Department of Psychology, University of Connecticut, Storrs, CT 06269, USA.
J Behav Med. 2011 Dec;34(6):426-36. doi: 10.1007/s10865-011-9315-y. Epub 2011 Jan 30.
Patients with congestive heart failure (CHF) often report high levels of religiousness, which may mitigate the stressfulness of their condition. However, religious struggle, reflecting negative attitudes toward God and a strained meaning system, may be detrimental to well-being. Little is known about religious struggle in those with CHF, particularly in relation to physical health and well-being over time. We examined associations of religious struggle and subsequent mental and physical well-being in 101 endstage CHF patients who completed questionnaires twice over 3 months. Religious struggle predicted higher number of nights subsequently hospitalized, higher depression, and marginally lower life satisfaction. When controlling for baseline levels of well-being, effectively assessing change in those outcomes, religious struggle remained a significant predictor of hospitalization and also emerged as a marginally significant predictor of lower physical functioning. Struggle was unrelated to health-related quality of life. Post-hoc analyses suggest that these effects were particularly strong for those endorsing greater religious identification. Religious struggle appears to have a potentially negative impact on well-being in advanced CHF; therefore, helping patients to address issues of struggle may meaningfully lessen the personal and societal costs of CHF.
充血性心力衰竭（CHF）患者常报告宗教程度较高，这可能减轻其病情的压力。然而，宗教斗争反映了对上帝的消极态度和紧张的意义体系，可能对幸福感有害。关于 CHF 患者的宗教斗争知之甚少，特别是关于随着时间的推移对身体健康和幸福感的影响。我们研究了 101 例终末期 CHF 患者的宗教斗争与随后的心理健康和身体健康之间的关联，这些患者在 3 个月内完成了两次问卷调查。宗教斗争预测随后住院的夜晚数增加、抑郁程度更高，以及生活满意度略有降低。当控制基线健康水平，有效评估这些结果的变化时，宗教斗争仍然是住院的重要预测因素，并且也成为身体功能降低的边缘显著预测因素。斗争与健康相关的生活质量无关。事后分析表明，对于那些宗教认同度较高的患者，这些影响更为强烈。宗教斗争似乎对晚期 CHF 患者的幸福感产生潜在的负面影响；因此，帮助患者解决斗争问题可能会显著减轻 CHF 的个人和社会成本。
