Mitchell Logan, Romans Sarah
Department of Psychological Medicine, University of Otago, P.O. Box 913, Dunedin, New Zealand.
J Affect Disord. 2003 Aug;75(3):247-57. doi: 10.1016/s0165-0327(02)00055-1.
There has been growing interest in investigating religion as a relevant element in illness outcome. Having religious beliefs has been shown repeatedly to be associated with lessened rates of depression. Most of the limited published research has been restricted to elderly samples. Religious coping is thought to play a key role in religion's effects. Strangely, psychiatric research has neglected this area.
A questionnaire covering religious, spiritual and philosophical beliefs and religious practice was given to a sample of patients with bipolar affective disorder in remission.
Most patients often held strong religious or spiritual beliefs (78%) and practised their religion frequently (81.5%). Most saw a direct link between their beliefs and the management of their illness. Many used religious coping, and often religio-spiritual beliefs and practice put them in conflict with illness models (24%) and advice (19%) used by their medical advisors.
This was a cross-sectional design without a control group and thus it is not possible to determine causal associations from the data set.
Religio-spiritual ideas are of great salience to many patients with bipolar disorder and shape the ways in which they think about their illness. Many reported experiencing significant paradigm conflict in understanding and managing their illness between medical and their spiritual advisors. These data suggest that the whole area of religion and spirituality is directly relevant to people living with a chronic psychiatric illness and should be firmly on the discussion agenda of clinicians working with patients with bipolar disorder.
将宗教作为疾病转归的一个相关因素进行研究的兴趣日益浓厚。反复研究表明，拥有宗教信仰与较低的抑郁症发病率相关。大多数已发表的有限研究仅限于老年样本。宗教应对被认为在宗教影响中起关键作用。奇怪的是，精神病学研究忽视了这一领域。
向一组缓解期双相情感障碍患者发放了一份涵盖宗教、精神和哲学信仰以及宗教实践的问卷。
大多数患者经常持有强烈的宗教或精神信仰（78%），并经常践行其宗教（81.5%）。大多数人认为他们的信仰与疾病管理之间存在直接联系。许多人采用宗教应对方式，而且宗教 - 精神信仰及实践常常使他们与医学顾问所采用的疾病模式（24%）和建议（19%）产生冲突。
这是一项无对照组的横断面设计，因此无法从数据集中确定因果关联。
宗教 - 精神观念对许多双相情感障碍患者非常重要，并塑造了他们思考疾病的方式。许多患者报告称，在理解和管理疾病方面，医学顾问与他们的精神顾问之间存在重大的范式冲突。这些数据表明，宗教和精神性的整个领域与患有慢性精神疾病的人直接相关，应坚定地列入治疗双相情感障碍患者的临床医生的讨论议程。
