没有发表的研究调查宗教信仰之间的相关性,灵性,心理健康,和特发性炎性肌病(IIM)或系统性自身免疫性肌病。因此,我们的目的是评估宗教/灵性之间的联系,社会人口因素,以及IIM患者的心理健康。这是一项多中心病例对照研究,包括151名患有IIM的患者和95名没有自身免疫性疾病的患者(对照)。2022年8月至2023年4月期间举行。这项研究使用了半结构化问卷,其中包括社会人口统计信息和以下问卷的并置:与精神相关的态度量表(ARES);杜克大学宗教指数(DUKE),它由组织宗教信仰(ORA)组成,非组织宗教信仰(NORA),和内在宗教信仰(IR)领域;以及一般健康问卷-12(GHQ-12)。使用EpiInfo软件7.2.5(疾病控制和预防中心,亚特兰大,GA,美国)。ARES的平均值之间的比较,DUKE,GHQ-12量表是使用Wilcoxon-Mann-Whitney和Kruskal-Wallis测试制成的。对单变量分析中差异有统计学意义的变量进行逻辑回归检验。采用Spearmanrho系数进行相关分析。与对照组相比,IIM组的福音派患病率较高,天主教徒患病率较低(p<0.050)。IIMs与超常种族之间呈正相关(OR=2.26,95%CI=1.20-4.25,p=0.011),最高ORA(OR=2.81,95%CI=1.53-5.15,p<0.001),NORA(OR=3.99,95%CI=1.94-8·18,p<0.001),IR(OR=5.27,95%CI=2.32-11.97,p<0.001),和ARES值(OR=1.08,95%CI=1.04-1.13,p<0.001)。比较两组之间的心理健康水平(p>0.999)。因此,与对照组相比,IIM组的宗教信仰和灵性水平更高,但心理健康水平也有类似的分布。以下可以作为本研究的优势:(i)存在对照组的罕见疾病的大样本;(ii)巴西三个地区参与的多中心特征;(iii)是第一个绘制宗教信仰方面的研究,灵性,以及IIM中的心理健康。
No published studies have investigated the correlation between religiosity, spirituality, mental health, and idiopathic inflammatory myopathy (IIM) or systemic autoimmune myopathy. Therefore, we aimed to evaluate the association between religiosity/spirituality, sociodemographic factors, and the mental health of IIM patients. This is a multicenter
case-control study that included 151 patients with IIMs and 95 individuals without autoimmune diseases (controls), held between August 2022 and April 2023. This study used a semi-structured questionnaire that included sociodemographic information and the juxtaposition of the following questionnaires: the Attitudes Related to Spirituality Scale (ARES); the Duke University Religion Index (DUKE), which is composed of the organizational religious affiliation (ORA), non-organizational religious affiliation (NORA), and intrinsic religiosity (IR) domains; and the General Health Questionnaire-12 (GHQ-12). Data were analyzed using Epi Info software 7.2.5 (Centers for Disease Control and Prevention, Atlanta, GA, USA). A comparison between the mean values of the ARES, DUKE, and GHQ-12 scales was made using the Wilcoxon-Mann-Whitney and Kruskal-Wallis tests. A logistic regression test was used with the variables whose difference was statistically significant in the univariate analysis. Correlation analysis was performed using the Spearman rho coefficient. A higher prevalence of evangelicals and a lower prevalence of Catholics (p < 0.050) were seen in the IIM group compared to controls. Positive association was demonstrated between IIMs and the pardo ethnicity (OR = 2.26, 95% CI = 1.20-4.25, p = 0.011), highest ORA (OR = 2.81, 95% CI = 1.53-5.15, p < 0.001), NORA (OR = 3.99, 95% CI = 1.94-8·18, p < 0.001), IR (OR = 5.27, 95% CI = 2.32-11.97, p < 0.001), and ARES values (OR = 1.08, 95% CI = 1.04-1.13, p < 0.001). Mental health levels were compared between the groups (p > 0.999). Therefore, higher levels of religiosity and spirituality were observed in the IIM group than in the control group, but there was a similar distribution of mental health levels. The following can be cited as advantages of the present study: (i) the large sample for a rare disease with the presence of a control group; (ii) the multicenter characteristic with participation from three regions of Brazil; (iii) being the first study to map aspects of religiosity, spirituality, and mental health in IIMs.