Cowden Richard G, Pargament Kenneth I, Chen Zhuo J, Davis Edward B, Lemke Austin W, Glowiak Kevin J, Rueger Sandra Y, Worthington Everett L
Human Flourishing Program, Institute for Quantitative Social Science, Harvard University, Cambridge, Massachusetts, USA.
Psychology Department, Bowling Green State University, Bowling Green, Ohio, USA.
J Clin Psychol. 2022 Apr;78(4):544-558. doi: 10.1002/jclp.23232. Epub 2021 Aug 16.
This study tested three conceptual explanatory models that have been theorized to account for the linkages between religious/spiritual (R/S) struggles and psychological distress: the primary model (i.e., R/S struggles lead to psychological distress), the secondary model (i.e., psychological distress leads to R/S struggles), and the complex model (i.e., R/S struggles and psychological distress reciprocally exacerbate each other).
Using prospective data from a sample of US adults living with chronic health conditions (n = 302), we performed a cross-lagged panel analysis with three timepoints to test for evidence of potential causal relations between R/S struggles and psychological distress.
Consistent with the complex conceptual model of R/S struggles, we found evidence of positive reciprocal associations between R/S struggles and psychological distress.
The findings highlight the importance of attending to the dynamic interplay between R/S struggles and psychological distress when working with adults who have chronic health conditions.
本研究检验了三种理论上用于解释宗教/精神（R/S）挣扎与心理困扰之间联系的概念性解释模型：主要模型（即R/S挣扎导致心理困扰）、次要模型（即心理困扰导致R/S挣扎）和复杂模型（即R/S挣扎与心理困扰相互加剧）。
利用来自患有慢性健康状况的美国成年人样本（n = 302）的前瞻性数据，我们进行了具有三个时间点的交叉滞后面板分析，以检验R/S挣扎与心理困扰之间潜在因果关系的证据。
与R/S挣扎的复杂概念模型一致，我们发现了R/S挣扎与心理困扰之间存在正向相互关联的证据。
研究结果凸显了在为患有慢性健康状况的成年人提供服务时，关注R/S挣扎与心理困扰之间动态相互作用的重要性。
