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宗教实践、信仰与心理健康:族群差异。

Religious practices, beliefs, and mental health: variations across ethnicity.

机构信息

Department of Environmental Health, Harvard School of Public Health, Boston, MA, USA.

出版信息

Ethn Health. 2012;17(1-2):171-85. doi: 10.1080/13557858.2012.655264. Epub 2012 Feb 1.

Abstract

OBJECTIVES

We examined whether Black Americans and Hispanic Americans experienced greater mental health benefits from religious involvement than White Americans, and whether these benefits would be mediated through three psychosocial factors--social support, meaning, and forgiveness.

METHODS

Utilizing data from a probability sample of Chicago-based adults (n=3103), ethnicity-stratified multivariate regression models estimated the association of religiosity with depressive symptoms, anxiety symptoms, and major depressive disorder (MDD). Models controlled for potential confounders and psychosocial mediators.

RESULTS

Contrary to our hypotheses, religiously involved Black Americans and Hispanic Americans did not experience greater mental health benefits than their White counterparts. For White Americans alone, service attendance was inversely related to depressive symptoms, anxiety symptoms, and MDD. Religious saliency was consistently associated with worse mental health for Hispanic Americans only. However, both meaning and forgiveness conferred mental health benefits for all three groups.

CONCLUSIONS

The benefits of specific aspects of religious involvement vary across ethnicity. Caution is necessary in any effort to bring religion into the health domain. Our findings, if replicated, suggest that initiatives that facilitate a sense of purpose or forgiveness are likely to prove promising in improving mental health, regardless of race or ethnicity.

摘要

目的

我们考察了黑人美国人和西班牙裔美国人是否从宗教参与中获得比白人更大的心理健康益处,以及这些益处是否会通过三个社会心理因素——社会支持、意义和宽恕来实现。

方法

利用来自芝加哥成年人的概率样本(n=3103)的数据,分层多元回归模型估计了宗教信仰与抑郁症状、焦虑症状和重度抑郁症(MDD)之间的关联。模型控制了潜在的混杂因素和社会心理中介因素。

结果

与我们的假设相反,参与宗教活动的黑人和西班牙裔美国人并没有比白人获得更大的心理健康益处。仅对白人而言,参加礼拜与抑郁症状、焦虑症状和 MDD 呈负相关。宗教重要性仅与西班牙裔美国人的心理健康状况恶化有关。然而,意义和宽恕对所有三个群体的心理健康都有好处。

结论

宗教参与的特定方面的益处因种族而异。在将宗教纳入健康领域的任何努力中都需要谨慎。如果得到证实,我们的发现表明,促进目标感或宽恕的举措可能有望改善心理健康,无论种族或族裔如何。

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