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FACT
Focus on Alternative and Complementary Therapies

A spirituality programme for emotional distress – a randomised, controlled trial

Moritz S1, Rickhi B1,3, Quan H1,2, Angen M4, Vintila R1, Sawa R5, Stuart H6, Soriano J7
1Canadian Institute for Natural and Integrative Medicine, Calgary, Canada
2Calgary Health Region, Canada
3Department of Psychiatry, University of Calgary, Canada
4Department of Psychosocial Resources, Tom Baker Cancer Centre, Canada
5University of Calgary Medical Clinics Sundridge, Canada
6Departments of Community Health and Epidemiology and Psychiatry, Queen’s University, Kingston, Ontario, Canada
7North West Vein Clinic, Calgary, Canada

Objective

This study aimed to evaluate the impact of a spirituality home-study programme on mood disturbance in emotionally distressed patients.

Materials and methods

A total of 156 individuals with distress (a score of > 40 on the Profile of Mood States) were recruited from primary care clinics in Calgary, Alberta, Canada. Participants were randomised to a spirituality group (8-week, taped, spirituality home-study programme), a meditation group (attendance of mindfulness meditation classes for 8 weeks) or a waitlist control group. Outcome measures were mood disturbance [Profile of Mood States (POMS)], quality of life (SF-36) and spirituality levels (Spiritual Involvement and Beliefs Scale).

Results

Spirituality participants had significantly improved total mood disturbance scores (the score decreased by 41%) and POMS subscale scores (vigor+ < 81%, tension –64%, confusion –61%, depressed mood –53%, anger –48% and fatigue –46%) after 8 weeks. The mean change in total POMS scores for spirituality participants was –38.8 (95% CI –30.8 to –46.8) and –20.1 (95% CI –12.5 to –29.0) and –10.3 (95% CI –4.5 to –16.1) for meditation and control participants. SF-36 mental health scores improved by 80% for spirituality participants compared with 40% and 26% for meditation and control participants, respectively. Spirituality levels also increased more for spirituality participants than for the other two groups.

Conclusion

The spirituality programme significantly reduces mood disturbance and improves mental-health-related quality of life. The programme could be a resource for family physicians when assisting their emotionally distressed patients.

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