Medlock Morgan M, Rosmarin David H, Connery Hilary S, Griffin Margaret L, Weiss Roger D, Karakula Sterling L, McHugh R Kathryn
Department of Psychiatry, Harvard Medical School, Boston, Massachusetts.
Spirituality and Mental Health Program, McLean Hospital, Belmont, Massachusetts.
Am J Addict. 2017 Oct;26(7):744-750. doi: 10.1111/ajad.12606. Epub 2017 Aug 24.
Religious coping, one of the most widely studied components of spirituality among psychiatric populations, has rarely been addressed in patients with severe substance use disorders (SUD). The aim of our study was to elucidate whether religious coping is related to symptom expression and mutual-help participation.
Self-reported religious coping was assessed in individuals sequentially admitted to a private psychiatric hospital for inpatient detoxification. Target symptoms of SUD included severity of substance use prior to admission and craving during detoxification. Three hundred thirty-one patients (68.6% male) participated in the survey; mean age was 38.0 years, and primary presenting diagnosis was most commonly alcohol use disorder (n = 202; 61%), followed by opioid use disorder (n = 119; 36%).
Positive religious coping was associated with significantly greater mutual-help participation, fewer days of drug use prior to admission, and was modestly, yet significantly associated with lower drug craving. Negative religious coping was associated with lower confidence in the ability to remain abstinent post-discharge and higher drug craving.
Consistent with hypotheses, greater positive religious coping was associated with greater mutual-help participation, lower severity of pre-admission drug use, and lower substance craving during detoxification. Use of positive religious coping may modify the course of SUD recovery by promoting engagement in mutual-help activities.
The findings of this study suggest that positive and negative religious coping are linked with several key SUD recovery variables. Further research to replicate this finding and to assess mechanisms within this potential association is warranted. (Am J Addict 2017;26:744-750).
宗教应对是精神科人群中研究最为广泛的精神性组成部分之一，但在严重物质使用障碍（SUD）患者中却很少被提及。我们研究的目的是阐明宗教应对是否与症状表现及互助参与相关。
对依次入住一家私立精神病医院进行住院戒毒治疗的个体进行自我报告的宗教应对评估。SUD的目标症状包括入院前物质使用的严重程度以及戒毒期间的渴望程度。331名患者（68.6%为男性）参与了调查；平均年龄为38.0岁，主要诊断最常见的是酒精使用障碍（n = 202；61%），其次是阿片类物质使用障碍（n = 119；36%）。
积极的宗教应对与显著更高的互助参与度、入院前更少的吸毒天数相关，并且与更低的药物渴望程度呈适度但显著的关联。消极的宗教应对与出院后保持操守能力的信心较低以及更高的药物渴望程度相关。
与假设一致，更高的积极宗教应对与更高的互助参与度、入院前药物使用的更低严重程度以及戒毒期间更低的物质渴望程度相关。使用积极的宗教应对可能通过促进参与互助活动来改变SUD康复的进程。
本研究结果表明，积极和消极的宗教应对与几个关键的SUD康复变量相关。有必要进行进一步研究以重复这一发现并评估这种潜在关联中的机制。（《美国成瘾杂志》2017年；26：744 - 750）
