Lee Sang-Ahm, Ryu Han Uk, Choi Eun-Ju, Ko Myung-Ah, Jeon Ji-Ye, Han Su-Hyun, Lee Gha-Hyun, Lee Moon Kyu, Jo Kwang-Deog
Department of Neurology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea.
Department of Neurology, Chonbuk National University Medical School, Jeonju, Republic of Korea.
Epilepsy Behav. 2017 Oct;75:246-251. doi: 10.1016/j.yebeh.2017.06.005. Epub 2017 Aug 23.
Religiosity can be important in the everyday life of persons with epilepsy (PWE). How PWE live with religiosity can be influenced by their cultural background. We determined whether religiosity is associated with anxiety, depressive symptoms, and well-being in Korean adults with epilepsy.
This multicenter cross-sectional study was conducted in the outpatient clinics of five university hospitals in Korea. Religiosity was assessed using the five-item Duke University Religion Index (DUREL). The WHO-Five Well-Being Index (WHO-5) and Hospital Anxiety Depression Scale were used. The participants were categorized into three subgroups bounded by the 33rd and 66th percentiles of their DUREL scores.
Of a total of 226 participants, 61.1% declared that they had religious affiliation. The median DUREL score was 11 (interquartile ranges 6, 18). All three subscales of the DUREL were significantly related to WHO-5 (p<0.01). Non-organizational religious activities such as prayer and meditation were also inversely related to anxiety (p<0.05) and depressive symptoms (p<0.01). After controlling for confounding variables, anxiety and depressive symptoms were more extensive in the low religiosity subgroup than in the high or no religiosity subgroup (p<0.01) and well-being was higher in the high or low religiosity subgroup than in the no religiosity subgroup (p<0.05).
Religiosity is significantly associated with anxiety, depressive symptoms, and well-being in Korean adults with epilepsy.
宗教信仰在癫痫患者（PWE）的日常生活中可能具有重要意义。癫痫患者如何与宗教信仰共存可能会受到其文化背景的影响。我们确定了宗教信仰是否与韩国成年癫痫患者的焦虑、抑郁症状及幸福感相关。
这项多中心横断面研究在韩国五所大学医院的门诊进行。使用五项杜克大学宗教指数（DUREL）评估宗教信仰。采用世界卫生组织五福指数（WHO-5）和医院焦虑抑郁量表。参与者根据其DUREL得分的第33和66百分位数分为三个亚组。
在总共226名参与者中，61.1%宣称有宗教信仰。DUREL得分中位数为11（四分位间距6，18）。DUREL的所有三个子量表均与WHO-5显著相关（p<0.01）。祈祷和冥想等非组织性宗教活动也与焦虑（p<0.05）和抑郁症状（p<0.01）呈负相关。在控制混杂变量后，低宗教信仰亚组的焦虑和抑郁症状比高宗教信仰或无宗教信仰亚组更严重（p<0.01），高宗教信仰或低宗教信仰亚组的幸福感高于无宗教信仰亚组（p<0.05）。
宗教信仰与韩国成年癫痫患者的焦虑、抑郁症状及幸福感显著相关。
