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Relationship between religiosity, spirituality and physical and mental outcomes in fibromyalgia patients

1, 2, 3, 4, 5, 6

 

  1. Institute of Rheumatology, Tel Aviv Sourasky Medical Centre, and Sackler School of Medicine, Tel Aviv University, Israel. valerie.aloush@gmail.com
  2. Sackler School of Medicine, Tel Aviv University, and Internal Medicine H, Tel Aviv Sourasky Medical Centre, Israel.
  3. Sackler School of Medicine, Tel Aviv University, and Internal Medicine D, Tel Aviv Sourasky Medical Centre, Tel Aviv, Israel.
  4. Institute of Rheumatology, Tel Aviv Sourasky Medical Centre, and Sackler School of Medicine, Tel Aviv University, Israel.
  5. Institute of Rheumatology, Tel Aviv Sourasky Medical Centre, and Sackler School of Medicine, Tel Aviv University, Israel.
  6. Sackler School of Medicine, Tel Aviv University, and Internal Medicine H, Tel Aviv Sourasky Medical Centre, Israel.

CER13560
2021 Vol.39, N°3 ,Suppl.130
PI 0048, PF 0053
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PMID: 33886455 [PubMed]

Received: 13/05/2020
Accepted : 17/07/2020
In Press: 09/04/2021
Published: 21/06/2021

Abstract

OBJECTIVES:
The coping mechanisms utilised by patients with the fibromyalgia syndrome (FM) pose a crucial focus of treatment. Previous research points to the positive effects of religiosity and spirituality (R/S) as tools for coping with illness. The role of these factors in coping with chronic pain in FM has not previously been studied. The aim of this study was to evaluate the link between R/S and FM outcomes.
METHODS:
Fifty-five FM patients (ACR criteria) attending a tertiary rheumatology clinic completed a packet of questionnaires assessing demographic data, levels of religiosity and spirituality (SpREUK) and locus of control (LOC). These variables were then individually assessed for influence on FM outcome measures, using the Fibromyalgia Impact Questionnaire (FIQ), the SF-36, and the Beck Depression Index (BDI).
RESULTS:
A high score on SpREUK I (search for meaningful support) was negatively correlated with the Role-Physical (p=0.032) and Role-Emotional (p<0.005) scales on SF-36. Secular patients scored higher on SF-36 domains of “Role limitation due to emotional health” and “General health” (p<0.05). Employment demonstrated a positive correlation with the FIQ (p<0.01), the BDI (p<0.001), and the SF-36 (p<0.05). Physical activity correlated positively with BDI scores (p=0.012) and better scores on SF-36: energy/fatigue (p=0.024), social-functioning (p=0.014) and physical-functioning (p<0.01). No significant correlation was found between LOC (internal versus external) and FM outcomes. No significant correlation was found between SpREUK domains and the BDI.
CONCLUSIONS:
FM patients do not appear to benefit from high levels of R/S. Physicians should be aware of the impact of R/S on well-being in this population.

DOI: https://doi.org/10.55563/clinexprheumatol/fcxigf

Rheumatology Article