The Role of Gratitude in Spiritual Well-being in Asymptomatic Heart Failure Patients.
The Role of Gratitude in Spiritual Well-being in Asymptomatic Heart Failure Patients.
复制标题
感恩在无症状心力衰竭患者精神健康中的作用。
DOI：
10.1037/scp0000050
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发表时间：
2015
期刊：
影响因子：
--
通讯作者：
Chopra,Deepak
中科院分区：
文献类型：
--
作者：
Mills,PaulJ;Redwine,Laura;Wilson,Kathleen;Pung,MeredithA;Chinh,Kelly;Greenberg,BarryH;Lunde,Ottar;Maisel,Alan;Raisinghani,Ajit;Wood,Alex;Chopra,Deepak
Spirituality and gratitude are associated with well-being. Few if any studies have examined the role of gratitude in heart failure (HF) patients or whether it is a mechanism through which spirituality may exert its beneficial effects on physical and mental health in this clinical population. This study examined associations between gratitude, spiritual well-being, sleep, mood, fatigue, cardiac-specific self-efficacy, and inflammation in 186 men and women with Stage B asymptomatic HF (age 66.5 years±10). In correlational analysis, gratitude was associated with better sleep (r=−. 25, p<. 01), less depressed mood (r=−. 41, p<. 01), less fatigue (r=−. 46, p<. 01), and better self-efficacy to maintain cardiac function (r=. 42, p<. 01). Patients expressing more gratitude also had lower levels of inflammatory biomarkers (r=−. 17, p<. 05). We further explored relationships among these variables by examining a putative pathway to determine whether spirituality exerts its beneficial effects through gratitude. We found that gratitude fully mediated the relationship between spiritual well-being and sleep quality (z=− 2.35, SE=. 03, p=. 02) and also the relationship between spiritual well-being and depressed mood (z=− 4.00, SE=. 075, p<. 001). Gratitude also partially mediated the relationships between spiritual well-being and fatigue (z=− 3.85, SE=. 18, p<. 001) and between spiritual well-being and self-efficacy (z= 2.91, SE=. 04, p=. 003). In sum, we report that gratitude and spiritual well-being are related to better mood and sleep, less fatigue, and more self-efficacy, and that gratitude fully or partially mediates the beneficial effects of spiritual well-being on these endpoints. Efforts to increase gratitude may be a treatment for improving well-being in HF patients’ lives and be of potential clinical value.(PsycINFO Database Record (c) 2019 APA, all rights reserved)
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DOI：
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发表时间：
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期刊：
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影响因子：
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