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宗教/精神信仰的简明多维测量与异质康复人群健康结果之间的关系。

Relationships between the Brief Multidimensional Measure of Religiousness/Spirituality and health outcomes for a heterogeneous rehabilitation population.

机构信息

University of Missouri-Columbia Center on Religion and the Professions.

出版信息

Rehabil Psychol. 2009 Nov;54(4):422-431. doi: 10.1037/a0017758.

Abstract

PURPOSE

To determine relationships between the Brief Multidimensional Measure of Religiousness/Spirituality (BMMRS; i.e., positive/negative spirituality, forgiveness, religious practices, positive/negative congregational support) and physical and mental health (Medical Outcomes Scale-Short Form 36; SF-36) for individuals with chronic disabilities.

RESEARCH METHOD

A cross-sectional analysis of 118 individuals evaluated in outpatient settings, including 61 with traumatic brain injury (TBI), 32 with cerebral vascular accidents (CVA), and 25 with spinal cord injury (SCI).

RESULTS

Three of 6 BMMRS factor scores (i.e., positive spiritual experience, forgiveness, negative spiritual experience) were significantly correlated with the SF-36 General Health Perception (GHP) scale, and only 1 of 6 BMMRS factor scores (i.e., negative spiritual experience) was significantly and negatively correlated with the SF-36 General Mental Health (GMH) scale. BMMRS scales did not significantly predict either physical or mental health in hierarchical multiple regressions.

CONCLUSIONS

Positive spiritual experiences and willingness to forgive are related to better physical health, while negative spiritual experiences are related to worse physical and mental health for individuals with chronic disabilities. Future research using the BMMRS will benefit from using a 6-factor model that evaluates positive/negative spiritual experiences, religious practices, and positive/negative congregational support. Interventions to accentuate positive spiritual beliefs (e.g., forgiveness protocols, etc.) and reduce negative spiritual beliefs for individuals with chronic disabilities are suggested.

摘要

目的

确定Brief Multidimensional Measure of Religiousness/Spirituality(BMMRS;即积极/消极灵性、宽恕、宗教实践、积极/消极会众支持)与慢性残疾个体的身心健康(Medical Outcomes Scale-Short Form 36;SF-36)之间的关系。

研究方法

对在门诊环境中评估的 118 名个体进行横断面分析,其中包括 61 名创伤性脑损伤(TBI)患者、32 名脑血管意外(CVA)患者和 25 名脊髓损伤(SCI)患者。

结果

BMMRS 因子评分中的 3 项(即积极的精神体验、宽恕、消极的精神体验)与 SF-36 一般健康感知(GHP)量表显著相关,而 BMMRS 因子评分中的 1 项(即消极的精神体验)与 SF-36 一般心理健康(GMH)量表显著负相关。BMMRS 量表在分层多元回归中均不能显著预测身体或心理健康。

结论

积极的精神体验和宽恕意愿与较好的身体健康相关,而消极的精神体验与慢性残疾个体的身体和心理健康较差相关。未来使用 BMMRS 的研究将受益于使用评估积极/消极精神体验、宗教实践和积极/消极会众支持的 6 因素模型。建议针对慢性残疾个体采取强化积极精神信仰(例如宽恕协议等)和减少消极精神信仰的干预措施。

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