Cowden Richard G, Pargament Kenneth I, Wilkinson Renae
Human Flourishing Program, Harvard University, Cambridge, MA, USA.
Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Psychol Health. 2024 Feb 4:1-18. doi: 10.1080/08870446.2024.2309162.
This longitudinal study examined the associations of divine struggles with 25 psychological distress, psychological well-being, social well-being, prosociality, physical health, and health behavior outcomes assessed approximately nine years later.
We used three waves of data from the National Survey of Midlife Development in the United States ( = 4041): M1 (1995-1996), M2 (2004-2006), and M3 (2013-2014). Following the analytic template for outcome-wide longitudinal designs, our primary analysis employed a series of regression models to estimate the associations between a continuous measure of divine struggles assessed at M2 with each outcome assessed at M3. All models adjusted for a rich set of covariates, including prior values of all outcomes.
There was modest evidence suggesting that divine struggles were associated with worse subsequent functioning on one or more outcomes for each domain except health behaviors (effect sizes were generally very small).
Divine struggles have the potential to degrade long-term functioning across multiple domains of life. Practitioners should attend to and address divine struggles in their clinical work.
这项纵向研究考察了神圣挣扎与大约九年后评估的25项心理困扰、心理健康、社会福祉、亲社会行为、身体健康和健康行为结果之间的关联。
我们使用了来自美国中年发展全国调查（N = 4041）的三轮数据：M1（1995 - 1996年）、M2（2004 - 2006年）和M3（2013 - 2014年）。按照全结果纵向设计的分析模板，我们的主要分析采用了一系列回归模型，以估计在M2评估的神圣挣扎连续测量值与在M3评估的每个结果之间的关联。所有模型都对一系列丰富的协变量进行了调整，包括所有结果的先前值。
有适度的证据表明，除了健康行为外，神圣挣扎与每个领域一个或多个结果的后续功能较差有关（效应大小通常非常小）。
神圣挣扎有可能降低生活多个领域的长期功能。从业者在临床工作中应关注并处理神圣挣扎问题。
