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印度因自我伤害企图而被送往急诊室的患者的宗教应对方式。

Religious coping among self-harm attempters brought to emergency setting in India.

作者信息

Grover Sandeep, Sarkar Siddharth, Bhalla Ashish, Chakrabarti Subho, Avasthi Ajit

机构信息

Department of Psychiatry, Post Graduate Institute of Medical Education and Research, Chandigarh 160012, India.

Department of Psychiatry, All India Institute of Medical Sciences, New Delhi 110029, India.

出版信息

Asian J Psychiatr. 2016 Oct;23:78-86. doi: 10.1016/j.ajp.2016.07.009. Epub 2016 Jul 16.

Abstract

This study attempted to evaluate religious coping and its correlates among patients presenting with self-harm to an emergency setting and compared it with a healthy control group. Religious coping was assessed using brief RCOPE. Beck Hopelessness Scale, Beck Depression Inventory, Barratt Impulsivity Scale, Scale for Suicidal Ideations and Irritability Depression Anxiety scale were used to assess for hopelessness, depression, impulsiveness, suicidal ideations and irritability respectively. The study included 32 subjects with depression and 77 subjects without any psychiatric diagnosis who presented with self-harm and 50 healthy controls. Compared to healthy controls, those with self-harm irrespective of presence or absence of psychiatric diagnosis less often used positive religious coping and more often used negative religious coping. Further, among those without psychiatric diagnosis (with self harm), there was positive correlation of negative religious coping with impulsivity and hopelessness. Among those without psychiatric diagnosis with self-harm, both positive and negative religious coping correlated positively with depressive scores, severity of suicidal ideations, anxiety and irritability, but associations were stronger for negative religious coping than that for positive religious coping. The findings of the present study suggest that those who indulge in self harm have lower use of positive religious coping and higher use of negative religious coping.

摘要

本研究试图评估在急诊环境中出现自我伤害行为的患者的宗教应对方式及其相关因素,并将其与健康对照组进行比较。使用简易宗教应对量表(Brief RCOPE)评估宗教应对方式。分别使用贝克绝望量表、贝克抑郁量表、巴拉特冲动性量表、自杀意念量表和易怒抑郁焦虑量表来评估绝望感、抑郁、冲动性、自杀意念和易怒情绪。该研究纳入了32名患有抑郁症且有自我伤害行为的受试者、77名有自我伤害行为但无任何精神疾病诊断的受试者以及50名健康对照者。与健康对照组相比,无论有无精神疾病诊断,有自我伤害行为的人较少使用积极的宗教应对方式,而更多地使用消极的宗教应对方式。此外,在无精神疾病诊断(有自我伤害行为)的人群中,消极宗教应对方式与冲动性和绝望感呈正相关。在无精神疾病诊断且有自我伤害行为的人群中,积极和消极宗教应对方式均与抑郁得分、自杀意念严重程度、焦虑和易怒情绪呈正相关,但消极宗教应对方式的相关性比积极宗教应对方式更强。本研究结果表明,那些有自我伤害行为的人较少使用积极的宗教应对方式,而较多使用消极的宗教应对方式。

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