substitute for Connectedness?
    Accessed Tuesday, March 15, 2011 2:50:11 PM
    Library Catalog ScienceDirect
    Date Added Thursday, September 29, 2011 8:56:57 AM
    Modified Thursday, September 29, 2011 8:56:57 AM

    Notes:

    • The purpose of this study is to fill the gap in our knowledge about spiritual well-being among adolescents living with HIV and their families and to explore the impact of a Family Centered Advance Care Planning intervention on families' spirituality.

  • CARDIOVASCULAR MORTALITY IN MORMONS AND NON-MORMONS IN UTAH, 1969-1971

    Type Journal Article
    Author JOSEPH L. LYON
    Author HARRY P. WETZLER
    Author JOHN W. GARDNER
    Author MELVILLE R. KLAUBER
    Author ROGER R. WILLIAMS
    Abstract Cardiovascular mortality In the State of Utah Is among the lowest In the United States. The religion of 72% of the state residents (Mormon) proscribes the use of tobacco and alcohol; a large number of Mormons adhere to this proscription. This study analyzed the 6108 cardiovascular disease deaths between 1969-1971 in Utah of members In the Mormon Church. For both sexes, Mormons had 35% less mortality than expected from US rates for ischemlc heart disease, while non-Mormons were not significantly different from US whites. These results support the relationship between cigarette smoking and mortality from cardiovascular disease. Mormon men also had lower mortality from hypertensive heart disease and Mormon women from rheumatic heart disease than non-Mormons in Utah.
    Publication Am. J. Epidemiol.
    Volume 108
    Issue 5
    Pages 357-366
    Date November 1, 1978
    URL http://aje.oxfordjournals.org/cgi/content/abstract/108/5/357
    Accessed Friday, October 30, 2009 2:56:49 PM
    Library Catalog HighWire
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Notes:

    • This study analyzed the 6108 cardiovascular disease deaths between 1969-1971 in Utah of members in the Mormon Church. For both sexes, Mormons had 35% less mortality than expected from US rates for ischemic heart disease.

  • Forgiveness and purpose in life as spiritual mechanisms of recovery from substance use disorders.

    Type Journal Article
    Author Geoffrey C. B. Lyons
    Author Frank P. Deane
    Author Peter J. Kelly
    Abstract Spirituality has often been associated with recovery from substance use disorders through its emphasis in faith-based rehabilitation programs. The purpose of this article is to describe some psychological dynamics that may explain how spirituality aids in the treatment of substance abuse and dependence. Forgiveness and purpose in life are proposed as spiritual mechanisms that partially mediate a spiritually directed recovery. Recent empirical studies on spirituality and recovery from substance use disorders are discussed in relation to 12-steps of Alcoholics Anonymous and Christian principles in order to describe how forgiveness and purpose in life interact with spiritual development in substance use disorder treatment programs. A theoretical model detailing the relationship between spirituality, forgiveness, purpose, and recovery is presented based on anecdotal and empirical literature. (PsycINFO Database Record (c) 2010 APA, all rights reserved) (journal abstract)
    Publication Addiction Research & Theory
    Volume 18
    Issue 5
    Pages 528-543
    Date October 2010
    DOI 10.3109/16066351003660619
    ISSN 1606-6359
    Date Added Thursday, September 29, 2011 8:59:59 AM
    Modified Thursday, September 29, 2011 8:59:59 AM

    Tags:

    • DRUG abuse
    • Drug Rehabilitation
    • FORGIVENESS
    • Purpose in Life
    • Recovery
    • Recovery (Disorders)
    • spiritual mechanisms
    • spirituality
    • substance use disorders
    • treatment
  • Examining a paradox: does religiosity contribute to positive birth outcomes in Mexican American populations?

    Type Journal Article
    Author A Magaña
    Author N M Clark
    Abstract A particularly interesting and consistent finding regarding the health of the Latino population is that Mexican American women, despite their relatively lower socioeconomic status, deliver significantly fewer low birth weight babies and lose fewer babies to all causes during infancy than do women of other ethnic groups. A central thesis of this discussion is that the religiosity and spirituality of many of these Latinas, a key factor in their culture, may protect them and their infants through the pre- and antenatal phases of life. We also suggest that lack of research, related to cultural similarities and differences in Hispanic/Latino subgroups, can lead to faulty or simplistic understanding regarding their health behavior and health status.
    Publication Health Education Quarterly
    Volume 22
    Issue 1
    Pages 96-109
    Date Feb 1995
    Journal Abbr Health Educ Q
    ISSN 0195-8402
    Short Title Examining a paradox
    URL http://www.ncbi.nlm.nih.gov/pubmed/7721605
    Accessed Thursday, November 12, 2009 5:25:59 PM
    Library Catalog NCBI PubMed
    Extra PMID: 7721605
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Tags:

    • Acculturation
    • Catholicism
    • Cross-Cultural Comparison
    • Culture
    • Female
    • Health Behavior
    • Humans
    • Mexican Americans
    • Pregnancy
    • Pregnancy Outcome
    • United States
    • Women's Health

    Notes:

    • A particularly interesting and consistent finding regarding the health of the Latino population is that Mexican American women, despite their relatively lower socioeconomic status, deliver significantly fewer low birth weight babies and lose fewer babies to all causes during infancy than do women of other ethnic groups. A central thesis of this discussion is that the religiosity and spirituality of many of these Latinas, a key factor in their culture, may protect them and their infants through the pre- and antenatal phases of life.

  • The role of religion in HIV-positive women's disclosure experiences and coping strategies in Kinshasa, Democratic Republic of Congo

    Type Journal Article
    Author Suzanne Maman
    Author Rebecca Cathcart
    Author Gillian Burkhardt
    Author Serge Omba
    Author Frieda Behets
    Abstract Literature from the U.S. has documented the importance of spirituality on the psychological health of people living with HIV/AIDS; however there is little published data on the ways in which people living with HIV/AIDS in Africa turn to religion for support. We conducted 40 in-depth interviews with HIV-positive women who were pregnant or had recently given birth in Kinshasa, Democratic Republic of Congo to inform the development of a comprehensive family-centered HIV treatment and care program. Women described how they relied upon their faith and turned to church leaders when they were diagnosed with HIV and prepared to share their diagnosis with others. The women used prayer to overcome the initial shock, sadness and anger of learning their HIV diagnosis. They turned to their church leaders to help them prepare for disclosing their diagnosis to others, including their partners. Church leaders were also important targets for disclosure by some women. Women's faith played an important role in their long-term coping strategies. Conceptualizing their infection as a path chosen by God, and believing that God has the power to cure their infection comforted women and provided them with hope. In settings like the Democratic Republic of the Congo, where there is a strong foundation of faith, we need to recognize how individuals draw upon their different health belief systems in order to develop and implement coherent and effective prevention, treatment and care strategies.
    Publication Social Science & Medicine
    Volume 68
    Issue 5
    Pages 965-970
    Date March 2009
    DOI 10.1016/j.socscimed.2008.12.028
    ISSN 0277-9536
    URL http://www.sciencedirect.com/science/article/B6VBF-4VBK4JJ-8/2/86a17da4afe2e2114ace5c1619a8d8c8
    Accessed Monday, March 28, 2011 7:35:33 PM
    Library Catalog ScienceDirect
    Date Added Thursday, September 29, 2011 9:06:18 AM
    Modified Thursday, September 29, 2011 9:06:18 AM

    Tags:

    • Coping
    • Democratic Republic of Congo
    • HIV/AIDS
    • religion
    • Sub-Saharan Africa
    • WOMEN

    Notes:

    • Literature from the U.S. has documented the importance of spirituality on the psychological health of people living with HIV/AIDS; however there is little published data on the ways in which people living with HIV/AIDS in Africa turn to religion for support. We conducted 40 in-depth interviews with HIV-positive women who were pregnant or had recently given birth in Kinshasa, Democratic Republic of Congo to inform the development of a comprehensive family-centered HIV treatment and care program. Women described how they relied upon their faith and turned to church leaders when they were diagnosed with HIV and prepared to share their diagnosis with others. The women used prayer to overcome the initial shock, sadness and anger of learning their HIV diagnosis. They turned to their church leaders to help them prepare for disclosing their diagnosis to others, including their partners. Church leaders were also important targets for disclosure by some women. Women's faith played an important role in their long-term coping strategies. Conceptualizing their infection as a path chosen by God, and believing that God has the power to cure their infection comforted women and provided them with hope. In settings like the Democratic Republic of the Congo, where there is a strong foundation of faith, we need to recognize how individuals draw upon their different health belief systems in order to develop and implement coherent and effective prevention, treatment and care strategies.

  • Ayurveda and yoga in cardiovascular diseases

    Type Journal Article
    Author Ravinder Mamtani
    Author Ronac Mamtani
    Abstract Ayurveda is derived from 2 Sanskrit words, namely, "Ayus" and "Veda," meaning life and knowledge, respectively. It literally means science of life. Ayurveda, of which yoga is an integral part, is widely practiced in India and is gaining acceptance in many countries around the world. It is a comprehensive and a holistic system, the focus of which is on the body, mind, and consciousness. The Ayurvedic treatment consists of the use herbal preparations, diet, yoga, meditation, and other practices. Based on the review of available studies, the evidence is not convincing that any Ayurvedic herbal treatment is effective in the treatment of heart disease or hypertension. However, the use of certain spices and herbs such as garlic and turmeric in an overall healthy diet is appropriate. Many herbs used by Ayurvedic practitioners show promise and could be appropriate for larger randomized trials. Yoga, an integral part of Ayurveda, has been shown to be useful to patients with heart disease and hypertension. Yoga reduces anxiety, promotes well-being, and improves quality of life. Its safety profile is excellent. Its use as a complementary therapeutic regimen under medical supervision is appropriate and could be worth considering.
    Publication Cardiology in Review
    Volume 13
    Issue 3
    Pages 155-162
    Date 2005 May-Jun
    Journal Abbr Cardiol Rev
    ISSN 1061-5377
    URL http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/15834238
    Accessed Monday, November 02, 2009 2:33:07 AM
    Library Catalog NCBI PubMed
    Extra PMID: 15834238
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Tags:

    • Cardiovascular Diseases
    • Female
    • Humans
    • Male
    • Medicine, Ayurvedic
    • Phytotherapy
    • Plant Extracts
    • Prognosis
    • Randomized Controlled Trials as Topic
    • Risk Assessment
    • Sensitivity and Specificity
    • Severity of Illness Index
    • Survival Rate
    • Treatment Outcome
    • yoga

    Notes:

    • Based on the review of available studies, the evidence is not convincing that any Ayurvedic herbal treatment is effective in the treatment of heart disease or hypertension. However, the use of certain spices and herbs such as garlic and turmeric in an overall healthy diet is appropriate. Yoga, an integral part of Ayurveda, has been shown to be useful to patients with heart disease and hypertension.

  • The third therapeutic system: faith healing strategies in the context of a generalized AIDS epidemic

    Type Journal Article
    Author Nicolette D Manglos
    Author Jenny Trinitapoli
    Abstract Faith healing in sub-Saharan Africa has primarily been studied qualitatively among Pentecostal-Charismatic groups, and considered as its own phenomenon with little attention to its relationship to other modes of healing. Using data from Malawi, a religiously diverse African country with high HIV prevalence, we find that faith healing is pervasive across multiple religious traditions. For individuals, attending a faith healing congregation is associated with lower levels of generalized worry about AIDS, and this association is driven by those who switched churches before AIDS became widespread in rural areas. Use of condoms and traditional medicine are, on the other hand, positively associated with worry about AIDS. We argue that faith healing can be understood as a third therapeutic system that coexists with the well-documented biomedical and traditional systems. The success of faith healing approaches lies in their unique ability to combine individual-pragmatic and communal-ritualized aspects of healing to inform interpretations of the AIDS epidemic and its consequences.
    Publication Journal of Health and Social Behavior
    Volume 52
    Issue 1
    Pages 107-122
    Date Mar 2011
    Journal Abbr J Health Soc Behav
    DOI 10.1177/0022146510395025
    ISSN 0022-1465
    Short Title The third therapeutic system
    URL http://www.ncbi.nlm.nih.gov/pubmed/21362615
    Accessed Monday, April 04, 2011 7:46:40 PM
    Library Catalog NCBI PubMed
    Extra PMID: 21362615
    Date Added Thursday, September 29, 2011 8:56:31 AM
    Modified Thursday, September 29, 2011 8:56:31 AM

    Notes:

    • Faith healing in sub-Saharan Africa has primarily been studied qualitatively among Pentecostal-Charismatic groups, and considered as its own phenomenon with little attention to its relationship to other modes of healing. Using data from Malawi, a religiously diverse African country with high HIV prevalence, we find that faith healing is pervasive across multiple religious traditions. For individuals, attending a faith healing congregation is associated with lower levels of generalized worry about AIDS, and this association is driven by those who switched churches before AIDS became widespread in rural areas. Use of condoms and traditional medicine are, on the other hand, positively associated with worry about AIDS. We argue that faith healing can be understood as a third therapeutic system that coexists with the well-documented biomedical and traditional systems. The success of faith healing approaches lies in their unique ability to combine individual-pragmatic and communal-ritualized aspects of healing to inform interpretations of the AIDS epidemic and its consequences.

  • Cancer survivors with unmet needs were more likely to use complementary and alternative medicine

    Type Journal Article
    Author Jun J Mao
    Author Steve C Palmer
    Author Joseph B Straton
    Author Peter F Cronholm
    Author Shimrit Keddem
    Author Kathryn Knott
    Author Marjorie A Bowman
    Author Frances K Barg
    Abstract PURPOSE: Despite advancements in cancer care, cancer survivors continue to experience a substantial level of physical and emotional unmet needs (UMN). This study aims to determine the relationship between patients' perceived UMN and their use of complementary and alternative medicine (CAM) to help with cancer problems during and after treatment. METHODS: A mailed, cross-sectional survey was completed by 614 cancer survivors identified through the Pennsylvania Cancer Registry 3.5 to 4 years from initial diagnosis. Relationships among UMN and CAM use along with clinical and socio-demographic factors were examined. RESULTS: Respondents who identified any UMN were 63% more likely to report CAM use than those without UMN (58% vs. 36%), p < 0.001. UMN remained the only independent predictor (adjusted odds ratio = 2.30, 95% confidence interval = 1.57-3.36, p < 0.001) of CAM use in a multivariate logistic regression model that included age, sex, marital status, education, previous chemotherapy and radiotherapy. Adjusted for covariates, UMN in domains of emotional, physical, nutritional, financial, informational, treatment-related, employment-related, and daily living activities were all related to CAM use, whereas UMN in transportation, home care, medical staff, family and spirituality were not related to CAM use. Patients who experienced multiple types of unmet needs were also more likely to use multiple types of CAM (p < 0.001 for model). CONCLUSIONS: Cancer survivors who experienced unmet needs within the existing cancer treatment and support system were more likely to use CAM to help with cancer problems. Research is needed to determine if appropriate CAM use decreases unmet needs among cancer survivors.
    Publication Journal of Cancer Survivorship: Research and Practice
    Volume 2
    Issue 2
    Pages 116-124
    Date Jun 2008
    Journal Abbr J Cancer Surviv
    DOI 10.1007/s11764-008-0052-3
    ISSN 1932-2267
    URL http://www.ncbi.nlm.nih.gov/pubmed/18648980
    Accessed Friday, November 13, 2009 7:05:59 PM
    Library Catalog NCBI PubMed
    Extra PMID: 18648980
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Tags:

    • Activities of Daily Living
    • Adolescent
    • Adult
    • Aged
    • Complementary Therapies
    • Cross-Sectional Studies
    • Educational Status
    • Employment
    • Female
    • Health Surveys
    • Humans
    • Income
    • Male
    • Marital Status
    • Massage
    • Meditation
    • Middle Aged
    • NEEDS assessment
    • Neoplasms
    • Odds Ratio
    • social support
    • Survivors

    Notes:

    • Purpose: Despite advancements in cancer care, cancer survivors continue to experience a substantial level of physical and emotional unmet needs (UMN). This study aims to determine the relationship between patients’ perceived UMN and their use of complementary and alternative medicine (CAM) to help with cancer problems during and after treatment.

  • Religiosity and Spirituality Among Persons With Spinal Cord Injury: Attitudes, Beliefs, and Practices.

    Type Journal Article
    Author Irmo Marini
    Author Noreen M. Glover-Graf
    Abstract A total of 157 persons with spinal cord injury completed the Spirituality and Spinal Cord Injury Survey in relation to their spiritual and/or religious attitudes, beliefs, and practices in terms of adapting to their disability. Factor analysis accounting for 69% of the variance revealed four factors related to Spiritual Help and Improvement (36%), Spiritual Decline (22%), Punishment/Atonement (6%), and Body/Mind Improvements (5%). Participants were further classified by time since injury, which statistically indicated that some individuals tend to become more focused on religious or spiritual practices and beliefs regarding cure soon after injury; however, these behaviors and beliefs tend to dissipate over time. The majority of participants expressed overall satisfaction with God or a Spiritual Power (G/SP) and that G/SP helped them cope, gave them meaning, and was a source of happiness in their lives. Implications for rehabilitation counselors and educators are discussed. [ABSTRACT FROM PUBLISHER]
    Publication Rehabilitation Counseling Bulletin
    Volume 54
    Issue 2
    Pages 82-92
    Date 01 January 2011
    DOI 10.1177/0034355210368868
    ISSN 00343552
    Short Title Religiosity and Spirituality Among Persons With Spinal Cord Injury
    Library Catalog EBSCOhost
    Date Added Thursday, September 29, 2011 8:57:35 AM
    Modified Thursday, September 29, 2011 8:57:35 AM

    Tags:

    • Analysis of Variance
    • CONTINUING education units
    • CORRELATION (Statistics)
    • DEMOGRAPHY
    • EDUCATIONAL attainment
    • EMPLOYMENT (Economic theory)
    • factor analysis
    • PEOPLE with disabilities
    • POPULATION geography
    • religion
    • RESEARCH -- Evaluation
    • SAMPLING (Statistics)
    • SCALE analysis (Psychology)
    • SCALE items
    • Severity of Illness Index
    • SEX distribution (Demography)
    • SOUTHERN States
    • SPINAL cord -- Wounds & injuries -- Psychological aspects
    • spirituality
    • SURVEYS
    • Time
    • T-test (Statistics)

    Notes:

    • A total of 157 persons with spinal cord injury completed the Spirituality and Spinal Cord Injury Survey in relation to their spiritual and/or religious attitudes, beliefs, and practices in terms of adapting to their disability.  The majority of participants expressed overall satisfaction with God or a Spiritual Power (G/SP) and that G/SP helped them cope, gave them meaning, and was a source of happiness in their lives. Implications for rehabilitation counselors and educators are discussed.

  • Mindfulness-based stress reduction among breast cancer survivors: a literature review and discussion

    Type Journal Article
    Author Yaowarat Matchim
    Author Jane M Armer
    Author Bob R Stewart
    Abstract Purpose/Objectives: To evaluate and discuss existing studies of mindfulness-based stress reduction (MBSR) among breast cancer survivors.Data Sources: Articles published from 1987-2009 were retrieved using MEDLINE®, CINAHL®, Ovid, and Scopus. Key words, including mindfulness-based stress reduction and mindfulness meditation, were combined with breast cancer.Data Synthesis: The search resulted in 26 articles that were narrowed down to 16 by selecting only quantitative studies of MBSR conducted with breast cancer (n = 7) or heterogeneous types of cancer in which the predominant cancer was breast cancer (n = 9). Most studies were one-group pre- and post-test design and examined the effect of MBSR on psychological outcomes. Overall, the studies had large effect sizes on perceived stress and state anxiety and medium effect sizes on symptoms of stress and mood disturbance. Four studies measured biologic outcomes and had small effect sizes, except cytokine production, which showed a large effect size at 6- and 12-month follow-ups.Conclusions: Future studies using randomized, control trials and longitudinal, repeated-measures designs are needed. Studies conducted with heterogeneous types of cancer and gender should be analyzed and the results reported separately. Implications for Nursing: The comprehensive summary and critical discussion of existing studies of MBSR usage among breast cancer survivors provide essential information that can be used by nurses and others working in the healthcare setting.
    Publication Oncology Nursing Forum
    Volume 38
    Issue 2
    Pages E61-71
    Date Mar 1, 2011
    Journal Abbr Oncol Nurs Forum
    DOI 10.1188/11.ONF.E61-E71
    ISSN 1538-0688
    Short Title Mindfulness-based stress reduction among breast cancer survivors
    URL http://www.ncbi.nlm.nih.gov/pubmed/21356643
    Accessed Monday, April 04, 2011 7:46:40 PM
    Library Catalog NCBI PubMed
    Extra PMID: 21356643
    Date Added Thursday, September 29, 2011 8:56:10 AM
    Modified Thursday, September 29, 2011 8:56:10 AM

    Notes:

    • Purpose of study is to evaluate and discuss existing studies of mindfulness-based stress reduction (MBSR) among breast cancer survivors.

  • Changes in the cortisol awakening response (CAR) following participation in Mindfulness-Based Stress Reduction in women who completed treatment for breast cancer

    Type Journal Article
    Author Rose H. Matousek
    Author Jens C. Pruessner
    Author Patricia L. Dobkin
    Abstract <p>Background<br/>Changes in the cortisol awakening response (CAR) were studied in women participating in a Mindfulness-Based Stress Reduction (MBSR) program after completion of their medical treatment for breast cancer.Method<br/>Thirty-three women completed questionnaires pre- and post-MBSR pertaining to: stress, depressive symptomatology, and medical symptoms. The CAR was assessed on 3 days pre- and 3 days post-MBSR as a biological marker of stress.Results<br/>A significant effect on the CAR was found, with cortisol levels showing a prolonged increase after awakening at the post-MBSR assessment period. This was accompanied by significant improvements in self-reported stress levels, depressive symptomatology, and medical symptoms. Furthermore, the change in medical symptoms was negatively correlated with the area under the curve (AUC) at study onset (r = -.52, p < .002); i.e., the greater the AUC of the CAR before MBSR, the greater the reduction in medical symptoms after the program.Conclusions<br/>These results suggest the potential usefulness of employing the CAR as a biological marker in women with breast cancer participating in an MBSR program.</p>
    Publication Complementary Therapies in Clinical Practice
    Volume 17
    Issue 2
    Pages 65-70
    Date May 2011
    DOI 16/j.ctcp.2010.10.005
    ISSN 1744-3881
    URL http://www.sciencedirect.com/science/article/pii/S1744388110000940
    Accessed Thursday, June 09, 2011 5:57:30 PM
    Library Catalog ScienceDirect
    Date Added Thursday, September 29, 2011 8:54:49 AM
    Modified Thursday, September 29, 2011 8:54:49 AM

    Tags:

    • breast cancer
    • Cancer
    • Cortisol
    • Mindfulness-Based Stress Reduction
    • Relaxation
    • Stress

    Notes:

    • A study looking at changes in the cortisol awakening response in women participating in a Mindfulness-Based Stress Reduction program after completion of their medical treatment for breast cancer.

  • Daily spiritual experiences of older adults with and without arthritis and the relationship to health outcomes

    Type Journal Article
    Author Jeanne McCauley
    Author Margaret J Tarpley
    Author Steffany Haaz
    Author Susan J Bartlett
    Abstract OBJECTIVE: Strategies to improve coping with chronic disease are increasingly important, especially with the aging US population. For many, spirituality serves as a source of strength and comfort. However, little is known about the prevalence of daily spiritual experiences (DSE) and how they may relate to physical and mental health. METHODS: We surveyed older adults age>50 years with chronic health conditions seen in a primary care setting about their DSE, health perceptions, pain, energy, and depression. RESULTS: Of 99 patients, 80% reported DSE most days and many times per day. Women had significantly lower DSE scores than men (reflecting more frequent DSE, mean+/-SD 37.3+/-15.0 versus 45.8+/-17.5; P=0.012). African American women reported the most frequent DSE and white men reported the least frequent DSE (mean+/-SD 35.9+/-13.6 versus 52.2+/-19.1). Frequent DSE were significantly associated with a higher number of comorbid conditions (P=0.003), although not with age, education, or employment status. Persons with arthritis reported significantly more DSE than those without arthritis (mean+/-SD 35.2+/-12.1 versus 47.1+/-18.6; P<0.001). After adjustment for age, race, sex, pain, and comorbid conditions, more frequent DSE were associated with increased energy (P<0.009) and less depression (P<0.007) in patients with arthritis. CONCLUSION: DSE are common among older adults, especially those with arthritis. Increased DSE may be associated with more energy and less depression. DSE may represent one pathway through which spirituality influences mental health in older adults.
    Publication Arthritis and Rheumatism
    Volume 59
    Issue 1
    Pages 122-128
    Date Jan 15, 2008
    Journal Abbr Arthritis Rheum
    DOI 10.1002/art.23246
    ISSN 0004-3591
    URL http://www.ncbi.nlm.nih.gov/pubmed/18163414
    Accessed Friday, November 13, 2009 6:26:58 PM
    Library Catalog NCBI PubMed
    Extra PMID: 18163414
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Tags:

    • Aged
    • Arthritis
    • depression
    • Female
    • Health Status
    • Humans
    • Male
    • Middle Aged
    • Pain
    • spirituality

    Notes:

    • This study investigates the prevalence of daily spiritual experiences (DSE) and how they may relate to physical and mental health. The authors conclude that DSE are common among older adults, especially those with arthritis. Increased DSE may be associated with more energy and less depression. DSE may represent one pathway through which spirituality influences mental health in older adults.

  • Psychological flexibility in adults with chronic pain: A study of acceptance, mindfulness, and values-based action in primary care

    Type Journal Article
    Author Lance M. McCracken
    Author Sophie C. Velleman
    Abstract There is an increasing number of studies of acceptance, mindfulness, and values-based action in relation to chronic pain. Evidence from these studies suggests that these processes may be important for reducing the suffering and disability arising in these conditions. Taken together these processes entail an overarching process referred to as "psychological flexibility." While these processes have been studied in people with chronic pain contacted in specialty treatment centers, they have not yet been investigated in primary care. Thus, participants in this study were 239 adults with chronic pain surveyed in primary care, through contact with their General Practitioners (GPs), in the UK. They completed measures of acceptance of chronic pain, mindfulness, psychological acceptance, values-based action, health status, and GP visits related to pain. Correlation coefficients demonstrated significant relations between the components of psychological flexibility and the measures of health and GP visits. In regression analyses, including both pain intensity and psychological flexibility as potential predictors, psychological flexibility accounted for significant variance, [Delta]R2 = .039-.40 (3.9-40.0%). In these regression equations pain intensity accounted for an average of 9.2% of variance while psychological flexibility accounted for 24.1%. These data suggest that psychological flexibility may reduce the impact of chronic pain in patients with low to moderately complex problems outside of specialty care. Due to a particularly conservative recruitment strategy the overall response rate in this study was low and the generality of these results remains to be established.
    Publication Pain
    Volume 148
    Issue 1
    Pages 141-147
    Date January 2010
    DOI 10.1016/j.pain.2009.10.034
    ISSN 0304-3959
    Short Title Psychological flexibility in adults with chronic pain
    Accessed Friday, January 29, 2010 12:57:04 PM
    Library Catalog ScienceDirect
    Date Added Thursday, September 29, 2011 9:04:02 AM
    Modified Thursday, September 29, 2011 9:04:02 AM

    Tags:

    • Acceptance
    • Chronic pain
    • Cognitive behavioral therapy
    • Disability
    • Mindfulness
    • Psychological flexibility

    Notes:

    • There is an increasing number of studies of acceptance, mindfulness, and values-based action in relation to chronic pain. Evidence from these studies suggests that these processes may be important for reducing the suffering and disability arising in these conditions. Taken together these processes entail an overarching process referred to as “psychological flexibility.” While these processes have been studied in people with chronic pain contacted in specialty treatment centers, they have not yet been investigated in primary care. Thus, participants in this study were 239 adults with chronic pain surveyed in primary care, through contact with their General Practitioners (GPs), in the UK. They completed measures of acceptance of chronic pain, mindfulness, psychological acceptance, values-based action, health status, and GP visits related to pain. Correlation coefficients demonstrated significant relations between the components of psychological flexibility and the measures of health and GP visits. In regression analyses, including both pain intensity and psychological flexibility as potential predictors, psychological flexibility accounted for significant variance, ΔR2=.039–.40 (3.9–40.0%). In these regression equations pain intensity accounted for an average of 9.2% of variance while psychological flexibility accounted for 24.1%. These data suggest that psychological flexibility may reduce the impact of chronic pain in patients with low to moderately complex problems outside of specialty care. Due to a particularly conservative recruitment strategy the overall response rate in this study was low and the generality of these results remains to be established.

  • Ayurveda and acupuncture in heroin detoxification in Sri Lanka

    Type Journal Article
    Author D McDonald
    Abstract The Bandaranaike Memorial Ayurvedic Research Institute in Colombo, Sri Lanka, is applying the traditional medical practices of Ayurveda and acupuncture to the management of withdrawal from heroin. This is part of a wider research effort into the application of Ayurveda in contemporary systems of health care. The detoxification programme is briefly described. Initial observations of programme outcomes suggest that these methods are of similar effectiveness to approaches used in western medicine and are culturally appropriate in the Sri Lankan context.
    Publication Drug and Alcohol Review
    Volume 9
    Issue 4
    Pages 329-331
    Date 1990
    Journal Abbr Drug Alcohol Rev
    DOI 10.1080/09595239000185461
    ISSN 0959-5236
    URL http://www.ncbi.nlm.nih.gov/pubmed/16840160
    Accessed Monday, October 12, 2009 11:08:58 PM
    Library Catalog NCBI PubMed
    Extra PMID: 16840160
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Tags:

    • Medicine, Ayurvedic

    Notes:

    • The Bandaranaike Memorial Ayurvedic Research Institute in Colombo, Sri Lanka, is applying the traditional medical practices of Ayurveda and acupuncture to the management of withdrawal from heroin. This is part of a wider research effort into the application of Ayurveda in contemporary systems of health care. The detoxification programme is briefly described. Initial observations of programme outcomes suggest that these methods are of similar effectiveness to approaches used in western medicine and are culturally appropriate in the Sri Lankan context.

  • Spirituality in tobacco dependence: a mayo clinic survey

    Type Journal Article
    Author David McFadden
    Author Ivana T Croghan
    Author Kathryn M Piderman
    Author Carl Lundstrom
    Author Darrell R Schroeder
    Author J Taylor Hays
    Abstract CONTEXT With widespread interest in natural remedies and "wholistic" treatments, there has been a renewed focus on the impact of spirituality related alternative therapy for many current chronic diseases. OBJECTIVE To assess the potential impact of spiritual beliefs on lifestyle choices such as tobacco use, we conducted a patient survey. DESIGN/SETTING This cross-section study was conducted using a 27-question survey of patients seen at the Mayo Clinic over a 14-week period. PATIENTS We invited all patients (smokers and nonsmokers) seen in several Mayo Clinic divisions to participate in this voluntary survey. INTERVENTIONS The survey included demographic information, history of tobacco use or nonuse, and assessment of spirituality. MAIN OUTCOME MEASURE Among the 501 patients who participated, 370 were nonsmokers and 131 were smokers. Compared with smokers, nonsmokers more often participated in religious activities such as regular weekly church attendance (48% vs. 24%), daily prayer, and Bible study (49% vs. 24%; P < .001). Current smoking was negatively correlated with religious activities. However, after adjustment for demographic facdtors, there was no significant difference in intrinsic spirituality (importance of religion) between the two groups (P < .130). RESULT Nonsmokers are more likely to engage in religious activities such as prayer, Bible study, and regular church attendance. Further studies may be helpful to clearly define the potential impact of spirituality on smoking cessation.
    Publication Explore (New York, N.Y.)
    Volume 7
    Issue 3
    Pages 162-167
    Date 2011 May-Jun
    Journal Abbr Explore (NY)
    DOI 10.1016/j.explore.2011.02.003
    ISSN 1878-7541
    Short Title Spirituality in tobacco dependence
    URL http://www.ncbi.nlm.nih.gov/pubmed/21571235
    Accessed Wednesday, June 08, 2011 6:32:39 PM
    Library Catalog NCBI PubMed
    Extra PMID: 21571235
    Date Added Thursday, September 29, 2011 8:54:49 AM
    Modified Thursday, September 29, 2011 8:54:49 AM
  • Psychosocial needs in cancer patients related to religious belief

    Type Journal Article
    Author M B McIllmurray
    Author B Francis
    Author J C Harman
    Author S M Morris
    Author K Soothill
    Author C Thomas
    Abstract In a study of psychosocial needs amongst cancer patients, the possession of a religious faith has been identified as a significant factor in determining a range of psychosocial needs. Of the 354 respondents to a questionnaire, which included a comprehensive psychosocial needs inventory, 83% said they had a religious faith, and in general these patients were less reliant on health professionals, had less need for information, attached less importance to the maintenance of independence and had less need for help with feelings of guilt, with their sexuality or with some practical matters than those who said they had no religious faith. In addition, they had fewer unmet needs overall (32% compared with 52%). The knowledge of a patient's spirituality should help service providers to predict aspects of psychosocial need and to respond sensitively and appropriately to a patient's experience of cancer.
    Publication Palliative Medicine
    Volume 17
    Issue 1
    Pages 49-54
    Date Jan 2003
    Journal Abbr Palliat Med
    ISSN 0269-2163
    URL http://www.ncbi.nlm.nih.gov/pubmed/12597466
    Accessed Thursday, November 12, 2009 11:12:07 PM
    Library Catalog NCBI PubMed
    Extra PMID: 12597466
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Tags:

    • Aged
    • Emotions
    • Female
    • Humans
    • Male
    • Middle Aged
    • Neoplasms
    • Professional-Patient Relations
    • Psychology, Social
    • Questionnaires
    • Religion and Psychology
    • Self Concept
    • spirituality

    Notes:

  • Enhancement of the efficacy of cancer chemotherapy by the pineal hormone melatonin and its relation with the psychospiritual status of cancer patients

    Type Journal Article
    Author Giuseppina Messina
    Author Paolo Lissoni
    Author Paolo Marchiori
    Author Erio Bartolacelli
    Author Fernando Brivio
    Author Luciano Magotti
    Abstract BACKGROUND The anti-oxidant and immunomodulating natural agents may enhance the efficacy of cancer chemotherapy. One of the most important agents is the pineal hormone melatonin (MLT) which may exert both anti-oxidant and antiproliferative immunostimulating anticancer effects. This study was performed to evaluate the efficacy of a biochemotherapeutic regimen in metastatic cancer patients, and its therapeutic activity in relation to the psychospiritual status of patients. METHODS The study included 50 metastatic non-small cell lung cancer (NSCLC) patients and a control group of 100 patients. Chemotherapy consisted of cisplatin plus gemcitabine. MLT was given orally at 20 mg/day in the evening. Patients were subdivided into 5 psychic profiles, as follows: spiritual faith, rationale faith, anxiety, apathy, and accusation behavior. RESULTS Tumor response rate was significantly higher in patients treated by chemotherapy plus MLT than in those treated by chemotherapy alone (21/50 vs. 24/100, p < 0.001). However, the percentage of objective tumor regressions obtained in patients with spiritual faith was significantly higher than that found in the overall other patients concomitantly treated by chemotherapy plus MLT (6/8 vs. 15/42, p < 0.01). CONCLUSIONS In conclusion, the efficacy of chemotherapy may be enhanced by the pineal hormone MLT, by representing a new promising biochemotherapeutic combination; also despite its objective ability to enhance chemotherapy efficacy, the activity of MLT is depending at least in part on the psychospiritual status of cancer patients, and it is maximal in the presence of a real spiritual faith.
    Publication Journal of Research in Medical Sciences: The Official Journal of Isfahan University of Medical Sciences
    Volume 15
    Issue 4
    Pages 225-228
    Date Jul 2010
    Journal Abbr J Res Med Sci
    ISSN 1735-7136
    URL http://www.ncbi.nlm.nih.gov/pubmed/21526086
    Accessed Wednesday, June 08, 2011 6:56:22 PM
    Library Catalog NCBI PubMed
    Extra PMID: 21526086
    Date Added Thursday, September 29, 2011 8:54:49 AM
    Modified Thursday, September 29, 2011 8:54:49 AM

    Notes:

    • This study was performed to evaluate the efficacy of a biochemotherapeutic regimen in metastatic cancer patients, and its therapeutic activity in relation to the psychospiritual status of patients. In conclusion, the efficacy of chemotherapy may be enhanced by the pineal hormone MLT, by representing a new promising biochemotherapeutic combination; also despite its objective ability to enhance chemotherapy efficacy, the activity of MLT is depending at least in part on the psychospiritual status of cancer patients, and it is maximal in the presence of a real spiritual faith.

  • Narrating Disability, Narrating Religious Practice: Reconciliation and Fragile X Syndrome

    Type Journal Article
    Author Marsha Michie
    Author Debra Skinner
    Abstract This article examines the place of religion in the narratives of mothers of children with fragile X syndrome. In interviews, a majority of women combined narratives of religious practice with illness narratives, interpreting their children's disabilities within a religious framework. The authors articulate a reconciliation narrative that mothers commonly used to describe their transition from viewing disability as a burden or challenge to seeing it as a blessing, or as a part of God's purpose or plan for their lives.
    Publication Intellectual and Developmental Disabilities
    Volume 48
    Issue 2
    Pages 99-111
    Date 2010
    Journal Abbr Intellect Dev Disabil
    DOI 10.1352/1934-9556-48.2.99
    ISSN 1934-9491
    URL http://aamr.allenpress.com/aamronline/?
    request=get-abstract&…
    Date Added Thursday, September 29, 2011 9:04:35 AM
    Modified Thursday, September 29, 2011 9:04:35 AM

    Notes:

    • This article examines the place of religion in the narratives of mothers of children with fragile X syndrome. The authors found that a majority of women interpreted their children's disabilities within a religious framework. Informed by Arthur Frank's (1995) concept of “wounded storytellers,” the authors articulate a reconciliation narrative that mothers commonly used to describe their transition from viewing disability as a burden or challenge to seeing it as a blessing, or as a part of God's purpose or plan for their lives. The authors discuss the significance of narrative for better understanding religious perspectives on disability and conclude with the implications of these findings for practitioners and future research.

  • Researching the spiritual dimensions of alcohol and other drug problems

    Type Journal Article
    Author William R. Miller
    Abstract Although religions have been far from silent on the use of psychoactive drugs, and spirituality has long been emphasized as an important factor in recovery from addiction, surprisingly little research has explored the relationships between these two phenomena. Current findings indicate that spiritual/religious involvement may be an important protective factor against alcohol/drug abuse. Individuals currently suffering from these problems are found to have a low level of religious involvement, and spiritual (re)engagement appears to be correlated with recovery. Reasons are explored for the lack of studies testing spiritual hypotheses, and promising avenues for future research are discussed. Comprehensive addictions research should include not only biomedical, psychological and socio-cultural factors but spiritual aspects of the individual as well.
    Publication Addiction
    Volume 93
    Issue 7
    Pages 979-990
    Date 1998
    DOI 10.1046/j.1360-0443.1998.9379793.x
    URL http://dx.doi.org/10.1046/j.1360-0443.1998.9379793.x
    Accessed Thursday, October 22, 2009 10:43:15 PM
    Library Catalog Wiley InterScience
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Notes:

    • Current findings indicate that spiritual/religious involvement may be an important protective factor against alcohol/drug abuse. Individuals currently suffering from these problems are found to have a low level of religious involvement, and spiritual (re)engagement appears to be correlated with recovery.

  • Spirituality: the silent dimension in addiction research. The 1990 leonard ball oration

    Type Journal Article
    Author William [1] Miller
    Abstract Researchers currently recognize and incorporate psychological, biomedical, and social determinants in the study of addictive behaviors. Yet spiritual aspects of addiction and recovery remain virtually unstudied, despite the fact that spirituality is given central importance in Alcoholics Anonymous and in the lives of many individuals. Traditional spiritual concepts have been relabelled to remove their transcendent dimension, and addiction researchers have acted as though spirituality plays no role in the lives of those they study. Consequently an entire class of potentially important variables is being overlooked. A majority of variance in addictive behaviors and treatment outcomes remains unexplained, a portion of which might be accounted for through the study of spiritual dependent, moderator, and independent variables. Behavioural scientists have begun to acknowledge the role of complex spiritual, moral, and decisional processes in the addictive behaviours. Though uncomfortable in some ways for both believers and unbelievers, the scientific study of spiritual processes may improve our understanding of the addictive behaviours, and our ability to prevent and treat these enduring problems.
    Publication Drug and Alcohol Review
    Volume 9
    Pages 259-266
    Date 1990
    DOI 10.1080/09595239000185341
    Short Title Spirituality
    URL http://www.ingentaconnect.com/content/apl/cdar/1990/00000009/00000003/art00009
    Accessed Thursday, October 22, 2009 4:42:31 PM
    Library Catalog IngentaConnect
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Tags:

    • 1

    Notes:

    • Objective: To replicate previous findings among adults of an inverse association between religiosity and substance use among a nationally representative sample of adolescents., Conclusion: Low levels of religiosity may be associated with adolescent onset of substance use and abuse.

  • Religiosity and Substance Use and Abuse Among Adolescents in the National Comorbidity Survey

    Type Journal Article
    Author Lisa Miller
    Author Mark Davies
    Author Steven Greenwald
    Abstract Objective: To replicate previous findings among adults of an inverse association between religiosity and substance use among a nationally representative sample of adolescents., Method: Subjects were 676 (328 female and 348 male) adolescents in the National Comorbidity Survey who were assessed for substance use and abuse with the Composite International Diagnostic Interview. Religiosity was assessed through affiliation with religious denomination and through response to 7 questions concerning belief and practice., Results: Confirmatory factor analyses replicated in adolescents the 2 religiosity factors of personal devotion and personal conservatism previously identified by Kendler among adults, although the 2 factors were more highly correlated in adolescents than in adults. Personal devotion (a personal relationship with the Divine) and affiliation with more fundamentalist religious denominations were inversely associated with substance use and substance dependence or abuse across a range of substances (alcohol, marijuana, cocaine, or any contraband drug). Personal conservatism (a personal commitment to teaching and living according to creed) was inversely associated with use of alcohol only., Conclusion: Low levels of religiosity may be associated with adolescent onset of substance use and abuse., Copyright 2000 (C) American Academy of Child and Adolescent Psychiatry
    Publication Journal of the American Academy of Child
    Volume 39
    Issue 9
    Pages 1190-1197
    Date 2000
    ISSN 0890-8567
    Library Catalog Ovid (Journals@Ovid)
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Tags:

    • Clinical Medicine, Behavioral & Social Sciences

    Notes:

    • Spiritual aspects of addiction and recovery remain virtually unstudied, despite the fact that spirituality is given central importance in Alcoholics Anonymous and in the lives of many individuals. Traditional spiritual concepts have been relabelled to remove their transcendent dimension, and addiction researchers have acted as though spirituality plays no role in the lives of those they study. Consequently an entire class of potentially important variables is being overlooked.

  • Randomized controlled trial of yoga among a multiethnic sample of breast cancer patients: effects on quality of life

    Type Journal Article
    Author Alyson B Moadel
    Author Chirag Shah
    Author Judith Wylie-Rosett
    Author Melanie S Harris
    Author Sapana R Patel
    Author Charles B Hall
    Author Joseph A Sparano
    Abstract PURPOSE: This study examines the impact of yoga, including physical poses, breathing, and meditation exercises, on quality of life (QOL), fatigue, distressed mood, and spiritual well-being among a multiethnic sample of breast cancer patients. PATIENTS AND METHODS: One hundred twenty-eight patients (42% African American, 31% Hispanic) recruited from an urban cancer center were randomly assigned (2:1 ratio) to a 12-week yoga intervention (n = 84) or a 12-week waitlist control group (n = 44). Changes in QOL (eg, Functional Assessment of Cancer Therapy) from before random assignment (T1) to the 3-month follow-up (T3) were examined; predictors of adherence were also assessed. Nearly half of all patients were receiving medical treatment. RESULTS: Regression analyses indicated that the control group had a greater decrease in social well-being compared with the intervention group after controlling for baseline social well-being and covariates (P < .0001). Secondary analyses of 71 patients not receiving chemotherapy during the intervention period indicated favorable outcomes for the intervention group compared with the control group in overall QOL (P < .008), emotional well-being (P < .015), social well-being (P < .004), spiritual well-being (P < .009), and distressed mood (P < .031). Sixty-nine percent of intervention participants attended classes (mean number of classes attended by active class participants = 7.00 +/- 3.80), with lower adherence associated with increased fatigue (P < .001), radiotherapy (P < .0001), younger age (P < .008), and no antiestrogen therapy (P < .02). CONCLUSION: Despite limited adherence, this intent-to-treat analysis suggests that yoga is associated with beneficial effects on social functioning among a medically diverse sample of breast cancer survivors. Among patients not receiving chemotherapy, yoga appears to enhance emotional well-being and mood and may serve to buffer deterioration in both overall and specific domains of QOL.
    Publication Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology
    Volume 25
    Issue 28
    Pages 4387-4395
    Date Oct 1, 2007
    Journal Abbr J. Clin. Oncol
    DOI 10.1200/JCO.2006.06.6027
    ISSN 1527-7755
    Short Title Randomized controlled trial of yoga among a multiethnic sample of breast cancer patients
    URL http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/17785709
    Accessed Monday, November 09, 2009 12:43:04 AM
    Library Catalog NCBI PubMed
    Extra PMID: 17785709
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Tags:

    • Adaptation, Psychological
    • Adult
    • Aged
    • Breast Neoplasms
    • Female
    • Humans
    • Middle Aged
    • Quality of Life
    • Regression Analysis
    • SOCIAL adjustment
    • yoga

    Notes:

    • This study examines the impact of yoga, including physical poses, breathing, and meditation exercises, on quality of life (QOL), fatigue, distressed mood, and spiritual well-being among a multiethnic sample of breast cancer patients. Conclusion: Despite limited adherence, this intent-to-treat analysis suggests that yoga is associated with beneficial effects on social functioning among a medically diverse sample of breast cancer survivors.

  • Healthcare professionals' perceptions of existential distress in patients with advanced cancer

    Type Journal Article
    Author Esther Mok
    Author Ka-po Lau
    Author Wai-man Lam
    Author Lai-ngor Chan
    Author Jeffrey S C Ng
    Author Kin-sang Chan
    Abstract AIM: This paper is a report of an exploration of the phenomenon of existential distress in patients with advanced cancer from the perspectives of healthcare professionals. BACKGROUND: Existential distress is an important concern in patients with advanced cancer; it affects their well-being and needs to be addressed in the provision of holistic care. METHOD: Focus groups were conducted from November 2008 to February 2009 with physicians, nurses, social workers, occupational therapists, physiotherapists, and chaplains working in a palliative care unit that served patients with advanced cancer in Hong Kong. Data collection and analysis were guided by the grounded theory approach. All categories were saturated when five focus groups had been held with a total number of 23 participants. FINDINGS: We found three causal conditions of existential distress: anticipation of a negative future, failure to engage in meaningful activities and relationships, and having regrets. Three basic (caring, relating and knowing) and six specific (positive feedback, religious support, new experiences, task setting, exploring alternatives and relationship reconciliation) intervening strategies were identified. Whether the intervening strategies would be effective would depend on patients' openness and readiness; healthcare professionals' self-awareness, hopefulness, and interest in knowing the patients; and a trusting relationship between patients and healthcare professionals. A sense of peace in patients was considered a consequence of successful interventions. CONCLUSION: This paper acknowledges the lack of an accepted conceptual framework of existential distress in patients with advanced cancer. It is based on healthcare professionals' views, and further studies from the perspectives of patients and their families are needed.
    Publication Journal of Advanced Nursing
    Volume 66
    Issue 7
    Pages 1510-1522
    Date Jul 2010
    Journal Abbr J Adv Nurs
    DOI 10.1111/j.1365-2648.2010.05330.x
    ISSN 1365-2648
    Accessed Tuesday, July 27, 2010 12:19:28 PM
    Library Catalog NCBI PubMed
    Extra PMID: 20492015
    Date Added Thursday, September 29, 2011 9:03:48 AM
    Modified Thursday, September 29, 2011 9:03:48 AM

    Notes:

    • This paper is a report of an exploration of the phenomenon of existential distress in patients with advanced cancer from the perspectives of healthcare professionals.

  • Mediators of a brief hypnosis intervention to control side effects in breast surgery patients: response expectancies and emotional distress

    Type Journal Article
    Author Guy H Montgomery
    Author Michael N Hallquist
    Author Julie B Schnur
    Author Daniel David
    Author Jeffrey H Silverstein
    Author Dana H Bovbjerg
    Abstract OBJECTIVE: The present study was designed to test the hypotheses that response expectancies and emotional distress mediate the effects of an empirically validated presurgical hypnosis intervention on postsurgical side effects (i.e., pain, nausea, and fatigue). METHOD: Women (n = 200) undergoing breast-conserving surgery (mean age = 48.50 years; 63% White, 15% Hispanic, 13% African American, and 9% other) were randomized to a hypnosis or to an attention control group. Prior to surgery, patients completed assessments of hypothesized mediators (response expectancies and emotional distress), and following surgery, patients completed assessments of outcome variables (pain, nausea, and fatigue). RESULTS: Structural equation modeling revealed the following: (a) Hypnotic effects on postsurgical pain were partially mediated by pain expectancy (p < .0001) but not by distress (p = .12); (b) hypnotic effects on postsurgical nausea were partially mediated by presurgical distress (p = .02) but not by nausea expectancy (p = .10); and (c) hypnotic effects on postsurgical fatigue were partially mediated by both fatigue expectancy (p = .0001) and presurgical distress (p = .02). CONCLUSIONS: The results demonstrate the mediational roles of response expectancies and emotional distress in clinical benefits associated with a hypnotic intervention for breast cancer surgical patients. More broadly, the results improve understanding of the underlying mechanisms responsible for hypnotic phenomena and suggest that future hypnotic interventions target patient expectancies and distress to improve postsurgical recovery.
    Publication Journal of Consulting and Clinical Psychology
    Volume 78
    Issue 1
    Pages 80-88
    Date Feb 2010
    Journal Abbr J Consult Clin Psychol
    DOI 10.1037/a0017392
    ISSN 1939-2117
    Short Title Mediators of a brief hypnosis intervention to control side effects in breast surgery patients
    Accessed Friday, January 29, 2010 11:43:04 AM
    Library Catalog NCBI PubMed
    Extra PMID: 20099953
    Date Added Thursday, September 29, 2011 9:04:02 AM
    Modified Thursday, September 29, 2011 9:04:02 AM

    Notes:

    • The present study was designed to test the hypotheses that response expectancies and emotional distress mediate the effects of an empirically validated presurgical hypnosis intervention on postsurgical side effects (i.e., pain, nausea, and fatigue).

  • Meaninglessness in terminally ill cancer patients: a randomized controlled study

    Type Journal Article
    Author Tatsuya Morita
    Author Hisayuki Murata
    Author Emi Kishi
    Author Mitsunori Miyashita
    Author Takuhiro Yamaguchi
    Author Yosuke Uchitomi
    Abstract Although recent empirical studies reveal that fostering patients' perception of meaning in their lives is an essential task for palliative care clinicians, few studies have reported the effects of training programs for nurses specifically aimed at improving these skills. The primary aim of this randomized controlled trial was to determine the effects of an educational workshop focusing on patients' feelings of meaninglessness on nurses' confidence, self-reported practice, and attitudes toward caring for such patients, in addition to burnout and meaning of life. The study was designed as a single-institution, randomized controlled trial using a waiting list control. The intervention consisted of eight 180-minute training sessions over four months, including lectures and exercises using structured assessment. A total of 41 nurses were randomly allocated to three groups, which were separately trained, and all were evaluated four times at three-month intervals (before intervention, between each intervention, and after the last intervention). Assessments included validated Confidence and Self-Reported Practice scales, the Attitudes Toward Caring for Patients Feeling Meaningless Scale (including willingness to help, positive appraisal, and helplessness items), the Maslach Burnout Scale, job satisfaction, and the Functional Assessment of Chronic Illness Therapy-Spiritual (FACIT-Sp). One participant withdrew from the study before the baseline evaluation, and the remaining 40 nurses completed the study. The nurses were all female and had a mean age of 31+/-6.4, and mean clinical experience of 8.9+/-5.5 years. There were no significant differences in background among the groups. The intervention effects were statistically significant on the Confidence Scale, the Self-Reported Practice Scale, and the willingness to help, positive appraisal, and helplessness subscales, in addition to the overall levels of burnout, emotional exhaustion, personal accomplishment, job satisfaction, and the FACIT-Sp. The change ratio of each parameter ranged from 5.6% (willingness to help) to 37% for the helplessness score and 51% on the Confidence Scale. The percentages of nurses who evaluated this program as "useful" or "very useful" were 85% (to understand the conceptual framework in caring for terminally ill patients with meaninglessness), 80% (to foster nurses' personal values), and 88% (to know how to provide care for patients with meaninglessness). This educational intervention had a significant beneficial effect on nurse-perceived confidence, practice, and attitudes in providing care for patients feeling meaninglessness, in addition to the levels of burnout and spiritual well-being of nurses.
    Publication Journal of Pain and Symptom Management
    Volume 37
    Issue 4
    Pages 649-658
    Date Apr 2009
    Journal Abbr J Pain Symptom Manage
    DOI 10.1016/j.jpainsymman.2008.04.017
    ISSN 1873-6513
    Short Title Meaninglessness in terminally ill cancer patients
    URL http://www.ncbi.nlm.nih.gov/pubmed/18834700
    Accessed Monday, March 28, 2011 6:29:00 PM
    Library Catalog NCBI PubMed
    Extra PMID: 18834700
    Date Added Thursday, September 29, 2011 9:06:18 AM
    Modified Thursday, September 29, 2011 9:06:18 AM

    Tags:

    • Adult
    • Endpoint Determination
    • Female
    • Humans
    • Middle Aged
    • Neoplasms
    • Nurses
    • PATIENTS
    • Terminal Care
    • Waiting Lists
    • Young Adult

    Notes:

    • The primary aim of this randomized controlled trial was to determine the effects of an educational workshop focusing on patients' feelings of meaninglessness on nurses' confidence, self-reported practice, and attitudes toward caring for such patients, in addition to burnout and meaning of life. The study was designed as a single-institution, randomized controlled trial using a waiting list control.

  • Spirituality of Childhood Cancer Survivors

    Type Journal Article
    Author Elizabeth E Morse
    Author Kathleen O'Rourke
    Abstract With the survival rates for childhood cancer growing, studies point to both the challenges and possible opportunities for personal growth that children with cancer may experience throughout their life journey. Examined in this review, research on the spirituality of childhood cancer survivors has provided insight into their overall spiritual journeys, their strategies to promote well-being, and the dynamics of hope and meaning within their lives. In an area that is in the early stages of research, the qualitative and exploratory research of the spirituality of childhood cancer survivors also contributes to the generation of future hypotheses. Finally, future research in this area should provide us with an enhanced understanding of spiritual paradigms that will assist us in making provisions for optimal support of children and their families.
    Publication Journal of the Society for Integrative Oncology
    Volume 7
    Issue 4
    Pages 146-154
    Date 2009 Fall 01
    Journal Abbr J Soc Integr Oncol
    ISSN 1715-894X
    URL http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/19883530
    Accessed Wednesday, November 04, 2009 10:03:52 PM
    Library Catalog NCBI PubMed
    Extra PMID: 19883530
    Date Added Thursday, September 29, 2011 9:05:21 AM
    Modified Thursday, September 29, 2011 9:05:21 AM

    Notes:

    • With the survival rates for childhood cancer growing, studies point to both the challenges and possible opportunities for personal growth that children with cancer may experience throughout their life journey. Examined in this review, research on the spirituality of childhood cancer survivors has provided insight into their overall spiritual journeys, their strategies to promote well-being, and the dynamics of hope and meaning within their lives. In an area that is in the early stages of research, the qualitative and exploratory research of the spirituality of childhood cancer survivors also contributes to the generation of future hypotheses. Finally, future research in this area should provide us with an enhanced understanding of spiritual paradigms that will assist us in making provisions for optimal support of children and their families

  • Effect of Slow- and Fast-Breathing Exercises on Autonomic Functions in Patients with Essential Hypertension

    Type Journal Article
    Author M Mourya
    Author AS Mahajan
    Author NP Singh
    Author AK Jain
    Abstract Objectives: Breathing exercises practiced in various forms of meditations such as yoga may influence autonomic functions. This may be the basis of therapeutic benefit to hypertensive patients. Design: The study design was a randomized, prospective, controlled clinical study using three groups. Subjects: The subjects comprised 60 male and female patients aged 20-60 years with stage 1 essential hypertension. Intervention: Patients were randomly and equally divided into the control and other two intervention groups, who were advised to do 3 months of slow-breathing and fast-breathing exercises, respectively. Baseline and postintervention recording of blood pressure (BP), autonomic function tests such as standing-to-lying ratio (S/L ratio), immediate heart rate response to standing (30: 15 ratio), Valsalva ratio, heart rate variation with respiration (E/I ratio), hand-grip test, and cold presser response were done in all subjects. Results: Slow breathing had a stronger effect than fast breathing. BP decreased longitudinally over a 3-month period with both interventions. S/L ratio, 30: 15 ratio, E/I ratio, and BP response in the hand grip and cold pressor test showed significant change only in patients practicing the slow-breathing exercise. Conclusions: Both types of breathing exercises benefit patients with hypertension. However, improvement in both the sympathetic and parasympathetic reactivity may be the mechanism that is associated in those practicing the slow-breathing exercise.
    Publication Journal of Alternative and Complementary Medicine
    Volume 15
    Issue 7
    Pages 711-717
    Date JUL 2009
    DOI 10.1089/acm.2008.0609
    ISSN 1075-5535
    URL http://apps.isiknowledge.com.ezproxy.bu.edu/full_record.do?
    product=WOS&search_mode=GeneralSearch&qid=1&…
    Accessed Sunday, November 01, 2009 10:37:20 AM
    Library Catalog ISI Web of Knowledge
    Date Added Thursday, September 29, 2011 9:04:55 AM
    Modified Thursday, September 29, 2011 9:04:55 AM
  • Boswellia resin: from religious ceremonies to medical uses; a review of in-vitro, in-vivo and clinical trials

    Type Journal Article
    Author Arieh Moussaieff
    Author Raphael Mechoulam
    Abstract OBJECTIVES: Despite its historical-religious, cultural and medical importance, Boswellia has not been thoroughly studied, and gaps still exist between our knowledge of the traditional uses of the resin and the scientific data available. Here we review the pharmacology of Boswellia resin and of the small molecules identified as the active ingredients of the resin. KEY FINDINGS: The resin of Boswellia species ('frankincense', 'olibanum') has been used as incense in religious and cultural ceremonies since the beginning of written history. Its medicinal properties are also widely recognized, mainly in the treatment of inflammatory conditions, as well as in some cancerous diseases, wound healing and for its antimicrobial activity. Until recently, work on Boswellia focused on the immunomodulatory properties of the resin and boswellic acids were considered to be the main, if not the only, active ingredients of the resin. Hence, this family of triterpenoids was investigated by numerous groups, both in vitro and in vivo. These compounds were shown to exert significant anti-inflammatory and pro-apoptotic activity in many assays: in vitro, in vivo and in clinical trials. We recently found incensole acetate and its derivatives, which are major components of Boswellia resin, to be nuclear factor-kappaB inhibitors, thus suggesting that they are, at least in part, responsible for its anti-inflammatory effects. Incensole acetate also exerts a robust neuroprotective effect after brain trauma in mice. Furthermore, it causes behavioural as well as anti-depressive and anxiolytic effects in mice. It is also a potent agonist of the transient receptor potential (TRP)V3 channel. It thus seems that incensole acetate and its derivatives play a significant role in the effects that Boswellia resin exerts on biological systems. CONCLUSIONS: Altogether, studies on Boswellia resin have provided an arsenal of bio-active small molecules with a considerable therapeutic potential that is far from being utilized.
    Publication The Journal of Pharmacy and Pharmacology
    Volume 61
    Issue 10
    Pages 1281-1293
    Date Oct 2009
    Journal Abbr J. Pharm. Pharmacol
    DOI 10.1211/jpp/61.10.0003
    ISSN 0022-3573
    Short Title Boswellia resin
    URL http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/19814859
    Accessed Wednesday, November 04, 2009 10:21:12 PM
    Library Catalog NCBI PubMed
    Extra PMID: 19814859
    Date Added Thursday, September 29, 2011 9:05:21 AM
    Modified Thursday, September 29, 2011 9:05:21 AM

    Notes:

    • This article investigates the pharmacology of Boswellia resin, used as incense in many religious rituals, and finds that the "arsenal of bio-active small molecules" in Boswellia resin has "considerable therapeutic potential that is far from being utilized."

  • Religiosity may alter the cold pressor stress response

    Type Journal Article
    Author Thomas Mulligan
    Author Frank M Skidmore
    Abstract Researchers found a measurable difference in the blood pressure, pulse, and serum cortisol response to acute painful stress in Christian (N = 7) versus nonreligious (N = 7) subjects; from similar baselines, blood pressure, pulse, and serum cortisol increased in all subjects, but the increases were attenuated in religious subjects compared to nonreligious subjects (diastolic blood pressure of 5 mm. vs. 13 mm, respectively; systolic blood pressure of 11 vs. 21 mm. Hg, respectively; pulse rate of 2 vs. 9 beats/minute, respectively; and serum cortisol of 0.7 vs. 3.8 g/dL, respectively).
    Publication Explore (New York, N.Y.)
    Volume 5
    Issue 6
    Pages 345-346
    Date 2009 Nov-Dec
    Journal Abbr Explore (NY)
    DOI 10.1016/j.explore.2009.08.002
    ISSN 1878-7541
    URL http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/19913762
    Accessed Monday, November 23, 2009 8:14:13 PM
    Library Catalog NCBI PubMed
    Extra PMID: 19913762
    Date Added Thursday, September 29, 2011 9:04:55 AM
    Modified Thursday, September 29, 2011 9:04:55 AM
  • Impact of spirituality and religiousness on outcomes in patients with ALS

    Type Journal Article
    Author P L Murphy
    Author S M Albert
    Author C M Weber
    Author M L Del Bene
    Author L P Rowland
    Abstract The Project of Death in America Study at Columbia Presbyterian Medical Center enrolled 121 patients with ALS from 1996 through 1997, 46 of whom participated in a study assessing the effects of religiousness and spirituality (attachment to life, mental health, support group, health care proxy, and attitudes toward death) on outcomes (technology and death). Spirituality or religion influenced use of percutaneous endoscopic gastrostomy, noninvasive assisted ventilation, tracheotomy, and attitudes toward the dying process.
    Publication Neurology
    Volume 55
    Issue 10
    Pages 1581-1584
    Date Nov 28, 2000
    Journal Abbr Neurology
    ISSN 0028-3878
    URL http://www.ncbi.nlm.nih.gov/pubmed/11094123
    Accessed Thursday, November 12, 2009 8:42:41 PM
    Library Catalog NCBI PubMed
    Extra PMID: 11094123
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Tags:

    • Adult
    • Aged
    • Aged, 80 and over
    • Amyotrophic Lateral Sclerosis
    • Female
    • Humans
    • Male
    • Middle Aged
    • Prognosis
    • religion
    • Spiritualism

    Notes:

    • The Project of Death in America Study at Columbia Presbyterian Medical Center enrolled 121 patients with ALS from 1996 through 1997, 46 of whom participated in a study assessing the effects of religiousness and spirituality (attachment to life, mental health, support group, health care proxy, and attitudes toward death) on outcomes (technology and death). Spirituality or religion influenced use of percutaneous endoscopic gastrostomy, noninvasive assisted ventilation, tracheotomy, and attitudes toward the dying process.

  • Role of naturopathy and yoga treatment in the management of hypertension

    Type Journal Article
    Author S.N. Murthy
    Author N.S.N. Rao
    Author Babina Nandkumar
    Author Avinash Kadam
    Abstract Aim The primary aim was to study the effect of naturopathy and yoga interventions in treatment of mild to moderate hypertension.Design The variables of interest were measured at the beginning and end of the intervention using a pre-post design.Setting The study was conducted by INYS medical research society in Jindal Nature Cure Institute, Bangalore.Subjects A total of 104 subjects, already diagnosed with mild to moderate hypertension and on treatment with antihypertensive medicines were included in study.Interventions The intervention consisted of various inpatient administration of different naturopathy treatments, yoga therapies, low calorie and low sodium diet for 21 days. Antihypertensive medicines were withdrawn for some patients in one week based upon response to the treatment.Outcome measures The outcome measures were values of diastolic and systolic blood pressure and body weight. Subjects were followed for a period of one year after every 3 months.Results After starting nonpharmacological approach of naturopathy and yoga, Systolic blood pressure came down from mean of 139.6 to 129.6 where as it came down from 91.2 to 86.1 for diastolic blood pressure. At the same time favorable effect was also seen in other variables like lipid profile and body weight. At the end of one year out of 57 patients who came for follow-up, 14 cases were found to have blood pressure within normal ranges without any medication over the previous 12 months.Conclusion Naturopathy and yoga therapy can be considered as a valuable nonpharmacoloical approach in treatment of hypertension
    Publication Complementary Therapies in Clinical Practice
    Volume 17
    Issue 1
    Pages 9-12
    Date February 2011
    DOI 10.1016/j.ctcp.2010.08.005
    ISSN 1744-3881
    Accessed Tuesday, March 15, 2011 2:49:35 PM
    Library Catalog ScienceDirect
    Date Added Thursday, September 29, 2011 8:56:57 AM
    Modified Thursday, September 29, 2011 8:56:57 AM

    Tags:

    • Hypertension
    • Naturopathy
    • Non-pharmacological therapy
    • yoga

    Notes:

    • A study conducted by INYS medical research society in Jindal Nature Cure Institute, Bangalore on the effects of naturopathy and yoga interventions in treatment of mild to moderate hypertension.

  • Predictors of spirituality at the end of life

    Type Journal Article
    Author Kyriaki Mystakidou
    Author Eleni Tsilika
    Author Efi Prapa
    Author Marilena Smyrnioti
    Author Anna Pagoropoulou
    Author Vlahos Lambros
    Abstract OBJECTIVE: To assess the relationship between spirituality and hopelessness, desire for hastened death, and clinical and disease-related characteristics among patients with advanced cancer, and to investigate predictors of spirituality. Spiritual well-being is thought to have a beneficial effect on patients' response to illness. DESIGN: Patients were asked to complete 4 questionnaires: the Greek version of the Spiritual Involvement and Beliefs Scale, the Greek version of the Schedule of Attitudes toward Hastened Death, the Beck Hopelessness Scale, and a questionnaire on demographics. SETTING: A palliative care unit in Athens, Greece. PARTICIPANTS: A total of 91 patients with advanced cancer. MAIN OUTCOME MEASURES: Associations between scores on the Spiritual Involvement and Beliefs scale and scores on the Schedule of Attitudes toward Hastened Death scale and the Beck Hopelessness scale, and demographic characteristics. RESULTS: Statistically significant associations were found between spirituality and sex of patients (P = .001) and spirituality and stronger hopelessness (r = 0.252, P = .016). In multivariate analyses, stronger hopelessness, male sex, younger age, and receiving chemotherapy were found to be the strongest predictors of being spiritual. CONCLUSION: Demographic and clinical characteristics and stronger hopelessness appeared to have statistically significant relationships with spirituality. Interventions to improve patients' spiritual well-being should take these relationships into account.
    Publication Canadian Family Physician Médecin De Famille Canadien
    Volume 54
    Issue 12
    Pages 1720-1721.e5
    Date Dec 2008
    Journal Abbr Can Fam Physician
    ISSN 1715-5258
    URL http://www.ncbi.nlm.nih.gov/pubmed/19074719
    Accessed Friday, November 13, 2009 7:41:50 PM
    Library Catalog NCBI PubMed
    Extra PMID: 19074719
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Tags:

    • Adult
    • Age Factors
    • Aged
    • Aged, 80 and over
    • Attitude to Health
    • Female
    • Greece
    • Humans
    • Male
    • Middle Aged
    • Palliative Care
    • Questionnaires
    • Retrospective Studies
    • Sex Factors
    • spirituality
    • Terminally Ill

    Notes:

    • Objective: To assess the relationship between spirituality and hopelessness, desire for hastened death, and clinical and disease-related characteristics among patients with advanced cancer, and to investigate predictors of spirituality. Conclusion: Demographic and clinical characteristics and stronger hopelessness appeared to have statistically significant relationships with spirituality.

  • Demographic and clinical predictors of spirituality in advanced cancer patients: a randomized control study

    Type Journal Article
    Author Kyriaki Mystakidou
    Author Eleni Tsilika
    Author Efi Parpa
    Author Ioanna Hatzipli
    Author Marilena Smyrnioti
    Author Antonis Galanos
    Author Lambros Vlahos
    Abstract AIM: To study the influence of cancer patients' sociodemographic and clinical characteristics in their spiritual beliefs and attitudes. BACKGROUND: Patients' sociodemographic and clinical characteristics may have an important role in their spirituality. Failure to control these factors can lead to a false estimation on patients' spiritual beliefs. Previous studies have found that age, gender and health status associate with spiritual attitudes and beliefs.Design. Survey. METHODS: The Spiritual Involvement and Beliefs Scale was administered to 82 cancer patients. Demographic characteristics, disease status and treatment regimen were recorded. RESULTS: Among the most significant correlations were those between gender and all the subscales, cancer diagnosis, existential/meditative subscale, radiotherapy treatment and external/ritual, internal/fluid and existential meditative. In the prediction of spirituality, the contribution of gender, age, years of education, performance status and radiotherapy is high. CONCLUSION: Acknowledging the specific patients' demographic and medical characteristics, such as female gender, old age, years of education, performance status and radiotherapy treatment, contributes to the prediction of patients' spiritual beliefs and attitudes. RELEVANCE TO CLINICAL PRACTICE: Addressing spiritual needs in palliative care among the dying needs to be a priority and could be a crucial aspect of psychological functioning, especially when considering certain demographic and clinical characteristics.
    Publication Journal of Clinical Nursing
    Volume 17
    Issue 13
    Pages 1779-1785
    Date Jul 2008
    Journal Abbr J Clin Nurs
    ISSN 1365-2702
    Short Title Demographic and clinical predictors of spirituality in advanced cancer patients
    URL http://www.ncbi.nlm.nih.gov/pubmed/18592623
    Accessed Friday, November 13, 2009 7:03:07 PM
    Library Catalog NCBI PubMed
    Extra PMID: 18592623
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Tags:

    • Adult
    • Aged
    • Aged, 80 and over
    • DEMOGRAPHY
    • Female
    • Humans
    • Male
    • Middle Aged
    • Neoplasms
    • spirituality

    Notes:

    • In the prediction of spirituality, the contribution of gender, age, years of education, performance status and radiotherapy is high. Acknowledging the specific patients’ demographic and medical characteristics, such as female gender, old age, years of education, performance status and radiotherapy treatment, contributes to the prediction of patients’ spiritual beliefs and attitudes.

  • Yoga For Bronchial Asthma: A Controlled Study

    Type Journal Article
    Author R. Nagarathna
    Author H. R. Nagendra
    Abstract Fifty three patients with asthma underwent training for two weeks in an integrated set of yoga exercises, including breathing exercises, suryanamaskar, yogasana (physical postures), pranayama (breath slowing techniques), dhyana (meditation), and a devotional session, and were told to practise these exercises for 65 minutes daily. They were then compared with a control group of 53 patients with asthma matched for age, sex, and type and severity of asthma, who continued to take their usual drugs. There was a significantly greater improvement in the group who practised yoga in the weekly number of attacks of asthma, scores for drug treatment, and peak flow rate. This study shows the efficacy of yoga in the long term management of bronchial asthma, but the physiological basis for this beneficial effect needs to be examined in more detail.
    Publication British Medical Journal (Clinical Research Edition)
    Volume 291
    Issue 6502
    Pages 1077-1079
    Date Oct. 19, 1985
    ISSN 02670623
    Short Title Yoga For Bronchial Asthma
    URL http://www.jstor.org.ezproxy.bu.edu/stable/29520949
    Accessed Sunday, November 08, 2009 11:09:46 PM
    Library Catalog JSTOR
    Extra ArticleType: primary_article / Full publication date: Oct. 19, 1985 / Copyright © 1985 BMJ Publishing Group
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Notes:

    • Fifty three patients with asthma underwent training for two weeks in an integrated set of yoga exercises, including breathing exercises, suryanamaskar, yogasana (physical postures), pranayama (breath slowing techniques), dhyana (meditation), and a devotional session, and were told to practise these exercises for 65 minutes daily. There was a significantly greater improvement in the group who practised yoga in the weekly number of attacks of asthma, scores for drug treatment, and peak flow rate.

  • Religious involvement and cigarette smoking among Iranian university students

    Type Journal Article
    Author Nouzar Nakhaee
    Author Kouros Divsalar
    Author Nadjme Jadidi
    Abstract OBJECTIVES: To find out the prevalence of cigarette smoking in a group of Iranian Muslim students and also to find out if there is a relationship between religious practices and cigarette smoking. METHODS: In this cross-sectional study, 950 university students in Kerman, Iran were asked to fill out a self-administered questionnaire consisting of questions on demographic data, cigarette smoking, and religious practices. It was explained that the study was anonymous and voluntary, and confidentiality was assured. RESULTS: All 833 subjects who participated in the study were Muslims, 54.1% of whom were female and 89.3% were single. Approximately 40% of male students and 5.8% of the female ones were smokers. Based on bivariate analysis, some differences were noted in the prevalence of smoking according to gender, marital status, income, average university scores, close friend's smoking, parental smoking, reading the Quran, saying prayers, mosque attendance, and fasting. Using multivariate analysis, male gender, higher income, lower average exam scores, and close friend's smoking being associated with the likelihood to smoke cigarettes. The odds ratio for cigarette smoking in the upper tertile compared with those in the lower tertile of religious activity was 0.53 (CI 95% 0.33-0.84). CONCLUSION: Religious activities may have a protective role against cigarette smoking among Muslim college students in the country.
    Publication International Journal of Psychiatry in Medicine
    Volume 39
    Issue 2
    Pages 189-198
    Date 2009
    Journal Abbr Int J Psychiatry Med
    ISSN 0091-2174
    Accessed Tuesday, February 22, 2011 6:35:31 PM
    Library Catalog NCBI PubMed
    Extra PMID: 19860077
    Date Added Thursday, September 29, 2011 9:06:18 AM
    Modified Thursday, September 29, 2011 9:06:18 AM

    Tags:

    • Adolescent
    • Cross-Sectional Studies
    • Female
    • Humans
    • Iran
    • ISLAM
    • Male
    • Odds Ratio
    • Questionnaires
    • Religion and Psychology
    • Smoking
    • Socioeconomic Factors
    • Students
    • Young Adult
  • Applying behavior change models to understand spiritual mechanisms underlying change in substance abuse treatment

    Type Journal Article
    Author James Alan Neff
    Author Samuel A MacMaster
    Abstract Despite increasing attention directed to conceptual and methodological issues surrounding spirituality and despite the centrality of "spiritual transformation" in the recovery literature, there is little systematic evidence to support the role of spiritual change as a necessary condition for substance abuse behavior change. As an explicit conceptualization of mechanisms underlying behavior change is fundamental to effective interventions, this article: 1) briefly reviews relevant behavior change theories to identify key variables underlying change; 2) presents an integrative conceptual framework articulating linkages between program components, behavior change processes, spiritual change mechanisms and substance abuse outcomes; and 3) presents a discussion of how the mechanisms identified in our model can be seen in commonly used substance abuse interventions. Overall, we argue that spiritual transformation at an individual level takes place in a social context involving peer influence, role modeling, and social reinforcement.
    Publication The American Journal of Drug and Alcohol Abuse
    Volume 31
    Issue 4
    Pages 669-684
    Date 2005
    Journal Abbr Am J Drug Alcohol Abuse
    ISSN 0095-2990
    URL http://www.ncbi.nlm.nih.gov/pubmed/16318040
    Accessed Friday, November 13, 2009 3:30:52 PM
    Library Catalog NCBI PubMed
    Extra PMID: 16318040
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Tags:

    • Attitude to Health
    • Behavior Therapy
    • Humans
    • Motivation
    • religion
    • Residential Treatment
    • spirituality
    • Substance-Related Disorders

    Notes:

    • This article: 1) briefly reviews relevant behavior change theories to identify key variables underlying change; 2) presents an integrative conceptual framework articulating linkages between program components, behavior change processes, spiritual change mechanisms and substance abuse outcomes; and 3) presents a discussion of how the mechanisms identified in our model can be seen in commonly used substance abuse interventions.

  • Psychophysiological outcomes of health qigong for chronic conditions: a systematic review

    Type Journal Article
    Author Bobby H P Ng
    Author Hector W H Tsang
    Abstract We aimed to unravel the clinical benefits and the plausible underlying psychophysiological mechanism based on available randomized controlled trials (RCTs). Meta-analysis of 26 RCTs shortlisted from electronic databases from 1997 to 2006 shows that qigong had some effects on increasing the numbers of white blood cells and lymphocytes, stroke volume, peak early transmitral filling velocity, peak late transmitral filling velocity, forced vital capacity, and forced expiratory volume, and, conversely, lowering of total cholesterol, systolic blood pressure, diastolic blood pressure, and depressive mood scores. Explanatory pathways may pertain to stress reduction via nervous, endocrine, and immune systems. Limitations on methodology are discussed and directions for further studies are suggested. Because of its safety, minimal cost, and clinical benefit, health qigong can be advocated as an adjunctive exercise therapy for older people with chronic conditions.
    Publication Psychophysiology
    Volume 46
    Issue 2
    Pages 257-269
    Date Mar 2009
    Journal Abbr Psychophysiology
    DOI 10.1111/j.1469-8986.2008.00763.x
    ISSN 0048-5772
    Short Title Psychophysiological outcomes of health qigong for chronic conditions
    URL http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/19170945
    Accessed Monday, November 02, 2009 1:02:46 PM
    Library Catalog NCBI PubMed
    Extra PMID: 19170945
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Tags:

    • Blood Cell Count
    • Breathing Exercises
    • Databases, Factual
    • Hemodynamics
    • Humans
    • Lipids
    • Randomized Controlled Trials as Topic
    • Respiratory Function Tests
    • Treatment Outcome

    Notes:

    • Meta-analysis of 26 RCTs shortlisted from electronic databases from 1997 to 2006 shows that qigong had some effects on increasing the numbers of white blood cells and lymphocytes, stroke volume, peak early transmitral filling velocity, peak late transmitral filling velocity, forced vital capacity, and forced expiratory volume, and, conversely, lowering of total cholesterol, systolic blood pressure, diastolic blood pressure, and depressive mood scores.

  • The spiritual needs of neuro-oncology patients from patients’ perspective

    Type Journal Article
    Author Aline Nixon
    Author Aru Narayanasamy
    Abstract Keywords: * family support; * neuro-oncology; * spiritual care; * spiritual needs; * spirituality Aims.   This study aimed to identify the spiritual needs of neuro-oncology patients from a patient perspective and how nurses currently support patients with spiritual needs. Background.   Spiritual needs of cancer patients should be assessed and discussed by healthcare professionals from diagnosis. Nurses should assess and support neuro-oncology patients with their spiritual needs during their hospital stay. Design.  Qualitative research. Methods.  Data were collected through a Critical Incident Technique questionnaire from neuro-oncology patients and were subjected to thematic content analysis. Results.  Some patients with brain tumours do report spiritual needs during their hospital stay and some of these needs are not met by nurses. Conclusions.  There is clearly a need for healthcare professionals to provide spiritual care for neuro-oncology patients and their relatives. Further research is required to explore how effective nurses are at delivering spiritual care and if nurses are the most appropriate professionals to support neuro-oncology patients with spiritual care. Relevance to clinical practice.  The study illuminates that some neuro-oncology patients’ have spiritual needs that could be met by nurses. Spiritual needs include supportive family relationships, emotional support, loneliness, religious needs, need to talk, reassurance, anxiety, solitude, denial, plans for the future, thoughts about meaning of life, end of life decisions and discussion of beliefs. The implications of the findings of this study are that nurses need to be aware and respond to these spiritual needs.
    Publication Journal of Clinical Nursing
    Volume 19
    Issue 15-16
    Pages 2259-2370
    Date 2010-08
    DOI 10.1111/j.1365-2702.2009.03112.x
    ISSN 09621067
    URL http://blackwell-synergy.com/doi/abs/10.1111/j.1365-2702.2009.03112.x
    Date Added Thursday, September 29, 2011 9:02:43 AM
    Modified Thursday, September 29, 2011 9:02:43 AM

    Notes:

    • This study aimed to identify the spiritual needs of neuro-oncology patients from a patient perspective and how nurses currently support patients with spiritual needs. Spiritual needs of cancer patients should be assessed and discussed by healthcare professionals from diagnosis. Nurses should assess and support neuro-oncology patients with their spiritual needs during their hospital stay.

  • Spiritual needs in cancer patients and spiritual care based on logotherapy

    Type Journal Article
    Author Wataru Noguchi
    Author Satoshi Morita
    Author Tatsuya Ohno
    Author Okihiko Aihara
    Author Hirohiko Tsujii
    Author Kojiro Shimozuma
    Author Eisuke Matsushima
    Abstract BACKGROUND: The suitability of Frankl's logotherapy for the spiritual care (psychotherapy) of cancer patients in Japan is suggested. Using Functional Assessment of Chronic Illness Therapy-Spiritual (FACIT-Sp, Japanese version), the Purpose in Life test (PIL test, Japanese version), and WHO-Subjective Inventory (WHO-SUBI, Japanese version), we attempted to elucidate the complicated structure of spirituality in cancer patients in order to identify possible approaches to their spiritual care and means of evaluating such care. MATERIALS: Two hundred and ninety-eight cancer patients participated in the study. All three tests were taken at the same time, and the results were evaluated by principal component analysis. RESULTS: It was demonstrated that all the subscales employed in the present study could be represented by a two-dimensional structure (two principal components), and that the FACIT-Sp and PIL tests have similar contents. DISCUSSION: FACIT-Sp (Japanese version) is very similar in conception to the PIL test, which was prepared in accordance with logotherapy. The results suggest that this test can serve as an adequate evaluation scale for measuring the effectiveness of spiritual care based on Frankl's logotherapy.
    Publication Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer
    Volume 14
    Issue 1
    Pages 65-70
    Date Jan 2006
    Journal Abbr Support Care Cancer
    DOI 10.1007/s00520-005-0827-2
    ISSN 0941-4355
    URL http://www.ncbi.nlm.nih.gov/pubmed/15856331
    Accessed Friday, November 13, 2009 2:59:31 PM
    Library Catalog NCBI PubMed
    Extra PMID: 15856331
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Tags:

    • Adult
    • Aged
    • Aged, 80 and over
    • Attitude to Health
    • Female
    • Humans
    • Japan
    • Male
    • Middle Aged
    • Neoplasms
    • Psychiatric Status Rating Scales
    • Psychotherapy
    • Research Design
    • Sickness Impact Profile
    • Spiritual Therapies
    • spirituality

    Notes:

    • We attempted to elucidate the complicated structure of spirituality in cancer patients in order to identify possible approaches to their spiritual care and means of evaluating such care.

  • The paradox of healing pain

    Type Journal Article
    Author Rebecca Sachs Norris
    Abstract Pain may be seen as a problem to be healed or as a means for healing. The secular biomedical view of pain is that it is to be avoided and alleviated; its only meaning is as a symptom of underlying disease. In contrast, there have been throughout history other views of suffering--as redemptive or as transformative, for example. This paper considers the disparity between these perspectives, examining the role of the emotions and the underlying neurobiological processes though which pain and suffering come to be experienced as meaningful, then analyzes interview material exploring how religion and religious beliefs help people cope with suffering or with pain. The experience of pain is subjective, enculturated experience; the meaning that pain or suffering holds within a given cultural context affects the experience of pain and suffering. In a context where pain and suffering are understood to be valuable, those experiences can be used for spiritual transformation and integrated within a meaningful identity. In contrast, in a context where pain and suffering are not understood to have value, that attitude can create more suffering, even in conditions meant to alleviate suffering, such as in biomedical situations.
    Publication Religion
    Volume 39
    Issue 1
    Pages 22-33
    Date March 2009
    DOI 10.1016/j.religion.2008.03.007
    ISSN 0048-721X
    URL http://www.sciencedirect.com/science/article/B6WWN-4SN8V13-1/2/83141f03a655b325a3a9f6e30a152bd6
    Accessed Monday, March 28, 2011 7:23:58 PM
    Library Catalog ScienceDirect
    Date Added Thursday, September 29, 2011 9:07:00 AM
    Modified Thursday, September 29, 2011 9:07:00 AM

    Notes:

    • Pain may be seen as a problem to be healed or as a means for healing. The secular biomedical view of pain is that it is to be avoided and alleviated; its only meaning is as a symptom of underlying disease. In contrast, there have been throughout history other views of suffering—as redemptive or as transformative, for example. This paper considers the disparity between these perspectives, examining the role of the emotions and the underlying neurobiological processes though which pain and suffering come to be experienced as meaningful, then analyzes interview material exploring how religion and religious beliefs help people cope with suffering or with pain. The experience of pain is subjective, enculturated experience; the meaning that pain or suffering holds within a given cultural context affects the experience of pain and suffering. In a context where pain and suffering are understood to be valuable, those experiences can be used for spiritual transformation and integrated within a meaningful identity. In contrast, in a context where pain and suffering are not understood to have value, that attitude can create more suffering, even in conditions meant to alleviate suffering, such as in biomedical situations.

  • Medical Qigong for cancer patients: pilot study of impact on quality of life, side effects of treatment and inflammation

    Type Journal Article
    Author Byeongsang Oh
    Author Phyllis Butow
    Author Barbara Mullan
    Author Stephen Clarke
    Abstract Quality of life (QOL) of cancer patients is often diminished due to the side effects of treatment and symptoms of the disease itself. Medical Qigong (coordination of gentle exercise and relaxation through meditation and breathing exercise based on Chinese medicine theory of energy channels) may be an effective therapy for improving QOL, symptoms and side effects, and longevity of cancer patients. In this pilot study, the feasibility, acceptability, and impact of Medical Qigong (MQ) were evaluated on outcomes in cancer patients. Thirty patients diagnosed with heterogeneous cancers, were randomly assigned to two groups: a control group that received usual medical care and an intervention group who participated in a MQ program for 8 weeks in addition to receiving usual medical care. Randomization was stratified by completion of cancer treatment (n = 14) or under chemotherapy (n = 16). Patients completed measures before and after the program. Quality of life and symptoms were measured by the EORTC QLQ-C 30 and progress of disease by the inflammation biomarker (CRP: c-reactive protein) via a blood test was assessed. The MQ intervention group reported clinically significant improved global QOL scores pre- and post-intervention. The MQ intervention also reduced the symptoms of side effects of cancer treatment and inflammation biomarker (CRP) compare to the control group. Due to the small sample size, however, the results were not statistically significant between treatment and the control groups. Data from the pilot study suggest that MQ with usual medical treatment can enhance the QOL of cancer patients and reduce inflammation. This study needs a further investigation with a larger sample size.
    Publication The American Journal of Chinese Medicine
    Volume 36
    Issue 3
    Pages 459-472
    Date 2008
    Journal Abbr Am. J. Chin. Med
    ISSN 0192-415X
    Short Title Medical Qigong for cancer patients
    URL http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/18543381
    Accessed Monday, November 02, 2009 1:05:54 PM
    Library Catalog NCBI PubMed
    Extra PMID: 18543381
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Tags:

    • Adult
    • Aged
    • Biological Markers
    • Breathing Exercises
    • China
    • C-Reactive Protein
    • Female
    • Health Status
    • Humans
    • Inflammation
    • Male
    • Middle Aged
    • Neoplasms
    • Outcome Assessment (Health Care)
    • Pilot Projects
    • Quality of Life

    Notes:

    •  In this pilot study, the feasibility, acceptability, and impact of Medical Qigong (MQ) were evaluated on outcomes in cancer patients. The MQ intervention group reported clinically significant improved global QOL scores pre- and post-intervention. The MQ intervention also reduced the symptoms of side effects of cancer treatment and inflammation biomarker (CRP) compare to the control group. Due to the small sample size, however, the results were not statistically significant between treatment and the control groups.

  • Feasibility and effectiveness of a brief meditation-based stress management intervention for patients diagnosed with or at risk for coronary heart disease: a pilot study

    Type Journal Article
    Author Erin L Olivo
    Author Brooke Dodson-Lavelle
    Author Anava Wren
    Author Yixin Fang
    Author Mehmet C Oz
    Abstract Extensive research has led to the development of a psychobiological model of cardiovascular disease. This model suggests that psychological factors such as depression, anxiety, hostility, and stress may affect the development and progression of coronary heart disease (CHD). Recent studies have also demonstrated that meditation-based stress reduction programs are useful interventions for patients with various medical and psychological symptoms. The objective of this pilot study was to gather preliminary information regarding the feasibility of implementing a brief meditation-based stress management (MBSM) program for patients with CHD, and those at high risk for CHD, at a major metropolitan hospital that serves a predominately non-local patient population. The secondary aim of this study was to investigate the possibility that such an intervention might reduce depression, as well as perceived stress, anxiety, and hostility, while improving general health scores. The overall feasibility results indicate that this MBSM intervention was highly feasible with regard to both recruitment and retention of participants. In fact, 40% of patients requested further training. In addition, after completion of the 4-week intervention, participants reported significant reductions in depression and perceived stress. In conclusion, the present study demonstrated that the brief meditation-based stress management program was well-received by patients and can successfully be used as a supportive program for patients at risk or diagnosed with CHD.
    Publication Psychology, Health & Medicine
    Volume 14
    Issue 5
    Pages 513-523
    Date Oct 2009
    Journal Abbr Psychol Health Med
    DOI 10.1080/13548500902890087
    ISSN 1465-3966
    Short Title Feasibility and effectiveness of a brief meditation-based stress management intervention for patients diagnosed with or at risk for coronary heart disease
    URL http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/19844830
    Accessed Wednesday, November 04, 2009 10:25:56 PM
    Library Catalog NCBI PubMed
    Extra PMID: 19844830
    Date Added Thursday, September 29, 2011 9:04:55 AM
    Modified Thursday, September 29, 2011 9:04:55 AM

    Notes:

    • Extensive research has led to the development of a psychobiological model of cardiovascular disease. This model suggests that psychological factors such as depression, anxiety, hostility, and stress may affect the development and progression of coronary heart disease (CHD). Recent studies have also demonstrated that meditation-based stress reduction programs are useful interventions for patients with various medical and psychological symptoms. The objective of this pilot study was to gather preliminary information regarding the feasibility of implementing a brief meditation-based stress management (MBSM) program for patients with CHD, and those at high risk for CHD, at a major metropolitan hospital that serves a predominately non-local patient population. The secondary aim of this study was to investigate the possibility that such an intervention might reduce depression, as well as perceived stress, anxiety, and hostility, while improving general health scores. The overall feasibility results indicate that this MBSM intervention was highly feasible with regard to both recruitment and retention of participants. In fact, 40% of patients requested further training. In addition, after completion of the 4-week intervention, participants reported significant reductions in depression and perceived stress. In conclusion, the present study demonstrated that the brief meditation-based stress management program was well-received by patients and can successfully be used as a supportive program for patients at risk or diagnosed with CHD.

  • A mindfulness-based approach to the treatment of insomnia.

    Type Journal Article
    Author Jason Ong
    Author David Sholtes
    Abstract Mindfulness meditation has emerged as a novel approach to emotion regulation and stress reduction that has several health benefits. Preliminary work has been conducted on mindfulness-based therapy for insomnia (MBT-I), a meditation-based program for individuals suffering from chronic sleep disturbance. This treatment integrates behavioral treatments for insomnia with the principles and practices of mindfulness meditation. A case illustration of a chronic insomnia sufferer demonstrates the application of mindfulness principles for developing adaptive ways of working with the nocturnal symptoms and waking consequences of chronic insomnia. (PsycINFO Database Record (c) 2010 APA, all rights reserved) (journal abstract)
    Publication Journal of Clinical Psychology
    Volume 66
    Issue 11
    Pages 1175-1184
    Date November 2010
    DOI 10.1002/jclp.20736
    ISSN 0021-9762
    Date Added Thursday, September 29, 2011 8:59:00 AM
    Modified Thursday, September 29, 2011 8:59:00 AM

    Tags:

    • insomnia
    • Meditation
    • Mindfulness
    • mindfulness meditation therapy
    • treatment

    Notes:

  • Mindfulness meditation and cognitive behavioral therapy for insomnia: a naturalistic 12-month follow-up

    Type Journal Article
    Author Jason C Ong
    Author Shauna L Shapiro
    Author Rachel Manber
    Abstract A unique intervention combining mindfulness meditation with cognitive behavioral therapy for insomnia (CBT-I) has been shown to have acute benefits at posttreatment in an open label study. The aim of the present study was to examine the long-term effects of this integrated intervention on measures of sleep and sleep-related distress in an attempt to characterize the natural course of insomnia following this treatment and to identify predictors of poor long-term outcome. Analyses were conducted on 21 participants, who provided follow-up data at six and 12 months posttreatment. At each time point, participants completed one week of sleep and meditation diaries and questionnaires related to mindfulness, sleep, and sleep-related distress, including the Pre-Sleep Arousal Scale, the Glasgow Sleep Effort Scale, the Kentucky Inventory of Mindfulness Skills, and the Insomnia Episode Questionnaire. Analyses examining the pattern of change across time (baseline, end of treatment, six months, and 12 months) revealed that several sleep-related benefits were maintained during the 12-month follow-up period. Participants who reported at least one insomnia episode (>or=1 month) during the follow-up period had higher scores on the Pre-Sleep Arousal Scale (P < .05) and the Glasgow Sleep Effort Scale (P < .05) at end of treatment compared with those with no insomnia episodes. Correlations between mindfulness skills and insomnia symptoms revealed significant negative correlations (P < .05) between mindfulness skills and daytime sleepiness at each of the three time points but not with nocturnal symptoms of insomnia. These results suggest that most sleep-related benefits of an intervention combining CBT-I and mindfulness meditation were maintained during the 12-month follow-up period, with indications that higher presleep arousal and sleep effort at end of treatment constitute a risk for occurrence of insomnia during the 12 months following treatment.
    Publication Explore (New York, N.Y.)
    Volume 5
    Issue 1
    Pages 30-36
    Date 2009 Jan-Feb
    Journal Abbr Explore (NY)
    DOI 10.1016/j.explore.2008.10.004
    ISSN 1550-8307
    Short Title Mindfulness meditation and cognitive behavioral therapy for insomnia
    URL http://www.ncbi.nlm.nih.gov/pubmed/19114261
    Accessed Monday, March 28, 2011 6:18:24 PM
    Library Catalog NCBI PubMed
    Extra PMID: 19114261
    Date Added Thursday, September 29, 2011 9:06:18 AM
    Modified Thursday, September 29, 2011 9:06:18 AM

    Tags:

    • Adult
    • Aged
    • Cognitive Therapy
    • Female
    • Follow-Up Studies
    • Humans
    • Male
    • Meditation
    • Middle Aged
    • Mind-Body Relations, Metaphysical
    • Psychotherapy, Group
    • Questionnaires
    • Severity of Illness Index
    • Sleep
    • Sleep Initiation and Maintenance Disorders
    • Treatment Outcome
    • Young Adult
  • Complementary and alternative methods in cerebral palsy

    Type Journal Article
    Author WL Oppenheim
    Abstract There are no published studies specifically addressing complementary and alternative treatments in adults with cerebral palsy (CP). However, national surveys of adults with chronic disabilities document that a majority of them use such treatments, that they are willing to pay out of pocket, if necessary, and that they believe that pursuing such treatment relieves pain, reduces stress and anxiety, and leads to improved feelings of fitness and well-being. Individuals enjoy taking charge of their own health care decisions, and frequently feel more in control with these therapies than with more traditional methods. In contrast to adults, there is some information on complementary and alternative methods (CAM) in children with CP. This article discusses some of the CAM used in children that may be carried over into adulthood, as well as the pitfalls for patients and conventional physicians as they try to sort out what might be helpful and what might be harmful in this arena. Practitioners of both conventional and CAM therapies believe that exercise can be beneficial; accordingly, activities such as recreational sports, yoga, and hippotherapy may be continued from childhood into adulthood. General treatments for stress and anxiety, through such activities as yoga and meditation, though not directed at CP per se, may be more popular for adults than children. Research in this area should first identify what methods are being utilized and then subject these methods to well-designed outcome studies that take into account any associated risks.
    Publication Developmental Medicine and Child Neurology
    Volume 51
    Issue Supplement 4
    Pages 122-129
    Date OCT 2009
    DOI 10.1111/j.1469-8749.2009.03424.x
    ISSN 0012-1622
    URL http://apps.isiknowledge.com.ezproxy.bu.edu/full_record.do?
    product=WOS&search_mode=GeneralSearch&qid=1&…
    Accessed Sunday, November 01, 2009 10:00:21 AM
    Library Catalog ISI Web of Knowledge
    Date Added Thursday, September 29, 2011 9:04:55 AM
    Modified Thursday, September 29, 2011 9:04:55 AM
  • Effect of yogic practices on lipid profile and body fat composition in patients of coronary artery disease

    Type Journal Article
    Author Ajay Pal
    Author Neena Srivastava
    Author Sunita Tiwari
    Author N.S. Verma
    Author V.S. Narain
    Author G.G. Agrawal
    Author S.M. Natu
    Author Kamakhya Kumar
    Abstract Objectives To observe the effect of regular yogic practices and self-discipline in reducing body fat and elevated lipids in CAD patients. Method In this study one hundred seventy (170) subjects, of both sexes having coronary artery disease were randomly selected form Department of Cardiology. Subjects were divided in to two groups randomly in yoganext term group and in non-previous termyoganext term group, eighty five (85) in each group. Out of these (170 subjects), one hundred fifty four (154) completed the study protocol. Time line The yogic intervention consisted of 35–40 min/day, five days in a week till six months in the Department of Physiology CSMMU UP Lucknow. Body fat testing and estimation of lipid profile were done of the both groups at zero time and after six months of yogic intervention in previous termyoganext term group and without yogic intervention in non previous termyoganext term group. Results In present study, BMI (p < 0.04), fat % (p < 0.0002), fat free mass (p < 0.04), SBP (p < 0.002), DBP (p < 0.009), heart rate (p < 0.0001), total cholesterol (p < 0.0001), triglycerides (p < 0.0001), HDL (p < 0.0001) and low density lipoprotein (p < 0.04) were changed significantly. Conclusion Reduction of SBP, DBP, heart rate, body fat%, total cholesterol, triglycerides and LDL after regular yogic practices is beneficial for cardiac and hypertensive patients. Therefore yogic practices included in this study are helpful for the patients of coronary artery disease.
    Publication Complementary Therapies in Medicine
    Volume 19
    Issue 3
    Pages 122-127
    Date 6/2011
    Journal Abbr Complementary Therapies in Medicine
    DOI 10.1016/j.ctim.2011.05.001
    ISSN 09652299
    URL http://linkinghub.elsevier.com/retrieve/pii/S0965229911000550
    Accessed Wednesday, July 13, 2011 6:38:27 PM
    Library Catalog CrossRef
    Date Added Thursday, September 29, 2011 8:54:25 AM
    Modified Thursday, September 29, 2011 8:54:25 AM

    Notes:

    • To observe the effect of regular yogic practices and self-discipline in reducing body fat and elevated lipids in CAD patients.

  • Religious faith and spirituality in substance abuse recovery: determining the mental health benefits

    Type Journal Article
    Author D A Pardini
    Author T G Plante
    Author A Sherman
    Author J E Stump
    Abstract Recently, mental health professionals have begun examining the potential value of religious faith and spirituality in the lives of individuals suffering from a variety of acute and chronic illnesses. This study explored the relation between religious faith, spirituality, and mental health outcomes in 236 individuals recovering from substance abuse. We found that recovering individuals tend to report high levels of religious faith and religious affiliation, but choose to rate themselves as being more spiritual than religious. Results also indicate that among recovering individuals, higher levels of religious faith and spirituality were associated with a more optimistic life orientation, greater perceived social support, higher resilience to stress, and lower levels of anxiety. This represents the largest self-report study to date examining the relation between religious faith, spirituality, and mental health outcomes among individuals recovering from substance abuse.
    Publication Journal of Substance Abuse Treatment
    Volume 19
    Issue 4
    Pages 347-354
    Date Dec 2000
    Journal Abbr J Subst Abuse Treat
    ISSN 0740-5472
    Short Title Religious faith and spirituality in substance abuse recovery
    URL http://www.ncbi.nlm.nih.gov/pubmed/11166499
    Accessed Thursday, November 12, 2009 8:48:56 PM
    Library Catalog NCBI PubMed
    Extra PMID: 11166499
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Tags:

    • Adult
    • Female
    • Humans
    • Male
    • mental health
    • Middle Aged
    • Regression Analysis
    • religion
    • Substance-Related Disorders

    Notes:

    • This study explored the relation between religious faith, spirituality, and mental health outcomes in 236 individuals recovering from substance abuse. We found that recovering individuals tend to report high levels of religious faith and religious affiliation, but choose to rate themselves as being more spiritual than religious. Results also indicate that among recovering individuals, higher levels of religious faith and spirituality were associated with a more optimistic life orientation, greater perceived social support, higher resilience to stress, and lower levels of anxiety.

  • Ayurvedic medicine for rheumatoid arthritis: a systematic review

    Type Journal Article
    Author Jongbae Park
    Author Edzard Ernst
    Abstract OBJECTIVE: To systematically review all randomized controlled trials (RCTs) on the effectiveness of Ayurvedic medicine for rheumatoid arthritis (RA). METHODS: Computerized literature searches for all RCTs of Ayurvedic medicine for RA in the following databases: Medline (March 1969 to March 2003), Embase (February 1985 to February 2003), AMED (March 1980 to March 2003), Cochrane Controlled Trial Register (October 1997 to March 2003), and the abstract service of Central Council for Research in Ayurveda and Siddha (CCRAS; 1976 to March 2003). Hand searches were performed in 1 Sri Lankan and 3 Indian journals and the authors' personal files. Key data of included studies were extracted and reviewed. The methodological quality of all studies was evaluated with the Jadad scale. RESULTS: Seven studies met our inclusion criteria. Trials tested either Ayurvedic medicine against placebo or other Ayurvedic medicines. In general, patient and physician global assessments on the severity of pain, and morning stiffness were used as endpoints. Of 3 placebo-controlled RCTs, 1 high-quality trial did not show benefit of the active treatment against placebo, while another incompletely reported study indicated beneficial effects of an Ayurvedic medicine. A further incompletely reported study showed no significant difference. The remaining 4 trials were difficult to interpret because they tested an Ayurvedic medicine against other Ayurvedic medicines whose effects were not proven. CONCLUSION: There is a paucity of RCTs of Ayurvedic medicines for RA. The existing RCTs fail to show convincingly that such treatments are effective therapeutic options for RA.
    Publication Seminars in Arthritis and Rheumatism
    Volume 34
    Issue 5
    Pages 705-713
    Date Apr 2005
    Journal Abbr Semin. Arthritis Rheum
    DOI 10.1016/j.semarthrit.2004.11.005
    ISSN 0049-0172
    Short Title Ayurvedic medicine for rheumatoid arthritis
    URL http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/15846585
    Accessed Monday, November 02, 2009 2:32:49 AM
    Library Catalog NCBI PubMed
    Extra PMID: 15846585
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Tags:

    • Antirheumatic Agents
    • Arthritis, Rheumatoid
    • Female
    • Humans
    • Male
    • Medicine, Ayurvedic
    • Pain Measurement
    • Phytotherapy
    • Prognosis
    • Randomized Controlled Trials as Topic
    • Range of Motion, Articular
    • Risk Assessment
    • Sensitivity and Specificity
    • Severity of Illness Index
    • Treatment Outcome

    Notes:

    • Objective: To systematically review all randomized controlled trials (RCTs) on the effectiveness of Ayurvedic medicine for rheumatoid arthritis (RA). Conclusion: The existing RCTs fail to show convincingly that such treatments are effective therapeutic options for RA.

  • The link between religion and HAART adherence in pediatric HIV patients.

    Type Journal Article
    Author James Park
    Author Sharon Nachman
    Abstract HIV is a chronic illness that requires strict adherence to medication regimens. This study attempts to examine the patterns of highly active antiretroviral therapy adherence relative to religious beliefs in a population of perinatally HIV-infected adolescents. Eligible subjects included perinatally HIV-infected youth aged 14-22 years who knew their HIV status. Assessment tools included an antiretroviral adherence form, a standardized depression questionnaire, and a religious observance questionnaire. All of these forms were completed at the time of study enrollment. Twenty subjects met entry criteria and were enrolled. Subjects who had excellent adherence had significantly higher religious belief scores than those who had poor adherence (3.46+/-0.46 vs. 2.34+/-0.69, p<0.05). Those with excellent adherence also had higher religious practice scores than those with poor adherence (2.66+/-1.02 vs. 2.23+/-1.45, p=0.46). Beck Depression Inventory (BDI)-II depression score was also lower in those with excellent adherence versus those with poor adherence (4.64+/-3.41 vs. 8.86+/-9.77, p=0.39). Physicians may be able to consider spirituality as a factor that may influence medication adherence in pediatric HIV patients. As perinatally HIV-infected youth age into adulthood, future studies will be needed to explore the ongoing intimate relationship between a patient's religious views and their compliance to medical regimens. [ABSTRACT FROM AUTHOR]
    Publication AIDS Care
    Volume 22
    Issue 5
    Pages 556-561
    Date May 2010
    DOI 10.1080/09540120903254013
    ISSN 09540121
    Accessed Tuesday, June 15, 2010 9:49:23 AM
    Library Catalog EBSCOhost
    Date Added Thursday, September 29, 2011 9:04:02 AM
    Modified Thursday, September 29, 2011 9:04:02 AM

    Tags:

    • COMMUNICABLE diseases -- Transmission -- Prevention
    • DISEASE management
    • HIV infections -- Prevention
    • HIV-positive persons -- Medical care
    • HIV-positive youth
    • NEEDS assessment
    • OUTCOME assessment (Medical care)
    • Patient Compliance

    Notes:

    • This study attempts to examine the patterns of highly active antiretroviral therapy adherence relative to religious beliefs in a population of perinatally HIV-infected adolescents. Eligible subjects included perinatally HIV-infected youth aged 14–22 years who knew their HIV status.

  • Religiousness/spirituality and health behaviors in younger adult cancer survivors: does faith promote a healthier lifestyle?

    Type Journal Article
    Author Crystal L. Park
    Author Donald Edmondson
    Author Amy Hale-Smith
    Author Thomas O. Blank
    Abstract Positive health behaviors are crucial to cancer survivors’ well-being, yet little is known about the personal factors that may facilitate positive health behaviors. The current study focuses on the association of religion/spirituality (R/S) and health behaviors, examining links between health behaviors and religious attendance, daily spiritual experiences, and religious struggle in a sample of 167 younger adult survivors of a variety of cancers. The extent to which positive affect (self-assurance) and negative affect (guilt/shame) mediate these links was also investigated. Results revealed that religious attendance had little impact on health behaviors, but that daily spiritual experiences were related to greater performance of health behaviors, while religious struggle was related to less. Self-assurance partially mediated the effects of daily spiritual experiences, while guilt/shame partially mediated the effects of religious struggle. The findings suggest that aspects of R/S may play important and different roles in the lifestyle choices of cancer survivors. [ABSTRACT FROM AUTHOR]
    Publication Journal of Behavioral Medicine
    Volume 32
    Issue 6
    Pages 582-591
    Date December 2009
    DOI 10.1007/s10865-009-9223-6
    ISSN 01607715
    Short Title Religiousness/spirituality and health behaviors in younger adult cancer survivors
    URL http://search.ebscohost.com.ezproxy.bu.edu/login.aspx?
    direct=true&db=pbh&AN=45362476&…
    Accessed Thursday, December 31, 2009 11:20:56 AM
    Library Catalog EBSCOhost
    Date Added Thursday, September 29, 2011 9:04:55 AM
    Modified Thursday, September 29, 2011 9:04:55 AM

    Tags:

    • CANCER -- Patients
    • CANCER -- Study & teaching
    • Emotions
    • GUILT
    • Health Behavior

    Notes:

    • Positive health behaviors are crucial to cancer survivors’ well-being, yet little is known about the personal factors that may facilitate positive health behaviors. The current study focuses on the association of religion/spirituality (R/S) and health behaviors, examining links between health behaviors and religious attendance, daily spiritual experiences, and religious struggle in a sample of 167 younger adult survivors of a variety of cancers. The extent to which positive affect (self-assurance) and negative affect (guilt/shame) mediate these links was also investigated. Results revealed that religious attendance had little impact on health behaviors, but that daily spiritual experiences were related to greater performance of health behaviors, while religious struggle was related to less. Self-assurance partially mediated the effects of daily spiritual experiences, while guilt/shame partially mediated the effects of religious struggle. The findings suggest that aspects of R/S may play important and different roles in the lifestyle choices of cancer survivors.

  • Religiousness/spirituality and health behaviors in younger adult cancer survivors: does faith promote a healthier lifestyle?

    Type Journal Article
    Author Crystal Park
    Author Donald Edmondson
    Author Amy Hale-Smith
    Author Thomas Blank
    Abstract Positive health behaviors are crucial to cancer survivors' well-being, yet little is known about the personal factors that may facilitate positive health behaviors. The current study focuses on the association of religion/spirituality (R/S) and health behaviors, examining links between health behaviors and religious attendance, daily spiritual experiences, and religious struggle in a sample of 167 younger adult survivors of a variety of cancers. The extent to which positive affect (self-assurance) and negative affect (guilt/shame) mediate these links was also investigated. Results revealed that religious attendance had little impact on health behaviors, but that daily spiritual experiences were related to greater performance of health behaviors, while religious struggle was related to less. Self-assurance partially mediated the effects of daily spiritual experiences, while guilt/shame partially mediated the effects of religious struggle. The findings suggest that aspects of R/S may play important and different roles in the lifestyle choices of cancer survivors.
    Publication Journal of Behavioral Medicine
    Date Jul 29, 2009
    Journal Abbr J Behav Med
    DOI 10.1007/s10865-009-9223-6
    ISSN 1573-3521
    Short Title Religiousness/spirituality and health behaviors in younger adult cancer survivors
    URL http://www.ncbi.nlm.nih.gov/pubmed/19639404
    Accessed Friday, November 13, 2009 8:10:01 PM
    Library Catalog NCBI PubMed
    Extra PMID: 19639404
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Notes:

    • The current study focuses on the association of religion/spirituality (R/S) and health behaviors, examining links between health behaviors and religious attendance, daily spiritual experiences, and religious struggle in a sample of 167 younger adult survivors of a variety of cancers. Results revealed that religious attendance had little impact on health behaviors, but that daily spiritual experiences were related to greater performance of health behaviors, while religious struggle was related to less.

  • Effectiveness of mindfulness meditation (Vipassana) in the management of chronic low back pain

    Type Journal Article
    Author Sangram G Patil
    Abstract SUMMARY: Chronic low back pain (CLBP) is challenging to treat with its significant psychological and cognitive behavioural element involved. Mindfulness meditation helps alter the behavioural response in chronic pain situations. Significant body of research in the filed of mindfulness meditation comes from the work of Dr Kabat-Zinn. The current evidence in the field, though not grade one, shows that there is a place for mindfulness meditation in managing chronic pain conditions including CLBP. Further research to test the usefulness of mindfulness in CLBP should involve good quality randomized controlled trials of pure mindfulness based technique in matched subjects.
    Publication Indian Journal of Anaesthesia
    Volume 53
    Issue 2
    Pages 158-163
    Date Apr 2009
    Journal Abbr Indian J Anaesth
    ISSN 0976-2817
    Accessed Tuesday, February 22, 2011 7:30:03 PM
    Library Catalog NCBI PubMed
    Extra PMID: 20640116
    Date Added Thursday, September 29, 2011 9:06:18 AM
    Modified Thursday, September 29, 2011 9:06:18 AM
  • The Book of Job: a 2,500-year-old current guide to the practice of oncology: the nexus of medicine and spirituality

    Type Journal Article
    Author Stephen Patterson
    Author Lodovico Balducci
    Author Russell Meyer
    Abstract GOALS: To establish the role of ancient literature and religious tradition to the modern practice of oncology; foster awareness of practicing in a historical context resulting from different traditions; and propose a spiritual context for the practice of oncology and explore methods to highlight this perspective in cancer education. METHOD: Contextual and content analysis of a religious text shared by the most common religious traditions of the West (Christianity, Judaism, and Islam). RESULTS: The origin of suffering eludes all logical explanations. All religious traditions affirm that the sufferer should be heard, cared for, and kept part of the human consortium, and under no circumstances blamed for the disease. In terms of oncology practice this means that the treatment should be negotiated with the patient according to his or her need; that physicians' obligations for care continues after the treatment fails, and that patients' lifestyles or poor compliance should not be blamed for poor outcomes. CONCLUSIONS: The Book of Job supports a spiritual perspective in oncology practice, indicating that patient care is a holistic endeavor. This perspective is the key to dealing with common interactive problems, such as adversarial relations between patient and provider in face of death and suffering, and more important, may promote care beyond treatment of the disease.
    Publication Journal of Cancer Education: The Official Journal of the American Association for Cancer Education
    Volume 17
    Issue 4
    Pages 237-240
    Date 2002
    Journal Abbr J Cancer Educ
    ISSN 0885-8195
    Short Title The Book of Job
    URL http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/12556063
    Accessed Monday, November 02, 2009 1:46:14 PM
    Library Catalog NCBI PubMed
    Extra PMID: 12556063
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Tags:

    • Bible
    • Humans
    • Medical Oncology
    • Physician-Patient Relations
    • Religion and Medicine

    Notes:

    • GOALS: To establish the role of ancient literature and religious tradition to the modern practice of oncology; foster awareness of practicing in a historical context resulting from different traditions; and propose a spiritual context for the practice of oncology and explore methods to highlight this perspective in cancer education. Conclusions: The Book of Job supports a spiritual perspective in oncology practice, indicating that patient care is a holistic endeavor.

  • Spirituality and health: empirically based reflections on recovery

    Type Journal Article
    Author Michelle J Pearce
    Author Clark M Rivinoja
    Author Harold G Koenig
    Abstract In this chapter, we explore the spiritual functioning and well-being of individuals and how this relates to mental health and recovery from alcoholism within the conceptual framework of Alcoholics Anonymous. We raise the question of whether the spiritually oriented focus of AA is a critical factor in achieving recovery. We suggest that examining the findings from a large body of research on religion and mental health may provide further insight into this question. Specifically, we assert that the mechanisms through which the spiritual focus of AA may influence recovery from alcoholism may be similar to the mechanisms through which spirituality may influence mental health. These potential explanatory mechanisms include the provision of a community, a narrative framework for meaning-making, a means of coping through submission and redemption, and prescribed lifestyle behaviors.
    Publication Recent Developments in Alcoholism: An Official Publication of the American Medical Society on Alcoholism, the Research Society on Alcoholism, and the National Council on Alcoholism
    Volume 18
    Pages 187-208
    Date 2008
    Journal Abbr Recent Dev Alcohol
    ISSN 0738-422X
    Short Title Spirituality and health
    URL http://www.ncbi.nlm.nih.gov/pubmed/19115770
    Accessed Friday, November 13, 2009 7:46:05 PM
    Library Catalog NCBI PubMed
    Extra PMID: 19115770
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Tags:

    • Adaptation, Psychological
    • Affect
    • Alcoholics Anonymous
    • Alcoholism
    • Anxiety
    • Convalescence
    • depression
    • empirical research
    • GUILT
    • Health Behavior
    • Health Status
    • Humans
    • Life Style
    • spirituality
    • Suicide

    Notes:

    • In this chapter, we explore the spiritual functioning and well-being of individuals and how this relates to mental health and recovery from alcoholism within the conceptual framework of Alcoholics Anonymous.

  • Measuring spiritual well-being in people with cancer: the functional assessment of chronic illness therapy--Spiritual Well-being Scale (FACIT-Sp)

    Type Journal Article
    Author Amy H Peterman
    Author George Fitchett
    Author Marianne J Brady
    Author Lesbia Hernandez
    Author David Cella
    Abstract A significant relation between religion and better health has been demonstrated in a variety of healthy and patient populations. In the past several years, there has been a focus on the role of spirituality, as distinctfrom religion, in health promotion and coping with illness. Despite the growing interest, there remains a dearth of well-validated, psychometrically sound instruments to measure aspects of spirituality. In this article we report on the development and testing of a measure of spiritual well-being, the Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being (FACIT-Sp), within two samples of cancer patients. The instrument comprises two subscales--one measuring a sense of meaning and peace and the other assessing the role offaith in illness. A total score for spiritual well-being is also produced. Study 1 demonstrates good internal consistency reliability and a significant relation with quality of life in a large, multiethnic sample. Study 2 examines convergent validity with 5 other measures of religion and spirituality in a sample of individuals with mixed early stage and metastatic cancer diagnoses. Results of the two studies demonstrate that the FACIT-Sp is a psychometrically sound measure of spiritual well-being for people with cancer and other chronic illnesses.
    Publication Annals of Behavioral Medicine: A Publication of the Society of Behavioral Medicine
    Volume 24
    Issue 1
    Pages 49-58
    Date 2002
    Journal Abbr Ann Behav Med
    ISSN 0883-6612
    Short Title Measuring spiritual well-being in people with cancer
    URL http://www.ncbi.nlm.nih.gov/pubmed/12008794
    Accessed Thursday, November 12, 2009 9:29:41 PM
    Library Catalog NCBI PubMed
    Extra PMID: 12008794
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Tags:

    • Adolescent
    • Adult
    • Aged
    • Aged, 80 and over
    • Chronic Disease
    • Female
    • Health Status
    • Humans
    • Male
    • Middle Aged
    • Neoplasms
    • Psychometrics
    • Quality of Life
    • Questionnaires
    • Religion and Medicine
    • Self Concept

    Notes:

    • In this article we report on the development and testing of a measure of spiritual well-being, the Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being (FACIT-Sp), within two samples of cancer patients. The instrument comprises two subscales--one measuring a sense of meaning and peace and the other assessing the role of faith in illness.

  • Religious coping and use of intensive life-prolonging care near death in patients with advanced cancer

    Type Journal Article
    Author Andrea C Phelps
    Author Paul K Maciejewski
    Author Matthew Nilsson
    Author Tracy A Balboni
    Author Alexi A Wright
    Author M Elizabeth Paulk
    Author Elizabeth Trice
    Author Deborah Schrag
    Author John R Peteet
    Author Susan D Block
    Author Holly G Prigerson
    Abstract <AbstractText Label="CONTEXT" NlmCategory="BACKGROUND">Patients frequently rely on religious faith to cope with cancer, but little is known about the associations between religious coping and the use of intensive life-prolonging care at the end of life.</AbstractText> <AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To determine the way religious coping relates to the use of intensive life-prolonging end-of-life care among patients with advanced cancer.</AbstractText> <AbstractText Label="DESIGN, SETTING, AND PARTICIPANTS" NlmCategory="METHODS">A US multisite, prospective, longitudinal cohort of 345 patients with advanced cancer, who were enrolled between January 1, 2003, and August 31, 2007. The Brief RCOPE assessed positive religious coping. Baseline interviews assessed psychosocial and religious/spiritual measures, advance care planning, and end-of-life treatment preferences. Patients were followed up until death, a median of 122 days after baseline assessment.</AbstractText> <AbstractText Label="MAIN OUTCOME MEASURES" NlmCategory="METHODS">Intensive life-prolonging care, defined as receipt of mechanical ventilation or resuscitation in the last week of life. Analyses were adjusted for demographic factors significantly associated with positive religious coping and any end-of-life outcome at P &lt; .05 (ie, age and race/ethnicity). The main outcome was further adjusted for potential psychosocial confounders (eg, other coping styles, terminal illness acknowledgment, spiritual support, preference for heroics, and advance care planning).</AbstractText> <AbstractText Label="RESULTS" NlmCategory="RESULTS">A high level of positive religious coping at baseline was significantly associated with receipt of mechanical ventilation compared with patients with a low level (11.3% vs 3.6%; adjusted odds ratio [AOR], 2.81 [95% confidence interval {CI}, 1.03-7.69]; P = .04) and intensive life-prolonging care during the last week of life (13.6% vs 4.2%; AOR, 2.90 [95% CI, 1.14-7.35]; P = .03) after adjusting for age and race. In the model that further adjusted for other coping styles, terminal illness acknowledgment, support of spiritual needs, preference for heroics, and advance care planning (do-not-resuscitate order, living will, and health care proxy/durable power of attorney), positive religious coping remained a significant predictor of receiving intensive life-prolonging care near death (AOR, 2.90 [95% CI, 1.07-7.89]; P = .04).</AbstractText> <AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Positive religious coping in patients with advanced cancer is associated with receipt of intensive life-prolonging medical care near death. Further research is needed to determine the mechanisms for this association.</AbstractText>
    Publication JAMA: The Journal of the American Medical Association
    Volume 301
    Issue 11
    Pages 1140-1147
    Date Mar 18, 2009
    Journal Abbr JAMA
    DOI 10.1001/jama.2009.341
    ISSN 1538-3598
    Accessed Tuesday, February 22, 2011 7:34:49 PM
    Library Catalog NCBI PubMed
    Extra PMID: 19293414
    Date Added Thursday, September 29, 2011 9:06:18 AM
    Modified Thursday, September 29, 2011 9:06:18 AM

    Tags:

    • Adaptation, Psychological
    • Advance Care Planning
    • Aged
    • Attitude to Death
    • Female
    • Humans
    • Longitudinal Studies
    • Male
    • Middle Aged
    • Neoplasms
    • Religion and Medicine
    • Resuscitation Orders
    • spirituality
    • Terminal Care
    • Withholding Treatment

    Notes:

    • The objective of this study is to determine the way religious coping relates to the use of intensive life-prolonging end-of-life care among patients with advanced cancer.

  • Religious coping and use of intensive life-prolonging care near death in patients with advanced cancer

    Type Journal Article
    Author Andrea C Phelps
    Author Paul K Maciejewski
    Author Matthew Nilsson
    Author Tracy A Balboni
    Author Alexi A Wright
    Author M Elizabeth Paulk
    Author Elizabeth Trice
    Author Deborah Schrag
    Author John R Peteet
    Author Susan D Block
    Author Holly G Prigerson
    Abstract CONTEXT: Patients frequently rely on religious faith to cope with cancer, but little is known about the associations between religious coping and the use of intensive life-prolonging care at the end of life. OBJECTIVE: To determine the way religious coping relates to the use of intensive life-prolonging end-of-life care among patients with advanced cancer. DESIGN, SETTING, AND PARTICIPANTS: A US multisite, prospective, longitudinal cohort of 345 patients with advanced cancer, who were enrolled between January 1, 2003, and August 31, 2007. The Brief RCOPE assessed positive religious coping. Baseline interviews assessed psychosocial and religious/spiritual measures, advance care planning, and end-of-life treatment preferences. Patients were followed up until death, a median of 122 days after baseline assessment. MAIN OUTCOME MEASURES: Intensive life-prolonging care, defined as receipt of mechanical ventilation or resuscitation in the last week of life. Analyses were adjusted for demographic factors significantly associated with positive religious coping and any end-of-life outcome at P < .05 (ie, age and race/ethnicity). The main outcome was further adjusted for potential psychosocial confounders (eg, other coping styles, terminal illness acknowledgment, spiritual support, preference for heroics, and advance care planning). RESULTS: A high level of positive religious coping at baseline was significantly associated with receipt of mechanical ventilation compared with patients with a low level (11.3% vs 3.6%; adjusted odds ratio [AOR], 2.81 [95% confidence interval {CI}, 1.03-7.69]; P = .04) and intensive life-prolonging care during the last week of life (13.6% vs 4.2%; AOR, 2.90 [95% CI, 1.14-7.35]; P = .03) after adjusting for age and race. In the model that further adjusted for other coping styles, terminal illness acknowledgment, support of spiritual needs, preference for heroics, and advance care planning (do-not-resuscitate order, living will, and health care proxy/durable power of attorney), positive religious coping remained a significant predictor of receiving intensive life-prolonging care near death (AOR, 2.90 [95% CI, 1.07-7.89]; P = .04). CONCLUSIONS: Positive religious coping in patients with advanced cancer is associated with receipt of intensive life-prolonging medical care near death. Further research is needed to determine the mechanisms for this association.
    Publication JAMA: The Journal of the American Medical Association
    Volume 301
    Issue 11
    Pages 1140-1147
    Date Mar 18, 2009
    Journal Abbr JAMA
    DOI 10.1001/jama.2009.341
    ISSN 1538-3598
    URL http://www.ncbi.nlm.nih.gov/pubmed/19293414
    Accessed Friday, November 13, 2009 7:58:01 PM
    Library Catalog NCBI PubMed
    Extra PMID: 19293414
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Tags:

    • Adaptation, Psychological
    • Advance Care Planning
    • Aged
    • Attitude to Death
    • Female
    • Humans
    • Longitudinal Studies
    • Male
    • Middle Aged
    • Neoplasms
    • Religion and Medicine
    • Resuscitation Orders
    • spirituality
    • Terminal Care
    • Withholding Treatment

    Notes:

  • Mortality among California Seventh-Day Adventists for selected cancer sites.

    Type Journal Article
    Author R.L. Phillips
    Author L. Garfinkel
    Author J.W. Kuzma
    Author W.L. Beeson
    Author T. Lotz
    Author B. Brin
    Abstract In previous reports concerning cancer among Seventh-Day Adventists (SDA), comparisons were made only with the general population. This report compared California SDA to a sample of non-SDA who were demographically similar to SDA. The study consisted of 17 years of follow-up (1960--76) on 22,940 white California SDA and 13 years of follow-up (1960--72) on 112,725 white California non-SDA. Both groups completed the same base-line questionnaire in 1960. Deaths were ascertained by annual contacts with each study member and by computer-assisted record linkage with the California State death certificate file. Results indicated that, with the exception of colon-rectal cancer and smoking-related cancers, the difference in risk of fatal cancer between SDA and non-SDA was substantially reduced when SDA were compared with a more socioeconomically similar population. The persistence of the low risk for colon-rectal cancer can probably be attributed to some aspect of the diet or life-style of the SDA.
    Publication Journal of the National Cancer Institute
    Volume 65
    Issue 5
    Pages 1097-1107
    Date Nov. 1980
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Notes:

    • This report compared California SDA to a sample of non-SDA who were demographically similar to SDA. Results indicated that, with the exception of colon-rectal cancer and smoking-related cancers, the difference in risk of fatal cancer between SDA and non-SDA was substantially reduced when SDA were compared with a more socioeconomically similar population. The persistence of the low risk for colon-rectal cancer can probably be attributed to some aspect of the diet or life-style of the SDA.

  • Psychiatric severity and spirituality, helping, and participation in alcoholics anonymous during recovery

    Type Journal Article
    Author Douglas L Polcin
    Author Sarah Zemore
    Abstract Although helping others is a critical part of Alcoholics Anonymous (AA) and many treatment programs, measures for assessing helping and describing its relationship with sobriety are lacking. A sample of 200 subjects completed a Helper Therapy Scale including three subscales: Recovery Helping (alpha = 0.78), Life Helping (alpha = 0.62), and Community Helping (alpha = 0.60). A previous analysis using structural equation modeling found that length of sobriety predicted measures of spirituality, helping, and AA participation. The analysis reported here examined whether psychiatric severity was associated with these variables. Results indicated significant relationships between psychiatric severity and measures of spirituality (Self Transcendence, Forgiveness, Positive Coping, and Negative Coping) and AA Achievement (defined as completing the 12 steps and serving as a sponsor). However, no relationships were found between psychiatric severity and length of sobriety, the three Helper Therapy subscales, or AA involvement. The findings suggest that individuals with higher psychiatric severity may need assistance from their peers or professional service providers to develop a spiritual life, serve as a sponsor for others, or complete the steps of AA.
    Publication The American Journal of Drug and Alcohol Abuse
    Volume 30
    Issue 3
    Pages 577-592
    Date Aug 2004
    Journal Abbr Am J Drug Alcohol Abuse
    ISSN 0095-2990
    URL http://www.ncbi.nlm.nih.gov/pubmed/15540494
    Accessed Friday, November 13, 2009 1:07:40 PM
    Library Catalog NCBI PubMed
    Extra PMID: 15540494
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Tags:

    • Adult
    • Alcoholics Anonymous
    • Alcoholism
    • Female
    • Helping Behavior
    • Humans
    • Male
    • Middle Aged
    • Outcome Assessment (Health Care)
    • Patient Acceptance of Health Care
    • Personality Inventory
    • Psychometrics
    • Religion and Psychology
    • spirituality
    • Substance Abuse Treatment Centers
    • Temperance
    • Treatment Outcome

    Notes:

    • A sample of 200 subjects completed a Helper Therapy Scale including three subscales: Recovery Helping (alpha = 0.78), Life Helping (alpha = 0.62), and Community Helping (alpha = 0.60). Results indicated significant relationships between psychiatric severity and measures of spirituality (Self Transcendence, Forgiveness, Positive Coping, and Negative Coping) and AA Achievement (defined as completing the 12 steps and serving as a sponsor). However, no relationships were found between psychiatric severity and length of sobriety, the three Helper Therapy subscales, or AA involvement.

  • Efficacy and tolerability of yoga breathing in patients with chronic obstructive pulmonary disease: a pilot study

    Type Journal Article
    Author Luca Pomidori
    Author Federica Campigotto
    Author Tara Man Amatya
    Author Luciano Bernardi
    Author Annalisa Cogo
    Abstract PURPOSE: Yoga-derived breathing has been reported to improve gas exchange in patients with chronic heart failure and in participants exposed to high-altitude hypoxia. We investigated the tolerability and effect of yoga breathing on ventilatory pattern and oxygenation in patients with chronic obstructive pulmonary disease (COPD). METHODS: Patients with COPD (N = 11, 3 women) without previous yoga practice and taking only short-acting beta2-adrenergic blocking drugs were enrolled. Ventilatory pattern and oxygen saturation were monitored by means of inductive plethysmography during 30-minute spontaneous breathing at rest (sb) and during a 30-minute yoga lesson (y). During the yoga lesson, the patients were requested to mobilize in sequence the diaphragm, lower chest, and upper chest adopting a slower and deeper breathing. We evaluated oxygen saturation (SaO2%), tidal volume (VT), minute ventilation (E), respiratory rate (i>f), inspiratory time, total breath time, fractional inspiratory time, an index of thoracoabdominal coordination, and an index of rapid shallow breathing. Changes in dyspnea during the yoga lesson were assessed with the Borg scale. RESULTS: During the yoga lesson, data showed the adoption of a deeper and slower breathing pattern (VTsb L 0.54[0.04], VTy L 0.74[0.08], P = .01; i>fsb 20.8[1.3], i>fy 13.8[0.2], P = .001) and a significant improvement in SaO2% with no change in E (SaO2%sb 91.5%[1.13], SaO2%y 93.5%[0.99], P = .02; Esb L/min 11.2[1.1], Ey L/min 10.2[0.9]). All the participants reported to be comfortable during the yoga lesson, with no increase in dyspnea index. CONCLUSION: We conclude that short-term training in yoga is well tolerated and induces favorable respiratory changes in patients with COPD.
    Publication Journal of Cardiopulmonary Rehabilitation and Prevention
    Volume 29
    Issue 2
    Pages 133-137
    Date 2009 Mar-Apr
    Journal Abbr J Cardiopulm Rehabil Prev
    DOI 10.1097/HCR.0b013e31819a0227
    ISSN 1932-7501
    Short Title Efficacy and tolerability of yoga breathing in patients with chronic obstructive pulmonary disease
    Accessed Tuesday, February 22, 2011 7:33:03 PM
    Library Catalog NCBI PubMed
    Extra PMID: 19305239
    Date Added Thursday, September 29, 2011 9:06:18 AM
    Modified Thursday, September 29, 2011 9:06:18 AM

    Tags:

    • Aged
    • Breathing Exercises
    • Female
    • Humans
    • Male
    • Oxygen
    • Pilot Projects
    • Plethysmography
    • Pulmonary Disease, Chronic Obstructive
    • Respiratory Function Tests
    • yoga
  • Immediate effect of slow pace bhastrika pranayama on blood pressure and heart rate

    Type Journal Article
    Author Tapas Pramanik
    Author Hari Om Sharma
    Author Suchita Mishra
    Author Anurag Mishra
    Author Rajesh Prajapati
    Author Smriti Singh
    Abstract OBJECTIVES: The objective of this study was to evaluate the immediate effect of slow pace bhastrika pranayama (respiratory rate 6/min) for 5 minutes on heart rate and blood pressure and the effect of the same breathing exercise for the same duration of time (5 minutes) following oral intake of hyoscine-N-butylbromide (Buscopan), a parasympathetic blocker drug. SUBJECTS AND METHODS: Heart rate and blood pressure of volunteers (n = 39, age = 25-40 years) was recorded following standard procedure. First, subjects had to sit comfortably in an easy and steady posture (sukhasana) on a fairly soft seat placed on the floor keeping head, neck, and trunk erect, eyes closed, and the other muscles reasonably loose. The subject is directed to inhale through both nostrils slowly up to the maximum for about 4 seconds and then exhale slowly up to the maximum through both nostrils for about 6 seconds. The breathing must not be abdominal. These steps complete one cycle of slow pace bhastrika pranayama (respiratory rate 6/min). During the practice the subject is asked not to think much about the inhalation and exhalation time, but rather was requested to imagine the open blue sky. The pranayama was conducted in a cool, well-ventilated room (18-20 degrees C). After 5 minutes of this breathing practice, the blood pressure and heart rate again were recorded in the aforesaid manner using the same instrument. The other group (n = 10) took part in another study where their blood pressure and heart rate were recorded following half an hour of oral intake of hyoscine-N-butylbromide 20 mg. Then they practiced the breathing exercise as stated above, and the abovementioned parameters were recorded again to study the effect of parasympathetic blockade on the same pranayama. RESULTS: It was noted that after slow bhastrika pranayamic breathing (respiratory rate 6/min) for 5 minutes, both the systolic and diastolic blood pressure decreased significantly with a slight fall in heart rate. No significant alteration in both blood pressure and heart rate was observed in volunteers who performed the same breathing exercise for the same duration following oral intake of hyoscine-N-butylbromide. DISCUSSION: Pranayama increases frequency and duration of inhibitory neural impulses by activating pulmonary stretch receptors during above tidal volume inhalation as in Hering Bruer reflex, which bring about withdrawal of sympathetic tone in the skeletal muscle blood vessels, leading to widespread vasodilatation, thus causing decrease in peripheral resistance and thus decreasing the diastolic blood pressure. After hyoscine-N-butylbromide, the parasympathetic blocker, it was observed that blood pressure was not decreased significantly as a result of pranayama, as it was observed when no drug was administered. CONCLUSIONS: Vagal cardiac and pulmonary mechanisms are linked, and improvement in one vagal limb might spill over into the other. Baroreceptor sensitivity can be enhanced significantly by slow breathing (supported by a small reduction in the heart rate observed during slow breathing and by reduction in both systolic and diastolic pressure). Slow pace bhastrika pranayama (respiratory rate 6/min) exercise thus shows a strong tendency to improving the autonomic nervous system through enhanced activation of the parasympathetic system.
    Publication Journal of Alternative and Complementary Medicine (New York, N.Y.)
    Volume 15
    Issue 3
    Pages 293-295
    Date Mar 2009
    Journal Abbr J Altern Complement Med
    DOI 10.1089/acm.2008.0440
    ISSN 1557-7708
    Accessed Tuesday, February 22, 2011 7:43:13 PM
    Library Catalog NCBI PubMed
    Extra PMID: 19249921
    Date Added Thursday, September 29, 2011 9:06:18 AM
    Modified Thursday, September 29, 2011 9:06:18 AM

    Tags:

    • Adult
    • Autonomic Nervous System
    • Blood Pressure
    • Breathing Exercises
    • Female
    • Forced Expiratory Volume
    • Heart Rate
    • Humans
    • Male
    • Reference Values
    • Relaxation Therapy
    • Vital Capacity
    • yoga

    Notes:

    • The objective of this study was to evaluate the immediate effect of slow pace bhastrika pranayama (respiratory rate 6/min) for 5 minutes on heart rate and blood pressure and the effect of the same breathing exercise for the same duration of time (5 minutes) following oral intake of hyoscine-N-butylbromide (Buscopan), a parasympathetic blocker drug. Results showed that Vagal cardiac and pulmonary mechanisms are linked, and improvement in one vagal limb might spill over into the other. Baroreceptor sensitivity can be enhanced significantly by slow breathing (supported by a small reduction in the heart rate observed during slow breathing and by reduction in both systolic and diastolic pressure). Slow pace bhastrika pranayama (respiratory rate 6/min) exercise thus shows a strong tendency to improving the autonomic nervous system through enhanced activation of the parasympathetic system.

  • The Frequency of Prayer, Meditation and Holistic Interventions in Addictions Treatment: A National Survey.

    Type Journal Article
    Author Paul Priester
    Author Josh Scherer
    Author Jesse Steinfeldt
    Author Asma Jana-Masri
    Author Terri Jashinsky
    Author Janice Jones
    Author Cher Vang
    Abstract This study examines the prevalence of endorsing the twelve step approach and the use of prayer, meditation, and holistic techniques in a national sample of 139 substance abuse treatment centers. Ninety one percent of the programs endorsed a twelve step orientation. Twenty six percent of the programs actively used prayer and 58% used meditation as a component of treatment. Thirty three percent of the programs used some form of a self-designated holistic technique. There was a divergent range of techniques that were used by programs, falling into four broad categories: (1) nutrition, exercise, relaxation and physical health; (2) recreation and adventure-based activities; (3) religious and spiritual practices; and (4) the use of specific therapy modalities. [ABSTRACT FROM AUTHOR]
    Publication Pastoral Psychology
    Volume 58
    Issue 3
    Pages 315-322
    Date June 2009
    DOI 10.1007/s11089-009-0196-8
    ISSN 00312789
    Short Title The Frequency of Prayer, Meditation and Holistic Interventions in Addictions Treatment
    Library Catalog EBSCOhost
    Date Added Thursday, September 29, 2011 9:06:18 AM
    Modified Thursday, September 29, 2011 9:06:18 AM

    Tags:

    • ADDICTIONS
    • Exercise
    • Meditation
    • prayer
    • RECOVERY movement
    • RECREATION
    • TWELVE-step programs
  • The frequency of prayer, meditation and holistic interventions in addictions treatment: A national survey.

    Type Journal Article
    Author Paul E. Priester
    Author Josh Scherer
    Author Jesse A. Steinfeldt
    Author Asma Jana-Masri
    Author Terri Jashinsky
    Author Janice E. Jones
    Author Cher Vang
    Abstract This study examines the prevalence of endorsing the twelve step approach and the use of prayer, meditation, and holistic techniques in a national sample of 139 substance abuse treatment centers. Ninety one percent of the programs endorsed a twelve step orientation. Twenty six percent of the programs actively used prayer and 58% used meditation as a component of treatment. Thirty three percent of the programs used some form of a self-designated holistic technique. There was a divergent range of techniques that were used by programs, falling into four broad categories: (1) nutrition, exercise, relaxation and physical health; (2) recreation and adventure-based activities; (3) religious and spiritual practices; and (4) the use of specific therapy modalities. (PsycINFO Database Record (c) 2009 APA, all rights reserved) (from the journal abstract)
    Publication Pastoral Psychology
    Volume 58
    Issue 3
    Pages 315-322
    Date June 2009
    DOI 10.1007/s11089-009-0196-8
    ISSN 0031-2789
    Short Title The frequency of prayer, meditation and holistic interventions in addictions treatment
    URL http://search.ebscohost.com.ezproxy.bu.edu/login.aspx?
    direct=true&db=psyh&AN=2009-07075-007&…
    Accessed Saturday, September 26, 2009 5:09:43 PM
    Library Catalog EBSCOhost
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Tags:

    • addictions treatment
    • Drug Addiction
    • Drug Rehabilitation
    • Holistic Health
    • holistic intervention
    • intervention
    • Meditation

    Notes:

    • This study examines the prevalence of endorsing the twelve step approach and the use of prayer, meditation, and holistic techniques in a national sample of 139 substance abuse treatment centers. There was a divergent range of techniques that were used by programs, falling into four broad categories: (1) nutrition, exercise, relaxation and physical health; (2) recreation and adventure-based activities; (3) religious and spiritual practices; and (4) the use of specific therapy modalities.

  • Religious Practice and Spirituality in the Psychological Adjustment of Survivors of Breast Cancer

    Type Journal Article
    Author Jason Q Purnell
    Author Barbara L Andersen
    Author James P Wilmot
    Abstract Religion and spirituality are resources regularly used by patients with cancer coping with diagnosis and treatment, yet there is little research that examines these factors separately. This study investigated the relationships between religious practice and spirituality and quality of life (QoL) and stress in survivors of breast cancer. The sample included 130 women assessed 2 years following diagnosis. Using hierarchical multiple regression analysis, the authors found that spiritual well-being was significantly associated with QoL and traumatic stress, whereas religious practice was not significantly associated with these variables. The results suggest that it may be helpful for clinicians to address spirituality, in particular with survivors of breast cancer.
    Publication Counseling and Values
    Volume 53
    Issue 3
    Pages 165
    Date Apr 1, 2009
    Journal Abbr Couns Values
    ISSN 0160-7960
    Accessed Tuesday, February 22, 2011 6:32:00 PM
    Library Catalog NCBI PubMed
    Extra PMID: 20098664
    Date Added Thursday, September 29, 2011 9:06:18 AM
    Modified Thursday, September 29, 2011 9:06:18 AM
  • Effects of integrated yoga on quality of life and interpersonal relationship of pregnant women.

    Type Journal Article
    Author Abbas Rakhshani
    Author Satyapriya Maharana
    Author Nagarathna Raghuram
    Author Hongasandra R. Nagendra
    Author Padmalatha Venkatram
    Abstract Purpose: The objective of this study was to investigate the effects of integrated yoga on the quality of life and interpersonal relationships in normal pregnant women. Methods: One hundred and two pregnant women between 18 and 20 weeks of gestation who met the inclusion criteria were recruited from the obstetric units in Bangalore and were randomly assigned to two groups of yoga ( n = 51) and control ( n = 51). Women with medical conditions that could potentially lead to pregnancy complications and those with abnormal fetal parameters were excluded. The yoga group received integrated yoga while control group received standard antenatal exercises, both for 1-h three times a week from 20th to 36th week of gestation. Pre and post assessments were done using WHOQOL-100 and FIRO-B questionnaires. Results: Of the six domains of WHOQOL-100, between groups analysis showed significant improvements in the yoga group compared to the control in the physical ( P = 0.001), psychological ( P < 0.001), social ( P = 0.003), and environmental domains ( P = 0.001). In FIRO-B, the yoga group showed significant improvements in 'Expressed Inclusion' ( P = 0.02) and 'Wanted Control' ( P = 0.009) domains compared to the control group. Conclusion: The integrated yoga is an efficacious means of improving the quality of life of pregnant women and enhancing certain aspects of their interpersonal relationships. [ABSTRACT FROM AUTHOR]
    Publication Quality of Life Research
    Volume 19
    Issue 10
    Pages 1447-1455
    Date December 2010
    DOI 10.1007/s11136-010-9709-2
    ISSN 09629343
    Library Catalog EBSCOhost
    Date Added Thursday, September 29, 2011 8:58:27 AM
    Modified Thursday, September 29, 2011 8:58:27 AM

    Tags:

    • Interpersonal Relations
    • MAN-woman relationships
    • Pregnancy
    • Quality of Life
    • WOMEN -- Health & hygiene
    • yoga

    Notes:

    • This study finds that integrated yoga has positive effects on the quality of life and some aspects of interpersonal relations of pregnant women.  The study does not address how these results might compare to non-pregnant women or men who undertake such practices.

  • Religious and spiritual beliefs of gynecologic oncologists may influence medical decision making

    Type Journal Article
    Author Lois Ramondetta
    Author Alaina Brown
    Author Gwyn Richardson
    Author Diana Urbauer
    Author Premal H Thaker
    Author Harold G Koenig
    Author Jacalyn B Gano
    Author Charlotte Sun
    Abstract BACKGROUND Religious (R) and spiritual (S) beliefs often affect patients' health care decisions, particularly with regard to care at the end of life. Furthermore, patients desire more R/S involvement by the medical community; however, physicians typically do not incorporate R/S assessment into medical interviews with patients. The effects of physicians' R/S beliefs on willingness to participate in controversial clinical practices such as medical abortions and physician-assisted suicide has been evaluated, but how a physician's R/S beliefs may affect other medical decision-making is unclear. METHODS Using SurveyMonkey, an online survey tool, we surveyed 1972 members of the International Gynecologic Oncologists Society and the Society of Gynecologic Oncologists to determine the R/S characteristics of gynecologic oncologists and whether their R/S beliefs affected their clinical practice. Demographics, religiosity, and spirituality data were collected. Physicians were also asked to evaluate 5 complex case scenarios. RESULTS : Two hundred seventy-three (14%) physicians responded. Sixty percent "agreed" or "somewhat agreed" that their R/S beliefs were a source of personal comfort. Forty-five percent reported that their R/S beliefs ("sometimes," "frequently," or "always") play a role in the medical options they offered patients, but only 34% "frequently" or "always" take a R/S history from patients. Interestingly, 90% reported that they consider patients' R/S beliefs when discussing end-of-life issues. Responses to case scenarios largely differed by years of experience, although age and R/S beliefs also had influence. CONCLUSIONS Our results suggest that gynecologic oncologists' R/S beliefs may affect patient care but that most physicians fail to take an R/S history from their patients. More work needs to be done to evaluate possible barriers that prevent physicians from taking a spiritual history and engaging in discussions over these matters with patients.
    Publication International Journal of Gynecological Cancer: Official Journal of the International Gynecological Cancer Society
    Volume 21
    Issue 3
    Pages 573-581
    Date Apr 2011
    Journal Abbr Int. J. Gynecol. Cancer
    DOI 10.1097/IGC.0b013e31820ba507
    ISSN 1525-1438
    URL http://www.ncbi.nlm.nih.gov/pubmed/21436706
    Accessed Monday, May 09, 2011 7:02:13 PM
    Library Catalog NCBI PubMed
    Extra PMID: 21436706
    Date Added Thursday, September 29, 2011 8:55:49 AM
    Modified Thursday, September 29, 2011 8:55:49 AM

    Notes:

    • A study on how a physician's religious and spiritual beliefs may affect other medical decision-making. The study surveyed 1972 members of the International Gynecologic Oncologists Society and the Society of Gynecologic Oncologists to determine the religious/spirituality characteristics of gynecologic oncologists and whether their religious/spiritual beliefs affected their clinical practice. Demographics, religiosity, and spirituality data were collected.

  • Anxiolytic effects of a yoga program in early breast cancer patients undergoing conventional treatment: a randomized controlled trial

    Type Journal Article
    Author M Raghavendra Rao
    Author Nagarathna Raghuram
    Author H R Nagendra
    Author K S Gopinath
    Author B S Srinath
    Author Ravi B Diwakar
    Author Shekar Patil
    Author S Ramesh Bilimagga
    Author Nalini Rao
    Author S Varambally
    Abstract OBJECTIVES This study compares the anxiolytic effects of a yoga program and supportive therapy in breast cancer outpatients undergoing conventional treatment at a cancer centre. METHODS Ninety-eight stage II and III breast cancer outpatients were randomly assigned to receive yoga (n=45) or brief supportive therapy (n=53) prior to their primary treatment i.e., surgery. Only those subjects who received surgery followed by adjuvant radiotherapy and six cycles of chemotherapy were chosen for analysis following intervention (yoga, n=18, control, n=20). Intervention consisted of yoga sessions lasting 60min daily while the control group was imparted supportive therapy during their hospital visits as a part of routine care. Assessments included Speilberger's State Trait Anxiety Inventory and symptom checklist. Assessments were done at baseline, after surgery, before, during, and after radiotherapy and chemotherapy. RESULTS A GLM-repeated measures ANOVA showed overall decrease in both self-reported state anxiety (p<0.001) and trait anxiety (p=0.005) in yoga group as compared to controls. There was a positive correlation between anxiety states and traits with symptom severity and distress during conventional treatment intervals. CONCLUSION The results suggest that yoga can be used for managing treatment-related symptoms and anxiety in breast cancer outpatients.
    Publication Complementary Therapies in Medicine
    Volume 17
    Issue 1
    Pages 1-8
    Date Jan 2009
    Journal Abbr Complement Ther Med
    DOI 10.1016/j.ctim.2008.05.005
    ISSN 1873-6963
    Short Title Anxiolytic effects of a yoga program in early breast cancer patients undergoing conventional treatment
    URL http://www.ncbi.nlm.nih.gov/pubmed/19114222
    Accessed Monday, March 28, 2011 6:18:24 PM
    Library Catalog NCBI PubMed
    Extra PMID: 19114222
    Date Added Thursday, September 29, 2011 9:06:18 AM
    Modified Thursday, September 29, 2011 9:06:18 AM

    Tags:

    • Adult
    • Aged
    • Analysis of Variance
    • Anti-Anxiety Agents
    • Anxiety
    • Breast Neoplasms
    • Cognitive Therapy
    • COMBINED modality therapy
    • Female
    • Humans
    • Middle Aged
    • yoga

    Notes:

    • This study compares the anxiolytic effects of a yoga program and supportive therapy in breast cancer outpatients undergoing conventional treatment at a cancer centre.

  • Preterm labour and clinical hypnosis.

    Type Journal Article
    Author Joscha Reinhard
    Author Helga Huesken-Janßen
    Author Hendrike Hatzmann
    Author Sven Schiermeier
    Abstract Hypnosis may play an important role in reducing preterm labour for patients who have higher levels of psychosocial stress. This study examines the rate of late-preterm birth in a hypnosis group (directed to all women) and a historical control group. From July 2007 all women (n = 64), who were in their 28th to 34th weeks' gestation, were offered self-hypnosis training using the hypnoreflexogenous protocol after Hüsken-Janßen and Schauble. Expectant mothers with uncertain anticipated days of delivery were excluded. All women who delivered after 31 weeks' gestation served as a control group (n = 2135) from January 2006 till June 2007. In the hypnosis group there were three preterm deliveries (4.7%) (before 37 + 0 weeks' gestation) whereas in the control group there were 220 preterm deliveries (10.3%) (p = 0.01). Average cigarette usage during the current pregnancy was lower in the hypnosis group (p = 0.02). Higher work-educated employments (p = 0.01), higher age of the mother (p < 0.001) and fewer previous pregnancies (p < 0.03) were found in the hypnosis group. Preterm birth correlated with the number of previous pregnancies (-0.38; p < 0.001) but not with smoking. Hypnosis was shown to be effective therapy without side-effects, which can reduce preterm delivery. This clinical study showed a significant prevention of preterm delivery. Prospective randomized controlled studies are required to evaluate fully the preventive value of clinical hypnosis. Copyright © 2009 British Society of Experimental & Clinical Hypnosis. Published by John Wiley & Sons, Ltd. [ABSTRACT FROM AUTHOR]
    Publication Contemporary Hypnosis
    Volume 26
    Issue 4
    Pages 187-193
    Date December 2009
    DOI 10.1002/ch.387
    ISSN 09605290
    URL http://search.ebscohost.com.ezproxy.bu.edu/login.aspx?
    direct=true&db=pbh&AN=45516187&…
    Accessed Thursday, December 31, 2009 4:37:42 PM
    Library Catalog EBSCOhost
    Date Added Thursday, September 29, 2011 9:04:55 AM
    Modified Thursday, September 29, 2011 9:04:55 AM

    Tags:

    • HYPNOTISM -- Therapeutic use
    • HYPNOTISM in obstetrics
    • PREGNANT women -- Employment
    • PREGNANT women -- Tobacco use
    • PREMATURE infants -- Prevention
    • PREMATURE labor

    Notes:

    • This study finds that hypnosis is an effective therapy, without side effects, to reduce preterm labor, and suggests that randomized controlled trials are warranted to further investigate this finding.  The group who participated in the hypnosis were found to have higher work-educated employments, to be older, and to have had fewer previous pregnancies, all of which may have also been contributing factors to their having fewer preterm labors, and thus necessitating the further studies.

  • The use of mind-body medicine and prayer among adult patients with chronic hepatitis C

    Type Journal Article
    Author Jacqueline A. Richmond
    Author Donald E. Bailey
    Author John G. McHutchison
    Author Andrew J. Muir
    Abstract The use of mind-body medicine by patients with chronic hepatitis C has not been reported. The prevalence and reasons for using mind-body medicine and prayer among a cohort of patients with chronic hepatitis C are described. Use of mind-body medicine and prayer was investigated as a component of a larger exploratory, descriptive study of the use of complementary and alternative medicine by patients with hepatitis C attending a tertiary healthcare facility in the United States. An investigator-designed self-administered questionnaire (n = 149) and semistructured interview (n = 28) were completed by participants. Eighty-eight percent (n = 105) of participants had used mind-body medicine in the past 12 months. The most commonly used therapies were prayer for health reasons (90%), deep breathing (29%), and meditation (29%). Mind-body medicine was most commonly used to relieve tension and promote general well-being. The use of mind-body medicine was widespread among patients with chronic hepatitis C. To provide patient-centered healthcare, health providers need to be aware of the alternative support strategies, including mind-body medicine, used by patients.
    Publication Gastroenterology Nursing
    Volume 33
    Issue 3
    Pages 210-216
    Date 2010 May-Jun
    Journal Abbr Gastroenterol Nurs
    DOI 10.1097/SGA.0b013e3181e01a7b
    ISSN 1538-9766
    Accessed Wednesday, July 07, 2010 10:21:37 AM
    Library Catalog NCBI PubMed
    Extra PMID: 20531108
    Date Added Thursday, September 29, 2011 9:04:02 AM
    Modified Thursday, September 29, 2011 9:04:02 AM
  • The relationship between religion/spirituality and physical health, mental health, and pain in a chronic pain population

    Type Journal Article
    Author Elizabeth A Rippentrop
    Author Elizabeth M Altmaier
    Author Joseph J Chen
    Author Ernest M Found
    Author Valerie J Keffala
    Abstract This study sought to better understand the relationship between religion/spirituality and physical health and mental health in 122 patients with chronic musculoskeletal pain. The current study conceptualized religion/spirituality as a multidimensional factor, and measured it with a new measure of religion/spirituality for research on health outcomes (Brief Multidimensional Measure of Religion/Spirituality). Pain patients' religious and spiritual beliefs appear different than the general population (e.g. pain patients feel less desire to reduce pain in the world and feel more abandoned by God). Hierarchical multiple regression analyses revealed significant associations between components of religion/spirituality and physical and mental health. Private religious practice (e.g. prayer, meditation, consumption of religious media) was inversely related to physical health outcomes, indicating that those who were experiencing worse physical health were more likely to engage in private religious activities, perhaps as a way to cope with their poor health. Forgiveness, negative religious coping, daily spiritual experiences, religious support, and self-rankings of religious/spiritual intensity significantly predicted mental health status. Religion/spirituality was unrelated to pain intensity and life interference due to pain. This study establishes relationships between religion/spirituality and health in a chronic pain population, and emphasizes that religion/spirituality may have both costs and benefits for the health of those with chronic pain.
    Publication Pain
    Volume 116
    Issue 3
    Pages 311-321
    Date Aug 2005
    Journal Abbr Pain
    DOI 10.1016/j.pain.2005.05.008
    ISSN 0304-3959
    URL http://www.ncbi.nlm.nih.gov/pubmed/15979795
    Accessed Friday, November 13, 2009 3:14:36 PM
    Library Catalog NCBI PubMed
    Extra PMID: 15979795
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Tags:

    • Activities of Daily Living
    • Adolescent
    • Adult
    • Aged
    • Attitude to Health
    • Chronic Disease
    • DEMOGRAPHY
    • Disability Evaluation
    • Female
    • Humans
    • Male
    • mental health
    • Middle Aged
    • Pain
    • Pain Measurement
    • Quality of Life
    • Questionnaires
    • Regression Analysis
    • Religion and Psychology
    • social support

    Notes:

    • This study sought to better understand the relationship between religion/spirituality and physical health and mental health in 122 patients with chronic musculoskeletal pain.

  • The protective influence of spirituality and "Health-as-a-Value" against monthly substance use among adolescents varying in risk

    Type Journal Article
    Author Anamara Ritt-Olson
    Author Joel Milam
    Author Jennifer B Unger
    Author Dennis Trinidad
    Author Lorena Teran
    Author Clyde W Dent
    Author Steve Sussman
    Abstract PURPOSE: To investigate the influence of two potentially protective factors, Health-as-a-Value and spirituality, on monthly alcohol, cigarette, and marijuana use in two multiethnic groups of adolescents varying in risk. METHODS: Three-hundred-eighty-two students from continuation/alternative high school, a population considered at risk for drug use, participated in the study. The other sample of 260 students was drawn from a medical magnet high school, and is considered to be at lower risk. Similar surveys containing measures of spirituality, "Health-as-a-Value," and monthly substance use, were distributed. Logistic regression analyses were performed. RESULTS: The analyses revealed that spirituality was protective against monthly alcohol use and marijuana use in the lower risk sample. In the higher risk sample, spirituality was protective against all monthly use. "Health-as-a-Value" (HAV) was protective against monthly alcohol use in the low risk sample, and protective against all monthly use in the higher risk sample. Importantly, when both constructs were entered into the same model, spirituality and HAV were independently protective of all monthly use for the higher risk sample and of monthly alcohol use in the lower risk sample. CONCLUSIONS: These findings extend earlier work on protective factors. "Health-as-a-Value" and spirituality may be protective against substance use in environments with different levels of use. Future studies should explore these findings in longitudinal analyses.
    Publication The Journal of Adolescent Health: Official Publication of the Society for Adolescent Medicine
    Volume 34
    Issue 3
    Pages 192-199
    Date Mar 2004
    Journal Abbr J Adolesc Health
    DOI 10.1016/j.jadohealth.2003.07.009
    ISSN 1054-139X
    URL http://www.ncbi.nlm.nih.gov/pubmed/14967342
    Accessed Friday, November 13, 2009 12:44:55 PM
    Library Catalog NCBI PubMed
    Extra PMID: 14967342
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Tags:

    • Adolescent
    • Attitude to Health
    • Female
    • Health promotion
    • Humans
    • Male
    • spirituality
    • Substance-Related Disorders
    • United States

    Notes:

    • Purpose: To investigate the influence of two potentially protective factors, Health-as-a-Value and spirituality, on monthly alcohol, cigarette, and marijuana use in two multiethnic groups of adolescents varying in risk. Results: The analyses revealed that spirituality was protective against monthly alcohol use and marijuana use in the lower risk sample. In the higher risk sample, spirituality was protective against all monthly use.

  • Counseling clients with chronic pain: A religiously oriented cognitive behavior framework.

    Type Journal Article
    Author Linda A. Robertson
    Author Heather L. Smith
    Author Shannon L. Ray
    Author K. Dayle Jones
    Abstract The experience of chronic pain is largely influenced by core schemas and cognitive processes, including those that are religious in nature. When these schemas are negative, they contribute to the exacerbation of pain and related problems. A framework is presented for the identification of problematic religious schemas and their modification through cognitive behavior strategies. (PsycINFO Database Record (c) 2010 APA, all rights reserved) (journal abstract)
    Publication Journal of Counseling & Development
    Volume 87
    Issue 3
    Pages 373-379
    Date 2009
    ISSN 0748-9633
    Short Title Counseling clients with chronic pain
    Library Catalog EBSCOhost
    Date Added Thursday, September 29, 2011 9:06:18 AM
    Modified Thursday, September 29, 2011 9:06:18 AM

    Tags:

    • Chronic pain
    • Cognitive Assessment
    • cognitive behavior framework
    • cognitive behavior strategies
    • Cognitive Processes
    • core schemas
    • Counseling
    • counseling clients
    • religion
    • Religious Practices
    • Schema
    • strategies
  • Pathways to distress: the multiple determinants of depression, hopelessness, and the desire for hastened death in metastatic cancer patients

    Type Journal Article
    Author Gary Rodin
    Author Christopher Lo
    Author Mario Mikulincer
    Author Allan Donner
    Author Lucia Gagliese
    Author Camilla Zimmermann
    Abstract We tested a model in which psychosocial and disease-related variables act as multiple protective and risk factors for psychological distress in patients with metastatic cancer. We hypothesized that depression and hopelessness constitute common pathways of distress, which mediate the effects of psychosocial and disease-related factors on the desire for hastened death. This model was tested on a cross-sectional sample of 406 patients with metastatic gastrointestinal or lung cancer recruited at outpatient clinics of a Toronto cancer hospital, using structural equation modeling. The results supported the model. High disease burden, insecure attachment, low self-esteem, and younger age were risk factors for depression. Low spiritual well-being was a risk factor for hopelessness. Depression and hopelessness were found to be mutually reinforcing, but distinct constructs. Both depression and hopelessness independently predicted the desire for hastened death, and mediated the effects of psychosocial and disease-related variables on this outcome. The identified risk factors support a holistic approach to palliative care in patients with metastatic cancer, which attends to physical, psychological, and spiritual factors to prevent and treat distress in patients with advanced disease.
    Publication Social Science & Medicine (1982)
    Volume 68
    Issue 3
    Pages 562-569
    Date Feb 2009
    Journal Abbr Soc Sci Med
    DOI 10.1016/j.socscimed.2008.10.037
    ISSN 0277-9536
    Short Title Pathways to distress
    URL http://www.ncbi.nlm.nih.gov/pubmed/19059687
    Accessed Friday, November 13, 2009 7:40:20 PM
    Library Catalog NCBI PubMed
    Extra PMID: 19059687
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Tags:

    • Age Factors
    • Aged
    • Anxiety
    • Attitude to Death
    • Attitude to Health
    • Cancer Care Facilities
    • Cost of Illness
    • Depressive Disorder
    • Female
    • Gastrointestinal Neoplasms
    • Humans
    • Lung Neoplasms
    • Male
    • Middle Aged
    • Models, Psychological
    • Neoplasm Metastasis
    • Neoplasm Staging
    • ONTARIO
    • Risk Factors
    • Self Concept
    • Sickness Impact Profile
    • spirituality

    Notes:

    • We tested a model in which psychosocial and disease-related variables act as multiple protective and risk factors for psychological distress in patients with metastatic cancer. We hypothesized that depression and hopelessness constitute common pathways of distress, which mediate the effects of psychosocial and disease-related factors on the desire for hastened death. The results supported the model. High disease burden, insecure attachment, low self-esteem, and younger age were risk factors for depression. Low spiritual well-being was a risk factor for hopelessness.

  • Religious participation and HIV-disclosure rationales among people living with HIV/AIDS in rural Swaziland

    Type Journal Article
    Author R Root
    Abstract Despite the cultural salience of Christianity in many parts of Africa and the expansion of antiretroviral treatment, few studies have examined experiences of religious participation among HIV-positive individuals. Correspondingly, most studies of HIV self-disclosure in sub-Saharan Africa focus primarily on disclosure to sexual partners. Addressing both concerns, the central concern of this article is HIV self-disclosure in church settings, where disclosure rationales functioned as a key heuristic to explore experience of HIV-positivity, religiosity, and church participation. Given 39.2% antenatal HIV prevalence in Swaziland - the highest in the world - and an estimated 6 500 local congregations, this article draws on a medical anthropological project in Swaziland to investigate experiences of church participation among HIV-positive individuals. The data were derived from semi-structured interviews with 28 HIV-positive individuals across three domains: 1) pre- and post-diagnosis religiosity; 2) HIV stigma and support in church settings; and 3) decisions around HIV disclosure. Field research and open-ended interviews with individuals close to people living with HIV, health personnel, and pastors provided important contextual data. A grounded theory analysis showed that HIV disclosure in church settings is a highly reflexive process, mediated by subjective religiosity, the social dynamics of church networks, and broader structural vulnerabilities. Church participation often entailed significant stigma, which negatively affected self-disclosure and help-seeking practices; however, a rhetoric of 'courage' emerged to describe individuals who voluntarily disclosed their HIV-positive status. Pastors and pastors' wives were key protagonists in disclosure strategies. A church-based defense of the meaning of personhood for people living with HIV was among the most important findings. Given that congregations in much of Africa are predominantly female, and because women comprised the majority of the sample, the study productively problematised church settings as sites of analysis where gender, poverty, and religion intersect disease epidemiology in ways that may have untapped programmatic implications.
    Publication AJAR - African Journal of AIDS Research
    Volume 8
    Issue 3
    Pages 295-309
    Date OCT 2009
    DOI 10.2989/AJAR.2009.8.3.6.927
    ISSN 1608-5906
    URL http://apps.isiknowledge.com.ezproxy.bu.edu/full_record.do?
    product=WOS&search_mode=GeneralSearch&qid=1&…
    Accessed Friday, December 04, 2009 3:09:02 PM
    Library Catalog ISI Web of Knowledge
    Date Added Thursday, September 29, 2011 9:05:21 AM
    Modified Thursday, September 29, 2011 9:05:21 AM
  • Bypass surgery with psychological and spiritual support (the By.pass study): Study design and research methods

    Type Journal Article
    Author Jenny Rosendahl
    Author Katharina Tigges-Limmer
    Author Jan Gummert
    Author Ralf Dziewas
    Author Johannes Maximilian Albes
    Author Bernhard Strauss
    Abstract Effects of psychological as well as spiritual interventions on outcome in cardiac surgery have mostly been studied with a focus on presurgical interventions. Systematically controlled analyses of the effects of psychological and spiritual interventions depending on the patients' preference have not been performed so far, although these studies would help to assign patients to an adequate support. The By.pass study is a bicenter, controlled trial of patients undergoing coronary bypass surgery and coronary bypass surgery combined with valve replacement surgery in 2 different German hospitals. Patients are assigned to 1 of 5 conditions, mainly according to their personal therapeutic preference: preference for psychological interventions (group 1), preference for spiritual interventions (group 2), or preference for no intervention (group 5). Patients who are open for any kind of intervention are randomly assigned either to psychological (group 3) or spiritual interventions (group 4). Six months before the start and 6 months after the end of the treatment phase, patients were assigned to the control groups. These were asked about their subjective preference (psychological, spiritual, no intervention, or no specific preference) as well but received no interventions. Patients will be enrolled from October 2006 to December 2009. The 6-month follow-up will be completed in July 2010.
    Publication American Heart Journal
    Volume 158
    Issue 1
    Pages 8-14.e1
    Date July 2009
    DOI 10.1016/j.ahj.2009.04.017
    ISSN 0002-8703
    Short Title Bypass surgery with psychological and spiritual support (the By.pass study)
    URL http://www.sciencedirect.com.ezproxy.bu.edu/science/article/B6W9H-4WJH0Y8-5/2/c236f195f4a345cfcce97863e473f509
    Accessed Monday, September 14, 2009 10:58:53 PM
    Library Catalog ScienceDirect
    Date Added Thursday, September 29, 2011 9:05:38 AM
    Modified Thursday, September 29, 2011 9:05:38 AM

    Notes:

    • The By.pass study is the first controlled trial systematically examining the effects of either psychological or spiritual support considering patient's preference and preoperative psychosocial risk on recovery after coronary bypass surgery.

  • Mindfulness-based stress reduction for chronic pain conditions: Variation in treatment outcomes and role of home meditation practice

    Type Journal Article
    Author Steven Rosenzweig
    Author Jeffrey M. Greeson
    Author Diane K. Reibel
    Author Joshua S. Green
    Author Samar A. Jasser
    Author Denise Beasley
    Abstract Objective This study compared changes in bodily pain, health-related quality of life (HRQoL), and psychological symptoms during an 8-week mindfulness-based stress reduction (MBSR) program among groups of participants with different chronic pain conditions.Methods From 1997-2003, a longitudinal investigation of chronic pain patients (n=133) was nested within a larger prospective cohort study of heterogeneous patients participating in MBSR at a university-based Integrative Medicine center. Measures included the Short-Form 36 Health Survey and Symptom Checklist-90-Revised. Paired t tests were used to compare pre-post changes on outcome measures. Differences in treatment effect sizes were compared as a function of chronic pain condition. Correlations were examined between outcome parameters and home meditation practice.Results Outcomes differed in significance and magnitude across common chronic pain conditions. Diagnostic subgroups of patients with arthritis, back/neck pain, or two or more comorbid pain conditions demonstrated a significant change in pain intensity and functional limitations due to pain following MBSR. Participants with arthritis showed the largest treatment effects for HRQoL and psychological distress. Patients with chronic headache/migraine experienced the smallest improvement in pain and HRQoL. Patients with fibromyalgia had the smallest improvement in psychological distress. Greater home meditation practice was associated with improvement on several outcome measures, including overall psychological distress, somatization symptoms, and self-rated health, but not pain and other quality of life scales.Conclusion MBSR treatment effects on pain, HRQoL and psychological well-being vary as a function of chronic pain condition and compliance with home meditation practice.
    Publication Journal of Psychosomatic Research
    Volume 68
    Issue 1
    Pages 29-36
    Date January 2010
    DOI 10.1016/j.jpsychores.2009.03.010
    ISSN 0022-3999
    Short Title Mindfulness-based stress reduction for chronic pain conditions
    Accessed Friday, January 29, 2010 12:56:36 PM
    Library Catalog ScienceDirect
    Date Added Thursday, September 29, 2011 9:04:02 AM
    Modified Thursday, September 29, 2011 9:04:02 AM

    Tags:

    • Chronic pain
    • Compliance
    • Effect size
    • Health-related quality of life
    • Meditation
    • Mindfulness-Based Stress Reduction
    • Psychological distress

    Notes:

    • This study compared changes in bodily pain, health-related quality of life (HRQoL), and psychological symptoms during an 8-week mindfulness-based stress reduction (MBSR) program among groups of participants with different chronic pain conditions.From 1997-2003, a longitudinal investigation of chronic pain patients (n=133) was nested within a larger prospective cohort study of heterogeneous patients participating in MBSR at a university-based Integrative Medicine center. Measures included the Short-Form 36 Health Survey and Symptom Checklist-90-Revised. Paired t tests were used to compare pre–post changes on outcome measures. Differences in treatment effect sizes were compared as a function of chronic pain condition. Correlations were examined between outcome parameters and home meditation practice.Outcomes differed in significance and magnitude across common chronic pain conditions. Diagnostic subgroups of patients with arthritis, back/neck pain, or two or more comorbid pain conditions demonstrated a significant change in pain intensity and functional limitations due to pain following MBSR. Participants with arthritis showed the largest treatment effects for HRQoL and psychological distress. Patients with chronic headache/migraine experienced the smallest improvement in pain and HRQoL. Patients with fibromyalgia had the smallest improvement in psychological distress. Greater home meditation practice was associated with improvement on several outcome measures, including overall psychological distress, somatization symptoms, and self-rated health, but not pain and other quality of life scales.MBSR treatment effects on pain, HRQoL and psychological well-being vary as a function of chronic pain condition and compliance with home meditation practice.

  • Prayer and self-reported health among cancer survivors in the United States, National Health Interview Survey, 2002

    Type Journal Article
    Author Louie E Ross
    Author Ingrid J Hall
    Author Temeika L Fairley
    Author Yhenneko J Taylor
    Author Daniel L Howard
    Abstract OBJECTIVES: At least 10.8 million living Americans have been diagnosed with cancer, and about 1.5 million new cancer cases are expected to be diagnosed in 2008. The purpose of this study was to examine prayer for health and self-reported health among a sample of men and women with a personal history of cancer. METHODS: We used data from the 2002 National Health Interview Survey, which collected information on complementary and alternative medicine practices. RESULTS: Among 2262 men and women with a history of cancer, 68.5% reported having prayed for their own health and 72% reported good or better health status. Among cancer survivors, praying for one's own health was associated with several sociodemographic variables including being female, non-Hispanic black, and married. Compared to persons with a history of skin cancer, persons with a history of breast cancer, colorectal cancer, a cancer with a short survival period (e.g., pancreatic cancer), or other cancers were more likely to pray for their health. Persons who reported good or better health were more likely to be female, younger, have higher levels of education and income, and have no history of additional chronic disease. Overall, praying for one's own health was inversely associated with good or better health status. CONCLUSIONS: Data from this nationally representative sample indicate that prayer for health is commonly used among people with a history of cancer and that use of prayer varies by cancer site. The findings should add to the current body of literature that debates issues around spirituality, decision-making about treatment, and physician care.
    Publication Journal of Alternative and Complementary Medicine (New York, N.Y.)
    Volume 14
    Issue 8
    Pages 931-938
    Date Oct 2008
    Journal Abbr J Altern Complement Med
    DOI 10.1089/acm.2007.0788
    ISSN 1557-7708
    URL http://www.ncbi.nlm.nih.gov/pubmed/18925865
    Accessed Friday, November 13, 2009 7:30:41 PM
    Library Catalog NCBI PubMed
    Extra PMID: 18925865
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Tags:

    • Attitude to Health
    • Faith Healing
    • Female
    • Health Knowledge, Attitudes, Practice
    • Humans
    • Male
    • Neoplasms
    • religion
    • Self Care
    • spirituality
    • Survivors
    • United States

    Notes:

    • The purpose of this study was to examine prayer for health and self-reported health among a sample of men and women with a personal history of cancer. Conclusions: Data indicate that prayer for health is commonly used among people with a history of cancer and that use of prayer varies by cancer site.

  • Is religiosity a protective factor against substance use in young adulthood? Only if you're straight!

    Type Journal Article
    Author Sharon S Rostosky
    Author Fred Danner
    Author Ellen D B Riggle
    Abstract PURPOSE: Previous research has documented that substance use peaks during young adulthood and that religiosity provides a protective effect against binge drinking, marijuana use, and cigarette smoking. The majority of these studies do not examine sexual identity as it relates to these factors. Drawing on social influence and developmental theories, we tested the hypothesis that religiosity would provide a protective effect for heterosexual but not sexual minority young adults. METHOD: Waves 1 and 3 of the National Longitudinal Study of Adolescent Health provided data for the study. Three young adult sexual identity groups were formed: sexual minorities who did not report same-sex attraction at Wave 1 (NA), sexual minorities who did report same-sex attraction at Wave 1 (SSA), and heterosexuals (HET) (sample n = 764). RESULTS: Religiosity measured at baseline had no significant effect on past-year substance use, measured six years later in sexual minority young adults. For heterosexual young adults, each unit increase in religiosity reduced the odds of binge drinking by 9%, marijuana use by 20%, and cigarette smoking by 13%. CONCLUSIONS: Religiosity was not protective against substance use in sexual minority young adults, cautioning against over-generalizing previous findings about the protective effects of religiosity. Future studies that 1) consider the social context for sexual identity development, 2) model both risk and protective factors, and 3) use multidimensional measures of religiosity (and spirituality) and sexual identity are needed to build the necessary knowledge base for effective health promotion efforts among sexual minority youth and young adults.
    Publication The Journal of Adolescent Health: Official Publication of the Society for Adolescent Medicine
    Volume 40
    Issue 5
    Pages 440-447
    Date May 2007
    Journal Abbr J Adolesc Health
    DOI 10.1016/j.jadohealth.2006.11.144
    ISSN 1879-1972
    Short Title Is religiosity a protective factor against substance use in young adulthood?
    URL http://www.ncbi.nlm.nih.gov/pubmed/17448402
    Accessed Friday, November 13, 2009 5:37:26 PM
    Library Catalog NCBI PubMed
    Extra PMID: 17448402
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Tags:

    • Adolescent
    • Adult
    • Age Distribution
    • Attitude to Health
    • Child
    • Cohort Studies
    • CONFIDENCE intervals
    • Female
    • Health Behavior
    • Health Knowledge, Attitudes, Practice
    • Humans
    • Longitudinal Studies
    • Male
    • Minority Groups
    • Odds Ratio
    • Prevalence
    • Probability
    • Psychosexual Development
    • religion
    • Risk Assessment
    • Sex Distribution
    • Sexual Partners
    • spirituality
    • Substance-Related Disorders
    • United States

    Notes:

    • Drawing on social influence and developmental theories, we tested the hypothesis that religiosity would provide a protective effect for heterosexual but not sexual minority young adults. Conclusions: Religiosity was not protective against substance use in sexual minority young adults, cautioning against over-generalizing previous findings about the protective effects of religiosity.

  • Looking at infertility through the lens of religion and spirituality: a review of the literature

    Type Journal Article
    Author Robab Latifnejad Roudsari
    Author Helen T Allan
    Author Pam A Smith
    Abstract In spite of the growing body of literature that has focused on medical, psychological, social, and cultural consequences of infertility, issues such as religious and spiritual dimensions of infertility have received little attention. Considering that infertility is a multifaceted problem and results in multiple losses, we argue that health professionals need to consider all aspects of holistic care when caring for women with fertility problems. Holistic care considers not only the psychological, social and cultural needs of individuals, but also their religious and spiritual needs. Women may use their religious/spiritual beliefs to cope with crisis, and to find meaning and hope in their suffering. This article reviews the literature on religion/spirituality and infertility using Medline, CINAHL, PBSC, IBSS and ISI Web of Knowledge from 1985 to the present. It focuses on religious and spiritual care as one aspect of holistic care of women with fertility problems, and draws attention to the religious perspectives of infertility and reproductive technologies. It highlights the spiritual dimension of the infertility experience in previous research, and concludes with a discussion on the gaps in the literature and the implications of including religious and spiritual issues in infertile women's care.
    Publication Human Fertility (Cambridge, England)
    Volume 10
    Issue 3
    Pages 141-149
    Date Sep 2007
    Journal Abbr Hum Fertil (Camb)
    DOI 10.1080/14647270601182677
    ISSN 1464-7273
    Short Title Looking at infertility through the lens of religion and spirituality
    URL http://www.ncbi.nlm.nih.gov/pubmed/17786646
    Accessed Friday, November 13, 2009 5:54:37 PM
    Library Catalog NCBI PubMed
    Extra PMID: 17786646
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Tags:

    • Faith Healing
    • Female
    • Humans
    • Infertility
    • MEDLINE
    • religion
    • Reproductive Techniques
    • social support
    • spirituality

    Notes:

    • This article reviews the literature on religion/spirituality and infertility using Medline, CINAHL, PBSC, IBSS and ISI Web of Knowledge from 1985 to the present. It focuses on religious and spiritual care as one aspect of holistic care of women with fertility problems, and draws attention to the religious perspectives of infertility and reproductive technologies.

  • "Driving the devil away": qualitative insights into miraculous cures for AIDS in a rural Tanzanian ward

    Type Journal Article
    Author Maria Roura
    Author Ray Nsigaye
    Author Benjamin Nhandi
    Author Joyce Wamoyi
    Author Joanna Busza
    Author Mark Urassa
    Author Jim Todd
    Author Basia Zaba
    Abstract ABSTRACT: BACKGROUND: The role of religious beliefs in the prevention of HIV and attitudes towards the infected has received considerable attention. However, little research has been conducted on Faith Leaders' (FLs) perceptions of antiretroviral therapy (ART) in the developing world. This study investigated FLs' attitudes towards different HIV treatment options (traditional, medical and spiritual) available in a rural Tanzanian ward. METHODS: Qualitative interviews were conducted with 25 FLs purposively selected to account for all the denominations present in the area. Data was organised into themes using the software package NVIVO-7. The field work guidelines were tailored as new topics emerged and additional codes progressively added to the coding frame. RESULTS: Traditional healers (THs) and FLs were often reported as antagonists but duality prevailed and many FLs simultaneously believed in traditional healing. Inter-denomination mobility was high and guided by pragmatism. Praying for the sick was a common practice and over one third of respondents said that prayer could cure HIV. Being HIV-positive was often seen as "a punishment from God" and a consequence of sin. As sinning could result from "the work of Satan", forgiveness was possible, and a "reconciliation with God" deemed as essential for a favourable remission of the disease. Several FLs believed that "evil spirits" inflicted through witchcraft could cause the disease and claimed that they could cast "demons" away. While prayers could potentially cure HIV "completely", ART use was generally not discouraged because God had "only a part to play". The perceived potential superiority of spiritual options could however lead some users to interrupt treatment. CONCLUSIONS: The roll-out of ART is taking place in a context in which the new drugs are competing with a diversity of existing options. As long as the complementarities of prayers and ART are not clearly and explicitly stated by FLs, spiritual options may be interpreted as a superior alternative and contribute to hampering adherence to ART. In contexts where ambivalent attitudes towards the new drugs prevail, enhancing FLs understanding of ART's strengths and pitfalls is an essential step to engage them as active partners in ART scale-up programs.
    Publication BMC Public Health
    Volume 10
    Issue 1
    Pages 427
    Date Jul 20, 2010
    Journal Abbr BMC Public Health
    DOI 10.1186/1471-2458-10-427
    ISSN 1471-2458
    Short Title "Driving the devil away"
    Accessed Tuesday, July 27, 2010 11:45:40 AM
    Library Catalog NCBI PubMed
    Extra PMID: 20646300
    Date Added Thursday, September 29, 2011 9:03:48 AM
    Modified Thursday, September 29, 2011 9:03:48 AM
  • Spirituality and Quality of Life in Patients Receiving Radiation Therapy (RT) at a NCI-designated Cancer Center: Preliminary Report from the Knight Cancer Institute Patient-related Outcomes (PRO) Database

    Type Journal Article
    Author B.T. Samuelson
    Author E.K. Fromme
    Author T.L. McDonald
    Author J.G. Waller
    Author C.D. Fuller
    Author C.R. Thomas
    Abstract Purpose/Objective(s) Spirituality is important but poorly understood. This study evaluates the impact of radiation therapy (RT) on spiritual well-being and quality of life (QOL). Materials/Methods A retrospective, IRB-approved chart review was performed of 722 patients receiving RT for any cancer diagnosis between 1/1/2006 and 12/31/2008. Subjects completed the Functional Assessment of Cancer Therapy General (FACT-G) and Spirituality (Sp-12) questionnaires before and after radiation therapy as part of the department's efforts to incorporate Patient Reported Outcomes into clinical care. Pre- and immediately post-RT course scores were compared using student t-tests with Bonferroni correction for multiple comparisons (8 comparisons, alpha = .00625). Results A total of 722 of 1369 (52.7%) possible patients participated in the PRO database. Of these, complete pre and post RT spirituality data were available for 406 (56.2%). Of these patients, 270 (66.5%) were male and 136 (33.5%) were female, 340 (83.7%) received definitive treatment and 64 (15.8) received palliative treatment. The average age was 61.1 years. Global QOL declined between pre and post-RT (81.3 to 78.9 (p < .001). This was caused largely by declines in physical wellbeing (22.1 to 19.4 (p < .001) while emotional well being (18.4 to 19.3 (p < .001) improved and social/family wellbeing (22.7 to 22.6, p = .544) and functional (18.1 to 17.63 (p = 0.063) wellbeing remained constant. Overall spirituality remained constant (35.7 to 36.5, p = .023) including both the faith and meaning/peace subscales. In exploratory subgroup analyses, women's scores on the faith subscale increased significantly (10.92 to 11.87, p = .001) although their meaning/peace subscale increase was not significant. Conclusions Spiritual wellbeing, like social/family wellbeing and functional wellbeing, did not change between pre and post RT, while physical wellbeing worsened and emotional wellbeing improved. Patient reported outcomes like QOL and spirituality should be routinely embedded into therapeutic-based clinical trials involving RT, including emerging technologies, in order to better understand their true impact.
    Publication International Journal of Radiation Oncology*Biology*Physics
    Volume 78
    Issue 3, Supplement 1
    Pages S604-S605
    Date November 1, 2010
    DOI 10.1016/j.ijrobp.2010.07.1407
    ISSN 0360-3016
    URL http://www.sciencedirect.com/science/article/B6T7X-514GTCR-1P6/2/facb478bd5fbf49c1339494208d257de
    Accessed Monday, December 13, 2010 8:42:00 PM
    Date Added Thursday, September 29, 2011 8:59:00 AM
    Modified Thursday, September 29, 2011 8:59:00 AM

    Notes:

    • This study evaluates the impact of radiation therapy on spiritual well-being and quality of life.

  • The Spiritual Experience in Recovery: A Closer Look

    Type Journal Article
    Author Charles J. Sandoz
    Publication Journal of Ministry in Addiction & Recovery
    Volume 6
    Issue 2
    Pages 53
    Date 1999
    DOI 10.1300/J048v06n02_05
    ISSN 1053-8755
    Short Title The Spiritual Experience in Recovery
    URL http://www.informaworld.com/10.1300/J048v06n02_05
    Accessed Thursday, October 22, 2009 10:46:33 PM
    Library Catalog Informaworld
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM
  • Yoga for chronic low back pain in a predominantly minority population: a pilot randomized controlled trial

    Type Journal Article
    Author Robert B Saper
    Author Karen J Sherman
    Author Diana Cullum-Dugan
    Author Roger B Davis
    Author Russell S Phillips
    Author Larry Culpepper
    Abstract BACKGROUND: Several studies suggest yoga may be effective for chronic low back pain; however, trials targeting minorities have not been conducted. PRIMARY STUDY OBJECTIVES: Assess the feasibility of studying yoga in a predominantly minority population with chronic low back pain. Collect preliminary data to plan a larger powered study. STUDY DESIGN: Pilot randomized controlled trial. SETTING: Two community health centers in a racially diverse neighborhood of Boston, Massachusetts. PARTICIPANTS: Thirty English-speaking adults (mean age 44 years, 83% female, 83% racial/ethnic minorities; 48% with incomes < or = $30,000) with moderate-to-severe chronic low back pain. INTERVENTIONS: Standardized series of weekly hatha yoga classes for 12 weeks compared to a waitlist usual care control. OUTCOME MEASURES: Feasibility measured by time to complete enrollment, proportion of racial/ethnic minorities enrolled, retention rates, and adverse events. Primary efficacy outcomes were changes from baseline to 12 weeks in pain score (0=no pain to 10=worst possible pain) and back-related function using the modified Roland-Morris Disability Questionnaire (0-23 point scale, higher scores reflect poorer function). Secondary efficacy outcomes were analgesic use, global improvement, and quality of life (SF-36). RESULTS: Recruitment took 2 months. Retention rates were 97% at 12 weeks and 77% at 26 weeks. Mean pain scores for yoga decreased from baseline to 12 weeks (6.7 to 4.4) compared to usual care, which decreased from 7.5 to 7.1 (P=.02). Mean Roland scores for yoga decreased from 14.5 to 8.2 compared to usual care, which decreased from 16.1 to 12.5 (P=.28). At 12 weeks, yoga compared to usual care participants reported less analgesic use (13% vs 73%, P=.003), less opiate use (0% vs 33%, P=.04), and greater overall improvement (73% vs 27%, P=.03). There were no differences in SF-36 scores and no serious adverse events. CONCLUSION: A yoga study intervention in a predominantly minority population with chronic low back pain was moderately feasible and may be more effective than usual care for reducing pain and pain medication use.
    Publication Alternative Therapies in Health and Medicine
    Volume 15
    Issue 6
    Pages 18-27
    Date 2009 Nov-Dec
    Journal Abbr Altern Ther Health Med
    ISSN 1078-6791
    Short Title Yoga for chronic low back pain in a predominantly minority population
    URL http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/19943573
    Accessed Monday, December 28, 2009 2:41:34 PM
    Library Catalog NCBI PubMed
    Extra PMID: 19943573
    Date Added Thursday, September 29, 2011 9:04:55 AM
    Modified Thursday, September 29, 2011 9:04:55 AM

    Notes:

    • Several studies suggest yoga may be effective for chronic low back pain; however, trials targeting minorities have not been conducted. PRIMARY STUDY OBJECTIVES: Assess the feasibility of studying yoga in a predominantly minority population with chronic low back pain. Collect preliminary data to plan a larger powered study. Pilot randomized controlled trial. Two community health centers in a racially diverse neighborhood of Boston, Massachusetts. Thirty English-speaking adults (mean age 44 years, 83% female, 83% racial/ethnic minorities; 48% with incomes < or = $30,000) with moderate-to-severe chronic low back pain. Standardized series of weekly hatha yoga classes for 12 weeks compared to a waitlist usual care control.Feasibility measured by time to complete enrollment, proportion of racial/ethnic minorities enrolled, retention rates, and adverse events. Primary efficacy outcomes were changes from baseline to 12 weeks in pain score (0=no pain to 10=worst possible pain) and back-related function using the modified Roland-Morris Disability Questionnaire (0-23 point scale, higher scores reflect poorer function). Secondary efficacy outcomes were analgesic use, global improvement, and quality of life (SF-36).Recruitment took 2 months. Retention rates were 97% at 12 weeks and 77% at 26 weeks. Mean pain scores for yoga decreased from baseline to 12 weeks (6.7 to 4.4) compared to usual care, which decreased from 7.5 to 7.1 (P=.02). Mean Roland scores for yoga decreased from 14.5 to 8.2 compared to usual care, which decreased from 16.1 to 12.5 (P=.28). At 12 weeks, yoga compared to usual care participants reported less analgesic use (13% vs 73%, P=.003), less opiate use (0% vs 33%, P=.04), and greater overall improvement (73% vs 27%, P=.03). There were no differences in SF-36 scores and no serious adverse events. A yoga study intervention in a predominantly minority population with chronic low back pain was moderately feasible and may be more effective than usual care for reducing pain and pain medication use. 

  • Effect of integrated yoga on stress and heart rate variability in pregnant women

    Type Journal Article
    Author Maharana Satyapriya
    Author Hongasanda R Nagendra
    Author Raghuram Nagarathna
    Author Venkatram Padmalatha
    Abstract OBJECTIVE To study the effect of integrated yoga practice and guided yogic relaxation on both perceived stress and measured autonomic response in healthy pregnant women. METHOD The 122 healthy women recruited between the 18th and 20th week of pregnancy at prenatal clinics in Bangalore, India, were randomized to practicing yoga and deep relaxation or standard prenatal exercises 1-hour daily. The results for the 45 participants per group who completed the study were evaluated by repeated measures analysis of variance. RESULTS Perceived stress decreased by 31.57% in the yoga group and increased by 6.60% in the control group (P=0.001). During a guided relaxation period in the yoga group, compared with values obtained before a practice session, the high-frequency band of the heart rate variability spectrum (parasympathetic) increased by 64% in the 20th week and by 150% in the 36th week, and both the low-frequency band (sympathetic), and the low-frequency to high-frequency ratio were concomitantly reduced (P<0.001 between the 2 groups). Moreover, the low-frequency band remained decreased after deep relaxation in the 36th week in the yoga group. CONCLUSION Yoga reduces perceived stress and improves adaptive autonomic response to stress in healthy pregnant women.
    Publication International Journal of Gynaecology and Obstetrics: The Official Organ of the International Federation of Gynaecology and Obstetrics
    Volume 104
    Issue 3
    Pages 218-222
    Date Mar 2009
    Journal Abbr Int J Gynaecol Obstet
    DOI 10.1016/j.ijgo.2008.11.013
    ISSN 1879-3479
    URL http://www.ncbi.nlm.nih.gov/pubmed/19110245
    Accessed Monday, March 28, 2011 6:18:24 PM
    Library Catalog NCBI PubMed
    Extra PMID: 19110245
    Date Added Thursday, September 29, 2011 9:06:18 AM
    Modified Thursday, September 29, 2011 9:06:18 AM

    Tags:

    • Adult
    • Autonomic Nervous System
    • Electrocardiography
    • Female
    • Galvanic Skin Response
    • Heart Rate
    • Humans
    • India
    • Intervention Studies
    • Pregnancy
    • Prospective Studies
    • Relaxation
    • Relaxation Therapy
    • Stress, Physiological
    • Stress, Psychological
    • yoga
    • Young Adult

    Notes:

    • This study finds that "Yoga reduces perceived stress and improves adaptive autonomic response to stress in healthy pregnant women."  One significant problem with this study is that only 45 out of the 122 women who were recruited for the study saw it through to completion.

  • Measuring the discrepancy between current and ideal spiritual and religious functioning in problem drinkers

    Type Journal Article
    Author Stephen M Saunders
    Author Valerie Lucas
    Author Lesley Kuras
    Abstract The idea that spiritual and religious functioning (SRF) is associated with alcohol misuse is generally supported, but problems with typical research methods limit the utility of findings. Problems in SRF were conceptualized as discrepancies between current and ideal SRF. Two separate studies were conducted to develop and evaluate a scale to measure the subjective importance and adequacy of aspects of SRF that seem to be associated with alcohol problems. The 1st study suggested that a questionnaire developed to evaluate self-reported ratings of current and ideal SRF is both internally consistent and temporally stable. In the 2nd study, the questionnaire was administered to persons seeking treatment for alcohol problems and persons who indicated that they had never sought treatment for an alcohol problem. Results indicate that those with a drinking problem were more likely to report substantial discrepancies between current and ideal SRF, supporting the validity of the measure as an indicator of problems in SRF. The usefulness of this method for treatment and research is discussed.
    Publication Psychology of Addictive Behaviors: Journal of the Society of Psychologists in Addictive Behaviors
    Volume 21
    Issue 3
    Pages 404-408
    Date Sep 2007
    Journal Abbr Psychol Addict Behav
    DOI 10.1037/0893-164X.21.3.404
    ISSN 0893-164X
    URL http://www.ncbi.nlm.nih.gov/pubmed/17874891
    Accessed Friday, November 13, 2009 5:57:06 PM
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    Extra PMID: 17874891
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Tags:

    • Adolescent
    • Adult
    • Alcoholism
    • Culture
    • Female
    • Health Knowledge, Attitudes, Practice
    • Humans
    • Male
    • Personality Inventory
    • Religion and Psychology
    • spirituality
    • Students

    Notes:

    • The idea that spiritual and religious functioning (SRF) is associated with alcohol misuse is generally supported, but problems with typical research methods limit the utility of findings. Problems in SRF were conceptualized as discrepancies between current and ideal SRF. Two separate studies were conducted to develop and evaluate a scale to measure the subjective importance and adequacy of aspects of SRF that seem to be associated with alcohol problems.

  • Spirituality, demographic and disease factors, and adjustment to cancer

    Type Journal Article
    Author R A Schnoll
    Author L L Harlow
    Author L Brower
    Abstract PURPOSE: The purpose of this study was to examine the relationship between demographic-disease variables, spirituality, and psychosocial adjustment in a heterogeneous sample of patients with cancer. DESCRIPTION OF STUDY: Participants (N = 83) accrued through the Rhode Island Hospital and the American Cancer Society completed questionnaires, and structural equation modeling was used to examine the relationships among disease and demographic factors, spirituality, and psychosocial adjustment to cancer. RESULTS: Of five models tested, a mediational model received the strongest support (chi-square(35)-66.61; P = .005; comparative fix index = .90; root mean square error of approximation = .09), explaining 64% of the variance in psychosocial adjustment. Being a woman, having a longer illness duration, and having a lower disease stage were related to greater levels of purpose in life and religious beliefs, which, in turn, were associated with higher levels of family and social adjustment and psychological health. CLINICAL IMPLICATIONS: The results indicate that spirituality can influence how patients with cancer adjust to their diagnosis and treatment and, thus, support the need for interventions that target spirituality to promote psychosocial adjustment in this population.
    Publication Cancer Practice
    Volume 8
    Issue 6
    Pages 298-304
    Date 2000 Nov-Dec
    Journal Abbr Cancer Pract
    ISSN 1065-4704
    URL http://www.ncbi.nlm.nih.gov/pubmed/11898147
    Accessed Thursday, November 12, 2009 9:17:26 PM
    Library Catalog NCBI PubMed
    Extra PMID: 11898147
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Tags:

    • Adaptation, Psychological
    • Analysis of Variance
    • Attitude to Health
    • Chi-Square Distribution
    • Cross-Sectional Studies
    • existentialism
    • Factor Analysis, Statistical
    • Female
    • Humans
    • Male
    • Middle Aged
    • Models, Psychological
    • NEEDS assessment
    • Neoplasm Staging
    • Neoplasms
    • Pastoral Care
    • Questionnaires
    • Regression Analysis
    • Religion and Psychology
    • Rhode Island
    • Sampling Studies
    • spirituality

    Notes:

    • The purpose of this study was to examine the relationship between demographic-disease variables, spirituality, and psychosocial adjustment in a heterogeneous sample of patients with cancer.

  • Faith Moves Mountains: an Appalachian cervical cancer prevention program

    Type Journal Article
    Author Nancy E Schoenberg
    Author Jennifer Hatcher
    Author Mark B Dignan
    Author Brent Shelton
    Author Sherry Wright
    Author Kaye F Dollarhide
    Abstract OBJECTIVE: To provide a conceptual description of Faith Moves Mountains (FMM), an intervention designed to reduce the disproportionate burden of cervical cancer among Appalachian women. METHODS: FMM, a community-based participatory research program designed and implemented in collaboration with churches in rural, southeastern Kentucky, aims to increase cervical cancer screening (Pap tests) through a multiphase process of educational programming and lay health counseling. RESULTS: We provide a conceptual overview to key elements of the intervention, including programmatic development, theoretical basis, intervention approach and implementation, and evaluation procedures. CONCLUSIONS: After numerous modifications, FMM has recruited and retained over 400 women, 30 churches, and has become a change agent in the community.
    Publication American Journal of Health Behavior
    Volume 33
    Issue 6
    Pages 627-638
    Date 2009 Nov-Dec
    Journal Abbr Am J Health Behav
    ISSN 1945-7359
    Short Title Faith Moves Mountains
    URL http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/19320612
    Accessed Monday, November 23, 2009 7:58:30 PM
    Library Catalog NCBI PubMed
    Extra PMID: 19320612
    Date Added Thursday, September 29, 2011 9:05:21 AM
    Modified Thursday, September 29, 2011 9:05:21 AM

    Tags:

    • Adult
    • Appalachian Region
    • Community Networks
    • Counseling
    • Female
    • Health Education
    • Health promotion
    • Health Services Research
    • Health Status Disparities
    • Humans
    • Middle Aged
    • Program Development
    • Religion and Medicine
    • United States
    • Uterine Cervical Neoplasms
    • Vaginal Smears
    • Young Adult

    Notes:

    • To provide a conceptual description of Faith Moves Mountains (FMM), an intervention designed to reduce the disproportionate burden of cervical cancer among Appalachian women.

  • Image of god: effect on coping and psychospiritual outcomes in early breast cancer survivors

    Type Journal Article
    Author Judith A Schreiber
    Abstract Purpose/Objectives: To examine the effect of breast cancer survivors' views of God on religious coping strategies, depression, anxiety, stress, concerns about recurrence, and psychological well-being.Design: Exploratory, cross-sectional, comparative survey.Setting: Outpatients from community and university oncology practices in the southeastern United States.Sample: 130 early breast cancer survivors (6-30 months postdiagnosis).Methods: Self-report written survey packets were mailed to practice-identified survivors.Main Research Variables: Image of God, religious coping strategies, depression, anxiety, stress, concerns about recurrence, and psychological well-being.Findings: Women who viewed God as highly engaged used more coping strategies to promote spiritual conservation in proportion to coping strategies that reflect spiritual struggle. Women who viewed God as highly engaged maintained psychological well-being when either spiritual conservation or spiritual struggle coping styles were used. No differences in variables were noted for women who viewed God as more or less angry.Conclusions: The belief in an engaged God is significantly related to increased psychological well-being, decreased psychological distress, and decreased concern about recurrence.Implications for Nursing: Addressing survivors' issues related to psychological adjustment and concern about recurrence within their world view would allow for more personalized and effective interventions. Future research should be conducted to establish how the view that God is engaged affects coping and psychological adjustment across diverse groups of cancer survivors and groups with monotheistic, polytheistic, and naturalistic world views. This could lead to a practical method for examining the influence of these world views on individuals' responses to cancer diagnosis, treatment, and survivorship.
    Publication Oncology Nursing Forum
    Volume 38
    Issue 3
    Pages 293-301
    Date May 1, 2011
    Journal Abbr Oncol Nurs Forum
    DOI 10.1188/11.ONF.293-301
    ISSN 1538-0688
    Short Title Image of god
    URL http://www.ncbi.nlm.nih.gov/pubmed/21531680
    Accessed Wednesday, June 08, 2011 6:32:39 PM
    Library Catalog NCBI PubMed
    Extra PMID: 21531680
    Date Added Thursday, September 29, 2011 8:54:49 AM
    Modified Thursday, September 29, 2011 8:54:49 AM

    Notes:

    • To examine the effect of breast cancer survivors' views of God on religious coping strategies, depression, anxiety, stress, concerns about recurrence, and psychological well-being.

  • The meaning of spirituality for individuals with disabilities

    Type Journal Article
    Author Emily K Schulz
    Abstract PURPOSE: To examine the experiences of people with disabilities regarding their spirituality and its meaning for them. This study asked: What are the differences in the meaning of spirituality in the lives of individuals with childhood onset disabilities when compared to those with adult onset disabilities? METHOD: This qualitative study involved semi-structured individual interviews of 12 adults, six with childhood onset and six with adult onset disabilities. Member checking of both transcribed data and open coding was done to ensure trustworthiness. Data was analyzed using open, axial, and selective coding. RESULTS: Findings suggested that the two groups held different perceptions about the meaning of spirituality. For childhood onset participants, two categories of 'connecting and expressing for purpose and meaning in life', and 'disability as a vehicle to discover god's purpose' were generated. For adult onset participants, two categories of 'connecting and expressing through feelings and actions', and 'disability as a catalyst for spiritual awakening' were derived from the data. CONCLUSIONS: Individuals with childhood and adult onset disabilities perceive and experience spirituality differently. Therefore, different approaches to using spirituality in practice need to be employed for the two groups. Suggestions are provided for incorporating spirituality into occupational therapy practice.
    Publication Disability and Rehabilitation
    Volume 27
    Issue 21
    Pages 1283-1295
    Date Nov 15, 2005
    Journal Abbr Disabil Rehabil
    DOI 10.1080/09638280500076319
    ISSN 0963-8288
    URL http://www.ncbi.nlm.nih.gov/pubmed/16298931
    Accessed Friday, November 13, 2009 3:30:34 PM
    Library Catalog NCBI PubMed
    Extra PMID: 16298931
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Tags:

    • Adaptation, Psychological
    • Adult
    • Age of Onset
    • Attitude to Health
    • Disabled Persons
    • Female
    • Humans
    • Interviews as Topic
    • Male
    • Middle Aged
    • spirituality

    Notes:

    • Purpose: To examine the experiences of people with disabilities regarding their spirituality and its meaning for them. Conclusions: Individuals with childhood and adult onset disabilities perceive and experience spirituality differently.

  • Low mindfulness predicts pain catastrophizing in a fear-avoidance model of chronic pain

    Type Journal Article
    Author Robert Schütze
    Author Clare Rees
    Author Minette Preece
    Author Mark Schütze
    Abstract The relationship between persistent pain and self-directed, non-reactive awareness of present-moment experience (i.e., mindfulness) was explored in one of the dominant psychological theories of chronic pain - the fear-avoidance model [53]. A heterogeneous sample of 104 chronic pain outpatients at a multidisciplinary pain clinic in Australia completed psychometrically sound self-report measures of major variables in this model: Pain intensity, negative affect, pain catastrophizing, pain-related fear, pain hypervigilance, and functional disability. Two measures of mindfulness were also used, the Mindful Attention Awareness Scale [4] and the Five-Factor Mindfulness Questionnaire [1]. Results showed that mindfulness significantly negatively predicts each of these variables, accounting for 17-41% of their variance. Hierarchical multiple regression analysis showed that mindfulness uniquely predicts pain catastrophizing when other variables are controlled, and moderates the relationship between pain intensity and pain catastrophizing. This is the first clear evidence substantiating the strong link between mindfulness and pain catastrophizing, and suggests mindfulness might be added to the fear-avoidance model. Implications for the clinical use of mindfulness in screening and intervention are discussed.
    Publication Pain
    Volume 148
    Issue 1
    Pages 120-127
    Date January 2010
    DOI 10.1016/j.pain.2009.10.030
    ISSN 0304-3959
    Accessed Friday, January 29, 2010 12:56:51 PM
    Library Catalog ScienceDirect
    Date Added Thursday, September 29, 2011 9:04:02 AM
    Modified Thursday, September 29, 2011 9:04:02 AM

    Tags:

    • Acceptance
    • Attention
    • Catastrophizing
    • Chronic pain
    • Cognition
    • Fear-avoidance
    • Mindfulness

    Notes:

    • The relationship between persistent pain and self-directed, non-reactive awareness of present-moment experience (i.e., mindfulness) was explored in one of the dominant psychological theories of chronic pain – the fear-avoidance model [53]. A heterogeneous sample of 104 chronic pain outpatients at a multidisciplinary pain clinic in Australia completed psychometrically sound self-report measures of major variables in this model: Pain intensity, negative affect, pain catastrophizing, pain-related fear, pain hypervigilance, and functional disability. Two measures of mindfulness were also used, the Mindful Attention Awareness Scale [4] and the Five-Factor Mindfulness Questionnaire [1]. Results showed that mindfulness significantly negatively predicts each of these variables, accounting for 17–41% of their variance. Hierarchical multiple regression analysis showed that mindfulness uniquely predicts pain catastrophizing when other variables are controlled, and moderates the relationship between pain intensity and pain catastrophizing. This is the first clear evidence substantiating the strong link between mindfulness and pain catastrophizing, and suggests mindfulness might be added to the fear-avoidance model. Implications for the clinical use of mindfulness in screening and intervention are discussed.

  • Complementary and alternative medicine for multiple sclerosis

    Type Journal Article
    Author S Schwarz
    Author C Knorr
    Author H Geiger
    Author P Flachenecker
    Abstract We analyzed characteristics, motivation, and effectiveness of complementary and alternative medicine in a large sample of people with multiple sclerosis. A 53-item survey was mailed to the members of the German Multiple Sclerosis Society, chapter of Baden-Wuerttemberg. Surveys of 1573 patients (48.5 +/- 11.7 years, 74% women, duration of illness 18.1 +/- 10.5 years) were analyzed. In comparison with conventional medicine, more patients displayed a positive attitude toward complementary and alternative medicine (44% vs 38%, P < 0.05), with 70% reporting lifetime use of at least one method. Among a wide variety of complementary and alternative medicine, diet modification (41%), Omega-3 fatty acids (37%), removal of amalgam fillings (28%), vitamins E (28%), B (36%), and C (28%), homeopathy (26%), and selenium (24%) were cited most frequently. Most respondents (69%) were satisfied with the effects of complementary and alternative medicine. Use of complementary and alternative medicine was associated with religiosity, functional independence, female sex, white-collar job, and higher education (P < 0.05). Compared with conventional therapies, complementary and alternative medicine rarely showed unwanted side effects (9% vs 59%, P < 0.00001). A total of 52% stated that the initial consultation with their physician lasted less than 15 min. To conclude, main reasons for the use of complementary and alternative medicine include the high rate of side effects and low levels of satisfaction with conventional treatments and brief patients/physicians contacts.
    Publication Multiple Sclerosis (Houndmills, Basingstoke, England)
    Volume 14
    Issue 8
    Pages 1113-1119
    Date Sep 2008
    Journal Abbr Mult. Scler
    DOI 10.1177/1352458508092808
    ISSN 1352-4585
    URL http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/18632773
    Accessed Monday, November 09, 2009 12:58:34 AM
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    Extra PMID: 18632773
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Tags:

    • Adult
    • Antioxidants
    • Complementary Therapies
    • Diet
    • Disability Evaluation
    • Educational Status
    • Female
    • Germany
    • Health Surveys
    • Homeopathy
    • Humans
    • Income
    • Male
    • Middle Aged
    • Multiple Sclerosis
    • Occupations
    • Questionnaires
    • religion
    • Vitamins
    • yoga

    Notes:

    • We analyzed characteristics, motivation, and effectiveness of complementary and alternative medicine in a large sample of people with multiple sclerosis.

  • P2.160 The effects of a yoga program on Parkinson's disease

    Type Journal Article
    Author M. Scott
    Author M. Masterson
    Author L. Elmer
    Author L. Coca
    Author E. Jarouche
    Author A. Krumdieck
    Author E. Kovar
    Abstract Subjects: Nine subjects with PD participated (2females, 7males; mean age = 67.875 years; mean time since PD diagnosis = 4.67 years). Inclusion criteria included theability to ambulate independently and medical clearance to participate. Instrumentation: Berg Balance Scale (BBS), Functional ReachTest (FRT), timed tandem stance (TS), timed single leg stance (SLS), repeated chair stand test, the GAITRiteWalking System, Geriat Depression Scale(GDS),the University of Illinois at Chicago Fear Falling Measure (FOF), and the PDQ-39 questionnaire. Procedures: Testing was completed prior to and after participati in a 12-week, twice weekly yoga program. Seventy-five minu classes were led by a certified yoga instructor with modifications in postures according to the participants limitations in mobility. Results: The chair stand test, FRT and GDS scores were significantly improved after the yoga program. Trends towards improvement were seen in all other physical and affective variables, although not statistically significant. Conclusion: The results of this study suggest that yoga may be an effective way to address both physical and affective factors associated with PD.
    Publication Parkinsonism & Related Disorders
    Volume 15
    Issue Supplement 2
    Pages S133
    Date December 2009
    DOI 10.1016/S1353-8020(09)70511-5
    ISSN 1353-8020
    URL http://www.sciencedirect.com.ezproxy.bu.edu/science/article/B6TB9-4XXN49M-KR/2/63ecf90e42b292bcc4cae3df2b7e6531
    Accessed Wednesday, December 30, 2009 12:09:38 PM
    Library Catalog ScienceDirect
    Date Added Thursday, September 29, 2011 9:04:55 AM
    Modified Thursday, September 29, 2011 9:04:55 AM
  • Meditation training and essential hypertension: A methodological study

    Type Journal Article
    Author Peter Seer
    Author John M. Raeburn
    Abstract Meditation training appears to be a promising psychological approach to the control of hypertension. However, most studies to date have had serious deficiencies. This study attempted to correct many of these deficiencies. Forty-one unmedicated hypertensives referred by general practitioners were randomly allocated to three groups. The treatment group (SRELAX) underwent training procedures based on Transcendental Meditation; a placebo control group (NSRELAX) underwent identical training but without a mantra. Both procedures were compared with a no-treatment control group. The results showed modest reductions in blood pressure in both SRELAX and NSRELAX groups, compared with the no-treatment controls, with diastolic percentage reductions reaching significance (p<0.05). There was considerable subject variation in response, with overall a mean decline in diastolic blood pressure of 8–10% on 3-month follow-up. Possible indicators to predict the response of subjects are considered and reasons for the similarity in the effectiveness of the SRELAX and NSRELAX conditions are discussed.
    Publication Journal of Behavioral Medicine
    Volume 3
    Issue 1
    Pages 59-71
    Date March 01, 1980
    DOI 10.1007/BF00844914
    Short Title Meditation training and essential hypertension
    URL http://dx.doi.org/10.1007/BF00844914
    Accessed Thursday, September 03, 2009 1:09:17 AM
    Library Catalog SpringerLink
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Notes:

    • This study investigates the effects of mantra-based vs. non-mantra-based meditation on hypertension.

  • "If you don't believe it, it won't help you": use of bush medicine in treating cancer among Aboriginal people in Western Australia

    Type Journal Article
    Author Shaouli Shahid
    Author Ryan Bleam
    Author Dawn Bessarab
    Author Sandra C Thompson
    Abstract ABSTRACT: BACKGROUND: Little is known about the use of bush medicine and traditional healing among Aboriginal Australians for their treatment of cancer and the meanings attached to it. A qualitative study that explored Aboriginal Australians' perspectives and experiences of cancer and cancer services in Western Australia provided an opportunity to analyse the contemporary meanings attached and use of bush medicine by Aboriginal people with cancer in Western Australia METHODS: Data collection occurred in Perth, both rural and remote areas and included individual in-depth interviews, observations and field notes. Of the thirty-seven interviews with Aboriginal cancer patients, family members of people who died from cancer and some Aboriginal health care providers, 11 participants whose responses included substantial mention on the issue of bush medicine and traditional healing were selected for the analysis for this paper. RESULTS: The study findings have shown that as part of their healing some Aboriginal Australians use traditional medicine for treating their cancer. Such healing processes and medicines were preferred by some because it helped reconnect them with their heritage, land, culture and the spirits of their ancestors, bringing peace of mind during their illness. Spiritual beliefs and holistic health approaches and practices play an important role in the treatment choices for some patients. CONCLUSIONS: Service providers need to acknowledge and understand the existence of Aboriginal knowledge (epistemology) and accept that traditional healing can be an important addition to an Aboriginal person's healing complementing Western medical treatment regimes. Allowing and supporting traditional approaches to treatment reflects a commitment by modern medical services to adopting an Aboriginal-friendly approach that is not only culturally appropriate but assists with the cultural security of the service.
    Publication Journal of Ethnobiology and Ethnomedicine
    Volume 6
    Issue 1
    Pages 18
    Date Jun 23, 2010
    Journal Abbr J Ethnobiol Ethnomed
    DOI 10.1186/1746-4269-6-18
    ISSN 1746-4269
    Short Title "If you don't believe it, it won't help you"
    Accessed Wednesday, July 07, 2010 9:42:04 AM
    Library Catalog NCBI PubMed
    Extra PMID: 20569478
    Date Added Thursday, September 29, 2011 9:04:02 AM
    Modified Thursday, September 29, 2011 9:04:02 AM

    Notes:

    • A qualitative study that explored Aboriginal Australians' perspectives and experiences of cancer and cancer services in Western Australia provided an opportunity to analyse the contemporary meanings attached and use of bush medicine by Aboriginal people with cancer in Western Australia

  • Effectiveness of integrated yoga therapy in treatment of chronic migraine: randomized controlled trial

    Type Journal Article
    Author N. Sharma
    Author S. Sharma
    Author A. Verma
    Abstract Question: Does the integrated yoga therapy program help reducing pain measures and depression in chronic migraine patients. Methods: To test the effectiveness of a integrated yoga therapy program for chronic migraine treatment in a low cost, nonclinical setting, a prospective, randomized, controlled trial was conducted in Jaipur, India. Subjects aged 18–65 years with 15 or more headache days per month, at least half of which were migraine/migrainous headaches, were randomized 1:1 to either yoga therapy or standard management. Seventy men and women were randomly assigned. The intervention group went through individualized yoga treatment for 12-weeks with four consecutive therapeutic sessions a week. Each therapy session lasting for about 60 min focusing on strengthening, relaxation, releasing muscular tension and increasing self efficacy. The control group consisted of standard care with the patient's physician. Outcome measures included self-perceived pain intensity, frequency, and duration; functional status; depression; prescription and nonprescription medication use. Outcomes were measured at the end of the 12-week intervention and at a 6-month follow-up. Results: Thirty-one of 35 patients from the intervention group and all 35 patients from the control group completed the study. There were no statistically significant differences between the two groups before intervention. Intention to treat analysis revealed that the intervention group experienced statistically significant changes in self-perceived pain frequency (P = .000), pain intensity (P = .001), pain duration (P = .000), functional status (P = .000), medication used (P < 0.01) and depression (P = .000); these differences retained their significance at the 6-month follow-up. Conclusions: Positive health related outcomes in chronic migraine can be obtained with a low cost, group, integrated yoga in a community based nonclinical setting.
    Publication European Journal of Integrative Medicine
    Volume 2
    Issue 4
    Pages 194
    Date December 2010
    DOI 10.1016/j.eujim.2010.09.047
    ISSN 1876-3820
    Short Title Effectiveness of integrated yoga therapy in treatment of chronic migraine
    URL http://www.sciencedirect.com.ezproxy.bu.edu/science/article/B984N-51FXHXR-2N/2/0efe288e87738461f4ae529428c812d3
    Accessed Tuesday, January 18, 2011 8:06:05 PM
    Library Catalog ScienceDirect
    Date Added Thursday, September 29, 2011 8:58:27 AM
    Modified Thursday, September 29, 2011 8:58:27 AM

    Notes:

    • To test the effectiveness of a integrated yoga therapy program for chronic migraine treatment in a low cost, nonclinical setting, a prospective, randomized, controlled trial was conducted in Jaipur, India. Subjects aged 18–65 years with 15 or more headache days per month, at least half of which were migraine/migrainous headaches, were randomized 1:1 to either yoga therapy or standard management. Seventy men and women were randomly assigned. The intervention group went through individualized yoga treatment for 12-weeks with four consecutive therapeutic sessions a week. Each therapy session lasting for about 60 min focusing on strengthening, relaxation, releasing muscular tension and increasing self efficacy. The control group consisted of standard care with the patient's physician. Outcome measures included self-perceived pain intensity, frequency, and duration; functional status; depression; prescription and nonprescription medication use. Outcomes were measured at the end of the 12-week intervention and at a 6-month follow-up.

      Positive health related outcomes in chronic migraine can be obtained with a low cost, group, integrated yoga in a community based nonclinical setting.

      Results: Thirty-one of 35 patients from the intervention group and all 35 patients from the control group completed the study. There were no statistically significant differences between the two groups before intervention. Intention to treat analysis revealed that the intervention group experienced statistically significant changes in self-perceived pain frequency (P = .000), pain intensity (P = .001), pain duration (P = .000), functional status (P = .000), medication used (P < 0.01) and depression (P = .000); these differences retained their significance at the 6-month follow-up.

       

  • Prospective study of religious coping among patients undergoing autologous stem cell transplantation

    Type Journal Article
    Author Allen C Sherman
    Author Thomas G Plante
    Author Stephanie Simonton
    Author Umaira Latif
    Author Elias J Anaissie
    Abstract Considerable attention has focused on relationships between religious or spiritual coping and health outcomes among cancer patients. However, few studies have differentiated among discrete dimensions of religious coping, and there have been surprisingly few prospective investigations. Negative or conflicted aspects of religious coping, in particular, represent a compelling area for investigation. This prospective study examined negative religious coping, positive religious coping, and general religious orientation among 94 myeloma patients undergoing autologous stem cell transplantation. Participants were assessed during stem cell collection, and again in the immediate aftermath of transplantation, when risks for morbidity are most elevated. Outcomes included Brief Symptom Inventory anxiety and depression and Functional Assessment of Cancer Therapy-Bone Marrow Transplant (FACT-BMI) scales. Negative religious coping at baseline predicted worse post-transplant anxiety, depression, emotional well-being, and transplant-related concerns, after controlling for outcome scores at baseline and other significant covariates. Post-transplant physical well-being was predicted by an interaction between baseline positive and negative religious coping. Results suggest that religious struggle may contribute to adverse changes in health outcomes for transplant patients, and highlight the importance of negative or strained religious responses to illness.
    Publication Journal of Behavioral Medicine
    Volume 32
    Issue 1
    Pages 118-128
    Date Feb 2009
    Journal Abbr J Behav Med
    DOI 10.1007/s10865-008-9179-y
    ISSN 0160-7715
    URL http://www.ncbi.nlm.nih.gov/pubmed/18855130
    Accessed Monday, March 28, 2011 6:23:36 PM
    Library Catalog NCBI PubMed
    Extra PMID: 18855130
    Date Added Thursday, September 29, 2011 9:06:18 AM
    Modified Thursday, September 29, 2011 9:06:18 AM

    Tags:

    • Adaptation, Psychological
    • Female
    • Humans
    • Male
    • Middle Aged
    • Models, Statistical
    • Multiple Myeloma
    • Prospective Studies
    • Regression Analysis
    • Religion and Medicine
    • Religion and Psychology
    • Stem Cell Transplantation
    • Transplantation, Autologous
    • Treatment Outcome
  • Spiritual needs of Taiwan's older patients with terminal cancer

    Type Journal Article
    Author Fu-Jin Shih
    Author Hung-Ru Lin
    Author Meei-Ling Gau
    Author Ching-Huey Chen
    Author Szu-Mei Hsiao
    Author Shaw-Nin Shih
    Author Shuh-Jen Sheu
    Abstract PURPOSE/OBJECTIVES To explore the core constitutive patterns from the perspective of the older patient with terminal cancer, the major foci of spiritual needs, and professional actions that manifest tangibly as spiritual care. DESIGN Hermeneutic inquiry. SETTING Two leading teaching hospitals in Taiwan. SAMPLE 35 older patients with terminal cancer with a life expectancy of three months. METHODS Participatory observation and in-depth interviews were the major data collection strategies. Hermeneutic inquiry was used to disclose, document, and interpret participants' lived experiences. MAIN RESEARCH VARIABLES The perceptions of older Taiwanese patients with terminal cancer and their particular healthcare needs across various transition stages. FINDINGS Two constitutive patterns, "caring for the mortal body" and "transcending the worldly being," each with three themes and a related transformational process emerged from the data analysis. Two foci of spiritual needs were discovering patients' concerns about their dying bodies and their worldly being and facilitating the transcendence of the spiritual being from the physical realm. CONCLUSIONS Caring for older Taiwanese patients with terminal cancer and helping them transcend the fear of the unknown when they give up worldly being can produce insights into patients' primary concerns, perceptions, and spiritual needs to help them achieve a "good" death. IMPLICATIONS FOR NURSING The knowledge gained in this study and the six major spiritual care actions identified may empower oncology nurse educators to develop culturally valid spiritual care courses. Research-based guidance for nurse clinicians who are taking care of older Taiwanese patients with terminal cancer will be provided.
    Publication Oncology Nursing Forum
    Volume 36
    Issue 1
    Pages E31-38
    Date Jan 2009
    Journal Abbr Oncol Nurs Forum
    DOI 10.1188/09.ONF.E31-E38
    ISSN 1538-0688
    URL http://www.ncbi.nlm.nih.gov/pubmed/19136329
    Accessed Monday, March 28, 2011 6:09:28 PM
    Library Catalog NCBI PubMed
    Extra PMID: 19136329
    Date Added Thursday, September 29, 2011 9:06:18 AM
    Modified Thursday, September 29, 2011 9:06:18 AM

    Tags:

    • Aged
    • Aged, 80 and over
    • Attitude to Death
    • Culture
    • Emotions
    • Female
    • Funeral Rites
    • Hospitals, Teaching
    • Humans
    • Life Expectancy
    • Male
    • Neoplasms
    • Nurse-Patient Relations
    • Professional-Family Relations
    • spirituality
    • Taiwan
    • Terminal Care
    • Terminally Ill
    • Trust

    Notes:

    • To explore the core constitutive patterns from the perspective of the older patient with terminal cancer, the major foci of spiritual needs, and professional actions that manifest tangibly as spiritual care.

  • The Perceived Benefits of Religious and Spiritual Coping among Older Adults Living with HIV/AIDS

    Type Journal Article
    Author Karolynn Siegel
    Author Eric W. Schrimshaw
    Abstract Although religious and spiritual beliefs and practices have been frequently associated with greater psychological well-being among illness populations, little is known about the specific benefits individuals perceive they receive from these beliefs and practices. This issue was examined in interviews with 63 older HIV-infected adults. Participants reported a variety of benefits from their religious and spiritual beliefs and practices, including: (1) evokes comforting emotions and feelings; (2) offers strength, empowerment, and control; (3) eases the emotional burden of the illness; (4) offers social support and a sense of belonging; (5) offers spiritual support through a personal relationship with God; (6) facilitates meaning and acceptance of the illness; (7) helps preserve health; (8) relieves the fear and uncertainty of death; (9) facilitates self-acceptance and reduces self-blame. These perceived benefits suggest potential mechanisms by which religion/spirituality may affect psychological adjustment.
    Publication Journal for the Scientific Study of Religion
    Volume 41
    Issue 1
    Pages 91-102
    Date Mar., 2002
    ISSN 00218294
    URL http://www.jstor.org/stable/1387714
    Accessed Monday, September 07, 2009 1:48:49 PM
    Library Catalog JSTOR
    Extra ArticleType: primary_article / Full publication date: Mar., 2002 / Copyright © 2002 Society for the Scientific Study of Religion
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Notes:

    • Although religious and spiritual beliefs and practices have been frequently associated with greater psychological well-being among illness populations, little is known about the specific benefits individuals perceive they receive from these beliefs and practices. This issue was examined in interviews with 63 older HIV-infected adults.

  • What are the core elements of oncology spiritual care programs?

    Type Journal Article
    Author Shane Sinclair
    Author Marlene Mysak
    Author Neil A Hagen
    Abstract OBJECTIVE:Tending to the spiritual needs of patients has begun to be formally recognized by professional spiritual care providers, health care councils, and health delivery systems over the last 30 years. Recognition of these programs has coincided with evidence-based research on the effect of spirituality on health. Palliative care has served as a forerunner to an integrated professional spiritual care approach, recognizing the importance of addressing the spiritual needs of the dying from its inauguration within Western medicine almost 50 years ago. Oncology programs have also begun to recognize the importance of spirituality to patients along the cancer continuum, especially those who are approaching the end of life. Although standards and best practice guidelines have been established and incorporated into practice, little is known about the actual factors affecting the practice of spiritual care programs or professional chaplains working within an oncology setting.METHODS:Participant observation and interactive interviews occurred at five cancer programs after we conducted a literature search.RESULTS:This study identified underlying organizational challenges, cultural and professional issues, academic program development challenges, administrative duties, and therapeutic interventions that determined the success of oncology spiritual care programs in practice.SIGNIFICANCE OF RESULTS:Although spiritual care services have developed as a profession and become recognized as a service within oncology and palliative care, organizational and operational issues were underrecognized yet significant factors in the success of oncology spiritual care programs. Spiritual care programs that were centrally located within the cancer care center, reported and provided guidance to senior leaders, reflected a multifaith approach, and had an academic role were better resourced, utilized more frequently, and seen to be integral members of an interdisciplinary care team than those services who did not reflect these characteristics.
    Publication Palliative & Supportive Care
    Volume 7
    Issue 4
    Pages 415-422
    Date Dec 2009
    Journal Abbr Palliat Support Care
    DOI 10.1017/S1478951509990423
    ISSN 1478-9523
    URL http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/19939304
    Accessed Monday, December 28, 2009 2:59:18 PM
    Library Catalog NCBI PubMed
    Extra PMID: 19939304
    Date Added Thursday, September 29, 2011 9:05:21 AM
    Modified Thursday, September 29, 2011 9:05:21 AM

    Notes:

    • Tending to the spiritual needs of patients has begun to be formally recognized by professional spiritual care providers, health care councils, and health delivery systems over the last 30 years. Recognition of these programs has coincided with evidence-based research on the effect of spirituality on health. Palliative care has served as a forerunner to an integrated professional spiritual care approach, recognizing the importance of addressing the spiritual needs of the dying from its inauguration within Western medicine almost 50 years ago. Oncology programs have also begun to recognize the importance of spirituality to patients along the cancer continuum, especially those who are approaching the end of life. Although standards and best practice guidelines have been established and incorporated into practice, little is known about the actual factors affecting the practice of spiritual care programs or professional chaplains working within an oncology setting. Participant observation and interactive interviews occurred at five cancer programs after we conducted a literature search

  • Effects of a mindfulness-based smoking cessation program for an adult with mild intellectual disability

    Type Journal Article
    Author Nirbhay N Singh
    Author Giulio E Lancioni
    Author Alan S W Winton
    Author Ashvind N A Singh
    Author Judy Singh
    Author Angela D A Singh
    Abstract Smoking is a major risk factor for a number of health conditions and many smokers find it difficult to quit smoking without specific interventions. We developed and used a mindfulness-based smoking cessation program with a 31-year-old man with mild intellectual disabilities who had been a smoker for 17 years. The mindfulness-based smoking cessation program consisted of three components: intention, mindful observation of thoughts, and Meditation on the Soles of the Feet. A changing-criterion analysis showed that this man was able to fade his cigarette smoking from 12 at baseline to 0 within 3 months, and maintain this for a year. Follow-up data, collected every 3 months following the maintenance period, showed he was able to abstain from smoking for 3 years. Our study suggests that this mindfulness-based smoking cessation program merits further investigation.
    Publication Research in Developmental Disabilities
    Volume 32
    Issue 3
    Pages 1180-1185
    Date 2011 May-Jun
    Journal Abbr Res Dev Disabil
    DOI 10.1016/j.ridd.2011.01.003
    ISSN 1873-3379
    URL http://www.ncbi.nlm.nih.gov/pubmed/21288689
    Accessed Wednesday, June 08, 2011 6:37:24 PM
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    Extra PMID: 21288689
    Date Added Thursday, September 29, 2011 8:54:49 AM
    Modified Thursday, September 29, 2011 8:54:49 AM
  • Assessing Quality of Life (QOL), Spiritual Well-Being, and Use of Resources Throughout the Hematopoietic Stem Cell Transplant (HSCT) Process

    Type Journal Article
    Author J.A. Sirilla
    Author S.A. Ezzone
    Author C. Kirkendall
    Author J. Buck
    Publication Biology of Blood and Marrow Transplantation
    Volume 17
    Issue 2, Supplement 1
    Pages S193
    Date February 2011
    DOI 10.1016/j.bbmt.2010.12.127
    ISSN 1083-8791
    Accessed Tuesday, March 15, 2011 2:47:07 PM
    Library Catalog ScienceDirect
    Date Added Thursday, September 29, 2011 8:57:14 AM
    Modified Thursday, September 29, 2011 8:57:14 AM
  • Community based yoga classes for type 2 diabetes: an exploratory randomised controlled trial

    Type Journal Article
    Author Lana Skoro-Kondza
    Author Sharon See Tai
    Author Ramona Gadelrab
    Author Desanka Drincevic
    Author Trisha Greenhalgh
    Abstract Background Yoga is a popular therapy for diabetes but its efficacy is contested. The aim of this study was to explore the feasibility of researching community based yoga classes in Type 2 diabetes with a view to informing the design of a definitive, multi-centre trial Methods The study design was an exploratory randomised controlled trial with in-depth process evaluation. The setting was two multi-ethnic boroughs in London, UK; one with average and one with low mean socio-economic deprivation score. Classes were held at a sports centre or GP surgery. Participants were 59 people with Type 2 diabetes not taking insulin, recruited from general practice lists or opportunistically by general practice staff. The intervention group were offered 12 weeks of a twice-weekly 90-minute yoga class; the control group was a waiting list for the yoga classes. Both groups received advice and leaflets on healthy lifestyle and were encouraged to exercise. Primary outcome measure was HbA1c. Secondary outcome measures included attendance, weight, waist circumference, lipid levels, blood pressure, UKPDS cardiovascular risk score, diabetes-related quality of life (ADDQoL), and self-efficacy. Process measures were attendance at yoga sessions, self-reported frequency of practice between taught sessions, and qualitative data (interviews with patients and therapists, ethnographic observation of the yoga classes, and analysis of documents including minutes of meetings, correspondence, and exercise plans). Results Despite broad inclusion criteria, around two-thirds of the patients on GP diabetic registers proved ineligible, and 90% of the remainder declined to participate. Mean age of participants was 60 +/- 10 years. Attendance at yoga classes was around 50%. Nobody did the exercises regularly at home. Yoga teachers felt that most participants were unsuitable for 'standard' yoga exercises because of limited flexibility, lack of basic fitness, co-morbidity, and lack of confidence. There was a small fall in HbA1c in the yoga group which was not statistically significant and which was not sustained six months later, and no significant change in other outcome measures. Conclusion The benefits of yoga in type 2 diabetes suggested in some previous studies were not confirmed. Possible explanations (apart from lack of efficacy) include recruitment challenges; practical and motivational barriers to class attendance; physical and motivational barriers to engaging in the exercises; inadequate intensity and/or duration of yoga intervention; and insufficient personalisation of exercises to individual needs. All these factors should be considered when designing future trials.
    Publication BMC Health Services Research
    Volume 9
    Pages 33
    Date 2009
    Journal Abbr BMC Health Serv Res
    DOI 10.1186/1472-6963-9-33
    ISSN 1472-6963
    Short Title Community based yoga classes for type 2 diabetes
    Accessed Tuesday, February 22, 2011 7:48:12 PM
    Library Catalog NCBI PubMed
    Extra PMID: 19228402
    Date Added Thursday, September 29, 2011 9:06:18 AM
    Modified Thursday, September 29, 2011 9:06:18 AM

    Tags:

    • Aged
    • Community Health Services
    • Diabetes Mellitus, Type 2
    • Feasibility Studies
    • Female
    • Focus Groups
    • Hemoglobin A, Glycosylated
    • Humans
    • London
    • Male
    • Middle Aged
    • Multicenter Studies as Topic
    • Muscle Stretching Exercises
    • Research Design
    • yoga
  • An evidence-based review of yoga as a complementary intervention for patients with cancer

    Type Journal Article
    Author Kelly B Smith
    Author Caroline F Pukall
    Abstract OBJECTIVE To conduct an evidence-based review of yoga as an intervention for patients with cancer. Specifically, this paper reviewed the impact of yoga on psychological adjustment among cancer patients. METHODS A systematic literature search was conducted between May 2007 and April 2008. Data from each identified study were extracted by two independent raters; studies were included if they assessed psychological functioning and focused on yoga as a main intervention. Using a quality rating scale (range = 9-45), the raters assessed the methodological quality of the studies, and CONSORT guidelines were used to assess randomized controlled trials (RCTs). Effect sizes were calculated when possible. In addition, each study was narratively reviewed with attention to outcome variables, the type of yoga intervention employed, and methodological strengths and limitations. RESULTS Ten studies were included, including six RCTs. Across studies, the majority of participants were women, and breast cancer was the most common diagnosis. Methodological quality ranged greatly across studies (range = 15.5-42), with the average rating (M = 33.55) indicating adequate quality. Studies also varied in terms of cancer populations and yoga interventions sampled. CONCLUSIONS This study provided a systematic evaluation of the yoga and cancer literature. Although some positive results were noted, variability across studies and methodological drawbacks limit the extent to which yoga can be deemed effective for managing cancer-related symptoms. However, further research in this area is certainly warranted. Future research should examine what components of yoga are most beneficial, and what types of patients receive the greatest benefit from yoga interventions.
    Publication Psycho-Oncology
    Volume 18
    Issue 5
    Pages 465-475
    Date May 2009
    Journal Abbr Psychooncology
    DOI 10.1002/pon.1411
    ISSN 1099-1611
    URL http://www.ncbi.nlm.nih.gov/pubmed/18821529
    Accessed Monday, March 28, 2011 6:29:00 PM
    Library Catalog NCBI PubMed
    Extra PMID: 18821529
    Date Added Thursday, September 29, 2011 9:06:18 AM
    Modified Thursday, September 29, 2011 9:06:18 AM

    Tags:

    • Adaptation, Psychological
    • Complementary Therapies
    • Humans
    • Neoplasms
    • Questionnaires
    • yoga

    Notes:

    • A evidence-based study review of yoga as an intervention for patients with cancer. Specifically, this paper reviewed the impact of yoga on psychological adjustment among cancer patients.

  • A study of the effect of yoga training on pulmonary functions in patients with bronchial asthma

    Type Journal Article
    Author Candy Sodhi
    Author Sheena Singh
    Author P K Dandona
    Abstract The role of yoga breathing exercises, as an adjunct treatment for bronchial asthma is well recognized. One hundred twenty patients of asthma were randomized into two groups i.e Group A (yoga training group) and Group B (control group). Each group included sixty patients. Pulmonary function tests were performed on all the patients at baseline, after 4 weeks and then after 8 weeks. Majority of the subjects in the two groups had mild disease (34 patients in Group A and 32 in Group B). Group A subjects showed a statistically significant increasing trend (P < 0.01) in % predicted peak expiratory flow rate (PEFR), forced expiratory volume in the first second (FEV1), forced vital capacity (FVC), forced mid expiratory flow in 0.25-0.75 seconds (FEF25-75) and FEV1/FVC% ratio at 4 weeks and 8 weeks as compared to Group B. Thus, yoga breathing exercises used adjunctively with standard pharmacological treatment significantly improves pulmonary functions in patients with bronchial asthma.
    Publication Indian Journal of Physiology and Pharmacology
    Volume 53
    Issue 2
    Pages 169-174
    Date 2009 Apr-Jun
    Journal Abbr Indian J. Physiol. Pharmacol
    ISSN 0019-5499
    Accessed Tuesday, February 22, 2011 6:31:57 PM
    Library Catalog NCBI PubMed
    Extra PMID: 20112821
    Date Added Thursday, September 29, 2011 9:06:18 AM
    Modified Thursday, September 29, 2011 9:06:18 AM

    Tags:

    • Adolescent
    • Adult
    • Anti-Asthmatic Agents
    • Asthma
    • Breathing Exercises
    • COMBINED modality therapy
    • Female
    • Forced Expiratory Volume
    • Humans
    • Lung
    • Male
    • Maximal Midexpiratory Flow Rate
    • Middle Aged
    • Peak Expiratory Flow Rate
    • Recovery of Function
    • Severity of Illness Index
    • Time Factors
    • Treatment Outcome
    • Vital Capacity
    • yoga
    • Young Adult
  • Effect of meditation on immune cells

    Type Journal Article
    Author E. E. Solberg
    Author R. Halvorsen
    Author A. Holen
    Abstract The objective of this study was to assess the influence of long term meditation on runners' immune status at rest, after exercise and after 2 h recovery. Ten males, who had practised meditation for a long time and were participating in a half-marathon race, were studied in a case-control design. The control group was drawn from the pool of applicants to the race who did not practise meditation. Blood samples were taken before, immediately after and 2 h after the race. Immune and blood analysis were conducted. Runners practising meditation had lower lymphocyte counts at rest before the race (p&lt;0.02). Just after the race, both groups more than doubled their white blood cell (wbc) counts (p&lt;0.01); however, no significant effects were observed on the immune cells, neither was any difference between groups seen in the post-exercise period. Long term practice of meditation may influence absolute lymphocyte counts at rest. No effect was observed in the immune response to exercise stress. Copyright © 2000 John Wiley & Sons, Ltd.
    Publication Stress Medicine
    Volume 16
    Issue 3
    Pages 185-190
    Date 2000
    DOI 10.1002/(SICI)1099-1700(200004)16:3<185::AID-SMI852>3.0.CO;2-C
    URL http://dx.doi.org/10.1002/(SICI)1099-1700(200004)16:3<185::AID-SMI852>3.0.CO;2-C
    Accessed Friday, September 04, 2009 2:06:34 PM
    Library Catalog Wiley InterScience
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Notes:

    • The objective of this study was to assess the influence of long term meditation on runners’ immune status at rest, after exercise and after 2 h recovery. Runners practising meditation had lower lymphocyte counts at rest before the race. Just after the race, both groups more than doubled their white blood cell (wbc) counts; however, no significant effects were observed on the immune cells, neither was any difference between groups seen in the post-exercise period. Long term practice of meditation may influence absolute lymphocyte counts at rest. No effect was observed in the immune response to exercise stress.

  • Interventions for educating traditional healers about STD and HIV medicine

    Type Journal Article
    Author Katherine Sorsdahl
    Author Jonathan C. Ipser
    Author Dan J. Stein
    Abstract BACKGROUND: For the treatment of HIV/AIDS, individuals may consult traditional healers because they possess a shared sociocultural background, meet the needs and expectations of the patients, and pay special attention to social and spiritual matters. Various intervention strategies have been adopted to educate traditional healers in various aspects of Western medicine, with a particular focus on HIV/AIDS. OBJECTIVES: To evaluate the effectiveness of interventions for educating traditional healers in the fundamentals of sexually transmitted infection (STI) and HIV medicine. SEARCH STRATEGY: We searched the Cochrane Register of Controlled Trials, Pubmed, Embase, Gatway and AIDSearch from the period of 1980 to 2008. We also handsearched the reference lists of the retrieved articles, located conference proceedings of international conferences related to AIDS studies and contacted key personnel and organizations working in HIV/AIDS intervention programs in developing countries. SELECTION CRITERIA: All intervention studies using a controlled design that have evaluated the effect of educational interventions on any one of the outcome measures specified were included. DATA COLLECTION AND ANALYSIS: Two reviewers independently assessed the eligibility of potentially relevant studies and extracted data from and assessed study quality of included studies. A meta-analysis of study outcomes was not possible given the small number of included studies and the heterogeneity in methodological designs and outcome measures. MAIN RESULTS: We included two studies (one RCT and one CBA study) in this review (n = 311). Both of these studies indicated that a training workshop increased the knowledge about HIV/AIDS of traditional healers. With regards to behaviour change, Peltzer 2006 detected a significant difference in traditional healers' reports of managing their patients; however, there was no evidence of a reduction of HIV/STI risk behaviours and referral practices, as assessed by self-report. The study by Poudyal 2003 did not assess this outcome. AUTHORS' CONCLUSIONS: Two studies met the inclusion criteria for this review. Although these studies reported some positive outcomes, the few studies and methodological heterogeneity limits the conclusions that can be drawn about the effectiveness of HIV training programs aimed at traditional healers. More rigorous studies (i.e. those employing rigorous randomisation procedures, reliable outcome measures and larger sample sizes) are needed to provide better evidence of the impact of HIV training programs aimed at traditional healers.
    Publication Cochrane Database of Systematic Reviews (Online)
    Issue 4
    Pages CD007190
    Date 2009
    Journal Abbr Cochrane Database Syst Rev
    DOI 10.1002/14651858.CD007190.pub2
    ISSN 1469-493X
    URL http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/19821399
    Accessed Monday, October 19, 2009 8:15:26 PM
    Library Catalog NCBI PubMed
    Extra PMID: 19821399
    Date Added Thursday, September 29, 2011 9:05:21 AM
    Modified Thursday, September 29, 2011 9:05:21 AM

    Notes:

    • For the treatment of HIV/AIDS, individuals may consult traditional healers because they possess a shared sociocultural background, meet the needs and expectations of the patients, and pay special attention to social and spiritual matters. Various intervention strategies have been adopted to educate traditional healers in various aspects of Western medicine, with a particular focus on HIV/AIDS. This study evaluates the effectiveness of interventions for educating traditional healers in the fundamentals of sexually transmitted infection (STI) and HIV medicine.

  • A program of research on spirituality and American Indian alcohol use

    Type Journal Article
    Author Paul Spicer
    Author Marjorie Bezdek
    Author Spero M Manson
    Author Jan Beals
    Abstract In this brief report we summarize a pattern of findings that has emerged from our research on American Indian (AI) alcohol use and spirituality. With funds from the National Institute of Alcohol Abuse and Alcoholism and the Fetzer Institute (AA 13 053; P. Spicer, PI) we have used both epidemiologic and ethnographic methods to develop a more complete understanding of the role that spirituality and religion play in changes in drinking behavior among AIs. We begin by first situating the importance of research on spirituality in the more general literature on the AI experience with alcohol before highlighting our published findings in this area. We then close with some speculation about possible next steps in this research program to address what remains one of the most compelling sources of health disparities in the first nations of the United States.
    Publication Southern Medical Journal
    Volume 100
    Issue 4
    Pages 430-432
    Date Apr 2007
    Journal Abbr South. Med. J
    ISSN 0038-4348
    URL http://www.ncbi.nlm.nih.gov/pubmed/17458417
    Accessed Friday, November 13, 2009 5:39:50 PM
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    Extra PMID: 17458417
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Tags:

    • Alcohol Drinking
    • Biomedical Research
    • Humans
    • Indians, North American
    • Prevalence
    • Program Evaluation
    • Spiritual Therapies
    • spirituality
    • United States
  • Religious and cultural influences on contraception

    Type Journal Article
    Author Amirrtha Srikanthan
    Author Robert L Reid
    Abstract OBJECTIVE: To elucidate the religious and cultural influences that may affect the acceptance and use of various methods of contraception, including emergency contraception. METHODS: Literature searches were conducted to identify religious teachings related to family, sexual relations, and family planning for Christianity, Judaism, Islam, Hinduism, Buddhism, and Chinese religious traditions. Religious scholars from each of the major religions were consulted for additional information regarding how various subgroups within that religion may interpret and apply religious teachings in specific circumstances. RESULTS: Religious and cultural factors have the potential to influence the acceptance and use of contraception by couples from different religious backgrounds in very distinct ways. Within religions, different sects may interpret religious teachings on this subject in varying ways, and individual women and their partners may choose to ignore religious teachings. Cultural factors are equally important in couples' decisions about family size and contraception. CONCLUSION: When new immigrants are faced with the challenges of acclimating to a new society and a new way of life, they may anchor strongly to traditional religious and cultural expectations regarding family, sexuality, and fertility. While health care providers must be cautious not to attribute stereotypical religious, social, and cultural characteristics to women seeking advice about contraception, they do need to recognize that different value systems may influence contraception decision-making in couples of different faiths. This increased cultural awareness needs to be tempered by the understanding that each patient encounter is unique. The values that an individual woman holds may not be in keeping with the official teachings of her religion or the cultural norms reported by other members of the same culture.
    Publication Journal of Obstetrics and Gynaecology Canada: JOGC = Journal D'obstétrique Et Gynécologie Du Canada: JOGC
    Volume 30
    Issue 2
    Pages 129-137
    Date Feb 2008
    Journal Abbr J Obstet Gynaecol Can
    ISSN 1701-2163
    URL http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/18254994
    Accessed Monday, November 02, 2009 1:26:18 PM
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    Extra PMID: 18254994
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Tags:

    • Contraception
    • Culture
    • Family Planning Services
    • Female
    • Humans
    • religion

    Notes:

    • Objective: To elucidate the religious and cultural influences that may affect the acceptance and use of various methods of contraception, including emergency contraception.

  • Effectiveness of CAM therapy: understanding the evidence

    Type Journal Article
    Author Roland Staud
    Abstract By definition, complementary and alternative medicine (CAM) attempts to diagnose and treat illnesses in unconventional ways. CAM has been classified as: (1) alternative medical systems (eg, traditional Chinese medicine [including acupuncture], naturopathic medicine, ayurvedic medicine, and homeopathy); (2) biologic-based therapies (eg, herbal, special dietary, and individual biologic treatments); (3) energy therapies (eg, Reiki, therapeutic touch, magnet therapy, Qi Gong, and intercessory prayer); (4) manipulative and body-based systems (eg, chiropractic, osteopathy, and massage); and (5) mind-body interventions (eg, meditation, biofeedback, hypnotherapy, and the relaxation response). This review focuses on how to assess the effectiveness of CAM therapies for chronic musculoskeletal pains, emphasizing the role of specific and nonspecific analgesic mechanisms, including placebo.
    Publication Rheumatic Diseases Clinics of North America
    Volume 37
    Issue 1
    Pages 9-17
    Date Feb 2011
    Journal Abbr Rheum. Dis. Clin. North Am
    DOI 10.1016/j.rdc.2010.11.009
    ISSN 1558-3163
    Short Title Effectiveness of CAM therapy
    Accessed Tuesday, March 15, 2011 2:29:31 PM
    Library Catalog NCBI PubMed
    Extra PMID: 21220082
    Date Added Thursday, September 29, 2011 8:57:14 AM
    Modified Thursday, September 29, 2011 8:57:14 AM
  • Religion, spirituality and cancer: Current status and methodological challenges

    Type Journal Article
    Author Michael Stefanek
    Author Paige Green McDonald
    Author Stephanie A. Hess
    Abstract The role of religion and spirituality in health has received increasing attention in the scientific and lay literature. While the scientific attention to this issue has expanded, there continue to be methodological and measurement concerns that often prevent firm conclusions about health and adjustment benefits.Limited attention has been provided to the role of spirituality and religion in cancer. This is true when both disease outcome and adjustment are considered. A recent "levels of evidence" review examining the link between physical health and religion or spirituality found little overall support for the hypotheses that religion or spirituality impact cancer progression or mortality. Studies examining their impact on quality of life and adjustment are decidedly mixed. In sum, research specifically focusing on the role of religion or spirituality on cancer outcomes has been surprisingly sparse. Such research presents a number of methodological and measurement challenges. Due to these unmet challenges in the literature to date, it is premature to determine what role religion and spirituality play in disease, adjustment, or quality of life outcomes in cancer. A number of suggestions are made for continued research in this area.
    Publication Psycho-Oncology
    Volume 14
    Issue 6
    Pages 450-463
    Date 2005
    DOI 10.1002/pon.861
    Short Title Religion, spirituality and cancer
    URL http://dx.doi.org/10.1002/pon.861
    Accessed Monday, September 07, 2009 10:57:22 AM
    Library Catalog Wiley InterScience
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Notes:

    • Research specifically focusing on the role of religion or spirituality on cancer outcomes has been surprisingly sparse. Such research presents a number of methodological and measurement challenges. Due to these unmet challenges in the literature to date, it is premature to determine what role religion and spirituality play in disease, adjustment, or quality of life outcomes in cancer.

  • Levels of spirituality and treatment outcome: a preliminary examination

    Type Journal Article
    Author Robert C Sterling
    Author Stephen Weinstein
    Author Peter Hill
    Author Edward Gottheil
    Author Susan M Gordon
    Author Kerry Shorie
    Abstract OBJECTIVE: The primary aim of this study was to examine whether admission differences in levels of spirituality predisposed alcohol-dependent individuals to favorable or unfavorable outcomes following admission to facilities that differed in the degree to which spirituality was emphasized. It was hypothesized that individuals whose admission level of spirituality was congruent with the treatment program's orientation and who as such were considered optimally placed (i.e., "matched") for treatment would evince better in-treatment outcomes. METHOD: Four hundred and five participants completed measures of spirituality and psychosocial well-being at intake and at end of treatment. RESULTS: In examining the entire sample, no matching effects were observed on discharge status, abstinence efficacy, or desire to drink. When analyses were restricted to those cases scoring in the upper or lower quartiles in spirituality, we observed a paradoxical effect, as individuals recording lower levels of spirituality at the less spiritual program evinced significantly poorer outcomes (i.e., less abstinence efficacy, greater desire to drink). CONCLUSIONS: These findings hint at the importance of spirituality in the environment of care, indicating that individuals low in spirituality were at risk for poorer outcomes, but exposure to a program that emphasized spirituality lowered that risk.
    Publication Journal of Studies on Alcohol
    Volume 67
    Issue 4
    Pages 600-606
    Date Jul 2006
    Journal Abbr J. Stud. Alcohol
    ISSN 0096-882X
    Short Title Levels of spirituality and treatment outcome
    URL http://www.ncbi.nlm.nih.gov/pubmed/16736080
    Accessed Friday, November 13, 2009 4:33:54 PM
    Library Catalog NCBI PubMed
    Extra PMID: 16736080
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Tags:

    • Alcoholism
    • Behavior Therapy
    • Female
    • Health Knowledge, Attitudes, Practice
    • Humans
    • Male
    • Patient Acceptance of Health Care
    • Religion and Medicine
    • Religion and Psychology
    • Spiritual Therapies
    • spirituality
    • Substance Abuse Treatment Centers
    • Treatment Outcome

    Notes:

    • Objective: The primary aim of this study was to examine whether admission differences in levels of spirituality predisposed alcohol-dependent individuals to favorable or unfavorable outcomes following admission to facilities that differed in the degree to which spirituality was emphasized. Conclusions: These findings hint at the importance of spirituality in the environment of care, indicating that individuals low in spirituality were at risk for poorer outcomes, but exposure to a program that emphasized spirituality lowered that risk.

  • Association of Strength of Religious Adherence with Attitudes regarding Glaucoma or Ocular Hypertension

    Type Journal Article
    Author William C Stewart
    Author Elizabeth D Sharpe
    Author Caroline J Kristoffersen
    Author Lindsay A Nelson
    Author Jeanette A Stewart
    Abstract Background: To evaluate the impact of religious adherence on a patient's outlook on disease in a glaucoma population. Methods: A prospective survey analysis of patients with open-angle glaucoma or ocular hypertension evaluating self-reported global religious adherence, adherence to specific basic activities and knowledge of faith ('maturity') and 'comfort' (ability to cope, attitude toward glaucoma, motivation to take medication and God's concern). This specific analysis was limited to self-professed Christians. Results: 248 patients were included and religious adherence was correlated to religious activity and knowledge (p < 0.0001). Patients who scored as adherent on at least 1 of 4 maturity questions had greater benefit than less adherent patients from each of the 5 comfort questions (p < 0.0001). We found an increased statistical separation on each of the 5 comfort questions between religiously adherent and less adherent individuals for patients who scored as adherent on any 2 (n = 40), 3 (n = 50) or all 4 (n = 57) of the maturity questions (p < 0.001). Conclusions: This study suggests, at least for the Christian faith, that religious patients are subjectively more prone to cope with treatment and that religiosity increases the self-confidence, and possibly the quality of life, of patients with glaucoma or ocular hypertension. Whether this necessarily translates into better glaucoma practices remains to be demonstrated by further studies.
    Publication Ophthalmic Research
    Volume 45
    Issue 1
    Pages 53-56
    Date Aug 11, 2010
    Journal Abbr Ophthalmic Res
    DOI 10.1159/000313986
    ISSN 1423-0259
    Accessed Monday, August 30, 2010 4:56:52 PM
    Library Catalog NCBI PubMed
    Extra PMID: 20714192
    Date Added Thursday, September 29, 2011 9:02:43 AM
    Modified Thursday, September 29, 2011 9:02:43 AM
  • The Support, Education, and Research in Chronic Heart Failure Study (SEARCH): a mindfulness-based psychoeducational intervention improves depression and clinical symptoms in patients with chronic heart failure

    Type Journal Article
    Author Martin J Sullivan
    Author Laura Wood
    Author Jennifer Terry
    Author Jeff Brantley
    Author Ann Charles
    Author Vicky McGee
    Author Diane Johnson
    Author Mitchell W Krucoff
    Author Beth Rosenberg
    Author Hayden B Bosworth
    Author Kirkwood Adams
    Author Michael S Cuffe
    Abstract BACKGROUND The Support, Education, and Research in Chronic Heart Failure (SEARCH) study was designed to assess the impact of a mindfulness-based psychoeducational intervention on clinical outcomes, depression, and quality of life in patients with chronic heart failure (CHF). Although research has shown that psychosocial factors including depression are important risk factors for adverse events in patients with CHF, no large clinical trials have investigated the efficacy of psychosocial interventions to reduce these factors in this population. METHODS This was a prospective cohort study of 208 adults with left ventricular ejection fraction < or =40% and CHF geographically assigned to treatment or control groups with follow-up at 3, 6, and 12 months. Treatment groups met weekly for 8 consecutive weeks for training in mindfulness meditation, coping skills, and support group discussion. RESULTS Subjects had a mean age of 61 years, left ventricular ejection fraction 26%, and median New York Heart Association class II. The majority were treated with angiotensin-converting enzyme inhibitors (80%) and beta-blockers (86%). At baseline, patients in the treatment group had more severe CHF with higher New York Heart Association class (P = .0209) and more severe psychological distress (Center of Epidemiology - Depression, Profile of Mood States; P < .05). When compared with controls, treatment resulted in lower anxiety (Profile of Mood States, P = .003), depression (Center of Epidemiology - Depression, P = .05), improved symptoms (Kansas City Cardiomyopathy Questionnaire symptom scale, P = .033) and clinical scores (Kansas City Cardiomyopathy Questionnaire clinical score, P = .024) over time. There were no treatment effects on death/rehospitalization at 1 year. CONCLUSIONS An 8-week mindfulness-based psychoeducational intervention reduced anxiety and depression; this effect was attenuated at 1 year. Importantly, the intervention led to significantly better symptoms of CHF at 12 months compared to control subjects. Our results suggest that interventions of this type might have a role in optimal therapy for CHF.
    Publication American Heart Journal
    Volume 157
    Issue 1
    Pages 84-90
    Date Jan 2009
    Journal Abbr Am. Heart J
    DOI 10.1016/j.ahj.2008.08.033
    ISSN 1097-6744
    Short Title The Support, Education, and Research in Chronic Heart Failure Study (SEARCH)
    URL http://www.ncbi.nlm.nih.gov/pubmed/19081401
    Accessed Monday, March 28, 2011 6:18:24 PM
    Library Catalog NCBI PubMed
    Extra PMID: 19081401
    Date Added Thursday, September 29, 2011 9:06:18 AM
    Modified Thursday, September 29, 2011 9:06:18 AM

    Tags:

    • Chronic Disease
    • depression
    • Female
    • Heart Failure
    • Humans
    • Male
    • Middle Aged
    • Patient Education as Topic
    • Prospective Studies
    • Psychotherapy
    • Stress, Psychological

    Notes:

    • The Support, Education, and Research in Chronic Heart Failure (SEARCH) study was designed to assess the impact of a mindfulness-based psychoeducational intervention on clinical outcomes, depression, and quality of life in patients with chronic heart failure (CHF). Although research has shown that psychosocial factors including depression are important risk factors for adverse events in patients with CHF, no large clinical trials have investigated the efficacy of psychosocial interventions to reduce these factors in this population.

  • The culture of faith and hope: patients' justifications for their high estimations of expected therapeutic benefit when enrolling in early phase oncology trials

    Type Journal Article
    Author Daniel P Sulmasy
    Author Alan B Astrow
    Author M Kai He
    Author Damon M Seils
    Author Neal J Meropol
    Author Ellyn Micco
    Author Kevin P Weinfurt
    Abstract BACKGROUND: Patients' estimates of their chances of therapeutic benefit from participation in early phase trials greatly exceed historical data. Ethicists worry that this therapeutic misestimation undermines the validity of informed consent. METHODS: The authors interviewed 45 patients enrolled in phase 1 or 2 oncology trials about their expectations of therapeutic benefit and their reasons for those expectations. They used a phenomenological, qualitative approach with 1 primary coder to identify emergent themes, verified by 2 independent coders. RESULTS: Median expectations of therapeutic benefit varied from 50% to 80%, depending on how the question was asked. Justifications universally invoked hope and optimism, and 27 of 45 participants used 1 of these words. Three major themes emerged: 1) optimism as performative, that is, the notion that positive thoughts and expressions improve chances of benefit; 2) fighting cancer as a battle; and 3) faith in God, science, or both. Many participants described a culture in which optimism was encouraged and expected, such that trial enrollment became a way of reflecting this expectation. Many reported they had been told few patients would benefit and appeared to understand the uncertainties of clinical research, yet expressed high expected personal therapeutic benefit. More distressed participants were less likely to invoke performative justifications for their expectations (50% vs 84%; P=.04). CONCLUSIONS: Expressions of high expected therapeutic benefit had little to do with reporting knowledge and more to do with expressing optimism. These results have implications for understanding how to obtain valid consent from participants in early phase clinical trials.
    Publication Cancer
    Volume 116
    Issue 15
    Pages 3702-3711
    Date Aug 1, 2010
    Journal Abbr Cancer
    DOI 10.1002/cncr.25201
    ISSN 0008-543X
    Short Title The culture of faith and hope
    Accessed Monday, September 13, 2010 9:00:32 PM
    Library Catalog NCBI PubMed
    Extra PMID: 20564120
    Date Added Thursday, September 29, 2011 9:02:43 AM
    Modified Thursday, September 29, 2011 9:02:43 AM

    Tags:

    • Attitude to Health
    • Clinical Trials as Topic
    • Comprehension
    • Female
    • Humans
    • Informed Consent
    • Interviews as Topic
    • Male
    • Middle Aged
    • Neoplasms
    • Patient Selection
    • Religion and Medicine
    • Therapeutic Misconception

    Notes:

    • Patients' estimates of their chances of therapeutic benefit from participation in early phase trials greatly exceed historical data. Ethicists worry that this therapeutic misestimation undermines the validity of informed consent. The authors interviewed 45 patients enrolled in phase 1 or 2 oncology trials about their expectations of therapeutic benefit and their reasons for those expectations. They used a phenomenological, qualitative approach with 1 primary coder to identify emergent themes, verified by 2 independent coders.

  • Effects of a prenatal yoga programme on the discomforts of pregnancy and maternal childbirth self-efficacy in Taiwan

    Type Journal Article
    Author Yi-Chin Sun
    Author Ya-Chi Hung
    Author Yuanmay Chang
    Author Su-Chen Kuo
    Abstract OBJECTIVE: to evaluate a yoga programme provided to primigravidas in the third trimester of pregnancy with the aim of decreasing the discomforts associated with pregnancy and increasing childbirth self-efficacy. DESIGN: non-randomised controlled experimental study. SETTING: a hospital in northern Taiwan. PARTICIPANTS: the target population was primigravidas at 26-28 weeks of gestation (no high-risk pregnancies) who had not engaged in regular exercise or yoga for at least one year. The study included 88 individuals; 43 in the control group and 45 in the experimental group who took part in the prenatal yoga programme. INTERVENTION: the duration of the prenatal yoga programme was 12-14 weeks, with at least three sessions per week. Each workout lasted for 30 minutes. MEASUREMENTS AND FINDINGS: women who took part in the prenatal yoga programme reported significantly fewer pregnancy discomforts than the control group (38.28 vs 43.26, z=-2.58, p=0.01) at 38-40 weeks of gestation. The subjects who participated in the yoga programme exhibited higher outcome and self-efficacy expectancies during the active stage of labour (104.13 vs 83.53, t=3.24, p=0.002; 99.26 vs 77.70, t=3.99, p ≤ 0.001) and the second stage of labour (113.33 vs 88.42, t=3.33, p=0.002; 102.19 vs 79.40, t=3.71, p ≤ 0.001) compared with the control group. KEY CONCLUSIONS: the provision of booklets and videos on yoga during pregnancy may contribute to a reduction in pregnancy discomforts and improved childbirth self-efficacy. IMPLICATIONS FOR PRACTICE: this yoga programme provides health-care professionals with an evidence-based intervention.
    Publication Midwifery
    Volume 26
    Issue 6
    Pages e31-36
    Date Dec 2010
    Journal Abbr Midwifery
    DOI 10.1016/j.midw.2009.01.005
    ISSN 1532-3099
    URL http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/19246136
    Accessed Tuesday, January 18, 2011 7:03:57 PM
    Library Catalog NCBI PubMed
    Extra PMID: 19246136
    Date Added Thursday, September 29, 2011 8:58:27 AM
    Modified Thursday, September 29, 2011 8:58:27 AM

    Notes:

    • This study finds that pregnant women who participate in yoga exercises three times per week for 12-14 weeks at the end of the pregnancy for 30 minutes per session had reduced pregnancy discomfort and increased childbirth self-efficacy by comparison with the control group.

  • The spiritual dimension of cancer care

    Type Journal Article
    Author Antonella Surbone
    Author Lea Baider
    Abstract Spirituality is more about constant questioning than about providing fixed or final answers. Cancer patients do not expect spiritual solutions from oncology team members, but they wish to feel comfortable enough to raise spiritual issues and not be met with fear, judgmental attitudes, or dismissive comments. Spiritual needs may not be explicit in all illness phases, yet spirituality is not only confined to the areas of palliative or end-of-life care. Sensitive and effective methods to assess and address spiritual needs of cancer patients are being developed and qualitative research on the topic is underway. In addition, formal education and training in communication about cancer patients' spiritual issues and in how to assess and address them in the clinical context is being increasingly provided. Spirituality can be a major resource for both patients and physicians, yet it can never be imposed but only shared. Those oncology professionals who are familiar with their own spirituality will be better at recognizing, understanding and attending to their patients' spiritual needs and concerns.
    Publication Critical Reviews in Oncology/Hematology
    Volume 73
    Issue 3
    Pages 228-235
    Date Mar 2010
    Journal Abbr Crit. Rev. Oncol. Hematol
    DOI 10.1016/j.critrevonc.2009.03.011
    ISSN 1879-0461
    Accessed Tuesday, February 22, 2011 7:13:59 PM
    Library Catalog NCBI PubMed
    Extra PMID: 19406661
    Date Added Thursday, September 29, 2011 9:06:18 AM
    Modified Thursday, September 29, 2011 9:06:18 AM

    Tags:

    • Humans
    • Neoplasms
    • Physician-Patient Relations
    • spirituality

    Notes:

    • Spirituality is more about constant questioning than about providing fixed or final answers. Cancer patients do not expect spiritual solutions from oncology team members, but they wish to feel comfortable enough to raise spiritual issues and not be met with fear, judgmental attitudes, or dismissive comments. Spiritual needs may not be explicit in all illness phases, yet spirituality is not only confined to the areas of palliative or end-of-life care. Sensitive and effective methods to assess and address spiritual needs of cancer patients are being developed and qualitative research on the topic is underway. In addition, formal education and training in communication about cancer patients’ spiritual issues and in how to assess and address them in the clinical context is being increasingly provided. Spirituality can be a major resource for both patients and physicians, yet it can never be imposed but only shared. Those oncology professionals who are familiar with their own spirituality will be better at recognizing, understanding and attending to their patients’ spiritual needs and concerns.

  • The impact of religiosity and attribution theory on attitudes toward addiction and cancer.

    Type Journal Article
    Author Brandon Switzer
    Author Guy A. Boysen
    Abstract Little is known about the relation between religiosity and illness stigma. This study examined the relationship between religiosity and stigmatizing attitudes toward the mental illness of addiction and the physical illness of cancer. Participants (N = 120) completed a measure of religiosity and evaluated a vignette describing either a person with addiction or cancer. The results indicated that attitudes were more negative toward a person with addiction than a person with cancer, which is consistent with attribution theory. However, religiosity was generally unrelated to stigmatizing attitudes. These results suggest that religiosity may be a less powerful determinant of stigmatizing attitudes than attributions about the illness. [ABSTRACT FROM AUTHOR]
    Publication Mental Health, Religion & Culture
    Volume 12
    Issue 3
    Pages 241-245
    Date April 2009
    DOI 10.1080/13674670802428449
    ISSN 13674676
    Library Catalog EBSCOhost
    Date Added Thursday, September 29, 2011 9:06:18 AM
    Modified Thursday, September 29, 2011 9:06:18 AM

    Tags:

    • ADDICTIONS
    • ATTRIBUTION (Social psychology)
    • CANCER -- Patients
    • CHRISTIAN life
    • Religiousness
    • STIGMA (Social psychology)

    Notes:

    • Little is known about the relation between religiosity and illness stigma. This study examined the relationship between religiosity and stigmatizing attitudes toward the mental illness of addiction and the physical illness of cancer. Participants (N = 120) completed a measure of religiosity and evaluated a vignette describing either a person with addiction or cancer. The results indicated that attitudes were more negative toward a person with addiction than a person with cancer, which is consistent with attribution theory. However, religiosity was generally unrelated to stigmatizing attitudes. These results suggest that religiosity may be a less powerful determinant of stigmatizing attitudes than attributions about the illness.

  • Modeling the effects of spirituality/religion on patients' perceptions of living with HIV/AIDS

    Type Journal Article
    Author Magdalena Szaflarski
    Author P Neal Ritchey
    Author Anthony C Leonard
    Author Joseph M Mrus
    Author Amy H Peterman
    Author Christopher G Ellison
    Author Michael E McCullough
    Author Joel Tsevat
    Abstract BACKGROUND: Spirituality/religion is an important factor in health and illness, but more work is needed to determine its link to quality of life in patients with HIV/AIDS. OBJECTIVE: To estimate the direct and indirect effects of spirituality/religion on patients' perceptions of living with HIV/AIDS. DESIGN: In 2002 and 2003, as part of a multicenter longitudinal study of patients with HIV/AIDS, we collected extensive demographic, clinical, and behavioral data from chart review and patient interviews. We used logistic regression and path analysis combining logistic and ordinary least squares regression. SUBJECTS: Four hundred and fifty outpatients with HIV/AIDS from 4 sites in 3 cities. MEASURES: The dependent variable was whether patients felt that life had improved since being diagnosed with HIV/AIDS. Spirituality/religion was assessed by using the Duke Religion Index, Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being-Expanded, and Brief RCOPE measures. Mediating factors included social support, self-esteem, healthy beliefs, and health status/health concerns. RESULTS: Approximately one-third of the patients felt that their life was better now than it was before being diagnosed with HIV/AIDS. A 1-SD increase in spirituality/religion was associated with a 68.50% increase in odds of feeling that life has improved--29.97% due to a direct effect, and 38.54% due to indirect effects through healthy beliefs (29.15%) and health status/health concerns (9.39%). Healthy beliefs had the largest effect on feeling that life had improved; a 1-SD increase in healthy beliefs resulted in a 109.75% improvement in feeling that life changed. CONCLUSIONS: In patients with HIV/AIDS, the level of spirituality/religion is associated, both directly and indirectly, with feeling that life is better now than previously. Future research should validate our new conceptual model using other samples and longitudinal studies. Clinical education interventions should focus on raising awareness among clinicians about the importance of spirituality/religion in HIV/AIDS.
    Publication Journal of General Internal Medicine
    Volume 21 Suppl 5
    Pages S28-38
    Date Dec 2006
    Journal Abbr J Gen Intern Med
    DOI 10.1111/j.1525-1497.2006.00646.x
    ISSN 1525-1497
    URL http://www.ncbi.nlm.nih.gov/pubmed/17083497
    Accessed Friday, November 13, 2009 4:57:00 PM
    Library Catalog NCBI PubMed
    Extra PMID: 17083497
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Tags:

    • Adaptation, Psychological
    • Adult
    • Female
    • Health Status
    • HIV Infections
    • Humans
    • Logistic Models
    • Longitudinal Studies
    • Male
    • Models, Psychological
    • Multivariate Analysis
    • Religion and Psychology
    • Self Concept
    • Social perception
    • social support
    • United States

    Notes:

    • Objective: To estimate the direct and indirect effects of spirituality/religion on patients’ perceptions of living with HIV/AIDS. Conclusions: In patients with HIV/AIDS, the level of spirituality/religion is associated, both directly and indirectly, with feeling that life is better now than previously.

  • Mindful exercise, quality of life, and survival: a mindfulness-based exercise program for women with breast cancer

    Type Journal Article
    Author Anna M Tacón
    Author Jacalyn McComb
    Abstract BACKGROUND: The purpose of this article is to describe the rationale and protocol for a pilot study in women with breast cancer that integrates the two complementary therapies of mindfulness and exercise. DESIGN: A sample of 30 women diagnosed with breast cancer within the previous 12 months who have completed initial treatment for their disease will be recruited from oncology physicians' offices. The pilot will be a pre-post design, and the study will occur within a hospital counseling center for 2 h one day/week for 8 weeks. Participants will complete pre-and post-questionnaires on anxiety, depression, quality of life, and the post-traumatic stress disorder (PTSD) checklist. Patients will receive audiotapes and pedometers and will keep detailed logs of their weekly homework assignments. OUTCOME: Appropriate statistical analyses will be carried out to arrive at data-driven results. If results show significant benefit for the participants, the program will be revised as needed for improvement. DIRECTIONS: Future directions will be based on findings of the proposed pilot, which will dictate how to proceed after completion of the pilot study. A future goal, if preliminary findings and a replication study are encouraging, will be the development of a Mindfulness-based Exercise Program Manual for dissemination and use by researchers and clinicians to help empower patients with cancer.
    Publication Journal of Alternative and Complementary Medicine (New York, N.Y.)
    Volume 15
    Issue 1
    Pages 41-46
    Date Jan 2009
    Journal Abbr J Altern Complement Med
    DOI 10.1089/acm.2008.0255
    ISSN 1557-7708
    Short Title Mindful exercise, quality of life, and survival
    Accessed Tuesday, February 22, 2011 6:38:48 PM
    Library Catalog NCBI PubMed
    Extra PMID: 19769475
    Date Added Thursday, September 29, 2011 9:06:18 AM
    Modified Thursday, September 29, 2011 9:06:18 AM

    Tags:

    • Anxiety
    • Breast Neoplasms
    • depression
    • Exercise
    • Exercise Therapy
    • Female
    • Humans
    • Meditation
    • Pilot Projects
    • Quality of Life
    • Questionnaires
    • Research Design
    • Stress Disorders, Post-Traumatic
    • Walking

    Notes:

    • The purpose of this article is to describe the rationale and protocol for a pilot study in women with breast cancer that integrates the two complementary therapies of mindfulness and exercise.

  • A pilot study of gentle yoga for sleep disturbance in women with osteoarthritis

    Type Journal Article
    Author Diana M Taibi
    Author Michael V Vitiello
    Abstract OBJECTIVES The purpose of this study was to test the feasibility and acceptability of a gentle yoga intervention for sleep disturbance in older women with osteoarthritis (OA) and to collect initial efficacy data on the intervention. METHODS All participants completed an 8-week yoga program that included 75-min weekly classes and 20min of nightly home practice. Participants were women with OA and symptoms consistent with insomnia. Symptom questionnaires and 1week of wrist actigraphy and sleep diaries were completed for 1week pre- and post-intervention. RESULTS Fourteen women were enrolled of whom 13 completed the study (mean age 65.2±6.9years). Participants attended a mean of 7.2±1.0 classes and practiced at home 5.83±1.66nights/week. The Insomnia Severity Index and diary-reported sleep onset latency, sleep efficiency, and number of nights with insomnia were significantly improved at post-intervention versus pre-intervention (p<.05). Other sleep outcomes (Pittsburgh Sleep Quality Index, Epworth Sleepiness Scale, diary-reported total sleep time and wake after sleep onset) showed improvement on mean scores at post-intervention, but these were not statistically significant. Actigraphic sleep outcomes were not significantly changed. CONCLUSIONS This study supports the feasibility and acceptability of a standardized evening yoga practice for middle-aged to older women with OA. Preliminary efficacy findings support further research on this program as a potential treatment option for OA-related insomnia.
    Publication Sleep Medicine
    Volume 12
    Issue 5
    Pages 512-517
    Date May 2011
    Journal Abbr Sleep Med
    DOI 10.1016/j.sleep.2010.09.016
    ISSN 1878-5506
    URL http://www.ncbi.nlm.nih.gov/pubmed/21489869
    Accessed Wednesday, June 08, 2011 6:37:24 PM
    Library Catalog NCBI PubMed
    Extra PMID: 21489869
    Date Added Thursday, September 29, 2011 8:54:49 AM
    Modified Thursday, September 29, 2011 8:54:49 AM
  • Hypnosis Treatment for Chronic Low Back Pain

    Type Journal Article
    Author Gabriel Tan
    Author Tenley Fukui
    Author Mark Jensen
    Author John Thornby
    Author Karen Waldman
    Abstract Chronic low back pain (CLBP) is a significant healthcare problem, and many individuals with CLBP remain unresponsive to available interventions. Previous research suggests that hypnosis is effective for many chronic pain conditions; however, data to support its efficacy for CLBP are outdated and have been limited primarily to case studies. This pilot study indicated that a brief, 4-session standardized self-hypnosis protocol, combined with psycho-education, significantly and substantially reduced pain intensity and pain interference. Significant session-to-session improvements were also noted on pain ratings and mood states; however, follow-up data suggest that these benefits may not have been maintained across time in this sample. These findings need to be replicated and confirmed in a larger clinical trial, which could also assess the long-term effects of this treatment.
    Publication International Journal of Clinical and Experimental Hypnosis
    Volume 58
    Issue 1
    Pages 53-68
    Date 1/2010
    Journal Abbr Int. J. of Clinical & Expt. Hypnosis
    DOI 10.1080/00207140903310824
    ISSN 0020-7144
    URL http://www.informaworld.com/openurl?
    genre=article&…
    Date Added Thursday, September 29, 2011 9:04:02 AM
    Modified Thursday, September 29, 2011 9:04:02 AM

    Notes:

  • Religious coping is associated with the quality of life of patients with advanced cancer

    Type Journal Article
    Author Nalini Tarakeshwar
    Author Lauren C Vanderwerker
    Author Elizabeth Paulk
    Author Michelle J Pearce
    Author Stanislav V Kasl
    Author Holly G Prigerson
    Abstract BACKGROUND: For patients confronting a life-threatening illness such as advanced cancer, religious coping can be an important factor influencing their quality of life (QOL). OBJECTIVE: The study's main purpose was to examine the association between religious coping and QOL among 170 patients with advanced cancer. Both positive religious coping (e.g., benevolent religious appraisals) and negative religious coping (e.g., anger at God) and multiple dimensions of QOL (physical, physical symptom, psychological, existential, and support) were studied. DESIGN: Structured interviews were conducted with 170 patients recruited as part of an ongoing multi-institutional longitudinal evaluation of the prevalence of mental illness and patterns of mental health service utilization in advanced cancer patients and their primary informal caregivers. MEASUREMENTS: Patients completed measures of QOL (McGill QOL questionnaire), religious coping (Brief Measure of Religious Coping [RCOPE] and Multidimensional Measure of Religion/ Spirituality), self-efficacy (General Self-Efficacy Scale), and sociodemographic variables. RESULTS: Linear regression analyses revealed that after controlling for sociodemographic variables, lifetime history of depression and self-efficacy, greater use of positive religious coping was associated with better overall QOL as well as higher scores on the existential and support QOL dimensions. Greater use of positive religious coping was also related to more physical symptoms. In contrast, greater use of negative religious coping was related to poorer overall QOL and lower scores on the existential and psychological QOL dimensions. CONCLUSIONS: Findings show that religious coping plays an important role for the QOL of patients and the types of religious coping strategies used are related to better or poorer QOL.
    Publication Journal of Palliative Medicine
    Volume 9
    Issue 3
    Pages 646-657
    Date Jun 2006
    Journal Abbr J Palliat Med
    DOI 10.1089/jpm.2006.9.646
    ISSN 1096-6218
    URL http://www.ncbi.nlm.nih.gov/pubmed/16752970
    Accessed Friday, November 13, 2009 4:34:36 PM
    Library Catalog NCBI PubMed
    Extra PMID: 16752970
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Tags:

    • Adaptation, Psychological
    • Cross-Sectional Studies
    • Female
    • Humans
    • Male
    • Middle Aged
    • Neoplasms
    • Quality of Life
    • Regression Analysis
    • religion

    Notes:

    • Objective: The study’s main purpose was to examine the association between religious coping and quality of life (QOL) among 170 patients with advanced cancer. Conclusions: Findings show that religious coping plays an important role for the QOL of patients and the types of religious coping strategies used are related to better or poorer QOL.

  • Heart rate variability changes during high frequency yoga breathing and breath awareness

    Type Journal Article
    Author Shirley Telles
    Author Nilkamal Singh
    Author Acharya Balkrishna
    Abstract UNLABELLED ABSTRACT: BACKGROUND Pre and post comparison after one minute of high frequency yoga breathing (HFYB) suggested that the HFYB modifies the autonomic status by increasing sympathetic modulation, but its effect during the practice was not assessed. METHODS Thirty-eight male volunteers with group average age ± S.D., 23.3 ± 4.4 years were each assessed on two separate days in two sessions, (i) HFYB and (ii) breath awareness. Each session was for 35 minutes, with 3 periods, i.e., pre (5 minutes), during HFYB or breath awareness (15 minutes) and post (5 minutes). RESULTS There was a significant decrease in NN50, pNN50 and the mean RR interval during and after HFYB and after breath awareness, compared to the respective 'pre' values (p < 0.05) (repeated measures ANOVA followed by post-hoc analysis). The LF power increased and HF power decreased during and after breath awareness and LF/HF ratio increased after breath awareness (p < 0.05). CONCLUSION The results suggest that there was reduced parasympathetic modulation during and after HFYB and increased sympathetic modulation with reduced parasympathetic modulation during and after breath awareness.
    Publication BioPsychoSocial Medicine
    Volume 5
    Pages 4
    Date 2011
    Journal Abbr Biopsychosoc Med
    DOI 10.1186/1751-0759-5-4
    ISSN 1751-0759
    URL http://www.ncbi.nlm.nih.gov/pubmed/21486495
    Accessed Monday, May 09, 2011 6:59:23 PM
    Library Catalog NCBI PubMed
    Extra PMID: 21486495
    Date Added Thursday, September 29, 2011 8:55:31 AM
    Modified Thursday, September 29, 2011 8:55:31 AM

    Notes:

    • A study on the Pre and post comparison after one minute of high frequency yoga breathing (HFYB) suggested that the HFYB modifies the autonomic status by increasing sympathetic modulation, but its effect during the practice was not assessed. Thirty-eight male volunteers with group average age ± S.D., 23.3 ± 4.4 years were each assessed on two separate days in two sessions, (i) HFYB and (ii) breath awareness. Each session was for 35 minutes, with 3 periods, i.e., pre (5 minutes), during HFYB or breath awareness (15 minutes) and post (5 minutes). Results showed that there was a significant decrease in NN50, pNN50 and the mean RR interval during and after HFYB and after breath awareness, compared to the respective 'pre' values (p < 0.05) (repeated measures ANOVA followed by post-hoc analysis). The LF power increased and HF power decreased during and after breath awareness and LF/HF ratio increased after breath awareness (p < 0.05). The results suggest that there was reduced parasympathetic modulation during and after HFYB and increased sympathetic modulation with reduced parasympathetic modulation during and after breath awareness.

  • Effect of one week of yoga on function and severity in rheumatoid arthritis

    Type Journal Article
    Author Shirley Telles
    Author Kalkuni V Naveen
    Author Vaishali Gaur
    Author Acharya Balkrishna
    Abstract UNLABELLED ABSTRACT: BACKGROUND Previous studies have shown that yoga practice improved the hand grip strength in patients with rheumatoid arthritis (RA). FINDINGS Sixty-four participants with RA (group average age ± S.D., 46.5 ± 9.6 years; 47 females) were assessed at the beginning and end of a one week yoga program. The Stanford Health Assessment Questionnaire (HAQ), hand grip strength, rheumatoid factor, and C-reactive protein levels were assessed on the first and last day and compared using a t-test for paired data. All participants showed reduced disability scores of the HAQ and rheumatoid factor levels, with an increase in bilateral hand grip strength in male participants alone. CONCLUSIONS This single group study indicated that a brief intensive yoga program was beneficial in RA, with decreased disability, better functionality and changes in the rheumatoid factor levels suggesting improvement.
    Publication BMC Research Notes
    Volume 4
    Pages 118
    Date 2011
    Journal Abbr BMC Res Notes
    DOI 10.1186/1756-0500-4-118
    ISSN 1756-0500
    URL http://www.ncbi.nlm.nih.gov/pubmed/21481278
    Accessed Monday, May 09, 2011 6:59:23 PM
    Library Catalog NCBI PubMed
    Extra PMID: 21481278
    Date Added Thursday, September 29, 2011 8:55:31 AM
    Modified Thursday, September 29, 2011 8:55:31 AM
  • Short term health impact of a yoga and diet change program on obesity

    Type Journal Article
    Author Shirley Telles
    Author Visweswaraiah K Naveen
    Author Acharya Balkrishna
    Author Sanjay Kumar
    Abstract BACKGROUND: Obese persons often find physical activity difficult. The effects of a yoga and diet change program, emphasizing breathing techniques practiced while seated, was assessed in obese persons. MATERIAL/METHODS: A single group of 47 persons were assessed on the first and last day of a yoga and diet change program, with 6 days of the intervention between assessments. The assessments were: body mass index (BMI), waist and hip circumferences, mid-arm circumference, body composition, hand grip strength, postural stability, serum lipid profile and fasting serum leptin levels. Participants practiced yoga for 5 hours every day and had a low fat, high fiber, vegetarian diet. Last and first day data were compared using a t-test for paired data. RESULTS: Following the 6-day residential program, participants showed a decrease in BMI (1.6 percent), waist and hip circumferences, fat-free mass, total cholesterol (7.7 percent decrease), high density lipoprotein (HDL) cholesterol (8.7 percent decrease), fasting serum leptin levels (44.2 percent decrease) and an increase in postural stability and hand grip strength (p<0.05, all comparisons). CONCLUSIONS: A 6-day yoga and diet change program decreased the BMI and the fat-free mass. Total cholesterol also decreased due to reduced HDL levels. This suggests that a brief, intensive yoga program with a change in diet can pose certain risks. Benefits seen were better postural stability, grip strength (though a 'practice effect' was not ruled out), reduced waist and hip circumferences and a decrease in serum leptin levels.
    Publication Medical Science Monitor: International Medical Journal of Experimental and Clinical Research
    Volume 16
    Issue 1
    Pages CR35-40
    Date Jan 2010
    Journal Abbr Med. Sci. Monit
    ISSN 1643-3750
    Accessed Friday, January 29, 2010 11:30:42 AM
    Library Catalog NCBI PubMed
    Extra PMID: 20037492
    Date Added Thursday, September 29, 2011 9:04:02 AM
    Modified Thursday, September 29, 2011 9:04:02 AM
  • Effect of yoga on musculoskeletal discomfort and motor functions in professional computer users

    Type Journal Article
    Author Shirley Telles
    Author Manoj Dash
    Author K V Naveen
    Abstract The self-rated musculoskeletal discomfort, hand grip strength, tapping speed, and low back and hamstring flexibility (based on a sit and reach task) were assessed in 291 professional computer users. They were then randomized as Yoga (YG; n=146) and Wait-list control (WL; n=145) groups. Follow-up assessments for both groups were after 60 days during which the YG group practiced yoga for 60 minutes daily, for 5 days in a week. The WL group spent the same time in their usual recreational activities. At the end of 60 days, the YG group (n=62) showed a significant decrease in the frequency, intensity and degree of interference due to musculoskeletal discomfort, an increase in bilateral hand grip strength, the right hand tapping speed, and low back and hamstring flexibility (repeated measures ANOVA and post hoc analysis with Bonferroni adjustment). In contrast, the WL group (n=56) showed an increase in musculoskeletal discomfort and a decrease in left hand tapping speed. The results suggest that yoga practice is a useful addition to the routine of professional computer users.
    Publication Work (Reading, Mass.)
    Volume 33
    Issue 3
    Pages 297-306
    Date 2009
    Journal Abbr Work
    DOI 10.3233/WOR-2009-0877
    ISSN 1051-9815
    Accessed Tuesday, February 22, 2011 6:39:27 PM
    Library Catalog NCBI PubMed
    Extra PMID: 19759428
    Date Added Thursday, September 29, 2011 9:06:18 AM
    Modified Thursday, September 29, 2011 9:06:18 AM

    Tags:

    • Adult
    • Computers
    • Female
    • Hand Strength
    • Humans
    • Male
    • Motor Activity
    • Muscle Fatigue
    • Occupational Diseases
    • Pain
    • Pain Measurement
    • Range of Motion, Articular
    • Treatment Outcome
    • yoga

    Notes:

    • The self-rated musculoskeletal discomfort, hand grip strength, tapping speed, and low back and hamstring flexibility (based on a sit and reach task) were assessed in 291 professional computer users. They were then randomized as Yoga (YG; n=146) and Wait-list control (WL; n=145) groups. Follow-up assessments for both groups were after 60 days during which the YG group practiced yoga for 60 minutes daily, for 5 days in a week. The WL group spent the same time in their usual recreational activities. At the end of 60 days, the YG group (n=62) showed a significant decrease in the frequency, intensity and degree of interference due to musculoskeletal discomfort, an increase in bilateral hand grip strength, the right hand tapping speed, and low back and hamstring flexibility (repeated measures ANOVA and post hoc analysis with Bonferroni adjustment). In contrast, the WL group (n=56) showed an increase in musculoskeletal discomfort and a decrease in left hand tapping speed. The results suggest that yoga practice is a useful addition to the routine of professional computer users.

  • Self-transcendence, spiritual well-being, and spiritual practices of women with breast cancer

    Type Journal Article
    Author Jeani C Thomas
    Author Mattie Burton
    Author Mary T Quinn Griffin
    Author Joyce J Fitzpatrick
    Abstract As women recover from the experience of breast cancer and its treatment, it is important for them to find meaning in their lives and to understand their experiences from a holistic perspective. Purpose: This study was designed to provide additional information about how women and their experiences recovering from breast cancer. The specific purpose was to describe the relationship between self-transcendence and spiritual well-being, and to identify the spiritual practices used by older women recovering from breast cancer. The theoretical framework for this study was Reed's theory of self-transcendence. Sample: A total of 87 community-residing women who had been diagnosed with breast cancer within the past 5 years participated in the study. Results: There was a significant positive relationship between self-transcendence and spiritual well-being. The women used a mean of 9.72 spiritual practices with the most frequent being exercise, visiting a house of worship, and praying alone. Conclusions: The study results provide further support for the theory of self-transcendence. Future research recommendations are to expand the research to include a larger, more diverse group of women of all ages and backgrounds who have been diagnosed with breast cancer.
    Publication Journal of Holistic Nursing: Official Journal of the American Holistic Nurses' Association
    Volume 28
    Issue 2
    Pages 115-122
    Date Jun 2010
    Journal Abbr J Holist Nurs
    DOI 10.1177/0898010109358766
    ISSN 1552-5724
    Accessed Tuesday, July 27, 2010 11:46:56 AM
    Library Catalog NCBI PubMed
    Extra PMID: 20644178
    Date Added Thursday, September 29, 2011 9:03:34 AM
    Modified Thursday, September 29, 2011 9:03:34 AM

    Notes:

    • This study was designed to provide additional information about how women and their experiences recovering from breast cancer. The specific purpose was to describe the relationship between self-transcendence and spiritual well-being, and to identify the spiritual practices used by older women recovering from breast cancer. The theoretical framework for this study was Reed’s theory of self-transcendence.

  • Associations of religiousness with 12-month prevalence of drug use and drug-related sex.

    Type Journal Article
    Author Loren Toussaint
    Abstract The purpose of the present study was to examine the hypothesis that religious affiliation, attendance at religious services, and religious importance would be negatively associated with substance use and sexual behavior related to substance use. An additional hypothesis was tested to determine if age-related differences in the magnitude of these associations was present. Data from the National Survey of Family Growth were utilized to examine these hypotheses in 12,571 women and men. Results showed expected associations between religiousness and substance use and sexual behavior. No age differences in the magnitude of these associations were identified. Religiousness may offer protection from health risks, and faith-based public health efforts would do well to continue to develop education for both young and middle age individuals that incorporate key aspects of their faith and religious beliefs. (PsycINFO Database Record (c) 2010 APA, all rights reserved) (journal abstract)
    Publication International Journal of Mental Health and Addiction
    Volume 7
    Issue 2
    Pages 311-323
    Date April 2009
    DOI 10.1007/s11469-008-9171-3
    ISSN 1557-1874
    Library Catalog EBSCOhost
    Date Added Thursday, September 29, 2011 9:06:18 AM
    Modified Thursday, September 29, 2011 9:06:18 AM

    Tags:

    • attendance
    • drug related sex
    • Drug Usage
    • drug use
    • Psychosexual Behavior
    • religious affiliation
    • Religious Beliefs
    • religious services
    • Religiousness
    • Sexual behavior
    • Sexuality
    • substance use
  • Do spirituality and faith make a difference? Report from the Southern European Psycho-Oncology Study Group

    Type Journal Article
    Author Luzia Travado
    Author Luigi Grassi
    Author Francisco Gil
    Author Cristina Martins
    Author Cidália Ventura
    Author Joana Bairradas
    Abstract OBJECTIVE: In the last decade, some attention has been given to spirituality and faith and their role in cancer patients' coping. Few data are available about spirituality among cancer patients in Southern European countries, which have a big tradition of spirituality, namely, the Catholic religion. As part of a more general investigation (Southern European Psycho-Oncology Study--SEPOS), the aim of this study was to examine the effect of spirituality in molding psychosocial implications in Southern European cancer patients. METHOD: A convenience sample of 323 outpatients with a diagnosis of cancer between 6 to 18 months, a good performance status (Karnofsky Performance Status > 80), and no cognitive deficits or central nervous system (CNS) involvement by disease were approached in university and affiliated cancer centers in Italy, Spain, Portugal, and Switzerland (Italian speaking area). Each patient was evaluated for spirituality (Visual Analog Scale 0-10), psychological morbidity (Hospital Anxiety and Depression Scale--HADS), coping strategies (Mini-Mental Adjustment to Cancer--Mini-MAC) and concerns about illness (Cancer Worries Inventory--CWI). RESULTS. The majority of patients (79.3%) referred to being supported by their spirituality/faith throughout their illness. Significant differences were found between the spirituality and non-spirituality groups (p ≤ 0.01) in terms of education, coping styles, and psychological morbidity. Spirituality was significantly correlated with fighting spirit (r = -0.27), fatalism (r = 0.50), and avoidance (r = 0.23) coping styles and negatively correlated with education (r = -0.25), depression (r = -0.22) and HAD total (r = -0.17). SIGNIFICANCE OF RESULTS: Spirituality is frequent among Southern European cancer patients with lower education and seems to play some protective role towards psychological morbidity, specifically depression. Further studies should examine this trend in Southern European cancer patients.
    Publication Palliative & Supportive Care
    Volume 8
    Issue 4
    Pages 405-413
    Date Dec 2010
    Journal Abbr Palliat Support Care
    DOI 10.1017/S147895151000026X
    ISSN 1478-9523
    Short Title Do spirituality and faith make a difference?
    Accessed Tuesday, January 18, 2011 7:05:24 PM
    Library Catalog NCBI PubMed
    Extra PMID: 20875203
    Date Added Thursday, September 29, 2011 8:58:27 AM
    Modified Thursday, September 29, 2011 8:58:27 AM

    Notes:

    • The aim of this study was to examine the effect of spirituality in molding psychosocial implications in Southern European cancer patients.

  • Disability, spiritual beliefs and the church: the experiences of adults with disabilities and family members

    Type Journal Article
    Author Linda L Treloar
    Abstract AIMS: This paper reports the findings of a qualitative interpretive study that explored how people with disabilities and family members use their spiritual beliefs to establish meaning for disability, and to respond to the challenges of lived experience with disability. The participants' perceptions of the evangelical Christian church's influence on their spiritual experiences related to disability suggest recommendations for improved integration by the church. Applications are drawn for helping professionals and religious leaders who provide holistic care. BACKGROUND/RATIONALE: Although there is a well-established literature on coping in families with disabled children, little is known about how people use spiritual beliefs to establish meaning for and respond to life with disability. Even less is known about how people with a particular set of shared spiritual beliefs make meaning for lived experience with disability. DESIGN/METHODS: The author interviewed 30 persons, comprising two major groups: 13 parents of children with mixed developmental disabilities and nine adults with physical disabilities. Predominantly white, the participants lived in a south-western metropolitan area in the United States of America (USA) in 1998. FINDINGS: Trial or difficulty contributed to spiritual challenge, the breaking of self, reliance on God, and strengthened faith in God. The participants chose to live with thankfulness and joy despite difficulties common to experience with disability. The participants' spiritual beliefs stabilized their lives, providing meaning for the experience of disability, assistance with coping and other benefits. The participants' recommendations include increased assistance by the church in promoting theological understanding of disability, and religious support using a continuing model of caring. CONCLUSIONS: Although the study design limits the generalizability of the findings, applications can be drawn for helping professionals and religious leaders who provide holistic care
    Publication Journal of Advanced Nursing
    Volume 40
    Issue 5
    Pages 594-603
    Date Dec 2002
    Journal Abbr J Adv Nurs
    ISSN 0309-2402
    Short Title Disability, spiritual beliefs and the church
    URL http://www.ncbi.nlm.nih.gov/pubmed/12437609
    Accessed Thursday, November 12, 2009 10:56:50 PM
    Library Catalog NCBI PubMed
    Extra PMID: 12437609
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Tags:

    • Adaptation, Psychological
    • Adult
    • Aged
    • Aged, 80 and over
    • Attitude to Health
    • Christianity
    • Clergy
    • Disabled Persons
    • Female
    • Holistic Nursing
    • Humans
    • Male
    • Middle Aged
    • Models, Psychological
    • Nurse's Role
    • Nursing Methodology Research
    • Parents
    • Pastoral Care
    • Religion and Psychology
    • social support
    • Southwestern United States
    • spirituality

    Notes:

    • This paper reports the findings of a qualitative interpretive study that explored how people with disabilities and family members use their spiritual beliefs to establish meaning for disability, and to respond to the challenges of lived experience with disability.

  • Religious coping and physiological, psychological, social, and spiritual outcomes in patients with HIV/AIDS: Cross-sectional and longitudinal findings.

    Type Journal Article
    Author Kelly M. Trevino
    Author Kenneth I. Pargament
    Author Sian Cotton
    Author Anthony C. Leonard
    Author June Hahn
    Author Carol Ann Caprini-Faigin
    Author Joel Tsevat
    Abstract The present study investigated the relationships between positive religious coping (e.g., seeking spiritual support) and spiritual struggle (e.g., anger at God) versus viral load, CD4 count, quality of life, HIV symptoms, depression, self-esteem, social support, and spiritual wellbeing in 429 patients with HIV/AIDS. Data were collected through patient interview and chart review at baseline and 12–18 months later from four clinical sites. At baseline, positive religious coping was associated with positive outcomes while spiritual struggle was associated with negative outcomes. In addition, high levels of positive religious coping and low levels of spiritual struggle were associated with small but significant improvements over time. These results have implications for assessing religious coping and designing interventions targeting spiritual struggle in patients with HIV/AIDS. (PsycINFO Database Record (c) 2010 APA, all rights reserved) (journal abstract)
    Publication AIDS and Behavior
    Volume 14
    Issue 2
    Pages 379-389
    Date April 2010
    DOI 10.1007/s10461-007-9332-6
    ISSN 1090-7165
    Short Title Religious coping and physiological, psychological, social, and spiritual outcomes in patients with HIV/AIDS
    Accessed Friday, May 07, 2010 3:28:05 PM
    Library Catalog EBSCOhost
    Date Added Thursday, September 29, 2011 9:04:02 AM
    Modified Thursday, September 29, 2011 9:04:02 AM

    Tags:

    • AIDS
    • Coping Behavior
    • HIV
    • HIV patients
    • longitudinal findings
    • Longitudinal Studies
    • PATIENTS
    • physiological outcomes
    • Quality of Life
    • Religious Beliefs
    • Religious Coping
    • Self Esteem
    • social outcomes
    • social support
    • spiritual outcomes
    • spiritual wellbeing
    • well being

    Notes:

    • The present study investigated the relationships between positive religious coping (e.g., seeking spiritual support) and spiritual struggle (e.g., anger at God) versus viral load, CD4 count, quality of life, HIV symptoms, depression, self-esteem, social support, and spiritual wellbeing in 429 patients with HIV/AIDS. Data were collected through patient interview and chart review at baseline and 12–18 months later from four clinical sites.

  • Religious teachings and influences on the ABCs of HIV prevention in Malawi

    Type Journal Article
    Author Jenny Trinitapoli
    Abstract This study examines the relationship between religion and HIV risk behaviors in rural Malawi, giving special attention to the role of religious congregations, the organizations with which rural Africans have most immediate contact. It draws on 2004 data from a household survey in 3 districts (N=3386), and quantitative and qualitative data collected in 2005 from 187 leaders of religious congregations previously identified in the survey. The first aim is descriptive--to identify overall patterns and variations in what religious leaders in rural Malawi teach about HIV and about sexual behavior in light of the epidemic. The second aim is to assess how religious organizations impact the behavior of individual members. I examine three outcomes that correspond with the ABCs of HIV prevention: abstinence (for never married persons), fidelity (for married persons), and condom use (among sexually active persons). Multi-level models reveal that religious affiliation and involvement are not correlated with the sexual behavior of congregation members, but that beliefs about appropriate sexual behavior and particular congregational characteristics are associated with adherence to A, B, and C. Individuals belonging to congregations led by clergy who 1) frequently deliver formal messages about HIV, 2) monitor the sexual behavior of members, and 3) privately encourage condom use report greater adherence to the ABCs of HIV prevention, suggesting that religious congregations are relevant for the sexual behavior of members and for better understanding the forces shaping individual behavior in the context of the African AIDS epidemic.
    Publication Social Science & Medicine (1982)
    Volume 69
    Issue 2
    Pages 199-209
    Date Jul 2009
    Journal Abbr Soc Sci Med
    DOI 10.1016/j.socscimed.2009.04.018
    ISSN 1873-5347
    Accessed Tuesday, February 22, 2011 7:08:00 PM
    Library Catalog NCBI PubMed
    Extra PMID: 19447536
    Date Added Thursday, September 29, 2011 9:06:18 AM
    Modified Thursday, September 29, 2011 9:06:18 AM

    Tags:

    • Adolescent
    • Adult
    • Aged
    • Aged, 80 and over
    • Christianity
    • Condoms
    • Data Collection
    • Female
    • HIV Infections
    • Humans
    • ISLAM
    • Malawi
    • Male
    • Marriage
    • Middle Aged
    • Religion and Sex
    • Safe Sex
    • Sexual Abstinence
    • social support
    • Young Adult

    Notes:

    • This study examines the relationship between religion and HIV risk behaviors in rural Malawi, giving special attention to the role of religious congregations, the organizations with which rural Africans have most immediate contact. It draws on 2004 data from a household survey in 3 districts (N = 3386), and quantitative and qualitative data collected in 2005 from 187 leaders of religious congregations previously identified in the survey.

  • Review of cancer among 4 religious sects: Evidence that life-styles are distinctive sets of risk factors

    Type Journal Article
    Author Henry Troyer
    Abstract The occurrence of various types of cancer have been reviewed and evaluated in 4 religious groups. These patterns have been critically assessed in light of the distinctive life-style features of these groups. All 4 religious groups considered in this paper have reduced overall rates of cancer, suggesting that the life-style of all 4 groups have merit in terms of reducing the overall risk of cancer. The rate of smoling among these groups is nearly nil, and the lung cancer rate in all 4 of these religious groups is strikingly low. Cancer of the oral structures, pharynx, larynx, and esophagus is also generally quite low. Amish and Hutterites have unusually high rates of breast cancer and juvenile leukemia. Reproductive factors frequently mentioned as risk factors for breast cancer cannot explain the excess breast cancer in the Amish and Hutterite women because they should have had the effect of reducing the rate. None of the numerous risk factors, normally suggested for leukemia, are consistent with this observation. The observations on ovarian cancer tend to confirm low parity and late age at first birth as risk factors, although the evidence is not entirely consistent. Also, contrary to common observations, the pattern of ovarian cancer contrasts greatly with the breast cancer pattern, suggesting dissimilar risk factors. Their low rate of cervical cancer is consistent with promiscuity being a strong risk factor, but other frequently suggested risk factors were generally inconsistent with the observations. Cancers of the stomach, colon, rectum, urinary bladder and prostate, in these 4 religious groups, are not readily explained by the risk factors commonly implicated in cancer of these sites. The patterns of a few types of cancers were consistent with the prevailing opinions of risk factors, but some cancers were poorly explained and, in some cases, the cancer patterns contradicted commonly held opinions concerning risk factors. Religions that provide strong directives for the personal lives of adherents result in distinctive life-style, reflecting multiple disease related factors (risk factors and protective factors). Disease related factors are related to each other in simple or more complex ways (e.g. additive, multiplicative or even more complex). Therefore, when dealing with distinctive life-styles, it may be unwarranted to attempt to isolate individual risk factors.
    Publication Social Science & Medicine
    Volume 26
    Issue 10
    Pages 1007-1017
    Date 1988
    DOI 10.1016/0277-9536(88)90218-3
    ISSN 0277-9536
    Short Title Review of cancer among 4 religious sects
    URL http://www.sciencedirect.com.ezproxy.bu.edu/science/article/B6VBF-4665DPJ-S6/2/b5acdd5d982ce77577f04aa2220a83aa
    Accessed Friday, October 30, 2009 8:53:46 PM
    Library Catalog ScienceDirect
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Tags:

    • Cancer
    • life-style
    • religion
    • Risk Factors

    Notes:

    • The occurrence of various types of cancer have been reviewed and evaluated in 4 religious groups. These patterns have been critically assessed in light of the distinctive life-style features of these groups. Religions that provide strong directives for the personal lives of adherents result in distinctive life-style, reflecting multiple disease related factors (risk factors and protective factors).

  • Predictors of colorectal cancer knowledge and screening among church-attending African Americans and Whites in the Deep South

    Type Journal Article
    Author Tung-Sung Tseng
    Author Cheryl L Holt
    Author Michele Shipp
    Author Mohamad Eloubeidi
    Author Kristi Britt
    Author Maria Norena
    Author Mona N Fouad
    Abstract This study examined colorectal cancer (CRC) knowledge and the relationship between knowledge, risk factors and screening behaviors among African Americans and Whites in the Deep South. One hundred and twenty three African Americans and Whites age-eligible for CRC screening were interviewed by telephone survey as part of a church-based CRC educational intervention. CRC knowledge was lower among those with less education, unemployed, Medicaid, Medicare, and less family income. Generally, participants who had more CRC knowledge were more likely to have engaged in screening behaviors. Participants who had a family history of CRC were more likely to have had a fecal occult blood test (OR = 2.55, 0.99-6.60) or barium enema (OR = 3.84, 1.44-10.24) than those without. Whites were more likely to have had a flexible sigmoidoscopy (OR = 4.17, 1.09-16.67), colonoscopy (OR = 7.14, 1.72-25) or barium enema (OR = 6.25, 1.67-25) than African Americans. Church-based CRC screening intervention programs should target African Americans, those with no family history of CRC, and those with less education.
    Publication Journal of Community Health
    Volume 34
    Issue 2
    Pages 90-97
    Date Apr 2009
    Journal Abbr J Community Health
    DOI 10.1007/s10900-008-9128-2
    ISSN 1573-3610
    URL http://www.ncbi.nlm.nih.gov/pubmed/18941876
    Accessed Monday, March 28, 2011 6:23:36 PM
    Library Catalog NCBI PubMed
    Extra PMID: 18941876
    Date Added Thursday, September 29, 2011 9:06:18 AM
    Modified Thursday, September 29, 2011 9:06:18 AM

    Tags:

    • African Americans
    • Alabama
    • Colorectal Neoplasms
    • Diagnostic Tests, Routine
    • European Continental Ancestry Group
    • Female
    • Forecasting
    • Health Knowledge, Attitudes, Practice
    • Humans
    • Interviews as Topic
    • Male
    • Middle Aged
    • religion

    Notes:

    • This study examined colorectal cancer (CRC) knowledge and the relationship between knowledge, risk factors and screening behaviors among African Americans and Whites in the Deep South.

  • The effects of distant healing performed by a spiritual healer on chronic pain: a randomized controlled trial

    Type Journal Article
    Author Kenjiro Tsubono
    Author Paul Thomlinson
    Author C Norman Shealy
    Abstract CONTEXT: Many individuals suffer from various kinds of chronic pain. Some controlled studies on distant healing for chronic pain exist, but no definitive conclusion has been established. OBJECTIVE: To study the effects of distant healing performed by a professional Japanese healer on chronic pain. DESIGN: A double-blind randomized controlled study. SETTING: Holos University, Fair Grove, Missouri. SUBJECTS: People suffering from chronic pain (not caused by clear organic diseases or that persists long after a reasonable period of healing following injuries or surgery) were recruited through local radio and newspaper advertising. Subjects were randomly assigned to a treatment group or control group using a double-blind procedure. INTERVENTIONS: All subjects met the healer at the initial session at Holos University. At the session, a 20-minute group meditation was performed. The healer went back to Japan after the session and started distant healing only to the treatment group for a 2-month period. All participants were asked to meditate for 20 minutes every day during this 2-month period. OUTCOME MEASURES: The visual analog scale and McGill Pain Questionnaire. RESULTS: A total of 17 subjects were recruited, and 16 subjects completed the study. Comparison of pretreatment and posttreatment visual analog scale indicated a slightly significant effect of distant healing (P=.056). The Present Pain Intensity Scale showed significant improvement in the treatment group compared to the control group (P=.0016). The Pain Rating Index showed improvement in the treatment group, but the difference between both groups was not statistically significant (P=.12).
    Publication Alternative Therapies in Health and Medicine
    Volume 15
    Issue 3
    Pages 30-34
    Date 2009 May-Jun
    Journal Abbr Altern Ther Health Med
    ISSN 1078-6791
    Short Title The effects of distant healing performed by a spiritual healer on chronic pain
    Accessed Tuesday, February 22, 2011 7:03:37 PM
    Library Catalog NCBI PubMed
    Extra PMID: 19472862
    Date Added Thursday, September 29, 2011 9:06:18 AM
    Modified Thursday, September 29, 2011 9:06:18 AM

    Tags:

    • Adult
    • Aged
    • Aged, 80 and over
    • Chronic Disease
    • Double-Blind Method
    • Female
    • Humans
    • Male
    • Meditation
    • Middle Aged
    • Pain
    • Pain Measurement
    • Spiritual Therapies
  • Spirituality and stress management in healthy adults

    Type Journal Article
    Author Inez Tuck
    Author Renee Alleyne
    Author Wantana Thinganjana
    Abstract The purposes of this longitudinal, descriptive pilot study were to (a) test the acceptability and feasibility of a 6-week spiritual intervention; (b) determine the relationship between spirituality and stress; (c) explore the effects of the intervention on measures of perceived stress, spiritual perspective, and spiritual well-being; and (d) explore the meaning of spirituality. The sample consisted of 27 community-dwelling adults. Six categories emerged from the qualitative data as descriptors of the meaning and significance of spirituality. The survey data indicated that there were significant negative correlations between perceived stress and spiritual well-being at three time intervals, a significant decline in the levels of perceived stress, and a significant increase in spiritual perspective from the pretest to the 6-week follow-up. There were no significant changes in spiritual well-being. The intervention proved effective in reducing stress in this healthy adult sample.
    Publication Journal of Holistic Nursing: Official Journal of the American Holistic Nurses' Association
    Volume 24
    Issue 4
    Pages 245-253; discussion 254-255
    Date Dec 2006
    Journal Abbr J Holist Nurs
    DOI 10.1177/0898010106289842
    ISSN 0898-0101
    URL http://www.ncbi.nlm.nih.gov/pubmed/17098877
    Accessed Friday, November 13, 2009 4:58:33 PM
    Library Catalog NCBI PubMed
    Extra PMID: 17098877
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Tags:

    • Adult
    • Female
    • Follow-Up Studies
    • Health Status
    • Holistic Nursing
    • Humans
    • Male
    • Pilot Projects
    • Quality of Life
    • Questionnaires
    • Reference Values
    • spirituality
    • Stress, Psychological

    Notes:

    • The purposes of this longitudinal, descriptive pilot study were to (a) test the acceptability and feasibility of a 6-week spiritual intervention; (b) determine the relationship between spirituality and stress; (c) explore the effects of the intervention on measures of perceived stress, spiritual perspective, and spiritual well-being; and (d) explore the meaning of spirituality.

  • The impact of mental health problems and religiosity on African-American girls' HIV-risk

    Type Journal Article
    Author Wadiya Udell
    Author Geri Donenberg
    Author Erin Emerson
    Abstract We investigated the relationship between religiosity, mental health problems, and two sexual risk behaviors-condom use and number of partners. Participants were 80 sexually active African American girls in psychiatric care and their caregivers. Results indicated differential relationships, depending on parent versus youth report. Mother's religiosity was positively related to girls' condom use and not to girls' number of partners. Controlling for other predictors in the models, mother's religiosity explained as much as 15% of the variance in girls' condom use. Whereas parent and adolescent reports of girls' depression/anxiety and rule-breaking were positively associated with number of partners, reports of aggression were associated with having fewer partners. Neither parent nor youth reports of girls' mental health problems were associated with condom use. Controlling for other predictors in the models, girls' mental health problems accounted for as much as 31% of the variance in number of partners. Findings underscore the importance of adopting an ecological framework to understand both the risk and promotive factors for sexual risk taking among troubled girls. The roles of specific aspects of psychopathology and religiosity in relation to sexual risk behavior among African American girls in psychiatric care are discussed. (PsycINFO Database Record (c) 2011 APA, all rights reserved).
    Publication Cultural Diversity & Ethnic Minority Psychology
    Volume 17
    Issue 2
    Pages 217-224
    Date Apr 2011
    Journal Abbr Cultur Divers Ethnic Minor Psychol
    DOI 10.1037/a0023243
    ISSN 1099-9809
    URL http://www.ncbi.nlm.nih.gov/pubmed/21604846
    Accessed Wednesday, June 08, 2011 6:44:40 PM
    Library Catalog NCBI PubMed
    Extra PMID: 21604846
    Date Added Thursday, September 29, 2011 8:54:49 AM
    Modified Thursday, September 29, 2011 8:54:49 AM

    Notes:

    • This study investigated the relationship between religiosity, mental health problems, and two sexual risk behaviors-condom use and number of partners. Participants were 80 sexually active African American girls in psychiatric care and their caregivers.

  • Effects of yoga on the quality of life in cancer patients

    Type Journal Article
    Author Özlem Ülger
    Author Naciye Vardar Yağli
    Abstract OBJECTIVE: This study sought to investigate the effects of yoga on the quality of life in patients with breast cancer. DESIGN: Twenty patients between 30 and 50 years of age presently under treatment for breast cancer were included in the study. The physical characteristics of the patients were recorded and general physiotherapy assessments performed. Eight sessions of a yoga program including warming and breathing exercises, asanas, relaxation in supine position, and meditation were applied to participants. MAIN OUTCOME MEASURES: The pre- and post-yoga quality of life assessments for the patients were conducted using the Nottingham Health Profile (NHP). Patients' stress levels were assessed using the STAI-I and STAI-II anxiety inventory. Their satisfaction levels about the yoga program was evaluated using the visual analog scale (VAS). RESULTS: It was found that patients' quality of life scores after the yoga program were better than scores obtained before the yoga program (p < 0.05). After sessions, there was a statistically significant decrease in their STAI-I (measuring the reactions of anxiety) scores and STAI-II (measuring the permanence of anxiety) scores (p < 0.05). It was found out that the satisfaction score concerning the yoga program was considerably increased after the yoga program (p < 0.05). CONCLUSIONS: It can be concluded that yoga is valuable in helping to achieve relaxation and diminish stress, helps cancer patients perform daily and routine activities, and increases the quality of life in cancer patients. This result was positively reflected in patients satisfaction with the yoga program.
    Publication Complementary Therapies in Clinical Practice
    Volume 16
    Issue 2
    Pages 60-63
    Date May 2010
    Journal Abbr Complement Ther Clin Pract
    DOI 10.1016/j.ctcp.2009.10.007
    ISSN 1873-6947
    Accessed Sunday, April 25, 2010 6:12:26 PM
    Library Catalog NCBI PubMed
    Extra PMID: 20347834
    Date Added Thursday, September 29, 2011 9:04:02 AM
    Modified Thursday, September 29, 2011 9:04:02 AM

    Notes:

    • This study sought to investigate the effects of yoga on the quality of life in patients with breast cancer.

  • Veiled yet vulnerable. Breast cancer screening and the Muslim way of life

    Type Journal Article
    Author S M Underwood
    Author L Shaikha
    Author D Bakr
    Abstract OBJECTIVES: While multiple reports have been published in the literature that describe the effect of religion and spirituality on healthcare practices, few have been reported that attempt to describe the effect of the fundamental beliefs and customs of the followers of Islam. A qualitative study aimed toward gaining an understanding of the degree to which Islamic beliefs and customs influence followers' breast cancer screening practices was, therefore, undertaken. MATERIALS AND METHODS: The study was designed with semistructured focus groups as the primary means of gathering data. A purposefully selected sample of nine Muslim women were recruited to participate in the study. Throughout the focus group, attempts were made to engage the women in a manner that stimulated in-depth discussion of the beliefs and customs influencing breast cancer screening. RESULTS: Data revealed that the religious beliefs and customs of the Muslim women participating in the focus group significantly influenced their participation in breast cancer screening. Despite their knowledge of the benefits of regular breast cancer screening, the women indicated that they choose not to participate in available breast cancer screening programs, given that they were not structured in a manner that was consistent with the beliefs and customs of Islam. CONCLUSIONS: This study illustrates the manner and degree to which Islamic beliefs and customs can influence the breast cancer screening behavior of Muslim women and the importance of carefully designing breast health programs tailored to the needs of this population of women.
    Publication Cancer Practice
    Volume 7
    Issue 6
    Pages 285-290
    Date 1999 Nov-Dec
    Journal Abbr Cancer Pract
    ISSN 1065-4704
    URL http://www.ncbi.nlm.nih.gov/pubmed/10732525
    Accessed Thursday, November 12, 2009 8:35:23 PM
    Library Catalog NCBI PubMed
    Extra PMID: 10732525
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Tags:

    • Adult
    • Attitude to Health
    • Breast Neoplasms
    • Female
    • Focus Groups
    • Health Knowledge, Attitudes, Practice
    • Humans
    • ISLAM
    • Mass Screening
    • Middle Aged
    • Nursing Methodology Research
    • Questionnaires

    Notes:

    • A qualitative study aimed toward gaining an understanding of the degree to which Islamic beliefs Data revealed that the religious beliefs and customs of the Muslim women participating in the focus group significantly influenced their participation in breast cancer screening.

  • Effects of yoga program on quality of life and affect in early breast cancer patients undergoing adjuvant radiotherapy: a randomized controlled trial

    Type Journal Article
    Author H S Vadiraja
    Author M Raghavendra Rao
    Author Raghuram Nagarathna
    Author H R Nagendra
    Author M Rekha
    Author N Vanitha
    Author K S Gopinath
    Author B S Srinath
    Author M S Vishweshwara
    Author Y S Madhavi
    Author B S Ajaikumar
    Author S Ramesh Bilimagga
    Author Nalini Rao
    Abstract OBJECTIVES: This study compares the effects of an integrated yoga program with brief supportive therapy in breast cancer outpatients undergoing adjuvant radiotherapy at a cancer centre. METHODS: Eighty-eight stage II and III breast cancer outpatients were randomly assigned to receive yoga (n = 44) or brief supportive therapy (n = 44) prior to their radiotherapy treatment. Intervention consisted of yoga sessions lasting 60 min daily while the control group was imparted supportive therapy once in 10 days. Assessments included European Organization for Research in the Treatment of Cancer-Quality of Life (EORTCQoL C30) functional scales and Positive and Negative Affect Schedule (PANAS). Assessments were done at baseline and after 6 weeks of radiotherapy treatment. RESULTS: An intention to treat GLM repeated measures ANOVA showed significant difference across groups over time for positive affect, negative affect and emotional function and social function. There was significant improvement in positive affect (ES = 0.59, p = 0.007, 95%CI 1.25 to 7.8), emotional function (ES = 0.71, p = 0.001, 95%CI 6.45 to 25.33) and cognitive function (ES = 0.48, p = 0.03, 95%CI 1.2 to 18.5), and decrease in negative affect (ES = 0.84, p<0.001, 95%CI -13.4 to -4.4) in the yoga group as compared to controls. There was a significant positive correlation between positive affect with role function, social function and global quality of life. There was a significant negative correlation between negative affect with physical function, role function, emotional function and social function. CONCLUSION: The results suggest a possible role for yoga to improve quality of life and affect in breast cancer outpatients.
    Publication Complementary Therapies in Medicine
    Volume 17
    Issue 5-6
    Pages 274-280
    Date 2009 Oct-Dec
    Journal Abbr Complement Ther Med
    DOI 10.1016/j.ctim.2009.06.004
    ISSN 1873-6963
    Short Title Effects of yoga program on quality of life and affect in early breast cancer patients undergoing adjuvant radiotherapy
    Accessed Friday, January 29, 2010 11:31:59 AM
    Library Catalog NCBI PubMed
    Extra PMID: 19942107
    Date Added Thursday, September 29, 2011 9:04:02 AM
    Modified Thursday, September 29, 2011 9:04:02 AM

    Notes:

    • This study compares the effects of an integrated yoga program with brief supportive therapy in breast cancer outpatients undergoing adjuvant radiotherapy at a cancer centre.The results suggest a possible role for yoga to improve quality of life and affect in breast cancer outpatients.

  • Effects of a yoga program on cortisol rhythm and mood states in early breast cancer patients undergoing adjuvant radiotherapy: a randomized controlled trial

    Type Journal Article
    Author H S Vadiraja
    Author Rao M Raghavendra
    Author Raghuram Nagarathna
    Author H R Nagendra
    Author M Rekha
    Author N Vanitha
    Author K S Gopinath
    Author B S Srinath
    Author M S Vishweshwara
    Author Y S Madhavi
    Author B S Ajaikumar
    Author Bilimagga S Ramesh
    Author Rao Nalini
    Author Vinod Kumar
    Abstract <AbstractText Label="UNLABELLED">Objectives. This study compares the effects of an integrated yoga program with brief supportive therapy in breast cancer outpatients undergoing adjuvant radiotherapy at a cancer center.</AbstractText> <AbstractText Label="METHODS" NlmCategory="METHODS">Eighty-eight stage II and III breast cancer outpatients are randomly assigned to receive yoga (n = 44) or brief supportive therapy (n = 44) prior to radiotherapy treatment. Assessments include diurnal salivary cortisol levels 3 days before and after radiotherapy and self-ratings of anxiety, depression, and stress collected before and after 6 weeks of radiotherapy.</AbstractText> <AbstractText Label="RESULTS" NlmCategory="RESULTS">Analysis of covariance reveals significant decreases in anxiety (P &lt; .001), depression (P = .002), perceived stress (P &lt; .001), 6 a.m. salivary cortisol (P = .009), and pooled mean cortisol (P = .03) in the yoga group compared with controls. There is a significant positive correlation between morning salivary cortisol level and anxiety and depression.</AbstractText> <AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Yoga might have a role in managing self-reported psychological distress and modulating circadian patterns of stress hormones in early breast cancer patients undergoing adjuvant radiotherapy.</AbstractText>
    Publication Integrative Cancer Therapies
    Volume 8
    Issue 1
    Pages 37-46
    Date Mar 2009
    Journal Abbr Integr Cancer Ther
    DOI 10.1177/1534735409331456
    ISSN 1534-7354
    Short Title Effects of a yoga program on cortisol rhythm and mood states in early breast cancer patients undergoing adjuvant radiotherapy
    Accessed Tuesday, February 22, 2011 7:53:16 PM
    Library Catalog NCBI PubMed
    Extra PMID: 19190034
    Date Added Thursday, September 29, 2011 9:06:18 AM
    Modified Thursday, September 29, 2011 9:06:18 AM

    Tags:

    • Adult
    • Affect
    • Analysis of Variance
    • Anxiety
    • Breast Neoplasms
    • Circadian Rhythm
    • depression
    • Female
    • Humans
    • Hydrocortisone
    • Middle Aged
    • Neoplasm Staging
    • Psychiatric Status Rating Scales
    • Radiotherapy, Adjuvant
    • Saliva
    • Stress, Psychological
    • yoga

    Notes:

    • This study compares the effects of an integrated yoga program with brief supportive therapy in breast cancer outpatients undergoing adjuvant radiotherapy at a cancer center. Methods. Eighty-eight stage II and III breast cancer outpatients are randomly assigned to receive yoga (n = 44) or brief supportive therapy (n = 44) prior to radiotherapy treatment. Assessments include diurnal salivary cortisol levels 3 days before and after radiotherapy and self-ratings of anxiety, depression, and stress collected before and after 6 weeks of radiotherapy. Results. Analysis of covariance reveals significant decreases in anxiety (P < .001), depression (P = .002), perceived stress (P < .001), 6 a.m. salivary cortisol (P = .009), and pooled mean cortisol (P = .03) in the yoga group compared with controls. There is a significant positive correlation between morning salivary cortisol level and anxiety and depression. Conclusion. Yoga might have a role in managing self-reported psychological distress and modulating circadian patterns of stress hormones in early breast cancer patients undergoing adjuvant radiotherapy.

  • Images of god in relation to coping strategies of palliative cancer patients

    Type Journal Article
    Author Hanneke W. M. van Laarhoven
    Author Johannes Schilderman
    Author Kris C Vissers
    Author Constans A H H V M Verhagen
    Author Judith Prins
    Abstract CONTEXT: Religious coping is important for end-of-life treatment preferences, advance care planning, adjustment to stress, and quality of life. The currently available religious coping instruments draw on a religious and spiritual background that presupposes a very specific image of God, namely God as someone who personally interacts with people. However, according to empirical research, people may have various images of God that may or may not exist simultaneously. It is unknown whether one's belief in a specific image of God is related to the way one copes with a life-threatening disease. OBJECTIVES: To examine the relation between adherence to a personal, a nonpersonal, and/or an unknowable image of God and coping strategies in a group of Dutch palliative cancer patients who were no longer receiving antitumor treatments. METHODS: In total, 68 palliative care patients completed and returned the questionnaires on Images of God and the COPE-Easy. RESULTS: In the regression analysis, a nonpersonal image of God was a significant positive predictor for the coping strategies seeking advice and information (?=0.339, P<0.01), seeking moral support (?=0.262, P<0.05), and denial (?=0.26, P<0.05), and a negative predictor for the coping strategy humor (?=-0.483, P<0.01). A personal image of God was a significant positive predictor for the coping strategy turning to religion (?=0.608, P<0.01). Age was the most important sociodemographic predictor for coping and had negative predictive value for seeking advice and information (?=-0.268, P<0.05) and seeking moral support (?=-0.247, P<0.05). CONCLUSION: A nonpersonal image of God is a more relevant predictor for different coping strategies in Dutch palliative cancer patients than a personal or an unknowable image of God.
    Publication Journal of Pain and Symptom Management
    Volume 40
    Issue 4
    Pages 495-501
    Date Oct 2010
    Journal Abbr J Pain Symptom Manage
    DOI 10.1016/j.jpainsymman.2010.02.021
    ISSN 1873-6513
    URL http://www.ncbi.nlm.nih.gov/pubmed/20678886
    Accessed Monday, November 15, 2010 3:08:18 PM
    Date Added Thursday, September 29, 2011 8:59:31 AM
    Modified Thursday, September 29, 2011 8:59:31 AM

    Notes:

    • To examine the relation between adherence to a personal, a nonpersonal, and/or an unknowable image of God and coping strategies in a group of Dutch palliative cancer patients who were no longer receiving antitumor treatments.

  • Perspectives on Death and an Afterlife in Relation to Quality of Life, Depression, and Hopelessness in Cancer Patients Without Evidence of Disease and Advanced Cancer Patients

    Type Journal Article
    Author Hanneke W.M. van Laarhoven
    Author Johannes Schilderman
    Author Constans A.H.H.V.M. Verhagen
    Author Kris C. Vissers
    Author Judith Prins
    Abstract <p>Context<br/>It is unknown whether cancer patients with different life expectancies have different attitudes and emotions toward death and an afterlife. Also, it is unclear whether these attitudes and emotions toward death and afterlife influence patients' distress.Objectives<br/>To assess the relationship of attitudes and emotions towards death and an afterlife with quality of life, depression and hopelessness in cancer patients without evidence of disease and advanced cancer patients facing death.Methods<br/>Ninety-one cancer patients without evidence of disease and 57 advanced cancer patients completed the Dutch Attitudes Toward Death and Afterlife Scale. Emotions toward death were measured using the Self-Confrontation Method. Quality of life was measured with the Satisfaction with Life Scale and the European Organization for Research and Treatment of Cancer (EORTC) Quality-of-Life Questionnaire. Depression and hopelessness were measured with the Beck Depression Inventory for Primary Care and the Beck Hopelessness Scale.Results<br/>Average scores on attitudes and emotions toward death and an afterlife were not significantly different between the two groups. However, in the no evidence of disease group, a negative association between negative emotions and social functioning was observed, which was not present in the advanced cancer group. In the advanced cancer group, associations were observed that were not present in the no evidence of disease group: positive associations between an explicitly religious attitude and global health status and between reincarnation belief and role and cognitive functioning, and a negative association between other-directed emotions and social functioning.Conclusion<br/>Patients without evidence of disease and advanced cancer patients do not differ in attitudes or emotions toward death, but the relationship between these attitudes and emotions and aspects of quality of life varies. When there is no evidence of disease, negative emotions play the most important role, whereas in the advanced cancer situation, attitudes toward death and an afterlife, which may provide meaning and value, become more prominent.</p>
    Publication Journal of Pain and Symptom Management
    Volume 41
    Issue 6
    Pages 1048-1059
    Date June 2011
    DOI 16/j.jpainsymman.2010.08.015
    ISSN 0885-3924
    URL http://www.sciencedirect.com/science/article/pii/S0885392411000133
    Accessed Wednesday, July 13, 2011 7:03:01 PM
    Library Catalog ScienceDirect
    Date Added Thursday, September 29, 2011 8:54:25 AM
    Modified Thursday, September 29, 2011 8:54:25 AM

    Tags:

    • afterlife
    • Death
    • depression
    • hopelessness
    • Palliative Care
    • Quality of Life

    Notes:

    • To assess the relationship of attitudes and emotions towards death and an afterlife with quality of life, depression and hopelessness in cancer patients without evidence of disease and advanced cancer patients facing death.

  • Influence of prayer and prayer habits on outcome in patients with severe head injury

    Type Journal Article
    Author Prasad Vannemreddy
    Author Kris Bryan
    Author Anil Nanda
    Abstract OBJECTIVES: The objective of the study is to evaluate the effect of prayers on the recovery of the unconscious patients admitted after traumatic brain injury. MATERIAL AND RESULTS: A retrospective study of patients with severe head injury was conducted. The Glasgow Coma Scale and Glasgow Outcome Scale scores were examined along with age, gender, smoking, and alcohol intake. There were 13 patients who received prayer and 13 who did not receive prayer during the hospital stay with almost identical mean Glasgow Coma Scale score. The prayer group stayed in the hospital for more days (P = .03). On multivariate analysis, patients' age (P = .01), admission Glasgow Coma Scale score (P = .009), and prayer habits (P = .007) were significant factors. CONCLUSION: Patients with prayers habits recovered better following severe head injury. The role of intercessory prayer needs further studies in larger groups.
    Publication The American Journal of Hospice & Palliative Care
    Volume 26
    Issue 4
    Pages 264-269
    Date 2009 Aug-Sep
    Journal Abbr Am J Hosp Palliat Care
    DOI 10.1177/1049909109331885
    ISSN 1938-2715
    Accessed Tuesday, February 22, 2011 7:48:09 PM
    Library Catalog NCBI PubMed
    Extra PMID: 19229065
    Date Added Thursday, September 29, 2011 9:06:18 AM
    Modified Thursday, September 29, 2011 9:06:18 AM

    Tags:

    • Adaptation, Psychological
    • Adolescent
    • Adult
    • Age Factors
    • Aged
    • Brain Injuries
    • Child
    • Female
    • Glasgow Coma Scale
    • Glasgow Outcome Scale
    • Habits
    • Hospital Mortality
    • Humans
    • Length of Stay
    • Logistic Models
    • Male
    • Middle Aged
    • Multivariate Analysis
    • Quality of Life
    • religion
    • Retrospective Studies
    • Statistics, Nonparametric
    • Treatment Outcome
  • Religion and HIV/AIDS stigma: Implications for health professionals in Puerto Rico

    Type Journal Article
    Author N Varas-Díaz
    Author T B Neilands
    Author S Malavé Rivera
    Author E Betancourt
    Abstract HIV/AIDS stigma continues to be a barrier for prevention efforts. Its detrimental effects have been documented among people living with HIV/AIDS and encompass loss of social support and depression. When it is manifested by health professionals, it can lead to sub-optimal services. Although strides have been made to document the effects of HIV/AIDS stigma, much needs to be done in order to understand the structural factors that can foster it. Such is the case of religion's role on HIV/AIDS stigma in Puerto Rico. The Caribbean Island has a Judeo-Christian-based culture due to years of Spanish colonisation. This religious influence continued under Protestantism as part of the Island's integration as a non-incorporated territory of the USA. The main objective of this study was to explore the role of religion in HIV/AIDS stigma manifested by Puerto Rican health professionals in practice and in training. Through a mixed-method approach, 501 health professionals completed qualitative interviews (n=80) and self-administered questionnaires (n=421). Results show that religion plays some role in conceptualisations of health and illness among participants in the study. Furthermore, the importance placed on religion and participation in such activities was related to higher levels of HIV/AIDS stigma.
    Publication Global Public Health
    Volume 5
    Issue 3
    Pages 295-312
    Date Jan 19, 2010
    Journal Abbr Glob Public Health
    DOI 10.1080/17441690903436581
    ISSN 1744-1706
    Short Title Religion and HIV/AIDS stigma
    Accessed Saturday, January 23, 2010 11:56:38 AM
    Library Catalog NCBI PubMed
    Extra PMID: 20087809
    Date Added Thursday, September 29, 2011 9:04:35 AM
    Modified Thursday, September 29, 2011 9:04:35 AM

    Notes:

    • The main objective of this study was to explore the role of religion in HIV/AIDS stigma manifested by Puerto Rican health professionals in practice and in training. Through a mixed-method approach, 501 health professionals completed qualitative interviews (n=80) and self-administered questionnaires (n=421). Results show that religion plays some role in conceptualisations of health and illness among participants in the study. Furthermore, the importance placed on religion and participation in such activities was related to higher levels of HIV/AIDS stigma.

  • Psychoneuroimmunology: application to ocular diseases

    Type Journal Article
    Author Lori M Ventura
    Abstract Psychoneuroimmunology (PNI) is a relatively new discipline within the field of neuroscience which researches the relationship between emotional states, the central and peripheral nervous systems, and the endocrine and immune systems. Negative psychological states, such as stress, anxiety, and depression, may alter immune system regulation and modulation of peripheral cytokines. A plethora of PNI studies have shown that increased psychological stress and depression are associated with an alteration of immune functioning and worsened health outcomes for many conditions. To date, application of PNI methodology has not been reported for ocular diseases. This article provides an historical perspective on the origins of the rift between the emotional and spiritual from physical aspects of disease. A review of how stress is mediated through sympathetic adrenomedullary and hypothalamic pituitary axis activation with shifts in immunity is provided. The literature which supports spirituality in healing is presented. Finally, ocular diseases which would be most amenable to a PNI approach are discussed.
    Publication Journal of Ocular Biology, Diseases, and Informatics
    Volume 2
    Issue 2
    Pages 84-93
    Date Jun 2009
    Journal Abbr J Ocul Biol Dis Infor
    DOI 10.1007/s12177-009-9028-4
    ISSN 1936-8445
    Short Title Psychoneuroimmunology
    Accessed Tuesday, February 22, 2011 6:41:23 PM
    Library Catalog NCBI PubMed
    Extra PMID: 19672468
    Date Added Thursday, September 29, 2011 9:06:18 AM
    Modified Thursday, September 29, 2011 9:06:18 AM
  • Functional well-being is positively correlated with spiritual well-being in women who have spontaneous premature ovarian failure

    Type Journal Article
    Author June L Ventura
    Author O Ray Fitzgerald
    Author Deloris E Koziol
    Author Sharon N Covington
    Author Vien H Vanderhoof
    Author Karim A Calis
    Author Lawrence M Nelson
    Abstract OBJECTIVE: To examine the relationship between spiritual well-being and functional well-being in women who have spontaneous premature ovarian failure. DESIGN: Cross-sectional. SETTING: The Mark O. Hatfield Clinical Research Center at the US National Institutes of Health. PATIENT(S): Women diagnosed with spontaneous premature ovarian failure (N = 138) at a median age of 28 years. INTERVENTION(S): Administration of validated self-reporting instruments. MAIN OUTCOME MEASURE(S): Functional Well-Being, Spiritual Well-Being, Meaning/Peace, and Faith scores. RESULT(S): We found a significant positive correlation between overall spiritual well-being and functional well-being scores. The Meaning/Peace subscale strongly correlated with functional well-being, explaining approximately 62% of the variance. In contrast, the Faith subscale was less strongly correlated with functional well-being, explaining only 7% of the variance. In multiple regression analysis evaluating the relative subscale contributions to functional well-being, only Meaning/Peace remained statistically significant. We found no significant associations between either spiritual well-being or functional well-being and age; age at diagnosis; time since diagnosis; or partner, children, or racial status. CONCLUSION(S): This study provides cross-sectional data supporting the need for prospective controlled studies. Strategies to improve spiritual well-being in the domains of meaning, purpose, and inner peace may provide a therapeutic approach to reduce the emotional suffering that accompanies the life-altering diagnosis of premature ovarian failure.
    Publication Fertility and Sterility
    Volume 87
    Issue 3
    Pages 584-590
    Date Mar 2007
    Journal Abbr Fertil. Steril
    DOI 10.1016/j.fertnstert.2006.07.1523
    ISSN 1556-5653
    URL http://www.ncbi.nlm.nih.gov/pubmed/17258712
    Accessed Friday, November 13, 2009 5:13:32 PM
    Library Catalog NCBI PubMed
    Extra PMID: 17258712
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Tags:

    • Adaptation, Psychological
    • Adult
    • Cross-Sectional Studies
    • Female
    • Humans
    • Ovarian Failure, Premature
    • Psychiatric Status Rating Scales
    • Quality of Life
    • religion
    • spirituality

    Notes:

    • Objective: To examine the relationship between spiritual well-being and functional well-being in women who have spontaneous premature ovarian failure. RESULT(S): We found a significant positive correlation between overall spiritual well-being and functional well-being scores. The Meaning/Peace subscale strongly correlated with functional well-being, explaining approximately 62% of the variance. In contrast, the Faith subscale was less strongly correlated with functional well-being, explaining only 7% of the variance.

  • Spirituality and well-being in cancer patients: a review

    Type Journal Article
    Author Anja Visser
    Author Bert Garssen
    Author Ad Vingerhoets
    Abstract OBJECTIVE: Cancer places many demands on the patient and threatens the person's sense of meaning to life. It has been shown that cancer patients use their spirituality to cope with these experiences. The present literature review summarizes the research findings on the relationship between spirituality and emotional well-being. Special attention is given to the strength of the research findings. METHODS: A literature search was performed in Pubmed and Web of Science. Spirituality does not necessarily coincide with religiosity. Therefore, studies were excluded that focused on religiosity. Forty publications met the inclusion criteria: Twenty-seven studies that investigated the relationship between spirituality and well-being, and 13 publications that explored the relationship between meaning in life and well-being. RESULTS: The majority of the cross-sectional studies (31 of 36) found a positive association between spirituality and well-being. The four studies with a longitudinal design showed mixed results. The significance of the findings is challenged, because most spirituality questionnaires contain several items that directly refer to emotional well-being. CONCLUSIONS: Despite that the majority of the studies concluded that spirituality was associated with higher well-being, no definitive conclusions on this relationship can be drawn due to major methodological shortcomings of these studies. Longitudinal research utilizing spirituality and well-being measures that do not overlap in content is recommended.
    Publication Psycho-Oncology
    Volume 19
    Issue 6
    Pages 565-572
    Date Jun 2010
    Journal Abbr Psychooncology
    DOI 10.1002/pon.1626
    ISSN 1099-1611
    Short Title Spirituality and well-being in cancer patients
    Accessed Wednesday, July 07, 2010 11:42:52 AM
    Library Catalog NCBI PubMed
    Extra PMID: 19916163
    Date Added Thursday, September 29, 2011 9:04:02 AM
    Modified Thursday, September 29, 2011 9:04:02 AM

    Notes:

    • The present literature review summarizes the research findings on the relationship between spirituality and emotional well-being. Special attention is given to the strength of the research findings.

  • Existential well-being predicts perceived control in adults with heart failure

    Type Journal Article
    Author Michael W Vollman
    Author Lynda L LaMontagne
    Author Kenneth A Wallston
    Abstract This study examined the relationship between spiritual well-being (SWB) and perceived control (PC) in adult patients with heart failure (HF). The sample included 75 adults ranging in age from 27 to 82 years. Participants verbally completed study questionnaires in a clinic room selected for privacy. Multiple linear regression results indicated that increased existential spiritual well-being (a subscale of SWB) predicted increased PC. Thus, patients with HF who adjust to personal changes and who also connect with others may develop meaning and purpose in life and may perceive increased control over their heart disease.
    Publication Applied Nursing Research: ANR
    Volume 22
    Issue 3
    Pages 198-203
    Date Aug 2009
    Journal Abbr Appl Nurs Res
    DOI 10.1016/j.apnr.2008.02.001
    ISSN 1532-8201
    URL http://www.ncbi.nlm.nih.gov/pubmed/19616168
    Accessed Friday, November 13, 2009 8:08:21 PM
    Library Catalog NCBI PubMed
    Extra PMID: 19616168
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Tags:

    • Adaptation, Psychological
    • Adult
    • Aged
    • Aged, 80 and over
    • Attitude to Health
    • Cross-Sectional Studies
    • Female
    • Heart Failure
    • Holistic Nursing
    • Humans
    • Linear Models
    • Male
    • Middle Aged
    • Multivariate Analysis
    • Power (Psychology)
    • Predictive Value of Tests
    • Questionnaires
    • Social Behavior
    • spirituality

    Notes:

    • This study examined the relationship between spiritual well-being (SWB) and perceived control (PC) in adult patients with heart failure (HF).

  • Qigong and exercise therapy for elderly patients with chronic neck pain (QIBANE): a randomized controlled study

    Type Journal Article
    Author Philipp von Trott
    Author Anna Maria Wiedemann
    Author Rainer Lüdtke
    Author Anett Reishauer
    Author Stefan N Willich
    Author Claudia M Witt
    Abstract The aim of this study was to evaluate the effectiveness of qigong compared with exercise therapy and no treatment. Elderly patients with chronic neck pain (>6 months) were randomly assigned to qigong or exercise therapy (each 24 sessions over a period of 3 months) or to a waiting list control. Patients completed standardized questionnaires at baseline and after 3 and 6 months. The main outcome measure was average neck pain on the visual analogue scale after 3 months. Secondary outcomes were neck pain and disability (NPAD) and quality of life (SF-36). One hundred seventeen patients (age, 76 +/- 8 years, 95% women) were included in the intention-to-treat analysis. The average duration of neck pain was 19.0 +/- 14.9 years. After 3 months, no significant differences were observed between the qigong group and the waiting list control group (visual analogue scale mean difference, -11 mm [CI, -24.0; 2.1], P = .099) or between the qigong group and the exercise therapy group (-2.5 mm [ - 15.4; 10.3], P = .699). Results for the NPAD were similar (qigong vs waiting list -6.7 (-15.4; 2.1), P = .135; qigong vs exercise therapy 2.3 (-6.2; 10.8); P = .600). We found no significant effect after 3 months of qigong or exercise therapy compared with no treatment. Further studies should include outcomes more suitable to elderly patients, longer treatment, and patients with less chronic pain. PERSPECTIVE: In a randomized controlled study, we evaluated whether a treatment of 24 qigong sessions over a period of 3 months is (1) superior to no treatment and (2) superior to the same amount of exercise therapy in elderly patients (age, 76 +/- 8 years, 95% women) with long-term chronic neck pain (19.0 +/- 14.9 years). After 3 and 6 months, we found no significant differences for pain, neck pain, disability, and quality of life among the 3 groups.
    Publication The Journal of Pain: Official Journal of the American Pain Society
    Volume 10
    Issue 5
    Pages 501-508
    Date May 2009
    Journal Abbr J Pain
    DOI 10.1016/j.jpain.2008.11.004
    ISSN 1528-8447
    Short Title Qigong and exercise therapy for elderly patients with chronic neck pain (QIBANE)
    URL http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/19231298
    Accessed Monday, November 02, 2009 1:01:37 PM
    Library Catalog NCBI PubMed
    Extra PMID: 19231298
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Tags:

    • Aged
    • Breathing Exercises
    • Chronic Disease
    • Data Interpretation, Statistical
    • Exercise Therapy
    • Female
    • Humans
    • Middle Aged
    • Neck Pain
    • Pain Measurement
    • Quality of Life
    • Treatment Outcome

    Notes:

    • The aim of this study was to evaluate the effectiveness of qigong compared with exercise therapy and no treatment. We found no significant effect after 3 months of qigong or exercise therapy compared with no treatment.

  • Targeting Acceptance, Mindfulness, and Values-Based Action in Chronic Pain: Findings of Two Preliminary Trials of an Outpatient Group-Based Intervention

    Type Journal Article
    Author Kevin E. Vowles
    Author Julie Loebach Wetherell
    Author John T. Sorrell
    Abstract Cognitive behavior therapy (CBT) for chronic pain is effective, although a number of issues in need of clarification remain, including the processes by which CBT works, the role of cognitive changes in the achievement of outcomes, and the formulation of a coherent theoretical model. Recent developments in psychology have attempted to address these issues by focusing specifically on processes of acceptance, present-focused awareness (e.g., mindfulness), and values-based action. The present study evaluated the effectiveness of Acceptance and Commitment Therapy (ACT), perhaps the most widely researched of these developing approaches. Initial evidence suggests that ACT-consistent treatments for chronic pain are effective, although there is a need to study treatment in more traditional pain-management settings, where treatment is generally time-limited, unidisciplinary, and outpatient. Data from two pilot studies are presented. Results support the feasibility of treatment and suggest that effectiveness rates compare favorably with more established forms of treatment, in this case, CBT. Although these data are preliminary, they set a foundation upon which more intensive evaluations can take place.
    Publication Cognitive and Behavioral Practice
    Volume 16
    Issue 1
    Pages 49-58
    Date February 2009
    DOI 10.1016/j.cbpra.2008.08.001
    ISSN 1077-7229
    Short Title Targeting Acceptance, Mindfulness, and Values-Based Action in Chronic Pain
    URL http://www.sciencedirect.com/science/article/B7XMX-4TX18CX-1/2/7a5a539dfbf8853072ab5eb394151950
    Accessed Monday, March 28, 2011 7:34:28 PM
    Library Catalog ScienceDirect
    Date Added Thursday, September 29, 2011 9:06:18 AM
    Modified Thursday, September 29, 2011 9:06:18 AM

    Notes:

    • Cognitive behavior therapy (CBT) for chronic pain is effective, although a number of issues in need of clarification remain, including the processes by which CBT works, the role of cognitive changes in the achievement of outcomes, and the formulation of a coherent theoretical model. Recent developments in psychology have attempted to address these issues by focusing specifically on processes of acceptance, present-focused awareness (e.g., mindfulness), and values-based action. The present study evaluated the effectiveness of Acceptance and Commitment Therapy (ACT), perhaps the most widely researched of these developing approaches. Initial evidence suggests that ACT-consistent treatments for chronic pain are effective, although there is a need to study treatment in more traditional pain-management settings, where treatment is generally time-limited, unidisciplinary, and outpatient. Data from two pilot studies are presented. Results support the feasibility of treatment and suggest that effectiveness rates compare favorably with more established forms of treatment, in this case, CBT. Although these data are preliminary, they set a foundation upon which more intensive evaluations can take place.

  • Feasibility and short-term outcomes of a shamanic treatment for temporomandibular joint disorders

    Type Journal Article
    Author Nancy H Vuckovic
    Author Christina M Gullion
    Author Louise A Williams
    Author Michelle Ramirez
    Author Jennifer Schneider
    Abstract CONTEXT: Temporomandibular joint disorders (TMDs) are chronic, recurrent, non-progressive pain conditions affecting the jaw and face. Patients least likely to respond to allopathic treatment are those with the most marked biological responsiveness to external stressors and concomitant emotional and psychosocial difficulties. These characteristics describe individuals who are "dispirited" and may benefit from shamanic healing, an ancient form of spiritual healing. OBJECTIVE: This phase 1 study tested feasibility and safety of shamanic healing for TMDs. DESIGN: Participants were randomized to 1 of 4 shamanic practitioners and attended 5 shamanic healing sessions. Self-reported pain and disability were recorded at baseline and each treatment visit and at 1, 3, 6, and 9-month follow-ups. Participants also were clinically evaluated at baseline and end of treatment. In-depth interviews, part of our mixed methods design, were conducted at baseline and end of treatment to evaluate acceptability and nonclinical changes associated with treatment. SETTING: Portland, Oregon. PATIENTS OR OTHER PARTICIPANTS: Twenty-three women with diagnosed TMDs. INTERVENTION: Shamanic treatment carried out during 5 treatment visits. MAIN OUTCOME MEASURES: Change from baseline to posttreatment in diagnosis of TMDs by Research Diagnostic Criteria (RDC) exam and participant self-ratings on the "usual" pain, "worst" pain, and functional impact of TMDs subscales of the RDC Axis II Pain Related Disability and Psychological Status Scale. This paper reports on outcomes at end of treatment. RESULTS: This study demonstrated the feasibility and acceptability of clinical trials of shamanic healing. The mean of usual pain went from 4.96 to 2.70, P<.0001; worst pain from 7.48 to 3.60, P<.0001, and functional impact of TMDs from 3.74 to 1.15, P<.0052. Only 4 women were clinically diagnosed with TMDs at the end of treatment.
    Publication Alternative Therapies in Health and Medicine
    Volume 13
    Issue 6
    Pages 18-29
    Date 2007 Nov-Dec
    Journal Abbr Altern Ther Health Med
    ISSN 1078-6791
    URL http://www.ncbi.nlm.nih.gov/pubmed/17985808
    Accessed Friday, November 13, 2009 6:16:55 PM
    Library Catalog NCBI PubMed
    Extra PMID: 17985808
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Tags:

    • Adult
    • Facial Pain
    • Feasibility Studies
    • Female
    • Humans
    • Male
    • Oregon
    • Pain Measurement
    • Patient Satisfaction
    • Shamanism
    • spirituality
    • Temporomandibular Joint Disorders
    • Treatment Outcome

    Notes:

    • Context: Temporomandibular joint disorders (TMDs) are chronic, recurrent, non-progressive pain conditions affecting the jaw and face. Objective: This phase 1 study tested feasibility and safety of shamanic healing for TMDs. Results: This study demonstrated the feasibility and acceptability of clinical trials of shamanic healing.

  • What physicians should know about spirituality and chronic pain

    Type Journal Article
    Author AB Wachholtz
    Author FJ Keefe
    Publication SOUTHERN MEDICAL JOURNAL
    Volume 99
    Issue 10
    Pages 1174-1175
    Date OCT 2006
    ISSN 0038-4348
    URL http://apps.isiknowledge.com.ezproxy.bu.edu/full_record.do?
    product=WOS&search_mode=GeneralSearch&qid=1&…
    Accessed Sunday, September 06, 2009 11:16:57 AM
    Library Catalog ISI Web of Knowledge
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM
  • Migraines and meditation: does spirituality matter?

    Type Journal Article
    Author AB Wachholtz
    Author KI Pargament
    Abstract Migraine headaches are associated with symptoms of depression and anxiety (Waldie and Poulton Journal of Neurology, Neurosurgery, and Psychiatry 72: 86-92, 2002) and feelings of low self-efficacy (French et al. Headache, 40: 647-656, 2000). Previous research suggests that spiritual meditation may ameliorate some of the negative traits associated with migraine headaches (Wachholtz and Pargament Journal of behavioral Medicine, 30: 311-318, 2005). This study examined two primary questions: (1) Is spiritual meditation more effective in enhancing pain tolerance and reducing migraine headache related symptoms than secular meditation and relaxation? and, (2) Does spiritual meditation create better mental, physical, and spiritual health outcomes than secular meditation and relaxation techniques? Eighty-three meditation naive, frequent migraineurs were taught Spiritual Meditation, Internally Focused Secular Meditation, Externally Focused Secular Meditation, or Muscle Relaxation which participants practiced for 20 min a day for one month. Pre-post tests measured pain tolerance (with a cold pressor task), headache frequency, and mental and spiritual health variables. Compared to the other three groups, those who practiced spiritual meditation had greater decreases in the frequency of migraine headaches, anxiety, and negative affect, as well as greater increases in pain tolerance, headache-related self-efficacy, daily spiritual experiences, and existential well being.
    Publication Journal of Behavioral Medicine
    Volume 31
    Issue 4
    Pages 351-366
    Date AUG 2008
    Journal Abbr J Behav Med
    DOI 10.1007/s10865-008-9159-2
    ISSN 0160-7715
    Short Title Migraines and meditation
    URL http://apps.isiknowledge.com.ezproxy.bu.edu/full_record.do?
    product=WOS&search_mode=GeneralSearch&qid=1&…
    Accessed Sunday, September 06, 2009 11:16:50 AM
    Library Catalog ISI Web of Knowledge
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Notes:

    • This study examined two primary questions: (1) Is spiritual meditation more effective in enhancing pain tolerance and reducing migraine headache related symptoms than secular meditation and relaxation? and, (2) Does spiritual meditation create better mental, physical, and spiritual health outcomes than secular meditation and relaxation techniques?

  • Does spirituality as a coping mechanism help or hinder coping with chronic pain?

    Type Journal Article
    Author Amy B Wachholtz
    Author Michelle J Pearce
    Abstract Chronic pain is a complex experience stemming from the interrelationship among biological, psychological, social, and spiritual factors. Many chronic pain patients use religious/spiritual forms of coping, such as prayer and spiritual support, to cope with their pain. This article explores empirical research that illustrates how religion/spirituality may impact the experience of pain and may help or hinder the coping process. This article also provides practical suggestions for health care professionals to aid in the exploration of spiritual issues that may contribute to the pain experience.
    Publication Current Pain and Headache Reports
    Volume 13
    Issue 2
    Pages 127-132
    Date Apr 2009
    Journal Abbr Curr Pain Headache Rep
    ISSN 1534-3081
    Accessed Tuesday, February 22, 2011 7:38:50 PM
    Library Catalog NCBI PubMed
    Extra PMID: 19272278
    Date Added Thursday, September 29, 2011 9:06:18 AM
    Modified Thursday, September 29, 2011 9:06:18 AM

    Tags:

    • Adaptation, Psychological
    • Chronic Disease
    • Health Personnel
    • Humans
    • Pain
    • Religion and Medicine
    • spirituality
    • Treatment Outcome
  • Does spirituality as a coping mechanism help or hinder coping with chronic pain?

    Type Journal Article
    Author AB Wachholtz
    Author MJ Pearce
    Abstract Chronic pain is a complex experience stemming from the interrelationship among biological, psychological, social, and spiritual factors. Many chronic pain patients use religious/spiritual forms of coping, such as prayer and spiritual support, to cope with their pain. This article explores empirical research that illustrates how religion/spirituality may impact the experience of pain and may help or hinder the coping process. This article also provides practical suggestions for health care professionals to aid in the exploration of spiritual issues that may contribute to the pain experience.
    Publication Current Pain and Headache Reports
    Volume 13
    Issue 2
    Pages 127-132
    Date APR 2009
    Journal Abbr Curr Pain Headache Rep
    DOI 10.1007/s11916-009-0022-0
    ISSN 1531-3433
    URL http://apps.isiknowledge.com.ezproxy.bu.edu/full_record.do?
    product=WOS&search_mode=GeneralSearch&qid=1&…
    Accessed Sunday, September 06, 2009 11:16:49 AM
    Library Catalog ISI Web of Knowledge
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Notes:

    • Many chronic pain patients use religious/spiritual forms of coping, such as prayer and spiritual support, to cope with their pain. This article explores empirical research that illustrates how religion/spirituality may impact the experience of pain and may help or hinder the coping process.

  • Exploring the relationship between spirituality, coping, and pain

    Type Journal Article
    Author AB Wachholtz
    Author MJ Pearce
    Author H Koenig
    Abstract There is growing recognition that persistent pain is a complex and multidimensional experience stemming from the interrelationship among biological, psychological, social, and spiritual factors. Chronic pain patients use a number of cognitive and behavioral strategies to cope with their pain, including religious/spiritual forms of coping, such as prayer, and seeking spiritual support to manage their pain. This article will explore the relationship between the experience of pain and religion/spirituality with the aim of understanding not only why some people rely on their faith to cope with pain, but also how religion/spirituality may impact the experience of pain and help or hinder the coping process. We will also identify future research priorities that may provide fruitful research in illuminating the relationship between religion/spirituality and pain.
    Publication Journal of Behavorial Medicine
    Volume 30
    Issue 4
    Pages 311-318
    Date Aug 2007
    Journal Abbr J Behav Med
    DOI 10.1007/s10865-007-9114-7
    ISSN 0160-7715
    URL http://apps.isiknowledge.com.ezproxy.bu.edu/full_record.do?
    product=WOS&search_mode=GeneralSearch&qid=1&…
    Accessed Sunday, September 06, 2009 11:16:53 AM
    Library Catalog ISI Web of Knowledge
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Notes:

    • This article explores the relationship between the experience of pain and religion/spirituality with the aim of understanding not only why some people rely on their faith to cope with pain, but also how religion/spirituality may impact the experience of pain and help or hinder the coping process.

  • Religion and spirituality in rehabilitation outcomes among individuals with traumatic brain injury.

    Type Journal Article
    Author Brigid Waldron-Perrine
    Author Lisa J. Rapport
    Author Robin A. Hanks
    Author Mark Lumley
    Author Sarah-Jane Meachen
    Author Paul Hubbarth
    Abstract Objective: The long-term consequences of traumatic brain injury affect millions of Americans, many of whom report using religion and spirituality to cope. Little research, however, has investigated how various elements of the religious and spiritual belief systems affect rehabilitation outcomes. The present study sought to assess the use of specifically defined elements of religion and spirituality as psychosocial resources in a sample of traumatically brain injured adults. Participants: The sample included 88 adults with brain injury from 1 to 20 years post injury and their knowledgeable significant others (SOs). The majority of the participants with brain injury were male (76%), African American (75%) and Christian (76%). Measures: Participants subjectively reported on their religious/spiritual beliefs and psychosocial resources as well as their current physical and psychological status. Significant others reported objective rehabilitation outcomes. Analyses: Hierarchical multiple regression analyses were used to determine the proportion of variance in outcomes accounted for by demographic, injury related, psychosocial and religious/spiritual variables. Results: The results indicate that religious well-being (a sense of connection to a higher power) was a unique predictor for life satisfaction, distress and functional ability whereas public religious practice and existential well-being were not. Conclusions: The findings of this project indicate that specific facets of religious and spiritual belief systems do play direct and unique roles in predicting rehabilitation outcomes whereas religious activity does not. Notably, a self-reported individual connection to a higher power was an extremely robust predictor of both subjective and objective outcome. (PsycINFO Database Record (c) 2011 APA, all rights reserved). (from the journal abstract)
    Publication Rehabilitation Psychology
    Volume 56
    Issue 2
    Pages 107-116
    Date May 2011
    DOI 10.1037/a0023552
    ISSN 0090-5550
    Library Catalog EBSCOhost
    Date Added Thursday, September 29, 2011 8:54:49 AM
    Modified Thursday, September 29, 2011 8:54:49 AM

    Tags:

    • Psychosocial Factors
    • psychosocial variables
    • REHABILITATION
    • rehabilitation outcomes
    • religion
    • spirituality
    • traumatic brain injury
    • Treatment Outcomes
  • Formative and process evaluations of a cognitive-behavioral therapy and mindfulness intervention for people with epilepsy and depression

    Type Journal Article
    Author Elizabeth Reisinger Walker
    Author Natasha Obolensky
    Author Sheila Dini
    Author Nancy J. Thompson
    Abstract People with chronic diseases are at high risk for depression, resulting in a need for effective and accessible treatment options. Project UPLIFT is a program based on cognitive-behavioral therapy and mindfulness that is aimed at reducing depressive symptoms among people with epilepsy. It is designed to be delivered to small groups of people over the phone or Internet. This study describes the formative and process evaluations of Project UPLIFT; the purpose of these evaluations was to assess the acceptability and feasibility of the program, looking at both the program components and delivery methods. The formative evaluation, conducted prior to program implementation, included nine participants in three focus groups. The process evaluation included qualitative comments and responses to the Client Satisfaction Questionnaire from 38 Project UPLIFT pilot study participants. Overall, the results from both evaluations indicate that participants felt that Project UPLIFT was acceptable and perceived to be beneficial.
    Publication Epilepsy & Behavior
    Volume 19
    Issue 3
    Pages 239-246
    Date November 2010
    DOI 10.1016/j.yebeh.2010.07.032
    ISSN 1525-5050
    URL http://www.sciencedirect.com/science/article/B6WDT-511CBC3-1/2/621afcbde9d28a76e8b8000dbcbb1db6
    Accessed Monday, December 13, 2010 8:35:41 PM
    Date Added Thursday, September 29, 2011 8:59:19 AM
    Modified Thursday, September 29, 2011 8:59:19 AM

    Tags:

    • Cognitive-behavioral therapy
    • Depression treatment
    • Epilepsy
    • Mindfulness
    • Process evaluation
  • Religiosity and substance use: test of an indirect-effect model in early and middle adolescence

    Type Journal Article
    Author Carmella Walker
    Author Michael G Ainette
    Author Thomas A Wills
    Author Don Mendoza
    Abstract The authors tested hypothesized pathways from religiosity to adolescent substance use (tobacco, alcohol, and marijuana) with data from samples of middle school (n = 1,273) and high school students (n = 812). Confirmatory analysis of measures of religiosity supported a 2-factor solution with behavioral aspects (belonging, attendance) and personal aspects (importance, value, spirituality, forgiveness) as distinct factors. Structural modeling analyses indicated inverse indirect effects of personal religiosity on substance use, mediated through more good self-control and less tolerance for deviance. Religiosity was correlated with fewer deviant peer affiliations and nonendorsement of coping motives for substance use but did not have direct effects on these variables. Parental support and parent-child conflict also had significant effects (with opposite direction) on substance use, mediated through self-control and deviance-prone attitudes. Implications for prevention research are discussed.
    Publication Psychology of Addictive Behaviors: Journal of the Society of Psychologists in Addictive Behaviors
    Volume 21
    Issue 1
    Pages 84-96
    Date Mar 2007
    Journal Abbr Psychol Addict Behav
    DOI 10.1037/0893-164X.21.1.84
    ISSN 0893-164X
    Short Title Religiosity and substance use
    URL http://www.ncbi.nlm.nih.gov/pubmed/17385958
    Accessed Friday, November 13, 2009 5:31:54 PM
    Library Catalog NCBI PubMed
    Extra PMID: 17385958
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Tags:

    • Adolescent
    • Adolescent Behavior
    • Child
    • Female
    • Humans
    • Male
    • Models, Theoretical
    • Parent-Child Relations
    • Parents
    • Questionnaires
    • religion
    • Students
    • Substance-Related Disorders

    Notes:

    • The authors tested hypothesized pathways from religiosity to adolescent substance use (tobacco, alcohol, and marijuana) with data from samples of middle school (n = 1,273) and high school students (n = 812). Confirmatory analysis of measures of religiosity supported a 2-factor solution with behavioral aspects (belonging, attendance) and personal aspects (importance, value, spirituality, forgiveness) as distinct factors.

  • Role of Spirituality in HIV-Infected Mothers

    Type Journal Article
    Author Rosemary N Walulu
    Abstract The purpose of this study was to describe the processes by which HIV-infected mothers manage mothering. A semi-structured guide was used to facilitate discussion from a convenience sample of 15 mothers. The core category was "The Process of Living for My Children." "Leaning on God" was a part of "Taking Care of Myself" and reflected the ways in which the mothers used spiritual aspects to manage mothering and live with HIV infection. Leaning on God was an important tool in managing mothering and self-care. Health care providers can enhance this tool by being aware of their own values and beliefs.
    Publication Issues in Mental Health Nursing
    Volume 32
    Issue 6
    Pages 382-384
    Date 2011
    Journal Abbr Issues Ment Health Nurs
    DOI 10.3109/01612840.2011.568160
    ISSN 1096-4673
    URL http://www.ncbi.nlm.nih.gov/pubmed/21692577
    Accessed Wednesday, July 13, 2011 6:15:27 PM
    Library Catalog NCBI PubMed
    Extra PMID: 21692577
    Date Added Thursday, September 29, 2011 8:54:25 AM
    Modified Thursday, September 29, 2011 8:54:25 AM

    Notes:

    • The purpose of this study was to describe the processes by which HIV-infected mothers manage mothering. A semi-structured guide was used to facilitate discussion from a convenience sample of 15 mothers. The core category was "The Process of Living for My Children." "Leaning on God" was a part of "Taking Care of Myself" and reflected the ways in which the mothers used spiritual aspects to manage mothering and live with HIV infection. Leaning on God was an important tool in managing mothering and self-care. Health care providers can enhance this tool by being aware of their own values and beliefs.

  • Spirituality: The Key to Recovery from Alcoholism.

    Type Journal Article
    Author Robert D. Warfield
    Author Marc B. Goldstein
    Publication Counseling and Values
    Volume 40
    Issue 3
    Pages 196-205
    Date 1996
    Journal Abbr Counseling and Values
    ISSN ISSN-0160-7960
    Short Title Spirituality
    Library Catalog ERIC
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Tags:

    • 12 Step Programs
    • Alcoholics Anonymous
    • Negative Affect
    • relapse
    • Spiritual Needs
  • Utilization of religious coping strategies among African American women at increased risk for hereditary breast and ovarian cancer

    Type Journal Article
    Author Benita Weathers
    Author Lisa Kessler
    Author Aliya Collier
    Author Jill E. Stopfer
    Author Susan Domchek
    Author Chanita Hughes Halbert
    Abstract This observational study evaluated utilization of religious coping strategies among 95 African American women who were at increased risk for having a BRCA1/BRCA2 (BRCA1/2) mutation. Overall, women reported high levels of collaborative coping; however, women with fewer than 2 affected relatives (beta = -1.97, P = 0.04) and those who had a lower perceived risk of having a BRCA1/2 mutation (beta = -2.72, P = 0.01) reported significantly greater collaborative coping. These results suggest that African American women may be likely to use collaborative strategies to cope with cancer-related stressors. It may be important to discuss utilization of religious coping efforts during genetic counseling with African American women.
    Publication Family & Community Health
    Volume 32
    Issue 3
    Pages 218-227
    Date 2009 Jul-Sep
    Journal Abbr Fam Community Health
    DOI 10.1097/FCH.0b013e3181ab3b53
    ISSN 1550-5057
    Accessed Saturday, September 26, 2009 5:56:01 PM
    Library Catalog NCBI PubMed
    Extra PMID: 19525703
    Date Added Thursday, September 29, 2011 9:05:38 AM
    Modified Thursday, September 29, 2011 9:05:38 AM
  • Forgiveness, health, and problematic drinking among college students in southern Appalachia.

    Type Journal Article
    Author Jon R. Webb
    Author Ken Brewer
    Abstract Evidence is growing regarding the salutary relationships between spirituality and health, including alcohol problems, yet little is known about spirituality and health in the context thereof. Cross-sectional associations between forgiveness and health were examined among college student problematic drinkers (n = 126; female = 60%; M age = 22) in Southern Appalachia. Controlling for demographic variables (including religiosity), dimensions of forgiveness accounted for 7—33 percent of the variance in the health-related variables in a salutary fashion. Forgiveness of Self appears to be the most important dimension of forgiveness measured, yet the most difficult to develop.
    Publication Journal of Health Psychology
    Volume 15
    Issue 8
    Pages 1257-1266
    Date November 2010
    DOI 10.1177/1359105310365177
    ISSN 1359-1053
    Date Added Thursday, September 29, 2011 8:59:00 AM
    Modified Thursday, September 29, 2011 8:59:00 AM

    Tags:

    • Alcoholism
    • Appalachia
    • COLLEGE students
    • FORGIVENESS
    • Health
    • problematic drinking
    • spirituality
  • Forgiveness and alcohol problems among people entering substance abuse treatment

    Type Journal Article
    Author Jon R Webb
    Author Elizabeth A R Robinson
    Author Kirk J Brower
    Author Robert A Zucker
    Abstract Forgiveness is argued to be highly relevant to problematic substance use, yet supportive empirical evidence is lacking. Findings are presented from a longitudinal study exploring the relationship between religiousness and spirituality (RS) variables and alcohol use disorders. We examined forgiveness of self (ForSelf), of others (ForOthers), and by God (ByGod), hypothesizing positive relationships with RS and negative relationships with alcohol use and consequences, at both baseline (N = 157) and six-month follow-up (N = 126). ForSelf scores were significantly lower than ForOthers and ByGod scores, and ForOthers scores increased modestly over time. ByGod was most consistently associated with other RS variables. ForSelf and ForOthers were associated with alcohol-related variables at both time points, and baseline ForSelf and ForOthers were associated with fewer drinking consequences at follow-up, but not after controlling for other pertinent variables. ForSelf may be most difficult to achieve and thus most important to recovery, thereby preventing full recovery and fostering relapses.
    Publication Journal of Addictive Diseases
    Volume 25
    Issue 3
    Pages 55-67
    Date 2006
    Journal Abbr J Addict Dis
    ISSN 1055-0887
    URL http://www.ncbi.nlm.nih.gov/pubmed/16956870
    Accessed Friday, November 13, 2009 4:50:57 PM
    Library Catalog NCBI PubMed
    Extra PMID: 16956870
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Tags:

    • Adult
    • Alcoholism
    • Community Mental Health Services
    • Cross-Sectional Studies
    • Female
    • Follow-Up Studies
    • Humans
    • Interpersonal Relations
    • Male
    • Prevalence
    • Questionnaires
    • religion
    • Social perception
    • Social Values
    • spirituality

    Notes:

    • Findings are presented from a longitudinal study exploring the relationship between religiousness and spirituality (RS) variables and alcohol use disorders. We examined forgiveness of self (ForSelf), of others (ForOthers), and by God (ByGod), hypothesizing positive relationships with RS and negative relationships with alcohol use and consequences, at both baseline (N = 157) and six-month follow-up (N = 126). ForSelf may be most difficult to achieve and thus most important to recovery, thereby preventing full recovery and fostering relapses.

  • The effect of religiosity and campus alcohol culture on collegiate alcohol consumption

    Type Journal Article
    Author Gayle M Wells
    Abstract Religiosity and campus culture were examined in relationship to alcohol consumption among college students using reference group theory. PARTICIPANTS AND METHODS: College students (N = 530) at a religious college and at a state university complete questionnaires on alcohol use and religiosity. Statistical tests and logistic regression were utilized to examine alcohol use, religiosity, and campus environment. RESULTS: Alcohol consumption was significantly higher among students at the university (M = 26.9 drinks) versus students at the religious college (M = 11.9 drinks). University students also had lower religiosity scores (M = 23.8) than students at the religious college (M = 26.5). Students who attend a secular university are 4 times more likely to be moderate or heavy drinkers compared to students attending a religiously affiliated college. Students with the least religiosity were 27 times more likely to be a heavy alcohol user and 9 times more likely to be a moderate alcohol user compared to students with greater religiosity.
    Publication Journal of American College Health: J of ACH
    Volume 58
    Issue 4
    Pages 295-304
    Date 2010 Jan-Feb
    Journal Abbr J Am Coll Health
    DOI 10.1080/07448480903380250
    ISSN 1940-3208
    Accessed Thursday, March 04, 2010 8:57:56 AM
    Library Catalog NCBI PubMed
    Extra PMID: 20159753
    Date Added Thursday, September 29, 2011 9:04:02 AM
    Modified Thursday, September 29, 2011 9:04:02 AM
  • Is there a role for complementary therapy in the management of leukemia?

    Type Journal Article
    Author Kathleen M Wesa
    Author Barrie R Cassileth
    Abstract Paper lists complementary therapies appropriate for use by patients with leukemia, along with some treatments that may be risky.
    Publication Expert Review of Anticancer Therapy
    Volume 9
    Issue 9
    Pages 1241-1249
    Date 09/2009
    Journal Abbr Expert Rev Anticancer Ther
    DOI 10.1586/era.09.100
    ISSN 1473-7140
    URL http://www.expert-reviews.com/doi/abs/10.1586/era.09.100
    Date Added Thursday, September 29, 2011 9:05:38 AM
    Modified Thursday, September 29, 2011 9:05:38 AM

    Notes:

  • Is there a role for complementary therapy in the management of leukemia?

    Type Journal Article
    Author Kathleen M Wesa
    Author Barrie R Cassileth
    Abstract Patients with leukemia often seek additional treatments not prescribed by their oncologist in an effort to improve their cancer treatment outcome or to manage symptoms. Complementary therapies are used in conjunction with traditional cancer treatments to decrease symptoms and side effects associated with cancer or cancer treatment, and to improve patients' overall quality of life. Complementary therapies are distinct from so-called 'alternative' therapies, which are unproven, ineffective and may postpone or interfere with mainstream cancer treatment. Complementary therapies are pleasant, inexpensive, nonpharmacologic and effective. For patients with leukemia, the complementary therapies that are always appropriate include mind-body interventions, such as self-hypnosis, meditation, guided imagery and breath awareness. Massage and reflexology (foot massage) decrease symptoms with effects lasting at least 2 days following treatment. Acupuncture is very beneficial for symptom management without adverse consequences. Physical fitness with regular exercise and healthy dietary habits can significantly decrease side effects of cancer treatments and may prolong survival. Botanical extracts and vitamin supplements may interfere with active cancer treatments, and should be discussed with the oncologist or pharmacist before use.
    Publication Expert Review of Anticancer Therapy
    Volume 9
    Issue 9
    Pages 1241-1249
    Date Sep 2009
    Journal Abbr Expert Rev Anticancer Ther
    DOI 10.1586/era.09.100
    ISSN 1744-8328
    URL http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/19761428
    Accessed Saturday, September 26, 2009 3:32:30 PM
    Library Catalog NCBI PubMed
    Extra PMID: 19761428
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Notes:

    • Complementary therapies are distinct from so-called ‘alternative’ therapies, which are unproven, ineffective and may postpone or interfere with mainstream cancer treatment. Complementary therapies are pleasant, inexpensive, nonpharmacologic and effective. For patients with leukemia, the complementary therapies that are always appropriate include mind-body interventions, such as self-hypnosis, meditation, guided imagery and breath awareness. Massage and reflexology (foot massage) decrease symptoms with effects lasting at least 2 days following treatment.

  • Current concepts in limb regeneration: a hand surgeon's perspective

    Type Journal Article
    Author Jordan Wicker
    Author Kenneth Kamler
    Abstract Cognitive-behavioral practices such as meditation and yoga have long been viewed as methods of reaching states of peace and relaxation, but recent research has focused on the role of these practices in reducing endogenous mediators of stress and inflammation that would otherwise be harmful to our bodies. Further, these stress-related factors play major roles in inflammation, acting as barriers to wound healing and tissue regeneration. Fractures, denervation, tendon and ligament rupture, and cartilage degradation are morbidities associated with injury and often act as an impediment for healing. Studies of human fingertip regeneration exist; however, the underlying molecular and environmental changes have yet to be completely elucidated. Studying the regenerative capabilities of lower organisms and fetal wound healing has allowed scientists to understand the mechanisms behind regeneration, coming closer to a human application. Much research relies on the idea that the developing embryo shares a great deal in common with regenerating appendages of organisms such as the salamander. This review will cover historical perspectives of regeneration biology and current topics in limb regeneration, with particular interest given to the upper extremity, including the commonalities between human embryological development and amphibian regeneration, growth factors and pathways that show correlation with development and regeneration, recently discovered differences in fetal and adult wound healing, and current research and knowledge regarding human extremity tissue regeneration. With a greater understanding of the mechanisms and mediators involved in regeneration, the application of cognitive-behavioral practices may assist in seeing the future goals of regeneration come to fruition.
    Publication Annals of the New York Academy of Sciences
    Volume 1172
    Pages 95-109
    Date Aug 2009
    Journal Abbr Ann. N. Y. Acad. Sci
    DOI 10.1111/j.1749-6632.2009.04413.x
    ISSN 1749-6632
    Short Title Current concepts in limb regeneration
    URL http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/19735243
    Accessed Saturday, September 26, 2009 3:42:08 PM
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    Tags:

    • Animals
    • Biomedical Research
    • Extremities
    • Hand
    • Humans
    • Intercellular Signaling Peptides and Proteins
    • Physicians
    • Regeneration
    • Signal Transduction
    • Wound Healing

    Notes:

    • This review will cover historical perspectives of regeneration biology and current topics in limb regeneration, with particular interest given to the upper extremity, including the commonalities between human embryological development and amphibian regeneration, growth factors and pathways that show correlation with development and regeneration, recently discovered differences in fetal and adult wound healing, and current research and knowledge regarding human extremity tissue regeneration.

  • Post-traumatic growth and spirituality in burn recovery

    Type Journal Article
    Author Shelley Wiechman Askay
    Author Gina Magyar-Russell
    Abstract For decades, research on long-term adjustment to burn injuries has adopted a deficit model of focusing solely on negative emotions. The presence of positive emotion and the experience of growth in the aftermath of a trauma have been virtually ignored in this field. Researchers and clinicians of other health and trauma populations have frequently observed that, following a trauma, there were positive emotions and growth. This growth occurs in areas such as a greater appreciation of life and changed priorities; warmer, more intimate relations with others; a greater sense of personal strength, recognition of new possibilities, and spiritual development. In addition, surveys of trauma survivors report that spiritual or religious beliefs played an important part in their recovery and they wished more healthcare providers were comfortable talking about these issues. Further evidence suggests that trauma survivors who rely on spiritual or religious beliefs for coping may show a greater ability for post-traumatic growth (PTG). This article reviews the literature on these two constructs as it relates to burn survivors. We also provide recommendations for clinicians on how to create an environment that fosters PTG and encourages patients to explore their spiritual and religious beliefs in the context of the trauma.
    Publication International Review of Psychiatry
    Volume 21
    Issue 6
    Pages 570-579
    Date Dec 2009
    Journal Abbr Int Rev Psychiatry
    DOI 10.3109/09540260903344107
    ISSN 1369-1627
    URL http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/19919210
    Accessed Monday, December 28, 2009 1:09:17 PM
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  • Effects of qigong on late-stage complex regional pain syndrome

    Type Journal Article
    Author W H Wu
    Author E Bandilla
    Author D S Ciccone
    Author J Yang
    Author S C Cheng
    Author N Carner
    Author Y Wu
    Author R Shen
    Abstract CONTEXT: Despite the growing popularity of qigong in the West, few well-controlled studies using a sham master to assess the clinical efficacy of qigong have been conducted. OBJECTIVE: To study the effect of qigong on treatment-resistant patients with late-stage complex regional pain syndrome type I. DESIGN: Block-random placebo-controlled clinical trial. SETTING: Pain Management Center at New Jersey Medical School. PATIENTS: 26 adult patients (aged 18 to 65 years) with complex regional pain syndrome type I. INTERVENTIONS: The experimental group received qi emission and qigong instruction (including home exercise) by a qigong master. The control group received a similar set of instructions by a sham master. The experimental protocol included 6 forty-minute qigong sessions over 3 weeks, with reevaluation at 6 and 10 weeks. Assessment included comprehensive medical history, physical exam, psychological evaluation, necessary diagnostic testing. Symptom Check List 90, and the Carleton University Responsiveness to Suggestion Scale. MAIN OUTCOME MEASURES: Thermography, swelling, discoloration, muscle wasting, range of motion, pain intensity rating, medication usage, behavior assessment (activity level and domestic disability), frequency of pain awakening, mood assessment, and anxiety assessment. RESULTS: 22 subjects completed the protocol. Among the genuine qigong group, 82% reported less pain by the end of the first training session compared to 45% of control patients. By the last training session, 91% of qigong patients reported analgesia compared to 36% of control patients. Anxiety was reduced in both groups over time, but the reduction was significantly greater in the experimental group than in the control group. CONCLUSIONS: Using a credible placebo to control for nonspecific treatment effects, qigong training was found to result in transient pain reduction and long-term anxiety reduction. The positive findings were not related to preexperimental differences between groups in hypnotizability. Future studies of qigong should control for possible confounding influences and perhaps use clinical disorders more responsive to psychological intervention.
    Publication Alternative Therapies in Health and Medicine
    Volume 5
    Issue 1
    Pages 45-54
    Date Jan 1999
    Journal Abbr Altern Ther Health Med
    ISSN 1078-6791
    URL http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/9893315
    Accessed Tuesday, October 20, 2009 9:32:49 PM
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    Tags:

    • Adolescent
    • Adult
    • Aged
    • Breathing Exercises
    • Middle Aged
    • Reflex Sympathetic Dystrophy
    • Time Factors
    • Treatment Outcome

    Notes:

    • Objective: To study the effect of qigong on treatment-resistant patients with late-stage complex regional pain syndrome type I. INTERVENTIONS: The experimental group received qi emission and qigong instruction (including home exercise) by a qigong master. Results: 82% reported less pain by the end of the first training session compared to 45% of control patients. Anxiety was reduced in both groups over time, but the reduction was significantly greater in the experimental group than in the control group.

  • Pilot study to assess HIV knowledge, spirituality, and risk behaviors among older African Americans

    Type Journal Article
    Author Anthony K Wutoh
    Author Gloria Nichols English
    Author Marlon Daniel
    Author Karima A Kendall
    Author Ewan K Cobran
    Author Veronica Clarke Tasker
    Author Glenda Hodges
    Author Ashanta P Brady
    Author Annet Mbulaiteye
    Abstract A pilot study was conducted in anticipation of implementation of a larger project to assess human immunodeficiency virus (HIV) risk behaviors among older African Americans. A cross-sectional methodology was employed, including 33 African Americans aged more than 50 years in the metropolitan Washington, DC, area. The average age of the participants was 66 years old, with an age range from 51 to 86 years. Data were collected utilizing previously validated instruments that were administered using an audio computer-assisted survey instrument. There was relatively high knowledge regarding HIV, with female participants scoring significantly higher compared to male participants (p=.003). Another specific finding of the preliminary study was the association between higher levels of spirituality and lower levels of HIV sexual risk behaviors (Spearman's correlation=-0.369, p=.035). Results of this pilot study suggest that older African American females may be more knowledgeable regarding HIV than older African American males. This may suggest that educational and behavioral interventions developedfor this group may need to be structured based upon the targeted gender of the audience. The association between increased spirituality and decreased risk behaviors may suggest that spiritually-based interventions may provide some benefit regarding reduction of HIV risk behaviors in this population. However, the small sample size in this study warrants caution in the conclusions and highlights the need for further research in this population.
    Publication Journal of the National Medical Association
    Volume 103
    Issue 3
    Pages 265-268
    Date Mar 2011
    Journal Abbr J Natl Med Assoc
    ISSN 0027-9684
    URL http://www.ncbi.nlm.nih.gov/pubmed/21671530
    Accessed Wednesday, July 13, 2011 6:11:45 PM
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    Notes:

    • A pilot study was conducted in anticipation of implementation of a larger project to assess human immunodeficiency virus (HIV) risk behaviors among older African Americans. A cross-sectional methodology was employed, including 33 African Americans aged more than 50 years in the metropolitan Washington, DC, area. The average age of the participants was 66 years old, with an age range from 51 to 86 years.

  • Complementary therapy use among older cancer patients

    Type Journal Article
    Author G K Wyatt
    Author L L Friedman
    Author C W Given
    Author B A Given
    Author K C Beckrow
    Abstract PURPOSE: The purpose of this study was to assess the use of complementary therapies among older cancer patients, to report patterns of use, and to understand who is more likely to use complementary therapies. DESCRIPTION OF STUDY: A survey was conducted of 699 older cancer patients at 4 weeks and 6 weeks into cancer treatment. All participants were 64 years of age or older, had received a diagnosis of breast, colorectal, prostate, or lung cancer, and were recruited from community cancer treatment centers throughout Michigan. Measures of interest included self-reported physical symptoms, depressive symptomatology, optimism, spirituality, and use of conventional and complementary health services. RESULTS: Approximately 33% of older cancer patients reported using complementary therapies. These individuals were more likely to be women, to be breast cancer patients, and to have a higher level of education. The three most frequently used therapies were exercise, herbal therapy, and spiritual healing. Complementary therapy users were significantly more optimistic than nonusers. Also, there were significant differences between users and nonusers on types of physical symptoms experienced, but no differences on reported depressive symptomatology or spirituality. CLINICAL IMPLICATIONS: Oncology providers need to be aware that one third of their older patients are likely to supplement conventional care with complementary therapies. Therefore, providers should be knowledgeable about the safety and efficacy, in particular, of various exercise programs, herbal and vitamin therapies, and spiritual healing. It would be beneficial to develop a system within cancer centers by which patients could easily report on their use of complementary therapies, allowing providers to work in partnership with their patients.
    Publication Cancer Practice
    Volume 7
    Issue 3
    Pages 136-144
    Date 1999 May-Jun
    Journal Abbr Cancer Pract
    ISSN 1065-4704
    URL http://www.ncbi.nlm.nih.gov/pubmed/10352076
    Accessed Thursday, November 12, 2009 8:27:42 PM
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    Tags:

    • Aged
    • Complementary Therapies
    • depression
    • Educational Status
    • Female
    • Health Knowledge, Attitudes, Practice
    • Humans
    • Male
    • Middle Aged
    • Neoplasms
    • Patient Acceptance of Health Care
    • Questionnaires

    Notes:

    • The purpose of this study was to assess the use of complementary therapies among older cancer patients, to report patterns of use, and to understand who is more likely to use complementary therapies. Approximately 33% of older cancer patients reported using complementary therapies. These individuals were more likely to be women, to be breast cancer patients, and to have a higher level of education.

  • A qualitative review of the role of qigong in the management of diabetes

    Type Journal Article
    Author Liu Xin
    Author Yvette D Miller
    Author Wendy J Brown
    Abstract OBJECTIVE: To review the evidence relating to the effectiveness of qigong in the management of diabetes. METHODS: We performed a systematic literature review of qigong intervention studies published in English or Chinese since 1980, retrieved from English-language databases and Chinese journals. Qigong intervention studies conducted with adults with diabetes, which reported both preintervention and postintervention measures of fasting blood glucose and/or hemoglobin A(1c)(HbA(1c)) were included. Sample characteristics, intervention frequency/duration, and metabolic outcomes were reviewed. RESULTS: Sixty-nine intervention studies were located. Of these, only 11 met the criteria for inclusion. There were consistent and statistically significant positive associations between participation in qigong and fasting and 2-hour oral glucose tolerance test results, blood glucose, and triglycerides and total cholesterol. Effects on insulin and HbA(1c) were inconsistent. There was no evidence of any effect of qigong on weight. Most of the studies were of short duration, involved small samples, and did not include a control group. CONCLUSIONS:Although qigong has beneficial effects on some of the metabolic risk factors for type 2 diabetes, methodologic limitations make it difficult to draw firm conclusions about the benefits reported. Randomized controlled trials are required to confirm the potential beneficial effects of qigong on the management of type 2 diabetes.
    Publication Journal of Alternative and Complementary Medicine (New York, N.Y.)
    Volume 13
    Issue 4
    Pages 427-433
    Date May 2007
    Journal Abbr J Altern Complement Med
    DOI 10.1089/acm.2006.6052
    ISSN 1075-5535
    URL http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/17532735
    Accessed Monday, November 02, 2009 1:08:31 PM
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    Date Added Saturday, October 01, 2011 4:55:15 PM
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    Tags:

    • Blood Glucose
    • Breathing Exercises
    • Diabetes Mellitus, Type 2
    • Evidence-Based Medicine
    • Hemoglobin A, Glycosylated
    • Humans
    • Research Design
    • Self Care

    Notes:

    • Objective: To review the evidence relating to the effectiveness of qigong in the management of diabetes. Conclusions:Although qigong has beneficial effects on some of the metabolic risk factors for type 2 diabetes, methodologic limitations make it difficult to draw firm conclusions about the benefits reported.

  • Use of alternative medicine in Israeli chronic rhinosinusitis patients

    Type Journal Article
    Author Arkadi Yakirevitch
    Author Lev Bedrin
    Author Lela Migirov
    Author Michael Wolf
    Author Yoav P Talmi
    Abstract OBJECTIVE: The worldwide interest in the use of complementary and alternative medicine (CAM) has been established in multiple surveys. Chronic rhinosinusitis (CRS) is often an unremitting disease with frequent troubling relapses, and despite wide use of endoscopic sinus surgery, conventional medicine may have a smaller contribution than expected. Because of prevalent use of CAM among patients, it is important that physicians acquire basic knowledge of this subject. We studied the prevalence of CAM use among CRS patients in Israel. DESIGN: Use of CAM was evaluated in a cohort of consecutive adult patients with CRS. SETTING: An outpatient clinic in a tertiary medical centre. METHODS: Patients were asked to fill out an anonymous questionnaire containing demographic data and data pertaining to allergy, traditional medical and surgical treatment use of CAM, and modalities used. RESULTS: Ninety patients were included. Nineteen of them (21%) reported CAM use. This included herbal medicine, vitamins, homeopathy, acupuncture, massage, reflexology, yoga, and chiropractics. There was a tendency, although not statistically significant, for patients with allergy and a history of sinus surgery to use CAM. CONCLUSIONS: The prevalence of CAM use among patients with CRS in Israel is high and may correlate with the presence of allergies and a history of sinus surgery.
    Publication Journal of Otolaryngology - Head & Neck Surgery = Le Journal D'oto-Rhino-Laryngologie Et De Chirurgie Cervico-Faciale
    Volume 38
    Issue 4
    Pages 517-520
    Date Aug 2009
    Journal Abbr J Otolaryngol Head Neck Surg
    ISSN 1916-0216
    URL http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/19755095
    Accessed Monday, September 28, 2009 11:51:44 PM
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    Date Added Saturday, October 01, 2011 4:55:15 PM
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    Notes:

    • Chronic rhinosinusitis (CRS) is often an unremitting disease with frequent troubling relapses, and despite wide use of endoscopic sinus surgery, conventional medicine may have a smaller contribution than expected. Conclusions: The prevalence of CAM use among patients with CRS in Israel is high and may correlate with the presence of allergies and a history of sinus surgery.

  • Facets of spirituality as predictors of adjustment to cancer: relative contributions of having faith and finding meaning

    Type Journal Article
    Author Betina Yanez
    Author Donald Edmondson
    Author Annette L Stanton
    Author Crystal L Park
    Author Lorna Kwan
    Author Patricia A Ganz
    Author Thomas O Blank
    Abstract Spirituality is a multidimensional construct, and little is known about how its distinct dimensions jointly affect well-being. In longitudinal studies (Study 1, n = 418 breast cancer patients; Study 2, n = 165 cancer survivors), the authors examined 2 components of spiritual well-being (i.e., meaning/peace and faith) and their interaction, as well as change scores on those variables, as predictors of psychological adjustment. In Study 1, higher baseline meaning/peace, as well as an increase in meaning/peace over 6 months, predicted a decline in depressive symptoms and an increase in vitality across 12 months in breast cancer patients. Baseline faith predicted an increase in perceived cancer-related growth. Study 2 revealed that an increase in meaning/peace was related to improved mental health and lower cancer-related distress. An increase in faith was related to increased cancer-related growth. Both studies revealed significant interactions between meaning/peace and faith in predicting adjustment. Findings suggest that the ability to find meaning and peace in life is the more influential contributor to favorable adjustment during cancer survivorship, although faith appears to be uniquely related to perceived cancer-related growth.
    Publication Journal of Consulting and Clinical Psychology
    Volume 77
    Issue 4
    Pages 730-741
    Date Aug 2009
    Journal Abbr J Consult Clin Psychol
    DOI 10.1037/a0015820
    ISSN 1939-2117
    Short Title Facets of spirituality as predictors of adjustment to cancer
    URL http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/19634965
    Accessed Friday, September 18, 2009 6:31:46 PM
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    Date Added Thursday, September 29, 2011 9:05:38 AM
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    Tags:

    • cancer
    • faith
    • meaning
    • spirituality

    Notes:

    • The authors examined 2 components of spiritual well-being (i.e., meaning/peace and faith) and their interaction, as well as change scores on those variables, as predictors of psychological adjustment. In Study 1, higher baseline meaning/peace, as well as an increase in meaning/peace over 6 months, predicted a decline in depressive symptoms and an increase in vitality across 12 months in breast cancer patients. Baseline faith predicted an increase in perceived cancer-related growth. Study 2 revealed that an increase in meaning/peace was related to improved mental health and lower cancer-related distress. An increase in faith was related to increased cancer-related growth. Both studies revealed significant interactions between meaning/peace and faith in predicting adjustment. Findings suggest that the ability to find meaning and peace in life is the more influential contributor to favorable adjustment during cancer survivorship, although faith appears to be uniquely related to perceived cancer-related growth.

  • Effects of a Taiji and Qigong intervention on the antibody response to influenza vaccine in older adults

    Type Journal Article
    Author Yang Yang
    Author Jay Verkuilen
    Author Karl S Rosengren
    Author Rachel A Mariani
    Author Michael Reed
    Author Scott A Grubisich
    Author Jeffrey A Woods
    Abstract Previous studies have suggested that Taiji practice may improve immune function. This study was intended to examine whether 5 months of moderate Taiji and Qigong (TQ) practice could improve the immune response to influenza vaccine in older adults. Fifty older adults (mean age 77.2 +/- 1.3 years) participated in this study (TQ N = 27; wait-list control [CON] N = 23). Baseline pre-vaccine blood samples were collected. All subjects then received the 2003-2004 influenza vaccine during the first week of the intervention. Post-vaccine blood samples were collected 3, 6 and 20 weeks post-intervention for analysis of anti-influenza hemagglutination inhibition (HI) titers. We found a significant (p < 0.05) increase in the magnitude and duration of the antibody response to influenza vaccine in TQ participants when compared to CON. The vaccination resulted in a 173, 130, and 109% increase in HI titer at 3, 6, and 20 weeks post-vaccine, respectively, in the TQ group compared to 58, 54, and 10% in CON. There was a significant between group difference at 3 and 20 weeks post-vaccine and at 20 weeks the TQ group had significantly higher titers compared to the pre-vaccine time point, whereas the CON group did not. A higher percentage of TQ subjects also responded to the influenza A strains with a protective (> 40HI) antibody response (37% TQ vs. 20% CON for the H1N1 strain and 56% TQ vs. 45% CON for the H3N2 strain), but the differences between groups were not statistically significant. Traditional TQ practice improves the antibody response to influenza vaccine in older adults, but further study is needed to determine whether the enhanced response is sufficient to provide definitive protection from influenza infection.
    Publication The American Journal of Chinese Medicine
    Volume 35
    Issue 4
    Pages 597-607
    Date 2007
    Journal Abbr Am. J. Chin. Med
    ISSN 0192-415X
    URL http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/17708626
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    Date Added Saturday, October 01, 2011 4:55:15 PM
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    Tags:

    • Aged
    • Aged, 80 and over
    • Aging
    • Antibodies, Viral
    • Antibody Formation
    • Breathing Exercises
    • Exercise
    • Female
    • Humans
    • Influenza A Virus, H1N1 Subtype
    • Influenza A Virus, H3N2 Subtype
    • Influenza Vaccines
    • Influenza, Human
    • Intervention Studies
    • Male
    • Tai Ji

    Notes:

    • This study was intended to examine whether 5 months of moderate Taiji and Qigong (TQ) practice could improve the immune response to influenza vaccine in older adults. There was a significant between group difference at 3 and 20 weeks post-vaccine and at 20 weeks the TQ group had significantly higher titers compared to the pre-vaccine time point, whereas the CON group did not. Traditional TQ practice improves the antibody response to influenza vaccine in older adults, but further study is needed to determine whether the enhanced response is sufficient to provide definitive protection from influenza infection.

  • Tai chi exercise in patients with chronic heart failure: a randomized clinical trial

    Type Journal Article
    Author Gloria Y Yeh
    Author Ellen P McCarthy
    Author Peter M Wayne
    Author Lynne W Stevenson
    Author Malissa J Wood
    Author Daniel Forman
    Author Roger B Davis
    Author Russell S Phillips
    Abstract BACKGROUND Preliminary evidence suggests that meditative exercise may have benefits for patients with chronic systolic heart failure (HF); this has not been rigorously tested in a large clinical sample. We sought to investigate whether tai chi, as an adjunct to standard care, improves functional capacity and quality of life in patients with HF. METHODS A single-blind, multisite, parallel-group, randomized controlled trial evaluated 100 outpatients with systolic HF (New York Heart Association class I-III, left ventricular ejection fraction ≤40%) who were recruited between May 1, 2005, and September 30, 2008. A group-based 12-week tai chi exercise program (n = 50) or time-matched education (n = 50, control group) was conducted. Outcome measures included exercise capacity (6- minute walk test and peak oxygen uptake) and disease-specific quality of life (Minnesota Living With Heart Failure Questionnaire). RESULTS Mean (SD) age of patients was 67 (11) years; baseline values were left ventricular ejection fraction, 29% (8%) and peak oxygen uptake, 13.5 mL/kg/min; the median New York Heart Association class of HF was class II. At completion of the study, there were no significant differences in change in 6-minute walk distance and peak oxygen uptake (median change [first quartile, third quartile], 35 [-2, 51] vs 2 [-7, 54] meters, P = .95; and 1.1 [-1.1, 1.5] vs -0.5 [-1.2, 1.8] mL/kg/min, P = .81) when comparing tai chi and control groups; however, patients in the tai chi group had greater improvements in quality of life (Minnesota Living With Heart Failure Questionnaire, -19 [-23, -3] vs 1 [-16, 3], P = .02). Improvements with tai chi were also seen in exercise self-efficacy (Cardiac Exercise Self-efficacy Instrument, 0.1 [0.1, 0.6] vs -0.3 [-0.5, 0.2], P < .001) and mood (Profile of Mood States total mood disturbance, -6 [-17, 1] vs -1 [-13, 10], P = .01). CONCLUSION Tai chi exercise may improve quality of life, mood, and exercise self-efficacy in patients with HF. Trial Registration clinicaltrials.gov Identifier: NCT00110227.
    Publication Archives of Internal Medicine
    Volume 171
    Issue 8
    Pages 750-757
    Date Apr 25, 2011
    Journal Abbr Arch. Intern. Med
    DOI 10.1001/archinternmed.2011.150
    ISSN 1538-3679
    Short Title Tai chi exercise in patients with chronic heart failure
    URL http://www.ncbi.nlm.nih.gov/pubmed/21518942
    Accessed Monday, May 09, 2011 6:57:24 PM
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    Date Added Thursday, September 29, 2011 8:55:31 AM
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    Notes:

    • This study aimed to investigate whether tai chi, as an adjunct to standard care, improves functional capacity and quality of life in patients with heart failure.

  • Youth religiosity and substance use: a meta-analysis from 1995 to 2007

    Type Journal Article
    Author Jerf W K Yeung
    Author Yuk-Chung Chan
    Author Boris L K Lee
    Abstract In this meta-analysis, the magnitude of the protective effects of religiosity on youth involvement in substance use was investigated. Based on 22 studies in peer-reviewed journals published between 1995 and 2007, the average weighted mean correlation was Zr = .16, significant regardless of the definitions of religiosity. The homogeneity test of variance showed consistent protective effects of religiosity on four types of substance use, namely, alcohol, cigarette, marijuana, and other illicit drugs.
    Publication Psychological Reports
    Volume 105
    Issue 1
    Pages 255-266
    Date Aug 2009
    Journal Abbr Psychol Rep
    ISSN 0033-2941
    Short Title Youth religiosity and substance use
    URL http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/19810452
    Accessed Monday, November 02, 2009 9:54:06 PM
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    Extra PMID: 19810452
    Date Added Thursday, September 29, 2011 9:04:55 AM
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  • Religion, spirituality, and depressive symptoms in patients with HIV/AIDS

    Type Journal Article
    Author Michael S Yi
    Author Joseph M Mrus
    Author Terrance J Wade
    Author Mona L Ho
    Author Richard W Hornung
    Author Sian Cotton
    Author Amy H Peterman
    Author Christina M Puchalski
    Author Joel Tsevat
    Abstract BACKGROUND: Depression has been linked to immune function and mortality in patients with chronic illnesses. Factors such as poorer spiritual well-being has been linked to increased risk for depression and other mood disorders in patients with HIV. OBJECTIVE: We sought to determine how specific dimensions of religion, spirituality, and other factors relate to depressive symptoms in a contemporary, multi-center cohort of patients with HIV/AIDS. DESIGN: Patients were recruited from 4 medical centers in 3 cities in 2002 to 2003, and trained interviewers administered the questionnaires. The level of depressive symptoms was measured with the 10-item Center for Epidemiologic Studies Depression (CESD-10) Scale. Independent variables included socio-demographics, clinical information, 8 dimensions of health status and concerns, symptoms, social support, risk attitudes, self-esteem, spirituality, religious affiliation, religiosity, and religious coping. We examined the bivariate and multivariable associations of religiosity, spirituality, and depressive symptoms. MEASUREMENTS AND MAIN RESULTS: We collected data from 450 subjects. Their mean (SD) age was 43.8 (8.4) years; 387 (86.0%) were male; 204 (45.3%) were white; and their mean CD4 count was 420.5 (301.0). Two hundred forty-one (53.6%) fit the criteria for significant depressive symptoms (CESD-10 score > or = 10). In multivariable analyses, having greater health worries, less comfort with how one contracted HIV, more HIV-related symptoms, less social support, and lower spiritual well-being was associated with significant depressive symptoms (P<.05). CONCLUSION: A majority of patients with HIV reported having significant depressive symptoms. Poorer health status and perceptions, less social support, and lower spiritual well-being were related to significant depressive symptoms, while personal religiosity and having a religious affiliation was not associated when controlling for other factors. Helping to address the spiritual needs of patients in the medical or community setting may be one way to decrease depressive symptoms in patients with HIV/AIDS.
    Publication Journal of General Internal Medicine
    Volume 21 Suppl 5
    Pages S21-27
    Date Dec 2006
    Journal Abbr J Gen Intern Med
    DOI 10.1111/j.1525-1497.2006.00643.x
    ISSN 1525-1497
    URL http://www.ncbi.nlm.nih.gov/pubmed/17083496
    Accessed Friday, November 13, 2009 4:56:18 PM
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    Tags:

    • Adaptation, Psychological
    • Adult
    • Causality
    • Cohort Studies
    • Comorbidity
    • depression
    • Female
    • Health Status
    • HIV Infections
    • Humans
    • Male
    • Marital Status
    • Multivariate Analysis
    • Prevalence
    • Religion and Psychology
    • United States

    Notes:

    • Objective: We sought to determine how specific dimensions of religion, spirituality, and other factors relate to depressive symptoms in a contemporary, multi-center cohort of patients with HIV/AIDS. Conclusion: A majority of patients with HIV reported having significant depressive symptoms. Poorer health status and perceptions, less social support, and lower spiritual well-being were related to significant depressive symptoms, while personal religiosity and having a religious affiliation was not associated when controlling for other factors.

  • Adult smokers' perception of the role of religion and religious leadership on smoking and association with quitting: a comparison between Thai Buddhists and Malaysian Muslims

    Type Journal Article
    Author Hua-Hie Yong
    Author Stephen L Hamann
    Author Ron Borland
    Author Geoffrey T Fong
    Author Maizurah Omar
    Abstract In recent years, attempts have been made to incorporate religion into tobacco control efforts, especially in countries like Malaysia and Thailand where religion is central to the lives of people. This paper is a prospective examination of the perceived relevance and role of religion and religious authorities in influencing smoking behaviour among Muslims in Malaysia and Buddhists in Thailand. Data were collected from 1482 Muslim Malaysian and 1971 Buddhist Thai adult smokers who completed wave 1 (early 2005) of the International Tobacco Control Southeast Asia Survey (ITC-SEA). Respondents were asked about the role of religion and religious leadership on smoking at Wave 1 and among those recontacted, quitting activity at Wave 2. Results revealed that over 90% of both religious groups reported that their religion guides their day-to-day behaviour at least sometimes, but Malaysian Muslims were more likely to report that this was always the case. The majority (79% Muslims and 88% Buddhists) of both groups believed that their religion discourages smoking. About 61% of the Muslims and 58% of the Buddhists reported that their religious leaders had encouraged them to quit before and a minority (30% and 26%, respectively) said they would be an influential source to motivate them to quit. Logistic regression models suggest that these religious factors had a clear independent association with making quitting attempts in both countries and this translated to success for Malaysian Muslims but not for the Thai Buddhists. Taken together, results from this study indicate that religion and religious authorities are both relevant and important drivers of quitting, but whether this is always enough to guarantee success is less clear. Religion can be a culturally relevant vehicle to complement other tobacco control efforts.
    Publication Social Science & Medicine
    Volume 69
    Issue 7
    Pages 1025-1031
    Date Oct 2009
    Journal Abbr Soc Sci Med
    DOI 10.1016/j.socscimed.2009.07.042
    ISSN 1873-5347
    Short Title Adult smokers' perception of the role of religion and religious leadership on smoking and association with quitting
    URL http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/19695758
    Accessed Monday, September 28, 2009 10:35:53 PM
    Library Catalog NCBI PubMed
    Extra PMID: 19695758
    Date Added Thursday, September 29, 2011 9:05:21 AM
    Modified Thursday, September 29, 2011 9:05:21 AM
  • Mindfulness meditation: a primer for rheumatologists

    Type Journal Article
    Author Laura A Young
    Abstract Over the past decade, there has been an increasing interest in meditation as a mind-body approach, given its potential to alleviate emotional distress and promote improved well being in a variety of populations. The overall purpose of this review is to provide the practicing rheumatologist with an overview of mindfulness and how it can be applied to Western medical treatment plans to enhance both the medical and psychological care of patients.
    Publication Rheumatic Diseases Clinics of North America
    Volume 37
    Issue 1
    Pages 63-75
    Date Feb 2011
    Journal Abbr Rheum. Dis. Clin. North Am
    DOI 10.1016/j.rdc.2010.11.010
    ISSN 1558-3163
    Short Title Mindfulness meditation
    Accessed Tuesday, March 15, 2011 2:29:26 PM
    Library Catalog NCBI PubMed
    Extra PMID: 21220086
    Date Added Thursday, September 29, 2011 8:57:14 AM
    Modified Thursday, September 29, 2011 8:57:14 AM
  • The Effect of Mindfulness Meditation on Cough Reflex Sensitivity

    Type Journal Article
    Author Emma Claire Young
    Author Chris Brammar
    Author Emily Owen
    Author Nailah Brown
    Author John Lowe
    Author Collette Johnson
    Author Rachel Calam
    Author Steve Jones
    Author Ashley Woodcock
    Author Jaclyn A Smith
    Abstract BACKGROUND: Chronic cough is common and medical treatment can be ineffective. Mindfulness is a psychological intervention that aims to teach moment-to-moment non-judgemental awareness of thoughts, feelings and sensations. Method: 30 healthy subjects and 30 chronic cough patients were studied in two sequential trials. For both studies, cough reflex sensitivity to citric acid (C5) was measured on two occasions with urge-to-cough rated following each inhalation; between challenges subjects were randomised to (i) no intervention (ii) mindfulness or (iii) no intervention but modified cough challenge (subjects suppress coughing). For the healthy volunteers, measures were one hour apart and mindfulness was practiced for 15 minutes. For the chronic cough patients measures were 1 week apart and mindfulness practiced daily for 30 minutes. RESULTS: In healthy volunteers, median change (IQR) in cough reflex sensitivity (logC5) for no intervention, mindfulness and suppression was +1.0(0.0 to +1.3), +2.0(+1.0 to +3.0) and +3.0(+2.8 to +3.0) doubling concentrations (dc) (p=0.003); significant reductions for both mindfulness (p=0.043) and suppression (p=0.002) over no intervention. In cough patients, median change (IQR) in logC5 for no intervention, mindfulness training and voluntary suppression was 0.0(-1.0 to +1.0), +1.0(-0.3 to +1.0) and +1.0(+1.0 to +2.0)dc, (p=0.046); significant reduction for suppression (p=0.02) but not mindfulness (p=0.35). Urge-to-cough did not change after mindfulness compared to control in either healthy (p=0.33) or chronic cough subjects (p=0.47). CONCLUSION: Compared to control, mindfulness decreased cough reflex sensitivity in healthy volunteers, but did not alter cough threshold in chronic cough patients. Both groups were able to suppress cough responses to citric acid inhalation.
    Publication Thorax
    Date Aug 12, 2009
    Journal Abbr Thorax
    DOI 10.1136/thx.2009.116723
    ISSN 1468-3296
    URL http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/19679578
    Accessed Saturday, September 26, 2009 3:36:52 PM
    Library Catalog NCBI PubMed
    Extra PMID: 19679578
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Tags:

    • prepub

    Notes:

    • This study examines the effects of mindfulness meditation on chronic cough. The results indicated that MM reduced the cough threshold for healthy volunteers, but not for patients with chronic cough.

  • The effects of slow breathing on affective responses to pain stimuli: An experimental study

    Type Journal Article
    Author Alex J. Zautra
    Author Robert Fasman
    Author Mary C. Davis
    Author Arthur D. (Bud) Craig
    Abstract This study examined whether breathing rate affected self-reported pain and emotion following thermal pain stimuli in women with fibromyalgia syndrome (FM: n = 27) or age-matched healthy control women (HC: n = 25). FM and HC were exposed to low and moderate thermal pain pulses during paced breathing at their normal rate and one-half their normal rate. Thermal pain pulses were presented in four blocks of four trials. Each block included exposure to both mild and moderate pain trials, and periods of both normal and slow paced breathing. Pain intensity and unpleasantness were recorded immediately following each pain trial, and positive and negative affect were assessed at the end of each block of trials. Compared to normal breathing, slow breathing reduced ratings of pain intensity and unpleasantness, particularly for moderately versus mildly painful thermal stimuli. The effects of slow breathing on pain ratings were less reliable for FM patients than for HCs. Slow versus normal breathing decreased negative affect ratings following thermal pain pulses for both groups, and increased positive affect reports, but only for healthy controls with high trait negative affect. Participants who reported higher levels of trait positive affect prior to the experiment showed greater decreases in negative affect as a result of slow versus normal breathing. These experimental findings provide support for prior reports on the benefits of yogic breathing and mindful Zen meditation for pain and depressed affect. However, chronic pain patients may require more guidance to obtain therapeutic benefit from reduced breathing rates.
    Publication Pain
    Volume 149
    Issue 1
    Pages 12-18
    Date April 2010
    DOI 10.1016/j.pain.2009.10.001
    ISSN 0304-3959
    Short Title The effects of slow breathing on affective responses to pain stimuli
    Accessed Friday, May 07, 2010 3:01:53 PM
    Library Catalog ScienceDirect
    Date Added Thursday, September 29, 2011 9:04:02 AM
    Modified Thursday, September 29, 2011 9:04:02 AM

    Tags:

    • Affect
    • Fibromyalgia
    • Pain
    • Slow breathing

    Notes:

    • This study examined whether breathing rate affected self-reported pain and emotion following thermal pain stimuli in women with fibromyalgia syndrome (FM: n=27) or age-matched healthy control women (HC: n=25). FM and HC were exposed to low and moderate thermal pain pulses during paced breathing at their normal rate and one-half their normal rate. Thermal pain pulses were presented in four blocks of four trials. Each block included exposure to both mild and moderate pain trials, and periods of both normal and slow paced breathing. Pain intensity and unpleasantness were recorded immediately following each pain trial, and positive and negative affect were assessed at the end of each block of trials. Compared to normal breathing, slow breathing reduced ratings of pain intensity and unpleasantness, particularly for moderately versus mildly painful thermal stimuli. The effects of slow breathing on pain ratings were less reliable for FM patients than for HCs. Slow versus normal breathing decreased negative affect ratings following thermal pain pulses for both groups, and increased positive affect reports, but only for healthy controls with high trait negative affect. Participants who reported higher levels of trait positive affect prior to the experiment showed greater decreases in negative affect as a result of slow versus normal breathing. These experimental findings provide support for prior reports on the benefits of yogic breathing and mindful Zen meditation for pain and depressed affect. However, chronic pain patients may require more guidance to obtain therapeutic benefit from reduced breathing rates.

  • Spirituality and quality of life in low-income men with metastatic prostate cancer

    Type Journal Article
    Author Mary Wassel Zavala
    Author Sally L Maliski
    Author Lorna Kwan
    Author Arlene Fink
    Author Mark S Litwin
    Abstract OBJECTIVE: To determine how spirituality is associated with health-related quality of life (HRQOL) in an ethnically diverse cohort of low-income men with metastatic prostate cancer. METHODS: Eighty-six participants in a state-funded program that provides free prostate cancer treatment to uninsured, low-income men completed written surveys and telephone interviews containing validated measures of spirituality, and general and disease-specific HRQOL. Assessments were made following diagnosis of metastatic disease. We used multivariate analyses to assess the effect of spirituality and its two subscales, faith and meaning/peace, on HRQOL. RESULTS: African American and Latino men, and men with less than a high-school education had the highest spirituality scores. Spirituality was significantly associated with general and disease-specific HRQOL. We also found a significant interaction between faith and meaning/peace in the physical and pain domains. CONCLUSION: Greater spirituality was associated with better HRQOL and psychosocial function. Meaning/peace closely tracks with HRQOL. Higher faith scores, in the absence of high meaning/peace scores, are negatively associated with HRQOL.
    Publication Psycho-Oncology
    Volume 18
    Issue 7
    Pages 753-761
    Date Jul 2009
    Journal Abbr Psychooncology
    DOI 10.1002/pon.1460
    ISSN 1099-1611
    URL http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/19061194
    Accessed Friday, September 18, 2009 6:31:22 PM
    Library Catalog NCBI PubMed
    Extra PMID: 19061194
    Date Added Thursday, September 29, 2011 9:05:38 AM
    Modified Thursday, September 29, 2011 9:05:38 AM

    Notes:

    • To determine how spirituality is associated with health-related quality of life (HRQOL) in an ethnically diverse cohort of low-income men with metastatic prostate cancer.

  • Spirituality and quality of life in low-income men with metastatic prostate cancer

    Type Journal Article
    Author Mary Wassel Zavala
    Author Sally L Maliski
    Author Lorna Kwan
    Author Arlene Fink
    Author Mark S Litwin
    Abstract OBJECTIVE: To determine how spirituality is associated with health-related quality of life (HRQOL) in an ethnically diverse cohort of low-income men with metastatic prostate cancer. METHODS: Eighty-six participants in a state-funded program that provides free prostate cancer treatment to uninsured, low-income men completed written surveys and telephone interviews containing validated measures of spirituality, and general and disease-specific HRQOL. Assessments were made following diagnosis of metastatic disease. We used multivariate analyses to assess the effect of spirituality and its two subscales, faith and meaning/peace, on HRQOL. RESULTS: African American and Latino men, and men with less than a high-school education had the highest spirituality scores. Spirituality was significantly associated with general and disease-specific HRQOL. We also found a significant interaction between faith and meaning/peace in the physical and pain domains. CONCLUSION: Greater spirituality was associated with better HRQOL and psychosocial function. Meaning/peace closely tracks with HRQOL. Higher faith scores, in the absence of high meaning/peace scores, are negatively associated with HRQOL.
    Publication Psycho-Oncology
    Volume 18
    Issue 7
    Pages 753-761
    Date Jul 2009
    Journal Abbr Psychooncology
    DOI 10.1002/pon.1460
    ISSN 1099-1611
    URL http://www.ncbi.nlm.nih.gov/pubmed/19061194
    Accessed Friday, November 13, 2009 7:40:34 PM
    Library Catalog NCBI PubMed
    Extra PMID: 19061194
    Date Added Saturday, October 01, 2011 4:55:15 PM
    Modified Saturday, October 01, 2011 4:55:15 PM

    Tags:

    • Adaptation, Psychological
    • African Americans
    • Cohort Studies
    • Educational Status
    • European Continental Ancestry Group
    • Hispanic Americans
    • Humans
    • Male
    • Neoplasm Metastasis
    • Neoplasm Staging
    • Pain
    • Personality Inventory
    • Poverty
    • Prostatic Neoplasms
    • Quality of Life
    • spirituality

    Notes:

    • Objective: To determine how spirituality is associated with health-related quality of life (HRQOL) in an ethnically diverse cohort of low-income men with metastatic prostate cancer. Results: African American and Latino men, and men with less than a high-school education had the highest spirituality scores. Spirituality was significantly associated with general and disease-specific HRQOL.

  • The effects of brief mindfulness meditation training on experimentally induced pain

    Type Journal Article
    Author Fadel Zeidan
    Author Nakia S. Gordon
    Author Junaid Merchant
    Author Paula Goolkasian
    Abstract This study investigated the effects of brief mindfulness meditation training on ratings of painful electrical stimulation. In Experiment 1, we used a 3-day (20 min/d) mindfulness meditation intervention and measured pain ratings before and after the intervention. Participants' numerical ratings of pain to "low" and "high" electrical stimulation significantly decreased after meditation training. Pain sensitivity, measured by change in stimulus intensity thresholds, also decreased after training. We investigated, in Experiment 2, how well relaxation and a math distraction task attenuated experimental pain. Math distraction but not relaxation reduced high pain ratings. There was no reduction in pain sensitivity in these participants. In Experiment 3, we directly compared the effects of meditation with math distraction and relaxation conditions. Our findings indicated significant effects of both meditation and math distraction. Consistent with what was observed in Experiment 1, these participants also demonstrated a decrease in pain sensitivity after meditation training. Changes in the mindfulness and anxiety assessments suggest that meditation's analgesic effects are related to reduced anxiety and the enhanced ability to focus on the present moment. PERSPECTIVE: Our findings indicate that a brief 3-day mindfulness meditation intervention was effective at reducing pain ratings and anxiety scores when compared with baseline testing and other cognitive manipulations. The brief meditation training was also effective at increasing mindfulness skills.
    Publication The Journal of Pain
    Volume 11
    Issue 3
    Pages 199-209
    Date Mar 2010
    Journal Abbr J Pain
    DOI 10.1016/j.jpain.2009.07.015
    ISSN 1528-8447
    Accessed Monday, March 22, 2010 8:37:51 PM
    Library Catalog NCBI PubMed
    Extra PMID: 19853530
    Date Added Thursday, September 29, 2011 9:04:02 AM
    Modified Thursday, September 29, 2011 9:04:02 AM

    Notes:

    • This study investigated the effects of brief mindfulness meditation training on ratings of painful electrical stimulation. In Experiment 1, we used a 3-day (20 min/d) mindfulness meditation intervention and measured pain ratings before and after the intervention. Participants' numerical ratings of pain to “low” and “high” electrical stimulation significantly decreased after meditation training. Pain sensitivity, measured by change in stimulus intensity thresholds, also decreased after training. We investigated, in Experiment 2, how well relaxation and a math distraction task attenuated experimental pain. Math distraction but not relaxation reduced high pain ratings. There was no reduction in pain sensitivity in these participants. In Experiment 3, we directly compared the effects of meditation with math distraction and relaxation conditions. Our findings indicated significant effects of both meditation and math distraction. Consistent with what was observed in Experiment 1, these participants also demonstrated a decrease in pain sensitivity after meditation training. Changes in the mindfulness and anxiety assessments suggest that meditation's analgesic effects are related to reduced anxiety and the enhanced ability to focus on the present moment.

  • Spirituality and disabilities: implications for special education

    Type Journal Article
    Author Kaili C Zhang
    Abstract Although researchers in the health and social care professions have suggested that spirituality is a fundamental human need and a human right that is a necessary component of both mental and physical health (e.g., George, Ellison, & Larson, 2000), spirituality is still a neglected area and underused resource in special education. Little work has focused directly on the significance of spirituality in the lives of students with disabilities, and there are few, if any, explicit references to the spiritual development in the students. In addition, teachers often have difficulties learning how best to understand and enable the spiritual development of students with disabilities (Foster, 2000). In this perspective, I address issues related to disability and spirituality, consider the impact of spirituality on children with disabilities, and suggest some practical strategies teachers can use to help foster the spiritual development of students with disabilities. I propose that spirituality has the power to foster the holistic development of children with disabilities and to give them a sense of identify and purpose in life.
    Publication Intellectual and Developmental Disabilities
    Volume 48
    Issue 4
    Pages 299-302
    Date Aug 2010
    Journal Abbr Intellect Dev Disabil
    DOI 10.1352/1934-9556-48.4.299
    ISSN 1934-9491
    Short Title Spirituality and disabilities
    Accessed Monday, August 30, 2010 4:54:43 PM
    Library Catalog NCBI PubMed
    Extra PMID: 20722483
    Date Added Thursday, September 29, 2011 9:03:07 AM
    Modified Thursday, September 29, 2011 9:03:07 AM

    Notes:

    • This article discusses how spirituality makes a presence in a classroom for special education students.

  • Religion and HIV in Tanzania: influence of religious beliefs on HIV stigma, disclosure, and treatment attitudes

    Type Journal Article
    Author James Zou
    Author Yvonne Yamanaka
    Author Muze John
    Author Melissa Watt
    Author Jan Ostermann
    Author Nathan Thielman
    Abstract Background Religion shapes everyday beliefs and activities, but few studies have examined its associations with attitudes about HIV. This exploratory study in Tanzania probed associations between religious beliefs and HIV stigma, disclosure, and attitudes toward antiretroviral (ARV) treatment. Methods A self-administered survey was distributed to a convenience sample of parishioners (n = 438) attending Catholic, Lutheran, and Pentecostal churches in both urban and rural areas. The survey included questions about religious beliefs, opinions about HIV, and knowledge and attitudes about ARVs. Multivariate logistic regression analysis was performed to assess how religion was associated with perceptions about HIV, HIV treatment, and people living with HIV/AIDS. Results Results indicate that shame-related HIV stigma is strongly associated with religious beliefs such as the belief that HIV is a punishment from God (p < 0.01) or that people living with HIV/AIDS (PLWHA) have not followed the Word of God (p < 0.001). Most participants (84.2%) said that they would disclose their HIV status to their pastor or congregation if they became infected. Although the majority of respondents (80.8%) believed that prayer could cure HIV, almost all (93.7%) said that they would begin ARV treatment if they became HIV-infected. The multivariate analysis found that respondents' hypothetical willingness to begin ARV treatme was not significantly associated with the belief that prayer could cure HIV or with other religious factors. Refusal of ARV treatment was instead correlated with lack of secondary schooling and lack of knowledge about ARVs. Conclusion The decision to start ARVs hinged primarily on education-level and knowledge about ARVs rather than on religious factors. Research results highlight the influence of religious beliefs on HIV-related stigma and willingness to disclose, and should help to inform HIV-education outreach for religious groups.
    Publication BMC Public Health
    Volume 9
    Pages 75
    Date 2009
    Journal Abbr BMC Public Health
    DOI 10.1186/1471-2458-9-75
    ISSN 1471-2458
    Short Title Religion and HIV in Tanzania
    Accessed Tuesday, February 22, 2011 7:42:47 PM
    Library Catalog NCBI PubMed
    Extra PMID: 19261186
    Date Added Thursday, September 29, 2011 9:06:18 AM
    Modified Thursday, September 29, 2011 9:06:18 AM

    Tags:

    • Adult
    • Antiretroviral Therapy, Highly Active
    • Chi-Square Distribution
    • Cultural Characteristics
    • Culture
    • Developing Countries
    • Female
    • Health Knowledge, Attitudes, Practice
    • HIV Infections
    • Humans
    • Logistic Models
    • Male
    • Multivariate Analysis
    • Patient Acceptance of Health Care
    • Population Surveillance
    • Probability
    • Questionnaires
    • Religion and Psychology
    • Risk Factors
    • Social Isolation
    • Stereotyping
    • Tanzania
    • Urban Population
    • Young Adult

    Notes:

    • Religion shapes everyday beliefs and activities, but few studies have examined its associations with attitudes about HIV. This exploratory study in Tanzania probed associations between religious beliefs and HIV stigma, disclosure, and attitudes toward antiretroviral (ARV) treatment.