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宗教应对方式对患有精神分裂症谱系障碍的拉丁裔和黑人/非裔美国人自杀倾向的作用。

The Role of Religious Coping on Suicidality Among Latinx and Black/African American Individuals with Schizophrenia Spectrum Disorders.

作者信息

Lopez Daisy, Escalante Genesis Saenz, de Mamani Amy Weisman

机构信息

University of Miami, Department of Psychology, 5665 Ponce de Leon, Coral Gables, FL, USA, 33146.

出版信息

Spiritual Clin Pract (Wash D C ). 2023 Sep;10(3):219-232. doi: 10.1037/scp0000317. Epub 2023 Mar 23.

Abstract

INTRODUCTION

The suicide rate for individuals with schizophrenia spectrum disorders (SSDs) is over 20 times greater than that of the general population. Many people turn to religion in times of illness or stress. Religiosity is also deeply embedded into the culture, community life, and identity of many Latinx and Black/African American (B/AA) individuals. Religiosity has historically been associated with a lower risk of suicide. However, research also finds that, adaptive and maladaptive religious coping differentially impact mental health. Therefore, it is pertinent to examine religious coping's role on suicidality among Latinx and B/AA individuals with SSDs.

METHODS

This study examined relationships between adaptive and maladaptive religious coping, depression/anxiety, and suicidality among 91 Latinx and B/AA individuals with SSDs (= 38.05 years old, = 11.92 years).

RESULTS

Maladaptive religious coping was positively associated with suicidality and was partially mediated through depression/anxiety. Moreover, adaptive religious coping moderated the relationship between maladaptive religious coping and depression/anxiety. Only when adaptive religious coping was at the mean observed level or below was maladaptive religious coping positively associated with depression/anxiety and suicidal ideation.

CONCLUSION

Findings underscore the need to take religiosity into account when shaping therapies for Latinx and B/AA individuals with SSDs.

摘要

引言

精神分裂症谱系障碍(SSD)患者的自杀率比普通人群高出20多倍。许多人在患病或面临压力时会求助于宗教。宗教信仰也深深融入许多拉丁裔和黑人/非裔美国人(B/AA)的文化、社区生活和身份认同之中。从历史上看,宗教信仰与较低的自杀风险相关。然而,研究还发现,适应性和适应不良的宗教应对方式对心理健康有不同的影响。因此,研究宗教应对方式在患有SSD的拉丁裔和B/AA个体自杀行为中的作用具有重要意义。

方法

本研究调查了91名患有SSD的拉丁裔和B/AA个体(平均年龄=38.05岁,标准差=11.92岁)的适应性和适应不良的宗教应对方式、抑郁/焦虑与自杀行为之间的关系。

结果

适应不良的宗教应对方式与自杀行为呈正相关,且部分通过抑郁/焦虑介导。此外,适应性宗教应对方式调节了适应不良的宗教应对方式与抑郁/焦虑之间的关系。只有当适应性宗教应对方式处于观察到的平均水平或以下时,适应不良的宗教应对方式才与抑郁/焦虑和自杀意念呈正相关。

结论

研究结果强调,在为患有SSD的拉丁裔和B/AA个体制定治疗方案时,需要考虑宗教信仰因素。

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Suicide in Schizophrenia: An Educational Overview.精神分裂症患者的自杀问题:教育概述。
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