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

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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.

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References

  • 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.

    Article  CAS  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    Article  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  • 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.

    Google Scholar 

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

    Article  CAS  PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

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

    Article  PubMed  Google Scholar 

  • 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.

    Google Scholar 

  • 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.

    Article  Google Scholar 

  • 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.

    Article  PubMed Central  PubMed  Google Scholar 

  • 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.

    Article  CAS  PubMed  Google Scholar 

  • 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.

    Article  CAS  PubMed  Google Scholar 

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

    Article  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  • 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.

    Article  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

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

    Article  CAS  PubMed  Google Scholar 

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

    Article  PubMed  Google Scholar 

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

    Article  CAS  PubMed  Google Scholar 

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

    Article  PubMed Central  PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    Article  CAS  PubMed  Google Scholar 

  • 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.

    Article  CAS  PubMed  Google Scholar 

  • 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.

    Article  Google Scholar 

  • 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.

    Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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  Google Scholar 

  • 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.

    Article  PubMed Central  PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    Article  CAS  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

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Acknowledgments

This work is supported by the National Institute on Mental Health Grant, R24 MH56599, the National Center for Complementary and Alternative Medicine Grant, P50 AT00011, a grant from the John Templeton Foundation, and the Hartford Geriatric Faculty Scholar’s Program. The opinions expressed in this article are those of the authors and do not necessarily reflect the views of these agencies. The authors gratefully acknowledge the contributions of colleagues at the University of Michigan Integrative Medicine Program.

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Correspondence to Ethel G. Nicdao.

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Nicdao, E.G., Ai, A.L. Religion and the Use of Complementary and Alternative Medicine (CAM) Among Cardiac Patients. J Relig Health 53, 864–877 (2014). https://doi.org/10.1007/s10943-013-9681-6

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  • DOI: https://doi.org/10.1007/s10943-013-9681-6

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