A home study-based spirituality education program decreases emotional distress and increases quality of life--a randomized, controlled trial.

Paper

A home study-based spirituality education program decreases emotional distress and increases quality of life--a randomized, controlled trial.

Published Nov 1, 2006 · S. Moritz, H. Quan, B. Rickhi

Alternative therapies in health and medicine

Q3 SJR score

56

Citations

4

Influential Citations

Semantic Scholar

Abstract

CONTEXT Although epidemiological studies have reported protective effects of religion and spirituality on mental health, it is unknown whether spirituality can be used as an intervention to improve psychological well-being. OBJECTIVE To evaluate the efficacy of a home study-based spirituality program on mood disturbance in emotionally distressed patients. DESIGN, SETTING, AND PARTICIPANTS A non-blinded, randomized, wait list-controlled trial of 165 individuals with mood disturbance [score of >40 on the Profile of Mood States (POMS)] were recruited from primary care clinics in a Canadian city between August 2000 and March 2001. INTERVENTIONS Participants were randomized to a spirituality group (an 8-week audiotaped spirituality home-study program), a mindfulness meditation-based stress reduction group (attendance at facilitated classes for 8 weeks), or a wait-list control group (no intervention for 12 weeks). MAIN OUTCOME MEASURES Primary outcomes were mood disturbance, measured using POMS, and quality of life, measured using the SF-36, a short-form health survey with 36 questions. The POMS and the SF-36 were completed at baseline, at 8 weeks, and at 12 weeks. RESULTS At the end of the 8-week intervention period, the mean POMS score improvement was -43.1 (-45.7%) for the spirituality group, -22.6 (-26.3%) for the meditation group, and -10.3 (11.3%) for the control group (P<.001 for spirituality vs control group; P=.034 for spirituality vs meditation group). Mean improvement in the SF-36 mental component summary score was 14.4 (48.6%) for the spirituality group, 7.1 (22.3%) for the meditation group, and 4.7 (16.1%) for the control group (P<.001 for spirituality vs control group; P=.029 for spirituality vs meditation group). At 12 weeks, POMS and SF-36 scores remained significantly different from baseline for the spirituality group.

RCT

Study Snapshot

Key takeawayA home study-based spirituality program effectively decreases emotional distress and improves quality of life in emotionally distressed patients compared to a mindfulness meditation-based stress reduction group.

PopulationOlder adults (50-71 years)

Sample size24

MethodsObservational

OutcomesBody Mass Index projections

ResultsSocial networks mitigate obesity in older groups.

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A home study-based spirituality education program decreases emotional distress and increases quality of life--a randomized, controlled trial.

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References

Citations

A path analysis of home meditation practice and mental health status: The role of spirituality and nonduality

Daily meditation home practice and nonduality experience may be significant protective factors for mental health, with potential implications for further discussion of meditation home practice safety.

Mindfulness-based programmes for mental health promotion in adults in nonclinical settings: A systematic review and meta-analysis of randomised controlled trials

Mindfulness-based programs can improve mental health in nonclinical settings, but their effectiveness varies between no intervention and specific active control conditions.

The Chinese Spiritual Coping Scale: Development and Initial Psychometric Evaluation

The Chinese Spiritual Coping Scale, developed from 17 items, shows potential as a promising measure of spiritual coping for Chinese individuals.

The secular practice of a spiritual technique:mindfulness-based interventions and spirituality

Mindfulness meditation interventions, regardless of their spiritual or secular context, can improve credibility, expectations, state mindfulness, and negative affect, but the integrated approach may not be more effective.

Psychological effects of meditation at a Buddhist monastery in Myanmar

Meditation reduces anger, hostility, fatigue, and vigor, and enhances psychological flexibility after more than a year of practice.

The Efficacy of Mindfulness-Based Interventions in Primary Care: A Meta-Analytic Review

Mindfulness-based interventions show promising results in improving mental health and quality of life for primary care patients.

Religious and spiritual interventions in mental health care: a systematic review and meta-analysis of randomized controlled clinical trials

Religious/spiritual interventions can reduce clinical symptoms in mental health care, particularly anxiety, but more research is needed to confirm their effectiveness as complementary treatments.