Are Spirituality and Religiosity Resources for Patients with Chronic Pain Conditions?
Are Spirituality and Religiosity Resources for Patients with Chronic Pain Conditions?
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DOI：
10.1111/j.1526-4637.2009.00572.x
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发表时间：
2009-03-01
期刊：
影响因子：
3.1
通讯作者：
Matthiessen, Peter F.
中科院分区：
文献类型：
--
作者：
Buessing, Arndt;Michalsen, Andreas;Matthiessen, Peter F.
我们研究了灵性/宗教信仰是否是慢性疼痛患者的相关资源，并分析了灵性/宗教信仰（SpREUK问卷；SpREUK是德语翻译“处理疾病的精神和宗教态度”的首字母缩略词）与参考疾病控制位点概念的适应性应对方式(AKU问卷；AKU是德语翻译“适应性应对疾病”的首字母缩略词)，生活满意度和评估维度。在一项多中心横断面研究中，580名慢性疼痛患者入组。我们发现，患者既依赖外部强大的疾病控制来源，也依赖内部的力量和美德，而对更高来源的信任（内在的宗教虔诚）或疾病作为机会（重新评估）的重视程度中等；寻找有意义的支持/途径（精神探索方向）的相关性较小。逐步回归分析显示，疾病控制的内部来源，如有意识和健康的生活方式和积极的态度，是（除宗教教派外）患者对灵性/宗教信仰依赖的最强预测因子。在那些认为自己既不信教也不信仰宗教的患者中，这两种行为方式的评分都明显较低。积极的疾病解释，如挑战和价值，显然与精神追求取向和内在的宗教信仰有关。灵性/宗教虔诚，积极评价之间的联系。内部适应性应对策略表明，灵性/宗教信仰的利用远远超出了宿命论的接受，而是一种积极的应对过程。研究结果表明，需要进一步研究精神应对在慢性疼痛调节中的作用。
We studied whether or not spirituality/religiosity is a relevant resource for patients with chronic pain conditions, and to analyze interrelations between spirituality/religiosity (SpREUK Questionnaire; SpREUK is an acronym of the German translation of "Spiritual and Religious Attitudes in Dealing with Illness"), adaptive coping styles that refer to the concept of locus of disease control (AKU Questionnaire; AKU is an acronym of the German translation of "Adaptive Coping with Disease"), life satisfaction, and appraisal dimensions.In a multicenter cross-sectional study, 580 patients with chronic pain conditions were enrolled.We found that the patients relied on both external powerful sources of disease control and on internal powers and virtues, while Trust in Higher Source (intrinsic religiosity) or Illness as Chance (reappraisal) were valued moderately; Search for Meaningful Support/Access (spiritual quest orientation) was of minor relevance. Stepwise regression analyses revealed that the internal sources of disease control, such as Conscious and Healthy Way of Living and Positive Attitudes, were (apart from the religious denomination) the strongest predictors of patients' reliance on spirituality/religiosity. Both behavioral styles were rated significantly lower in patients who regarded themselves as neither religious nor spiritual. Positive disease interpretations such as Challenge and Value were clearly associated with a spiritual quest orientation and intrinsic religiosity.The associations between spirituality/religiosity, positive appraisals. and internal adaptive coping strategies indicate that the utilization of spirituality/religiosity goes far beyond fatalistic acceptance, but can be regarded as an active coping process. The findings support the need for further research concerning the contributions of spiritual coping in adjustment to chronic pain.