Religious beliefs and practices are associated with better mental health in family caregivers of patients with dementia: Findings from the REACH study
Religious beliefs and practices are associated with better mental health in family caregivers of patients with dementia: Findings from the REACH study
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DOI：
10.1097/01.jgp.0000247160.11769.ab
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发表时间：
2007-04-01
影响因子：
7.2
通讯作者：
Schulz, Richard
中科院分区：
文献类型：
--
作者：
Hebert, Randy S.;Dang, Qianyu;Schulz, Richard
目的：照顾患有痴呆症的亲人和亲人的死亡通常被认为是人类压力最大的两种经历。每一次都会使家庭照顾者面临心理疾病的风险。尽管研究表明，宗教信仰和习俗与更好的心理健康有关，但关于宗教是否与家庭照顾者更好的心理健康相关，人们知之甚少。因此，我们的目标是探索积极的和失去亲人的痴呆症照顾者的宗教和心理健康之间的关系。方法：从美国6个不同的地点招募了1,229名中到重度痴呆症的照顾者，并进行了长达18个月的前瞻性跟踪调查。宗教的三个衡量标准：1)参加宗教仪式、会议和/或活动的频率；2)祈祷或冥想的频率；3)宗教信仰/精神的重要性。心理健康结果是照顾者抑郁(流行病学研究中心抑郁[CES-D]量表)和复杂悲伤(复杂悲伤清单[ICG])。结果：宗教信仰和习俗对大多数照顾者来说很重要。在控制了显著的协变量后，在目前的照顾者中，宗教的三个衡量标准与较少的抑郁症状有关。经常参加活动还与丧失亲人的人较少抑郁和复杂的悲痛有关。结论：宗教信仰和实践，尤其是宗教参与，与痴呆症患者家庭照顾者更好的心理健康有关。
Objective: Providing care to a loved one with dementia and the death of that loved one are generally considered two of the most stressful human experiences. Each puts family caregivers at risk of psychologic morbidity. Although research has suggested that religious beliefs and practices are associated with better mental health, little is known about whether religion is associated with better mental health in family caregivers. Our objective, then, is to explore the relationship between religion and mental health in active and bereaved dementia caregivers Methods: A total of 1,229 caregivers of persons with moderate to severe dementia were recruited from six geographically diverse sites in the United States and followed prospectively for up to 18 months. Three measures of religion: 1) the frequency of attendance at religious services, meetings, and/or activities; 2) the frequency of prayer or meditation; and 3) the importance of religious faith/spirituality were collected. Mental health outcomes were caregiver depression (Center for Epidemiological Studies-Depression [CES-D] scale) and complicated grief (Inventory of Complicated Grief [ICG]). Results: Religious beliefs and practices were important to the majority of caregivers. After controlling for significant covariates, the three measures of religion were associated with less depressive symptoms in current caregivers. Frequent attendance was also associated with less depression and complicated grief in the bereaved. Conclusions: Religious beliefs and practices, and religious attendance in particular, are associated with better mental health in family caregivers of persons with dementia.