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性别差异与心理-社会-精神疗愈。

Gender Differences in Psycho-Social-Spiritual Healing.

机构信息

Department of Psychiatry and Behavioral Sciences, Northwestern University Feinberg School of Medicine, Chicago, Illinois.

National Institute of Mental Health, National Institutes of Health, Bethesda, Maryland.

出版信息

J Womens Health (Larchmt). 2019 Nov;28(11):1513-1521. doi: 10.1089/jwh.2019.7837. Epub 2019 Sep 6.

Abstract

Many individuals exhibit significant distress in response to serious and/or life-limiting illness. However, there are others who make life-transforming changes, which involve healing experiences in the psychological, social, and spiritual domains of life regardless of illness outcome. The aim of the present study is to determine if there are any differences in psycho-social-spiritual healing between genders. The NIH Healing Experiences in All Life Stressors (NIH-HEALS), a 35-item measure of psycho-social-spiritual healing, is composed of three factors: Connection, Reflection & Introspection, and Trust & Acceptance. NIH-HEALS and a demographic questionnaire were administered to 193 patients with serious and/or life-limiting illness at the National Institutes of Health Clinical Center. In response to NIH-HEALS, men and women significantly differed on the Reflection & Introspection factor. Women reported increased enjoyment of mind-body practices ( < 0.001), compassion ( = 0.005), gratitude ( = 0.014), and a desire to be more positive ( = 0.044) compared to men. Men rated their pain levels ( = 0.035) and severity of illness ( = 0.016) higher and their overall level of health ( = 0.010) poorer compared to women. Women's responses to items regarding compassion ( = 0.37,  < 0.001) and gratitude ( = 0.24,  = 0.015) correlated positively with better overall health ratings. Men and women show some differences in their self-reported psycho-social-spiritual healing, which may have implications when designing interventions aimed at promoting a healing experience in the context of serious and life-limiting illness.

摘要

许多人在应对严重和/或生命有限的疾病时会感到明显的痛苦。然而,也有其他人做出了改变生活的转变,这些转变涉及到心理、社会和精神生活领域的治愈体验,无论疾病结果如何。本研究的目的是确定性别之间是否存在心理-社会-精神愈合方面的差异。NIH 所有生命应激源愈合体验(NIH-HEALS)是一种 35 项心理-社会-精神愈合测量工具,由三个因素组成:连接、反思与内省、信任与接受。NIH-HEALS 和一份人口统计问卷被用于在国立卫生研究院临床中心的 193 名患有严重和/或生命有限疾病的患者。根据 NIH-HEALS,男性和女性在反思与内省因素上存在显著差异。与男性相比,女性报告增加了对身心练习的享受( < 0.001)、同情心( = 0.005)、感激之情( = 0.014)和更积极的愿望( = 0.044)。与女性相比,男性报告的疼痛水平( = 0.035)和疾病严重程度( = 0.016)更高,整体健康水平( = 0.010)更差。女性对有关同情心( = 0.37, < 0.001)和感激之情( = 0.24, = 0.015)的项目的回答与更好的整体健康评分呈正相关。男性和女性在自我报告的心理-社会-精神愈合方面表现出一些差异,这可能对设计旨在促进严重和生命有限疾病背景下的愈合体验的干预措施具有重要意义。

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