Care of the Aged, Women’s Health, and Measuring Religion, Spirituality and HealthCarey, Lindsay B.; Drummond, David; Koenig, Harold G.; Gabbay, Ezra; Hill, Terrence; Cohen, Jeffery; Aiken, Carl; Carey, Jacinda R.
doi: 10.1007/s10943-023-01914-4pmid: 37725267
This issue of JORH explores various concerns related to the care of the elderly within a number of countries (namely China, India, Iran, Israel, Turkey, USA). Issues relating to Women’s Health are also considered across the life span but particularly with regard to gynaecology, paediatrics, cancer, mental health and wellbeing. Research is presented on the empirical measurement of religion, spirituality and health with scales developed and/or tested in Iran, India, Haiti, Taiwan, Jordan and the Netherlands. Finally, readers are reminded of the 9th European Congress on Religion, Spirituality and Health (ECRSH) during May 2024, 16-18th at the Paracelsus Medical University in Salzburg, Austria.
Religiosity and Depression Among Community-Dwelling Older Adults in India: Results of a National Survey in 2017–2018Pengpid, Supa; Peltzer, Karl
doi: 10.1007/s10943-022-01640-3pmid: 36006530
This study aimed to investigate the association between religiousness (affiliation, nonorganizational, organizational, and intrinsic religiosity) and major depressive disorder (MDD) and depressive symptoms among older adults in a national population survey in India. In total, 72,262 people (≥ 45 years) from the cross-sectional longitudinal aging study in India 2017–2018 responded to questions on religiosity, MDD, and depressive symptoms. Results indicate that 57.0% of participants were engaged in high nonorganizational (daily prayer) religiosity, 14.0% engaged in high (> 1/week or every day) organizational religiosity (attending religious services) and 34.9% had high intrinsic religiosity. In the adjusted logistic regression analysis, high nonorganizational religiosity (daily prayer), and high intrinsic religiosity were inversely associated with MDD. Similarly, high nonorganizational religiosity and high intrinsic religiosity were inversely associated with depressive symptoms. Organizational religiosity was not significantly associated with MDD or depressive symptoms. Compared to Hindus, Christians had lower odds of MDD and Sikhs had lower odds of depressive symptoms. High religiosity was observed among older adults in India. Nonorganizational and intrinsic religiosity were inversely associated with MDD and depressive symptoms.
Religious and Spiritual Coping Elements in Dealing with Chronic Diseases: A Qualitative Exploration of the Perspectives of Older Iranian ZoroastriansRezaeipandari, Hassan; Morowatisharifabad, Mohammad Ali; Shaghaghi, Abdolreza
doi: 10.1007/s10943-023-01797-5pmid: 36991287
Religiosity is a desirable alternative coping strategy for many people when facing negative life events including age-related infirmities and stressors. Religious coping mechanisms (RCMs) have been investigated meagerly with regard to religious minorities around the world and, to the best of current knowledge, no study has been conducted on Iranian Zorostrians to explore their religious coping mechanisms in dealing with age-related chronic diseases. This qualitative research, therefore, was aimed to canvas perceptions about RCMs that are utilized by Iranian Zoroastrian older adults to deal with chronic diseases in the city of Yazd, Iran. Semi-structured interviews were conducted with purposefully selected fourteen Zoroastrian older patients and four Zoroastrian priests in 2019. The main extracted themes included performing certain religious behaviors and having sincere religion-based beliefs as employed mechanisms for better coping with their chronic diseases. Prevalent dilemmas/barriers with mitigating impact on the coping capacities in dealing with a persistent illness was another predominant identified theme. Identification of RCMs that religious and ethnic minorities are using to better confront diverse life events, such as chronic diseases, could pave the path to expand new approaches in planing sustainable disease management and proactive quality of life improvement initiatives.
The Effect of Religious-Spiritual Education and Care on the Life Quality of Iranian Elderly: A Systematic Review and Meta-AnalysisFaraji, Azam; Khalily, Mojgan; Naghibzadeh, Zahra Al-sadat; Kazeminia, Farahnaz; Kazeminia, Mohsen
doi: 10.1007/s10943-023-01796-6pmid: 36944829
Aging causes the reduction in physical and physiological strength and an increase in the odds of affliction with chronic physical and mental diseases ultimately affecting the quality of life (QoL). So far, several primary studies have been conducted on the impact of religious-spiritual education and care on the QoL of the elderly. However, to the best of our knowledge, a study that compiles and represents these findings in a published paper is lacking. Therefore, the current study conducted a systematic review and meta-analysis to investigate the effect of religious-spiritual education and care on the QoL of the elderly population. To access studies related to the aim of the study, SID, MagIran, IranMedex, IranDoc, Embase, PubMed, Scopus, Web of Science, and Google Scholar databases were searched. The search was done using relevant and validated keywords with MeSH/Emtree without time limitations until December 2021. The qualitative appraisal of the papers was done using the JBI checklist. To estimate the heterogeneity of studies, I2 index was used, and to combine the data and carry out a meta-analysis, Random Effects model was used. In the primary research, 1065 studies were found. The omission of the redundant cases led to a total number of 12 papers with a sample size of 317 in the intervention group and 321 in the control to be included in the meta-analysis. After the intervention, the mean score of QoL showed a significant increase by 1.42 ± 0.31 with a Confidence Interval of 95% (P<0.001). Meta-regression results showed that the increase in the year of conducting the study, and the number of intervention sessions, that the standardized mean difference had a decreasing trend, and that with the increase in the average age of the elderly, there was a rising trend (P<0.001). Therefore, it seems that the application of religious-spiritual education and care could be part of a program to improve the QoL of the elderly.
Views of Family Members Who Take Care of an Elderly Person they Live with on Ageism, Spirituality and Death in Turkey: A Qualitative ApproachKızılkaya, Mehtap; Atuğ, Mahsun
doi: 10.1007/s10943-023-01837-0pmid: 37266900
This descriptive qualitative research examined the views of people caring for an elderly family member on ageism, spirituality, and death. A total of 12 people who lived in the same house as the elderly person they cared for made up the study sample. Data were collected via face-to-face, in-depth interviews using a structured interview format. The content analysis method was used for the data analysis. The analysis of the study data yielded three themes: the definition of ageism, the meaning of spirituality and its effects on care, and the position of death in life. The results indicated that living with and caring for an elderly individual made the lives of the family members providing care meaningful, spirituality was important in the care of elderly individuals, and caregivers could be considered at risk in terms of the burden of care. It is recommended that health professionals support caregivers sharing the same house with an elderly family member through training programs on the burden of care, spiritual care, and death.
Examining the Psychological and Spiritual Well-Being of Older Adult Individuals with Rheumatoid Arthritis in TurkeyTuran, Nazan; Canbulat, Şahinde; Yeler, Dilek
doi: 10.1007/s10943-023-01792-wpmid: 36930445
This study examined the psychological well-being (PWB) and spiritual well-being (SWB) of older adult individuals with rheumatoid arthritis (RA) who experienced the difficulties of both aging and RA. This descriptive and cross-sectional study was conducted in two centers located in the capital city of Turkey. A total of 136 individuals with a diagnosis of RA who met the inclusion criteria constituted the sample group of the study. Participant Information Form, SWB, and PWB Scales were used for data collection. The results showed that participants' PWB score was positively and significantly difference with marital status, presence of children, and regular participation in social activities. It was concluded that pain severity was not significantly difference with PWB and SWB. However, there was a significant negative correlation between PWB score and total SWB score and its two sub-dimensions, transcendence and anomie. Results emphasize the necessity of supportive interventions to increase psychological and spiritual well-being of older adult individuals with RA.
The Relationship Between Spiritual Well-Being, Life Satisfaction and Hope in Elderly Individuals in TurkeyÖzdemir, Aysel A.; Kavak Buda, Funda; Dural, Gül; Gültekin, Abdurrezzak
doi: 10.1007/s10943-022-01517-5pmid: 35122554
Life satisfaction and hope are important features in elderly individuals. Spiritual well-being is thought to affect life satisfaction and hope in the elderly. This study was conducted to determine the association between spiritual well-being and life satisfaction and hope in elderly persons. This study followed a cross-sectional design. The sample size of the study was 1383 individuals aged 65 or older. The Spiritual Well-Being Scale (FACIT-Sp), Satisfaction with Life Scale, and Hope Scale were administered to participants. Results indicated that spiritual well-being was significantly associated with life satisfaction and hope (p < 0.05). A limitation of this finding is the possible contamination of the measure of spiritual well-being with indicators of meaning and peace that could explain the relationship between spiritual well-being and hope. The spiritual well-being scale used in this research included indicators of meaning and peace that could explain the relationship between spiritual well-being and hope.
Living Arrangements and Subjective Well-Being of Elderly Chinese Tibetan People: The Mediating Role of ReligionChen, Yan; Zhao, Lisheng; Xie, Bingxue
doi: 10.1007/s10943-023-01753-3pmid: 36759414
While previous studies have found that living arrangements and religiosity can influence the subjective well-being (SWB) of older adults, they have tended to investigate each of these aspects separately. Engaging with this gap, the current study examines the relationship between living arrangements, religious attendance, and the SWB of older adults, as well as the mediating effect of religious attendance on the relationship between the other two factors. A total of 875 older adults from 40 villages or communities in a Tibetan area in China (Gannan) were surveyed. An ordinary least square regression was used to evaluate the relationship between SWB and living arrangements and/or religious attendance. A structural equation model was then used to test the mediating role played by religious attendance in the association between living arrangements and SWB. The results showed that older adults in the selected study areas who were co-residing with their children and/or spouse had a higher level of SWB compared to those living alone. While religious attendance was positively associated with older adults’ SWB, the findings showed that living with their spouse or children decreased their frequency of attendance at religious activities. In contrast, it was found that living alone directly decreased older adults’ SWB, but increased the frequency of their participation in religious events, thus indirectly promoting their SWB. A key implication of this study is its confirmation that religious attendance plays an important mediating role in the relationship between living arrangements and SWB.