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首页> 外文期刊>Psychosomatics >Spirituality, religion, and depression in the terminally ill.
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Spirituality, religion, and depression in the terminally ill.

机译：绝症患者的精神，宗教和沮丧感。

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OBJECTIVE: This study examined the impact of spirituality and religiosity on depressive symptom severity in a sample of terminally ill patients with cancer and AIDS. METHODS: One hundred sixty-two patients were recruited from palliative-care facilities (hospitals and specialized nursing facilities), all of whom had a life expectancy <6 months. The primary variables used in this study were the FACIT Spiritual Well-Being Scale, a religiosity index similar to those used in previous research, the Hamilton Depression Rating Scale (HDRS), the Karnofsky Performance Rating Scale, the Memorial Symptom Assessment Scale, and the Duke-UNC Functional Social Support Questionnaire. RESULTS: A strong negative association was observed between the FACIT Spiritual Well-Being scale and the HDRS, but no such relationship was found for religiosity, because more religious individuals had somewhat higher scores on the HDRS. Similar patterns were observed for the FACIT subscales, finding a strong negative association between the meaning and peace subscale (which corresponds to the more existential aspects of spirituality) and HDRS scores, whereas a positive, albeit nonsignificant, association was observed for the faith subscale (which corresponds more closely to religiosity). CONCLUSIONS: These results suggest that the beneficial aspects of religion may be primarily those that relate to spiritual well-being rather than to religious practices per se. Implications for clinical interventions and palliative-care practice are discussed.
机译：目的：本研究检查了精神病和宗教信仰对绝症癌症和艾滋病患者的抑郁症状严重程度的影响。方法：从姑息治疗机构（医院和专业护理机构）招募了162名患者，他们的平均预期寿命均小于6个月。本研究中使用的主要变量是FACIT精神健康量表，与先前研究相似的宗教指数，汉密尔顿抑郁量表（HDRS），卡诺夫斯基绩效量表，纪念症状评估量表和杜克大学UNC功能社会支持调查表。结果：FACIT精神健康量表与HDRS之间存在强烈的负相关性，但没有发现这种宗教关系，因为更多的宗教人士在HDRS上得分较高。在FACIT子量表中观察到了类似的模式，发现意义和和平子量表（对应于灵性的存在性更强的方面）与HDRS得分之间存在强烈的负相关性，而在信仰子量表中则观察到了积极的（尽管不显着）相关性（与宗教信仰更接近）。结论：这些结果表明，宗教的有益方面可能主要是与精神福祉相关的方面，而不是与宗教习俗本身相关的方面。讨论了对临床干预和姑息治疗实践的影响。

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