title: Impact of spiritual and religious activity on quality of sleep in hemodialysis patients.
abstract: BACKGROUND
  Sleep disorders are common in hemodialysis (HD) patients. This study examined the relationship between quality of sleep (QoS) and religious/spiritual activity in HD patients.
  
  
  METHODS
  The study subjects were 861 HD patients from 14 dialysis clinics in Taiwan. QoS and religious/spiritual activity were evaluated by the Pittsburgh Sleep Quality Index (PSQI) questionnaire and the Royal Free Questionnaire respectively.
  
  
  RESULTS
  There was no difference in clinical parameters between the good and poor sleepers. Although total scores of religious and spiritual activity did not correlate with global PSQI score, patients who held strong 'spiritual' beliefs reported more problems in 'sleep disturbances', while those who exercised religious beliefs more strongly reported less trouble in 'daytime dysfunction'.
  
  
  CONCLUSIONS
  There is no significant correlation between QoS and religious/spiritual activity globally. However, the spiritual and religious activity did associate with different components of QoS.
authors.affiliation: Department of Internal Medicine, Far Eastern Memorial Hospital, Panchiao, Taiwan.
authors.forename: Ju-Yeh
authors.initials: JY
authors.lastname: Yang
authors.forename: Jenq-Wen
authors.initials: JW
authors.lastname: Huang
authors.forename: Tze-Wah
authors.initials: TW
authors.lastname: Kao
authors.forename: Yu-Sen
authors.initials: YS
authors.lastname: Peng
authors.forename: Chia-Sheng
authors.initials: CS
authors.lastname: Lu
authors.forename: Da-Lung
authors.initials: DL
authors.lastname: Chen
authors.forename: Chwei-Shiun
authors.initials: CS
authors.lastname: Yang
authors.forename: Chih-Ching
authors.initials: CC
authors.lastname: Yang
authors.forename: Dong-Ming
authors.initials: DM
authors.lastname: Tsai
authors.forename: Cheng-Shiung
authors.initials: CS
authors.lastname: Liao
authors.forename: Hong-Wei
authors.initials: HW
authors.lastname: Chang
authors.forename: Wen-Chung
authors.initials: WC
authors.lastname: Wu
authors.forename: Ming-Shiou
authors.initials: MS
authors.lastname: Wu
authors.forename: Kwan-Dun
authors.initials: KD
authors.lastname: Wu
authors.forename: Chee-Jen
authors.initials: CJ
authors.lastname: Chang
authors.forename: Tun-Jun
authors.initials: TJ
authors.lastname: Tsai
authors.forename: Wan-Yu
authors.initials: WY
authors.lastname: Chen
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D000368:Aged; D015897:Comorbidity; D006970:Disorders of Excessive Somnolence / Q000097:blood / Q000453:epidemiology / Q000209:etiology / Q000523:psychology; D020920:Dyssomnias / Q000097:blood / Q000453:epidemiology / Q000209:etiology / Q000523:psychology; D005260:Female; D006801:Humans; D007676:Kidney Failure, Chronic / Q000097:blood / Q000150:complications / Q000523:psychology* / Q000628:therapy; D008297:Male; D008875:Middle Aged; D015995:Prevalence; D012067:Religion; D006435:Renal Dialysis / Q000523:psychology*; D012720:Severity of Illness Index; D012890:Sleep; D012893:Sleep Wake Disorders / Q000097:blood / Q000453:epidemiology / Q000523:psychology*; D029181:Spirituality; D011795:Surveys and Questionnaires; D013624:Taiwan / Q000453:epidemiology