Health behaviour, depression and religiosity in older patients admitted to intermediate care. International Journal of Geriatric Psychiatry, 23(7), 735-740

Department of Physiotherapy, Manchester Metropolitan University, Elizabeth Gaskell Campus, Manchester, UK.
International Journal of Geriatric Psychiatry (Impact Factor: 2.87). 07/2008; 23(7). DOI: 10.1002/gps.1968
Source: OAI

ABSTRACT To examine health behaviour, severity of depression, gender differences and religiosity in older patients admitted to intermediate care for further rehabilitation.
Cross-sectional survey.
A research physiotherapist interviewed 173 older patients (113 female), 60 and older consecutively admitted to intermediate care for rehabilitation, usually after acute care.
Religiosity was measured using the Duke University Religion Index, depressive and anxiety symptoms using the Hospital Anxiety Depression Scale, and severity of depression measured by the Montgomery Asberg Depression Rating Scale. Physical disability was assessed by the Nottingham Extended Activities of Daily Living Scale and quality of life measured by the SF-36 questionnaire.
After controlling for other factors using multiple regression, religious attendance was associated with positive general health perception (t = 1.9, p = 0.05), and inversely associated with number of pack years smoked (t = −2.05, p = 0.04) and severity of illness (Charlson Index), [t = −2.05, p = 0.04]. Intrinsic religious activity was associated with older age (t = 3.06, p < 0.003), female gender (t = 2.52, p = 0. 01), living situation (t = −2.17, p < 0.03) and with less severe depression (t = −2.43, p = 0.01).
In older patients with chronic diseases in intermediate care, religious attendance was associated with positive perceptions of health, less severe illness, and fewer pack years. Intrinsic religious activities were associated with less severe depression and lower likelihood of living alone. Copyright

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Available from: Abebaw Yohannes, Mar 18, 2015
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    • "In the past two decades hundreds of studies have been published examining the association between religiosity and/or spirituality (R/S) and various indicators of physical and psychological well-being (Waite and Lehrer 2003). A smattering of the published research reveals positive effects of R/S on mental health among population samples of adolescents (Wong et al. 2006), veterans (Chang et al. 2001), and medically compromised older adults (Koenig 2004; Yohannes et al. 2008),as well as improved physical health outcomes among "
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    ABSTRACT: Claims about religion's beneficial effects on physical and psychological health have received substantial attention in popular media, but empirical support for these claims is mixed. Many of these claims are tenuous because they fail to address basic methodological issues relating to construct validity, sampling methods or analytical problems. A more conceptual problem has to do with the near universal lack of atheist control samples. While many studies include samples of individuals classified as "low spirituality" or religious "nones", these groups are heterogeneous and contain only a fraction of members who would be considered truly secular. We illustrate the importance of including an atheist control group whenever possible in the religiosity/spirituality and health research and discuss areas for further investigation.
    Journal of Religion and Health 10/2009; 50(3):608-22. DOI:10.1007/s10943-009-9296-0 · 1.02 Impact Factor
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    • "These encouraging findings still hold true in the most recent research. Yohannes, Koenig, Baldwin, and Connolly (2008) found that intrinsic religiosity was related to less severe depression in geriatric patients in intermediate care, which provides direct support to studies on older adults previously mentioned by Acklin et al. (1983) and Koenig et al. (2004). A 2007 study conducted by "
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    ABSTRACT: The purpose of this study was to determine whether or not intrinsic religiosity is an effective mediator or moderator between gratitude and health in college-aged students. The sample population was 450 undergraduate students from East Carolina University who filled out paper surveys with measures of gratitude, religiosity, and physical/psychological health complaints. Analyses were run to determine sex and ethnic differences, the strength of the relationship between gratitude, intrinsic religiosity, and health, and if mediation or moderation was present. First, results of this study indicate that women report higher levels gratitude than men, and African Americans report higher levels of intrinsic religiosity than Caucasian Americans. Second, gratitude was significantly related to fewer health complaints, while intrinsic religiosity was not. Third, mediation was not possible for intrinsic religiosity, because it did not hold a significant relationship with health, which goes against the necessary preconditions for mediation. Moderation was also not significant. The evidence suggests that religiosity plays no part in the gratitude--health relationship in this sample. M.A.
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    ABSTRACT: Depression and anxiety symptoms are common in medically ill older patients. We investigated the prevalence and predictors of depression and anxiety symptoms in older patients admitted for further rehabilitation in post acute intermediate care. Observational cohort study. An intermediate care unit, North West of England. One hundred and seventy-three older patients (60 male), aged mean (SD) 80 (8.1) years, referred for further rehabilitation to intermediate care. Depression and anxiety symptoms were assessed by the Hospital Anxiety and Depression Scale, and severity of depression examined by the Montgomery Asberg Depression Rating Scale. Physical disability was assessed by the Nottingham Extended ADL Scale and quality of life by the SF-36. Sixty-five patients (38%) were identified with depressive symptoms, 29 (17%) with clinical depression, 73 (43%) with anxiety symptoms, and 43 (25%) with clinical anxiety. 15 (35%) of the latter did not have elevated depression scores (9% of the sample). Of those with clinical depression, 14 (48%) were mildly depressed and 15 (52%) moderately depressed. Longer stay in the unit was predicted by severity of depression, physical disability, low cognition and living alone (total adjusted R2 = 0.24). Clinical depression and anxiety are common in older patients admitted in intermediate care. Anxiety is often but not invariably secondary to depression and both should be screened for. Depression is an important modifiable factor affecting length of stay. The benefits of structured management programmes for anxiety and depression in patients admitted in intermediate care are worthy of evaluation.
    International Journal of Geriatric Psychiatry 11/2008; 23(11):1141-7. DOI:10.1002/gps.2041 · 2.87 Impact Factor
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