The objective of this study was to evaluate the preoperative anxiety of hospitalized patients exposed to Spiritist "passe," laying on of hand with the intention of healing (Sham) and without laying on of hand. Other variables as depression, pain, physiological parameters, muscle tension, and well-being were assessed. Patients in the Spiritist "passe" intervention group showed greater reductions in anxiety (p < 0.05) and muscle tension (p < 0.01) and increases in well-being (p < 0.01). More marked reductions in preoperative anxiety and muscle tension and improvement in wellbeing were observed in patients exposed to Spiritist "passe" compared to Sham or standard medical care. Trial registration: ClinicalTrials.gov Identifier NCT03356691.

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Religiosity and spirituality have been associated with healthier behaviors and less depression in people living with HIV (PLWH) who attend monthly religious services. However, studies evaluating hospitalized patients and follow-up adherence to antiretroviral therapy (ART) are lacking. The aim of this study was to examine the influence of religiosity/spirituality on alcohol and substance use, depression, ART, immunological and virological parameters, hospitalizations, hospital costs, and survival among 84 PLWH hospitalized. Cohort with a follow-up of 4 years. The findings of this study show that patients with less use of alcoholic beverages are more likely to practice individual religious activities. Higher CD4 cell counts, lower viral load counts during hospitalization, better adherence to ART, and lower mortality over 4 years are associated high intrinsic religiosity in PLWH. Practice individual religious activities are associated with less use of alcoholic beverages, and spirituality with better adherence to ART, and lower mortality. In view of the benefits shown in this study and the literature, spiritual complementary approaches should be encouraged in hospitals and health institutions as an integrative approach to health.

Objectives This randomized controlled trial evaluated the stress, anxiety, and burnout of professionals exposed to complementary spiritist therapy (CST), which consists in therapeutic resources as prayer, Spiritist passe, fluidic water and spiritual education or control. Methods Seventy-six professionals were randomized to CST or control: to maintain the routine for 5 weeks. The ISSL scale, anxiety and depression Beck’s indices, Maslach instrument, subjective well-being and WHOQOL-BREF were used at baseline and five-week. Blood count and cytokine dosage were collected at baseline, one-week and five-week. Analysis using the intention to treat approach. Results The means of variation of stress (exhaustion phase) between baseline and five-week were −1.50 ± 3.31 in the CST and 0.72 ± 3.50 in the control (p=0.036), effect size for CST group was d=0.65, which is considered medium effect. CST showed decrease in emotional exhaustion and negative affects, and increase in lymphocytes, erythrocyte parameters and platelets between the baseline and five-week (p<0.05). Reduction in IL-1β and increase in total lymphocyte count were observed with 2–3 sessions per week, but that does not maintain when the number of sessions is decreased. Participants receiving ≥7 sessions reduced emotional exhaustion, depersonalization and stress, and improved hematological parameters throughout the study (p<0.05). Conclusions CST may be effective in reducing stress (exhaustion phase) compared to control. Higher frequency of interventions promotes better psychic state, evidenced by large effect size for emotional exhaustion in burnout, and improves hematological parameters of professionals. Trial registration ClinicalTrials.gov Identifier NCT03356691.

Religiosidade/Espiritualidade são consideradas construtos determinantes da saúde, embora a associação entre envolvimento religioso, comportamentos saudáveis e depressão entre os obesos e sobrepesos não foi bem estudada. Este estudo examinou a relação entre características sociodemográficas da religiosidade, hábitos comportamentais (tabagismo, uso de bebidas alcoólicas e atividade física) e sintomas de depressão. A religiosidade foi mensurada pelo Duke University Religion Index (DUREL) e sintomas depressivos pelo Índice de Depressão de Beck em 322 pessoas com sobrepeso e obesidade. Os resultados da regressão de Poison indicam que pacientes com alta ORA praticam atividade física (RP = 1,27; IC 95%: 1,02-1,59), alta NORA são menos propensos a manifestar depressão (RP = 1,28; IC 95%: 1,02-1,61 ), e quem não fuma apresenta maior probabilidade de alta RI comparado com quem fuma (RP = 1,11; IC 95%: 1,01-1,22). Neste estudo, adultos com sobrepeso e obesidade com alto envolvimento religioso está associado com comportamentos mais saudáveis (praticar atividade física e não fumar) e menos sintomas depressivos. A inclusão de estratégias voltadas à religião/espiritualidade pode ser importante para intervenções durante a perda de peso entre obesos e sobrepesos.