Borras Laurence, Mohr Sylvia, Brandt Pierre-Yves, Gillieron Christianne, Eytan Ariel, Huguelet Philippe
University Hospital of Geneva, Department of Psychiatry, Division of Adult Psychiatry, Geneva, Switzerland.
Int J Soc Psychiatry. 2008 Nov;54(6):539-49. doi: 10.1177/0020764008091424.
The rates of cigarette smoking among patients with schizophrenia are two to four times the rates observed in the community. Spirituality and religiousness have been shown to be associated with lower smoking rates in the general population.
This study assessed the role of religion in cigarette smoking among patients with schizophrenia or schizo-affective disorder.
Some 115 stabilized outpatients from Geneva's public psychiatric facilities were included. Interviews were conducted to investigate spiritual and religious beliefs, religious practices and religious coping. Cigarette smoking was assessed through interviews and medical records.
Some 58% of patients were smokers. Two-thirds of the total sample considered spirituality as very important or essential in their every day life. Religiosity was negatively associated with tobacco use: there were more current smokers without religious affiliation than non-smokers (p < 0.05). For non-smokers, the support of their faith community was significantly more important and they reported more frequent group religious practices than smokers ( p < 0.05). This relation persisted after controlling for demographic confounders (gender, age, ethnicity, education, civil status).
In patients with schizophrenia, religion and spirituality seem to be related to smoking behaviour. Similar results were previously found in the general population. These results underscore the need for a systematic exploration of religious issues in the care of smokers with schizophrenia.
精神分裂症患者的吸烟率是普通人群的两到四倍。在普通人群中，灵性和宗教信仰已被证明与较低的吸烟率相关。
本研究评估宗教在精神分裂症或分裂情感性障碍患者吸烟行为中的作用。
纳入了约115名来自日内瓦公共精神科设施的病情稳定的门诊患者。通过访谈来调查其精神和宗教信仰、宗教活动及宗教应对方式。通过访谈和病历评估吸烟情况。
约58%的患者吸烟。在整个样本中，三分之二的人认为灵性在他们的日常生活中非常重要或必不可少。宗教信仰与吸烟呈负相关：无宗教信仰的当前吸烟者比非吸烟者更多（p < 0.05）。对于非吸烟者来说，他们的宗教团体的支持明显更重要，并且他们报告的集体宗教活动比吸烟者更频繁（p < 0.05）。在控制了人口统计学混杂因素（性别、年龄、种族、教育程度、婚姻状况）后，这种关系仍然存在。
在精神分裂症患者中，宗教和灵性似乎与吸烟行为有关。此前在普通人群中也发现了类似结果。这些结果强调在对患有精神分裂症的吸烟者的护理中，有必要系统地探讨宗教问题。
