Department of Physical Therapy, East Tennessee State University, Johnson City, TN, USA.
Disabil Rehabil. 2012;34(5):383-92. doi: 10.3109/09638288.2011.607216. Epub 2011 Oct 21.
Forgiveness is associated with a variety of health-related outcomes; however much of this work has been in the context of forgiveness of others, direct associations and otherwise healthy samples. This study examined associations involving multiple dimensions of forgiveness, including indirect effects through health behavior, among outpatients receiving physical therapy.
Participants from southern Appalachia (n = 141) completed cross-sectional self-report measures of forgiveness, lifetime religiousness, health behavior, health status and pain. Mediation analysis was employed to examine the direct and indirect relationships between forgiveness and health.
Forgiveness of self was associated with: (i) overall health status, physical health status and current pain in an indirect-only fashion and (ii) mental health status and chronic pain in a direct-only fashion. Feeling forgiven by God was associated with health-related social functioning in a direct-only fashion. Forgiveness of others was not associated with the health-related outcomes.
Forgiveness of self appears to be the most important to health, yet the most difficult to achieve. Religious culture may influence whether feeling forgiven by God is also important. Forgiveness-based intervention may be useful in the context of rehabilitation, in general, and physical therapy, in particular.
宽恕与多种与健康相关的结果有关;但是,这项工作的大部分内容都是在原谅他人,直接关联和其他健康样本的背景下进行的。本研究考察了宽恕的多个维度之间的关联,包括通过健康行为的间接影响,在接受物理治疗的门诊患者中。
来自阿巴拉契亚南部的参与者(n=141)完成了宽恕,终生宗教信仰,健康行为,健康状况和疼痛的横断面自我报告措施。采用中介分析来检验宽恕与健康之间的直接和间接关系。
自我宽恕与:(i)整体健康状况,身体健康状况和当前疼痛之间仅存在间接关系,以及(ii)心理健康状况和慢性疼痛之间仅存在直接关系。感到被上帝原谅与健康相关的社会功能之间存在直接关系。原谅他人与健康相关的结果无关。
自我宽恕似乎对健康最重要,但最难实现。宗教文化可能会影响被上帝原谅是否也很重要。基于宽恕的干预措施在康复背景下可能是有用的,一般来说,在物理治疗中尤其如此。