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宗教信仰与阿尔茨海默病认知功能的特定关联。

Specific Association Between Religiosity and Cognitive Functions in Alzheimer's Disease.

机构信息

1 Department of Psychiatry, Hallym University College of Medicine, Chuncheon, Republic of Korea.

2 Mind-Neuromodulation Laboratory, Hallym University College of Medicine, Chuncheon, Republic of Korea.

出版信息

Am J Alzheimers Dis Other Demen. 2019 Jun;34(4):254-260. doi: 10.1177/1533317519827416. Epub 2019 Jan 31.

Abstract

OBJECTIVES

This study aimed to identify the specific relationship between subdomains of religious variables and cognitive functions in outpatients with Alzheimer's disease (AD).

METHODS

We recruited 325 patients with AD from a psychiatry outpatient clinic. The Korean version of the Consortium to Establish a Registry for Alzheimer's Disease and the Duke University Religion Index were used to assess cognitive functions and religiosity. We performed structural equation modeling and partial correlation analysis after controlling for demographic data.

RESULTS

The model in which religiosity beneficially affects cognitive functions showed acceptable model fit (root-mean-square error of approximation = 0.076, Tucker-Lewis index = 0.921, comparative fit index = 0.947). In the partial correlation analysis, organizational religious activity demonstrated positive relationships with memory ( r = 0.144, P = .010), language ( r = 0.149, P = .007), and constructional ability ( r = 0.191 P = .001). Nonorganizational religious activity and intrinsic religiosity were positively associated with memory ( r = 0.115, P = .040; r = 0.140, P = .012) and constructional ability ( r = 0.207, P = .000; r = 0.136, P = .015).

CONCLUSIONS

The findings suggest that religiosity positively affects cognitive functions and that each religious variable is related differently to the subdomains of cognitive functions in patients with AD.

摘要

目的

本研究旨在确定宗教变量的亚领域与门诊阿尔茨海默病(AD)患者认知功能之间的特定关系。

方法

我们从精神科门诊招募了 325 名 AD 患者。使用韩国版阿尔茨海默病协会注册中心和杜克大学宗教指数评估认知功能和宗教信仰。在控制人口统计学数据后,我们进行了结构方程建模和偏相关分析。

结果

宗教信仰有益地影响认知功能的模型显示出可接受的模型拟合度(均方根误差近似值=0.076,塔克-刘易斯指数=0.921,比较拟合指数=0.947)。在偏相关分析中,组织宗教活动与记忆(r=0.144,P=0.010)、语言(r=0.149,P=0.007)和建构能力(r=0.191,P=0.001)呈正相关。非组织宗教活动和内在宗教信仰与记忆(r=0.115,P=0.040;r=0.140,P=0.012)和建构能力(r=0.207,P=0.000;r=0.136,P=0.015)呈正相关。

结论

研究结果表明,宗教信仰对认知功能有积极影响,每个宗教变量与 AD 患者认知功能的亚领域的关系不同。

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