Gonçalves Júnior Jucier, Siqueira Leonardo Carneiro, de Alencar Junior Antonio Evandro, Shinjo Samuel Katsuyuki
Division of Rheumatology, Faculdade de Medicina FMUSP, Universidade de São Paulo, São Paulo, SP, Zip Code: 01246-903, Brazil.
Universidade Federal do Cariri (UFCA), Barbalha, Ceará, Zip Code: 63180-000, Brazil.
J Relig Health. 2025 Mar 7. doi: 10.1007/s10943-025-02287-6.
Several studies have demonstrated the influence of religiosity and spirituality (R/S) on patients with chronic diseases. However, few studies have explored the influence of R/S on autoimmune/non-autoimmune rheumatic diseases. We conducted a systematic review of the literature on the impact of religiosity and spirituality (R/S) on the health of patients with (autoimmune and non-autoimmune) rheumatic diseases. Systematic review of the literature according to the PRISMA protocol. Articles published between January 1912 and September 2024 in the Virtual Health Library (VHL), PubMed, Web of Science, Cochrane Library, Scopus, and PsychInfo databases were included. Few studies have explored the influence of R/S on non-autoimmune rheumatic diseases. Most studies have evaluated the impact of R/S on central sensitization pain syndromes, such as fibromyalgia, and degenerative diseases, such as osteoarthritis. Only two studies have been conducted in patients with autoimmune rheumatic diseases, rheumatoid arthritis, and idiopathic inflammatory myopathies. Among the 1614 articles found, 17 met the eligibility criteria. In the quality analysis of the studies, 76.5% were classified as "good." The findings were then divided into "psychological and physical impacts of R/S in patients with autoimmune rheumatic diseases" and "psychological and physical impacts of R/S in patients with non-autoimmune rheumatic diseases". The literature demonstrates the impact of R/S on improving quality of life, especially on lower pain scores, reducing stress, and improving mood and life satisfaction. This evidence is the most robust for non-autoimmune rheumatic diseases. The effects of R/S on non-psychological aspects are uncertain. Additionally, studies have small samples, and most are not longitudinal. Therefore, longitudinal studies that consider differences such as the type of religion, standardization of R/S level mapping methods, and larger samples are necessary.
多项研究已证明宗教信仰和精神性（R/S）对慢性病患者的影响。然而，很少有研究探讨R/S对自身免疫性/非自身免疫性风湿性疾病的影响。我们对关于宗教信仰和精神性（R/S）对（自身免疫性和非自身免疫性）风湿性疾病患者健康影响的文献进行了系统综述。根据PRISMA方案对文献进行系统综述。纳入了1912年1月至2024年9月在虚拟健康图书馆（VHL）、PubMed、科学网、考克兰图书馆、Scopus和PsychInfo数据库中发表的文章。很少有研究探讨R/S对非自身免疫性风湿性疾病的影响。大多数研究评估了R/S对中枢敏化疼痛综合征（如纤维肌痛）和退行性疾病（如骨关节炎）的影响。仅对自身免疫性风湿性疾病、类风湿关节炎和特发性炎性肌病患者进行了两项研究。在找到的1614篇文章中，17篇符合纳入标准。在研究的质量分析中，76.5%被归类为“良好”。然后将研究结果分为“R/S对自身免疫性风湿性疾病患者的心理和身体影响”以及“R/S对非自身免疫性风湿性疾病患者的心理和身体影响”。文献表明R/S对改善生活质量有影响，尤其是降低疼痛评分、减轻压力以及改善情绪和生活满意度。这一证据在非自身免疫性风湿性疾病方面最为有力。R/S对非心理方面的影响尚不确定。此外，研究样本量较小，且大多数不是纵向研究。因此，有必要进行考虑宗教类型差异、R/S水平映射方法标准化以及更大样本量的纵向研究。
