Abstract
Objectives
This randomized controlled trial evaluated the stress, anxiety, and burnout of professionals exposed to complementary spiritist therapy (CST), which consists in therapeutic resources as prayer, Spiritist passe, fluidic water and spiritual education or control.
Methods
Seventy-six professionals were randomized to CST or control: to maintain the routine for 5 weeks. The ISSL scale, anxiety and depression Beck’s indices, Maslach instrument, subjective well-being and WHOQOL-BREF were used at baseline and five-week. Blood count and cytokine dosage were collected at baseline, one-week and five-week. Analysis using the intention to treat approach.
Results
The means of variation of stress (exhaustion phase) between baseline and five-week were −1.50 ± 3.31 in the CST and 0.72 ± 3.50 in the control (p=0.036), effect size for CST group was d=0.65, which is considered medium effect. CST showed decrease in emotional exhaustion and negative affects, and increase in lymphocytes, erythrocyte parameters and platelets between the baseline and five-week (p<0.05). Reduction in IL-1β and increase in total lymphocyte count were observed with 2–3 sessions per week, but that does not maintain when the number of sessions is decreased. Participants receiving ≥7 sessions reduced emotional exhaustion, depersonalization and stress, and improved hematological parameters throughout the study (p<0.05).
Conclusions
CST may be effective in reducing stress (exhaustion phase) compared to control. Higher frequency of interventions promotes better psychic state, evidenced by large effect size for emotional exhaustion in burnout, and improves hematological parameters of professionals.
Acknowledgments
We would like to thank volunteers for their effort and the Clinical Trials Nucleus - NEC for making this study possible.
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Research funding: None declared.
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Author contributions: Élida Mara Carneiro contributed to the conception and planning of the study, data acquisition and manuscript preparation. Livia Figueira Avezum Oliveira contributed to the data acquisition and critical review of the intellectual content. Djalma Alexandre Alves da Silva, Chamberttan Souza Desidério and Virmondes Rodrigues Junior made substantial contributions in data acquisition and analyzed and interpreted data and worked on critical review of the intellectual content. Rodolfo Pessato Timóteo contributed to analyzed and interpreted data and critical review of the intellectual content. Maria de Fátima Borges to contributed to the conception and critical review of the intellectual content. All the authors have accepted responsibility for the entire content of this submitted manuscript and approved submission.
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Competing interest: Authors declare that there are no conflicts of interest related to the publication of this work.
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Informed consent: Informed consent was obtained from all individuals included in this study.
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Ethical approval: Research approved by the Ethics Committee in Research of the Federal University of Triângulo Mineiro (UFTM), under n. 1.144.646 (CAAE: 44891115.8.0000.5154) and all the participants signed the Free and Clarified Consent Term. This study is part of the Evaluation of the Effects of Complementary Spiritist Therapy on Servers and Patients.
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Trial registration: ClinicalTrials.gov Identifier NCT03356691.
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