AbdelGawad Noha, Chotalia Jigar, Parsaik Ajay, Pigott Teresa, Allen Melissa
Department of Psychiatry and Behavioral Sciences, The University of Texas Health Science Center at Houston; and Harris County Psychiatric Center, Houston, Texas.
J Nerv Ment Dis. 2017 Jun;205(6):448-452. doi: 10.1097/NMD.0000000000000688.
This study examined the relationship between religiosity in 175 psychiatric inpatients as measured by the subscales of the Duke University Religion Index (DUREL) and sociodemographic (age, sex, and race), clinical (primary diagnosis, suicidality, and psychotic symptoms), and outcome (length of stay [LOS] and readmission rates) measures. Psychosis was assessed by Clinician-Rated Dimensions of Psychosis Symptom Severity (CRDPSS) scale. Bivariate and multivariate analyses were used to examine the association between the DUREL subscales and the outcome measures. High scorers on the nonorganized religiosity subscale were less likely to have psychosis (47% vs. 52%; p < 0.05) but had greater psychosis severity (mean ± SD, 14.5 ± 5 vs.12.4 ± 6; p < 0.05), as measured by the CRDPSS scale, and significantly longer LOS (mean ± SD, 8.3 ± 3.8 vs. 6.9 ± 3.4; p < 0.05). Conversely, they were less likely to report previous suicide attempts than low scorers (p < 0.05). These results suggest that a brief measure of religious activities may identify psychiatric inpatients at greater risk for psychosis, suicidality, and longer hospitalizations.
本研究通过杜克大学宗教指数（DUREL）分量表，考察了175名精神科住院患者的宗教虔诚度与社会人口学指标（年龄、性别和种族）、临床指标（主要诊断、自杀倾向和精神病症状）以及预后指标（住院时间[LOS]和再入院率）之间的关系。精神病症状通过临床医生评定的精神病症状严重程度维度（CRDPSS）量表进行评估。采用双变量和多变量分析来检验DUREL分量表与预后指标之间的关联。非组织化宗教虔诚度分量表得分高的患者患精神病的可能性较小（47%对52%；p<0.05），但根据CRDPSS量表测量，其精神病严重程度更高（均值±标准差，14.5±5对12.4±6；p<0.05），且住院时间显著更长（均值±标准差，8.3±3.8对6.9±3.4；p<0.05）。相反，与得分低的患者相比，他们报告既往自杀未遂的可能性较小（p<0.05）。这些结果表明，一项简短的宗教活动测量可能会识别出患精神病、有自杀倾向以及住院时间更长风险更高的精神科住院患者。
