Hayward R David, Krause Neal, Ironson Gail, Pargament Kenneth I
Department of Health Behavior and Health Education, School of Public Health, University of Michigan, 1415 Washington Heights, Ann Arbor, MI, 48109-2029, USA.
University of Miami, Coral Gables, FL, USA.
J Behav Med. 2016 Oct;39(5):887-95. doi: 10.1007/s10865-016-9761-7. Epub 2016 Jul 2.
Certain religious beliefs related to perceptions of internal or external health control (including belief in the existence of miraculous healing, and beliefs deferring responsibility for health outcomes from the self and onto God) may be related to health behaviors and in turn to health outcomes. Using data from a nationally representative US survey of religion and health (N = 2948) this study evaluates a series of two structural equation models of the relationships between religious activity, externalizing religious health beliefs (belief in healing miracles and divine health deferral), health outcomes, and life satisfaction. Believing in healing miracles was related to greater divine health deferral. Greater divine health deferral was associated with poorer symptoms of physical health. Belief in miracles was related to greater life satisfaction. Comparison of coefficients across models indicated that externalizing beliefs had a significant suppressor effect on the relationship between religious activity and physical symptoms, but did not significantly mediate its relationship with life satisfaction. Religious beliefs emphasizing divine control over health outcomes may have negative consequences for health outcomes, although the same beliefs may contribute to a better sense of life satisfaction.
某些与对内部或外部健康控制的认知相关的宗教信仰(包括相信奇迹般治愈的存在,以及将健康结果的责任从自身转移到上帝身上的信仰)可能与健康行为相关,进而与健康结果相关。本研究利用一项具有全国代表性的美国宗教与健康调查数据(N = 2948),评估了一系列关于宗教活动、外化的宗教健康信仰(相信治愈奇迹和神圣健康延迟)、健康结果和生活满意度之间关系的两个结构方程模型。相信治愈奇迹与更高程度的神圣健康延迟相关。更高程度的神圣健康延迟与更差的身体健康症状相关。相信奇迹与更高的生活满意度相关。跨模型系数比较表明,外化信仰对宗教活动与身体症状之间的关系有显著的抑制作用,但并未显著中介其与生活满意度的关系。强调上帝对健康结果控制的宗教信仰可能对健康结果产生负面影响,尽管相同的信仰可能有助于提升生活满意度。