Investigating the effect of religious beliefs (religious coping styles) in patients with asthma

Number of pages: 76 File Format: word File Code: 31914
Year: 2013 University Degree: Master's degree Category: Psychology
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    Dissertation for obtaining a Doctor of Medicine (MD) degree

    Abstract

    Introduction: Asthma is one of the chronic respiratory diseases characterized by reversible contraction of the airways. This relatively common disease affects about 10-12% of adults and 15% of children. Many asthma patients say that their symptoms worsen with stress. (1) From the perspective of psychology, coping style refers to the process of managing different situations, trying to solve personal problems and finding solutions to reduce or tolerate stress or conflicts. (9) Coping models provide a framework for evaluating how people react in stressful situations. Coping styles can be useful and cause a reduction in the negative burden of the disease in people, or with a negative effect on people, they can cause incompatible behaviors in people. (7) Religious coping is defined as religious beliefs act as a support to reduce the stress of the disease. This study was conducted with the aim of investigating the impact of religious beliefs (types of coping styles) in Muslim asthmatic patients. It also investigated the relationship between religious coping styles and the general health of patients. style="direction: rtl;">Materials and methods: This study was conducted on 102 asthmatic patients referred to the lung clinic using the standardized religious coping style questionnaire BriefRCOPE (Pargament et al 1998) and the GHQ28 general health questionnaire.

    Results: The average positive religious coping style among all patients was 25/11 and 60% of the patients They had a higher than average score in positive religious coping style. The average negative religious coping style among all patients was 10.68 and 35% of patients in negative religious coping style had a higher than average score. In this study, the average score of the overall general health of the asthmatic patients under study was 23.91 and the standard deviation was 11.9. 33% of the patients had a total score higher than 23 and there is a correlation between the general health score and positive religious coping, which was statistically significant in the sense that the higher the use of positive coping styles, the higher the level of general health. The problem will lead to benefiting from higher physical health and they will respond to better treatment.

    Key words: religious coping styles, public health

    -1 statement of the problem and the importance of the research

    Asthma is one of the chronic respiratory diseases that is reversible with contraction The airways are identified. Symptoms of this disease include cough, shortness of breath, and wheezing. This relatively common disease affects about 10-12% of adults and 15% of children (1). Viral infections, allergens and stress and anxiety are among the provoking factors of this disease, which have been proven in various researches (3, 4, 5, 2) that among these stimulating factors, psychological factors and stress have a significant effect on the appearance of the symptoms of this disease. They can induce bronchial constriction. (1) Chronic diseases such as asthma make people susceptible to different degrees of stress, which requires a continuous process of personal adaptation at different cognitive, emotional and behavioral levels. (7) Stress has different definitions in scientific texts. One of the most famous psychological definitions is that stress is actually an event and it occurs when factors from the surrounding environment challenge the adaptive capacity or the ability to implement the coping style in a person. (8)

    From the psychological point of view, coping style is the process of managing different situations, trying to solve personal problems and finding solutions to reduce or tolerate stress or conflicts. (9)

    Coping models provide a framework for evaluating how people react in stressful situations.Coping styles can be useful and cause a reduction in the negative burden of the disease in people, or with a negative effect on people, they can cause inconsistent behaviors in people. (7)

    Studies conducted in chronic diseases show a significant relationship between coping styles and clinical outcomes of diseases, including the level of patient performance and the level of disease control, and morbidity and mortality. style="direction: rtl;">Health Related Quality of Life (HRQoL) have shown. (11)

    In many studies, it has been emphasized that the proper use of coping methods leads to a correct assessment of the situation, a sense of security and an increase in health. (11)

        Religious confrontation is a type of confrontation during which a person uses religious ideas and beliefs in facing the problems and pressures of life (10)

       The type of which is different based on his religious beliefs and can have positive or negative effects on a person's encounter with the disease.

    Although the relationship between The impact of religious beliefs and mental health and illness is complex, but it is clear that religious beliefs and rituals play an important role in preventing and reducing emotional and psychological problems (11) It has always been assumed that strong religious beliefs should be associated with mental improvement and a positive effect on a person's response to illness. Despite the deep influence of religion on the quality of life, mental health and coping styles in various diseases, compared to other religions, the studies conducted on Muslim people on coping styles, especially religious coping, are very few and are only a handful. So far, two studies have investigated religious coping styles in asthmatic patients. In both of these studies, the relationship between religious coping styles and the degree of adaptation of asthmatic patients in two groups of children and adolescents has been investigated. Both studies were conducted in non-Muslim societies. And no study has been conducted in Muslim patients, which is worthy of consideration. Considering the different religious beliefs of Muslims and the lack of a similar study in this regard in previous studies, we decided in this study to examine the impact of religious beliefs (types of coping styles) in Muslim asthmatic patients. be patients  By making appropriate changes to reduce the mental and emotional burden of this chronic disease and improve the mental health of these patients, we can expect a better acceptance of the treatment by these patients, followed by a better response to the treatment and a reduction in the number of acute attacks in these patients. And in fact, it can help control the disease in this group of patients to some extent. If these goals are achieved, a useful step can be taken to reduce the treatment costs imposed on patients and the healthcare system.

  • Contents & References of Investigating the effect of religious beliefs (religious coping styles) in patients with asthma

    Index:

    Table of Contents

                                  

    Abstract. A

    The first chapter. 1

    Generalities of the research. 1

    1-1 Statement of the problem and importance of the research. 2

    1-2 research objectives. 4

    1-2-1 scientific goals. 4

    1-2-2 practical goals. 4

    The second chapter. 6

    Reviewing the theoretical foundations of research and reviewing important articles. 6

    2-1 Part I. 7

    2-1-1 Asthma. 7

    2-1-2 prevalence. 7

    2-1-3 Etiology. 8

    2-1-5 Inherent asthma. 9

    2-1-6 infections. 9

    2-1-7 environmental factors. 10

    2-1-8 Other factors. 11

    2-1-9 Pathogenesis. 11

    2-1-10 Pathology. 12

    2-1-11 Inflammation. 12

    2-1-12 inflammatory mediators. 15

    2-1-13 Effects of inflammation. 16

    2-1-14 Deformation of airways. 18

    2-1-15 asthma triggers. 18

    2-1-16 Allergens. 18

    2-1-17 Viral infections. 19

    2-1-18 medicinal agents. 19

    2-1-19 Sports. 19

    2-1-20 Physical factors. 20

    2-1-21 food. 20

    2-1-22 Air pollution. 20

    2-1-23 Job factors. 20

    2-1-24 Hormonal factors. 21

    2-1-25 Meravi gastric reflux. 21

    2-1-26 stress. 21

    2-1-27 Pathophysiology. 21

    2-1-28 Increasing airway responsiveness. 22

    2-2 Clinical features and diagnosis. 22

    2-3 diagnosis. 23

    2-3-1 Pulmonary function tests. 23

    2-3-2 Differential diagnosis. 24

    2-4 treatment of asthma. 24

    2-4-1 side effects. 27

    2-4-2 endurance. 27

    2-4-3 being safe. 27

    2-4-4 anticholinergics. 28

    2-4-5 theophylline. 28

    2-4-5-1 Clinical use. 28

    2-4-5-2 side effects. 29

    2-4-6 control treatments. Inhaled corticosteroids. 29

    2-4-6-1 Method of action. 30

    2-4-6-2 Clinical use. 31

    2-4-7 systemic corticosteroids. 32

    2-4-8 anti-leukotrienes. 32

    2-4-9 chromones. 33

    2-4-10 Treatment by removing steroids. 33

    2-4-11 anti- .IGE. 33

    2-4-12 Immunotherapy. 34

    2-4-13 Alternative treatments. 34

    2-4-14 Future treatments. 34

    2-4-15 control of chronic asthma. 35

    2-4-16 treatment step by step. 36

    2-4-17 Education. 36

    2-5 review of important articles. 37

    2-5-1 in the first group: studies conducted in relation to coping styles in asthmatic patients: 37

    2-5-2 studies conducted in relation to the effect of religious beliefs (coping styles): 38

    Chapter three. 40

    The method of conducting research. 40

    3-1 Type of study: 41

    3-2 Research community: 41

    3-3 How to collect information: 41

    3-4 Method: 41

    3-5 Information analysis method: 42

    Chapter four. 44

    Descriptive and analytical statistics. 44

    1-4 Regarding the first objective of the study, that is to determine the average duration of asthma in the studied patients with asthma. 45

    4-2 regarding the second objective of the study, i.e. determining the frequency of education in the studied patients with asthma: 46

    4-3 regarding the third objective of the study, i.e. determining the frequency of sex in the studied patients with asthma: 47

    4-4 regarding the fourth objective of the study, i.e. determining the frequency of age in the studied patients with asthma 48

    4-5 regarding the fifth objective of the study, i.e. determining the average amount of income in Asthma patients under study: 50

    4-6 Regarding the sixth objective, what was the average score obtained in religious and negative coping styles and how many percent of patients scored above the average in positive and negative religious coping styles? 51

    4-7 proposed hypotheses: 51

    Chapter five. 71

    Discussion. 71

    Disadvantages. 76

    Sixth chapter. 77

    Conclusion and suggestions. 77

    Sources and sources: 79

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Investigating the effect of religious beliefs (religious coping styles) in patients with asthma