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[精神性、宗教活动与精神分裂症:对临床医生的意义]

[Spirituality, religious practices and schizophrenia: relevance for the clinician].

作者信息

Mohr S, Borras L, Gillieron C, Brandt P Y, Huguelet P

机构信息

Service de psychiatrie adulte-secteur I, Département de psychiatrie, HUG, Genève.

出版信息

Rev Med Suisse. 2006 Sep 20;2(79):2092-4, 2096-8.

PMID:17073175
Abstract

Religion (spirituality and religiousness) is salient in the lives of many people suffering from schizophrenia. In order to assess religious coping in schizophrenia, we developed a clinical grid, as no validated questionnaire exists for this population. Religion had a positive effect for 71% and a negative effect for 14% of the 115 patients interviewed. Religion influences the sense of self, symptoms, social functioning, the comorbidity of substance abuse, suicidal attempts and adherence to treatment. Then religion is relevant for treatment and should be evaluated systematically. The forementioned clinical grid is suitable for this purpose. It proved its applicability to a broad diversity of religious beliefs, even pathological ones. Inter-judge reliability and construct validity were high and specific training is not required.

摘要

宗教(精神性和宗教信仰)在许多精神分裂症患者的生活中很突出。为了评估精神分裂症患者的宗教应对方式,我们编制了一个临床网格,因为目前尚无针对该人群的经过验证的问卷。在接受访谈的115名患者中,宗教对71%的患者有积极影响,对14%的患者有消极影响。宗教会影响自我意识、症状、社会功能、药物滥用共病、自杀企图以及对治疗的依从性。因此,宗教与治疗相关,应进行系统评估。上述临床网格适用于此目的。它已证明适用于广泛多样的宗教信仰,甚至是病态的信仰。评判者间信度和结构效度都很高,且不需要特殊培训。

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