Spiritual struggle and affective symptoms among geriatric mood disordered patients.
Spiritual struggle and affective symptoms among geriatric mood disordered patients.
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DOI：
10.1002/gps.4052
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发表时间：
2014-06
影响因子：
4
通讯作者：
Forester, Brent P.
中科院分区：
文献类型：
--
作者：
Rosmarin, David H.;Malloy, Mary C.;Forester, Brent P.
我们探讨了美国东北部老年情绪障碍门诊患者的一般宗教信仰、积极的宗教应对、消极的宗教应对（精神斗争）和情感症状之间的关系。我们评估了一般的宗教信仰（宗教信仰，对上帝的信仰，私人和公共的宗教活动）和积极/消极的宗教应对，以及对马萨诸塞州东部一家精神病院诊断为异质样本的n = 34名老年情绪障碍门诊患者（n = 16双相情感障碍，n = 18重度抑郁症）的访谈和情感功能自我报告测量。除了私人祈祷与较低的老年抑郁量表（GDS）得分之间存在适度的相关性外，一般宗教因素（对上帝的信仰、公共宗教活动和宗教信仰）以及积极的宗教应对在校正多重比较和控制显著协变量后与情感症状无关。然而，在更严重的症状水平上观察到精神斗争的巨大影响（共有方差高达19.4%）。此外，无论宗教信仰、信仰、私人和公共宗教活动如何，精神斗争的平均水平及其观察到的对症状的影响都是相同的。先前观察到的一般宗教信仰对老年情绪障碍患者（较少）抑郁的影响可能在美国宗教信仰较少的地区不那么明显。然而，精神斗争似乎是抑郁症状的一个常见和重要的危险因素，无论患者的一般宗教程度如何。对老年情绪障碍患者精神斗争的进一步研究是有必要的。
We explored relationships between general religiousness, positive religious coping, negative religious coping (spiritual struggle), and affective symptoms among geriatric mood disordered outpatients, in the northeastern United States. We assessed for general religiousness (religious affiliation, belief in God, private and public religious activity) and positive/negative religious coping, alongside interview and self-report measures of affective functioning in a diagnostically heterogeneous sample of n = 34 geriatric mood disordered outpatients (n = 16 Bipolar, n = 18 Major Depressive) at a psychiatric hospital in eastern Massachusetts. Except for a modest correlation between private prayer and lower Geriatric Depression Scale (GDS) scores, general religious factors (belief in God, public religious activity and religious affiliation) as well as positive religious coping were unrelated to affective symptoms after correcting for multiple comparisons and controlling for significant covariates. However a large effect of spiritual struggle was observed on greater symptom levels (up to 19.4% shared variance). Further, mean levels of spiritual struggle and its observed effects on symptoms were equivalent irrespective of religious affiliation, belief, private and public religious activity. Previously observed effects of general religiousness on (less) depression among geriatric mood disordered patients may be less pronounced in less religious areas of the United States. However, spiritual struggle appears to be a common and important risk factor for depressive symptoms, regardless of patients' general level of religiousness. Further research on spiritual struggle is warranted among geriatric mood disordered patients.
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影响因子：
7.2
作者：
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通讯作者：
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DOI：
10.1093/geronb/53b.4.s218
发表时间：
1998-07-01
影响因子：
6.2
作者：
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通讯作者：
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作者：
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通讯作者：
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