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Gepubliceerd in: Journal of Behavioral Medicine 6/2011

01-12-2011

Secular reverence predicts shorter hospital length of stay among middle-aged and older patients following open-heart surgery

Auteurs: Amy L. Ai, Paul Wink, Marshall Shearer

Gepubliceerd in: Journal of Behavioral Medicine | Uitgave 6/2011

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Abstract

This study explored the role of both traditional religiousness and of experiencing reverence in religious and secular (e.g., naturalistic, moralistic) contexts in postoperative hospital length of stay among middle-aged and older patients undergoing open-heart surgery. Reverence was broadly defined as “feeling or attitude of deep respect, love, and awe, as for something sacred.” Information on demographics, faith factors, mental health, and medical comorbidities was collected from 400 + patients (age 62 ± 12) around 2 weeks before surgery via personal interview. Standardized medical indices were retrieved from the Society of Thoracic Surgeons’ national database. Hierarchical multiple regression showed that reverence in secular contexts predicted shorter hospitalization, after controlling for key demographics, medical indices, depression, and psychosocial protectors. Other hospital length of stay predictors included female gender, older age, more medical comorbidities, low left ventricular ejection fraction, long perfusion time, and coronary bypass graft surgery. Secular reverence exerts a protective impact on physical health.
Literatuur
go back to reference Ai, A. L. (2000). Spiritual well-being, spiritual growth, and spiritual care for the aged: A cross-faith and interdisciplinary effort. Journal of Religious Gerontology, 11, 3–28.CrossRef Ai, A. L. (2000). Spiritual well-being, spiritual growth, and spiritual care for the aged: A cross-faith and interdisciplinary effort. Journal of Religious Gerontology, 11, 3–28.CrossRef
go back to reference Ai, A. L. (2006). Faith matters, empirical research, and professional practice: Current gaps and future steps. Arête, 30, 30–41. Ai, A. L. (2006). Faith matters, empirical research, and professional practice: Current gaps and future steps. Arête, 30, 30–41.
go back to reference Ai, A. L. (2010). Ch. 28. Qigong. In M. S. Micozzi (Ed.), Fundamentals of complementary & integrative medicine (4th ed., pp. 438–454). St Louis, MO: Elsevier Health Sciences. Ai, A. L. (2010). Ch. 28. Qigong. In M. S. Micozzi (Ed.), Fundamentals of complementary & integrative medicine (4th ed., pp. 438–454). St Louis, MO: Elsevier Health Sciences.
go back to reference Ai, A. L., Ardelt, M., & Wink, P. (2010a). Ch.11. Spirituality in aging: A journey for meaning through deep interconnection in humanity. In J. C. Cavanaugh & C. K. Cavanaugh (Eds.), Aging in America: Volume III. Aging in society (pp. 222–246). Westport, CT: Praeger Publishers. Ai, A. L., Ardelt, M., & Wink, P. (2010a). Ch.11. Spirituality in aging: A journey for meaning through deep interconnection in humanity. In J. C. Cavanaugh & C. K. Cavanaugh (Eds.), Aging in America: Volume III. Aging in society (pp. 222–246). Westport, CT: Praeger Publishers.
go back to reference Ai, A. L., Bjorck, J. P., Huang, B., & Appel, H. (2011). Asian American spirituality and religion: Inherent diversity, uniqueness, and long-lasting psychological influences. In K. Pargament, J. Exline, & J. Jones (Eds.), The APA handbook of psychology, religion, and spirituality (Vol. I). Washington, DC: American Psychological Association. Ai, A. L., Bjorck, J. P., Huang, B., & Appel, H. (2011). Asian American spirituality and religion: Inherent diversity, uniqueness, and long-lasting psychological influences. In K. Pargament, J. Exline, & J. Jones (Eds.), The APA handbook of psychology, religion, and spirituality (Vol. I). Washington, DC: American Psychological Association.
go back to reference Ai, A. L., Ladd, K. L., Peterson, C., Cook, C., Shearer, M., & Koenig, H. G. (2010b). Long-term adjustment after surviving open-heart surgery: The effect of using prayer for coping replicated in a prospective design. The Gerontologists, 50, 798–809.CrossRef Ai, A. L., Ladd, K. L., Peterson, C., Cook, C., Shearer, M., & Koenig, H. G. (2010b). Long-term adjustment after surviving open-heart surgery: The effect of using prayer for coping replicated in a prospective design. The Gerontologists, 50, 798–809.CrossRef
go back to reference Ai, A. L., Pargament, K., Appel, H., & Kronfol, Z. (2010c). Depression following open-heart surgery: A path model involving interleukin-6, spiritual struggle, and hope under pre-operative distress. Journal of Clinical Psychology, 66, 1057–1075.PubMedCrossRef Ai, A. L., Pargament, K., Appel, H., & Kronfol, Z. (2010c). Depression following open-heart surgery: A path model involving interleukin-6, spiritual struggle, and hope under pre-operative distress. Journal of Clinical Psychology, 66, 1057–1075.PubMedCrossRef
go back to reference Ai, A. L., Park, C., Huang, B., Rodgers, W., & Tice, T. N. (2007). Psychosocial mediation of religious coping: A prospective study of short-term psychological distress after cardiac surgery. Personality and Social Psychology Bulletin, 33, 867–882.PubMedCrossRef Ai, A. L., Park, C., Huang, B., Rodgers, W., & Tice, T. N. (2007). Psychosocial mediation of religious coping: A prospective study of short-term psychological distress after cardiac surgery. Personality and Social Psychology Bulletin, 33, 867–882.PubMedCrossRef
go back to reference Ai, A. L., Park, C., & Shearer, M. (2008). Spiritual or religious involvement related to end-of-life decision in patients undergoing coronary artery bypass surgery. International Journal of Psychiatry in Medicine, 38, 111–130.CrossRef Ai, A. L., Park, C., & Shearer, M. (2008). Spiritual or religious involvement related to end-of-life decision in patients undergoing coronary artery bypass surgery. International Journal of Psychiatry in Medicine, 38, 111–130.CrossRef
go back to reference Ai, A. L., Tice, N., & Kelsey, C. L. (2009a). Coping after 9/11: Deep interconnectedness and struggle in posttraumatic stress and growth. In M. Morgan (Ed.), The impact of 9/11 on psychology and education. The day that changed everything (pp. 115–138). New York, NY: Palgrave MacMillian. Ai, A. L., Tice, N., & Kelsey, C. L. (2009a). Coping after 9/11: Deep interconnectedness and struggle in posttraumatic stress and growth. In M. Morgan (Ed.), The impact of 9/11 on psychology and education. The day that changed everything (pp. 115–138). New York, NY: Palgrave MacMillian.
go back to reference Ai, A. L., Wink, P., Tice, T. N., Bolling, S. F., Wasin, A., & Shearer, M. (2009b). Prayer and reverence in naturalistic, aesthetic, and socio-moral contexts predicted fewer complications following coronary artery bypass. Journal of Behavioral Medicine, 32, 570–581.PubMedCrossRef Ai, A. L., Wink, P., Tice, T. N., Bolling, S. F., Wasin, A., & Shearer, M. (2009b). Prayer and reverence in naturalistic, aesthetic, and socio-moral contexts predicted fewer complications following coronary artery bypass. Journal of Behavioral Medicine, 32, 570–581.PubMedCrossRef
go back to reference Blumenthal, J. A., Babyak, M. A., Ironson, J., Thoresen, C., Powell, L., Czajkowski, S., et al. (2007). Spirituality, religion, and clinical outcomes in patients recovering from an acute myocardial infarction. Psychosomatic Medicine, 69, 501–508.PubMedCrossRef Blumenthal, J. A., Babyak, M. A., Ironson, J., Thoresen, C., Powell, L., Czajkowski, S., et al. (2007). Spirituality, religion, and clinical outcomes in patients recovering from an acute myocardial infarction. Psychosomatic Medicine, 69, 501–508.PubMedCrossRef
go back to reference Chatters, L. M., Levin, J. S., & Taylor, R. J. (1992). Antecedents and dimensions of religious involvement among older Black adults. Journal of Gerontology: Social Sciences, 47B, P269–P278. Chatters, L. M., Levin, J. S., & Taylor, R. J. (1992). Antecedents and dimensions of religious involvement among older Black adults. Journal of Gerontology: Social Sciences, 47B, P269–P278.
go back to reference Contrada, R. J., Goyal, T. M., Cather, C., Rafalson, L., Idler, E. L., & Krause, T. (2004). Psychosocial factors in outcomes of heart surgery: The impact of religious involvement and depressive symptoms. Health Psychology, 23, 227–238.PubMedCrossRef Contrada, R. J., Goyal, T. M., Cather, C., Rafalson, L., Idler, E. L., & Krause, T. (2004). Psychosocial factors in outcomes of heart surgery: The impact of religious involvement and depressive symptoms. Health Psychology, 23, 227–238.PubMedCrossRef
go back to reference Dillon, M., & Wink, P. (2007). In the course of a lifetime: Tracing religious belief, practice, and change. Berkeley, CA: University of California Press. Dillon, M., & Wink, P. (2007). In the course of a lifetime: Tracing religious belief, practice, and change. Berkeley, CA: University of California Press.
go back to reference Durkheim, E. (2001). The elementary forms of religious life (C. Cosman, Trans). Oxford: Oxford University Press. (Originally published 1912). Durkheim, E. (2001). The elementary forms of religious life (C. Cosman, Trans). Oxford: Oxford University Press. (Originally published 1912).
go back to reference Elkins, D. N., Hedstrom, L. J., Hughes, L. L., Leaf, J. A., & Saunders, C. (1988). Toward a humanistic-phenomenological spirituality: Definition, description, and measurement. Journal of Humanistic Psychology, 28, 5–18.CrossRef Elkins, D. N., Hedstrom, L. J., Hughes, L. L., Leaf, J. A., & Saunders, C. (1988). Toward a humanistic-phenomenological spirituality: Definition, description, and measurement. Journal of Humanistic Psychology, 28, 5–18.CrossRef
go back to reference Fetzer Institute/National Institute on Aging Working Group. (1999). Multidimensional Measurement of Religiousness/Spirituality for Use in Health Research. Kalamazoo, MI: John E. Fetzer Institute. Fetzer Institute/National Institute on Aging Working Group. (1999). Multidimensional Measurement of Religiousness/Spirituality for Use in Health Research. Kalamazoo, MI: John E. Fetzer Institute.
go back to reference Fredrickson, B. (2001). The role of positive emotions in positive psychology: The broaden-and-build theory of positive emotions. American Psychologist, 56, 218–228.PubMedCrossRef Fredrickson, B. (2001). The role of positive emotions in positive psychology: The broaden-and-build theory of positive emotions. American Psychologist, 56, 218–228.PubMedCrossRef
go back to reference Fredrickson, B. L., & Levenson, R. W. (1998). Positive emotions speed recovery from the cardiovascular sequlae of negative emotions. Cognition & Emotion, 12, 191–220.CrossRef Fredrickson, B. L., & Levenson, R. W. (1998). Positive emotions speed recovery from the cardiovascular sequlae of negative emotions. Cognition & Emotion, 12, 191–220.CrossRef
go back to reference Fredrickson, B. L., Tugade, M. M., Wugh, C. E., & Larkin, G. R. (2003). What good are positive emotions in crises; A prospective study of resilience and emotions following the terrorist attacks on the United States on September 11th, 2001. Journal of Personality and Social Psychology, 84, 365–376.PubMedCrossRef Fredrickson, B. L., Tugade, M. M., Wugh, C. E., & Larkin, G. R. (2003). What good are positive emotions in crises; A prospective study of resilience and emotions following the terrorist attacks on the United States on September 11th, 2001. Journal of Personality and Social Psychology, 84, 365–376.PubMedCrossRef
go back to reference Fuller, R. (2001). Spiritual, but not religious: Understanding unchurched America. New York: Oxford University Press.CrossRef Fuller, R. (2001). Spiritual, but not religious: Understanding unchurched America. New York: Oxford University Press.CrossRef
go back to reference Glendinning, T., & Bruce, S. (2006). New ways of believing or belonging: Is religion giving way to spirituality? The British Journal of Sociology, 57, 399–414.PubMedCrossRef Glendinning, T., & Bruce, S. (2006). New ways of believing or belonging: Is religion giving way to spirituality? The British Journal of Sociology, 57, 399–414.PubMedCrossRef
go back to reference Guralnick, D. B. (Ed.). (1978). Webster’s new world dictionary of the American Language (2nd College Edition). William Collins & World Publishing Company. Guralnick, D. B. (Ed.). (1978). Webster’s new world dictionary of the American Language (2nd College Edition). William Collins & World Publishing Company.
go back to reference Heelas, P., & Woodheard, L. (2005). The spiritual revolution: Why religion is giving way to spirituality. Oxford: Blackwell. Heelas, P., & Woodheard, L. (2005). The spiritual revolution: Why religion is giving way to spirituality. Oxford: Blackwell.
go back to reference Hill, P., & Hood, R. W. (1999). Affect, religion, and unconscious process. Journal of Personality, 67, 1015–1046.CrossRef Hill, P., & Hood, R. W. (1999). Affect, religion, and unconscious process. Journal of Personality, 67, 1015–1046.CrossRef
go back to reference Hood, R. W., Jr. (1995). Handbook of religious experience. Birmingham, AL: Religious Education Press. Hood, R. W., Jr. (1995). Handbook of religious experience. Birmingham, AL: Religious Education Press.
go back to reference Hout, M., & Fischer, C. S. (2002). Why more Americans have no religious preference: Politics and generations. American Sociological Review, 67, 165–190.CrossRef Hout, M., & Fischer, C. S. (2002). Why more Americans have no religious preference: Politics and generations. American Sociological Review, 67, 165–190.CrossRef
go back to reference Houtman, S., & Aupers, S. (2007). The spiritual turn and the decline of tradition: The spread of post-Christina spirituality in 14 Western countries, 1981–2000. Journal for the Scientific Study of Religion, 46, 305–320.CrossRef Houtman, S., & Aupers, S. (2007). The spiritual turn and the decline of tradition: The spread of post-Christina spirituality in 14 Western countries, 1981–2000. Journal for the Scientific Study of Religion, 46, 305–320.CrossRef
go back to reference Kass, J. D., Friedman, R., Leserman, J., Zuttermeister, P. C., & Benson, H. (1991). Health outcomes and a new index of spiritual experience. Journal for the Scientific Study of Religion, 20, 203–211.CrossRef Kass, J. D., Friedman, R., Leserman, J., Zuttermeister, P. C., & Benson, H. (1991). Health outcomes and a new index of spiritual experience. Journal for the Scientific Study of Religion, 20, 203–211.CrossRef
go back to reference Keltner, D., & Haidt, J. (2003). Approaching awe, a moral, spiritual, and aesthetic emotion. Cognition and Emotion, 17, 297–314.CrossRef Keltner, D., & Haidt, J. (2003). Approaching awe, a moral, spiritual, and aesthetic emotion. Cognition and Emotion, 17, 297–314.CrossRef
go back to reference McDougall, W. (1910). An introduction to social psychology (3rd ed.). Boston, MA: John W. Luce. McDougall, W. (1910). An introduction to social psychology (3rd ed.). Boston, MA: John W. Luce.
go back to reference Miller, W. R., & Thoresen, C. E. (2003). Spirituality, religion, and health: An emerging research field. American Psychologist, 58, 24–35.PubMedCrossRef Miller, W. R., & Thoresen, C. E. (2003). Spirituality, religion, and health: An emerging research field. American Psychologist, 58, 24–35.PubMedCrossRef
go back to reference Munro, D. J. (1988). Images of human nature: A sung portrait. Princeton, NJ: Princeton University Press. Munro, D. J. (1988). Images of human nature: A sung portrait. Princeton, NJ: Princeton University Press.
go back to reference Munro, D. J. (2005). The Chinese ethics for the new century: The Ch’ien Mu lecture on history and culture and other essays on science and Confucian ethics. Hong Kong, China: The Chinese University Press. Munro, D. J. (2005). The Chinese ethics for the new century: The Ch’ien Mu lecture on history and culture and other essays on science and Confucian ethics. Hong Kong, China: The Chinese University Press.
go back to reference Otto, R. (1928). The idea of the holy: An inquiry into the non-rational factor in the idea of the divine and its relation to the rational. London: Oxford University Press. Otto, R. (1928). The idea of the holy: An inquiry into the non-rational factor in the idea of the divine and its relation to the rational. London: Oxford University Press.
go back to reference Oxman, T. E., Freeman, D. H., & Manheimer, E. D. (1995). Lack of social participation or religious strength and comfort as risk factors for death after cardiac surgery in the elderly. Psychosomatic Medicine, 57, 5–15.PubMed Oxman, T. E., Freeman, D. H., & Manheimer, E. D. (1995). Lack of social participation or religious strength and comfort as risk factors for death after cardiac surgery in the elderly. Psychosomatic Medicine, 57, 5–15.PubMed
go back to reference Pargament, K. I. (1997). The psychology of religion and coping: Theory, research, and practice. New York: Guilford Press. Pargament, K. I. (1997). The psychology of religion and coping: Theory, research, and practice. New York: Guilford Press.
go back to reference Pargament, K., & Mahoney, A. (2005). Matters: Sacred sanctification a vital topic for the psychology of religion. The International Journal for the Psychology of Religion, 15, 179–198.CrossRef Pargament, K., & Mahoney, A. (2005). Matters: Sacred sanctification a vital topic for the psychology of religion. The International Journal for the Psychology of Religion, 15, 179–198.CrossRef
go back to reference Park, C. L., Brooks, M. A., & Sussman, J. (2009). Dimensions of religion and spirituality in psychological adjustment in older adults living with congestive heart failure. In A. Ai & M. Ardelt (Eds.), The role of faith in the well-being of older adults: Linking theories with evidence in an interdisciplinary inquiry (pp. 41–58). Hauppauge, NY: Nova Science Publishers. Park, C. L., Brooks, M. A., & Sussman, J. (2009). Dimensions of religion and spirituality in psychological adjustment in older adults living with congestive heart failure. In A. Ai & M. Ardelt (Eds.), The role of faith in the well-being of older adults: Linking theories with evidence in an interdisciplinary inquiry (pp. 41–58). Hauppauge, NY: Nova Science Publishers.
go back to reference Powell, L. H., Shahabi, L., & Thoresen, C. E. (2003). Religion and spirituality: Linkages to physical health. American Psychologist, 58, 36–52.PubMedCrossRef Powell, L. H., Shahabi, L., & Thoresen, C. E. (2003). Religion and spirituality: Linkages to physical health. American Psychologist, 58, 36–52.PubMedCrossRef
go back to reference Pressman, S. D., & Cohen, S. (2005). Does positive affect influence health? Psychological Bulletin, 131, 925–971.PubMedCrossRef Pressman, S. D., & Cohen, S. (2005). Does positive affect influence health? Psychological Bulletin, 131, 925–971.PubMedCrossRef
go back to reference Radloff, L. S. (1977). Center for epidemiologic studies–Depression Scale (CES-D). Applied Psychological Measurement, 1, 385–401.CrossRef Radloff, L. S. (1977). Center for epidemiologic studies–Depression Scale (CES-D). Applied Psychological Measurement, 1, 385–401.CrossRef
go back to reference Roof, W. C. (1999). Spiritual marketplace: Baby Boomers and the remaking of American religion. Princeton, NJ: Princeton University Press. Roof, W. C. (1999). Spiritual marketplace: Baby Boomers and the remaking of American religion. Princeton, NJ: Princeton University Press.
go back to reference Scheier, M. F., & Carver, C. S. (1985). Optimism, coping, and health: Assessment and implications of generalized outcome expectancies. Health Psychology, 4, 219–247.PubMedCrossRef Scheier, M. F., & Carver, C. S. (1985). Optimism, coping, and health: Assessment and implications of generalized outcome expectancies. Health Psychology, 4, 219–247.PubMedCrossRef
go back to reference Wink, P. (2010). Trouble with spirituality. Research in the Social Scientific Study of Religion, 21, 49–70. Wink, P. (2010). Trouble with spirituality. Research in the Social Scientific Study of Religion, 21, 49–70.
go back to reference Woodruff, P. (2001). Reverence: Renewing a forgotten virtue. NY: Oxford University Press. Woodruff, P. (2001). Reverence: Renewing a forgotten virtue. NY: Oxford University Press.
go back to reference Wuthnow, R. (1998). After heaven: Spirituality in America since the 1950s. Berkeley, CA: University of California Press. Wuthnow, R. (1998). After heaven: Spirituality in America since the 1950s. Berkeley, CA: University of California Press.
go back to reference Zimet, G. D., Powell, S. S., Farley, G. K., Werkman, S., & Berkoff, K. A. (1990). Psychometric characteristics of the multidimensional scale of perceived social support. Journal of Personality Assessment, 55, 610–617.PubMed Zimet, G. D., Powell, S. S., Farley, G. K., Werkman, S., & Berkoff, K. A. (1990). Psychometric characteristics of the multidimensional scale of perceived social support. Journal of Personality Assessment, 55, 610–617.PubMed
go back to reference Zinnbauer, B. J., Pargament, K. I., Cole, B., Rye, M. S., Butter, E. M., Belavich, T. G., et al. (1997). Religion and spirituality: Unfuzzying the fuzzy. Journal for the Scientific Study of Religion, 36, 549–564.CrossRef Zinnbauer, B. J., Pargament, K. I., Cole, B., Rye, M. S., Butter, E. M., Belavich, T. G., et al. (1997). Religion and spirituality: Unfuzzying the fuzzy. Journal for the Scientific Study of Religion, 36, 549–564.CrossRef
Metagegevens
Titel
Secular reverence predicts shorter hospital length of stay among middle-aged and older patients following open-heart surgery
Auteurs
Amy L. Ai
Paul Wink
Marshall Shearer
Publicatiedatum
01-12-2011
Uitgeverij
Springer US
Gepubliceerd in
Journal of Behavioral Medicine / Uitgave 6/2011
Print ISSN: 0160-7715
Elektronisch ISSN: 1573-3521
DOI
https://doi.org/10.1007/s10865-011-9334-8

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