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Influence of Religious and Spiritual Elements on Adherence to Pharmacological Treatment

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Abstract

The objective of this study is to know the influence of religious/spiritual elements on the adherence to pharmacological therapy. The descriptors used for this literature review were “medicine, medication, drug, or treatment,” “adherence to treatment,” and “religion or spirituality or faith or prayer” in different databases (CINAHL, PsycINFO, PubMed). Finally, 23 articles were selected. Articles available in full text, published between 2010 and 2017, in English or Spanish were included. The results showed that some studies relate positively the R/S and therapeutic adherence, but others determine an opposite or even mixed effect, mainly addressing pathologies such as HIV and other chronic diseases. The influence of religiosity/spirituality on therapeutic adherence requires that health professionals acquire sensitivity and competence to address these issues with their patients.

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References

  • Abarzúa Ibañez, F., Jara Royer, K., López Sandoval, E., & Pardo Zúñiga, D. (2011). Relación entre la adherencia a la terapia farmacológica y factores del usuario, su enfermedad y tratamiento en adultos mayores autovalentes polimedicados del CESFAM Federico Puga, Chillán Viejo (Doctoral Thesis). Faculty of Health Sciences and food. Nursing school. University of BÍO-BÍO, Chile.

  • Abdel Aziz, K., Elamin, M. H., El-Saadouni, N. M., El-Gabry, D. A., Barakat, M., Alhayyas, F., et al. (2016). Schizophrenia: Impact of psychopathology, faith healers and psycho-education on adherence to medications. International Journal of Social Psychiatry, 62(8), 719–725.

    Article  PubMed  Google Scholar 

  • Ahmedani, B. K., Peterson, E. L., Wells, K. E., Rand, C. S., & Williams, L. K. (2013). Asthma medication adherence: The role of God and other health locus of control factors. Annals of Allergy, Asthma & Immunology, 110(2), 75–79.

    Article  Google Scholar 

  • Álvarez, J. S., Goldraich, L. A., Nunes, A. H., Zandavalli, M. C., Zandavalli, R. B., Belli, K. C., et al. (2016). Associação entre Espiritualidade e Adesão ao Tratamento em Pacientes Ambulatoriais com Insuficiência Cardíaca. Arquivos Brasileiros de Cardiologia, 106(6), 491–501.

    PubMed  PubMed Central  Google Scholar 

  • Barría, D., Beroíza, R., & Gutiérrez, F. (2016). Percepción de pacientes mapuche que se atienden en control de crónicos del Cesfam niebla, en relación a la adherencia del tratamiento farmacológico y no farmacológico (Doctoral Thesis).Universidad Austral de Chile. Faculty of Medicine. Nursing School.

  • Byrne, J. T., & Price, J. H. (1979). In sickness and in health: The effects of religion. Health Education, 10(1), 6–10.

    Article  PubMed  CAS  Google Scholar 

  • Cardoso, Y. E., Castro, I. C., Burbano, D. C., & Vernaza, P. (2014). Espiritualidad de las personas/pacientes atendidos en una unidad renal de mediana complejidad en el departamento del Cauca-Colombia. Revista Facultad Ciencias de la Salud. Universidad del Cauca, 16(1), 9–16.

    Google Scholar 

  • Carrasco, Y. (2015). La religión y su influencia en las conductas de salud (Doctoral Thesis). Disponible en: http://rabida.uhu.es/dspace/bitstream/handle/10272/11985/La_religion_y_su_influencia.pdf?sequence=2. Accessed 20 Sept 2017.

  • Carvajal E. L. M., & Gavilanez A. A. M. (2014). Conocimientos y uso de la píldora anticonceptiva de emergencia en la prevención del embarazo, en los/las adolescentes que acuden a la consulta externa del Centro de Salud Latacunga, en el periodo de abril 2013 a marzo 2014 (Doctoral Thesis). University of Bolívar.

  • Dalmida, S. G., McCoy, K., Koenig, H. G., Miller, A., Holstad, M. M., Thomas, T., et al. (2017). Examination of the role of religious and psychosocial factors in HIV medication adherence rates. Journal of Religion & Health, 56(6), 2144–2161.

    Article  Google Scholar 

  • Dávila Soto, R. A., García Bustamante, N. A., & Saavedra Huanuiri, K. J. (2014). Adherencia al tratamiento de diabetes mellitus tipo 2 en adultos mayores: Variables asociadas. In Iquitos-2013. Universidad Nacional de la Amazonia Peruana.

  • de Diego Cordero, R. (2016). Nuevos movimientos religiosos: la Iglesia de Jesucristo de los Santos de los últimos días en Sevilla (Doctoral Thesis). Universidad de Sevilla. España.

  • de Diego Cordero, R., & Badanta Romero, B. (2017). Health impacts of religious practices and beliefs associated with the church of jesus Christ of latter-day saints. Journal of Religion and Health, 56, 1371. https://doi.org/10.1007/s10943-016-0348-y.

    Article  PubMed  Google Scholar 

  • Finocchario-Kessler, S., Catley, D., Berkley-Patton, J., Gerkovich, M., Williams, K., Banderas, J., et al. (2011). Baseline predictors of ninety percent or higher antiretroviral therapy adherence in a diverse urban sample: The role of patient autonomy and fatalistic religious beliefs. AIDS Patient Care and STDS, 25(2), 103–111.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  • Freitas, T. H., Hyphantis, T. N., Andreoulakis, E., Quevedo, J., Miranda, H. L., Alves, G. S., et al. (2015). Religious coping and its influence on psychological distress, medication adherence, and quality of life in inflammatory bowel disease. Revista Brasileira de Psiquiatria, 37(3), 219–227.

    Article  PubMed  Google Scholar 

  • Gearing, R. E., Alonzo, D., Smolak, A., McHugh, K., Harmon, S., & Baldwin, S. (2011). Association of religion with delusions and hallucinations in the context of schizophrenia: Implications for engagement and adherence. Schizophrenia Research, 126(1–3), 150–163.

    Article  PubMed  Google Scholar 

  • Grossoehme, D. H., Cotton, S., Ragsdale, J., Quittner, A. L., McPhail, G., & Seid, M. (2013). I honestly believe god keeps me healthy so I can take care of my child: Parental use of faith related to treatment adherence. Journal of Health Care Chaplaincy, 19(2), 66–78.

    Article  PubMed  PubMed Central  Google Scholar 

  • Grossoehme, D. H., Szczesniak, R. D., Britton, L. L., Siracusa, C. M., Quittner, A. L., Chini, B. A., et al. (2015). Adherence determinants in cystic fibrosis: Cluster analysis of parental psychosocial, religious, and/or spiritual factors. Annals of the American Thoracic Society, 12(6), 838–846.

    Article  PubMed  PubMed Central  Google Scholar 

  • Grossoehme, D. H., Szczesniak, R. D., Mrug, S., Dimitriou, S. M., Marshall, A., & McPhail, G. L. (2016). Adolescents’ spirituality and cystic fibrosis airway clearance treatment adherence: examining mediators. Journal of Pediatric Psychology, 41(9), 1022–1032.

    Article  PubMed  Google Scholar 

  • Hanif, W., Malik, W., Hassanein, M., Kamal, A., Geransar, P., Andrews, C., et al. (2013). Treatment adherence with vildagliptin compared to sulphonylurea as add-on to metformin in Muslim patients with type 2 diabetes mellitus fasting during Ramadan. Current Medical Research and Opinion, 29(7), 807–811.

    Article  PubMed  CAS  Google Scholar 

  • Hobbs, M. A. (2010). The characteristics of adherent, Black, HIV + women: The influence of spirituality, social support and trust in physician on medication adherence and CD4 cell count. Disertaciones de acceso abierto, 398. Disponible en: http://scholarlyrepository.miami.edu/oa_dissertations/398. Accessed 20 Sept 2017.

  • Huguelet, P., Mohr, S., Betrisey, C., Borras, L., Gillieron, C., Marie, A. M., et al. (2011). A randomized trial of spiritual assessment of outpatients with schizophrenia: Patients’ and clinicians’ experience. Psychiatric Services, 62(1), 79–86.

    Article  PubMed  Google Scholar 

  • Kretchy, I., Owusu-Daaku, F., & Danquah, S. (2013). Spiritual and religious beliefs: Do they matter in the medication adherence behaviour of hypertensive patients? BioPsychoSocial Medicine, 7(1), 15.

    Article  PubMed  PubMed Central  Google Scholar 

  • Laos Manrique, S. V. (2010). Calidad de vida y religiosidad en pacientes con cáncer de mama. Facultad de Letras y Ciencias Humanas (Doctoral Thesis). Pontificia Universidad Católica del Perú.

  • Levin, J. S. (1994). Religion and health: Is there an association, is it valid, and is it casual? Social Science and Medicine, 38(11), 1475–1482.

    Article  PubMed  CAS  Google Scholar 

  • Levin, J. S., & Vanderpool, H. Y. (1987). Is frequent religious attendance really conducive to better health?: Toward an epidemiology of religion. Social Science and Medicine, 24(7), 589–600.

    Article  PubMed  CAS  Google Scholar 

  • Lucchetti, G., Aguiar, P. R., Braghetta, C., Vallada, C. P., Moreira-Almeida, A., et al. (2012). Spiritist psychiatric hospitals in Brazil: Integration of conventional psychiatric treatment and spiritual complementary therapy. Culture, Medicine and Psychiatry, 36(1), 124–135.

    Article  PubMed  Google Scholar 

  • Lucchetti, G., & Lucchetti, A. (2014). Spirituality, religion, and health: Over the last 15 years of field research (1999–2013). The International Journal of Psychiatry in Medicine, 48(3), 199–215.

    Article  PubMed  Google Scholar 

  • Lyon, M. E., Garvie, P. A., Kao, E., Briggs, L., He, J., Malow, R., et al. (2011). Spirituality in HIV-infected adolescents and their families: FAmily CEntered (FACE) advance care planning and medication adherence. Journal of Adolescent Health, 48(6), 633–636.

    Article  PubMed  Google Scholar 

  • Moreira-Almeida, A. (2013). Implications of spiritual experiences to the understanding of mind–brain relationship. Asian J. Psychiatry. https://doi.org/10.1016/j.ajp.2013.01.006.

    Article  Google Scholar 

  • Park, J., & Nachman, S. (2010). The link between religion and HAART adherence in pediatric HIV patients. AIDS Care, 22(5), 556–561.

    Article  PubMed  Google Scholar 

  • Peeters, B., Van Tongelen, I., Duran, Z., Yüksel, G., Mehuys, E., Willems, S., et al. (2015). Understanding adherence to medication among patients of Turkish descent with type 2 diabetes: A qualitative study. Ethnicity and Health, 20(1), 87–105.

    Article  PubMed  Google Scholar 

  • Quiceno, J., & Vinaccia, S. (2009). La salud en el marco de la psicología de la religión y la espiritualidad. Diversitas. Perspectivas en psicología, 5(2), 321–336.

    Article  Google Scholar 

  • Silva, C. F., Ribeiro, F., Costa-Valcanti, C., Aguiar, G., & Takamatsu, S. L. (2016). Espiritualidad y religiosidad en pacientes con hipertensión arterial sistémica. Revista Bioética, 24(2), 332–343.

    Article  Google Scholar 

  • Stewart, W. C., Adams, M. P., Stewart, J. A., & Nelson, L. A. (2013). Review of clinical medicine and religious practice. Journal of Religion and Health, 52(1), 91–106.

    Article  PubMed  Google Scholar 

  • Stolovy, T., Levy, Y. M., Doron, A., & Melamed, Y. (2013). Culturally sensitive mental health care: A study of contemporary psychiatric treatment for ultra-orthodox Jews in Israel. International Journal of Social Psychiatry, 59(8), 819–823.

    Article  PubMed  Google Scholar 

  • Thielman, N. M., Ostermann, J., Whetten, K., Whetten, R., Itemba, D., Maro, V., Pence, B., Reddy, E., & Chat Research Team. (2014). Reduced adherence to antiretroviral therapy among HIV-infected Tanzanians seeking cure from the Loliondo healer. Journal of Acquired Immune Deficiency Syndromes, 65(3), 104–109.

    Article  CAS  Google Scholar 

  • Touchet, B., Youman, K., Pierce, A., & Yates, W. (2012). The impact of spirituality on psychiatric treatment adherence. Journal of Spirituality in Mental Health, 14(4), 259–267.

    Article  Google Scholar 

  • Tumwine, C., Neema, S., & Wagner, G. (2012). Reasons why high religiosity can co-exist with and precipitate discontinuation of anti-retroviral therapy among different HIV clients in Uganda: An exploratory study. Religions, 3(3), 817–832.

    Article  PubMed  PubMed Central  Google Scholar 

  • Tymejczyk, O., Hoffman, S., Kulkarni, S., Gadisa, T., Lahuerta, M., Remien, R., et al. (2016). HIV care and treatment beliefs among patients initiating antiretroviral treatment (ART) in Oromia, Ethiopia. AIDS & Behavior, 20(5), 998–1008.

    Article  Google Scholar 

  • Ume Tocco, J. (2017). The Islamification of antiretroviral therapy: Reconciling HIV treatment and religion in northern Nigeria. Social Science and Medicine, 190, 75–82.

    Article  Google Scholar 

  • Vaux, K. (1976). Religion and health. Preventive Medicine, 5(4), 522–536.

    Article  PubMed  CAS  Google Scholar 

  • Vyas, K. J., Limneos, J., Qin, H., & Mathews, W. C. (2014). Assessing baseline religious practices and beliefs to predict adherence to highly active antiretroviral therapy among HIV-infected persons. AIDS Care, 26(8), 983–987.

    Article  PubMed  Google Scholar 

  • Zagożdżon, P., & Wrotkowska, M. (2017). Religious beliefs and their relevance for treatment adherence in mental illness: A review. Religions, 8(8), 150.

    Article  Google Scholar 

  • Zeeneldin, A. A., Gaber, A. A., & Taha, F. M. (2012). Does fasting during Ramadan trigger non-adherence to oral hormonal therapy in breast cancer patients? Journal of the Egyptian National Cancer Institute, 24(3), 133–137.

    Article  PubMed  Google Scholar 

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Correspondence to Rocío de Diego-Cordero.

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Badanta-Romero, B., de Diego-Cordero, R. & Rivilla-García, E. Influence of Religious and Spiritual Elements on Adherence to Pharmacological Treatment. J Relig Health 57, 1905–1917 (2018). https://doi.org/10.1007/s10943-018-0606-2

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