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Positive Therapeutic Effects of Intercessory Prayer in a Coronary Care Unit Population

βœ… Has replications
Byrd, Randolph C β€’ 1988 STAR GATE Era β€’ healing

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Plain English Summary

Back in 1988, a cardiologist ran what became a famous (and famously controversial) experiment: could strangers praying for hospital patients actually help them get better? Nearly 400 patients in a San Francisco coronary care unit were randomly split into two groups. One group had born-again Christians praying for them daily β€” three to seven pray-ers per patient β€” while the other group got standard care with no organized prayer. Nobody involved, not the patients or their doctors, knew who was in which group. The results were genuinely striking. Patients in the prayer group had significantly fewer serious complications across the board β€” less heart failure, less pneumonia, fewer cardiac arrests, and dramatically less need for breathing tubes and medications like antibiotics and diuretics. Statistically, the differences were strong. A combined severity score showed 85% of the prayer group had good outcomes versus 73% of controls. Interestingly, though, there was no difference in who actually died. This study became a lightning rod. It launched an entire modern debate about whether distant prayer can heal, directly inspiring major follow-up studies in 1999 and 2006. Supporters held it up as real evidence for prayer's power. Critics, however, pointed out that the researchers tested a whole bunch of outcomes at once (which inflates the chance of finding something just by luck) and that the severity scoring system was created after the data was already in β€” a statistical no-no that makes findings less trustworthy.

Actual Paper Abstract

The therapeutic effects of intercessory prayer (IP) to the Judeo-Christian God, one of the oldest forms of therapy, has had little attention in the medical literature. To evaluate the effects of IP in a coronary care unit (CCU) population, a prospective randomized double-blind protocol was followed. Over ten months, 393 patients admitted to the CCU were randomized, after signing informed consent, to an intercessory prayer group (192 patients) or to a control group (201 patients). While hospitalized, the first group received IP by participating Christians praying outside the hospital; the control group did not. At entry, chi-square and stepwise logistic analysis revealed no statistical difference between the groups. After entry, all patients had follow-up for the remainder of the admission. The IP group subsequently had a significantly lower severity score based on the hospital course after entry (P < .01). Multivariate analysis separated the groups on the basis of the outcome variables (P < .0001). The control patients required ventilatory assistance, antibiotics, and diuretics more frequently than patients in the IP group. These data suggest that intercessory prayer to the Judeo-Christian God has a beneficial therapeutic effect in patients admitted to a CCU.

Research Notes

Landmark first large-scale RCT of intercessory prayer that launched the modern prayer-healing debate. Directly prompted the Harris 1999 replication and the Benson 2006 STEP study. Central pro-side evidence in the distant healing/prayer controversy. Widely criticized for multiple comparisons and post hoc severity scoring.

A prospective randomized double-blind study of 393 coronary care unit patients at San Francisco General Hospital tested whether intercessory prayer by born-again Christians affected clinical outcomes. Each of the 192 prayer-group patients was assigned 3-7 intercessors who prayed daily until discharge; the 201 control patients received standard care. Groups were statistically equivalent at entry. The prayer group had significantly fewer episodes of congestive heart failure (4% vs 10%), pneumonia (2% vs 7%), cardiopulmonary arrest (2% vs 7%), and required less intubation (0% vs 6%), fewer antibiotics (2% vs 9%), and fewer diuretics (3% vs 8%), all P < .01. Multivariate analysis separated groups at P < .0001. A post hoc severity score showed 85% good outcomes in the prayer group vs 73% controls (P < .01). No significant mortality difference was found.

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πŸ“‹ Cite this paper
APA
Byrd, Randolph C (1988). Positive Therapeutic Effects of Intercessory Prayer in a Coronary Care Unit Population. Southern Medical Journal. https://doi.org/10.1097/00007611-198807000-00005
BibTeX
@article{byrd_1988_prayer,
  title = {Positive Therapeutic Effects of Intercessory Prayer in a Coronary Care Unit Population},
  author = {Byrd, Randolph C},
  year = {1988},
  journal = {Southern Medical Journal},
  doi = {10.1097/00007611-198807000-00005},
}