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首页> 外文期刊>Social psychiatry and psychiatric epidemiology >Evolution of spirituality and religiousness in chronic schizophrenia or schizo-affective disorders: a 3-years follow-up study.
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Evolution of spirituality and religiousness in chronic schizophrenia or schizo-affective disorders: a 3-years follow-up study.

机译：慢性精神分裂症或精神分裂症患者精神和宗教信仰的演变：一项为期三年的随访研究。

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PURPOSE: Spirituality and religiousness have been shown to be highly prevalent in patients with schizophrenia. Religion can help instil a positive sense of self, decrease the impact of symptoms and provide social contacts. Religion may also be a source of suffering. In this context, this research explores whether religion remains stable over time. METHODS: From an initial cohort of 115 out-patients, 80% completed the 3-years follow-up assessment. In order to study the evolution over time, a hierarchical cluster analysis using average linkage was performed on factorial scores at baseline and follow-up and their differences. A sensitivity analysis was secondarily performed to check if the outcome was influenced by other factors such as changes in mental states using mixed models. RESULTS: Religion was stable over time for 63% patients; positive changes occurred for 20% (i.e., significant increase of religion as a resource or a transformation of negative religion to a positive one) and negative changes for 17% (i.e., decrease of religion as a resource or a transformation of positive religion to a negative one). Change in spirituality and/or religiousness was not associated with social or clinical status, but with reduced subjective quality of life and self-esteem; even after controlling for the influence of age, gender, quality of life and clinical factors at baseline. CONCLUSIONS: In this context of patients with chronic schizophrenia, religion appeared to be labile. Qualitative analyses showed that those changes expressed the struggles of patients and suggest that religious issues need to be discussed in clinical settings.
机译：目的：精神分裂症和精神信仰在精神分裂症患者中非常普遍。宗教可以帮助建立积极的自我意识，减少症状的影响并提供社交联系。宗教也可能是苦难的根源。在这种情况下，本研究探讨了宗教是否会随着时间的流逝而保持稳定。方法：最初的115名门诊患者中，有80％完成了为期三年的随访评估。为了研究随时间的演变，在基线和随访期间对因子得分进行了使用平均链接的层次聚类分析。其次，使用混合模型进行敏感性分析，以检查结果是否受其他因素（例如精神状态变化）的影响。结果：63％的患者宗教信仰随时间推移保持稳定;发生了20％的积极变化（即，宗教作为一种资源的显着增加或将消极宗教转变为积极的宗教）和发生了17％的消极变化（即，将宗教作为一种资源减少或将积极的宗教向一种宗教转变）。否定的）。精神和/或宗教信仰的改变与社会或临床状况无关，但与生活和自尊的主观质量下降有关;即使在基线时控制了年龄，性别，生活质量和临床因素的影响之后。结论：在患有慢性精神分裂症的患者中，宗教似乎很不稳定。定性分析表明，这些变化表达了患者的挣扎，并建议在临床环境中讨论宗教问题。

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