简短宗教应对方式（B - RCOPE）工具的希腊东正教版本：三个样本中的心理测量特性及其与精神障碍、自杀倾向、疾病认知和生活质量的关联
The Greek-Orthodox version of the Brief Religious Coping (B-RCOPE) instrument: psychometric properties in three samples and associations with mental disorders, suicidality, illness perceptions, and quality of life.
作者信息
Paika Vassiliki, Andreoulakis Elias, Ntountoulaki Elisavet, Papaioannou Dimitra, Kotsis Konstantinos, Siafaka Vassiliki, Fountoulakis Konstantinos N, Pargament Kenneth I, Carvalho Andre F, Hyphantis Thomas
机构信息
Department of Psychiatry, Faculty of Medicine, School of Health Sciences, University of Ioannina, 45110 Ioannina, Greece.
Third Department of Psychiatry, School of Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece.
出版信息
Ann Gen Psychiatry. 2017 Feb 16;16:13. doi: 10.1186/s12991-017-0136-4. eCollection 2017.
BACKGROUND
The B-RCOPE is a brief measure assessing religious coping. We aimed to assess the psychometric properties of its Greek version in people with and without long-term conditions (LTCs). Associations between religious coping and mental illness, suicidality, illness perceptions, and quality of life were also investigated.
METHODS
The B-RCOPE was administered to 351 patients with diabetes, chronic pulmonary obstructive disease (COPD), and rheumatic diseases attending either the emergency department ( = 74) or specialty clinics ( = 302) and 127 people without LTCs. Diagnosis of mental disorders was established by the MINI. Associations with depressive symptom severity (PHQ-9), suicidal risk (RASS), illness perceptions (B-IPQ), and health-related quality of life (WHOQOL-BREF) were also investigated.
RESULTS
The Greek version of B-RCOPE showed a coherent two-dimensional factor structure with remarkable stability across the three samples corresponding to the positive (PRC) and negative (NRC) religious coping dimensions. Cronbach's alphas were 0.91-0.96 and 0.77-0.92 for the PRC and NRC dimensions, respectively. Furthermore, NRC was associated with poorer mental health, greater depressive symptom severity and suicidality, and impaired HRQoL. In patients with LTCs, PRC correlated with lower perceived illness timeline, while NRC was associated with greater perceived illness consequences, lower perceived treatment control, greater illness concern, and lower illness comprehensibility.
CONCLUSIONS
These findings indicate that the Greek-Orthodox B-RCOPE version may reliably assess religious coping. In addition, negative religious coping (i.e., religious struggle) is associated with adverse illness perceptions, and thus may detrimentally impact adaptation to medical illness. These findings deserve replication in prospective studies.
背景
B - RCOPE是一种评估宗教应对方式的简短测量工具。我们旨在评估其希腊语版本在患有和未患有长期疾病（LTCs）人群中的心理测量特性。同时还研究了宗教应对与精神疾病、自杀倾向、疾病认知及生活质量之间的关联。
方法
对351例患有糖尿病、慢性阻塞性肺疾病（COPD）和风湿性疾病的患者进行了B - RCOPE测评，这些患者分别就诊于急诊科（n = 74）或专科门诊（n = 302），另外还对127例无长期疾病的人进行了测评。精神障碍的诊断由MINI确定。还研究了其与抑郁症状严重程度（PHQ - 9）、自杀风险（RASS）、疾病认知（B - IPQ）以及健康相关生活质量（WHOQOL - BREF）之间的关联。
结果
B - RCOPE的希腊语版本显示出连贯的二维因子结构，在对应积极（PRC）和消极（NRC）宗教应对维度的三个样本中具有显著稳定性。PRC和NRC维度的Cronbach's α系数分别为0.91 - 0.96和0.77 - 0.92。此外，NRC与较差的心理健康、更高的抑郁症状严重程度和自杀倾向以及受损的健康相关生活质量相关。在患有长期疾病的患者中，PRC与较低的感知疾病时间线相关，而NRC与更高的感知疾病后果、更低的感知治疗控制、更高的疾病关注度以及更低的疾病可理解性相关。
结论
这些发现表明希腊东正教版本的B - RCOPE可能可靠地评估宗教应对方式。此外，消极宗教应对（即宗教挣扎）与不良的疾病认知相关，因此可能对适应医疗疾病产生不利影响。这些发现值得在前瞻性研究中重复验证。
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