An increase in religiousness/spirituality occurs after HIV diagnosis and predicts slower disease progression over 4 years in people with HIV

Ironson, Gail; Stuetzle, Rick; Fletcher, Mary A

doi:10.1111/j.1525-1497.2006.00648.x

Cited by 264 publications

(194 citation statements)

References 35 publications

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“…Evidências têm mostrado que as pessoas tornam-se ainda mais religiosas quando estão doentes, tanto física como mentalmente 25,26 . Em situações de alto estresse psicológico, a religião é frequentemente utilizada para auxiliar a lidar com situações de sofrimento ou a se adaptar a elas.…”

Section: Religiosidade E Pacientes Com Transtornos Mentais: Relações unclassified

Aspectos éticos e legais da assistência religiosa em hospitais psiquiátricos

Braghetta¹,

Lucchetti²,

Leão³

et al. 2011

Rev. psiquiatr. clín.

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A assistência religiosa a pacientes com transtornos psiquiátricos graves internados é um problema pouco discutido entre psiquiatras. Aspectos legais asseguram o direito à assistência religiosa aos pacientes, no entanto alguns aspectos específicos conduzem a reflexão e cautela em determinadas situações. Assim, objetiva--se com o presente trabalho discutir os aspectos éticos, legais e científicos da assistência religiosa em hospitais psiquiátricos. Serão abordados também alguns comentários sobre os conceitos de autonomia, beneficência e não maleficência, contidos nos princípios bioéticos. Ao final, é apresentada a experiência do Hospital João Evangelista na abordagem de tais casos. Como conclusão, situações de conflito ético e legal podem surgir, pois os pacientes têm direito a receber assistência religiosa, porém podem apresentar manifestações psicopatológicas que poderiam levar a prejuízo de seu quadro clínico diante da abordagem religiosa. A orientação dos familiares e as relações entre hospital, médico, paciente e família são essenciais para a resolução de tais conflitos.Braghetta CC, et al. / Rev Psiq Clín. 2011;38(5):189-93 Palavras-chave: Espiritualidade, religião e medicina, psiquiatria. AbstractThe religious assistance to inpatients with severe psychiatric disorders is a problem rarely discussed among psychiatrists. Legal aspects ensure the right to religious assistance to such patients, although some specific aspects lead to reflection and caution in certain situations. Thus, the main of the work is to discuss ethical, legal, scientific and religious aspects of religious assistance in psychiatric hospitals. It will also address some comments on the concepts of autonomy, beneficence and nonmaleficence, contained in bioethical principles. Finally, it will be presented the experience of the João Evangelista Hospital approach on such cases. In conclusion, ethical and legal conflicts can appear because patients have the right to receive a religious attendance. However, in some conditions, this assistance could lead to a worse in patient's clinical status. Family orientation and doctor-patient-hospital relationship are essential to resolve these conflicts.Braghetta CC, et al. / Rev Psiq Clín. 2011;38(5):189-93 Keywords: Spirituality, religion and medicine, psychiatry.Endereço para correspondência: Camilla Casaletti Braghetta. Hospital João Evangelista. Avenida Nova Cantareira, 3050 -02340-000 -São Paulo, SP. IntroduçãoA religiosidade e a espiritualidade são dimensões integrantes da experiência social e cultural humana e, portanto, da vivência cotidiana de grande parte da população. Um estudo da Organização Mundial da Saúde (OMS) investigou 5.087 pessoas em 18 países, e, dentre os países cristãos fora da África, o Brasil teve a maior porcentagem de entrevistados que indicaram ser "moderadamente" ou "extremamente" religiosos (80% a 90%) 1 .Dados do censo demográfico realizado no ano de 2000 mostram que parcela superior a 90% da população brasileira possui alguma denominação religiosa e grande parte da popu...

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Section: Religiosidade E Pacientes Com Transtornos Mentais: Relações unclassified

Aspectos éticos e legais da assistência religiosa em hospitais psiquiátricos

Braghetta¹,

Lucchetti²,

Leão³

et al. 2011

Rev. psiquiatr. clín.

View full text Add to dashboard Cite

show abstract

“…1 Thus, the authors conclude that the relationship between religiousness/spirituality and slower disease progression could not be accounted for by any of the above variables. 1 The authors acknowledge, however, that a limitation of their study is that the measure of religiousness/spirituality was a single item with 5 options which is unlikely to adequately capture the complexity of the concept. 1 This issue of what is meant by the word spirituality, as opposed to the term religiousness, continues to confound scientific study of this important dimension of human experience.…”

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confidence: 96%

“…1 The authors acknowledge, however, that a limitation of their study is that the measure of religiousness/spirituality was a single item with 5 options which is unlikely to adequately capture the complexity of the concept. 1 This issue of what is meant by the word spirituality, as opposed to the term religiousness, continues to confound scientific study of this important dimension of human experience. For example, in a qualitative study designed to explore in depth what patients understood by the word spirituality, McSherry et al 2 found that in general most were unclear about its meaning and considered it to be synonymous with religion.…”

mentioning

confidence: 99%

“…To the Editor:-The recent finding of Ironson et al 1 that after HIV diagnosis those patients reporting an increase in spirituality/religiousness after the diagnosis had significantly greater preservation of CD4 cells and significantly better control of viral load (VL) over the 4-year period is an important one, but requires careful interpretation.…”

mentioning

confidence: 99%

“…The importance of the research of Ironson et al 1 is that it is one of the first and most rigorous indicators that spirituality might be an extremely fertile variable in its own right in terms of correlations with biological measures beyond the usual psychological cofounders and 'usual suspects' including social support, optimism, and depression.…”

mentioning

confidence: 99%

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