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帕金森病与灵性

Parkinson's disease and spirituality.

机构信息

Faraday Institute for Science and Religion, Cambridge, UK.

Department of Clinical Neurosciences, University of Cambridge, Cambridge, UK.

出版信息

NeuroRehabilitation. 2020;46(1):31-39. doi: 10.3233/NRE-192947.

DOI:10.3233/NRE-192947
PMID:32039874
Abstract

OBJECTIVE

To assess the claim that Parkinson's disease (PD) specifically reduces religiosity religious faith and spirituality.

METHODS

A longitudinal case-control study over 12 months of spirituality in 42 patients with idiopathic PD and 39 disease controls matched for age, gender, educational attainment and disability. There was no selection on grounds of religious affiliation. Participants were assessed on the Beck Depression Inventory, Medical Outcomes Score (MOS), cognitive tests including Paired Associate Learning [PAL], One Touch Stocking [OTS]) and Stroop test. Tests of spirituality were the Brief Multidimensional Measure of Religiousness and Spirituality questionnaire (BMMRS), a Mystical Experiences Questionnaire (MEQ), and the Rivermead Life Goals Score, supplemented by qualitative interview methods.

RESULTS

Over one year, as expected, mobility and cognition declined in the PD group. However, there was no significant change in scores of religiosity and spirituality scores in this group. Likewise, there were no subjective reports of a decrease of interest in religious faith or spirituality, although anecdotal accounts of decreasing mobility, loss of driving ability, increasing emotional lability and tiredness meant reduced participation in some religious and spiritual practices. However, over one year there was a significant fall in controls' religiosity score due mainly to a fall in 'religious practices' with no clear underlying reason.

CONCLUSIONS

Compared to non-neurological patients with similar disability, Parkinson's disease is not associated with a decline in religious faith or spirituality. Declining mobility and cognition in Parkinson's disease does not lead to diminished religiosity.

摘要

目的

评估帕金森病(PD)是否会降低宗教信仰和灵性的说法。

方法

一项为期 12 个月的特发性 PD 患者 42 例和年龄、性别、教育程度和残疾相匹配的疾病对照者 39 例的纵向病例对照研究。研究没有根据宗教信仰进行选择。参与者接受贝克抑郁量表、医疗结局评分(MOS)、认知测试,包括配对联想学习[PAL]、一次性袜子[OTS]和 Stroop 测试。灵性测试采用简要多维宗教和灵性问卷(BMMRS)、神秘体验问卷(MEQ)和 Rivermead 生活目标评分,辅以定性访谈方法。

结果

在一年中,如预期的那样,PD 组的运动和认知能力下降。然而,该组的宗教和灵性评分没有显著变化。同样,尽管有一些轶事报道称行动能力下降、丧失驾驶能力、情绪不稳定和疲劳增加,导致一些宗教和精神实践参与减少,但没有报告宗教信仰或灵性兴趣下降。然而,在一年中,对照组的宗教评分显著下降,主要是由于“宗教实践”下降,没有明显的潜在原因。

结论

与具有相似残疾的非神经科患者相比,帕金森病与宗教信仰或灵性的下降无关。帕金森病中运动和认知能力的下降不会导致宗教信仰的减少。

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