A RANDOMIZED TRIAL OF THE EFFECT OF PRAYER ON DEPRESSION AND ANXIETY

A RANDOMIZED TRIAL OF THE EFFECT OF PRAYER ON DEPRESSION AND ANXIETY
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DOI:
10.2190/pm.39.4.c
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发表时间:
2009-01-01
影响因子:
2
通讯作者:
Koenig, Harold G.
Koenig, Harold G.
中科院分区:
医学4区
文献类型:
--
作者:
Boelens, Peter A.;Reeves, Roy R.;Koenig, Harold G.

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目的:探讨直接接触的人与人之间的祈祷对抑郁、焦虑、积极情绪和唾液皮质醇水平的影响。设计、环境和参与者:在办公室环境中进行的抑郁或焦虑的交叉临床试验。在随机分配到祈祷干预组或对照组后,受试者(95%为女性)完成了汉密尔顿抑郁和焦虑量表、生活取向测试、每日精神体验量表,并接受了皮质醇水平的测量。直接人对人的祈祷接触干预组的个人每周接受六次1小时的祈祷会议,而对照组的人则没有接受任何祈祷会议。在祈祷结束后和一个月后,两组人的评分和皮质醇水平都重复了一次。ANOVA被用来比较每组祈祷前和祈祷后的措施。结果如下:在试验完成时,接受祈祷干预的参与者与对照组相比,抑郁和焦虑显着改善,日常精神体验和乐观情绪增加(所有情况下p < 0.01)。祈祷组的受试者在最后一次祈祷后至少一个月内保持了这些显著的改善(所有情况下p < 0.01)。对照组的参与者在研究过程中没有表现出显著的变化。皮质醇水平在干预组和对照组之间,或者在祈祷前和祈祷后的条件之间没有显着差异。结论:直接接触的人对人的祈祷可能是有用的,作为一个辅助标准的医疗护理抑郁症和焦虑症患者。指出了这方面的进一步研究。(Int我。J. Psychiatry in Medicine 2009;39:377-392)
Objective: To investigate the effect of direct contact person-to-person prayer on depression, anxiety, positive emotions, and salivary cortisol levels. Design, Setting, and Participants: Cross-over clinical trial with depression or anxiety conducted in an office setting. Following randomization to the prayer intervention or control groups, subjects (95% women) completed Hamilton Rating Scales for Depression and Anxiety, Life Orientation Test, Daily Spiritual Experiences Scale, and underwent measurement of cortisol levels. Individuals in the direct person-to-person prayer contact intervention group received six weekly 1-hour prayer sessions while those in the control group received none. Rating scales and cortisol levels were repeated for both groups after completion of the prayer sessions, and a month later. ANOVAs were used to compare pre- and post-prayer measures for each group. Results: At the completion of the trial, participants receiving the prayer intervention showed significant improvement of depression and anxiety, as well as increases of daily spiritual experiences and optimism compared to controls (p < 0.01 in all cases). Subjects in the prayer group maintained these significant improvements (p < 0.01 in all cases) for a duration of at least I month after the final prayer session. Participants in the control group did not show significant changes during the study. Cortisol levels did not differ significantly between intervention and control groups, or between pre- and post-prayer conditions. Conclusions: Direct contact person-to-person prayer may be useful as an adjunct to standard medical care for patients with depression and anxiety. Further research in this area is indicated. (Int'l. J. Psychiatry in Medicine 2009;39:377-392)