Complementary religious and spiritual interventions in physical health and quality of life: A systematic review of randomized controlled clinical trials

Carregando...
Imagem de Miniatura
Citações na Scopus
59
Tipo de produção
article
Data de publicação
2017
Editora
PUBLIC LIBRARY SCIENCE
Indexadores
Título da Revista
ISSN da Revista
Título do Volume
Autor de Grupo de pesquisa
Editores
Coordenadores
Organizadores
Citação
PLOS ONE, v.12, n.10, article ID e0186539, 21p, 2017
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
Objective To examine whether religious and spiritual interventions (RSIs) can promote physical health and quality of life in individuals. Methods The following databases were used to conduct a systematic review: PubMed, Scopus, Web of Science, EMBASE, PsycINFO, Cochrane, and Scielo. Randomized controlled trials that evaluated RSIs regarding physical health outcomes and/or quality of life in English, Spanish or Portuguese were included. RSI protocols performed at a distance (i.e. intercessory prayer) or for psychiatric disorders were excluded. This study consisted of two phases: (a) reading titles and abstracts, and (b) assessing the full articles and their methodological quality using the Cochrane Back Review Group scale. Results In total, 7,070 articles were identified in the search, but 6884 were excluded in phase 1 because they were off topic or repeated in databases. Among the 186 articles included in phase 2, 140 were excluded because they did not fit the inclusion criteria and 16 did not have adequate randomization process. Thus, a final selection of 30 articles remained. The participants of the selected studies were classified in three groups: chronic patients (e.g., cancer, obesity, pain), healthy individuals and healthcare professionals. The outcomes assessed included quality of life, physical activity, pain, cardiac outcomes, promotion of health behaviors, clinical practice of healthcare professionals and satisfaction with protocols. The divergence concerning scales and protocols proposed did not allow a meta-analysis. RSIs as a psychotherapy approach were performed in 40% of the studies, and the control group was more likely to use an educational intervention (56.7%). The results revealed small effect sizes favoring RSIs in quality of life and pain outcomes and very small effects sizes in physical activity, promotion of health behaviors and clinical practice of health professionals compared with other complementary strategies. Other outcomes, such as cardiac measures and satisfaction with the protocols, revealed no evidence for RSIs. Regarding the quality of the selected articles according to the Cochrane Back Review Group Scale, the average score was 6.83 (SD = 9.08) on a scale of 11, demonstrating robustness in the studies. Conclusion Clinical trials on RSIs demonstrated that they had small benefits compared with other complementary health therapies by reducing pain and weight, improving quality of life and promoting health behaviors. The lack of clinical trials that included biological outcomes and the diversity of approaches indicate a need for more studies to understand the possible mechanisms of action of RSIs and their roles in health care.
Palavras-chave
Referências
  1. Abbott RA, 2014, J PSYCHOSOM RES, V76, P341, DOI 10.1016/j.jpsychores.2014.02.012
  2. Adams Mariama, 2007, Int Semin Surg Oncol, V4, P10, DOI 10.1186/1477-7800-4-10
  3. Anderson KJ, 2013, RES GERONTOL NURS, V6, P11, DOI 10.3928/19404921-20121203-01
  4. Elias ACA, 2015, COMPLEMENT THER CLIN, V21, P1, DOI 10.1016/j.ctcp.2015.01.007
  5. Arriola K, 2010, HEALTH EDUC BEHAV, V37, P264, DOI 10.1177/1090198109341725
  6. Awaad R, 2015, ACAD PSYCHIATR, V39, P654, DOI 10.1007/s40596-014-0256-y
  7. Baars EW, 2014, BMJ OPEN, V4, DOI 10.1136/BMJ0PEN-2014-005332
  8. Baldacchino DR, 2008, NURS EDUC TODAY, V28, P501, DOI 10.1016/j.nedt.2007.09.002
  9. Barnes PM, 2004, SEMIN INTEGR MED, V2, P54, DOI 10.1016/J.SIGM.2004.07.003
  10. Berger VW, 2009, REV RECENT CLIN TRIA, V4, P79, DOI 10.2174/157488709788186021
  11. Binaei Niloufar, 2016, Iran J Nurs Midwifery Res, V21, P77, DOI 10.4103/1735-9066.174755
  12. Bormann JE, 2006, J BEHAV MED, V29, P359, DOI 10.1007/s10865-006-9063-6
  13. Bormann Jill E, 2008, J Holist Nurs, V26, P109, DOI 10.1177/0898010107311276
  14. Bormann JE, 2009, J PSYCHOSOM RES, V66, P161, DOI 10.1016/j.jpsychores.2008.09.017
  15. Boutron I, 2008, ANN INTERN MED, V148, P295
  16. Breitbart W, 2012, J CLIN ONCOL, V30, P1304, DOI 10.1200/JCO.2011.36.2517
  17. Burkhart L, 2012, J PROF NURS, V28, P315, DOI 10.1016/j.profnurs.2012.03.003
  18. Cohen J, 1988, STAT POWER ANAL BEHA
  19. Cramer H, 2014, PLOS ONE, V9, DOI 10.1371/journal.pone.0112414
  20. Davidson JRT, 2005, SOC PSYCH PSYCH EPID, V40, P120, DOI 10.1007/s00127-005-0857-6
  21. Djuric Z, 2009, J NATL MED ASSOC, V101, P552
  22. Duru OK, 2010, J AM GERIATR SOC, V58, P1863, DOI 10.1111/j.1532-5415.2010.03082.x
  23. Ernst E, 2000, B WORLD HEALTH ORGAN, V78, P252
  24. Feuille M, 2015, J HEALTH PSYCHOL, V20, P1090, DOI 10.1177/1359105313508459
  25. Fitzgibbon Marian L, 2005, J Natl Med Assoc, V97, P1393
  26. Goncalves JPB, 2015, PSYCHOL MED, V45, P2937, DOI 10.1017/S0033291715001166
  27. Guilherme C, 2016, RELIGIONS, V7, DOI 10.3390/rel7030026
  28. Guimaraes H, 2007, ARCH CLIN PSYCHIAT S, V34, P88
  29. Higgins J. P. T., 2011, COCHRANE HDB SYSTEMA
  30. Holt CL, 2008, HEALTH COMMUN, V23, P13, DOI 10.1080/10410230701626919
  31. Holt CL, 2012, J HEALTH COMMUN, V17, P1028, DOI 10.1080/10810730.2012.665418
  32. Huguelet P, 2011, PSYCHIAT SERV, V62, P79, DOI 10.1176/ps.62.1.pss6201_0079
  33. Hulett JM, 2016, INTEGR CANC THER
  34. Jafari N, 2013, PSYCHOL HEALTH MED, V18, P56, DOI 10.1080/13548506.2012.679738
  35. Koenig H, 2012, HDB RELIG HLTH
  36. Koenig HG, 2015, J NERV MENT DIS, V203, P243, DOI 10.1097/NMD.0000000000000273
  37. Kruizinga R, 2016, PSYCHO-ONCOLOGY, V25, P253, DOI 10.1002/pon.3910
  38. Krukowski RA, 2010, J HEALTH PSYCHOL, V15, P382, DOI 10.1177/1359105309353645
  39. Larson JS, 1996, SOC INDIC RES, V38, P181, DOI 10.1007/BF00300458
  40. Liberati A, 2009, PLOS MED, V6, DOI [10.1016/j.jclinepi.2009.06.006, 10.1371/journal.pmed.1000100]
  41. Lipsey M. W., 2001, PRACTICAL METAANALYS
  42. Lucchetti G, 2014, INT J PSYCHIAT MED, V48, P199, DOI 10.2190/PM.48.3.e
  43. Lucchetti G, 2012, J RELIG HEALTH, V51, P3, DOI 10.1007/s10943-011-9557-6
  44. Lucchetti G, 2011, EXPLORE-NY, V7, P234, DOI 10.1016/j.explore.2011.04.005
  45. Margolin A, 2006, AIDS EDUC PREV, V18, P311, DOI 10.1521/aeap.2006.18.4.311
  46. McCauley J, 2011, INT J PSYCHIAT MED, V41, P91, DOI 10.2190/PM.41.1.h
  47. McCullough ME, 1999, J COUNS PSYCHOL, V46, P92, DOI 10.1037/0022-0167.46.1.92
  48. Menegatti-Chequini MC, 2016, BJPSYCH OPEN, V2, P346, DOI 10.1192/bjpo.bp.116.002816
  49. Messina G, 2010, J RES MED SCI, V15, P225
  50. Moher D, 2012, INT J SURG, V10, P28, DOI 10.1016/j.ijsu.2011.10.001
  51. Moreira-Almeida A, 2014, REV BRAS PSIQUIATR, V36, P176, DOI 10.1590/1516-4446-2013-1255
  52. Morita T, 2009, J PAIN SYMPTOM MANAG, V37, P649, DOI 10.1016/j.jpainsymman.2008.04.017
  53. Murthy V, 2015, SPINE J, V15, P1870, DOI 10.1016/j.spinee.2015.04.049
  54. Neely D, 2008, MED EDUC, V42, P176, DOI 10.1111/j.1365-2923.2007.02980.x
  55. Oh PJ, 2012, J KOREAN ACAD NURS, V42, P833, DOI 10.4040/jkan.2012.42.6.833
  56. Oman D, 2008, J HEALTH PSYCHOL, V13, P1119, DOI 10.1177/1359105308095966
  57. Oman D, 2006, J CONSULT CLIN PSYCH, V74, P714, DOI 10.1037/0022-006X.74.4.714
  58. Pargament KI, 2001, ARCH INTERN MED, V161, P1881, DOI 10.1001/archinte.161.15.1881
  59. Piderman KM, 2014, PSYCHO-ONCOLOGY, V23, P216, DOI 10.1002/pon.3390
  60. Puchalski CM, 2007, OMEGA-J DEATH DYING, V56, P33, DOI 10.2190/OM.56.1.d
  61. Rosmarin DH, 2010, J ANXIETY DISORD, V24, P799, DOI 10.1016/j.janxdis.2010.05.014
  62. Schunemann HJ, 2011, INTERPRETING RESULTS
  63. Sloan RP, 1999, LANCET, V353, P664, DOI 10.1016/S0140-6736(98)07376-0
  64. Smith TB, 2007, PSYCHOTHER RES, V17, P643, DOI 10.1080/10503300701250347
  65. Stein EM, 2015, PALLIAT SUPPORT CARE, V13, P19, DOI 10.1017/S1478951513000217
  66. Stratta P, 2012, J AFFECT DISORDERS, V136, P1227, DOI 10.1016/j.jad.2011.10.006
  67. Tindle HA, 2005, ALTERN THER HEALTH M, V11, P42
  68. van Tulder M, 2003, SPINE, V28, P1290, DOI 10.1097/00007632-200306150-00014
  69. Vos T, 2015, LANCET, V386, P743, DOI 10.1016/S0140-6736(15)60692-4
  70. Wachholtz AB, 2005, J BEHAV MED, V28, P369, DOI 10.1007/s10865-005-9008-5
  71. Wachholtz AB, 2008, J BEHAV MED, V31, P351, DOI 10.1007/s10865-008-9159-2
  72. Wang F, 2014, INT J BEHAV MED, V21, P605, DOI 10.1007/s12529-013-9351-9
  73. Wieland LS, 2011, ALTERN THER HEALTH M, V17, P50
  74. Wingood GM, 2013, AM J PUBLIC HEALTH, V103, P2226, DOI 10.2105/AJPH.2013.301386
  75. Wootton JC, 2001, J ALTERN COMPLEM MED, V7, P715, DOI 10.1089/10755530152755270
  76. Wu LF, 2016, INT J GERIATR PSYCH, V31, P120, DOI 10.1002/gps.4300