Department of Psychiatry, The Catholic University of Korea, College of Medicine, Seoul, Republic of Korea.
Department of Psychiatry, The Catholic University of Korea, College of Medicine, Seoul, Republic of Korea.
Compr Psychiatry. 2015 Jul;60:26-34. doi: 10.1016/j.comppsych.2015.04.009. Epub 2015 Apr 24.
Few studies have investigated the roles of religiosity and spirituality in predicting treatment response among psychiatric patients with depressive disorders.
In total, 232 outpatients with depressive disorders completed measurements of psychological symptoms, religiosity, and spirituality at baseline. A response was defined as Clinical Global Impression-Improvement scale (CGI-I) score of 1 or 2 at the last visit during a 6-month treatment period. Univariate analyses and logistic regression analysis were used to identify predictors of treatment response.
In univariate analyses, treatment response was associated with marital status, longer treatment duration, less severe baseline symptoms, higher personal importance of religion, and higher spirituality. In logistic regression analysis, subjective important considerations for religion and spirituality were significantly related with treatment response after controlling for marital status, treatment duration, and baseline symptom severity. Of these variables, spirituality remained a significant predictor in the final model.
These findings suggest that higher spirituality may independently contribute to favorable treatment responses among depressed patients in addition to other demographic and clinical factors.
很少有研究探讨宗教信仰和精神信仰在预测抑郁障碍精神科患者治疗反应中的作用。
共有 232 名抑郁障碍门诊患者在基线时完成了心理症状、宗教信仰和精神信仰的测量。在 6 个月的治疗期间，最后一次就诊时临床总体印象-改善量表（CGI-I）评分为 1 或 2 被定义为有反应。采用单因素分析和逻辑回归分析来确定治疗反应的预测因素。
在单因素分析中，治疗反应与婚姻状况、治疗时间延长、基线症状较轻、宗教个人重要性较高和精神信仰较高有关。在控制婚姻状况、治疗时间和基线症状严重程度后，宗教和精神信仰的主观重要性考虑因素与治疗反应显著相关。在最终模型中，精神信仰仍然是一个显著的预测因素。
这些发现表明，除了其他人口统计学和临床因素外，较高的精神信仰可能独立促进抑郁患者的治疗反应。
