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美国哮喘患者中抑郁与宗教信仰/精神性之间的纵向关联

Longitudinal Associations Between Depression and Religiosity/Spirituality Among Individuals with Asthma in the United States.

作者信息

Ruppe Nicole M, Clawson Ashley H, Nwankwo Cara N, Blair Alexandra L

机构信息

Department of Psychology, Oklahoma State University, Stillwater, OK, USA.

Center for Pediatric Psychology, Oklahoma State University, Stillwater, OK, USA.

出版信息

J Relig Health. 2024 Aug;63(4):2963-2980. doi: 10.1007/s10943-023-01903-7. Epub 2023 Sep 4.

Abstract

There is limited literature examining the longitudinal stability of depressive symptoms for individuals with asthma, or how religiosity/spirituality relates to depressive symptoms across time. The present study aimed to identify the stability of and the longitudinal associations between depressive symptoms and R/S across multiple developmental periods for adolesents with asthma (N = 998) within the United States. Depressive symptoms (β 0.33 - 0.60) and R/S (β 0.26 - 0.73) were stable across time, with some variability. A cross-lagged association demonstrated that use of R/S in young adulthood (Wave 3) was associated with decreased depressive symptoms in adulthood (β = -0.17, p < .001, CI - 0.25 - - 0.09, SE = 0.04). Use of R/S in adolescence (Wave 2) was predictive of increased depression in adulthood (β = 0.13, p < .001, CI 0.05 - 0.20, SE = 0.04). Results demonstrated differential relations between R/S and depressive symptoms across development, and highlight the potential importance of integrating conversations focused on R/S within healthcare settings, especially as R/S during young adulthood may buffer against or reduce depressive symptoms in adulthood.

摘要

关于哮喘患者抑郁症状的纵向稳定性,或者宗教信仰/精神性如何随时间与抑郁症状相关联的文献有限。本研究旨在确定美国哮喘青少年(N = 998)在多个发育阶段中抑郁症状与宗教信仰/精神性之间的稳定性及纵向关联。抑郁症状(β 0.33 - 0.60)和宗教信仰/精神性(β 0.26 - 0.73)随时间具有一定稳定性,但存在一些变异性。交叉滞后关联表明,成年早期(第3波)使用宗教信仰/精神性与成年期抑郁症状减少相关(β = -0.17,p <.001,CI -0.25 - -0.09,SE = 0.04)。青少年期(第2波)使用宗教信仰/精神性可预测成年期抑郁增加(β = 0.13,p <.001,CI 0.05 - 0.20,SE = 0.04)。结果表明宗教信仰/精神性与抑郁症状在整个发育过程中的关系存在差异,并强调在医疗环境中纳入围绕宗教信仰/精神性的对话的潜在重要性,特别是因为成年早期的宗教信仰/精神性可能缓冲或减轻成年期的抑郁症状。

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