Department of Internal Medicine, Meharry College of Medicine, Nashville, Tennessee, USA.
Department of Neurology, University of Maryland School of Medicine, 110 South Paca Street, Baltimore, Maryland, 21201, USA.
J Relig Health. 2023 Dec;62(6):4177-4191. doi: 10.1007/s10943-023-01817-4. Epub 2023 Apr 26.
Spirituality and religious beliefs are important for coping with medical conditions. The dopaminergic system is involved in reward behavior, and its dysfunction in Parkinson Disease (PD) raises questions about religiosity and spirituality in people with PD. This study examines the association between levels of spirituality and religiosity and the severity of PD motor and non-motor symptoms. The secondary aim investigates the perceived impact of PD diagnosis on spirituality and religiosity. This was a cross-sectional analysis of demographic, physical, mental, and spirituality and religiosity status in patients with PD recruited for the Health Outcomes Measurement (HOME) Study at the University of Maryland Parkinson Disease and Movement Disorders Center, Baltimore, USA. Spirituality and religiosity were assessed using the Spiritual Well-being Scale, and the World Health Organization Quality of Life Spiritual Religious and Personal Belief field-test instrument. The sample size was 85 PD patients. The mean age (standard deviation) was 65.5 (9.4) years and 67.1% were male. Higher levels of spirituality and religiosity were associated with younger age, sex (female), less education, religious affiliation (Christian), and mental health status. After adjusting for age, education, gender, race, marital status, religion, physical health, mental health, and comorbidity, only anxiety was associated with all of the spirituality/religiosity assessments. The majority of patients reported no change in their religious or spiritual beliefs following diagnosis. Greater spirituality and religiosity were associated with less anxiety. Also, younger women with PD showed higher levels of spirituality and religiosity. Longitudinal studies on more diverse populations are needed.
精神信仰对处理医疗状况很重要。多巴胺能系统与奖励行为有关，而帕金森病（PD）患者中该系统的功能障碍引发了对 PD 患者的宗教信仰和精神信仰的质疑。本研究旨在探讨精神信仰水平与 PD 运动和非运动症状严重程度之间的关系。次要目的是研究 PD 诊断对精神信仰的影响。这是在美国马里兰大学帕金森病和运动障碍中心进行的健康结果测量（HOME）研究中，对 85 名 PD 患者的人口统计学、身体、心理和精神信仰及宗教信仰状况进行的横断面分析。使用精神幸福感量表和世界卫生组织生活质量精神宗教和个人信仰测试工具评估精神信仰。患者平均年龄（标准差）为 65.5（9.4）岁，67.1%为男性。较高的精神信仰水平与较年轻的年龄、女性、较低的教育程度、宗教信仰（基督教）和心理健康状况有关。在调整年龄、教育程度、性别、种族、婚姻状况、宗教信仰、身体健康、心理健康和合并症后，只有焦虑与所有精神信仰评估相关。大多数患者报告诊断后其宗教或精神信仰没有改变。更高的精神信仰与更少的焦虑有关。此外，PD 年轻女性表现出更高水平的精神信仰。需要对更多样化的人群进行纵向研究。
