Chronic kidney disease, spirituality and religiosity: a systematic overview with the list of eligible studies
Chronic Kidney Disease (CKD) has a tremendous psychological burden, which sometimes is overlooked or underestimated in the daily clinical routine practice, since in the health care process physicians prefer to focus on the objective aspects of the pathology. In this contribution, we make a systematic overview of the relationship between spiritual ity/religiosity and CKD, an emerging theme which only recently has raised interest from the scientific community despite its impor tance. We investigate different variables, axis and categories (from the quality of life to cus tomer’s satisfaction, treatment adherence and therapeutic alliance, clinical parameters, as well as overall survival, and coping strategies adopted by the patient). Moreover, we under pin the principal clinically relevant implica tions (like the possibility of psycho-therapeu tic interventions based on the spiritual and religious attitudes of the patient) and we dis cuss the main gaps, methodological barriers and difficulties in the field, fostering and advo cating further research and clinical studies. This last aspect, together with the quality assessment of the studies, will be further explored in the second part of the study.
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