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英国乳腺癌诊断对宗教/精神信仰和实践的影响。

The impact of a breast cancer diagnosis on religious/spiritual beliefs and practices in the UK.

机构信息

Unit of Behavioural Medicine, Division of Research Strategy, UCL, Charles Bell House, 67-73 Riding House Street, London W1W 7EJ, UK.

出版信息

J Relig Health. 2011 Jun;50(2):203-18. doi: 10.1007/s10943-010-9322-2.

Abstract

The use of religious/spiritual resources may increase when dealing with the stress of a cancer diagnosis. However, there has been very little research conducted into changes in religious/spiritual beliefs and practices as a result of a cancer diagnosis outside the USA. The aim of this study was to examine the impact of a breast cancer diagnosis on patients' religious/spiritual beliefs and practices in the UK where religious practice is different. The study used two methods. One compared the religious/spiritual beliefs and practices of 202 patients newly diagnosed with breast cancer with those of a control group of healthy women (n = 110). The other examined patients' perceived change in religious/spiritual beliefs and practices at the time of surgery with those in the year prior to surgery. The aspects of religiousness/spirituality assessed were: levels of religiosity/spirituality, strength of faith, belief in God as well as private and public practices. Patient's perceived their belief in God, strength of faith and private religious/spiritual practices to have significantly increased shortly after surgery compared with the year prior to surgery. However, there were no significant differences in religious/spiritual beliefs and practices between patients and healthy participants. Change scores demonstrated both a reduction and an increase in religious/spiritual beliefs and practices. Although belief in God, strength of faith and private religious/spiritual practices were perceived by patients to be significantly higher after their cancer diagnosis, no significant differences in religious/spiritual beliefs and practices were found between the cancer group at the time of surgery and the control group. Different methodologies appear to produce different results and may explain contradictions in past US studies. Limitations of this study are discussed and suggestions for future research are made.

摘要

在应对癌症诊断带来的压力时,人们可能会更多地利用宗教/精神资源。然而,除了在美国之外,针对癌症诊断对宗教/精神信仰和实践的影响,几乎没有开展过任何研究。本研究旨在探讨英国乳腺癌患者的宗教/精神信仰和实践的变化,因为英国的宗教实践有所不同。该研究采用了两种方法。一种方法是将 202 名新诊断为乳腺癌的患者的宗教/精神信仰和实践与 110 名健康女性对照组进行比较。另一种方法则是检查患者在手术时与手术前一年的宗教/精神信仰和实践的变化。评估的宗教/精神信仰方面包括:宗教/精神水平、信仰强度、对上帝的信仰以及私人和公共实践。患者认为他们的信仰、信仰强度和私人宗教/精神实践在手术后不久就显著增加,与手术前一年相比。然而,患者与健康参与者之间在宗教/精神信仰和实践方面没有显著差异。变化得分表明宗教/精神信仰和实践既减少又增加。尽管患者认为在癌症诊断后,对上帝的信仰、信仰强度和私人宗教/精神实践明显提高,但在手术时的癌症组与对照组之间,没有发现宗教/精神信仰和实践的显著差异。不同的方法似乎产生了不同的结果,这可能解释了过去美国研究中的矛盾。本文讨论了研究的局限性并提出了未来研究的建议。

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