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严重精神障碍患者的生命精神意义与价值观

Spiritual Meaning in Life and Values in Patients With Severe Mental Disorders.

作者信息

Huguelet Philippe, Mohr Sylvia Madeleine, Olié Emilie, Vidal Sonia, Hasler Roland, Prada Paco, Bancila Mircea, Courtet Philippe, Guillaume Sébastien, Perroud Nader

机构信息

*Department of Mental Health and Psychiatry, University Hospitals of Geneva; †Department of Psychiatry, University of Geneva, Geneva, Switzerland; ‡Department of Emergency Psychiatry and Post-Acute Care, CHRU Montpellier; §Inserm, U1061, Université Montpellier, Montpellier; and ∥Fondamental Foundation, Foundation of Scientific Cooperation, Créteil, France.

出版信息

J Nerv Ment Dis. 2016 Jun;204(6):409-14. doi: 10.1097/NMD.0000000000000495.

Abstract

Spirituality and meaning in life are key dimensions of recovery in psychiatric disorders. The aim of this study was to explore spiritual meaning in life in relation to values and mental health among 175 patients with schizophrenia, borderline personality disorder, bipolar disorder, and anorexia nervosa. For 26% of the patients, spirituality was essential in providing meaning in life. Depending on the diagnosis, considering spirituality as essential in life was associated with better social functioning; self-esteem; psychological and social quality of life; fewer negative symptoms; higher endorsement of values such as universalism, tradition (humility, devoutness), and benevolence (helpfulness); and a more meaningful perspective in life. These results highlight the importance of spirituality for recovery-oriented care.

摘要

精神性和生命意义是精神疾病康复的关键维度。本研究旨在探讨175名精神分裂症、边缘型人格障碍、双相情感障碍和神经性厌食症患者的生命精神意义与价值观及心理健康的关系。26%的患者认为精神性对赋予生命意义至关重要。根据诊断情况,将精神性视为生命中至关重要的因素与更好的社会功能、自尊、心理和社会生活质量、更少的阴性症状、对普遍主义、传统(谦逊、虔诚)和仁爱(乐于助人)等价值观的更高认同以及更有意义的生命视角相关。这些结果凸显了精神性对以康复为导向的护理的重要性。

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