Religion, coping and outcome in out-patients with depression or diabetes mellitus
Religion, coping and outcome in out-patients with depression or diabetes mellitus
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DOI：
10.1111/acps.12537
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发表时间：
2016-06-01
影响因子：
6.7
通讯作者：
Ohaeri, J. U.
中科院分区：
文献类型：
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作者：
Amadi, K. U.;Uwakwe, R.;Ohaeri, J. U.
目的：该研究评估宗教信仰和应对方式与抑郁症和diabetes.Method的结果之间的关联：采用简单的随机抽样，我们招募了112名参与者与糖尿病和抑郁症的相同数量的连续，性别匹配。采用宗教取向量表（修订版）（ROS-R）、应对方式简明宗教应对量表（简明RCOPE）和癌症心理适应量表（修订版）评定患者的宗教倾向。主要和次要结果分别采用希恩残疾量表（SDS）和贝克抑郁量表-II（BDI-II）进行评估。在糖尿病参与者中，BDI-II总分与ROS-R外在社交负相关，（r =-0.2，P < 0.05）和战斗精神相关系数r =-0.3，P < 0.05，但与无助/无望（r = 0.3，P < 0.05）、RCOPE阴性（r = 0.4，P < 0.05）呈正相关。SDS总分与RCOPE阴性（r = 0.4，P < 0.05）、无助/绝望（r = 0.3，P < 0.05）呈正相关。在抑郁症患者中，BD-Ⅲ总分与内在宗教信仰（r =-0.2，P < 0.05）和战斗精神（r =-0.4，P < 0.05）呈负相关，与无助/无望（r = 0.6，P < 0.05）和简明RCOPE阴性（r = 0.7，P < 0.05）呈正相关。SDS总分与内在宗教信仰呈负相关（r =-0.2，P < 0.05）和战斗精神（r =-0.3，P < 0.05），但与无助/无望呈正相关（r = 0.5，P < 0.05）和简要RCOPE阴性结论：抑郁症和糖尿病患者的内在和外在宗教信仰水平高可能与积极的应对技能和较好的治疗效果有关。
Objective: The study assesses the association between religiosity and coping style with the outcome of depression and diabetes.Method: Using a simple random sampling, we recruited 112 participants with diabetes and an equal number with depression consecutively, matching for gender. Religiosity was determined using Religious Orientation Scale (revised) (ROS-R), coping styles with Brief Religious Coping (Brief RCOPE) scale and Mental Adjustment to Cancer (MAC) scale (adapted). Primary and secondary outcomes were evaluated using Sheehan's Disability Scale (SDS) and Becks Depression Inventory-II (BDI-II) respectively.Results: Among participants with diabetes, BDI-II total scores correlated negatively with ROS-R Extrinsic Social (r = -0.2, P < 0.05) and Fighting Spirit (r = -0.3, P < 0.05) but correlated positively with Helplessness/Hopelessness (r = 0.3, P < 0.05) and Brief RCOPE Negative (r = 0.4, P < 0.05). SDS global scores correlated positively with Helplessness/Hopelessness (r = 0.3, P < 0.05) and Brief RCOPE Negative (r = 0.4, P < 0.05). Among participants with depression, BD-III total scores correlated negatively with Intrinsic religiosity (r = -0.2, P < 0.05) and Fighting Spirit (r = -0.4, P < 0.05) but correlated positively with Helplessness/Hopelessness (r = 0.6, P < 0.05) and Brief RCOPE Negative (r = 0.7, P < 0.05). SDS global scores correlated negatively with Intrinsic religiosity (r = -0.2, P < 0.05) and Fighting Spirit (r = -0.3, P < 0.05) but correlated positively with Helplessness/Hopelessness (r = 0.5, P < 0.05) and Brief RCOPE Negative (r = 0.4, P < 0.05).Conclusion: High intrinsic and extrinsic religiosities are likely to be associated with positive coping skills and better treatment outcome in patients with depression or diabetes.