Research Center in Spirituality and Health, School of Medicine, Federal University of Juiz de Fora, Juiz de Fora, Minas Gerais, Brazil.
Bipolar Disord. 2013 Jun;15(4):385-93. doi: 10.1111/bdi.12069. Epub 2013 Apr 22.
The aim of the present study was to investigate the relationship between religiosity and mood, quality of life, number of hospitalizations, and number of severe suicide attempts among bipolar disorder patients.
In a cross-sectional study of bipolar disorder outpatients (N = 168), we assessed symptoms of mania [Young Mania Rating Scale (YMRS)], depression [Montgomery-Åsberg Depression Rating Scale (MADRS)], religiosity (Duke Religious Index), religious coping (Brief RCOPE), and quality of life [World Health Organization Quality of Life-Brief Version (WHOQOL-BREF)]. Sociodemographic data, number of suicide attempts, and number of hospitalizations were obtained through an interview with the individual and analysis of the patient's medical records. Logistical and linear regressions of the association between the religious indicators and clinical variables were conducted, controlling for sociodemographic variables.
A total of 148 (88.1%) individuals reported some type of religious affiliation. Intrinsic religiosity [odds ratio (OR) = 0.19, 95% confidence interval (CI): 0.06-0.57, p = 0.003] and positive religious coping strategies (OR = 0.25, CI: 0.09-0.71, p = 0.01) were associated with fewer depressive symptoms. All four domains of quality of life were directly and significantly correlated with intrinsic religiosity. Positive religious coping was correlated with higher levels of the psychological (β = 0.216, p = 0.002) and environmental (β = 0.178, p = 0.028) quality-of-life domains. Negative religious coping was associated with lower scores on the psychological domain of quality of life (β = -0.182, p = 0.025).
Intrinsic religiosity and positive religious coping are strongly associated with fewer depressive symptoms and improved quality of life. Negative religious coping is associated with worse quality of life. Religiosity is a relevant aspect of patients' lives and should be taken into consideration by physicians when assessing and managing bipolar disorder patients. Further longitudinal studies are needed to determine the causality and therapeutic implications of our findings.
本研究旨在探讨宗教信仰与心境、生活质量、住院次数和严重自杀企图次数之间的关系，以评估双相情感障碍患者的情况。
采用横断面研究方法，对 168 例双相情感障碍门诊患者进行评估，评估工具包括躁狂症状（Young 躁狂评定量表（YMRS））、抑郁症状（蒙哥马利-阿斯伯格抑郁评定量表（MADRS））、宗教信仰（杜克宗教指数）、宗教应对方式（Brief RCOPE）和生活质量（世界卫生组织生活质量简表（WHOQOL-BREF））。通过与个体面谈和分析患者病历获得人口统计学数据、自杀企图次数和住院次数。对宗教指标与临床变量之间的关联进行逻辑和线性回归，同时控制人口统计学变量。
共有 148 名（88.1%）患者报告了某种形式的宗教信仰。内在宗教信仰（比值比（OR）=0.19，95%置信区间（CI）：0.06-0.57，p=0.003）和积极的宗教应对策略（OR=0.25，CI：0.09-0.71，p=0.01）与较少的抑郁症状相关。生活质量的所有四个领域都与内在宗教信仰呈直接显著相关。积极的宗教应对方式与更高的心理（β=0.216，p=0.002）和环境（β=0.178，p=0.028）生活质量领域得分相关。消极的宗教应对方式与心理领域的生活质量得分较低相关（β=-0.182，p=0.025）。
内在宗教信仰和积极的宗教应对方式与较少的抑郁症状和改善的生活质量密切相关。消极的宗教应对方式与较差的生活质量相关。宗教信仰是患者生活的一个重要方面，医生在评估和管理双相情感障碍患者时应考虑到这一点。需要进一步的纵向研究来确定我们研究结果的因果关系和治疗意义。
