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痴呆症患者家庭照顾者的抑郁情绪与宗教信仰维度

Depressed Affect and Dimensions of Religiosity in Family Caregivers of Individuals with Dementia.

作者信息

Winter Laraine, Moriarty Helene J, Atte Faith, Gitlin Laura N

机构信息

Philadelphia Research and Education Foundation, Department of Veterans Affairs Medical Center, Philadelphia VA Medical Center, Philadelphia, PA, USA,

出版信息

J Relig Health. 2015 Aug;54(4):1490-502. doi: 10.1007/s10943-015-0033-6.

DOI:10.1007/s10943-015-0033-6
PMID:25794545
Abstract

Religiosity and mood have long been recognized as associated, but some patterns of associations suggest complex relationships. Using a multidimensional measure of religiosity, we explored the possibility that dimensions of religiosity may have (1) different strengths of association and (2) directions of association with depressed mood. We measured five dimensions of religiosity in 1227 family caregivers of persons with dementia, testing associations of each dimension to caregivers' depressive symptoms. In zero-order associations, higher scores on each religiosity dimension were associated with lower depression. Yet in hierarchical multiple regressions models, adjusting for other religiosity dimensions, different dimensions showed either no independent association, an independent association, or an inverse association with depressed mood. Frequency of prayer reversed directions of association-showing higher depression in caregivers who prayed more. Findings underscore the complex and sometimes bidirectional association between depressed mood and religiosity and argue for recognition of distinct dimensions of religiosity.

摘要

宗教信仰与情绪之间的关联早已为人所知,但某些关联模式显示出复杂的关系。我们采用宗教信仰的多维测量方法,探讨宗教信仰维度可能存在的两种情况:(1)与抑郁情绪有不同的关联强度;(2)与抑郁情绪有不同的关联方向。我们对1227名痴呆症患者的家庭照料者的宗教信仰五个维度进行了测量,检验每个维度与照料者抑郁症状之间的关联。在零阶关联中,每个宗教信仰维度得分越高,抑郁程度越低。然而,在分层多元回归模型中,在对其他宗教信仰维度进行调整后,不同维度与抑郁情绪之间要么无独立关联,要么有独立关联,要么呈反向关联。祈祷频率的关联方向发生了反转——祈祷次数越多的照料者抑郁程度越高。研究结果强调了抑郁情绪与宗教信仰之间复杂且有时双向的关联,并主张认识到宗教信仰的不同维度。

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本文引用的文献

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Religious involvement is associated with greater purpose, optimism, generosity and gratitude in persons with major depression and chronic medical illness.宗教参与与患有重度抑郁症和慢性疾病的人更有目标、更乐观、更慷慨和更感激有关。
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