Improve Heart Failure Patient Longevity with Spirituality
By John M. de Castro, Ph.D.
“Although difficult to study, spirituality has been evaluated and deemed to have a beneficial effect on multiple measures including global quality of life, depression and medical compliance in the treatment of patients with heart failure.” – J Naqhi
Cardiovascular disease is the number one killer, claiming more lives than all forms of cancer combined. “Heart disease is the leading cause of death for both men and women. About 610,000 people die of heart disease in the United States every year–that’s 1 in every 4 deaths. Every year about 735,000 Americans have a heart attack.” – Centers for Disease Control. Congestive heart failure (CHF) is a major type of cardiovascular disease. “CHF is a chronic progressive condition that affects the pumping power of your heart muscles. While often referred to simply as “heart failure,” CHF specifically refers to the stage in which fluid builds up around the heart and causes it to pump inefficiently” (Healthline).
Congestive heart failure (CHF) is a very serious life-threatening condition. About 5.7 million adults in the United States have congestive heart failure. One in 9 deaths include heart failure as a contributing cause. The seriousness of CHF is underscored by the fact that about half of people who develop CHF die within 5 years of diagnosis. Hence, effective treatment is very important. There is a myriad of treatments that have been developed to treat CHF including a variety of surgical procedures and medications. Importantly, lifestyle changes have proved to be quite effective. These include quitting smoking, weight reduction, improved diet, physical activity, and reducing stresses.
Spirituality, a sense of inner peace and harmony, and religiosity are known to help with a wide range of physical and psychological problems. So, it would make sense to investigate the relationship of spirituality and religiosity to the treatment of congestive heart failure. In today’s Research News article “Spiritual Peace Predicts 5-Year Mortality in Congestive Heart Failure Patient.” See:
or see summary below or view the full text of the study at:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4760860/.
Park and colleagues recruited a large sample of patients who had experienced congestive heart failure (CHF) of at least moderate severity. They were 64% male and averaged 69 years of age. The researchers measured severity of CHF, other health conditions, smoking, alcohol consumption, engagement in health behaviors, depression, social support, attendance at religious services, and spiritual peace. The patients were followed over a five year period to establish mortality rates.
At the five-year follow-up, almost a third (32%) of the patients had died. They found that age, other health conditions, and depression contributed to mortality. Controlling for these variables they found that smoking nearly tripled the risk of death, while alcohol consumption mildly reduced the risk. Adhering to a healthy lifestyle cut the risk in half and spirituality and engagement in religious practice was associated with greater engagement in healthy lifestyles. Controlling for all of these variables they found that spirituality was associated with a 20% reduction in mortality.
These results suggest that controlling lifestyle is critical for survival after CHF. This includes reducing smoking and increasing healthy lifestyle behaviors. But, in addition to these important factors, spirituality, but not engagement in religious practices, improves longevity. Although spirituality is associated with lifestyle, the analysis suggests that spirituality’s association with improved longevity occurs independently of lifestyle factors. These results have to be interpreted with caution since they are correlative and cannot prove causation. But, the fact that spirituality predicts longevity over a 5-year period after measurement, is compatible with an interpretation that spirituality causally contributes to longevity.
These results suggest that just being religious is not enough. One must be spiritual in order to obtain the longevity benefits. So, it is not enough to just believe in a greater power or attend religious services. Rather, a sense of spiritual peace and harmony is required. To some extent, this makes sense as this would reduce stress which is known to exacerbate disease processes. In addition, spirituality has been shown to improve adherence to treatment regimens for heart failure and this by itself could account for improved longevity. Regardless, the results make it clear that being spiritual can help extend the lives of patients with congestive heart failure (CHF).
So, improve heart failure patient longevity with spirituality.
“We found that more gratitude in these patients was associated with better mood, better sleep, less fatigue and lower levels of inflammatory biomarkers related to cardiac health,” – Paul J. Mills
CMCS – Center for Mindfulness and Contemplative Studies
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Study Summary
Park, C. L., George, L., Aldwin, C. M., Choun, S., Suresh, D. P., & Bliss, D. (2016). Spiritual Peace Predicts 5-Year Mortality in Congestive Heart Failure Patients. Health Psychology : Official Journal of the Division of Health Psychology, American Psychological Association, 35(3), 203–210. http://doi.org/10.1037/hea0000271
Abstract
Objective: Spirituality is favorably related to depression, quality of life, hospitalizations, and other important outcomes in congestive heart failure (CHF) patients but has not been examined as a predictor of mortality risk in this population. Given the well-known difficulties in managing CHF, we hypothesized that spirituality would be associated with lower mortality risk, controlling for baseline demographics, functional status, health behaviors, and religiousness.
Method: Participants were 191 CHF patients (64% male; Mage = 68.6 years, SD = 10.1) who completed a baseline survey and were then followed for five years.
Results: Nearly one third of the sample (32%) died during the study period. Controlling for demographics and health status, smoking more than doubled the risk of mortality, while alcohol consumption was associated with slightly lower risk of mortality. Importantly, adherence to healthy lifestyle recommendations was associated with halved mortality risk. While both religion and spirituality were associated with better health behaviors at baseline in bivariate analyses, a proportional hazard model showed that only spirituality was significantly associated with reduced mortality risk (by 20%), controlling for demographics, health status, and health behaviors.
Conclusions: Experiencing spiritual peace, along with adherence to a healthy lifestyle, were better predictors of mortality risk in this sample of CHF patients than were physical health indicators such as functional status and comorbidity. Future research might profitably examine the efficacy of attending to spiritual issues along with standard lifestyle interventions.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4760860/