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2021年埃塞俄比亚巴赫达尔市费莱格希沃特综合专科医院中重度精神疾病患者的积极宗教应对方式及相关因素

Positive Religious Coping and Associated Factors Among Participants with Severe Mental Illness Attending Felege Hiwot Comprehensive Specialized Hospital, Bahir Dar, Ethiopia, 2021.

作者信息

Birhan Belete, Eristu Netsanet

机构信息

Department of Psychiatry, Wolaita Sodo University, College of Health Science and Medicine, Wolaita Sodo, Ethiopia.

Department of Psychiatry, Dire Dawa University, College of Medicine and Health Science, Dire Dawa, Ethiopia.

出版信息

Psychol Res Behav Manag. 2023 Aug 2;16:2931-2941. doi: 10.2147/PRBM.S421684. eCollection 2023.

Abstract

BACKGROUND

Religion has been reported to be the most widely used coping resource in stressful conditions including physical and mental illnesses. Different studies consistently find that positive religious coping is associated with a reduced level of severe mental illness such as depression. Despite its high prevalence and being a significant coping mechanism for persons with severe mental illness, there are no published studies on positive religious coping in Ethiopia.

OBJECTIVE

To assess the prevalence of positive religious coping and associated factors among people with severe mental illness attending outpatient service at Felege Hiwot Comprehensive Specialized Hospital, Bahir Dar, northwest Ethiopia, 2021.

METHODS

A cross-sectional institution-based study was conducted and systematic random sampling was applied to select participants. Data were collected through a face-to-face interview. The collected data were entered into EpiData version 3.1 and exported to SPSS version 20 for processing and analysis. Multivariable logistic regression was used to identify independent factors associated with religious coping. P-value <0.05 was declared a statistically significant association with a 95% confidence interval.

RESULTS

The prevalence of positive religious coping among severe mental illness was 72.4% (95% CI= 68.2, 76.4). Having no comorbid medical illness, good quality of life, good medication adherence, and mild subjective severity scale were associated with positive religious coping.

CONCLUSION

The magnitude of positive religious coping among severe mental illness was relatively high. Not having a comorbid medical illness, good medication adherence, good quality of life, and mild subjective severity scale were factors associated with it. Patients report different factors that affect practicing positive religious coping factors. In the other direction, positive religious coping was reported to contribute to symptom alleviating and increasing a sense of well-being.

摘要

背景

据报道,宗教是在包括身心疾病在内的压力状况下使用最广泛的应对资源。不同研究一致发现,积极的宗教应对与诸如抑郁症等严重精神疾病水平的降低相关。尽管宗教应对在严重精神疾病患者中普遍存在且是一种重要的应对机制,但埃塞俄比亚尚未有关于积极宗教应对的已发表研究。

目的

评估2021年在埃塞俄比亚西北部巴赫达尔市费莱格·希沃特综合专科医院门诊就诊的严重精神疾病患者中积极宗教应对的患病率及相关因素。

方法

开展了一项基于机构的横断面研究,并采用系统随机抽样来选择参与者。通过面对面访谈收集数据。将收集到的数据录入EpiData 3.1版本,并导出到SPSS 20版本进行处理和分析。使用多变量逻辑回归来确定与宗教应对相关的独立因素。P值<0.05被判定为具有统计学意义的关联,置信区间为95%。

结果

严重精神疾病患者中积极宗教应对的患病率为72.4%(95%CI = 68.2, 76.4)。没有合并内科疾病、生活质量良好、药物依从性好以及主观严重程度量表得分较低与积极宗教应对相关。

结论

严重精神疾病患者中积极宗教应对的比例相对较高。没有合并内科疾病、药物依从性好、生活质量良好以及主观严重程度量表得分较低是与之相关的因素。患者报告了影响积极宗教应对行为的不同因素。另一方面,据报告积极宗教应对有助于缓解症状并增强幸福感。

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