The Spiritual Struggle of Anger toward God: A Study with Family Members of Hospice Patients
The Spiritual Struggle of Anger toward God: A Study with Family Members of Hospice Patients
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DOI：
10.1089/jpm.2012.0246
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发表时间：
2013-04-01
影响因子：
2.8
通讯作者：
Peereboom, Karen S.
中科院分区：
文献类型：
--
作者：
Exline, Julie J.;Prince-Paul, Maryjo;Peereboom, Karen S.
对上帝的愤怒是一种常见的精神斗争形式，当人们看到上帝对严重的伤害或痛苦负有责任时，经常会经历这种情况。摘要本研究旨在探讨安宁疗护病人家属对上帝愤怒的发生率、相关因素及因应策略。方法：来自美国中西部一家大型临终关怀医院的团队向家庭护理病人的家庭成员分发调查问卷，每户一份。调查评估了对上帝的感觉（愤怒/失望和积极的感觉）、抑郁症状、宗教信仰和感知意义。参与者还对他们对处理与上帝冲突的各种策略的兴趣进行了评级。结果：调查（n = 134）表明，43%的参与者报告了对上帝的愤怒/失望，尽管通常是低强度的。对上帝的愤怒与更多的抑郁症状、更低的宗教信仰、更难以找到意义以及相信病人正在经历更大的痛苦有关。祷告是处理与神冲突的最受推崇的策略。其他普遍认可的策略包括阅读圣典；独自处理自己的感情；以及与朋友、家人、神职人员或临终关怀工作人员的对话。自助资源和治疗是不太受欢迎的选择。结论：对上帝的愤怒是安宁疗护病人家庭成员中一个重要的精神问题，这是一个普遍经历并与抑郁症状有关的问题。对于安宁疗护人员来说，了解对上帝的愤怒是很有价值的，特别是因为许多家庭成员报告有兴趣与安宁疗护团队成员谈论这些冲突。
Introduction: Anger toward God is a common form of spiritual struggle, one that people often experience when they see God as responsible for severe harm or suffering. The aim of this study was to assess the prevalence, correlates, and preferred coping strategies associated with anger toward God among family members of hospice patients.Methods: Teams from a large hospice in the midwestern United States distributed surveys, one per household, to family members of home-care patients. The survey assessed feelings toward God (anger/disappointment and positive feelings), depressive symptoms, religiosity, and perceived meaning. Participants also rated their interest in various strategies for coping with conflicts with God.Results: Surveys (n = 134) indicated that 43% of participants reported anger/disappointment toward God, albeit usually at low levels of intensity. Anger toward God was associated with more depressive symptoms, lower religiosity, more difficulty finding meaning, and belief that the patient was experiencing greater pain. Prayer was the most highly endorsed strategy for managing conflicts with God. Other commonly endorsed strategies included reading sacred texts; handling the feelings on one's own; and conversations with friends, family, clergy, or hospice staff. Self-help resources and therapy were less popular options.Conclusion: Anger toward God is an important spiritual issue among family members of hospice patients, one that is commonly experienced and linked with depressive symptoms. It is valuable for hospice staff to be informed about the issue of anger toward God, especially because many family members reported interest in talking with hospice team members about such conflicts.