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

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 spiritual...

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Published in:	Comprehensive psychiatry Vol. 80; pp. 39 - 45
Main Authors:	Loureiro, Ana Catarina Tavares, de Rezende Coelho, Maria Carlota, Coutinho, Felipe Bigesca, Borges, Luiz Henrique, Lucchetti, Giancarlo
Format:	Journal Article
Language:	English
Published:	United States Elsevier Inc 01-01-2018 Elsevier Limited
Subjects:	Adult Anxiety Anxiety Disorders - epidemiology Anxiety Disorders - psychology Brazil - epidemiology Cross-Sectional Studies Depressive Disorder, Major - epidemiology Depressive Disorder, Major - psychology Female Hemodialysis Humans Male Mental health Middle Aged Religion Renal Dialysis - psychology Risk factors Spirituality Suicide Suicides & suicide attempts
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Summary:	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. 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. 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. 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.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	0010-440X 1532-8384
DOI:	10.1016/j.comppsych.2017.08.004