Associação entre religiosidade, espiritualidade e coping religioso espiritual com atividades de vida diária e sintomas de ansiedade e depressão em pacientes com doença pulmonar obstrutiva crônica

Abstract

Background Chronic Obstructive Pulmonary Disease is also related to critical extra-pulmonary effects, including restricted activities of daily living and mental health symptoms. Religiosity, spiritual well-being, and Spiritual Religious Coping (SRC) have been associated with health outcomes in chronic diseases. The objectives of this study were to assess the association between religiosity, spiritual well-being, SRC and daily life activity, anxiety, and depression in subjects with COPD. The secondary objectives were to evaluate the association between spiritual well-being, dyspnea, and quality of life. Methods: A total of Seventy-two clinically stable subjects with COPD participated in this study. Measures of Religiosity was assessed using the Duke Religion Index, spiritual well-being with the 12-item Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being (FACIT-Sp-12) scale, Spiritual Religious Coping (SRC) with the Brief Religious Coping Scale (Brief-RCOPE-14), Anxiety and depression were assessed using the 14-item Hospital Anxiety and Depression Scale (HADS), the Glittre-ADL test assessed activities of daily life and other factors and secondary outcomes were evaluated. Variables were reported as a percentage and mean ± SD. Shapiro-Wilk test was used to check normality. Spearman correlation coefficients (ρ) were used to determine the associations between the variables. All P values were two-tailed with values < .05 regarded as statistical significance. Results: the main results were that there was no correlation between the religiosity, spiritual well-being and SRC variables and activity of daily living; however, spiritual well-being showed association with anxiety (ρ=-0.41, p≤0.001) and depression (ρ= - 0.54, p≤0.001), dyspnea and quality of life; negative SRC in associated with increased levels of anxiety (ρ=0.53, p≤0.001), depression (ρ=0.38 p<0.01), dyspnea and quality of life. Conclusions: The findings of this study demonstrate that spiritual well-being is associated with anxiety, depression, dyspnea and quality of life in subjects with COPD. The negative SRC is associated increased anxiety and depression. These associations improve understanding on the management of COPD offer a comprehensive and individualized care.