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苯丙胺类兴奋剂使用者中的焦虑与抑郁:与宗教虔诚度及宗教应对方式的关联

Anxiety and Depression among Amphetamine-Type Stimulant Users: The Association with Religiosity and Religious Coping.

作者信息

Tan Chok How, Abd Rashid Rusdi, Guan Ng Chong

机构信息

Department of Psychological Medicine, Faculty of Medicine, Universiti Malaya, Kuala Lumpur, Malaysia.

出版信息

Malays J Med Sci. 2020 Jul;27(4):51-63. doi: 10.21315/mjms2020.27.4.5. Epub 2020 Aug 19.

Abstract

BACKGROUND

Amphetamine-type stimulant (ATS) use brings severe adverse effects to the mental well-being of an individual and it is an essential contributor to the global disease burden. Meanwhile, religiosity and religious coping might improve one's conduct, physical and mental well-being. Hence, this study aims to determine the prevalence of anxiety and depression in ATS user and their association with religiosity and religious coping.

METHODS

It is a cross-sectional study conducted at the Department of Psychological Medicine, Universiti Malaya Medical Centre, Malaysia. The Hospital Anxiety and Depression Scale (HADS) was used to assess anxiety and depression among ATS users. Religiosity and religious coping were measured with Duke University Religious Index and Brief RCOPE.

RESULTS

This study involved 215 ATS users. Almost half of the ATS users had either anxiety ( = 96; 44.6%) or depression ( = 108; 50.2%), which were associated with polysubstance use or having an existing psychiatric disorder. Subjects with higher religiosity and positive religious coping were less anxious or depressed. However, negative religious coping was significantly associated with anxiety and depression in ATS users.

CONCLUSION

Anxiety and depression are prevalent in ATS users. Integrating religiosity and religious coping into the ATS users' treatment plan helps to improve their mental well-being.

摘要

背景

使用苯丙胺类兴奋剂(ATS)会给个人心理健康带来严重不良影响,并且是全球疾病负担的一个重要因素。同时,宗教信仰和宗教应对方式可能会改善一个人的行为、身心健康。因此,本研究旨在确定ATS使用者中焦虑和抑郁的患病率及其与宗教信仰和宗教应对方式的关联。

方法

这是一项在马来西亚马来亚大学医学中心心理医学部进行的横断面研究。使用医院焦虑抑郁量表(HADS)评估ATS使用者的焦虑和抑郁情况。宗教信仰和宗教应对方式通过杜克大学宗教指数和简易宗教应对量表进行测量。

结果

本研究纳入了215名ATS使用者。几乎一半的ATS使用者患有焦虑(n = 96;44.6%)或抑郁(n = 108;50.2%),这与多物质使用或患有现存精神疾病有关。宗教信仰程度较高且采用积极宗教应对方式的受试者焦虑或抑郁程度较低。然而,消极宗教应对方式与ATS使用者的焦虑和抑郁显著相关。

结论

焦虑和抑郁在ATS使用者中很普遍。将宗教信仰和宗教应对方式纳入ATS使用者的治疗计划有助于改善他们的心理健康。

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