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01-06-2014 | Original Paper

Religion and the Use of Complementary and Alternative Medicine (CAM) Among Cardiac Patients

Authors: Ethel G. Nicdao, Amy L. Ai

Published in: Journal of Religion and Health | Issue 3/2014

Abstract

This study investigates the prevalence and predictors of using complementary and alternative medicine (CAM) among middle-aged and older patients prior to cardiac surgery. Additionally, it addresses the correlates of using 10 commonly used CAM therapies. The influence of religion on itemized CAM usage is also explored. Comprehensive data were collected from adult patients undergoing cardiac surgery through a preoperative survey 2 weeks prior to surgery, followed by a telephone interview the day before surgery. More than two-thirds of participants (80.9 %) indicated at least one CAM use. Income, religiosity, education, BMI, employment, and congestive heart failure predicted greater CAM utility. After multiple controls, major cardiac indicators were significantly positively associated with greater utility of CAM. There was also a significant positive association between religiosity and CAM use. Findings suggest considerable CAM use in this cardiac sample and certain associations among cardiac conditions, religiosity, and itemized CAM utilization. Future research is needed to investigate the potential joint therapeutic and adverse effects of drug and herbal remedies in cardiac patients.

Ai, A. L., & Bolling, S. F. (1997). Psychological recovery following coronary artery bypass graft surgery: The use of complementary therapy. Journal of Alternative and Complementary Medicine, 3(4), 343–353.CrossRef

Ai, A. L., & Bolling, S. F. (2002). The use of complementary and alternative therapies of middle-aged and older cardiac patients. American Journal of Medical Quality, 17(1), 21–27.PubMedCrossRef

Ai, A. L., Hopp, F., & Shearer, M. (2006). Getting affairs in order: Influences of social support and religious coping on end-of-life planning among open-heart surgery patients. Journal of Social Work in End-Of-Life & Palliative Care, 2(1), 71–94.CrossRef

Ai, A. L., Peterson, C., Bolling, S. F., & Koenig, H. (2002). Private prayer and optimism in middle-aged and older patients awaiting cardiac surgery. Gerontologist, 42(1), 70–81.PubMedCrossRef

Ai, A. L., Wink, P., Tice, T. N., Bolling, S. F., & Shearer, M. (2009). Prayer and reverence in naturalistic, aesthetic, and socio-moral contexts predicted fewer complications following coronary artery bypass. Journal of Behavioral Medicine, 32(6), 570–581.PubMedCrossRef

Ai, A. L., Ladd, K. L., Peterson, C., Cook, C. A., Shearer, M., & Koenig, H. G. (2010). Long-term adjustment after surviving open heart surgery: The effect of using prayer for coping replicated in a prospective design. Gerontologist, 50(6), 798–809.PubMedCentralPubMedCrossRef

Arthur, H. M., Patterson, C., & Stone, J. A. (2006). The role of complementary and alternative therapies in cardiac rehabilitation: A systematic evaluation. European Journal of Cardiovascular Prevention & Rehabilitation, 13(1), 3–9.

Astin, J. A. (1998). Why patients use alternative medicine. Journal of the American Medical Association, 279(19), 1548–1553.PubMedCrossRef

Astin, J. A., Shapiro, S. L., Eisenberg, D. M., & Forys, K. L. (2003). Mind-Body medicine: State of the science, implications for practice. Journal of the American Board of Family Practice, 16, 131–147.PubMedCrossRef

Astin, J. A. (2004). Mind-body therapies for the management of pain. Clinical Journal of Pain, 20(1), 27–32.PubMedCrossRef

Barnes, P. M., Powell-Griner, E., McFann, K., & Nahin, R. L. (2004). Complementary and alternative medicine use among adults: United States, 2002. Advance data from vital and health statistics; no 343. Hyattsville, MD: National Center for Health Statistics.

Barnes, P. M., Bloom, B., & Nahin, R. L. (2008). Complementary and alternative medicine use among adults and children: United States, 2007. National health statistics reports; no 12. Hyattsville, MD: National Center for Health Statistics.

Centers for Disease Control and Prevention (CDC). (2009). National Center for Chronic Disease Prevention and Health Promotion, Division for Heart Disease and Stroke Prevention. Atlanta, GA: US Department of Health and Human Services.

Chatters, L. M., Levin, J. S., & Taylor, R. J. (1992). Antecedents and dimensions of religious involvement among older black adults. Journal of Gerontology, 47(6), 269–278.CrossRef

Edelman, D., Oddone, E. Z., Liebowitz, R. S., Yancy, W. S, Jr, Olsen, M. K., Jeffreys, A. S., et al. (2006). A multidimensional integrative medicine intervention to improve cardiovascular risk. Journal of General Internal Medicine, 21(7), 728–734.PubMedCentralPubMedCrossRef

Eisenberg, D. M., Kessler, R. C., Foster, C., Norlock, F. E., Calkins, D. R., & Delbanco, T. L. (1993). Unconventional medicine in the United States. New England Journal of Medicine, 328, 246–252.PubMedCrossRef

Eisenberg, D. M., Davis, R. B., Ettner, S. L., Appel, S., Wilkey, S., Van Rompay, M., et al. (1998). Trends in alternative medicine use in the United States, 1990–1997: Results of a follow-up national survey. Journal of the American Medical Association, 280, 1569–1575.PubMedCrossRef

Ellison, C. G. & Fan, D. (2008). Daily spiritual experiences and psychological well-being among US adults. Social Indicators Research, 88(2), 247–271. CrossRef

Gillum, F., & Griffith, D. M. (2010). Prayer and spiritual practices for health reasons among American adults: The role of race and ethnicity. Journal of Religion and Health, 49, 283–295.PubMedCrossRef

Gillum, R. F., King, D. E., Obisesan, T. O., & Koenig, H. G. (2008). Frequency of attendance at religious services and mortality in a U.S. national cohort. Annals of Epidemiology, 18(2), 124–129.PubMedCentralPubMedCrossRef

Grzywacz, J., Suerken, C., Quandt, S., Bell, R., Lang, W., & Arcury, T. (2006). Older adults’ use of complementary and alternative medicine for mental health: Findings from the 2002 national health interview survey. Journal of Alternative and Complementary Medicine, 12(5), 467–473.CrossRef

Hill, T. D., Ellison, C. G., Burdette, A. M., & Musick, M. A. (2007). Religious involvement and healthy lifestyles: Evidence from the survey of texas adults. Annals of Behavioral Medicine, 34(2), 217–222.PubMedCrossRef

Hays, R. D., Sherbourne, C. D., & Mazel, R. M. (1993). The rand 36-item health survey 1.0. Health Economics, 2, 217–227.PubMedCrossRef

Horrigan, B. (2009). New NHIS survey reveals that 38% of American adults use CAM. Explore, 5(2), 71–73.PubMedCrossRef

Hermann, D. D. (2002). Naturoceutical agents in the management of cardiovascular disease. American Journal of Cardiovascular Drugs, 2(3), 173–196.PubMedCrossRef

King, M. B., & Koenig, H. G. (2009). Conceptualising spirituality for medical research and health service provision. BMC Health Services Research, 9, 116–122.PubMedCentralPubMedCrossRef

Koenig, H. G., George, L. K., Titus, P., & Meador, K. G. (2004). Religion, spirituality, and acute care hospitalization and long-term care use by older patients. Archives of Internal Medicine, 164, 1579–1585.PubMedCrossRef

Levin, J. S., Taylor, R. J., & Chatters, L. M. (1994). Race and gender differences in religion among older adults: Findings from four national surveys. Journal of Gerontology, 49, S137–S145.PubMedCrossRef

Liu, E. H., Turner, L. M., Lin, S. X., Klaus, L., Choi, L. Y., Whitworth, J., et al. (2000). Use of alternative medicine by patients undergoing cardiac surgery. Journal of Thoracic and Cardiovascular Surgery, 120(2), 335–341.PubMedCrossRef

Lloyd-Jones, D., Adams, R. J., Brown, T. M., Carnethon, M., Dai, S., De Simone, G., et al. (2010). Heart disease and stroke statistics—2010 update: A report from the American heart association statistics committee and stroke statistics subcommittee. Circulation, 121, e1–e170.CrossRef

MacIntyre, B., Hamilton, J., Fricke, T., Ma, W., Mehle, S., & Michel, M. (2008). The efficacy of healing touch in coronary artery bypass surgery recovery: A randomized clinical trial. Alternative Therapies, Health and Medicine, 14(4), 24–32.

Miller, K. L., Liebowitz, R. S., & Newby, L. K. (2004). Complementary and alternative medicine in cardiovascular disease: A review of biologically based approaches. American Heart Journal, 147(3), 401–411.PubMedCrossRef

Mouch, C. A., & Sonnega, A. J. (2012). Spirituality and recovery from cardiac surgery: A review. Journal of Religion and Health,. doi:10.1007/s10943-012-9612-y.PubMed

Nahin, R. L., Barnes, P. M., Stussman, B. J, & Bloom, B. (2009). Costs of complementary and alternative medicine (CAM) and frequency of visits to CAM practitioners: United States, 2007. National Health Statistics Reports; no 18. Hyattsville, MD: National Center for Health Statistics.

National Heart Lung and Blood Institute (NHLBI). (2011). U.S. Department of Health and Human Services, 437 National Institutes of Health. http://www.nhlbi.nih.gov/health/health-topics/topics/hs/. Accessed 11 June 2011.

Wolsko, P. M., Eisenberg, D. M., Davis, R. B., & Phillips, R. S. (2004). Use of mind-body medical therapies. Journal of General Internal Medicine, 19, 43–50.PubMedCentralPubMedCrossRef

Wood, M., Stewart, R., Merry, H., Johnstone, D., & Cox, J. (2003). Use of complementary and alternative medical therapies in patients with cardiovascular disease. American Heart Journal, 145, 806–812.PubMedCrossRef

Wootton, J. C., & Sparber, A. (2001). Surveys of complementary and alternative medicine: Part I. General trends and demographic groups. Journal of Alternative and Complementary Medicine, 7, 195–208.CrossRef

Wu, P., Fuller, C., Liu, X., Lee, H. C., Fan, B., Hoven, C. W., et al. (2007). Use of complementary and alternative medicine among women with depression: Results of a national survey. Psychiatric Services, 58(3), 349–356.PubMedCrossRef

Yeh, G. Y., Davis, R. B., & Phillips, R. S. (2006). Use of complementary therapies in patients with cardiovascular disease. American Journal of Cardiology, 98(5), 673–680.PubMedCrossRef

Title: Religion and the Use of Complementary and Alternative Medicine (CAM) Among Cardiac Patients
Authors: Ethel G. Nicdao
Amy L. Ai
Publication date: 01-06-2014
Publisher: Springer US
Published in: Journal of Religion and Health / Issue 3/2014
Print ISSN: 0022-4197
Electronic ISSN: 1573-6571
DOI: https://doi.org/10.1007/s10943-013-9681-6

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Religion and the Use of Complementary and Alternative Medicine (CAM) Among Cardiac Patients

Abstract

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Abstract

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