RESEARCH PAPER
Spiritual health and experience of suffering in patients with HIV/ AIDS in Shiraz, Iran
More details
Hide details
1
Department of Midwifery, Student Research Center, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran
2
Maternal-Fetal Medicine Research Center, Department of Midwifery, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran
3
Community-Based Psychiatric Care Research Center, Department of Midwifery, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran
4
Clinical Research Development Center of Nemazee Hospital, Shiraz University of Medical Sciences, Shiraz, Iran
Submission date: 2021-07-21
Final revision date: 2021-08-16
Acceptance date: 2021-08-16
Publication date: 2023-09-15
HIV & AIDS Review 2023;22(3):261-268
KEYWORDS
TOPICS
ABSTRACT
Introduction:
Acquired immunodeficiency syndrome (AIDS) is one of the biggest health challenges in the world, affecting both men and women not only physical but also psychological health. The aim of this study was to determine whether spiritual health was effective in reducing the experience of suffering in men and women with human immunodeficiency virus (HIV)/AIDS.
Material and methods:
In this cross-sectional study, 112 female and 112 male HIV-positive patients were selected at the Shiraz Behavioral Disease Counseling Center, using convenience sampling me¬thod. To compare spiritual health between women and men, demographic specifications questionnaires, i.e., Schulz scale of experience and perception of suffering and Paleotezian and Alison spiritual health, were used. Data were analyzed using SPSS software, with p-value < 0.05 considered statistically significant.
Results:
There was a significant relationship between existential suffer (p < 0.016), existential domain (p < 0.0001), and total spiritual (p < 0.005) with educational level. Also, there was a statistically significant relationship between dimensions of physical suffer I and II with sex (p < 0.045) and age (p < 0.019). In addition, dimensions of suffering and those of spiritual health in terms of gender had a significant relationship with p < 0.005, except for religious domain and physical suffer (dimension I and II).
Conclusions:
Findings of the present study strengthen the importance of religious and spiritual health in the reduction of experience of suffering in patients with HIV/AIDS. Therefore, the use of spirituality as a strategy to deal with suffering caused by illness should be followed by healthcare providers.
REFERENCES (51)
1.
Brown J, Hanson JE, Schmotzer B, Webel AR. Spirituality and optimism: a holistic approach to component-based, self-management treatment for HIV. J Relig Health 2014; 53: 1317-1328. doi: 10.1007/s10943013-9722-1.
2.
Duffy L. Suffering, shame, and silence: the stigma of HIV/AIDS. J Assoc Nurses AIDS Care 2005; 16: 13-20. doi: 10.1016/j.jana.2004.11.002.
3.
Fochtman D. The concept of suffering in children and adolescents with cancer. J Pediatr Oncol Nurs 2006; 23: 92-102.
4.
Fordyce WE. Pain and suffering. A reappraisal. Am Psychol 1988; 43: 276-283. doi: 10.1037//0003-066x.43.4.276.
5.
Pirasteh Motlagh A, Nikmanesh Z. The role of spirituality in quality of life patients with AIDS/HIV. SSU Journals 2013; 20: 571-581.
6.
Bahrami EH, Tashk A. Aspects of relationship between religious orientation and mental health and clarify of religious orientation scales. J Psychol Educ 2005; 34: 41-53.
7.
Krause N, Bastida E. Religion, suffering, and health among older Mexican Americans. J Aging Stud 2009; 23: 114-123. doi: 10.1016/j.jaging.2008.11.002.
8.
Barton-Burke M, Barreto RC Jr, Archibald LI. Suffering as a multi¬cultural cancer experience. Semin Oncol Nurs 2008; 24: 229-236. doi: 10.1016/j.soncn.2008.08.002.
9.
Büssing A, Franczak K, Surzykiewicz J. Spiritual and religious attitudes in dealing with illness in Polish patients with chronic diseases:validation of the Polish version of the SpREUK questionnaire. J Relig Health 2016; 55: 67-84. doi: 10.1007/s10943-014-9967-3.
10.
Poteat T, Lassiter JM. Positive religious coping predicts self-reported HIV medication adherence at baseline and twelve-month follow-up among Black Americans living with HIV in the Southeastern United States. AIDS Care 2019; 31: 958-964. doi: 10.1080/09540121.2019.1587363.
11.
Lee M, Nezu AM, Nezu CM. Positive and negative religious coping, depressive symptoms, and quality of life in people with HIV. J Behav Med 2014; 37: 921-930. doi: 10.1007/s10865-014-9552-y.
12.
Arrey AE, Bilsen J, Lacor P, Deschepper R. Spirituality/religiosity: a cultural and psychological resource among Sub-Saharan African migrant women with HIV/AIDS in Belgium. PLoS One 2016; 11: e0159488.
13.
Pinho CM, Gomes ET, Trajano MFC, Cavalcanti ATAE, Andrade MS, Valença MP. Impaired religiosity and spiritual distress in people living with HIV/AIDS. Rev Gaucha Enferm 2017; 38: e67712.
14.
Nouzari R, Najafi SS, Momennasab M. Post-traumatic growth among family caregivers of cancer patients and its association with social support and hope. Int J Community Based Nurs Midwifery 2019; 7: 319-328. doi: 10.30476/IJCBNM.2019.73959.0.
15.
Tesfay A, Gebremariam A, Gerbaba M, Abrha H. Gender differences in health related quality of life among people living with HIV on highly active antiretroviral therapy in Mekelle Town, Northern Ethiopia. Biomed Res Int 2015; 2015: 516369. doi: 10.1155/2015/516369.
16.
Imasiku ML. Relationship between psycho-spiritual well-being and physical-illness behavior in HIV seropositive individuals. In: Holistic Approaches to Infectious Diseases. George A, Joshy KS, Sebastian M, Oluwafemi OS, Thomas S (eds.). Routledge; 2017; 231-248.
17.
Trevino KM, Pargament KI, Cotton S, et al. Religious coping and physiological, psychological, social, and spiritual outcomes in patients with HIV/AIDS: cross-sectional and longitudinal findings. AIDS Behav 2010; 14: 379-389. doi: 10.1007/s10461-007-9332-6.
18.
Dehestani H, Moshfeghy Z, Ghodrati F, Akbarzadeh M. The relationship of spiritual health and mother’s forgiveness with her anxiety in the labor of the pregnant women. Int J Womens Health Reprod Sci 2018; 7: 174-179. doi: 10.15296/ijwhr.2019.29.
19.
Ghodrati F, Mokhtaryan T, Akbarzadeh M. The effect of pregnancy-related religious training on religious attitudes among pregnant women. J Midwifery Reprod Health 2018; 6: 1296-1304.
20.
Gilani TM, Ghodrati F, Yazdanpanahi Z, Amooee S, Akbarzadeh M. The effect of teaching religious principles on the infants’ growth and development. J Educ Health Promot 2019; 8: 135. doi: 10.4103/jehp.jehp_81_19.
21.
Kao CC, Lin YH. Spiritual care of patients with depression. Hu Li Za Zhi 2018; 65: 17-21 [Article in Chinese]. doi: 10.6224/JN.201806_65(3).04.
22.
Tarakeshwar N, Vanderwerker LC, Paulk E, Pearce MJ, Kasl SV, Prigerson HG. Religious coping is associated with the quality of life of patients with advanced cancer. J Palliat Med 2006; 9: 646-657. doi: 10.1089/jpm.2006.9.646.
23.
Szaflarski M, Ritchey PN, Leonard AC, et al. Modeling the effects of spirituality/religion on patients’ perceptions of living with HIV/AIDS. J Gen Intern Med 2006; 21 (Suppl 5): S28-S38. doi: 10.1111/j.1525-1497.2006.00646.x.
24.
Balboni TA, Vanderwerker LC, Block SD, et al. Religiousness and spiritual support among advanced cancer patients and associations with end-of-life treatment preferences and quality of life. J Clin Oncol 2007; 25: 555-560. doi: 10.1200/JCO.2006.07.9046.
25.
Rippentrop AE, Altmaier EM, Burns CP. The relationship of religiosity and spirituality to quality of life among cancer patients. J Clin Psychol Med Settings 2006; 13: 31-37.
26.
Strawbridge WJ, Cohen RD, Shema SJ, Kaplan GA. Frequent attendance at religious services and mortality over 28 years. Am J Public Health 1997; 87: 957-961. doi: 10.2105/ajph.87.6.957.
27.
Rainville G. The interrelation of prayer and worship service attendance in moderating the negative impact of life event stressors on mental well-being. J Relig Health 2018; 57: 2153-2166. doi: 10.1007/s10943-017-0494-x.
28.
Schulz R, Monin JK, Czaja SJ, et al. Measuring the experience and perception of suffering. Gerontologist 2010; 50: 774-784. doi: 10.1093/geront/gnq033.
29.
Paloutzian RF, Ellison CW. Loneliness, spiritual well-being and the quality of life. In: Loneliness: A Sourcebook of Current Theory, Research and Therapy. Peplau LA, Perlman D (eds.). New York: John Wiley & Sons; 1982, 224-236.
30.
Abbasi M, Farahani-Nia M, Mehrdad N, Givari A, Haghani H. Nursing students’ spiritual well-being, spirituality and spiritual care. Iran J Nurs Midwifery Res 2014; 19: 242-247.
31.
Fishbain DA, Lewis JE, Gao J. The pain – suffering association, a review. Pain Med 2015; 16: 1057-1072. doi: 10.1111/pme.12686.
32.
Mekuria LA, SPrangers MA, Prins JM, Yalew AW, Nieuwkerk PT. Health-related quality of life of HIV-infected adults receiving combination antiretroviral therapy in Addis Ababa. AIDS Care 2015; 27: 934-945.
33.
Degroote S, Vogelaers D, Vandijck DM. What determines health-related quality of life among people living with hiv: an updated review of the literature. Arch Public Health 2014; 72: 40.
34.
Vance DE, Brennan M, Enah C, Smith GL, Kaur J. Religion, spiri¬tuality, and older adults with HIV: critical personal and social resources for an aging epidemic. Clin Interv Aging 2011; 6: 101-109.
35.
Zimmer Z, Jagger C, Chiu CT, Ofstedal MB, Rojo F, Saito Y. Spirituality, religiosity, aging and health in global perspective: a review. SSM Popul Health 2016; 2: 373-381.
36.
Delany-Moretlwe S, Cowan FM, Busza J, Bolton-Moore C, Kelley K, Fairlie L. Providing comprehensive health services for young key populations: needs, barriers and gaps. J Int AIDS Soc 2015; 18 (2 Suppl 1):19833.
37.
Cronje JH, Williams M, Steenkamp L, Venter D, Elkonin D. The quality of life of HIV-infected South African university students: experiences with the WHOQOL-HIV-Bref. AIDS Care 2017; 29: 632-635. doi: 10.1080/09540121.2016.1234688.
38.
Rzeszutek M, Oniszczenko W, Firląg-Burkacka E. Gender differences in posttraumatic stress symptoms and the level of posttrau¬matic growth among a Polish sample of HIV-positive individu¬als. AIDS Care 2016; 28: 1411-1415. doi: 10.1080/09540121.2016.1182615.
39.
Dalmida SG, Koenig HG, Holstad MM, Thomas TL. Religious and psychosocial covariates of health-related quality of life in people living with HIV/AIDS. HIV/AIDS Res Treat 2015; 1: 1000HARTOJ1101. doi: 10.17140/HARTOJ-1-101.
40.
Lindayani L, Chen YC, Wang JD, Ko NY. Complex problems, care demands, and quality of life among people living with HIV in the antiretroviral era in Indonesia. J Assoc Nurses AIDS Care 2018; 29: 300-309. doi: 10.1016/j.jana.2017.10.002.
41.
Derakhshanpour S, Yazdanpanahi Z, Akbarzadeh M. Comparison of the quality of life and its dimensions in men and women with HIV/AIDS in the high-risk behaviors center of Shiraz. Women’s Health Bulletin 2020; 7: 41-46.
42.
Ironson G, Kremer H, Lucette A. Relationship between spiritual coping and survival in patients with HIV. J Gen Intern Med 2016; 31: 1068-1076. doi: 10.1007/s11606-016-3668-4.
43.
Collett JL, Lizardo O. A power-control theory of gender and religiosity. J Sci Study Relig 2009; 48: 213-231. doi: 10.1111/j.1468-5906.2009.01441.
44.
Li L, Lin C, Liang LJ, Ji G. Exploring coping and social support with gender and education among people living with HIV in China. AIDS Behav 2016; 20: 317-324. doi: 10.1007/s10461-015-1232-6.
45.
Konkle-Parker DJ, Erlen JA, Dubbert PM. Barriers and facilitators to medication adherence in a southern minority population with HIV disease. J Assoc Nurses AIDS Care 2008; 19: 98-104. doi: 10.1016/j.jana.2007.09.005.
46.
Jirásek I, Hurych E. The perception of spiritual health differences between citizens and physicians in the Czech Republic. Health Promot Int 2018; 33: 858-866. doi: 10.1093/heapro/dax024.
47.
Holt CL, Roth DL, Huang J, Clark EM. Gender differences in the roles of religion and locus of control on alcohol use and smoking among African Americans. J Stud Alcohol Drugs 2015; 76: 482-492. doi: 10.15288/jsad.2015.76.482.
48.
Sanchez D, Vandewater EA, Hamilton ER. Examining marianismo gender role attitudes, ethnic identity, mental health, and substance use in Mexican American early adolescent girls. J Ethn Subst Abuse 2019; 18: 319342. doi: 10.1080/15332640.2017.1356785.
49.
Tran BX, Ohinmaa A, Nguyen LT, et al. Gender differences in quality of life outcomes of HIV/AIDS treatment in the latent feminization of HIV epidemics in Vietnam. AIDS Care 2012; 24: 1187-1196. doi: 10.1080/09540121.2012.658752.
50.
Tran BX, Than PQT, Tran TT, Nguyen CT, Latkin CA. Changing sources of stigma against patients with HIV/AIDS in the rapid expansion of antiretroviral treatment services in Vietnam. Biomed Res Int 2019; 2019: 4208638. doi: 10.1155/2019/4208638.
51.
Hutson SP, Darlington CK, Hall JM, Heidel RE, Gaskins S. Stigma and spiritual well-being among people living with HIV/AIDS in Southern Appalachia. Issues Ment Health Nurs 2018; 39: 482-489. doi: 10.1080/01612840.2017.1423426.