温州市某医院美沙酮维持治疗的门诊患者宗教信仰与稽延性戒断症状关系分析

Analysis of the Relationship between Religious Belief and Protracted Withdrawal Symptoms among Outpatients Receiving Methadone Maintenance Treatment in a Hospital in Wenzhou

目的:探索对美沙酮维持治疗(MMT)的门诊患者宗教信仰与稽延性戒断症状(抑郁、焦虑和失眠)关系。方法:采用自编宗教信仰问卷、抑郁自评量表(SDS)、焦虑自评量表(SAS)和匹兹堡睡眠质量指数(PSQI),对567例MMT门诊患者进行测评,并应用多因素线性回归,分析其宗教信仰与SDS、SAS和PSQI评分之间的关系。结果:样本宗教信仰率(95%CI)为14.3%(11.4%,17.2%),多因素回归显示,宗教信仰均是SDS、SAS和PSQI评分的影响因素(β=0.198-0.228,P<0.001)。结论:有宗教信仰的MMT患者抑郁、焦虑和失眠症状均较重,该发现不支持宗教信仰可缓解精神症状的保护作用。

Objective： To explore the association between religious belief and protracted withdrawal symptoms（depression, anxiety and insomnia） of methadone maintenance treatment（MMT） outpatients. Methods： Five hundred and sixty-seven MMT outpatients were administered with the self-designed religious belief questionnaire, Self-rating Depression Scale （SDS）, Self-rating Anxiety Scale （SAS）, and Pittsburgh Sleep Quality Index （PSQI）. Multiple linear regression was used to analyze the association between religious belief and protracted withdrawal symptoms. Results： The prevalence rate（95%CI） of current religious belief of MMT outpatients was 14.3%（11.4%, 17.2%）; Multiple linear regression revealed that the religious belief was an independent impact factor for SDS, SAS and PSQI scores （β=0.198-0.228, P〈0.001）. Conclusion： MMT outpatients with religious belief have more severe depressive, anxious and insomnia symptoms, these finding doesn＇t the protective effect of religious belief for relieving mental symptoms.