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了解精神健康与身体健康之间的联系:对动态血压、炎症、血脂和空腹血糖的检查。

Understanding the connection between spiritual well-being and physical health: an examination of ambulatory blood pressure, inflammation, blood lipids and fasting glucose.

机构信息

Department of Psychology, Brigham Young University, Provo, UT 84602-5543, USA.

出版信息

J Behav Med. 2011 Dec;34(6):477-88. doi: 10.1007/s10865-011-9343-7. Epub 2011 Apr 13.

DOI:10.1007/s10865-011-9343-7
PMID:21487720
Abstract

Growing research has demonstrated a link between spiritual well-being and better health; however, little is known about possible physiological mechanisms. In a sample of highly religious healthy male and female adults (n = 100) ages 19-59 (m = 28.28) we examined the influence of spiritual well-being, as measured by the Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being (FACIT-Sp-Ex), on physiological risk factors for heart disease. Specifically we examined 24-h ambulatory blood pressure (BP), inflammation (hs-C-reactive protein), fasting glucose, and blood lipids. Regression analyses reveal that higher levels of spiritual-wellness (total FACIT-Sp-Ex score) was significantly related to lower systolic ambulatory BP (β = -.345; P < .001), diastolic ambulatory BP (β = -.24; P = .02), hs-C-reactive protein (β = -.23; P = .04), fasting glucose (β = -.28; P = .006), and marginally lower triglycerides (β = -.21; P = .09) and VLDL (β = -.21; P = .10) controlling for age, gender, and church attendance. Results remained generally consistent across the Meaning, Peace, Faith and Additional Spiritual Concerns subscales of the FACIT-Sp-Ex. Spiritual well-being may be cardio protective.

摘要

越来越多的研究表明,精神幸福感与更健康的身体之间存在关联;然而,关于可能存在的生理机制,我们知之甚少。在一项针对 19 至 59 岁的高度宗教信仰的健康男女成年人(n=100)的样本中(m=28.28),我们研究了精神幸福感(通过慢性疾病治疗的功能评估-精神幸福感量表(FACIT-Sp-Ex)进行衡量)对心脏病生理风险因素的影响。具体来说,我们检查了 24 小时动态血压(BP)、炎症(hs-C 反应蛋白)、空腹血糖和血脂。回归分析表明,更高水平的精神幸福感(总 FACIT-Sp-Ex 评分)与较低的收缩压动态 BP(β=-.345;P<.001)、舒张压动态 BP(β=-.24;P=.02)、hs-C 反应蛋白(β=-.23;P=.04)、空腹血糖(β=-.28;P=.006)以及略低的甘油三酯(β=-.21;P=.09)和 VLDL(β=-.21;P=.10)呈显著相关,这与年龄、性别和参加教会的情况有关。在 FACIT-Sp-Ex 的意义、和平、信仰和其他精神关注子量表中,结果总体上保持一致。精神幸福感可能具有心脏保护作用。

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