Religious Participation and DSM-IV Disorders Among Older African Americans: Findings From the National Survey of American Life
Religious Participation and DSM-IV Disorders Among Older African Americans: Findings From the National Survey of American Life
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DOI：
10.1097/jgp.0b013e3181898081
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发表时间：
2008-12-01
影响因子：
7.2
通讯作者：
Jackson, James S.
中科院分区：
文献类型：
--
作者：
Chatters, Linda M.;Bullard, Kai McKeever;Jackson, James S.
目的：本研究探讨精神疾病的宗教相关性。设计：分析是基于美国生活的全国调查（NSAL）。全国住房标准调查的非裔美国人样本是至少有一名18岁或18岁以上非裔美国人成年人的家庭的全国代表性样本。这项研究使用了老年非裔美国人子样本（N = 837）。研究方法：精神疾病诊断和统计手册，第四版（DSM-IV）精神疾病（即，惊恐障碍、广场恐怖症、社交恐怖症、广泛性焦虑症、强迫症、创伤后应激、严重抑郁症、心境恶劣、双相I和II型障碍、酒精滥用/依赖和药物滥用/依赖）。参与者：本分析使用了837名55岁或以上的非裔美国人的数据。测量：DSM-IV世界心理健康复合国际诊断访谈用于评估精神障碍。功能状态的测量（即，使用世界卫生组织残疾评估表-第二版对患者进行评估。组织，非组织和主观的宗教参与，医生诊断的身体健康状况，人口因素的措施进行了评估。结果如下：多变量分析发现，宗教服务的出席率显着负相关的几率有一个lifetime精神障碍。结论：这是第一项研究，以调查宗教参与和严重的精神障碍之间的关系，在全国样本的老年非裔美国人。宗教服务出席率和情绪障碍之间的反比关系进行了讨论。对精神卫生治疗的影响强调了评估宗教取向以提供更具文化敏感性的护理的重要性。(Am J Geriatr Psychiatry 2008; 16：957-965）
Objectives: This study examined the religious correlates of psychiatric disorders. Design: The analysis is based on the National Survey of American Life (NSAL). The African American sample of the NSAL is a national representative sample of households with at least one African American adult 18 years or over. This study uses the older African American subsample (N = 837). Methods: Religious correlates of selected measures of lifetime Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) psychiatric disorders (i.e., panic disorder, agoraphobia, social phobia, generalized anxiety disorder, obsessive compulsive disorder, posttraumatic stress, major depressive disorder, dysthymia, bipolar I & II disorders, alcohol abuse/dependence, and drug abuse/dependence) were examined. Participants: Data from 837 African Americans aged 55 years or older are used in this analysis. Measurement: The DSM-IV World Mental Health Composite International Diagnostic Interview was used to assess mental disorders. Measures of functional status (i.e., mobility and self-care) were assessed using the World Health Organization Disability Assessment Schedule-Second Version. Measures of organizational, nonorganizational and subjective religious involvement, number of doctor diagnosed physical health conditions, and demographic factors were assessed. Results: Multivariate analysis found that religious service attendance was significantly and inversely associated with the odds of having a lifetimemood disorder. Conclusions: This is the first study to investigate the relationship between religious participation and serious mental disorders among a national sample of older African Americans. The inverse relationship between religious service attendance and mood disorders is discussed. Implications for mental health treatment underscore the importance of assessing religious orientations to render more culturally sensitive care. (Am J Geriatr Psychiatry 2008; 16: 957-965)