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Existential and religious dimensions of spirituality and their relationship with health-related quality of life in chronic kidney disease.
Clin J Am Soc Nephrol 2010; 5(11):1969-76CJ

Abstract

BACKGROUND AND OBJECTIVES

Spiritual aspects of health-related quality of life (HRQoL) in patients with chronic kidney disease (CKD) have not been fully assessed. This study described the religious and existential dimensions of spirituality of patients with CKD, provided evidence to support construct validity of the ESRD Spiritual Beliefs Scale, and examined the relationship between constructs of spirituality and HRQoL.

DESIGN, SETTING, PARTICIPANTS, & MEASUREMENTS

This was a prospective, cohort study of 253 predominantly white (81.5%) prevalent patients with stage 4 or 5 CKD or receiving long-term dialysis. Participants completed the Kidney Dialysis Quality of Life Short Form, the ESRD Spiritual Beliefs Scale, the Spiritual Perspective Scale, and the Spiritual Well-Being Scale.

RESULTS

Three subscales of ESRD Spiritual Beliefs Scale were highly correlated with other measures of religiosity and weakly correlated with existential well-being. Mean of three subscales of ESRD Spiritual Beliefs Scale and overall Spiritual Perspective Scale scores were 8.8 to 9.9 and 3.3, respectively. Mean ± SD existential and religious scores of the Spiritual Well-Being Scale were 42.9 ± 8.8 and 38.8 ± 11.4, respectively. Negligible correlations existed between religious scores and HRQoL. Conversely, existential well-being was moderately associated with several domains of HRQoL.

CONCLUSIONS

Our study supports construct validity of the ESRD Spiritual Beliefs Scale as a measure of religiosity. It did not seem to capture the existential dimension of spirituality. The existential domain of spirituality was more clinically relevant to patients in this study and had a greater impact on HRQoL compared with measures of religiosity.

Authors+Show Affiliations

Department of Medicine, University of Alberta, Edmonton, Alberta, Canada. sara.davison@ualberta.caNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

20651152

Citation

Davison, Sara N., and Gian S. Jhangri. "Existential and Religious Dimensions of Spirituality and Their Relationship With Health-related Quality of Life in Chronic Kidney Disease." Clinical Journal of the American Society of Nephrology : CJASN, vol. 5, no. 11, 2010, pp. 1969-76.
Davison SN, Jhangri GS. Existential and religious dimensions of spirituality and their relationship with health-related quality of life in chronic kidney disease. Clin J Am Soc Nephrol. 2010;5(11):1969-76.
Davison, S. N., & Jhangri, G. S. (2010). Existential and religious dimensions of spirituality and their relationship with health-related quality of life in chronic kidney disease. Clinical Journal of the American Society of Nephrology : CJASN, 5(11), pp. 1969-76. doi:10.2215/CJN.01890310.
Davison SN, Jhangri GS. Existential and Religious Dimensions of Spirituality and Their Relationship With Health-related Quality of Life in Chronic Kidney Disease. Clin J Am Soc Nephrol. 2010;5(11):1969-76. PubMed PMID: 20651152.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Existential and religious dimensions of spirituality and their relationship with health-related quality of life in chronic kidney disease. AU - Davison,Sara N, AU - Jhangri,Gian S, Y1 - 2010/07/22/ PY - 2010/7/24/entrez PY - 2010/7/24/pubmed PY - 2011/2/22/medline SP - 1969 EP - 76 JF - Clinical journal of the American Society of Nephrology : CJASN JO - Clin J Am Soc Nephrol VL - 5 IS - 11 N2 - BACKGROUND AND OBJECTIVES: Spiritual aspects of health-related quality of life (HRQoL) in patients with chronic kidney disease (CKD) have not been fully assessed. This study described the religious and existential dimensions of spirituality of patients with CKD, provided evidence to support construct validity of the ESRD Spiritual Beliefs Scale, and examined the relationship between constructs of spirituality and HRQoL. DESIGN, SETTING, PARTICIPANTS, & MEASUREMENTS: This was a prospective, cohort study of 253 predominantly white (81.5%) prevalent patients with stage 4 or 5 CKD or receiving long-term dialysis. Participants completed the Kidney Dialysis Quality of Life Short Form, the ESRD Spiritual Beliefs Scale, the Spiritual Perspective Scale, and the Spiritual Well-Being Scale. RESULTS: Three subscales of ESRD Spiritual Beliefs Scale were highly correlated with other measures of religiosity and weakly correlated with existential well-being. Mean of three subscales of ESRD Spiritual Beliefs Scale and overall Spiritual Perspective Scale scores were 8.8 to 9.9 and 3.3, respectively. Mean ± SD existential and religious scores of the Spiritual Well-Being Scale were 42.9 ± 8.8 and 38.8 ± 11.4, respectively. Negligible correlations existed between religious scores and HRQoL. Conversely, existential well-being was moderately associated with several domains of HRQoL. CONCLUSIONS: Our study supports construct validity of the ESRD Spiritual Beliefs Scale as a measure of religiosity. It did not seem to capture the existential dimension of spirituality. The existential domain of spirituality was more clinically relevant to patients in this study and had a greater impact on HRQoL compared with measures of religiosity. SN - 1555-905X UR - https://www.unboundmedicine.com/medline/citation/20651152/Existential_and_religious_dimensions_of_spirituality_and_their_relationship_with_health_related_quality_of_life_in_chronic_kidney_disease_ L2 - http://cjasn.asnjournals.org/cgi/pmidlookup?view=long&pmid=20651152 DB - PRIME DP - Unbound Medicine ER -