{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,11]],"date-time":"2026-10-11T02:09:54Z","timestamp":1791684594009,"version":"4.3.4"},"reference-count":48,"publisher":"MDPI AG","issue":"6","license":[{"start":{"date-parts":[[2024,5,21]],"date-time":"2024-05-21T00:00:00Z","timestamp":1716249600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>No published studies have investigated the correlation between religiosity, spirituality, mental health, and idiopathic inflammatory myopathy (IIM) or systemic autoimmune myopathy. Therefore, we aimed to evaluate the association between religiosity\/spirituality, sociodemographic factors, and the mental health of IIM patients. This is a multicenter case\u2013control study that included 151 patients with IIMs and 95 individuals without autoimmune diseases (controls), held between August 2022 and April 2023. This study used a semi-structured questionnaire that included sociodemographic information and the juxtaposition of the following questionnaires: the Attitudes Related to Spirituality Scale (ARES); the Duke University Religion Index (DUKE), which is composed of the organizational religious affiliation (ORA), non-organizational religious affiliation (NORA), and intrinsic religiosity (IR) domains; and the General Health Questionnaire-12 (GHQ-12). Data were analyzed using Epi Info software 7.2.5 (Centers for Disease Control and Prevention, Atlanta, GA, USA). A comparison between the mean values of the ARES, DUKE, and GHQ-12 scales was made using the Wilcoxon\u2013Mann\u2013Whitney and Kruskal\u2013Wallis tests. A logistic regression test was used with the variables whose difference was statistically significant in the univariate analysis. Correlation analysis was performed using the Spearman rho coefficient. A higher prevalence of evangelicals and a lower prevalence of Catholics (p &lt; 0.050) were seen in the IIM group compared to controls. Positive association was demonstrated between IIMs and the pardo ethnicity (OR = 2.26, 95% CI = 1.20\u20134.25, p = 0.011), highest ORA (OR = 2.81, 95% CI = 1.53\u20135.15, p &lt; 0.001), NORA (OR = 3.99, 95% CI = 1.94\u20138\u00b718, p &lt; 0.001), IR (OR = 5.27, 95% CI = 2.32\u201311.97, p &lt; 0.001), and ARES values (OR = 1.08, 95% CI = 1.04\u20131.13, p &lt; 0.001). Mental health levels were compared between the groups (p &gt; 0.999). Therefore, higher levels of religiosity and spirituality were observed in the IIM group than in the control group, but there was a similar distribution of mental health levels. The following can be cited as advantages of the present study: (i) the large sample for a rare disease with the presence of a control group; (ii) the multicenter characteristic with participation from three regions of Brazil; (iii) being the first study to map aspects of religiosity, spirituality, and mental health in IIMs.<\/jats:p>","DOI":"10.3390\/ijerph21060653","type":"journal-article","created":{"date-parts":[[2024,5,22]],"date-time":"2024-05-22T10:00:11Z","timestamp":1716372011000},"page":"653","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Spirituality, Religiosity, and Mental Health in Patients with Idiopathic Inflammatory Myopathies: A Brazilian Multicentric Case\u2013Control Study"],"prefix":"10.3390","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5077-7959","authenticated-orcid":false,"given":"Jucier","family":"Gon\u00e7alves J\u00fanior","sequence":"first","affiliation":[{"name":"School of Medicine, Universidade Federal do Cariri, Barbalha 63180-000, Cear\u00e1, Brazil"},{"name":"Division of Rheumatology, Faculdade de Medicina FMUSP, Universidade de S\u00e3o Paulo, S\u00e3o Paulo 01246-903, S\u00e3o Paulo, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6998-6723","authenticated-orcid":false,"given":"Alexandre Moura","family":"dos Santos","sequence":"additional","affiliation":[{"name":"Division of Rheumatology, Faculdade de Medicina FMUSP, Universidade de S\u00e3o Paulo, S\u00e3o Paulo 01246-903, S\u00e3o Paulo, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-1334-2585","authenticated-orcid":false,"given":"Rom\u00e3o Augusto Alves Filgueira","family":"Sampaio","sequence":"additional","affiliation":[{"name":"Division of Rheumatology, Universidade Federal do Cear\u00e1 (UFC), Fortaleza 60020-181, Cear\u00e1, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thalita","family":"do Nascimento Silva","sequence":"additional","affiliation":[{"name":"Division of Rheumatology, Universidade Estadual do Cear\u00e1 (UECE), Hospital Geral Doutor Cesar Cals, Fortaleza 60015-152, Cear\u00e1, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giovanna","family":"Martines","sequence":"additional","affiliation":[{"name":"Division of Rheumatology, Universidade Federal de Pelotas (UFPel), Pelotas 96010-610, Rio Grande do Sul, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4840-945X","authenticated-orcid":false,"given":"Daniel Brito","family":"de Ara\u00fajo","sequence":"additional","affiliation":[{"name":"Division of Rheumatology, Universidade Federal de Pelotas (UFPel), Pelotas 96010-610, Rio Grande do Sul, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Estelita Lima","family":"C\u00e2ndido","sequence":"additional","affiliation":[{"name":"Programa de P\u00f3s-Gradua\u00e7\u00e3o em Ci\u00eancias da Sa\u00fade, Universidade Federal do Cariri (UFCA), Barbalha 63180-000, Cear\u00e1, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samuel Katsuyuki","family":"Shinjo","sequence":"additional","affiliation":[{"name":"Division of Rheumatology, Faculdade de Medicina FMUSP, Universidade de S\u00e3o Paulo, S\u00e3o Paulo 01246-903, S\u00e3o Paulo, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2024,5,21]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"1743","DOI":"10.1002\/acr.23198","article-title":"Predictors of reduced health-related quality of life in adult patients with idiopathic inflammatory myopathies","volume":"69","author":"Feldon","year":"2017","journal-title":"Arthritis Care Res."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"86","DOI":"10.1038\/s41572-021-00321-x","article-title":"Idiopathic inflammatory myopathies","volume":"7","author":"Lundberg","year":"2021","journal-title":"Nat. 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