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Spiritual Well-Being in Coronary Heart Disease Patients: A Scoping Review. 冠心病患者的精神健康:范围综述
IF 2 1区 哲学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2026-01-08 DOI: 10.1007/s10943-025-02555-5
Nur Huda, Azizah Khoiriyati, Titih Huriah

Coronary Heart Disease (CHD) is one of the leading causes of death worldwide and has multidimensional impacts, including physical, psychological, social, and spiritual aspects. Spiritual well-being (SWB), which encompasses religious and existential dimensions, is crucial in helping patients cope with the disease. However, its role in CHD patients has not been comprehensively mapped. This scoping review explores the concept of spiritual well-being, its dimensions, and its impact on CHD patients. This scoping review uses the Arksey and O'Malley framework and the PRISMA-ScR guidelines. Literature searches were conducted using the Scopus, ScienceDirect, PubMed, Springer, and ProQuest databases with keywords related to CHD and SWB. Inclusion criteria included original articles in English, full text, published between 2014 and 2025, and examining SWB in CHD patients. Of the 1,698 articles identified, eleven articles met the criteria for analysis. Most of the studies originated from Iran, followed by Turkey, Indonesia, and Brazil. The results showed that high spiritual well-being was associated with reduced anxiety, depression, and fear of death; lower severity of coronary heart disease; and improved quality of life. Spiritual well-being plays a crucial role in improving psychological aspects, promoting healthy lifestyle behaviors, and improving the quality of life in patients with coronary heart disease.

冠心病(CHD)是全球死亡的主要原因之一,具有多方面的影响,包括身体、心理、社会和精神方面。精神健康(SWB),包括宗教和存在的维度,是帮助患者应对疾病的关键。然而,其在冠心病患者中的作用尚未得到全面的研究。这篇综述探讨了精神健康的概念,它的维度,以及它对冠心病患者的影响。此范围审查使用Arksey和O'Malley框架和PRISMA-ScR指南。使用Scopus、ScienceDirect、PubMed、施普林格和ProQuest数据库进行文献检索,关键词为冠心病和SWB。纳入标准为2014 - 2025年间发表的英文原创文章,全文,冠心病患者SWB检查。在鉴定的1698篇文章中,有11篇文章符合分析标准。大多数研究来自伊朗,其次是土耳其、印度尼西亚和巴西。结果显示,精神幸福感高的人焦虑、抑郁和对死亡的恐惧减少;冠心病严重程度较低;提高了生活质量。精神健康在改善冠心病患者心理方面、促进健康的生活方式行为、提高生活质量方面起着至关重要的作用。
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引用次数: 0
Spiritual Experiences and Psychological Reflections during Menopause in Turkey. 土耳其人更年期的精神体验和心理反思。
IF 2 1区 哲学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2026-01-07 DOI: 10.1007/s10943-025-02549-3
Gizem Çitak, Hilal Bulduk

Menopause represents a natural transition in a woman's life, profoundly shaping her psychological well-being and social identity. This study aimed to explore the spiritual and psychological experiences of women during menopause in Turkey and to understand how religious and spiritual practices influence their coping processes and perceptions of womanhood. A qualitative research design based on semi-structured interviews was used with 17 women aged 40-65 years, with diverse educational and occupational backgrounds. Data were analyzed using thematic analysis. The findings revealed that menopause is a multidimensional process encompassing emotional, social, and spiritual transformation. Participants frequently used religious and spiritual practices such as prayer and worship to manage emotional distress and enhance psychological resilience. Four major themes emerged: identity and social roles, continuity and transformation of life, emotional experiences, and spirituality and faith. Overall, the study highlights that spirituality serves as a significant source of coping and meaning-making during menopause. Incorporating spiritual perspectives into healthcare counseling and support programs, including midwifery services, may strengthen women's psychological well-being during this life stage.

更年期代表了女性生命中的一个自然过渡,深刻地塑造了她的心理健康和社会身份。本研究旨在探讨土耳其更年期妇女的精神和心理经历,并了解宗教和精神实践如何影响她们的应对过程和对女性的看法。采用半结构化访谈的定性研究设计,对17名年龄在40-65岁之间、具有不同教育和职业背景的女性进行了研究。数据采用专题分析进行分析。研究结果表明,更年期是一个多维度的过程,包括情感、社会和精神上的转变。参与者经常使用宗教和精神实践,如祈祷和崇拜来管理情绪困扰和增强心理弹性。出现了四个主要主题:身份和社会角色、生命的延续和转变、情感体验、精神和信仰。总的来说,该研究强调,精神是更年期应对和意义创造的重要来源。将精神观点纳入保健咨询和支持方案,包括助产服务,可以加强妇女在这一生命阶段的心理健康。
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引用次数: 0
The Role of Rituals in Strengthening Social Identity and Psychological Resilience: A Comparison of Religious Trends and Secularisation Among European and Ukrainian Jews. 仪式在加强社会认同和心理弹性中的作用:欧洲和乌克兰犹太人的宗教趋势和世俗化的比较。
IF 2 1区 哲学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2026-01-07 DOI: 10.1007/s10943-025-02558-2
Jeong-In Park, Se-Ho Jang, Min-Ji Jang, Mi-Kyeong Jung, Jun-Ki Chung

This study explores the religious practices of the general Ukrainian population and the Jewish community, focussing on their role in fostering social identity and psychological resilience in contemporary Ukraine. It examines how religious rituals, as key sociocultural mechanisms, contribute to a collective sense of belonging and help individuals adapt to social and cultural disruptions, especially during national crises like the war in Ukraine. The article compared religious trends and the level of secularisation among European and Ukrainian Jews. Particular emphasis was placed on religious rituals in the context of social upheavals and national conflicts, such as the war in Ukraine, where religion and rituals became a support for individual and collective psychological resilience. The sociocultural, psychological and spiritual aspects of rituals, as well as the impact on the formation of positive emotional and cognitive coping strategies, were studied. The application of Tajfel's theories of social identity, Durkheim's concept of rituals, and Bolby's approaches to psychological resilience provided a deeper theoretical justification for the role of rituals in strengthening both individual and group resilience. Based on an interdisciplinary analysis, it was determined that religious rituals not only supported cultural continuity but also formed new models of social interaction and adaptation to modern challenges. The study has contributed to a broader understanding of the relationship between religious activity, social structure and psychological mechanisms of resilience, which was especially important in the context of current crisis events.

本研究探讨了一般乌克兰人口和犹太社区的宗教习俗,重点关注他们在当代乌克兰培养社会认同和心理弹性方面的作用。它考察了宗教仪式作为关键的社会文化机制,如何促进集体归属感,帮助个人适应社会和文化的混乱,特别是在像乌克兰战争这样的国家危机期间。这篇文章比较了欧洲和乌克兰犹太人的宗教趋势和世俗化程度。特别强调在社会动荡和国家冲突的背景下的宗教仪式,如乌克兰战争,宗教和仪式成为个人和集体心理弹性的支持。研究了仪式的社会文化、心理和精神方面,以及对积极情绪和认知应对策略形成的影响。Tajfel的社会认同理论、涂尔干的仪式概念和Bolby的心理弹性研究方法的应用为仪式在增强个体和群体弹性方面的作用提供了更深层次的理论依据。基于跨学科的分析,宗教仪式不仅支持了文化的连续性,而且形成了新的社会互动和适应现代挑战的模式。这项研究有助于更广泛地理解宗教活动、社会结构和心理弹性机制之间的关系,这在当前危机事件的背景下尤为重要。
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引用次数: 0
Determination of the Relationship between Moral Intelligence and Spiritual Care Perceptions among Nursing Students: The Turkish Example. 护生道德智力与精神关怀感知关系的确定:土耳其的例子。
IF 2 1区 哲学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2026-01-07 DOI: 10.1007/s10943-025-02547-5
Hüsna Özveren, Tuba Karabey, Emel Gülnar, Kamile Kirca

It is essential to determine moral intelligence and spiritual caregiving levels among nursing students, who are professionals of the future, for delivering nursing care within a holistic framework and increasing the quality of their delivered care. The present research was conducted to determine the relationship between moral intelligence levels and spiritual care perceptions among nursing students. This research was planned as a cross-sectional and correlational study. This study's sample comprised 420 nursing students who received education in Türkiye between March and June 2022 and agreed to take part in the research. The questionnaires to be used in the study were delivered to nursing students online through their social media accounts (WhatsApp, LinkedIn, e-mail, etc.). The Descriptive Information Form, Moral Intelligence Scale, and Spirituality and Spiritual Care Rating Scale were used to collect the research data. Students' moral intelligence score was 1.90 ± 0.41, and their spirituality and spiritual care perceptions score was 36.04 ± 6.66. A positive, moderately significant correlation was identified between moral intelligence levels and spiritual care perceptions among students (p = 0.001). Furthermore, a statistically significant correlation was found between students' scale mean scores and their grade level, providing spiritual care in the clinic and considering spiritual care as necessary as physical care (p < 0.05). To improve students' moral intelligence and increase their competence in delivering the best spiritual care, it is recommended that studies be increased on the integration of moral intelligence and spiritual care into the curriculum at all grade levels and that diverse teaching techniques be employed.

确定护理专业学生的道德智力和精神护理水平是至关重要的,他们是未来的专业人士,在整体框架内提供护理,提高他们提供护理的质量。本研究旨在探讨护生道德智力水平与精神关怀感知的关系。本研究计划为横断面相关研究。这项研究的样本包括420名护理专业的学生,他们在2022年3月至6月期间在日本接受教育,并同意参加研究。研究中使用的问卷通过护理学生的社交媒体账户(WhatsApp, LinkedIn, e-mail等)在线发送给他们。采用描述性信息表、道德智力量表、精神与精神关怀评定量表收集研究数据。学生道德智力得分为1.90±0.41分,灵性和精神关怀感知得分为36.04±6.66分。在学生中,道德智力水平与精神关怀感知之间存在正的、中等显著的相关性(p = 0.001)。此外,学生的量表平均得分与年级水平、在诊所提供精神护理和认为精神护理与身体护理一样必要之间存在统计学上显著的相关(p
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引用次数: 0
Arts and Humanities Citation Index for Research Evaluation in the Field of Religion: Unusual Findings and Suggestions. 用于宗教领域研究评价的人文艺术引文索引:不同寻常的发现与建议。
IF 2 1区 哲学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2026-01-04 DOI: 10.1007/s10943-025-02546-6
Ruifeng Zhang, Weishu Liu

The Arts & Humanities Citation Index (A&HCI) is widely used for research evaluation, including in the field of Religion. However, apart from merely indexing research output published in journals, it is still unclear what other flaws exist when using this authoritative database to evaluate religion-related studies. Through a comprehensive analysis of the A&HCI data from a full 50-year period and the most recent 10-year period, we uncover a series of unusual findings in the field of Religion, including stagnation in the number of indexed records, absence of the author's address information, anomalies of the main contributing countries/regions, and over-concentration of preferred journals. We discuss the challenges posed by these unusual findings to the evaluation of religion-related studies using the A&HCI database. This study concludes with suggestions to the relevant stakeholders to address these issues.

艺术与人文引文索引(A&HCI)被广泛用于研究评估,包括在宗教领域。然而,除了仅仅索引发表在期刊上的研究成果外,在使用这个权威数据库评估宗教相关研究时,还不清楚存在哪些其他缺陷。通过对过去50年和最近10年的A&HCI数据的综合分析,我们发现了宗教领域一系列不寻常的发现,包括索引记录数量停滞不前,作者地址信息缺失,主要贡献国家/地区异常,以及首选期刊过于集中。我们讨论了这些不寻常的发现对使用A&HCI数据库评估宗教相关研究带来的挑战。本研究总结了对相关利益相关者解决这些问题的建议。
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引用次数: 0
Gut Microbiome Care as a Gateway to Mental Well-being and Theological Restoration. 肠道微生物群护理是心理健康和神学恢复的门户。
IF 2 1区 哲学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2026-01-03 DOI: 10.1007/s10943-025-02539-5
Andreas S Papazoglou, Anastasia S Stefanaki, Dimitrios Linos

Recent research has highlighted the profound connection between the gut microbiome and overall human health, particularly its impact on mental well-being. The potential of "psychobiotic" interventions to foster resilience and emotional stability is especially promising. Methodologically, this article offers a philosophical-theological exploration that interprets current microbiome research in dialog with Christian theological sources, emphasizing how human-microbe symbiosis shapes both mental health and theological understandings of the human person. The intricate relationship between the microbiome, mental health, and brain function, in turn, affects spirituality and challenges anthropocentric notions of human identity. Certain anthropological and theological perspectives suggest that the gut microbiome can be viewed as a divine gift that enhances human flourishing through symbiosis. Within this framework, the human person appears as a holobiont-a composite of body, soul, and microbial life-created for communion with God and others. As steward and priest of creation, the human-holobiont is called to actively participate in the divine work of creation and redemption through relational communion with others, including fellow humans, the natural environment, and the microbiota. Integrating scientific insights with theological reflection, this article proposes that microbiome care contributes not only to mental well-being but also to spiritual restoration and ecological ethics. A non-egocentric eco-Christological ethic could thus honor microbiome care as integral to human personhood and divine relationship, fostering harmony between humanity, creation, and the divine.

最近的研究强调了肠道微生物群与整体人类健康之间的深刻联系,特别是它对心理健康的影响。“心理生物”干预培养恢复力和情绪稳定性的潜力尤其有希望。在方法上,本文提供了一个哲学-神学的探索,通过与基督教神学来源的对话来解释当前的微生物组研究,强调人类-微生物共生如何塑造人类的心理健康和神学理解。微生物群、心理健康和大脑功能之间错综复杂的关系反过来又影响着精神,并挑战着人类中心主义的人类身份观念。某些人类学和神学观点认为,肠道微生物群可以被视为一种神圣的礼物,通过共生促进人类繁荣。在这个框架下,人类作为一个整体出现——一个身体、灵魂和微生物生命的综合体——被创造出来与上帝和他人交流。作为创造的管家和牧师,人类全息者被呼召积极参与创造和救赎的神圣工作,通过与他人的关系交流,包括人类同胞、自然环境和微生物群。结合科学的见解和神学的反思,本文提出微生物群护理不仅有助于心理健康,而且有助于精神恢复和生态伦理。因此,一种非自我中心的生态基督伦理可以将微生物群护理视为人类人格和神性关系的组成部分,促进人类、创造物和神性之间的和谐。
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引用次数: 0
Existential Well-Being Mediates the Relationship Between Religious Well-Being and Mental Health as Well as Quality of Life in Polish Chronic Pain Patients: Longitudinal Pilot Study. 存在幸福感在波兰慢性疼痛患者宗教幸福感与心理健康及生活质量之间的中介作用:纵向先导研究。
IF 2 1区 哲学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2026-01-03 DOI: 10.1007/s10943-025-02531-z
Marcin Wnuk, Maciej Klimasiński

Chronic pain is a common medical challenge in Poland. Its impact is particularly significant because it affects all dimensions of patients' lives. Interestingly, the psychological and spiritual dimensions of quality of life appear to be closely intertwined. There is a scarcity of research explaining the beneficial or detrimental roles of religious coping on well-being in chronic pain patients. However, research on other populations indicates the importance of the existential factor within the two-dimensional spiritual well-being theory. We hypothesize that religious well-being is indirectly linked to mental health and quality of life through its role in facilitating meaning and purpose in life. We recruited 58 non-cancer chronic pain patients at the Pain Management Clinic of the University Clinical Hospital in Poznań, Poland, and examined them in two waves with a three-month interval between February and July 2025. The statistical analysis indicated that religious well-being significantly reduces depression and anxiety and increases quality of life, indirectly through improving existential well-being. We conclude that while belief in God may offer comfort, the psychological benefits of religiosity are conditional and depend on whether it fosters adaptive meaning-making. Purpose and hope may or may not be rooted in religious frameworks. These findings underscore the need for implementing interventions for patients with chronic pain in Poland, which focus on finding meaning and purpose-such as meaning-centered therapy or spiritually oriented conversations in clinical settings.

在波兰,慢性疼痛是一种常见的医疗挑战。它的影响尤其显著,因为它影响到患者生活的各个方面。有趣的是,生活质量的心理和精神层面似乎是紧密交织在一起的。解释宗教应对对慢性疼痛患者幸福感的有益或有害作用的研究很少。然而,对其他人群的研究表明存在因素在二维精神幸福理论中的重要性。我们假设宗教福祉通过其促进生活意义和目的的作用与心理健康和生活质量间接相关。我们在波兰波兹纳瓦大学临床医院疼痛管理诊所招募了58名非癌症慢性疼痛患者,并在2025年2月至7月之间的三个月间隔内分两波对他们进行了检查。统计分析显示,宗教幸福感能显著减少抑郁和焦虑,并间接通过改善存在幸福感来提高生活质量。我们的结论是,虽然对上帝的信仰可能会带来安慰,但宗教信仰的心理益处是有条件的,取决于它是否能培养适应性意义创造。目的和希望可能根植于宗教框架,也可能不是。这些发现强调了对波兰慢性疼痛患者实施干预的必要性,这些干预的重点是寻找意义和目的,例如在临床环境中以意义为中心的治疗或以精神为导向的对话。
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引用次数: 0
Revisiting Spirituality in Physical Therapy Practice: Perceptions of US Practitioners. 在物理治疗实践中重新审视灵性:美国从业者的看法。
IF 2 1区 哲学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-12-29 DOI: 10.1007/s10943-025-02502-4
Gale Lavinder, Penny Liberatos, Marc Campo, Erin Leegan, Meghan Moritz, Ryan Campo, Silvia Terziyski

Little discussion of including the spiritual domain in physical therapy (PT) education in the US has occurred despite support from PT practitioners and students. The purpose of this study was to assess the perceptions of practicing physical therapists regarding the role that their own spirituality, prior professional education, and the usefulness of including spirituality in PT practice may play in several aspects of clinical practice. A random sample of 800 physical therapists working in acute/sub-acute rehabilitation settings selected from the APTA membership was surveyed. This cross sectional study achieved a response rate of 57.5% (n = 460). Outcomes consisted of 57 Likert-scale items focused on the role that spirituality might play in PT clinical practice. Internal consistency reliability of these items was excellent (α = .97). The importance of including spirituality in patient care (total score) was significantly related to respondents' self-identified belief system (where religious/spiritual were more positive relative to atheist/agnostic/other) (p < 001/h2 = .178) andperceptions of usefulness of including spirituality in patient care (where positive perceptions related to positive outcomes) (p < .001/d = -1.856). Although those with prior exposure to spirituality through professional education tended to agree more with the outcomes, only three of the five topic areas were statistically significant, but the total score was not significantly related (p = .237/d = -.154). Study results contribute to the existing literature supporting the importance of addressing spirituality in PT education. Educating physical therapists in this area would enhance the profession's goal of providing holistic patient-centered care and improving cultural competence.

尽管得到了理疗师和学生的支持,但在美国,关于将精神领域纳入理疗(PT)教育的讨论很少。本研究的目的是评估执业物理治疗师对他们自己的灵性、先前的专业教育以及将灵性纳入PT实践在临床实践的几个方面可能发挥的作用的看法。随机抽取800名在急性/亚急性康复机构工作的物理治疗师进行调查。该横断面研究的有效率为57.5% (n = 460)。结果包括57个李克特量表项目,重点关注精神在PT临床实践中可能发挥的作用。这些项目的内部一致性信度极好(α = 0.97)。在病人护理中包括灵性的重要性(总分)与受访者自我认同的信仰体系显著相关(其中宗教/灵性相对于无神论者/不可知论者/其他更积极)
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引用次数: 0
Religious Coping and Moral Injury among Muslim Clinicians: A Mixed-Methods Study of Post-Pandemic Burnout in Healthcare Settings. 穆斯林临床医生的宗教应对和道德伤害:医疗保健机构流行病后倦怠的混合方法研究。
IF 2 1区 哲学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-12-26 DOI: 10.1007/s10943-025-02528-8
Zainab Amin

This mixed-methods study examines the complex relationship between religious coping, moral injury, and burnout among Muslim healthcare professionals in the post-pandemic context. Quantitative data from 312 clinicians revealed that negative religious coping strongly correlated with both moral injury (r = 0.48, p < 0.001) and burnout (r = 0.52, p < 0.001), while positive religious coping served as a protective factor against burnout (r = - 0.34, p < 0.001) though showed limited impact on moral injury itself. Qualitative findings from 28 in-depth interviews identified four key themes: the dual nature of divine trust (Tawakkul) and predestination (Taqdir), the burden of sacred responsibility (Amanah), spiritual solace in ritual practice, and experiences of institutional and communal invalidation. The study demonstrates that Islamic religious frameworks function as both protective resources and potential sources of distress, highlighting the urgent need for spiritually informed support systems that address the unique psychological and theological dimensions of moral injury in Muslim clinicians.

这项混合方法的研究考察了大流行后背景下穆斯林医疗保健专业人员的宗教应对、道德伤害和倦怠之间的复杂关系。来自312名临床医生的定量数据显示,消极的宗教应对与道德伤害密切相关(r = 0.48, p
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引用次数: 0
Exploring Social and Subjective Well-Being Among Married and Unmarried Students at a Latter-day Saints University. 一所后期圣徒大学已婚与未婚学生的社会与主观幸福感研究。
IF 2 1区 哲学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-12-26 DOI: 10.1007/s10943-025-02530-0
Robert R Wright, Spencer Garrett Dally, Treyson Haws, Jordyn Reynolds, Tori Caldwell

Marriage and religion often reinforce one another, though both are individually related to improved health and well-being across many domains. Moreover, emerging adulthood is a foundational period in which many religious beliefs crystallize, and behavioral patterns solidify, often coinciding with decisions to marry and attend college. However, it is unclear how social and subjective well-being may be different between those emerging adults who are religious and married and those who are religious but not married. Moreover, gender differences have yet to be explored in this domain. The current study addressed these issues by administering an online survey to 2352 religiously active emerging adult students at a Latter-day Saint university in the USA, with 182 (7.7%) being married. Results demonstrated a consistent pattern, with married participants indicating significantly (p < .05) higher subjective well-being along with lower loneliness, interpersonal conflict, and time spent on social media. However, unmarried students had higher levels of social interaction with their peers. Gender differences emerged, such that married men fared better in terms of lower loneliness, more close friendships, and less negative affect than married women. These results support marriage as a strong protective factor for social and subjective well-being while supporting religious affiliation as a health protection factor for both married and unmarried students. Gender differences suggest that religious men, at least early in their marriage, may benefit in their social well-being disproportionately more than women. Some implications for these findings in religious universities are explored.

婚姻和宗教往往是相辅相成的,尽管两者在许多领域都与改善健康和幸福有关。此外,成年初期是许多宗教信仰形成和行为模式固化的基础时期,通常与结婚和上大学的决定同时发生。然而,社会和主观幸福感在那些有宗教信仰且已婚的成年人和那些有宗教信仰但没有结婚的人之间有何不同尚不清楚。此外,性别差异在这一领域还有待探讨。当前的研究通过对美国一所后期圣徒大学2352名宗教活跃的新生成人学生进行在线调查来解决这些问题,其中182人(7.7%)已婚。结果显示出一致的模式,已婚参与者明显表示(p
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引用次数: 0
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