在患有非遗性炎症性肌肉病的患者中,宗教性,精神性和疲劳:一项巴西多中心病例控制研究
Jucier Gonçalves Júnior1,2, Alexandre M Dos Santos3, Romão A Sampaio4
1School of Medicine, Universidade Federal do Cariri, Barbalha, BRA.
Cureus
|July 28, 2025
概括
与疲劳相关的异常性炎症性肌肉病变 (IIM) 显示出更高的宗教性,并与并发症和较低的社会经济地位有关. 这项研究探讨了灵性对IIM相关疲劳的影响.
科学领域:
- 类风湿病学 类风湿病学
- 心理学 心理学 心理学
- 社会学 社会学 社会学
背景情况:
- 异常性炎症性肌肉病变 (IIM) 是一种慢性自身免疫性疾病,其特征是肌肉炎症.
- 疲劳是IIM患者的一个显著且经常使人衰弱的症状.
- 宗教性和灵性对IIM患者疲劳的影响仍未得到充分研究.
研究的目的:
- 为了调查宗教,精神和疲劳之间的关系,在患有异常性炎症性肌肉病 (IIMs) 的患者中.
- 确定与IIM患者疲劳相关的因素,包括社会人口统计学变量和心理方面.
主要方法:
- 根据STROBE协议进行了一项多中心病例控制研究.
- 数据收集涉及调查问卷评估社会人口统计学,宗教信仰 (杜克大学宗教指数 - DUREL),精神 (与灵性相关的态度 - ARES) 和疲劳 (疲劳严重程度尺度 - FSS).
- 使用后勤回归分析来确定IIM患者的变量和疲劳之间的关联.
主要成果:
- 患有IIM和疲劳的患者在所有测量领域都表现出更高的宗教信仰水平 (组织宗教归属 - ORA,非组织宗教归属 - NORA和内在宗教信仰 - IR).
- 在IIM中,疲劳与并发症,较低的社会经济地位 (收入低于2个最低工资) 和没有伴侣有显著的联系.
- 内在的宗教性 (IR) 与 IIM 有积极的关联,而孤独则显示出负面的关联.
结论:
- 较高的宗教性与异常发炎性肌肉病变的疲劳有关.
- 伴随性疾病,低社会经济地位和缺乏社会支持 (孤独) 是与IIM疲劳相关的关键因素.
- 进一步研究精神和宗教应对机制在管理IIM相关疲劳中的作用是有必要的.
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