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Spiritually Based Interventions for High Blood Pressure: A Systematic Review and Meta-analysis 高血压的精神干预:系统回顾与元分析
Pub Date : 2024-04-02 DOI: 10.1007/s10943-024-02034-3
Roghayeh Khabiri, Leila Jahangiry, Mehdi Abbasian, Fatollah Majidi, Mahdieh Abbasalizad Farhangi, Homayoun Sadeghi-bazargani, Koen Ponnet

This systematic review and meta-analysis aimed to evaluate the effectiveness of spiritually based interventions on blood pressure (BP) among adults. A systematic search was performed using the PubMed, Scopus, and Cochrane databases to identify studies evaluating spiritual interventions, including meditation, transcendental meditation, mindfulness meditation, and yoga, for high BP among adults up to January 1, 2022. The inclusion criteria were (a) randomized controlled trials (RCTs), (b) studies in English or Persian, (c) studies conducted among adults (≥ 18 years), and (d) studies reporting systolic or diastolic BP. Given the high heterogeneity of these studies, a random effect model was used to calculate the effect sizes for the RCTs. In total, the systematic review included 24 studies and the meta-analysis included 23 studies. As some of studies reported two or more outcome measurements, separate estimates of each outcome were extracted for that study (24 datasets). Fifteen trials reported the mean (SD) systolic blood pressure (SBP), and 13 trials reported the mean (SD) diastolic blood pressure (DBP). In addition, 13 studies reported means (SDs) and six trials reported mean changes in DBP. A significant decrease was found in systolic BP following intervention ((WMD (weighted mean difference) = − 7.63 [− 9.61 to − 5.65; P < 0.001]). We observed significant heterogeneity among the studies (I2 = 96.9; P < 0.001). A significant decrease was observed in DBP following the interventions (WMD = − 4.75 [− 6.45 to − 3.05; P < 0.001]). Spiritually based interventions including meditation and yoga had beneficial effects in reducing both SBP and DBP. Reducing BP can be expected to reduce the risk of cardiovascular diseases.

本系统综述和荟萃分析旨在评估精神干预对成人血压(BP)的有效性。我们使用 PubMed、Scopus 和 Cochrane 数据库进行了系统性检索,以确定截至 2022 年 1 月 1 日对成人高血压进行精神干预的评估研究,包括冥想、超验冥想、正念冥想和瑜伽。纳入标准为:(a) 随机对照试验 (RCT);(b) 英语或波斯语研究;(c) 成人(≥ 18 岁)研究;(d) 报告收缩压或舒张压的研究。鉴于这些研究的异质性较高,因此采用随机效应模型来计算 RCT 的效应大小。系统综述共纳入 24 项研究,荟萃分析共纳入 23 项研究。由于部分研究报告了两种或两种以上的结果测量值,因此对该研究的每种结果都提取了单独的估计值(24 个数据集)。15 项试验报告了收缩压(SBP)的平均值(标清),13 项试验报告了舒张压(DBP)的平均值(标清)。此外,13 项研究报告了平均值(标度),6 项试验报告了 DBP 的平均值变化。发现干预后收缩压明显下降(WMD(加权平均差)= - 7.63 [- 9.61 to - 5.65; P < 0.001])。我们观察到研究之间存在明显的异质性(I2 = 96.9; P < 0.001)。干预后观察到 DBP 明显下降(WMD = - 4.75 [- 6.45 to - 3.05; P <0.001])。包括冥想和瑜伽在内的精神干预对降低 SBP 和 DBP 均有益处。降低血压有望减少心血管疾病的风险。
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引用次数: 0
Understanding Suicide from an Indigenous Cultural Lens: Insights from Elders in Canada 从土著文化角度理解自杀:加拿大长老的见解
Pub Date : 2024-03-11 DOI: 10.1007/s10943-024-02022-7
Shannen Rowe, Jeffrey P. Ansloos

In this study, Indigenous Elders in Canada were interviewed to explore their conceptualizations of death and dying, particularly in relation to suicide. Through reflexive thematic analysis, three key themes were developed: Indigenous conceptions of death and dying, Christian influences on views of suicide, and indirect suicide. The theme of Indigenous conceptualizations of death and dying included the subthemes of spirituality and life after death, highlighting the importance of spiritual beliefs in Indigenous culture and knowledge systems. The impact of Christian influences on views of suicide was also explored, with participants discussing the complex nature of the relationship between Christianity and Indigenous peoples. Finally, the theme of indirect suicide was analyzed, referring to deaths resulting from behaviors that do not necessarily fit within the conventional definition of suicide. Overall, this study highlights the importance of honoring Indigenous cultural knowledge in research related to suicide prevention in Indigenous communities.

在这项研究中,对加拿大的土著长老进行了访谈,以探讨他们对死亡和临终的概念,尤其是与自杀有关的概念。通过反思性主题分析,形成了三个关键主题:原住民对死亡和临终的概念、基督教对自杀观点的影响以及间接自杀。土著人对死亡和临终的概念这一主题包括精神信仰和死后生活这两个副主题,突出了精神信仰在土著文化和知识体系中的重要性。与会者还探讨了基督教对自杀观点的影响,讨论了基督教与土著人民之间关系的复杂性。最后,对间接自杀这一主题进行了分析,间接自杀指的是不一定符合传统自杀定义的行为导致的死亡。总之,本研究强调了在与土著社区预防自杀相关的研究中尊重土著文化知识的重要性。
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引用次数: 0
Principal Accompaniment in Australian Faith-Based Schools: A Salutogenesis Approach 澳大利亚信仰学校的校长陪伴:礼仪生成法
Pub Date : 2024-02-22 DOI: 10.1007/s10943-023-01980-8
W. Sultmann, D. Hall, J. Lamb

A program designed to provide accompaniment reflects a salutogenesis emphasis aimed at sustaining the professional well-being of experienced principals. A mixed methods pilot study focused on participant (N = 12) orientation, principles of accompaniment, mission-aligned processes, leadership agency, structured conversations, and nominated outcomes. Data were collected over twelve months at three stages using online survey. Australian Catholic principals reported a positive orientation experience, professional well-being, the comprehensiveness of the program, and the manageability of its implementation. Discussion confirmed design elements contributed to the wholistic nature of accompaniment linking body, mind, and spirit in conversational processes and the transformative effects of these exchanges on professional practice and well-being.

一项旨在提供陪伴的计划反映了旨在维持经验丰富的校长的职业幸福感的 "致敬 "重点。一项混合方法试点研究的重点是参与者(12 人)的定位、陪伴原则、使命一致的过程、领导机构、结构化对话和提名结果。数据收集历时 12 个月,通过在线调查分三个阶段进行。澳大利亚的天主教校长们报告了积极的定向体验、职业幸福感、计划的全面性及其实施的可管理性。讨论证实,设计元素有助于在对话过程中将身、心、灵联系起来的整体陪伴性质,以及这些交流对专业实践和幸福感的转化作用。
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引用次数: 0
Religion and Spirituality in Medical Care from the Patient Perspective in Camden County, New Jersey, USA: An Exploratory Study 美国新泽西州卡姆登县从患者角度看医疗护理中的宗教与精神:一项探索性研究
Pub Date : 2024-02-04 DOI: 10.1007/s10943-024-01998-6
Alyssa Heric

Religion and spirituality (R/S) play a significant role in the way many individuals make decisions and structure their lives. The purpose of this exploratory study was to assess the attitudes and preferences of individuals who live or worship in Camden County, NJ, in regards to physicians addressing their religious and spiritual beliefs during medical care. This study was conducted through a survey which inquired about the level of the participant’s religiosity/spirituality, specific religion, and attitudes towards and desires for conversations regarding religious and spiritual beliefs during medical care. Many survey participants shared strong opinions about physicians addressing R/S beliefs during medical encounters, with the majority expressing a positive view of conversations about R/S in medical care. The majority of respondents (75%) reported holding religious or spiritual beliefs that they described as important or very important to them, while 60% of participants indicated that their physician’s awareness of their R/S beliefs was at least somewhat important to them. Based on the results of this exploratory study, the recommendation of the AAMC and Joint Commission to include conversations about R/S in medical care, as well as the tenets of osteopathic philosophy are consistent with the majority opinion about R/S in medical care that was expressed through this survey.

宗教和精神信仰(R/S)在许多人做出决定和安排生活的方式中发挥着重要作用。这项探索性研究的目的是评估在新泽西州卡姆登县生活或做礼拜的人对医生在医疗护理过程中处理其宗教和精神信仰问题的态度和偏好。这项研究是通过一项调查进行的,调查内容包括参与者的宗教/精神信仰程度、具体宗教信仰、对医疗护理过程中宗教和精神信仰对话的态度和愿望。许多调查参与者都对医生在医疗过程中处理宗教/精神信仰问题有强烈的意见,大多数人对医疗过程中的宗教/精神信仰对话表示积极的看法。大多数受访者(75%)表示,他们所持有的宗教或精神信仰对他们来说是重要或非常重要的,而 60% 的参与者表示,医生对他们的 R/S 信仰的了解对他们来说至少有些重要。根据这项探索性研究的结果,美国医学会(AAMC)和联合委员会(Joint Commission)关于在医疗护理中纳入宗教/精神信仰对话的建议,以及骨科医学哲学的原则,与本次调查中大多数人对医疗护理中的宗教/精神信仰所表达的观点是一致的。
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引用次数: 0
Applicability of the Hebrew Bible to Post-traumatic Stress Disorder and Post-traumatic Growth 希伯来圣经对创伤后应激障碍和创伤后成长的适用性
Pub Date : 2024-01-14 DOI: 10.1007/s10943-023-01987-1
Xi Li

Since the new millennium, biblical scholars have begun to reread certain writings in the Hebrew Bible through the concepts of post-traumatic stress disorder and post-traumatic growth. Some scholars believe such a reading is legitimate, whereas others think it problematic, and still, others hold a midway perspective. This article argues for the midway, the position that accepts the applicability of the Hebrew Bible to today’s psychological concepts but calls for caution. Because ancient Israelites reacted to traumatic events and distinguished the human mind from the body like modern people, it is reasonable to approach their thoughts and emotions in the Hebrew Bible through today’s psychological concepts. However, the cultural differences between today’s society and ancient Israelites in understanding and reacting to traumatic events should be considered.

新千年以来,圣经学者开始通过创伤后应激障碍和创伤后成长的概念来重新解读希伯来圣经中的某些著作。一些学者认为这样的解读是合理的,而另一些学者则认为这样的解读存在问题,还有一些学者则持中间立场。本文主张中庸之道,即接受希伯来圣经对当今心理学概念的适用性,但要求谨慎行事。由于古代以色列人对创伤事件做出反应,并像现代人一样将人的心灵与身体区分开来,因此用今天的心理学概念来看待他们在《希伯来圣经》中的思想和情感是合理的。然而,在理解和应对创伤事件时,应考虑到当今社会与古代以色列人之间的文化差异。
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引用次数: 0
Is Dignity Still Necessary in Health Care? From Definition to Recognition of Human Dignity 尊严在医疗保健中仍有必要吗?从定义到承认人的尊严
Pub Date : 2024-01-13 DOI: 10.1007/s10943-023-01995-1
Marcin Paweł Ferdynus

The concept of dignity is not, as some scholars claim, an unnecessary moral idea, and nor need it have religious overtones or be characterised by speciesism. In this article, I try to show that dignity can be defined and recognised. The starting point for the argumentation is the four typologies of dignity, which show that the term ‘dignity’ can denote significantly different concepts, and that the different concepts of dignity can have significantly different ontological senses. A unified typology of dignity allows for five categories to be distinguished: inherent dignity, dignity based on changeable qualities, moral dignity, bestowed dignity and comportment dignity. I take the first two categories of dignity as the object of the analysis, with which I seek to formulate a philosophical response to the charge of speciesism and to show on what basis it can be maintained that all human beings possess dignity. To this end, I distinguish between existential dignity, actual dignity, and potential dignity. Distinguishing these types of dignity becomes possible in the light of Aquinas’ and Aristotle’s views. In the final section, I point to two ways of recognising dignity. The first is based on certain narratives and emotional states (‘ecumenical model of dignity’), while the second is related to a specific moral experience developed within ethical personalism.

尊严的概念并不像某些学者所说的那样,是一种不必要的道德观念,也不需要带有宗教色彩或物种主义的特征。在本文中,我试图说明尊严是可以定义和认可的。论证的出发点是尊严的四种类型学,它们表明 "尊严 "一词可以表示明显不同的概念,不同的尊严概念可以具有明显不同的本体论意义。统一的尊严类型学可将尊严分为五类:固有尊严、基于可变品质的尊严、道德尊严、天赋尊严和举止尊严。我将前两类尊严作为分析对象,试图以此对物种主义的指控做出哲学回应,并说明在什么基础上可以坚持所有人都拥有尊严。为此,我区分了存在的尊严、现实的尊严和潜在的尊严。根据阿奎那和亚里士多德的观点,区分这些尊严类型成为可能。在最后一部分,我指出了承认尊严的两种方式。第一种基于某些叙事和情感状态("普世尊严模式"),第二种则与伦理个人主义中形成的特定道德体验相关。
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引用次数: 0
Spirituality, Mental Health, and COVID-19 精神、心理健康和 COVID-19
Pub Date : 2024-01-13 DOI: 10.1007/s10943-024-02000-z
Lindsay B. Carey, Harold G. Koenig, Terrence Hill, David Drummond, Ezra Gabbay, Jeffery Cohen, Carl Aiken, Jacinda R. Carey

This issue of JORH presents a broad range of articles that consider spirituality and spiritual care from various international perspectives. It also looks at a diverse range of articles relating to mental health disorders and addictions. Lastly, this issue considers the aftermath of COVID-19. Readers are also reminded of the European Congress on Religion, Spirituality, and Health (ECRSH) (Salzburg, Austria), as well as the inaugural International Moral Injury and Wellbeing Conference (IMIWC), Brisbane, Australia, 2024.

本期 JORH 刊载了大量文章,从不同的国际视角探讨灵性和精神关怀。此外,本期还介绍了与精神疾病和成瘾有关的各种文章。最后,本期还探讨了 COVID-19 的后果。此外,还提醒读者注意欧洲宗教、灵性与健康大会(ECRSH)(奥地利萨尔茨堡)以及首届国际道德伤害与福祉大会(IMIWC)(2024 年,澳大利亚布里斯班)。
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引用次数: 0
Spiritual-Cultural Needs as the Main Causative Factor of Death Anxiety in Iranian COVID-19 Patients: A Qualitative Study 精神文化需求是伊朗 COVID-19 患者死亡焦虑的主要诱因:定性研究
Pub Date : 2023-12-31 DOI: 10.1007/s10943-023-01972-8
Esmail Heidaranlu, Malihe Sadat Moayed, Akram Parandeh

COVID-19 patients have been reported to more than likely experience a variety of difficult physical and psychological problems. This qualitative study aims to perceive psychological experiences in COVID-19 patients in Iran. The study method is qualitative, with a conventional content analysis approach adopted. Purposive sampling was applied to 20 COVID-19 patients admitted to medical wards at hospitals in Tehran, Iran. Additionally, data were collected using semi-structured interviews. All data were analyzed based on the method proposed by Lindgren et al. (Int J Nurs Stud 108:103632, 2020). Data analysis identified the main theme to be “death fear and anxiety” with five main categories. These categories included the feelings of death panic and apprehension, uncertainty and ambiguity, fear of abandonment, fear of an unknown future for the family, and fear of unmet spiritual–cultural needs. Accordingly, the patients’ experiences of COVID-19 contraction were unique. Against this backdrop, understanding COVID-19 patients’ complexities, experiences, beliefs, and attitudes about anxiety and death, can lead to an improved awareness and understanding of the psychological consequences of COVID-19 by executive decision-makers, healthcare personnel and mental health professionals.

据报道,COVID-19 患者很可能会遇到各种棘手的生理和心理问题。本定性研究旨在了解伊朗 COVID-19 患者的心理经历。研究方法为定性分析,采用传统的内容分析法。对伊朗德黑兰医院内科病房收治的 20 名 COVID-19 患者进行了有目的的抽样调查。此外,还通过半结构化访谈收集数据。所有数据均根据 Lindgren 等人提出的方法进行分析(Int J Nurs Stud 108:103632, 2020)。数据分析确定的主要主题是 "死亡恐惧和焦虑",共有五个主要类别。这些类别包括对死亡的恐慌和忧虑、不确定性和模糊性、对被遗弃的恐惧、对家庭未知未来的恐惧以及对精神文化需求得不到满足的恐惧。因此,患者对 COVID-19 感染的体验是独特的。在此背景下,了解 COVID-19 患者的复杂性、经历、信念以及对焦虑和死亡的态度,可以提高行政决策者、医护人员和心理健康专业人员对 COVID-19 心理后果的认识和理解。
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引用次数: 0
Cultural Aspects of Health care for Ethiopian Jewish Immigrants in Israel: A Literature Review 以色列埃塞俄比亚犹太移民医疗保健的文化方面:文献综述
Pub Date : 2023-12-28 DOI: 10.1007/s10943-023-01975-5

Abstract

The unique health-related traditions, perceptions, and communication patterns of Ethiopian immigrants are challenging to Israeli healthcare providers who are trained in western medicine. The aim of this review was to conduct a survey of traditions, beliefs, and symptom reporting by Ethiopian immigrants and culturally oriented interventions to improve the care of Ethiopian immigrants. We used the keywords “Ethiopian immigrants Israel" and “Ethiopian Jews.” Of 418 articles initially retrieved, 35 satisfied the inclusion and exclusion criteria. We described health-related traditions and their possible complications. Possession syndrome was frequently misdiagnosed as a neurological or psychiatric disorder. The medical staff was unfamiliar with these health and illness beliefs, somatization patterns, and the communication style of Ethiopian immigrants. There were successful interventions that involved liaisons from the Ethiopian community and community-based educational activities. Medical professionals working with African immigrants worldwide can use the Israeli experience to develop effective, culturally oriented interventions to optimize the health care for these immigrants.

摘要 埃塞俄比亚移民与健康有关的独特传统、观念和沟通模式,对接受过西医培训的以色列医疗服务提供者来说具有挑战性。本综述旨在调查埃塞俄比亚移民的传统、信仰和症状报告,以及以文化为导向的干预措施,以改善对埃塞俄比亚移民的护理。我们使用的关键词是 "埃塞俄比亚移民以色列 "和 "埃塞俄比亚犹太人"。在最初检索到的 418 篇文章中,有 35 篇符合纳入和排除标准。我们描述了与健康有关的传统及其可能的并发症。附体综合征经常被误诊为神经或精神疾病。医务人员不熟悉埃塞俄比亚移民的这些健康和疾病信仰、躯体化模式以及沟通方式。有一些成功的干预措施涉及埃塞俄比亚社区的联络员和社区教育活动。为世界各地非洲移民服务的医务人员可以借鉴以色列的经验,制定有效的、以文化为导向的干预措施,优化对这些移民的医疗保健服务。
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引用次数: 0
Teaching a Canadian Experiential Course in Religion and Spirituality for Undergraduates in Addiction Counseling and Health Sciences: A Social Constructivist Framework 为成瘾咨询与健康科学专业的本科生教授加拿大宗教与灵性体验课程:社会建构主义框架
Pub Date : 2023-12-19 DOI: 10.1007/s10943-023-01960-y
Bonnie K. Lee, Jamie Groenenboom, Naser Miftari

Religion and spirituality (RS) are integral to counseling and health but their incorporation into the curricula of these professions is still lacking. Limited literature is available on how to effectively teach such courses. This article presents a promising experiential, interactive model for an RS course designed for undergraduate students pursuing careers in addictions counseling, therapeutic recreation, and public health. An online course conducted during the COVID-19 pandemic adopted a social constructivist framework that encompassed four key components in its design and delivery: assessing prior knowledge, creating cognitive dissonance, applying new knowledge with feedback, reflecting on learning. Students’ feedback in the course indicated their broadened understanding of the plurality of RS orientations and their acquisition of foundational skills with an increased confidence in bringing RS conversations into their practice. This article provides a conceptual and practical framework for educators to develop an RS course for a diverse representation of students and encourages further evaluation of the proposed model to assess its impact on learning outcomes.

宗教和灵性(RS)是心理咨询和健康不可或缺的一部分,但将其纳入这些专业课程的情况仍然缺乏。关于如何有效教授此类课程的文献十分有限。本文介绍了一种很有前景的体验式、互动式宗教与灵修课程模式,该课程是为追求成瘾咨询、治疗性娱乐和公共卫生职业的本科生设计的。在 COVID-19 大流行期间开展的在线课程采用了社会建构主义框架,该框架在设计和实施过程中包含四个关键组成部分:评估先前知识、制造认知失调、在反馈中应用新知识、反思学习。学生在课程中的反馈表明,他们拓宽了对 RS 多元化取向的理解,掌握了基础技能,并增强了将 RS 对话引入实践的信心。这篇文章为教育工作者提供了一个概念性和实用性框架,以开发面向不同学生的 RS 课程,并鼓励进一步评估所提出的模式,以评估其对学习成果的影响。
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引用次数: 0
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Journal of Religion and Health
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