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Abstract：
OBJECTIVE: The purpose of this study is to examine the relationship between negative religious coping (NRC) and suicidal ideation in patients with advanced cancer, controlling for demographic and disease characteristics and risk and protective factors for suicidal ideation.
METHODS: Adult patients with advanced cancer (life expectancy ≤6 months) were recruited from seven medical centers in the northeastern and southwestern USA (n = 603). Trained raters verbally administered the examined measures to patients upon study entry. Multivariable logistic regression analyses regressed suicidal ideation on NRC controlling for significant demographic, disease, risk, and protective factors.
RESULTS: Negative religious coping was associated with an increased risk for suicidal ideation (OR, 2.65 [95% CI, 1.22, 5.74], p = 0.01) after controlling for demographic and disease characteristics, mental and physical health, self-efficacy, secular coping, social support, spiritual care received, global religiousness and spirituality, and positive religious coping.
CONCLUSIONS: Negative religious coping is a robust correlate of suicidal ideation. Assessment of NRC in patients with advanced cancer may identify patients experiencing spiritual distress and those at risk for suicidal ideation. Confirmation of these results in future studies would suggest the need for interventions targeting the reduction of NRC to reduce suicidal ideation among advanced cancer patients.
METHODS: Adult patients with advanced cancer (life expectancy ≤6 months) were recruited from seven medical centers in the northeastern and southwestern USA (n = 603). Trained raters verbally administered the examined measures to patients upon study entry. Multivariable logistic regression analyses regressed suicidal ideation on NRC controlling for significant demographic, disease, risk, and protective factors.
RESULTS: Negative religious coping was associated with an increased risk for suicidal ideation (OR, 2.65 [95% CI, 1.22, 5.74], p = 0.01) after controlling for demographic and disease characteristics, mental and physical health, self-efficacy, secular coping, social support, spiritual care received, global religiousness and spirituality, and positive religious coping.
CONCLUSIONS: Negative religious coping is a robust correlate of suicidal ideation. Assessment of NRC in patients with advanced cancer may identify patients experiencing spiritual distress and those at risk for suicidal ideation. Confirmation of these results in future studies would suggest the need for interventions targeting the reduction of NRC to reduce suicidal ideation among advanced cancer patients.
摘要：
目的：本研究的目的是研究晚期癌症患者的消极宗教应对（NRC）与自杀意念之间的关系，控制人口统计学和疾病特征以及自杀意念的风险和保护因素。
方法：从美国东北部和西南部的七个医疗中心招募了患有晚期癌症（预期寿命≤6个月）的成年患者（n=603）。受过训练的评估者在进入研究后对患者进行口头管理。多变量logistic回归分析对NRC控制的自杀意念，疾病,风险，和保护因素。
结果：消极的宗教应对与自杀意念的风险增加有关（OR，2.65[95%CI，1.22，5.74]，p=0.01)在控制了人口统计学和疾病特征后，身心健康,自我效能感,世俗应对，社会支持,得到的精神关怀，全球宗教和灵性，积极的宗教应对。
结论：消极的宗教应对与自杀意念密切相关。对晚期癌症患者的NRC评估可能会识别出患有精神困扰的患者和有自杀意念风险的患者。在未来的研究中证实这些结果将表明需要针对减少NRC的干预措施，以减少晚期癌症患者的自杀意念。
方法：从美国东北部和西南部的七个医疗中心招募了患有晚期癌症（预期寿命≤6个月）的成年患者（n=603）。受过训练的评估者在进入研究后对患者进行口头管理。多变量logistic回归分析对NRC控制的自杀意念，疾病,风险，和保护因素。
结果：消极的宗教应对与自杀意念的风险增加有关（OR，2.65[95%CI，1.22，5.74]，p=0.01)在控制了人口统计学和疾病特征后，身心健康,自我效能感,世俗应对，社会支持,得到的精神关怀，全球宗教和灵性，积极的宗教应对。
结论：消极的宗教应对与自杀意念密切相关。对晚期癌症患者的NRC评估可能会识别出患有精神困扰的患者和有自杀意念风险的患者。在未来的研究中证实这些结果将表明需要针对减少NRC的干预措施，以减少晚期癌症患者的自杀意念。
