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精神分裂症患者的宗教信仰会影响药物依从性吗?

Does religiosity in persons with schizophrenia influence medication adherence.

作者信息

Triveni Davuluri, Grover Sandeep, Chakrabarti Subho

机构信息

Department of Psychiatry, Postgraduate Institute of Medical Education and Research, Chandigarh, India.

出版信息

Indian J Psychiatry. 2021 May-Jun;63(3):228-232. doi: 10.4103/psychiatry.IndianJPsychiatry_413_20. Epub 2021 Jun 17.

Abstract

BACKGROUND

Little information is available regarding the effect of religiosity and spirituality on medication adherence in patients with schizophrenia.

AIM

This study aimed to evaluate the association of medication adherence with different aspects of religiosity and spirituality in patients with schizophrenia.

MATERIALS AND METHODS

One hundred patients with schizophrenia were evaluated on religiousness measure scale and Duke Religion Index (DUREL); Brief Religious Coping Scale (Brief RCOPE); World Health Organization Quality of Life Spirituality, Religiosity, and Personal Beliefs (WHOQoL-SRPB); and Brief Adherence Rating Scale (BARS).

RESULTS

A higher level of religiosity as assessed by the religiousness measure scale, private religious activities and intrinsic religiosity as per DUREL, positive religious coping, and all the domains of WHOQOL-SRPB was associated with better medication compliance as assessed by the percentage of doses of medications consumed in the last 1 month as evaluated by using BARS.

CONCLUSION

The present study suggests that a higher level of religiosity and spirituality were associated with better medication compliance.

摘要

背景

关于宗教信仰和精神性对精神分裂症患者药物依从性的影响,现有信息较少。

目的

本研究旨在评估精神分裂症患者药物依从性与宗教信仰和精神性不同方面之间的关联。

材料与方法

对100名精神分裂症患者进行宗教信仰量表、杜克宗教指数(DUREL)、简易宗教应对量表(Brief RCOPE)、世界卫生组织生活质量-精神性、宗教信仰和个人信念量表(WHOQoL-SRPB)以及简易依从性评定量表(BARS)评估。

结果

通过宗教信仰量表评估的较高宗教信仰水平、DUREL中的私人宗教活动和内在宗教信仰、积极的宗教应对方式以及WHOQOL-SRPB的所有领域,与使用BARS评估的过去1个月内药物服用剂量百分比所反映的更好的药物依从性相关。

结论

本研究表明,较高水平的宗教信仰和精神性与更好的药物依从性相关。

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本文引用的文献

1
Translation and Adaptation into Hindi of Central Religiosity Scale, Brief Religious Coping Scale (Brief RCOPE), and Duke University Religion Index (DUREL).
Indian J Psychol Med. 2019 Nov 11;41(6):556-561. doi: 10.4103/IJPSYM.IJPSYM_304_18. eCollection 2019 Nov-Dec.
2
Medication adherence in first-episode psychosis and its association with psychopathology.
Indian J Psychiatry. 2019;61(4):342-346. doi: 10.4103/psychiatry.IndianJPsychiatry_148_17.
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Religiosity among patients with schizophrenia: An exploratory study.
Indian J Psychiatry. 2017 Oct-Dec;59(4):420-428. doi: 10.4103/psychiatry.IndianJPsychiatry_17_17.
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Medication adherence in schizophrenia: The role of insight, therapeutic alliance and perceived trauma associated with psychiatric care.
Psychiatry Res. 2017 Nov;257:315-321. doi: 10.1016/j.psychres.2017.07.063. Epub 2017 Jul 31.
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Factors associated with medication adherence among patients with schizophrenia in Mekelle, Northern Ethiopia.
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Religion, spirituality, and schizophrenia: a review.
Indian J Psychol Med. 2014 Apr;36(2):119-24. doi: 10.4103/0253-7176.130962.
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Validation of Hindi Translation of SRPB Facets of WHOQOL-SRPB Scale.
Indian J Psychol Med. 2013 Oct;35(4):358-63. doi: 10.4103/0253-7176.122225.

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