Institute of Mental Health, Research Division, Singapore 539747, Singapore.
Saw Swee Hock School of Public Health, Yong Loo Lin School of Medicine, National University of Singapore, Singapore 117597, Singapore.
Int J Environ Res Public Health. 2021 Mar 24;18(7):3368. doi: 10.3390/ijerph18073368.
This study investigated association of religious affiliation with positive mental health (PMH) and mental disorders.
A cross-sectional survey of 2270 adults was conducted in Singapore. Participants reported their religious affiliation to Buddhism, Christianity, Hinduism, Islam, Sikhism, Taoism, or other religions. A PMH instrument measured total PMH and six subcomponents: general coping (GC), emotional support (ES), spirituality (S), interpersonal skills (IS), personal growth and autonomy (PGA), and global affect (GA). Lifetime history of mental disorders was assessed with the Composite International Diagnostic Interview.
Total PMH (mean ± SD) was 4.56 ± 0.66 for participants with any religion versus 4.12 ± 0.63 ( = 0.002) in those without any religion. After adjustment for all potential confounders, the mean difference in total PMH between these groups was 0.348 (95% CI: 0.248-0.448). Having any religion was significantly associated with higher scores for S, GC, ES, IS, but not with PGA, GA or mental disorders. Compared with individuals without any religion, total PMH and S levels were significantly higher across all religions. Additionally, Christianity was significantly associated with higher ES, Taoism with higher GC, Buddhism and Islam with higher GC, ES and IS, Hinduism with higher IS and Sikhism with higher ES and IS.
Our results indicate that religious affiliation is significantly associated with higher PMH, but not with mental disorders in an Asian community setting. In addition, different religions showed unique patterns of association with PMH subcomponents.
本研究旨在探讨宗教信仰与积极心理健康（PMH）和精神障碍之间的关联。
在新加坡对 2270 名成年人进行了横断面调查。参与者报告了他们的宗教信仰，包括佛教、基督教、印度教、伊斯兰教、锡克教、道教或其他宗教。采用 PMH 量表评估总 PMH 和六个亚组分：一般应对（GC）、情感支持（ES）、灵性（S）、人际交往技能（IS）、个人成长和自主性（PGA）和整体情感（GA）。使用复合国际诊断访谈评估精神障碍的终生病史。
有任何宗教信仰的参与者的总 PMH（平均值±标准差）为 4.56±0.66，而没有任何宗教信仰的参与者为 4.12±0.63（P=0.002）。在调整所有潜在混杂因素后，两组之间总 PMH 的平均差异为 0.348（95%CI：0.248-0.448）。有任何宗教信仰与 S、GC、ES、IS 得分较高显著相关，但与 PGA、GA 或精神障碍无关。与没有任何宗教信仰的个体相比，所有宗教的总 PMH 和 S 水平均显著更高。此外，基督教与 ES 得分较高显著相关，道教与 GC 得分较高显著相关，佛教和伊斯兰教与 GC、ES 和 IS 得分较高显著相关，印度教与 IS 得分较高显著相关，锡克教与 ES 和 IS 得分较高显著相关。
我们的结果表明，在亚洲人群中，宗教信仰与较高的 PMH 显著相关，但与精神障碍无关。此外，不同的宗教与 PMH 亚组分的关联具有独特的模式。
