Pearce Michelle J, Singer Jerome L, Prigerson Holly G
Department of Psychology, Yale University, New Haven, CT 06520, USA.
J Health Psychol. 2006 Sep;11(5):743-59. doi: 10.1177/1359105306066629.
This study investigated the association between religious coping, mental health and the caring experience, as well as potential explanatory mechanisms, among 162 informal caregivers of terminally ill cancer patients. Regression analyses indicated that, controlling for socio-demographic variables, more use of positive religious coping strategies was associated with more burden, yet, also more satisfaction. In contrast, more use of negative religious coping strategies was related to more burden, poorer quality of life and less satisfaction, and correlated with an increased likelihood of Major Depressive Disorder and anxiety disorders. In a number of models, negative religious coping was related to outcomes through its relationship with social support, optimism and self-efficacy. Implications for research and healthcare are discussed.
本研究调查了162名晚期癌症患者的非正式照料者的宗教应对、心理健康与照料体验之间的关联以及潜在的解释机制。回归分析表明,在控制社会人口统计学变量的情况下,更多地使用积极的宗教应对策略与更多的负担相关,但也与更高的满意度相关。相比之下,更多地使用消极的宗教应对策略与更多的负担、更低的生活质量和更少的满意度相关,并且与重度抑郁症和焦虑症的患病可能性增加相关。在一些模型中,消极的宗教应对通过其与社会支持、乐观主义和自我效能感的关系与结果相关。文中讨论了该研究对研究和医疗保健的启示。