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Erschienen in: Journal of Religion and Health 4/2009

01.12.2009 | Original Paper

Preferences for Life-Prolonging Medical Treatments and Deference to the Will of God

verfasst von: Laraine Winter, Marie P. Dennis, Barbara Parker

Erschienen in: Journal of Religion and Health | Ausgabe 4/2009

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Abstract

We defined and measured a dimension of religiosity frequently invoked in end-of-life (EOL) research—deference to God’s Will (GW)—and examined its relationship to preferences for life-prolonging treatments. In a 35-min telephone interview, 304 older men and women (60 +) were administered the 5-item GW scale, sociodemographic questions, three attitude items regarding length of life, and measures of two health indices, depression, and life-prolonging treatment preferences. The GW scale demonstrated internal consistency (Cronbach’s alpha = .94) and predictive and discriminant validity. Higher scores indicative of greater deference to GW were associated with stronger life-prolonging treatment preferences in poor-prognosis scenarios. Implications for the role of religiosity in medical decision-making are discussed.
Literatur
Zurück zum Zitat Annas, G. J. (2005). “Culture of life” politics at the bedside—The case of Terri Schiavo. New England Journal of Medicine, 352, 1710–1715.CrossRefPubMed Annas, G. J. (2005). “Culture of life” politics at the bedside—The case of Terri Schiavo. New England Journal of Medicine, 352, 1710–1715.CrossRefPubMed
Zurück zum Zitat Carmel, S., & Mutran, E. (1997). Preferences for different life-sustaining treatments among elderly persons in Israel. Journal of Gerontology B: Psychological and Social Sciences, 52, S97–S102. Carmel, S., & Mutran, E. (1997). Preferences for different life-sustaining treatments among elderly persons in Israel. Journal of Gerontology B: Psychological and Social Sciences, 52, S97–S102.
Zurück zum Zitat Cicirelli, V. G., MacLean, A. P., & Cox, L. S. (2000). Hastening death: A comparison of two end-of-life decisions. Death Studies, 5, 401–409. Cicirelli, V. G., MacLean, A. P., & Cox, L. S. (2000). Hastening death: A comparison of two end-of-life decisions. Death Studies, 5, 401–409.
Zurück zum Zitat Cohen-Mansfield, J., Droge, J. A., & Billig, N. (1992). Factors influencing hospital patients’ preferences in the utilization of life-sustaining treatments. The Gerontologist, 32, 89–95.PubMed Cohen-Mansfield, J., Droge, J. A., & Billig, N. (1992). Factors influencing hospital patients’ preferences in the utilization of life-sustaining treatments. The Gerontologist, 32, 89–95.PubMed
Zurück zum Zitat Contrada, R. J., Goyal, T. M., Cather, C., Rafalson, L., Idler, E. L., & Krause, T. J. (2004). Psychosocial factors in outcomes of heart surgery: The impact of religious involvement and depressive symptoms. Health Psychology, 23, 227–238. doi:10.1037/0278-6133.23.3.227.CrossRefPubMed Contrada, R. J., Goyal, T. M., Cather, C., Rafalson, L., Idler, E. L., & Krause, T. J. (2004). Psychosocial factors in outcomes of heart surgery: The impact of religious involvement and depressive symptoms. Health Psychology, 23, 227–238. doi:10.​1037/​0278-6133.​23.​3.​227.CrossRefPubMed
Zurück zum Zitat Coppola, K. M., Bookwala, J., Ditto, P. H., Lockhart, L. K., Danks, J. H., & Smucker, W. D. (1999). Elderly adults’ preferences for life-sustaining treatment: The role of impairment, prognosis, and pain. Death Studies, 23, 617–634. doi:10.1080/074811899200803.CrossRefPubMed Coppola, K. M., Bookwala, J., Ditto, P. H., Lockhart, L. K., Danks, J. H., & Smucker, W. D. (1999). Elderly adults’ preferences for life-sustaining treatment: The role of impairment, prognosis, and pain. Death Studies, 23, 617–634. doi:10.​1080/​074811899200803.CrossRefPubMed
Zurück zum Zitat Degelman, D., & Lynn, D. (1995). The development and preliminary validation of the Belief in Divine Intervention Scale. Journal of Psychology and Theology, 23, 37–44. Degelman, D., & Lynn, D. (1995). The development and preliminary validation of the Belief in Divine Intervention Scale. Journal of Psychology and Theology, 23, 37–44.
Zurück zum Zitat Duffy, S. A., Jackson, F. C., Schim, S. M., Ronis, D. L., & Fowler, K. E. (2005). Racial/ethnic preferences, sex preferences, and perceived discrimination related to end-of-life care. Journal of the American Geriatrics Society, 54, 150–157. doi:10.1111/j.1532-5415.2005.00526.x.CrossRef Duffy, S. A., Jackson, F. C., Schim, S. M., Ronis, D. L., & Fowler, K. E. (2005). Racial/ethnic preferences, sex preferences, and perceived discrimination related to end-of-life care. Journal of the American Geriatrics Society, 54, 150–157. doi:10.​1111/​j.​1532-5415.​2005.​00526.​x.CrossRef
Zurück zum Zitat Fetzer Institute. (1999). Multidimensional measurement of religiousness/spirituality for use in health research: A report of the Fetzer Institute/National Institute on Aging Working Group. Kalamazoo, MI: Fetzer Institute. Fetzer Institute. (1999). Multidimensional measurement of religiousness/spirituality for use in health research: A report of the Fetzer Institute/National Institute on Aging Working Group. Kalamazoo, MI: Fetzer Institute.
Zurück zum Zitat Gorsuch, R. L., & Smith, C. S. (1983). Attributions of responsibility to God: An interaction of religious beliefs and outcomes. Journal for the Scientific Study of Religion, 22, 340–352. doi:10.2307/1385772.CrossRef Gorsuch, R. L., & Smith, C. S. (1983). Attributions of responsibility to God: An interaction of religious beliefs and outcomes. Journal for the Scientific Study of Religion, 22, 340–352. doi:10.​2307/​1385772.CrossRef
Zurück zum Zitat Gostin, L. W. (1997). Deciding life and death in the courtroom: From Quinlan to Cruzan, Glucksberg, and Vacco–A brief history and analysis of constitutional protection of the ‘right to die’. Journal of the American Medical Association, 278, 1523–1528. doi:10.1001/jama.278.18.1523.CrossRefPubMed Gostin, L. W. (1997). Deciding life and death in the courtroom: From Quinlan to Cruzan, Glucksberg, and Vacco–A brief history and analysis of constitutional protection of the ‘right to die’. Journal of the American Medical Association, 278, 1523–1528. doi:10.​1001/​jama.​278.​18.​1523.CrossRefPubMed
Zurück zum Zitat Heeren, O., Menon, A. S., Raskin, A., & Ruskin, P. (2001). Religion and end of life treatment preferences among geriatric patients. International Journal of Geriatric Psychiatry, 1, 203–208. doi :10.1002/1099-1166(200102)16:2<203::AID-GPS306>3.0.CO;2-M.CrossRef Heeren, O., Menon, A. S., Raskin, A., & Ruskin, P. (2001). Religion and end of life treatment preferences among geriatric patients. International Journal of Geriatric Psychiatry, 1, 203–208. doi :10.1002/1099-1166(200102)16:2<203::AID-GPS306>3.0.CO;2-M.CrossRef
Zurück zum Zitat Helode, R. D., & Barlinge, S. P. (1984). Locus of control in relation to religiosity and sex. Psychological Studies, 29, 71–72. Helode, R. D., & Barlinge, S. P. (1984). Locus of control in relation to religiosity and sex. Psychological Studies, 29, 71–72.
Zurück zum Zitat Hill, P. C., & Hood, R. W. (Eds.). (1999). Measures of religiosity. Birmingham, AL: Religious Education Press. Hill, P. C., & Hood, R. W. (Eds.). (1999). Measures of religiosity. Birmingham, AL: Religious Education Press.
Zurück zum Zitat Idler, E. L. (1987). Religious involvement and health of the elderly: Some hypotheses and an initial test. Social Forces, 97, 1052–1079. Idler, E. L. (1987). Religious involvement and health of the elderly: Some hypotheses and an initial test. Social Forces, 97, 1052–1079.
Zurück zum Zitat Katz, S., Ford, A. B., Moskowitz, R. W., Jackson, B. A., & Jaffe, M. W. (1963). Studies of illness in the aged. The Index of ADL: A standardized measure of biological and psychosocial function. Journal of the American Medical Association, 185, 914–919.PubMed Katz, S., Ford, A. B., Moskowitz, R. W., Jackson, B. A., & Jaffe, M. W. (1963). Studies of illness in the aged. The Index of ADL: A standardized measure of biological and psychosocial function. Journal of the American Medical Association, 185, 914–919.PubMed
Zurück zum Zitat Krause, N., & Tran, T. V. (1989). Stress and religious involvement among older blacks. Journal of Gerontology: Social Sciences, 44, S4–S13. Krause, N., & Tran, T. V. (1989). Stress and religious involvement among older blacks. Journal of Gerontology: Social Sciences, 44, S4–S13.
Zurück zum Zitat Lawton, M. P., & Brody, E. M. (1969). Assessment of older people: Self-maintaining and instrumental activities of daily living. The Gerontologist, 9, 179–186.PubMed Lawton, M. P., & Brody, E. M. (1969). Assessment of older people: Self-maintaining and instrumental activities of daily living. The Gerontologist, 9, 179–186.PubMed
Zurück zum Zitat Lawton, M. P., Moss, M., Fulcomer, M., & Kleban, M. H. (1982). A research and service oriented multilevel assessment instrument. Journal of Gerontology, 37, 91–99.PubMed Lawton, M. P., Moss, M., Fulcomer, M., & Kleban, M. H. (1982). A research and service oriented multilevel assessment instrument. Journal of Gerontology, 37, 91–99.PubMed
Zurück zum Zitat Levenson, H. (1974). Differentiating among internality, powerful others, and chance. In H. M. Lefcourt (Ed.), Research with the locus of control construct (Vol. 1, pp. 15–63). New York: Academic Press. Levenson, H. (1974). Differentiating among internality, powerful others, and chance. In H. M. Lefcourt (Ed.), Research with the locus of control construct (Vol. 1, pp. 15–63). New York: Academic Press.
Zurück zum Zitat Levin, J. S. (1996). How religion influences morbidity and health: Reflections on natural history, salutogenesis and host resistance. Social Science and Medicine, 43, 849–864.CrossRefPubMed Levin, J. S. (1996). How religion influences morbidity and health: Reflections on natural history, salutogenesis and host resistance. Social Science and Medicine, 43, 849–864.CrossRefPubMed
Zurück zum Zitat Levin, J. S., Taylor, R. J., & Chatters, L. M. (1994). Race and gender differences in religiosity among older adults: Findings from four national surveys. Journal of Gerontology: Social Sciences, 49, S137–S145. Levin, J. S., Taylor, R. J., & Chatters, L. M. (1994). Race and gender differences in religiosity among older adults: Findings from four national surveys. Journal of Gerontology: Social Sciences, 49, S137–S145.
Zurück zum Zitat McCullough, M. E., Hoyt, W. T., Larson, D. B., Koenig, G., & Thoresen, C. (2000). Religious involvement and mortality: A meta-analytic review. Health Psychology, 5, 1–6. McCullough, M. E., Hoyt, W. T., Larson, D. B., Koenig, G., & Thoresen, C. (2000). Religious involvement and mortality: A meta-analytic review. Health Psychology, 5, 1–6.
Zurück zum Zitat McInroy, A. (2005). Blood transfusion and Jehovah’s Witnesses: The legal and ethnical issues. British Journal of Nursing, 14, 270–274.PubMed McInroy, A. (2005). Blood transfusion and Jehovah’s Witnesses: The legal and ethnical issues. British Journal of Nursing, 14, 270–274.PubMed
Zurück zum Zitat Muramoto, O. (1998). Bioethics of the refusal of blood by Jehovah’s witnesses: Part 1. Should bioethical deliberation consider dissidents’ views? Journal of Medical Ethics, 24, 223–230.CrossRefPubMed Muramoto, O. (1998). Bioethics of the refusal of blood by Jehovah’s witnesses: Part 1. Should bioethical deliberation consider dissidents’ views? Journal of Medical Ethics, 24, 223–230.CrossRefPubMed
Zurück zum Zitat Nam, C. B., & Terrie, E. W. (1988). 1980-Nam-Powers occupational status scores. Working Paper 88-48. Center for the Study of Populations, Florida State University. Nam, C. B., & Terrie, E. W. (1988). 1980-Nam-Powers occupational status scores. Working Paper 88-48. Center for the Study of Populations, Florida State University.
Zurück zum Zitat Pargament, K. I. (1999a). Meaning. In Fetzer Institute. Multidimensional measurement of religiousness/spirituality for use in health research: A report of the Fetzer Institute/National Institute on Aging Working Group. Kalamazoo, MI: Fetzer Institute. Pargament, K. I. (1999a). Meaning. In Fetzer Institute. Multidimensional measurement of religiousness/spirituality for use in health research: A report of the Fetzer Institute/National Institute on Aging Working Group. Kalamazoo, MI: Fetzer Institute.
Zurück zum Zitat Pargament, K. I. (1999b). Religious/spiritual coping. In Fetzer Institute. Multidimensional measurement of religiousness/spirituality for use in health research: A report of the Fetzer Institute/National Institute on Aging Working Group. Kalamazoo, MI: Fetzer Institute. Pargament, K. I. (1999b). Religious/spiritual coping. In Fetzer Institute. Multidimensional measurement of religiousness/spirituality for use in health research: A report of the Fetzer Institute/National Institute on Aging Working Group. Kalamazoo, MI: Fetzer Institute.
Zurück zum Zitat Pope John Paul II. (2004). Life-sustaining treatment and vegetative state: Scientific advances and ethnical dilemmas. Issues in Law and Medicine, 20, 167–170. Pope John Paul II. (2004). Life-sustaining treatment and vegetative state: Scientific advances and ethnical dilemmas. Issues in Law and Medicine, 20, 167–170.
Zurück zum Zitat Powell, L. H., Shahabi, L., & Thoresen, C. E. (2003). Religion and spirituality: Linkages to physical health. American Psychologist, 58, 36–52.CrossRefPubMed Powell, L. H., Shahabi, L., & Thoresen, C. E. (2003). Religion and spirituality: Linkages to physical health. American Psychologist, 58, 36–52.CrossRefPubMed
Zurück zum Zitat Quill, T. E. (2005). Terri Schiavo—A tragedy compounded. New England Journal of Medicine, 352, 1630–1633.CrossRefPubMed Quill, T. E. (2005). Terri Schiavo—A tragedy compounded. New England Journal of Medicine, 352, 1630–1633.CrossRefPubMed
Zurück zum Zitat Ritzema, R., & Young, C. (1983). Causal schemata and the attribution of supernatural causality. Journal of Psychology and Theology, 11, 35–43. Ritzema, R., & Young, C. (1983). Causal schemata and the attribution of supernatural causality. Journal of Psychology and Theology, 11, 35–43.
Zurück zum Zitat Roccaforte, W. H., Burke, W. J., Bayer, B. L., & Wengel, S. P. (1992). Validation of a telephone version of the Mini-Mental State Examination. Journal of the American Geriatrics Society, 40, 697–702.PubMed Roccaforte, W. H., Burke, W. J., Bayer, B. L., & Wengel, S. P. (1992). Validation of a telephone version of the Mini-Mental State Examination. Journal of the American Geriatrics Society, 40, 697–702.PubMed
Zurück zum Zitat Rotter, J. B. (1966). Generalized expectancies for internal versus external control of reinforcement. Psychological Monographs, 80, 1. (Whole No. 609).PubMed Rotter, J. B. (1966). Generalized expectancies for internal versus external control of reinforcement. Psychological Monographs, 80, 1. (Whole No. 609).PubMed
Zurück zum Zitat Schneiderman, L. J., Pearlman, R. A., Kaplan, R. M., Anderson, J. P., & Rosenberg, E. M. (1992). Relationship of general advance directive instructions to specific life-sustaining treatment preferences in patients with serious illness. Archives of Internal Medicine, 152, 2114–2122.CrossRefPubMed Schneiderman, L. J., Pearlman, R. A., Kaplan, R. M., Anderson, J. P., & Rosenberg, E. M. (1992). Relationship of general advance directive instructions to specific life-sustaining treatment preferences in patients with serious illness. Archives of Internal Medicine, 152, 2114–2122.CrossRefPubMed
Zurück zum Zitat Strawbridge, W. J., Shinn, S. J., Cohen, R. D., Roberts, R. E., & Kaplan, G. A. (1998). Religiosity buffers effects of some stressors on depression but exacerbates others. Journal of Gerontology: Social Sciences, 53B, S118–S126. Strawbridge, W. J., Shinn, S. J., Cohen, R. D., Roberts, R. E., & Kaplan, G. A. (1998). Religiosity buffers effects of some stressors on depression but exacerbates others. Journal of Gerontology: Social Sciences, 53B, S118–S126.
Zurück zum Zitat Underwood, L. G. (1999). Daily spiritual experiences. In Fetzer Institute. Multidimensional measurement of religiousness/spirituality for use in health Research: A report of the Fetzer Institute/National Institute on Aging Working Group. Kalamazoo, MI: Fetzer Institute. Underwood, L. G. (1999). Daily spiritual experiences. In Fetzer Institute. Multidimensional measurement of religiousness/spirituality for use in health Research: A report of the Fetzer Institute/National Institute on Aging Working Group. Kalamazoo, MI: Fetzer Institute.
Zurück zum Zitat Welton, G. L., Adkins, A. G., Ingle, S. L., & Dixon, W. A. (1996). God control: The fourth dimension. Journal of Psychology and Theology, 24, 13–25. Welton, G. L., Adkins, A. G., Ingle, S. L., & Dixon, W. A. (1996). God control: The fourth dimension. Journal of Psychology and Theology, 24, 13–25.
Zurück zum Zitat Winter, L., Lawton, M. P., & Ruckdeschel, K. (2003). Preferences for prolonging life: A prospect theory approach. The International Journal of Aging and Human Development, 56, 155–170.CrossRef Winter, L., Lawton, M. P., & Ruckdeschel, K. (2003). Preferences for prolonging life: A prospect theory approach. The International Journal of Aging and Human Development, 56, 155–170.CrossRef
Zurück zum Zitat Wreen, M. (1982–1983). J. Skelly Wright and refusal of treatment. Journal of Bioethics, 4, 11–28. Wreen, M. (1982–1983). J. Skelly Wright and refusal of treatment. Journal of Bioethics, 4, 11–28.
Zurück zum Zitat Yesavage, J. A., Brink, T. L., Rose, T. L., Lum, O., Huang, V., Adey, M., et al. (1983). Development and validation of a geriatric depression screening scale: A preliminary report. Journal of Psychiatric Research, 17, 37–49.CrossRef Yesavage, J. A., Brink, T. L., Rose, T. L., Lum, O., Huang, V., Adey, M., et al. (1983). Development and validation of a geriatric depression screening scale: A preliminary report. Journal of Psychiatric Research, 17, 37–49.CrossRef
Metadaten
Titel
Preferences for Life-Prolonging Medical Treatments and Deference to the Will of God
verfasst von
Laraine Winter
Marie P. Dennis
Barbara Parker
Publikationsdatum
01.12.2009
Verlag
Springer US
Erschienen in
Journal of Religion and Health / Ausgabe 4/2009
Print ISSN: 0022-4197
Elektronische ISSN: 1573-6571
DOI
https://doi.org/10.1007/s10943-008-9205-y

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