Doolittle Benjamin R., Farrell Michael
Department of Internal Medicine and the Department of Pediatrics, Yale University School of Medicine, New Haven, Conn.
Prim Care Companion J Clin Psychiatry. 2004;6(3):114-118. doi: 10.4088/pcc.v06n0302.
To investigate the correlation between spiritual beliefs and depression in an urban population. METHOD: A convenience sample of adult patients of an urban primary care clinic completed a self-administered questionnaire consisting of the Zung Depression Scale and the Spiritual Involvement and Beliefs Scale (SIBS). RESULTS: Among 122 respondents, 99 (81%) reported that they consider themselves religious. Responses from the Zung Depression Scale found that 76 (62%) of the patients were depressed and 46 (38%) were not. The Pearson correlation coefficient between the Zung Depression Scale and the SIBS was -0.36 (p <.0001). Backward stepwise regression analysis revealed that SIBS score and physical health predicted the Zung Depression Scale score. Age, gender, ethnicity, religious affiliation, and income showed no significant association with depression. Analysis of individual SIBS items revealed that high spirituality scores on items in the domain of intrinsic beliefs, such as belief in a higher power (p <.01), the importance of prayer (p <.0001), and finding meaning in times of hardship (p <.05), were associated negatively with depression. Attendance of religious services had no significant association with depression. CONCLUSION: Appropriate encouragement of a patient's spiritual beliefs may be a helpful adjunct to treating depression.
调查城市人群中精神信仰与抑郁症之间的相关性。方法：选取城市基层医疗诊所的成年患者作为便利样本，他们完成了一份自填式问卷，问卷包括zung抑郁量表和精神参与与信仰量表（SIBS）。结果：在122名受访者中，99人（81%）报告称自己有宗教信仰。zung抑郁量表的结果显示，76名患者（62%）患有抑郁症，46名患者（38%）未患抑郁症。zung抑郁量表与SIBS之间的皮尔逊相关系数为-0.36（p<.0001）。向后逐步回归分析显示，SIBS得分和身体健康状况可预测zung抑郁量表得分。年龄、性别、种族、宗教信仰和收入与抑郁症无显著关联。对SIBS各项目的分析表明，内在信仰领域项目的高精神得分，如对更高力量的信仰（p<.01）、祈祷的重要性（p<.0001）以及在困难时期找到意义（p<.05），与抑郁症呈负相关。参加宗教活动与抑郁症无显著关联。结论：适当鼓励患者的精神信仰可能是治疗抑郁症的有益辅助手段。
