Titre :
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The effect of spiritual beliefs on outcome from illness. (1999)
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Auteurs :
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M. KING ;
P. SPECK ;
A. Thomas ;
Department of Psychiatry and Behavioural Sciences. Royal Free and University College Medical School. Royal Free Campus. Rowland Hill Street. London. GBR
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Type de document :
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Article
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Dans :
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Social science and medicine (vol. 48, n° 9, 1999)
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Pagination :
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1291-1299
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Langues:
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Anglais
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Mots-clés :
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Pathologie
;
Entrée
;
Etat santé
;
Religion
;
Pronostic
;
Homme
;
Royaume Uni
;
Europe
;
Etude prospective
;
Santé physique
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Résumé :
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[BDSP. Notice produite par INIST B9P3R0xa. Diffusion soumise à autorisation]. We aimed to assess the role of spiritual belief in clinical outcome of patients nine months after hospital admission. Two hundred and fifty patients admitted to a London teaching hospital were recruited and followed up for nine months. Outcome measures were clinical status as recorded in the outpatient records and patients'self reported health status and beliefs. A hundred and ninety-seven (79%) patients professed some form of spiritual belief, whether or not they engaged in a religious activity. Strength of belief was lower in patients who were in a more serious clinical state on admission (F=3.099. d.f.=2 and 192, p=0.05). Case note information was available nine months later for 234 patients (94%) and contained useful information for judging clinical outcome in 189 (76%). Patients with stronger spiritual beliefs were 2.3 times more likely (CI=1.1-5.1, p=0.033) to remain the same or deteriorate clinically nine months later. Other predictors of poor outcome were male gender and sleep disturbance at time of admission to hospital. We conclude that a stronger spiritual belief is an independent predictor of poor outcome at nine months in patients admitted to two acute services of a London hospital. It is more predictive of outcome than physical state assessed by clinicians, or self-reported psychological state, at admission.
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