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灵性与宗教信仰在人格及抑郁症康复方面是否存在差异?一项随访研究。

Do spirituality and religiousness differ with regard to personality and recovery from depression? A follow-up study.

作者信息

Mihaljevic Sanea, Aukst-Margetic Branka, Karnicnik Snjezana, Vuksan-Cusa Bjanka, Milosevic Milan

机构信息

Psychiatry department, General Hospital Virovitica, Gajeva 21, 33 000, Virovitica, Croatia.

Department of Psychiatry, Clinical Hospital Center, Kišpatićeva 12, 10 000, Zagreb, Croatia.

出版信息

Compr Psychiatry. 2016 Oct;70:17-24. doi: 10.1016/j.comppsych.2016.06.003. Epub 2016 Jun 14.

Abstract

BACKGROUND

The studies show that both spirituality and religiousness are protective for mental health. Personality is related with course and outcome of depression, as well as spirituality and religiousness, and their relations toward to recovery from depression are underresearched. This study followed influence of spirituality and religiousness on course and outcome of depression in patients with depressive episode, controlled for personality dimensions.

METHODS

The patients were assessed with self-report measures of depression (Beck Depression Inventory), spirituality (WHO-Quality of Life-Spiritual, Religious, Personal Beliefs), religiousness (Duke University Religion Index) and personality (Temperament and Character Inventory). Ninety nine patients finished a year long follow up.

RESULTS

Higher spirituality influenced recovery of depression in patients with depressive episode, but religiousness did not show to be significant predictor of recovery for depression. Dimension harm avoidance was significant predictor of improvement of depression in all points of measurement.

LIMITATIONS

Some limitations of this research are small sample size, usage of the self-report measures of depression in follow-up period, and the predominantly Catholic affiliation of the participants that can impact the generalizability of our data to other denominations.

CONCLUSION

Spirituality and dimension harm avoidance are significant predictors of recovery from depression during a year long follow up.

摘要

背景

研究表明,精神性和宗教信仰对心理健康都具有保护作用。人格与抑郁症的病程及转归相关,精神性和宗教信仰也是如此,而它们与抑郁症康复的关系尚未得到充分研究。本研究在控制人格维度的情况下,追踪精神性和宗教信仰对抑郁发作患者抑郁症病程及转归的影响。

方法

采用抑郁自评量表(贝克抑郁量表)、精神性量表(世界卫生组织生活质量量表-精神、宗教、个人信念)、宗教信仰量表(杜克大学宗教指数)及人格量表(气质与性格问卷)对患者进行评估。99名患者完成了为期一年的随访。

结果

较高的精神性影响抑郁发作患者的抑郁症康复,但宗教信仰并非抑郁症康复的显著预测因素。在所有测量点,回避伤害维度都是抑郁症改善的显著预测因素。

局限性

本研究的一些局限性包括样本量小、随访期间使用抑郁自评量表,以及参与者主要为天主教徒,这可能会影响我们的数据对其他教派的普遍性。

结论

在为期一年的随访中,精神性和回避伤害维度是抑郁症康复的显著预测因素。

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