Not me. Don't let your doctor use this as a get out of jail free card for not getting you 100% recovered. A statement from my parents that 'God doesn't give you anything more than you can handle'. A God that is that evil tipped me completely into atheism and I relied on my own internal strengths to get where I am today.
Stroke survivors, caregivers may benefit from spirituality
Spirituality improved
quality of life for patients who survived stroke and for their
caregivers who reported depressive symptoms, according to a study
published in Circulation: Cardiovascular Quality and Outcomes.
Researchers analyzed data from 213 dyads of stroke survivors (mean
age, 71 years; 49% women) and their care partners (mean age, 52 years;
66% women) who were enrolled at discharge from 10 rehabilitation
hospitals in Italy. Care partners were defined as those who provided
most of the informal care for the stroke survivor. Dyads were followed
up every 3 months for 1 year.
Several measures were taken during the study for the stroke survivor and care partner, including anxiety, depression and spirituality. Researchers also assessed physical, environmental, social and psychological quality of life.
The spirituality of the stroke survivor significantly weakened the link between a care partner’s depressive symptoms and the psychological quality of life of the survivor (beta = 0.05; P < .001). This specifically focused on the significant interaction between depressive symptoms of the care partner and the survivor’s spirituality (effect size = 0.24). A similar effect related to spirituality was also observed for the care partner’s baseline psychological quality of life (beta = 0.04; P < .001), with a significant interaction between depressive symptoms of the care partner and the spirituality of the survivor (effect size = 0.24).
Spirituality of the care partner was linked to their physical quality of life at baseline (beta = 0.28; P < .001).
“The results of this study highlight the
protective role of spirituality understood not as religiosity, but as
the individual’s perception of life within the context of the culture
and value systems of the society and in relation to the individual’s
goals, expectations, standards and concerns,” Gianluca Pucciarelli, PhD, FAHA, research
fellow at the University of Rome, told Healio. “Spirituality seems to
be a coping variable that ‘moderates’ the effect of psychological
variables (ie, depression) on individual variables (ie, quality of
life). Being a coping variable, spirituality may alter the meaning of
the events, making them less stressful in nature, moderate the negative
associations leading to problems or manage the level of emotional
response to stressors.”
Several measures were taken during the study for the stroke survivor and care partner, including anxiety, depression and spirituality. Researchers also assessed physical, environmental, social and psychological quality of life.
The spirituality of the stroke survivor significantly weakened the link between a care partner’s depressive symptoms and the psychological quality of life of the survivor (beta = 0.05; P < .001). This specifically focused on the significant interaction between depressive symptoms of the care partner and the survivor’s spirituality (effect size = 0.24). A similar effect related to spirituality was also observed for the care partner’s baseline psychological quality of life (beta = 0.04; P < .001), with a significant interaction between depressive symptoms of the care partner and the spirituality of the survivor (effect size = 0.24).
Spirituality of the care partner was linked to their physical quality of life at baseline (beta = 0.28; P < .001).
“Our study emphasizes the importance for
clinicians to view survivors holistically; not just as a patient with
symptoms and disabilities, but also as an individual made up of
emotional needs, suffering, hopes, faith, religious beliefs and desires,
and also part of an interdependent unit with their caregivers,”
Pucciarelli said in an interview. “Usually in the international context,
there is a tendency to put the patient at the center of care, but it
would be advisable to change the thinking strategy. We should start
developing projects that may put the dyad at the center of care and not
only the patient, because as we have seen, stroke does not impact only
on the survivors’ life.” – by Darlene Dobkowski
For more information:
Gianluca Pucciarelli, PhD, FAHA, can be reached at gianluca.pucciarelli@uniroma2.it.
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