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经历生活事件压力的老年人中宗教与精神心理测量指标和一种炎症标志物(C反应蛋白)之间的关系

The Relationship Between Religious and Psychospiritual Measures and an Inflammation Marker (CRP) in Older Adults Experiencing Life Event Stress.

作者信息

Ironson Gail, Lucette Aurelie, Hylton Emily, Pargament Kenneth I, Krause Neal

机构信息

Department of Psychology, University of Miami, 5665 Ponce de Leon Blvd., Coral Gables, FL, 33124-0751, USA.

Department of Psychology, Bowling Green State University, Bowling Green, USA.

出版信息

J Relig Health. 2018 Aug;57(4):1554-1566. doi: 10.1007/s10943-018-0600-8.

Abstract

Inflammation, often measured by C-reactive protein (CRP), is thought to be related to a number of debilitating illnesses as we age, including cardiovascular disease, cancer and diabetes. Stress has also been implicated in these processes. This study examines potential protective effects of spirituality and religion in older adults who have experienced stressful life events. As part of the nationwide Landmark Study of Spirituality and Health, a subsample of 643 middle-aged and older adults (age ≥ 50) who were at or above the median in number of life stressors (≥ 2) was included in this analysis. Psychospiritual and religious (PS/R) variables included: religious service attendance, prayer, religious meaning, religious hope, general meaning, general hope and sense of peace. Control variables included: age, gender, education, BMI, smoking, alcohol use, social support. Only church attendance predicted significantly lower CRP after controlling for covariates, even above the other PS/R variables (standardized β = - 0.14, t = - 3.23 p = 0.001). Those with frequent religious service attendance were 38% less likely to have clinically elevated CRP than those who attend rarely or never. Religious service attendance may confer protection in older adults experiencing stressful events as it was significantly associated with lower CRP, an inflammatory marker associated with illness.

摘要

炎症通常通过C反应蛋白(CRP)来衡量,随着年龄增长,炎症被认为与许多使人衰弱的疾病有关,包括心血管疾病、癌症和糖尿病。压力也与这些过程有关。本研究调查了灵性和宗教对经历过生活压力事件的老年人的潜在保护作用。作为全国性灵性与健康里程碑研究的一部分,本分析纳入了643名中年及以上成年人(年龄≥50岁)的子样本,这些人的生活压力源数量处于或高于中位数(≥2个)。心理灵性和宗教(PS/R)变量包括:参加宗教仪式、祈祷、宗教意义、宗教希望、一般意义、一般希望和安宁感。控制变量包括:年龄、性别、教育程度、体重指数、吸烟、饮酒、社会支持。在控制协变量后,只有参加教会活动显著预测了较低的CRP,甚至高于其他PS/R变量(标准化β=-0.14,t=-3.23,p=0.001)。经常参加宗教仪式的人临床CRP升高的可能性比很少或从不参加的人低38%。参加宗教仪式可能会对经历压力事件的老年人起到保护作用,因为它与较低的CRP显著相关,CRP是一种与疾病相关的炎症标志物。

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