Department of Psychiatry, Faculty of Medical Sciences, Lebanese University, Beirut, Lebanon.
Department of Family Medicine, St Joseph University, American University of Beirut, Beirut, Lebanon.
Psychooncology. 2018 Jan;27(1):99-105. doi: 10.1002/pon.4386. Epub 2017 Mar 2.
Breast cancer bears considerable morbidity and mortality and is well known to increase the risk of major depression, whereas religiosity has been reported to be protective. We searched for an association between depression and religiosity in breast cancer patients. We also sought to find an association between depression and various sociodemographic and disease variables.
One hundred two patients were interviewed. Sociodemographic, cancer profile, and religiosity questionnaires were administered. We screened for depressive disorders by using the Mini-International Neuropsychiatric Interview and the Beck Depression Inventory.
Most of our participants (n = 79; 77.4%) had high religiosity score. The prevalences of lifetime major depression, current major depression, and major depression after cancer diagnosis were 50.9%, 30.1%, and 43.1%, respectively. We could not find a correlation between religiosity and current depression, while the association with depression after cancer diagnosis was close to but did not reach statistical significance (P = .055) and in favor of a deleterious role of religiosity. Depression was only linked to marital status and insurance coverage. No association was found with disease-related variables.
Religiosity does not seem to be protective against depression development. The stress of cancer appears to be the main culprit in increasing the risk of depression.
乳腺癌具有相当大的发病率和死亡率，众所周知，它会增加患重度抑郁症的风险，而宗教信仰则被认为具有保护作用。我们寻找乳腺癌患者中抑郁与宗教信仰之间的关联。我们还试图寻找抑郁与各种社会人口学和疾病变量之间的关联。
对 102 名患者进行了访谈。采用社会人口学、癌症特征和宗教信仰问卷进行评估。我们使用 Mini-International Neuropsychiatric Interview 和 Beck 抑郁量表筛查抑郁障碍。
我们的大多数参与者（n=79；77.4%）具有较高的宗教信仰评分。终身重度抑郁症、当前重度抑郁症和癌症诊断后重度抑郁症的患病率分别为 50.9%、30.1%和 43.1%。我们没有发现宗教信仰与当前抑郁之间存在相关性，而与癌症诊断后抑郁的关联接近但未达到统计学意义（P=.055），表明宗教信仰具有一定的不良作用。抑郁与婚姻状况和保险覆盖范围有关。与疾病相关的变量没有关联。
宗教信仰似乎不能预防抑郁的发生。癌症带来的压力似乎是增加抑郁风险的主要因素。
