Utjecaj religioznosti u liječenju pacijenata oboljelih od shizofrenije i depresije

master's thesis

• Title (english): Influence of religiosity on treatment outcomes in schizophrenic and depressive patients
• Author: Lana Kos
• Mentor: Alma Mihaljević-Peleš (mentor)
• Committee member: Marina Šagud (predsjednik povjerenstva)
• Committee member: Dražen Begić (član povjerenstva)
• Committee member: Alma Mihaljević-Peleš (član povjerenstva)
• Granter: University of Zagreb; School of Medicine; (Department of Psychiatry and Psychological Medicine); Zagreb
• Defense date and country: 2016-07-15, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Clinical Medical Sciences; Psychiatry

Abstract

Svrha i cilj: Religioznost je oduvijek bila važan aspekt života ljudi, ali i način
sučeljavanja sa simptomima različitih psihijatrijskih poremećaja. Vođeni navedenim
spoznajama, odlučili smo napraviti presječno istraživanje, čiji je cilj bio istražiti
povezanost između religioznosti i težine simptoma depresivnog poremećaja i
shizofrenije.
Postupak: Istraživanje je provedeno na 100 pacijenata oba spola: 50 oboljelih od
depresije i 50 oboljelih od shizofrenije u fazi oporavka bolesti. Osim demografskih
podataka, pacijenti su testirani izabranim ocjenskim ljestvicama za težinu bolesti:
CGI, HAM-D17, PANSS i samoprocjenske ljestvice religioznosti: SCSORF, DUREL i
RCOPE.
Rezultati: Istraživanjem nismo utvrdili razliku između različitih aspekata religioznosti,
poput institucionalizirane i neinstitucionalizirane vjerske aktivnosti, intrizične
religioznosti, čvrstine religijskog vjerovanja, pozitivnog i negativnog religijskog
sučeljavanja, između oboljelih od depresije i shizofrenije. Međutim u cijeloj skupini
bolesnika obuhvaćenih istraživanjem, institucionalizirana je religijska aktivnost bila
granično povezana s ukupnom težinom bolesti mjereno CGI ljestvicom (β=0.123;
p=0.074), kao i negativno religijsko sučeljavanje (β=0.040; p=0.056). Analizom težine
bolesti zasebno za bolesnike s depresijom i sa shizofrenijom – koju predstavlja
ukupnu HAM-D17 ocjenu u depresiji i PANSS u shizofreniji, utvrdili smo pozitivnu
korelaciju između negativnog religijskog sučeljavanja i težine simptoma u depresivnih
pacijenata (β=0.614; p=0.041).
Zaključak: Zaključno možemo reći da rezultati istraživanja ukazuju da depresivni
pacijenti svoju bolest dijelom doživljavaju kao kaznu. Drugi aspekti religioznosti nisu
bili povezani s težinom simptoma, kako depresije, tako i shizofrenije. Premda je
većina pacijenata s depresijom i shizofrenijom navela da se smatraju religioznim
osobama, nisu se međusobno razlikovali po aspektima religioznosti.

Abstract (english)

Purpose: Religion has always been considered an important part of human life, as
well as a mechanism of coping with psychiatric problems. The aim of this study was
to investigate the association between religious coping and severity of symptoms of
depression and schizophrenia.
Method: The study was conducted on 100 patients of both sexes: 50 depressed and
50 schizophrenic patients in the recovery phase of the disease. In addition to
demographic data, patients were tested selected rating scales for severity of illness:
CGI, HAM-D17, PANSS and self- rating scales of religiosity: SCSORF, DUREL and
RCOP.
Results: There were no differences in different aspects of religiosity, such as
institutional and non-institutional religious activity, total intrinsic religiosity score, the
degree of religious faith, as well as positive and negative religious coping, between
patients with depression and schizophrenia. However, in the whole group of patients,
institutional religious activity (β=0.123; p=0.074) and negative religious coping
(β=0.040; p=0.056) were only slightly associated with overall severity of the disease
measured by the CGI scale. Further analysis severity of diseases, separately for
patients with depression and schizophrenia – measured by total HAM-D17 score in
depression and PANSS in schizophrenia, we found a positive correlation between
negative religious coping and severity of symptoms in depressed patients (β = 0.614;
p = 0.041).
Conclusion: Those findings suggest that severely depressed patients consider their
disease as punishment. No other aspects of religiosity were associated with severity
of symptoms, neither in patients with depression, nor in those with schizophrenia.
While majority of patients with depression or schizophrenia have claimed to be
religious, they did not differ in terms of different aspects of religiosity.

• Keywords: depresija; shizofrenija; religioznost
• Keywords (english): depression; schizophrenia; religiousness
• Language: croatian
• URN:NBN: urn:nbn:hr:105:689686
• Study programme: Title: Medicine; Study programme type: university; Study level: integrated undergraduate and graduate; Academic / professional title: doktor/doktorica medicine (doktor/doktorica medicine)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Open access
• Created on: 2017-07-14 08:06:23