Hebert Randy, Zdaniuk Bozena, Schulz Richard, Scheier Michael
Forbes Hospice, Pittsburgh, Pennsylvania 15213, USA.
J Palliat Med. 2009 Jun;12(6):537-45. doi: 10.1089/jpm.2008.0250.
Although religions is important to many people with cancer, few studies have explored the relationship between religious coping and well-being in a prospective manner, using validated measures, while controlling for important covariates.
One hundred ninety-eight women with stage I or II and 86 women with stage IV stage breast cancer were recruited. Standardized assessment instruments and structured questions were used to collect data at study entry and 8 to 12 months later. Religious coping was measured with validated measures of positive and negative religious coping. Linear regression models were used to explore the relationships between positive and negative religious coping and overall physical and mental well-being, depression, and life satisfaction.
The percentage of women who used positive religious coping (i.e., partnering with God or looking to God for strength, support, or guidance) "a moderate amount" or "a lot" was 76%. Negative religious coping (i.e., feeling abandoned by or anger at God) was much less prevalent; 15% of women reported feeling abandoned by or angry at God at least "a little." Positive religious coping was not associated with any measures of well-being. Negative religious coping predicted worse overall mental health, depressive symptoms, and lower life satisfaction after controlling for sociodemographics and other covariates. In addition, changes in negative religious coping from study entry to follow-up predicted changes in these well-being measures over the same time period. Cancer stage did not moderate the relationships between religious coping and well-being.
Negative religious coping methods predict worse mental heath and life satisfaction in women with breast cancer.
尽管宗教信仰对许多癌症患者很重要，但很少有研究前瞻性地探讨宗教应对与幸福感之间的关系，这些研究使用经过验证的测量方法，并控制重要的协变量。
招募了198名I期或II期乳腺癌女性患者和86名IV期乳腺癌女性患者。在研究开始时和8至12个月后，使用标准化评估工具和结构化问题收集数据。通过对积极和消极宗教应对的有效测量来评估宗教应对。使用线性回归模型探讨积极和消极宗教应对与总体身心健康、抑郁和生活满意度之间的关系。
使用“适度”或“大量”积极宗教应对方式（即与上帝合作或向其寻求力量、支持或指引）的女性比例为76%。消极宗教应对方式（即感觉被上帝抛弃或对其感到愤怒）的发生率要低得多；15%的女性报告至少“有点”感觉被上帝抛弃或对其感到愤怒。积极宗教应对与任何幸福感指标均无关联。在控制社会人口统计学和其他协变量后，消极宗教应对预示着总体心理健康状况更差、抑郁症状更严重以及生活满意度更低。此外，从研究开始到随访期间消极宗教应对的变化预示着同一时期这些幸福感指标的变化。癌症分期并未调节宗教应对与幸福感之间的关系。
消极宗教应对方式预示着乳腺癌女性患者的心理健康状况和生活满意度更差。
