Department of Psychiatry, McLean Hospital/Harvard Medical School, 115 Mill Street, Belmont, MA 02478, USA.
Psychiatry Res. 2013 Nov 30;210(1):182-7. doi: 10.1016/j.psychres.2013.03.023. Epub 2013 May 15.
Religious coping is very common among individuals with psychosis, however its relevance to symptoms and treatment outcomes remains unclear. We conducted a prospective study in a clinical sample of n=47 psychiatric patients with current/past psychosis receiving partial (day) treatment at McLean Hospital. Subjects completed measures of religious involvement, religious coping and suicidality prior to treatment, and we assessed for psychosis, depression, anxiety and psychological well-being over the course of treatment. Negative religious coping (spiritual struggle) was associated with substantially greater frequency and intensity of suicidal ideation, as well as greater depression, anxiety, and less well-being prior to treatment (accounting for 9.0-46.2% of the variance in these variables). Positive religious coping was associated with significantly greater reductions in depression and anxiety, and increases in well-being over the course of treatment (accounting for 13.7-36.0% of the variance in change scores). Effects remained significant after controlling for significant covariates. Negative religious coping appears to be a risk factor for suicidality and affective symptoms among psychotic patients. Positive religious coping is an important resource to this population, and its utilization appears to be associated with better treatment outcomes.
宗教应对在精神病患者中非常普遍，但它与症状和治疗结果的关系尚不清楚。我们在麦克莱恩医院接受部分（日间）治疗的 47 名有当前/过去精神病的精神病患者的临床样本中进行了一项前瞻性研究。在治疗前，受试者完成了宗教参与、宗教应对和自杀意念的测量，我们评估了治疗过程中的精神病、抑郁、焦虑和心理健康状况。消极的宗教应对（精神挣扎）与自杀意念的频率和强度显著增加，以及治疗前的抑郁、焦虑和心理健康状况较差有关（占这些变量变异的 9.0-46.2%）。积极的宗教应对与抑郁和焦虑的显著减少以及治疗过程中幸福感的显著增加有关（占变化分数变异的 13.7-36.0%）。在控制了重要的协变量后，这些影响仍然显著。消极的宗教应对似乎是精神病患者自杀意念和情感症状的一个风险因素。积极的宗教应对是这一人群的重要资源，其利用似乎与更好的治疗结果有关。
