Clergy-laity support and patients' mood during serious illness: a cross-sectional epidemiologic study.
Clergy-laity support and patients' mood during serious illness: a cross-sectional epidemiologic study.
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DOI：
10.1017/s1478951511000228
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发表时间：
2011-09
影响因子：
2.2
通讯作者：
Tulsky JA
中科院分区：
文献类型：
--
作者：
Hays JC;Wood L;Steinhauser K;Olson MK;Lindquist JH;Tulsky JA
宗教参与与心理健康呈正相关，但在严重疾病期间参加礼拜活动的人数会下降。这项研究评估了神职人员或俗人的家访是否为参加宗教仪式可能有困难的重病患者提供了好处。一项嵌套在观察性流行病学队列研究中的横断面研究设计。具有地区代表性的患者样本包括转移性肺癌、结直肠癌、乳腺癌和前列腺癌(n=70)，III和IV级充血性心力衰竭(n=70)，或慢性阻塞性肺疾病伴高碳酸血症(n=70)，并观察了他们在自然环境中对神职人员的支持情况。因变量：10个条目的流行病学研究中心-抑郁量表。自变量：一个单项问题，衡量患者从神职人员或其他人那里从教堂、寺庙、犹太教堂或清真寺获得了多少帮助支持；协变量：人口、健康、社会支持、宗教信仰。描述性、双变量和一般线性模型的抑郁情绪与神职人员的支持在非线性模式中呈负相关。抑郁情绪也与功能缺陷和一生中与宗教有关的困难史呈正相关。当人们生病时，代替礼拜，由患者的宗教社区成员进行家访可能会通过提供持续的工具、情感和精神支持来提振情绪。
Religious participation is positively associated with mental health, but attendance at worship services declines during serious illness. This study assessed whether home visits by clergy or laity provide benefits to seriously ill patients who may have difficulty attending religious services. A cross-sectional study design nested in an observational epidemiologic cohort study. The regionally-representative sample of patients had metastatic lung, colorectal, breast, and prostate cancer (n=70), Class III and IV congestive heart failure (n=70), or chronic obstructive pulmonary disease with hypercapnea (n=70) and observed regarding clergy-laity support in their naturalistic environments. Dependent variable: 10-item Center for Epidemiologic Studies – Depression scale. Independent variable: A one-item question measuring how much helpful support patients received from clergy or other persons from church, temple, synagogue, or mosque Covariates: demographic, health, social support, religiousness. Descriptive, bivariate, and general linear models Depressed mood was negatively associated with clergy-laity support in a non-linear pattern. Depressed mood was also positively associated with functional deficits and a lifetime history of difficulties related to religious involvement. In lieu of worship attendance when people are sick, home visits by members of a patient’s religious community may bolster mood by providing continuity of instrumental, emotional, and spiritual support.