Religiosity, psychosocial adjustment, and subjective burden of persons who care for those with mental illness
Religiosity, psychosocial adjustment, and subjective burden of persons who care for those with mental illness
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DOI：
10.1176/appi.ps.57.3.361
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发表时间：
2006-03-01
影响因子：
3.8
通讯作者：
Dixon, LB
中科院分区：
文献类型：
--
作者：
Murray-Swank, AB;Lucksted, A;Dixon, LB
目的：本研究的目的是描述严重精神疾病患者的家庭照顾者所获得的宗教和精神支持的性质，并检验宗教信仰与照顾者调整相关的假设。研究方法：83名参加全国精神疾病联盟家庭对家庭教育计划研究的照顾者在基线时评估了他们的宗教信仰和在应对中获得的精神支持。他们还完成了抑郁，自尊，掌握，自我照顾和主观负担的措施。分层回归被用来检验假设，即宗教信仰将与更好的调整，与混杂变量控制。结果如下：37%的参与者报告说，在过去三个月里，他们在应对亲属的疾病时得到了精神支持。当年龄，种族，教育和性别被控制时，宗教信仰与更少的抑郁和更好的自尊和自我照顾有关。个人宗教信仰是一个更强的预测比宗教服务出席的调整。结论：严重精神疾病患者的家庭照顾者经常转向精神支持，宗教信仰可能是照顾者调整的重要因素。精神卫生专业人员与宗教和精神社区之间的合作伙伴关系是满足严重精神疾病患者家庭成员支助需求的一种强大和具有文化敏感性的资源。
Objective: The purpose of this study was to characterize the nature of religious and spiritual support received by family caregivers of persons with serious mental illness and to test hypotheses that religiosity would be associated with caregiver adjustment. Methods: Eighty-three caregivers who participated in a study of the Family to Family Education Program of the National Alliance on Mental Illness were assessed at baseline in terms of their religiosity and receipt of spiritual support in coping. They also completed measures of depression, self-esteem, mastery, self-care, and subjective burden. Hierarchical regression was used to test hypotheses that religiosity would be associated with better adjustment, with confounding variables controlled for. Results: Thirty-seven percent of participants reported that they had received spiritual support in coping with their relative's illness in the previous three months. When age, race, education, and gender were controlled for, religiosity was associated with less depression and better self-esteem and self-care. Personal religiosity was a stronger predictor of adjustment than religious service attendance. Conclusions: Family caregivers of persons with serious mental illness often turn to spirituality for support, and religiosity may be an important contributor to caregiver adjustment. Collaborative partnerships between mental health professionals and religious and spiritual communities represent a powerful and culturally sensitive resource for meeting the support needs of family members of persons with serious mental illness.