Adversity, religious change and mental wellbeing

IF 1.3 Q3 PSYCHIATRY
K. Loewenthal, C. Lewis, S. Dein
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引用次数: 0

Abstract

The experience of severe trauma shatters everyday assumptions about the world and calls for the provision of meaning. Religious and spiritual (R/S) frameworks may facilitate such meaning-making (Park & Ai, 2006), reinterpretation of negative events through a sacred lens and provide resources for coping in the wake of adversity. Initially, religious/spiritual coping was divided into two categories: positive entailing support and meaning from God and negative reflecting questioning, doubt and conflict. The former was generally associated with enhanced mental health indices, while the latter may be detrimental to mental health and may result in diminishing faith (Pargament, 1997). However, in recent years, researchers have used the term “religious/spiritual struggles” in place of negative religious/spiritual coping to make it clearer that the latter form of coping does not necessarily have negative implications (see Pargament & Exline, 2022 for review). How are R/S feelings involved in responding to trauma? Many or all readers will be familiar with Allport’s (1950) classic study of World War II combat veterans, and few would argue with his suggestions that some survivors suffered a loss of faith, while others reported the development of a more mature faith. The papers in this Special Issue of Mental Health, Religion & Culture focus on religious/coping in the context of adverse, major life stressors, and the effects of religious/spiritual coping on measures of well-being and distress, including PTSD. PTSD (Post-traumatic stress disorder) has only relatively recently been identified as a result of trauma. The condition was formally recognised by the American Psychiatric Association (APA) in 1980 when PTSD was added to the anxiety disorders in the APA’s Diagnostic and Statistical Manual, DSM-III (American Psychiatric Association, 1980). Prior to this, a wide range of synonyms was used to identify the effects of trauma: shock, combat fatigue, complete exhaustion, shattered, traumatised. An online thesaurus offers 18 synonyms for PTSD, post-traumatic stress disorder (https://www.thesaurus.com/browse/posttraumatic%20stress%20disorder). PTSD is notoriously persistent and disabling, is now recognised as a significant causal factor in suicide and substance abuse, and probably other disorders. It is usually characterised by intrusive thoughts and often sleep disturbance, and mood and behaviour disturbance. Religious devotees and professionals have struggled to identify and employ various religious/spiritual (R/S) coping strategies to deal with trauma (Pargament, 1997). Some of these feature in the articles in this special issue, as do some R/S outcomes. There are 12 articles which we organise roughly into three groups (with some overlaps): 1. R/S coping methods, 2. The effects of R/S coping on nonR/S factors, and 3. The effects of coping on R/S outcomes.
逆境、宗教变化和心理健康
严重创伤的经历打破了日常对世界的假设,并要求提供意义。宗教和精神(R/S)框架可能有助于这种意义的形成(Park&Ai,2006),通过神圣的视角重新解释负面事件,并为应对逆境提供资源。最初,宗教/精神应对分为两类:积极的,意味着来自上帝的支持和意义;消极的,反映质疑、怀疑和冲突。前者通常与心理健康指数的提高有关,而后者可能对心理健康有害,并可能导致信念的减弱(Pargament,1997)。然而,近年来,研究人员使用“宗教/精神斗争”一词来代替消极的宗教/精神应对,以更清楚地表明后一种形式的应对并不一定具有负面影响(见Pargament&Exline,2022年综述)。R/S感受如何参与对创伤的反应?许多或所有读者都熟悉奥尔波特(1950)对二战老兵的经典研究,很少有人会反驳他的说法,即一些幸存者失去了信仰,而另一些人则报告了更成熟的信仰的发展。本期《心理健康、宗教与文化》特刊中的论文重点关注不利、主要生活压力源背景下的宗教/应对,以及宗教/精神应对对幸福和痛苦(包括创伤后应激障碍)测量的影响。创伤后应激障碍(PTSD)直到最近才被确定为创伤的结果。1980年,美国精神病学协会(APA)正式承认了这种情况,当时在APA的诊断和统计手册DSM-III(美国精神病学协会,1980年)中,创伤后应激障碍被添加到焦虑症中。在此之前,人们使用了广泛的同义词来识别创伤的影响:休克、战斗疲劳、完全衰竭、崩溃、创伤。一个在线词库提供了创伤后应激障碍的18个同义词(https://www.thesaurus.com/browse/posttraumatic%20stress%20disorder)。创伤后应激障碍是出了名的持续性和致残性,现在被认为是自杀和药物滥用的重要原因,可能还有其他疾病。它通常以侵入性思维为特征,通常是睡眠障碍、情绪和行为障碍。宗教信徒和专业人士一直在努力识别和使用各种宗教/精神(R/S)应对策略来应对创伤(Pargament,1997)。其中一些专题出现在本期特刊的文章中,一些R/S成果也是如此。有12篇文章,我们大致分为三组(有些重叠):1。R/S应对方法,2。R/S应对对非R/S因素的影响。应对对R/S结果的影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
2.50
自引率
12.50%
发文量
63
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