Department of Rehabilitation Sciences, Spine, Pain and Head Research Unit Ghent, Ghent University, Belgium; Department of Physiotherapy, Antonine University, Lebanon; Pain in Motion International Research Group, Belgium.
Department of Rehabilitation Sciences, Spine, Pain and Head Research Unit Ghent, Ghent University, Belgium; Department of Physiotherapy, Antonine University, Lebanon; Pain in Motion International Research Group, Belgium; Department of Physiotherapy, Bayero University, Kano, Nigeria.
Pain Physician. 2021 Dec;24(8):E1163-E1176.
The biopsychosocial-spiritual model recognizes the impact of religious factors in modulating the experience of pain. Religious beliefs are factors that can influence perceptions, emotions, and behavior, all of which have important implications on health, pain experience, and treatment outcomes.
The aim of the present study was to identify if and how religious beliefs and attitudes can influence pain intensity, pain interference, pain-related beliefs and cognitions, emotions, and coping among patients with chronic musculoskeletal pain.
Systematic review.
This systematic review was conducted and reported, following the Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines (PRISMA). An electronic search was conducted in 4 online databases (PubMed, Embase, Web of science, and PsychArticles) and complemented with a hand search (PROSPERO registry: CRD42020161289). Two reviewers independently performed eligibility screening, risk of bias assessment, and data extraction. The risk of bias of the included studies was assessed using the Newcastle Ottawa Scale.
Nine cross-sectional studies and one case-control study were included in the review. The methodological quality of the included studies ranged from low to high. The results gathered regarding the association between religiosity and pain intensity, disability, or pain interference were found to be conflicting. Limited evidence suggests that religiosity is positively associated with worse pain-related beliefs and cognitions, worse pain-related emotion, and better pain acceptance. There is insufficient data available to support the claim that religiosity is negatively associated with physical functioning and pain-related self-efficacy in people with chronic musculoskeletal pain.
The number of included studies was small, with a low level of evidence, and a possible risk of bias.
This systematic review shows low evidence and conflicting results for the presence of associations between religiosity and different pain domains such as pain intensity, disability, and pain-related cognitions or emotions in people with chronic musculoskeletal pain.
生物心理社会精神模型认识到宗教因素在调节疼痛体验方面的影响。宗教信仰是影响认知、情绪和行为的因素，这些因素对健康、疼痛体验和治疗结果都有重要影响。
本研究旨在确定宗教信仰和态度是否以及如何影响慢性肌肉骨骼疼痛患者的疼痛强度、疼痛干扰、与疼痛相关的信念和认知、情绪和应对方式。
系统评价。
本系统评价按照系统评价和荟萃分析的首选报告项目（PRISMA）进行和报告。在 4 个在线数据库（PubMed、Embase、Web of science 和 PsychArticles）中进行了电子检索，并辅以手工检索（PROSPERO 注册表：CRD42020161289）。两名审查员独立进行了资格筛选、偏倚风险评估和数据提取。使用纽卡斯尔-渥太华量表评估纳入研究的偏倚风险。
纳入了 9 项横断面研究和 1 项病例对照研究。纳入研究的方法学质量从低到高不等。关于宗教与疼痛强度、残疾或疼痛干扰之间关联的结果存在冲突。有限的证据表明，宗教信仰与更差的与疼痛相关的信念和认知、更差的与疼痛相关的情绪以及更好的疼痛接受度相关。没有足够的数据支持宗教信仰与慢性肌肉骨骼疼痛患者的身体功能和与疼痛相关的自我效能呈负相关的说法。
纳入研究的数量较少，证据水平较低，存在偏倚风险。
本系统评价显示，在慢性肌肉骨骼疼痛患者中，宗教信仰与不同疼痛领域（如疼痛强度、残疾和与疼痛相关的认知或情绪）之间存在关联的证据水平较低且结果存在冲突。
