Religious coping among women with obstetric fistula in Tanzania.
Religious coping among women with obstetric fistula in Tanzania.
复制标题
坦桑尼亚产科瘘管病妇女的宗教应对方式。
DOI：
10.1080/17441692.2014.903988
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发表时间：
2014
影响因子：
3.3
通讯作者：
Sikkema,KathleenJ
中科院分区：
文献类型：
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作者：
Watt,MelissaH;Wilson,SarahM;Joseph,Mercykutty;Masenga,Gileard;MacFarlane,JessicaC;Oneko,Olola;Sikkema,KathleenJ
宗教是坦桑尼亚文化的一个重要方面，经常被用来应对逆境和痛苦。本研究旨在探讨产科瘘妇女的宗教应对。54名在坦桑尼亚一家医院接受瘘管修补的妇女完成了一项结构化调查。简短的RCOPE评估了积极和消极的宗教应对策略。分析包括消极宗教应对与关键变量（人口统计、宗教信仰、抑郁、社会支持和耻辱）之间的关联。45名妇女还完成了个人深度访谈，讨论了宗教问题。尽管参与者使用积极的宗教应对策略比消极的策略更频繁（p< 0.001）， 76%的人报告至少有一种形式的消极宗教应对。在单变量分析中，消极的宗教应对与污名、抑郁和低社会支持相关。在多变量分析中，只有抑郁仍然是显著的，解释了42%的应对差异。定性数据证实依赖宗教来处理瘘管相关的痛苦，并提示消极形式的宗教应对可能是抑郁症状的一种表现。结果表明，消极的宗教应对可以反映抑郁症的认知扭曲和消极情绪。应该让宗教领袖认识到抑郁症的迹象，并为这一人群提供适当的牧师/精神咨询和一般的社会心理支持。
Religion is an important aspect of Tanzanian culture, and is often used to cope with adversity and distress. This study aimed to examine religious coping among women with obstetric fistulae. Fifty-four women receiving fistula repair at a Tanzanian hospital completed a structured survey. The Brief RCOPE assessed positive and negative religious coping strategies. Analyses included associations between negative religious coping and key variables (demographics, religiosity, depression, social support and stigma). Forty-five women also completed individual in-depth interviews where religion was discussed. Although participants utilised positive religious coping strategies more frequently than negative strategies (p< .001), 76% reported at least one form of negative religious coping. In univariate analysis, negative religious coping was associated with stigma, depression and low social support. In multivariate analysis, only depression remained significant, explaining 42% of the variance in coping. Qualitative data confirmed reliance upon religion to deal with fistula-related distress, and suggested that negative forms of religious coping may be an expression of depressive symptoms. Results suggest that negative religious coping could reflect cognitive distortions and negative emotionality, characteristic of depression. Religious leaders should be engaged to recognise signs of depression and provide appropriate pastoral/spiritual counselling and general psychosocial support for this population.