Spiritual care may impact mental health and medication adherence in HIV+ populations

Valerie U Oji,1–3 Leslie C Hung,3 Reza Abbasgholizadeh,1,4 Flora Terrell Hamilton,5 E James Essien,6 Evaristus Nwulia7 1Lifefountain Center Ministries Inc, Houston, TX, USA; 2Feik School of Pharmacy, University of the Incarnate Word, San Antonio, TX, USA; 3University of Texas, College of P...

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Autores principales:	Oji VU, Hung LC, Abbasgholizadeh R, Terrell Hamilton F, Essien EJ, Nwulia EA
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2017
Materias:	HIV/AIDS Mental Illness Depression Spirituality and Health African Americans Immunologic diseases. Allergy RC581-607
Acceso en línea:	https://doaj.org/article/0abfa0e5980646c4981b9b7084348b03
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spelling	oai:doaj.org-article:0abfa0e5980646c4981b9b7084348b032021-12-02T06:30:47ZSpiritual care may impact mental health and medication adherence in HIV+ populations1179-1373https://doaj.org/article/0abfa0e5980646c4981b9b7084348b032017-04-01T00:00:00Zhttps://www.dovepress.com/spiritual-care-may-impact-mental-health-and-medication-adherence-in-hi-peer-reviewed-article-HIVhttps://doaj.org/toc/1179-1373Valerie U Oji,1–3 Leslie C Hung,3 Reza Abbasgholizadeh,1,4 Flora Terrell Hamilton,5 E James Essien,6 Evaristus Nwulia7 1Lifefountain Center Ministries Inc, Houston, TX, USA; 2Feik School of Pharmacy, University of the Incarnate Word, San Antonio, TX, USA; 3University of Texas, College of Pharmacy, Austin, TX, USA; 4University of Houston, Houston, TX, USA; 5Administration, Family & Medical Counseling Service, Inc. (FMCS), Washington, DC, USA; 6University of Houston Institute for Community Health, Houston, TX, USA; 7Psychiatry, Howard University Translational Neuroscience Laboratory, Washington, DC, USA Objective: To explore a potential role for spirituality in medication-related needs assessment for integrated care in chronically ill populations. Method: A systematic literature review was conducted to explore the impact of faith beliefs on health and/or medication adherence in individuals with depression and/or HIV+/AIDS. Retrospective electronic medical record review of adult HIV+ patients of an urban primary care clinic with integrated mental health services was conducted, with Substance Abuse and Mental Illness Symptoms Screener (SAMISS), major depressive disorder (MDD) incidence over the preceding year, and history of contact with a spiritual advisor. A convenience sample was interviewed to qualitatively assess potential medication therapy management needs and medication-related problems. Another sample was examined utilizing the Daily Spiritual Experience Scale. Results: The literature reports positive influence on health behaviors, coping and outcomes; and poor medication adherence and treatment decisions due to patient passivity or resistance. Spiritual advisor contact (not limited to a specific religion) was significantly associated with MDD absence (1.7% vs. 15.3%, P<0.005) and inversely related to SAMISS, depression, and poor health behaviors. Patient interviews reflected significance of faith in terms of insight and acceptance of illness, the role or need for medications, coping, and medication adherence. An illustrative model was designed based on the literature and data collection. Conclusion: Spiritual assessment may help identify positive or negative influence on health. Spiritual interventions could be beneficial in promoting adherence and positive health outcomes. Further research is recommended. Keywords: HIV+/AIDS, mental illness, depression, spirituality and health, African Americans Oji VUHung LCAbbasgholizadeh RTerrell Hamilton FEssien EJNwulia EADove Medical PressarticleHIV/AIDSMental IllnessDepressionSpirituality and HealthAfrican AmericansImmunologic diseases. AllergyRC581-607ENHIV/AIDS: Research and Palliative Care, Vol Volume 9, Pp 101-109 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	HIV/AIDS Mental Illness Depression Spirituality and Health African Americans Immunologic diseases. Allergy RC581-607
spellingShingle	HIV/AIDS Mental Illness Depression Spirituality and Health African Americans Immunologic diseases. Allergy RC581-607 Oji VU Hung LC Abbasgholizadeh R Terrell Hamilton F Essien EJ Nwulia EA Spiritual care may impact mental health and medication adherence in HIV+ populations
description	Valerie U Oji,1–3 Leslie C Hung,3 Reza Abbasgholizadeh,1,4 Flora Terrell Hamilton,5 E James Essien,6 Evaristus Nwulia7 1Lifefountain Center Ministries Inc, Houston, TX, USA; 2Feik School of Pharmacy, University of the Incarnate Word, San Antonio, TX, USA; 3University of Texas, College of Pharmacy, Austin, TX, USA; 4University of Houston, Houston, TX, USA; 5Administration, Family & Medical Counseling Service, Inc. (FMCS), Washington, DC, USA; 6University of Houston Institute for Community Health, Houston, TX, USA; 7Psychiatry, Howard University Translational Neuroscience Laboratory, Washington, DC, USA Objective: To explore a potential role for spirituality in medication-related needs assessment for integrated care in chronically ill populations. Method: A systematic literature review was conducted to explore the impact of faith beliefs on health and/or medication adherence in individuals with depression and/or HIV+/AIDS. Retrospective electronic medical record review of adult HIV+ patients of an urban primary care clinic with integrated mental health services was conducted, with Substance Abuse and Mental Illness Symptoms Screener (SAMISS), major depressive disorder (MDD) incidence over the preceding year, and history of contact with a spiritual advisor. A convenience sample was interviewed to qualitatively assess potential medication therapy management needs and medication-related problems. Another sample was examined utilizing the Daily Spiritual Experience Scale. Results: The literature reports positive influence on health behaviors, coping and outcomes; and poor medication adherence and treatment decisions due to patient passivity or resistance. Spiritual advisor contact (not limited to a specific religion) was significantly associated with MDD absence (1.7% vs. 15.3%, P<0.005) and inversely related to SAMISS, depression, and poor health behaviors. Patient interviews reflected significance of faith in terms of insight and acceptance of illness, the role or need for medications, coping, and medication adherence. An illustrative model was designed based on the literature and data collection. Conclusion: Spiritual assessment may help identify positive or negative influence on health. Spiritual interventions could be beneficial in promoting adherence and positive health outcomes. Further research is recommended. Keywords: HIV+/AIDS, mental illness, depression, spirituality and health, African Americans
format	article
author	Oji VU Hung LC Abbasgholizadeh R Terrell Hamilton F Essien EJ Nwulia EA
author_facet	Oji VU Hung LC Abbasgholizadeh R Terrell Hamilton F Essien EJ Nwulia EA
author_sort	Oji VU
title	Spiritual care may impact mental health and medication adherence in HIV+ populations
title_short	Spiritual care may impact mental health and medication adherence in HIV+ populations
title_full	Spiritual care may impact mental health and medication adherence in HIV+ populations
title_fullStr	Spiritual care may impact mental health and medication adherence in HIV+ populations
title_full_unstemmed	Spiritual care may impact mental health and medication adherence in HIV+ populations
title_sort	spiritual care may impact mental health and medication adherence in hiv+ populations
publisher	Dove Medical Press
publishDate	2017
url	https://doaj.org/article/0abfa0e5980646c4981b9b7084348b03
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Spiritual care may impact mental health and medication adherence in HIV+ populations

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