Mickley J, Soeken K
University of Texas Health Science Center at San Antonio.
Oncol Nurs Forum. 1993 Sep;20(8):1171-7.
Religiousness has been associated with coping with cancer in the general population, but cultural influences have not been well explicated. The purpose of this study was to compare a sample of Hispanic-American women to a matched sample of Anglo-American women on selected religious variables and on a measure of hope. A sample of 25 Hispanic and 25 Anglo women diagnosed with breast cancer completed a hope scale, a spiritual well-being scale, and a religiousness scale and responded to selected demographic and medical questions. The only significant difference between the two groups was in intrinsic religiousness, with Hispanic women scoring higher (t = 2.07, df = 24, p < 0.05). Among Hispanics, neither intrinsic nor extrinsic religiousness was more important in predicting either existential well-being or hope. However, intrinsic religiousness was a more important predictor of religious well-being and total spiritual well-being than was extrinsic religiousness. Among Anglos, intrinsic religiousness was a stronger predictor of spiritual well-being and of hope. Religiousness may be an important variable affecting both the spiritual and the psychological health of women with breast cancer; this study also suggests cultural differences.
在普通人群中，宗教信仰与应对癌症有关，但文化影响尚未得到充分阐释。本研究的目的是比较一组西班牙裔美国女性样本与一组匹配的英裔美国女性样本在选定宗教变量和希望度量方面的差异。25名被诊断患有乳腺癌的西班牙裔女性和25名英裔女性完成了一份希望量表、一份精神健康量表和一份宗教信仰量表，并回答了选定的人口统计学和医学问题。两组之间唯一显著的差异在于内在宗教信仰，西班牙裔女性得分更高（t = 2.07，自由度 = 24，p < 0.05）。在西班牙裔人群中，内在或外在宗教信仰在预测生存幸福感或希望方面都不更为重要。然而，与外在宗教信仰相比，内在宗教信仰是宗教幸福感和总体精神幸福感更重要的预测指标。在英裔人群中，内在宗教信仰是精神幸福感和希望的更强预测指标。宗教信仰可能是影响乳腺癌女性精神和心理健康的一个重要变量；本研究也表明了文化差异。
