Spirituality and Medicine

540 views
460 views

Published on

Spirituality and Medicine

0 Comments
0 Likes
Statistics
Notes
  • Be the first to comment

  • Be the first to like this

No Downloads
Views
Total views
540
On SlideShare
0
From Embeds
0
Number of Embeds
7
Actions
Shares
0
Downloads
20
Comments
0
Likes
0
Embeds 0
No embeds

No notes for slide

Spirituality and Medicine

  1. 1. SPRITUALITY AND MEDICINE Manoj Jain M.D. M.P.H.
  2. 2. Goals <ul><li>Exploring Spirituality through science. </li></ul><ul><li>Is religion healthy? </li></ul><ul><li>If so - what mechanisms make religion healthy? </li></ul><ul><li>Evolving model </li></ul><ul><li>Our prayer study - Research </li></ul>
  3. 3. Resurgence of Spirituality in Medicine <ul><li>Surveys </li></ul><ul><li>1993 and 1998 Eisenberg study on Alternative Medicine </li></ul><ul><li>Medical School Curriculum </li></ul><ul><li>Research by Benson, Koenig, Larson, Matthews </li></ul>
  4. 4. Survey Results <ul><li>95% of Americans believe in God </li></ul><ul><li>76% pray regularly </li></ul><ul><li>In 1990 25% used self-prayer for healing </li></ul><ul><li>In 1997 35% used self prayer (JAMA 98) </li></ul>
  5. 5. Spirituality vs. Religiosity <ul><li>Spirituality is: Core of our belief- often individual </li></ul><ul><li>Religiosity is: broader, institutional, ritualistic </li></ul><ul><li>Spirituality more compatible with science </li></ul>
  6. 6. What evidence is there that Spirituality/Religiosity leads to good health? <ul><li>Survival- 91,909 men attending church </li></ul><ul><li>Netherlands -SDA men 9 yrs. increase </li></ul><ul><li>Psychiatric illness </li></ul><ul><li>YET NO GOOD RCT--biased by behavior </li></ul>
  7. 7. What evidence is there that Spirituality/Religiosity leads to good health? <ul><li>3968 California residents age 64-101 years old 6 year follow up- </li></ul><ul><li>46% lower mortality rate if church going </li></ul><ul><li>After after correcting for behavior mortality rate 28% lower </li></ul>
  8. 8. Clinical Scenario <ul><li>1.Child falls “kiss the boo- boo” </li></ul><ul><li>2.Patient with Shortness of Breath </li></ul><ul><li>3.Patients with breast cancer go to social group </li></ul><ul><li>4. Patients in CCU were prayed for </li></ul>
  9. 9. If religion is healthy then what is the mechanism? <ul><li>Placebo effect </li></ul><ul><li>Psychological support </li></ul><ul><li>Social support </li></ul><ul><li>Religious practices i.e. dietary </li></ul><ul><li>Vibrational -- “devine” -- intercessory prayer </li></ul>
  10. 10. Placebo effect <ul><li>Belief in Medicine </li></ul><ul><li>Belief in Doctor </li></ul><ul><li>Belied in Relationship </li></ul><ul><li>30 percent effective (JAMA 1965) </li></ul>
  11. 11. Psychological/Social support <ul><li>Clergy - priest </li></ul><ul><li>Forgiveness/Confession </li></ul><ul><li>Sunday Church visits </li></ul><ul><li>Church Socials </li></ul>
  12. 12. Relaxation Response <ul><li>Prayer </li></ul><ul><li>Meditation </li></ul><ul><li>Chanting - repetition </li></ul><ul><li>Silence </li></ul>
  13. 13. Behavior modification <ul><li>Less smoking, drinking or high risk activities </li></ul><ul><li>Better diet - Seventh Day Adventists </li></ul>
  14. 14. Vibrational or Devine intervention <ul><li>? By science </li></ul><ul><li>NTTE </li></ul><ul><li>Non-Tactile Transfer of Energy </li></ul>
  15. 15. Medical Perspective -50 yrs.ago Basic Needs: Food -Shelter
  16. 16. Medical Model - 20 yrs. ago Basic Needs Psychological Needs Social Support Needs Placebo effect Stress response Relaxation response
  17. 17. New Developing Medical Model Basic Needs Psychological Needs Social Needs Spiritual Needs Prayer- Intercessory prayer
  18. 18. Study on intercessory prayer: San Francisco - Byrd Study1988 <ul><li>Study Design : Randomized control CCU patients </li></ul><ul><li>Sample : n=393, prayed group n=192, control group n=201 </li></ul><ul><li>Results : CHF 8 vs. 20 p<.03 </li></ul><ul><li>pneumonia 3 vs. 13 ... </li></ul><ul><li>Conclusion : Pts. receiving prayer had favorable outcome </li></ul>
  19. 19. Study on the Therapeutic Effect of Prayer --1998-2001 <ul><li>Study Design : Randomized control CABG patients-multicenter </li></ul><ul><li>Intervention : Intercessory prayer - knowledge if being prayed for </li></ul><ul><li>Sample : n=2000 </li></ul><ul><li>Three groups: </li></ul><ul><li>Prayed for + certain if being prayed for </li></ul><ul><li>Prayed for + uncertain if being prayed for </li></ul><ul><li>Not prayed for + uncertain if being prayed for </li></ul><ul><li>Outcomes: Complications - mortality -LOS </li></ul>
  20. 20. What kind of business are doctors in? <ul><li>Healers or </li></ul><ul><li>Drug Dealers </li></ul>

×