Redfern Clare, Coles Alasdair
The Faraday Institute for Science and Religion St Edmund's College Cambridge United Kingdom.
Department of Clinical Neurosciences Clifford Allbutt Building Cambridge Biomedical Campus Cambridge United Kingdom.
Mov Disord Clin Pract. 2015 Jul 15;2(4):341-346. doi: 10.1002/mdc3.12206. eCollection 2015 Dec.
There has been increasing interest in recent decades in the interactions between disease, religious faith, and spirituality. An issue specific to neurological disorders is to what extent religiousness and spirituality depend upon the integrity of neuronal pathways.
We review recent research that investigates the effects of Parkinson's disease (PD) on religious faith and spirituality. Few studies have addressed this issue, but these few illustrate contrasting methodological approaches that yield different conclusions.
On the one hand, case-control studies have reported an apparent decrease in both religious practice and beliefs in PD with some influence of laterality of disease onset. In contrast, qualitative studies investigating religious and general coping in PD emphasize that religious faith remains important to patients.
Methodological pitfalls are found in both approaches. We conclude that there is little evidence to support claims of reduced spirituality and religious faith in PD. We recommend approaches to future studies that could enable a more nuanced understanding of spiritual and religious changes that might occur in PD.
近几十年来，人们对疾病、宗教信仰和精神性之间的相互作用越来越感兴趣。神经系统疾病特有的一个问题是宗教性和精神性在多大程度上依赖于神经通路的完整性。
我们回顾了最近调查帕金森病（PD）对宗教信仰和精神性影响的研究。很少有研究涉及这个问题，但这少数研究说明了产生不同结论的对比性方法。
一方面，病例对照研究报告称，PD患者的宗教活动和信仰明显减少，疾病发作的部位有一定影响。相比之下，调查PD患者宗教及一般应对方式的定性研究强调，宗教信仰对患者仍然很重要。
两种方法都存在方法上的缺陷。我们得出结论，几乎没有证据支持PD患者精神性和宗教信仰降低的说法。我们建议未来的研究采用能够更细致地理解PD患者可能发生的精神和宗教变化的方法。
