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[Prayer, an intermediary world].

Prayer, considered under its theological aspect as a love relation between the orant and God becomes, under a psychopathological point of view, deviated as it is from its original aim, a space of potential cure for narcissistic wounds. In this sense, prayer is a kind of intermediary world between normality and madness, which according to the religious ideas of the individual and the importance of his mental disorders, tends towards one or the other of these extremes, and makes his defences operative. It happens therefore that Faith, as materialized in prayer, can be a mean to save oneself of mental morbidity. Prayer is an intricate phenomenon which originates in the multiple dimensions of the human being, where religion, psychology, morals, pathology and metaphysics confront each other.

Christianity↗

Religion, health, and psychological well-being in older adults: findings from three national surveys.

This study examines the impact of religious involvement on health status and psychological well-being using data on older adults from three national probability surveys: the Myth and Reality of Aging (N = 2,797), the Quality of American Life (N = 1,209), and Americans' Changing Lives (N = 1,669) studies. Constructs are measured by single items and indices that vary across data sets. A proposed theoretical model specifies direct effects of religiosity on health and well-being and indirect effects on well-being through health. Analyses consist of structural-equation modeling of confirmed measurement models using weighted least squares estimation in LISREL 8.03. The model is analyzed first as specified and is then rerun controlling for the effects of six exogenous constructs: age, gender, race, marital status, education, and geographical region. Findings reveal excellent overall fit in all three samples and the presence of statistically significant religious effects, notably positive net effects of organizational religiosity, in all three samples. These results build on those of prior studies based mostly on samples limited regionally or methodologically or to particular racial or ethnic groups. This study also underscores the value of replicated secondary data analysis as a strategy for gerontologists seeking to confirm or examine a given structural model. Finally, an agenda is proposed for future research in this area.

Adaptation, Psychological↗

Considerations in diagnosing in the spiritual domain.

As nurses move into the spiritual domain, it is important to recognize beliefs and values implicit in Western Judeo-Christian culture. Cross-cultural comparisons are used to illuminate three Western spiritual assumptions: monotheism, transcendence, and dualism. Awareness of these assumptions can help nurses accommodate spiritual-cultural pluralism. Relevant to Western cultural bias, three types of errors lead to misdiagnosing spiritual distress or spiritual growth by confusing ideas of religion, psychology, and medicine with spirituality. These errors are discussed relevant to nursing practice. More work needs to be done to differentiate and understand spiritual issues related to health.

Cultural Characteristics↗

Does religious activity improve health outcomes? A critical review of the recent literature.

OBJECTIVE: Many Americans use religious activity to cope with stressful life events. Our goal was to review systematically the recent medical literature to assess the role of religion in health outcomes. DATA SOURCES: We conducted a comprehensive literature search using MEDLINE to identify studies published in the English language between January 1999 and June 2003 describing the effect of religion on health outcomes. The search strategy used the medical subject headings (MeSH) of religion; religion AND medicine; religion OR intercessory prayer; prayer; prayer therapy; religious rites; faith; medicine, traditional; religiosity; religion AND psychology; and religion AND health. STUDY SELECTION: Religious, but not spiritual, interventions were selected for inclusion. Thus, papers describing interventions such as yoga, meditation, acupuncture, and qigong were excluded. Manuscripts describing randomized controlled trials, clinical trials, and partnerships with faith-based organizations were included. DATA EXTRACTION: We found five randomized controlled trials, four clinical trials, and seven faith-based partnerships that describe the impact of religious intervention on health outcomes. Papers were analyzed by four reviewers using a modified Delphi technique to reach consensus. DATA SYNTHESIS: Religious intervention such as intercessory prayer may improve success rates of in vitro fertilization, decrease length of hospital stay and duration of fever in septic patients, increase immune function, improve rheumatoid arthritis, and reduce anxiety. Frequent attendance at religious services likely improves health behaviors. Moreover, prayer may decrease adverse outcomes in patients with cardiac disease. CONCLUSIONS: Religious activity may improve health outcomes.

Delphi Technique↗