Prado Guillermo, Feaster Daniel J, Schwartz Seth J, Pratt Indira Abraham, Smith Lila, Szapocznik José
Department of Psychiatry and Behavioral Sciences, Center for Family Studies, University of Miami School of Medicine, Miami, Florida 33136, USA.
AIDS Behav. 2004 Sep;8(3):221-35. doi: 10.1023/B:AIBE.0000044071.27130.46.
This study used a cross-sectional design to examine the role of religious involvement within a stress-process framework. Participants were 252 urban, low-income HIV-seropositive African American mothers. The relationships among religious involvement, stress, coping responses, social support, and psychological distress were examined using structural equation modeling. The number of stressors reported by the mother was related to greater religious involvement, which in turn was negatively related to psychological distress. Furthermore, the results suggest that social support, active coping, and avoidant coping responses mediated the relationship between religious involvement and psychological distress. According to the present results, interventions to attenuate psychological distress in HIV-seropositive African American mothers might focus on increasing social support, promoting active coping, and decreasing avoidant coping. The present findings suggest that this may be accomplished, in part, by promoting involvement in religious institutions and practices. However, in light of the cross-sectional design used in the present study, and given that religion may have both positive and negative consequences, further research is needed to determine the extent to which promoting religiosity may increase or alleviate distress.
本研究采用横断面设计，在压力过程框架内考察宗教参与的作用。参与者为252名城市低收入、HIV血清呈阳性的非裔美国母亲。使用结构方程模型检验宗教参与、压力、应对反应、社会支持和心理困扰之间的关系。母亲报告的压力源数量与更多的宗教参与相关，而宗教参与又与心理困扰呈负相关。此外，结果表明社会支持、积极应对和回避应对反应在宗教参与和心理困扰之间的关系中起中介作用。根据目前的结果，减轻HIV血清呈阳性的非裔美国母亲心理困扰的干预措施可能侧重于增加社会支持、促进积极应对和减少回避应对。目前的研究结果表明，这在一定程度上可以通过促进参与宗教机构和活动来实现。然而，鉴于本研究采用的横断面设计，并且考虑到宗教可能有积极和消极的后果，需要进一步研究以确定促进宗教信仰在多大程度上可能增加或减轻困扰。
