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Comprehensive psychiatry v.80, 2018년, pp.39 - 45   SCI SCIE SSCI
본 등재정보는 저널의 등재정보를 참고하여 보여주는 베타서비스로 정확한 논문의 등재여부는 등재기관에 확인하시기 바랍니다.

The influence of spirituality and religiousness on suicide risk and mental health of patients undergoing hemodialysis

Loureiro, Ana Catarina Tavares (EMESCAM: Escola Superior de Ciências da Santa Casa de Misericórdia de Vitória, Brazil ) ; de Rezende Coelho, Maria Carlota (EMESCAM: Escola Superior de Ciências da Santa Casa de Misericórdia de Vitória, Brazil ) ; Coutinho, Felipe Bigesca (Faculty Multivix, Brazil ) ; Borges, Luiz Henrique (EMESCAM: Escola Superior de Ciências da Santa Casa de Misericórdia de Vitória, Brazil ) ; Lucchetti, Giancarlo (School of Medicine, Federal University of Juiz de Fora, Brazil ) ;
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    Abstract Background Despite the large amount of literature assessing how spiritual and religious beliefs have an impact on mental health and suicide risk in various groups of patients, few studies have investigated patients with chronic kidney disease (CKD). The purpose of this study is to investigate whether spirituality and religiousness (S/R) are associated with the presence of suicide risk as well as whether those beliefs are also associated with the presence of mental health problems in patients undergoing hemodialysis. Methods Cross-sectional study carried out in three Brazilian dialysis units involving hemodialysis patients. The study assessed religiousness (Duke Religion Index); spiritual well-being (FACIT-Sp 12); mental health - depression and anxiety (Mini International Neuropsychiatric Interview–MINI); and risk of suicide (MINI). For analysis, adjusted logistic regression models were applied. Results A total of 264 (80.7%) patients were included, 17.8% presented suicide risk, 14.0% presented current major depressive episode, and 14.7% presented generalized anxiety disorder. Concerning spiritual well-being (FACIT-Sp 12), the subscale of “Meaning” was associated with lower risk of suicide, depression, and anxiety. The subscale “Peace” was associated with lower depression and anxiety, whereas the subscale “Faith” was associated with lower suicide risk and depression. Religiousness measures were not associated with the study outcomes. Conclusion Spiritual beliefs were associated with lower suicide risk and better mental health among hemodialysis patients. Factors related to spiritual well-being, such as “meaning”, “peace” and “faith” were more associated with the outcomes studied than religious involvement. Further studies are needed to replicate our findings in different cultural and religious settings.


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