Religious participation as a predictor of mental health status and treatment outcomes in older persons
Religious participation as a predictor of mental health status and treatment outcomes in older persons
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DOI：
10.1002/gps.1704
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发表时间：
2007-02-01
影响因子：
4
通讯作者：
Levkoff, Sue E.
中科院分区：
文献类型：
--
作者：
Chen, Hongtu;Cheal, Karen;Levkoff, Sue E.
目的：本研究重点探讨宗教参与和隶属关系与老年初级保健患者心理健康状况的关系，以及与心理健康服务的使用和临床结果的关系。方法：参与临床研究（PRISM-E）的老年人样本，以治疗伴有或不伴有共病焦虑的抑郁症（n = 1610）被问及他们的宗教信仰和他们参与宗教活动的频率。抑郁症和焦虑症的诊断是基于MINI-国际神经精神访谈。抑郁症的严重程度进行了评估，情绪困扰使用CES-D。结果：那些参加宗教活动，每周，每月或偶尔的基础上，有自杀意念（p < 0.02）和情绪困扰（p < 0.0001）比那些从来没有参加或参加频率较低的基础。宗教参与的频率与心理健康服务利用率无关（p = 0.16），但它预测了研究干预结束时较低的CES-D评分（p < 0.001）。结论：宗教参与与老年人的心理健康状况和治疗效果呈正相关，但关于心理健康服务利用率的结果尚不确定。版权所有（c）2007约翰威利父子有限公司。
Objectives: This study focuses on examining the relations of religious participation and affiliation to mental health status among older primary care patients, and to the use and clinical outcomes of mental health services.Methods: A sample of older adults participating in a clinical study (PRISM-E) to treat their depression with or without co-morbid anxiety (n = 1610) were queried about their religious affiliation and the frequency of their participation in religious activities. The diagnoses of depressive and anxiety disorders were made based on the MINI-International Neuropsychiatric Interview. Severity of depressive disorders was assessed by emotional distress using the CES-D.Results: Those attending religious activities on a weekly, monthly, or occasional basis were significantly less likely to have suicidal ideation (p < 0.02) and emotional distress (p < 0.0001) than those who never participated or participated on a less frequent basis. Frequency of religious participation was not associated with mental health service utilization (p = 0.16), but it was predictive of a lower CES-D score at the end of the study intervention (p < 0.001).Conclusions: Religious participation is positively associated with older adults' mental health status and treatment effects, but results regarding mental health service utilization were inconclusive. Copyright (c) 2007 John Wiley & Sons, Ltd.