ArticleAnnals of family medicine
Impact of spiritual symptoms and their interactions on health services and life satisfaction.
Article in Annals of family medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- "Trust in God, but tie your donkey": Holy water priest healers' views on collaboration with biomedical mental health services in Addis Ababa, Ethiopia.Transcultural psychiatry · 2024Article
- A Biopsychosocial Evaluation of Post-Acute Outcome of Patients with Severe Brain Lesions Recovering from Coma: An Exploratory Study.Journal of clinical medicine · 2023Article
- Assessing attitudes of patient-centered care among chiropractic students at a South African university.The Journal of chiropractic education · 2022Article
- Cognitive and Behavioral Changes Arising From Spirituality.Journal of religion and health · 2021Article
- Are We Ready for a True Biopsychosocial-Spiritual Model? The Many Meanings of "Spiritual".Medicines (Basel, Switzerland) · 2017Article
- The role of spiritual experiences and activities in the relationship between chronic illness and psychological well-being.Journal of religion and health · 2012Article
- Reasons to be cheerful? Reflections on GPs' responses to depression.The British journal of general practice : the journal of the Royal College of General Practitioners · 2009Article
- Depression: beyond the disease era.London journal of primary care · 2009Article
- Spirituality and medicine: science and practice.Annals of family medicineArticle
- In this issue: access to care, spirituality, and relevant research.Annals of family medicineArticle
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1 author.
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No grant is acknowledged in the PubMed record.
Abstract
purposeRecent work suggests that the biopsychosocial model should be expanded to include the spiritual dimension as well. The purpose of this study was to assess the independent effects of spiritual symptoms and their interactions with biopsychosocial symptoms on health care utilization, extreme use of services, and life satisfaction among primary care patients.
methodsThree hundred fifty-three adult waiting room patients at 2 primary care clinics completed the Biopsychosociospiritual Inventory (BioPSSI) as well as measures of life satisfaction and health care use. Hierarchical logistic regression analysis was performed with each outcome to determine whether adding spiritual symptoms and their interaction terms better accounted for outcomes than demographics, functional status, and chronic medical problems alone.
resultsSpiritual symptoms (alone or in interaction) were associated with 7 of the 10 outcomes and were particularly important to extreme use of health care services and life satisfaction. Among best-fit models, spiritual symptoms alone were significantly associated with any mental health use (beta =0.694, P < or = .05), fair-poor health status (beta =0.837, P < or = .05), and life lacking meaning (beta =1.214, P < or = .001).
conclusionsThis study has shown the relevance of spiritual symptoms and their interactions to understanding health outcomes. Extreme utilization outcomes were related to the number of chronic problems, as well as to the social-spiritual interaction. Satisfaction outcomes were associated with physical and spiritual symptoms. These findings may have important implications for providing comprehensive, outcome-based care, as well as for modeling of research findings.
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