Religiousness, religious coping methods and distress level among psychiatric patients in Malaysia
Religiousness, religious coping methods and distress level among psychiatric patients in Malaysia
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DOI：
10.1177/0020764012437127
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发表时间：
2013-06-01
影响因子：
7.5
通讯作者：
Ng, C. G.
中科院分区：
文献类型：
--
作者：
Nurasikin, M. S.;Khatijah, L. A.;Ng, C. G.
背景：患有精神病诊断的患者通常会经历高水平的痛苦。目的：探讨精神病患者的宗教承诺水平和应对方式及其与苦恼水平的关系。方法：采用杜克大学宗教指数（DUREL）和简明RCOPE量表分别测量精神病患者的宗教承诺和应对方式。采用简明精神病评定量表（BPRS）评估精神病理学，采用抑郁、焦虑和应激量表（DASS）评估痛苦程度。采用多维度社会支持量表（MSPSS）和生命威胁事件量表（LTE）测量患者的社会支持和近期生命威胁事件经历。大多数是男性、马来人、穆斯林、单身和精神病患者。受试者有很高的宗教承诺，并使用了更积极的应对方法。消极的宗教应对、精神症状和焦虑症或抑郁症的诊断与高苦恼水平显著相关。较高的宗教承诺与较低的困扰显着相关（p <0.05）。结论：精神病患者的宗教承诺，并使用更积极的宗教应对方法。消极的宗教应对，严重的精神症状和焦虑/抑郁的做法与较高的痛苦。
Background:Patients having psychiatric diagnoses often experience high level of distress. Religiousness is often used by them as part of their coping mechanism and problem-solving strategies.Objective:To determine the level of religious commitment and coping methods in psychiatric patients and its relationship with distress level.Methods:Religious commitment and coping patterns were measured with the Duke University Religious Index (DUREL) and Brief RCOPE, respectively. Psychopathology was assessed using the Brief Psychiatric Rating Scale (BPRS) and distress level was assessed with the Depressive, Anxiety and Stress Scale (DASS). Social support and experiences of recent threatening events were measured with the Multidimensional Scale of Perceived Social Support (MSPSS) and Life Threatening Events (LTE).Results:A total of 228 patients were included in this study with a mean age of 40.2 years. The majority were male, Malay, Muslim, single and with psychotic disorder. The subjects had a high level of religious commitment and had used more positive coping methods. Negative religious coping, psychiatric symptoms and diagnosis of anxiety disorder or major depression were significantly associated with high distress level. Higher religious commitment was significantly associated with lower distress (p < .05).Conclusion:Psychiatric patients were religiously committed and used more positive religious coping methods. Practices of negative religious coping, severe psychiatric symptoms and anxiety/depression were associated with higher distress.