精神性と有害または危険なアルコールおよびその他の薬物使用: 長距離研究のメタ分析
Howard K Koh1, Donald E Frederick2, Tracy A Balboni3
1Initiative on Health, Spirituality, and Religion at Harvard University, Department of Health Policy and Management, Harvard T. H. Chan School of Public Health, Boston, Massachusetts.
JAMA psychiatry
|February 18, 2026
まとめ
精神性は,有害なアルコールやその他の薬物 (AOD) の使用のリスクを大幅に軽減し,予防と回復の両方に役立ちます. 霊的または宗教的コミュニティに参加することは,AODに関連する問題に対してさらに大きな保護を提供します.
科学分野:
- 行動科学は,行動科学である.
- 公衆衛生は公衆衛生である.
- 心理学 心理学とは
背景:
- 精神性と宗教的関与は,健康行動に影響を与える重要な要因としてますます認識されています.
- 以前の研究は,霊性と薬物使用の減少との潜在的な関連を示唆しているが,包括的な合成が必要である.
研究 の 目的:
- 精神性とアルコールやその他の薬物 (AOD) の使用との関連を調査する21世紀の縦断的な研究のメタ分析を実施する.
- 予防と回復の両方のためにAODの使用に対するスピリチュアリティの保護効果を定量化するために.
主な方法:
- 2000年~2022年に発表された55件の縦断研究の体系的レビューとメタ解析.
- 含有基準:検証されたスピリチュアリティの測定値,縦断的な設計,AODの使用結果,および大きなサンプルサイズ (コホートでは≥1000,RCTでは≥100).
- データ抽出はPRISMAのガイドラインに従い,AOD使用結果のログ相対リスク (log-RR) を計算した.
主要な成果:
- 540,712人の参加者において,スピリチュアリティとAOD使用の結果の間に有意な保護的関連性が見つかりました.
- 全体的に,精神性はAOD使用リスクの13%の減少と関連していた (RR, 0.87).
- 精神的または宗教的なコミュニティーに積極的に参加する個人は,18%のリスク減少を示しました (RR, 0.82).
結論:
- 精神性は,有害なアルコールやその他の薬物使用に対する強力な保護効果を示しています.
- 発見は,AODの予防と回復戦略に精神的,宗教的介入を統合することを支持しています.
- 臨床医と地域社会は,これらの洞察を活用して,公衆衛生イニシアチブを強化することができます.
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