Spirituality, Religiosity, and Mental Health in Patients with Idiopathic Inflammatory Myopathies: A Brazilian Multicentric Case–Control Study
Abstract
:1. Introduction
2. Materials and Methods
2.1. Study Design
2.2. Eligibility Criteria
2.3. Procedure
2.4. Data Analysis
2.5. Ethics
3. Results
4. Discussion
5. Limitations
6. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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Parameters | IIM (n = 151) | Controls (n = 95) | p-Value |
---|---|---|---|
Demographic data | |||
Age ± SD (years) | 48.0 ± 12.1 | 45.7 ± 14.1 | 0.174 |
Female | 115 (76.2) | 72 (75.8) | >0.999 |
Male | 36 (23.8) | 23 (24.2) | >0.999 |
Ethnicity | |||
White | 71 (47.0) | 63 (66.3) | 0.037 |
Pardo | 31 (20.5) | 7 (7.4) | |
Black | 49 (32.5) | 25 (26.3) | |
Rent (number of minimum wages) | |||
≤2 | 72 (47.7) | 19 (20.0) | <0.001 |
3–4 | 50 (33.1) | 22 (23.2) | |
5–10 | 24 (15.9) | 28 (29.5) | |
11–20 | 5 (3.3) | 26 (27.3) | |
Education (years) | |||
<9 | 36 (23.8) | 10 (10.5) | <0.001 |
10—12 | 73 (48.4) | 21 (22.1) | |
>12 | 42 (27.8) | 64 (67.4) | |
Marital status | |||
Married | 77 (51.0) | 40 (42.1) | 0.191 |
Divorced | 23 (15.2) | 6 (6.3) | |
Single | 39 (25.8) | 33 (34.7) | |
Common-law marriage | 7 (4.6) | 14 (14.7) | |
Widower | 5 (3.3) | 7 (2.1) | |
Comorbidities | |||
Arterial hypertension | 55 (36.4) | 19 (20.0) | 0.070 |
Dyslipidemia | 37 (36.4) | 17 (17.9) | 0.269 |
Diabetes mellitus | 22 (14.6) | 5 (5.3) | 0.034 |
Myocardial infarction | 22 (14.6) | 1 (1.1) | >0.999 |
Arrhythmia | 8 (5.3) | 3 (3.2) | 0.537 |
Heart failure | 1 (0.7) | 1 (1.1) | >0.999 |
Stroke | 1 (0.7) | 1 (1.1) | >0.999 |
Pulmonary disease | 29 (19.2) | 2 (2.1) | <0.001 |
Mental health problem (score ≥ 4) | 133 (88.1) | 83 (87.4) | >0.999 |
ARES score (range) | 53 (50–55) | 50 (43–55) | <0.001 |
DUREL scale | |||
ORA | 95 (74.2) | 33 (25.8) | <0.001 |
NORA | 132 (69.1) | 59 (30.9) | <0.001 |
IR | 139 (68.1) | 65 (31.9) | <0.001 |
Parameters | ORA | p-Value | NORA | p-Value |
---|---|---|---|---|
Demographic data | ||||
Age | ||||
18–30 | 3.2 ± 1.5 | 0.023 | 4.1 ± 1.8 | 0.022 |
31–59 | 4.3 ± 1.6 | 4.9 ± 1.1 | ||
≥60 | 3.8 ± 1.9 | 4.6 ± 1.5 | ||
Female | 4.2 ± 1.5 | 0.020 | 4.9 ± 1.1 | 0.019 |
Male | 3.2 ± 1.9 | 4.3 ± 1.5 | ||
Ethnicity | ||||
White | 3.9 ± 1.7 | 0.489 | 4.6 ± 1.4 | 0.215 |
Pardo | 4.2 ± 1.7 | 4.8 ± 1.3 | ||
Black | 4.3 ± 1.6 | 5.2 ± 0.9 | ||
Rent (number of minimum wages) | ||||
≤2 | 4.1 ± 1.8 | 0.329 | 4.8 ± 1.3 | 0.610 |
3–4 | 4.2 ± 1.5 | 5.0 ± 1.1 | ||
5–10 | 3.6 ± 1.8 | 4.5 ± 1.6 | ||
11–20 | 5.0 ± 1.4 | 5.0 ± 1.0 | ||
Education (years) | ||||
<9 | 3.7 ± 1.6 | 0.369 | 4.9 ± 1.3 | 0.534 |
10—12 | 4.1 ± 1.6 | 4.9 ± 1.0 | ||
>12 | 4.0 ± 1.6 | 4.6 ± 1.7 | ||
Marital status | ||||
Married | 4.3 ± 1.7 | 0.007 | 4.8 ± 1.3 | 0.147 |
Divorced | 4.3 ± 1.6 | 5.0 ± 0.7 | ||
Single | 3.7 ± 1.6 | 4.6 ± 1.4 | ||
Common-law marriage | 2.1 ± 1.6 | 4.0 ± 1.7 | ||
Widower | 5.0 ± 1.2 | 5.8 ± 0.4 | ||
Type of idiopathic inflammatory myopathies | ||||
Dermatomyositis | 3.8 ± 1.8 | 4.5 ± 1.5 | ||
Polymyositis | 4.3 ± 1.6 | 5.1 ± 0.7 | ||
Immune-mediated necrotizing myopathy | 4.4 ± 1.5 | 0.435 | 5.0 ± 1.4 | 0.179 |
Antisynthetase syndrome | 4.3 ± 1.6 | 5.2 ± 0.8 | ||
Comorbidities | ||||
Arterial hypertension | ||||
Yes | 4.3 ± 1.5 | 0.111 | 5.0 ± 1.0 | 0.052 |
No | 3.9 ± 1.7 | 4.6 ± 1.3 | ||
Dyslipidemia | ||||
Yes | 4.1 ± 1.7 | 0.860 | 4.8 ± 1.2 | 0.733 |
No | 4.1 ± 1.6 | 4.7 ± 1.3 | ||
Diabetes mellitus | ||||
Yes | 4.9 ± 1.5 | 0.013 | 5.0 ± 0.9 | 0.342 |
No | 3.9 ± 1.6 | 4.7 ± 1.3 | ||
Myocardial infarction | ||||
Yes | 2.0 ± 1.7 | 0.029 | 3.6 ± 2.3 | 0.127 |
No | 4.1 ± 1.6 | 4.8 ± 1.2 | ||
Arrhythmia | ||||
Yes | 3.4 ± 1.6 | 0.217 | 5.2 ± 0.4 | 0.317 |
No | 4.1 ± 1.7 | 4.7 ± 1.3 | ||
Heart failure * | ||||
Yes | 5.0 ± 0.0 | - | 6.0 ± 0·0 | - |
No | 4.0 ± 1.6 | 4.7 ± 1.3 | ||
Stroke * | - | |||
Yes | 3.0 ± 0.0 | - | 5.0 ± 0·0 | - |
No | 4.1 ± 1.6 | 4.8 ± 1.3 | ||
Pulmonary disease | ||||
Yes | 4.4 ± 1.6 | 0.207 | 5.1 ± 1.2 | 0.219 |
No | 4.0 ± 1.6 | 4.7 ± 1.3 | ||
Mental health problem (score ≥ 4) | 4.0 ± 1.7 | 0.206 | 13.4 ± 2.5 | 0.108 |
No Mental Health problem (score < 4) | 4.5 ± 1.8 | 0.276 | 14.1 ± 2.5 | 0.249 |
Parameters | IR | p-Value |
---|---|---|
Demographic data | ||
Age (years) | ||
18–30 | 11.7 ± 3.3 | 0.001 |
31–59 | 13.9 ± 2.1 | |
≥60 | 13.2 ± 2.6 | |
Female | 13.6 ± 2.09 | 0.155 |
Male | 13.0 ± 3.3 | |
Ethnicity | ||
White | 13.5 ± 2.5 | 0.800 |
Pardo | 13.6 ± 2.3 | |
Black | 13.4 ± 2.8 | |
Rent (number of minimum wages) | ||
≤2 | 13.6 ± 2.4 | 0.475 |
3–4 | 13.8 ± 1.8 | |
5–10 | 12.8 ± 3.5 | |
11–20 | 13.2 ± 2.5 | |
Education (years) | ||
<9 | 14.1 ± 2.7 | 0.642 |
10—12 | 13.6 ± 1.9 | |
>12 | 13.4 ± 2.5 | |
Marital status | ||
Married | 13.7 ± 2.5 | 0.001 |
Divorced | 14.2 ± 1.7 | |
Single | 13.4 ± 2.0 | |
Common-law marriage | 10.0 ± 4.5 | |
Widower | 14.6 ± 0.9 | |
Type of idiopathic inflammatory myopathies | ||
Dermatomyositis | 13.3 ± 2.9 | |
Polymyositis | 14.5 ± 1.0 | 0.044 |
Immune-mediated necrotizing myopathy | 13.2 ± 2.4 | |
Antisynthetase syndrome | 13.5 ± 2.2 | |
Comorbidities | ||
Arterial hypertension | ||
Yes | 13.8 ± 2.0 | 0.204 |
No | 13.4 ± 2.6 | |
Dyslipidemia | ||
Yes | 13.8 ± 2.0 | 0.436 |
No | 13.4 ± 2.5 | |
Diabetes mellitus | ||
Yes | 13.5 ± 2.5 | 0.940 |
No | 13.5 ± 2.4 | |
Myocardial infarction | ||
Yes | 12.3 ± 4.6 | 0.393 |
No | 13.5 ± 2.4 | |
Arrhythmia | ||
Yes | 12.7 ± 2.6 | 0.354 |
No | 13.5 ± 2.4 | |
Heart failure * | ||
Yes | 15.0 ± 0.0 | - |
No | 13.5 ± 2.4 | |
Stroke * | ||
Yes | 14.0 ± 0.0 | - |
No | 13.5 ± 2.4 | |
Pulmonary disease * | ||
Yes | 14.0 ± 1.8 | 0.226 |
No | 13.4 ± 2.5 | |
Mental health problem (score ≥ 4) | 13.5 ± 2.5 | 0.134 |
No mental health problem (score < 4) | 14.1 ± 1.7 |
Religious Orientation | IIMn (%) | Controln (%) | p-Value |
---|---|---|---|
Catholic | 61 (40.4) | 53 (55.7) | 0.018 |
Evangelicals | 57 (37.8) | 9 (9.5) | <0.001 |
Spiritualists | 9 (5.9) | 10 (10.5) | 0.192 |
ARES * | ORA * | NORA * | IR * | |
---|---|---|---|---|
Comorbidities | 0.143 | 0.197 | 0.206 | 0.180 |
p-value | 0.024 | 0.002 | 0.001 | 0.005 |
Subtypes of idiopathic inflammatory myopathies | ||||
Polymyositis | 0.138 | 0.059 | 0.064 | 0.141 |
p-value | 0.090 | 0.469 | 0.438 | 0.085 |
Dermatomyositis | 0.016 | −0.144 | −0.221 | −0.026 |
p-value | 0.844 | 0.077 | 0.006 | 0.755 |
Antisynthetase syndrome | −0.079 | 0.067 | 0.116 | −0.027 |
p-value | 0.333 | 0.414 | 0.155 | 0.741 |
immune-mediated necrotizing myopathy | −0.073 | 0.064 | 0.110 | −0.077 |
p-value | 0.374 | 0.437 | 0.180 | 0.349 |
Diagnosis time (years) | −0.002 | 0.170 | 0.051 | 0.057 |
p-value | 0.979 | 0.036 | 0.538 | 0.485 |
Treatment | ||||
Glucocorticoid use | 0.006 | 0.001 | −0.036 | 0.035 |
p-value | 0.938 | 0.988 | 0.665 | 0.667 |
Use > 1 immunosuppressant | 0.017 | −0.056 | 0.005 | −0.070 |
p-value | 0.844 | 0.530 | 0.954 | 0.429 |
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Share and Cite
Gonçalves Júnior, J.; dos Santos, A.M.; Sampaio, R.A.A.F.; do Nascimento Silva, T.; Martines, G.; de Araújo, D.B.; Cândido, E.L.; Shinjo, S.K. Spirituality, Religiosity, and Mental Health in Patients with Idiopathic Inflammatory Myopathies: A Brazilian Multicentric Case–Control Study. Int. J. Environ. Res. Public Health 2024, 21, 653. https://doi.org/10.3390/ijerph21060653
Gonçalves Júnior J, dos Santos AM, Sampaio RAAF, do Nascimento Silva T, Martines G, de Araújo DB, Cândido EL, Shinjo SK. Spirituality, Religiosity, and Mental Health in Patients with Idiopathic Inflammatory Myopathies: A Brazilian Multicentric Case–Control Study. International Journal of Environmental Research and Public Health. 2024; 21(6):653. https://doi.org/10.3390/ijerph21060653
Chicago/Turabian StyleGonçalves Júnior, Jucier, Alexandre Moura dos Santos, Romão Augusto Alves Filgueira Sampaio, Thalita do Nascimento Silva, Giovanna Martines, Daniel Brito de Araújo, Estelita Lima Cândido, and Samuel Katsuyuki Shinjo. 2024. "Spirituality, Religiosity, and Mental Health in Patients with Idiopathic Inflammatory Myopathies: A Brazilian Multicentric Case–Control Study" International Journal of Environmental Research and Public Health 21, no. 6: 653. https://doi.org/10.3390/ijerph21060653