Fradelos Evangelos C, Latsou Dimitra, Mitsi Dimitroula, Tsaras Konstantinos, Lekka Dimitra, Lavdaniti Maria, Tzavella Foteini, Papathanasiou Ioanna V
Psychiatric Department, "Sotiria" Athens General Hospital for Chest Diseases, Athens, Greece.
Department of Social and Educational Policy, University of Peloponnese, Corinth, Greece.
Contemp Oncol (Pozn). 2018;22(3):172-177. doi: 10.5114/wo.2018.78947. Epub 2018 Sep 30.
The aim of this study was to examine the relationship between religiosity, mental health, and psychological resilience in breast cancer patients.
A cross-sectional study was conducted in an oncology department of a hospital in northern Greece during February and March 2017. The sample consisted of 152 breast cancer patients. Data were collected with the following instruments: Patient Health Questionnaire two-item scale, Generalised Anxiety Disorder two-item scale, Connor-Davidson Resilience Scale 25, and Centrality of Religiosity Scale. Also, patients' characteristics were included, specifically demographic, social, and clinical information. Statistical analyses were conducted with the Statistical Package for the Social Sciences V25.
According to our results, approximately 1 out of 3 patients had depression and anxiety. Also, the sample had moderate resilience and were moderately religious. Patients who were classified as end-stage cancer patients and those who underwent mastectomy found to be more religious. Religiosity correlated positively with the resilience, while no correlation was found with depression, anxiety, and symptom burden. Based on regression results, religious beliefs seem to be a predictive factor for resilience and resilience is a predictive factor for depression.
Our findings show that there was no association between religiosity and mental health, while a strong relation was highlighted between religious beliefs and psychological resilience. This study should constitute a starting point for further assessments regarding the fact that religiosity can provide social support that facilitates psychological adaption to illness and helps cancer patients to cope with their illness, which should be recognised by health care professionals.
本研究旨在探讨乳腺癌患者的宗教信仰、心理健康与心理韧性之间的关系。
2017年2月至3月期间，在希腊北部一家医院的肿瘤科进行了一项横断面研究。样本包括152名乳腺癌患者。使用以下工具收集数据：患者健康问卷两项量表、广泛性焦虑障碍两项量表、康纳-戴维森韧性量表25以及宗教信仰中心性量表。此外，还纳入了患者的特征，特别是人口统计学、社会和临床信息。使用社会科学统计软件包V25进行统计分析。
根据我们的结果，约三分之一的患者患有抑郁和焦虑。此外，样本具有中等韧性且宗教信仰程度中等。被归类为晚期癌症患者和接受乳房切除术的患者宗教信仰更强。宗教信仰与韧性呈正相关，而与抑郁、焦虑和症状负担无相关性。基于回归结果，宗教信仰似乎是韧性的预测因素，而韧性是抑郁的预测因素。
我们的研究结果表明，宗教信仰与心理健康之间没有关联，而宗教信仰与心理韧性之间存在密切关系。鉴于宗教信仰可以提供社会支持，促进对疾病的心理适应，并帮助癌症患者应对疾病，本研究应成为进一步评估的起点，这一点应得到医疗保健专业人员的认可。
