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The Relationship Between Perinatal Grief and Spiritual Well-Being in Women Experiencing Termination Due to Fetal Anomaly in Türkiye. 胎儿畸形终止妊娠妇女围产期悲伤与精神健康的关系。
IF 2 1区 哲学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-12-25 DOI: 10.1007/s10943-025-02537-7
Tuğba Sarı, Şirin Harkin Gemicioğlu

Pregnancy termination is a significant event in women's lives and can be considered a traumatic experience that can assess grief reactions. Couples who accept the decision to have a medical termination due to fetal anomaly face not only anxiety and feelings of loss, but also difficulties adapting to and coping with the termination process. This study aims to examine the relationship between perinatal grief and spiritual well-being in women who experience termination due to fetal anomaly. The study sample consisted of 256 women who had undergone termination during pregnancy. Data were analyzed using descriptive statistics (percentage, mean, standard deviation), the Mann-Whitney U test for independent samples, the Kruskal-Wallis test, Spearman correlation, and multiple linear regression analyses. The participants' mean score on the Perinatal Grief Scale was 112.87 ± 15.04. The spiritual well-being scale subscale scores were 56.13 ± 8.69 for the transcendence subscale, 25.27 ± 2.94 for the harmony with nature subscale, and 26.58 ± 3.18 for the anomie subscale. The correlation between the mean scores of the scales indicated that perinatal grief level was positively and significantly related to both the transcendence (r = 0.454; p < .001) and harmony with nature (r = 0.571; p < .001) subscales, while there was a strong negative correlation between perinatal grief and the anomie subscale (r = -0.762; p < .001). In conclusion, the study results indicate that perinatal grief is significantly related to various dimensions of spiritual well-being. These findings support the idea that supporting spiritual well-being in individuals experiencing perinatal grief can strengthen psychosocial adjustment.

终止妊娠是妇女生活中的一件大事,可以被认为是一种创伤经历,可以评估悲伤反应。由于胎儿异常而接受医疗终止决定的夫妇不仅面临焦虑和失落感,还面临适应和应对终止过程的困难。本研究旨在探讨因胎儿异常而终止妊娠的妇女围产期悲伤与精神健康的关系。研究样本包括256名在怀孕期间堕胎的妇女。数据分析采用描述性统计(百分比、平均值、标准差)、独立样本的Mann-Whitney U检验、Kruskal-Wallis检验、Spearman相关和多元线性回归分析。围生期悲伤量表平均得分为112.87±15.04分。精神幸福量表超越量表得分为56.13±8.69分,与自然和谐量表得分为25.27±2.94分,失范量表得分为26.58±3.18分。各量表均分间的相关分析表明,围生期悲伤水平与超越性呈正相关(r = 0.454; p
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引用次数: 0
Mental Illness Framing and Programming in Christian Places of Worship: Perspectives from Religious Leaders and Congregants in Ghana. 基督教礼拜场所的精神疾病框架和规划:来自加纳宗教领袖和会众的观点。
IF 2 1区 哲学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-12-24 DOI: 10.1007/s10943-025-02535-9
Peter Mensah Adjei, Annabella Osei-Tutu, Johnny Andoh-Arthur

This study explored perceptions of mental illness and mental health programming in Christian places of worship in Accra, Ghana. Interviews were conducted with religious leaders (n=15) and congregants (n=15). Data was analyzed thematically. The results showed that mental illness was conceptualized largely from spiritual perspectives, with a few psychosocial explanations. Churches leveraged both internal and external resources to promote mental health awareness through informational programs, sermons, and counseling services. The implementation of mental health programs was hindered by financial constraints, stigma, confidentiality concerns, and low participation. The findings highlight the critical role of churches in mental health advocacy.

本研究探讨了在加纳阿克拉的基督教礼拜场所对精神疾病和精神健康规划的看法。对宗教领袖(n=15)和教友(n=15)进行了访谈。数据按主题进行分析。结果表明,精神疾病主要是从精神的角度来概念化的,有一些社会心理的解释。教会利用内部和外部资源,通过信息项目、讲道和咨询服务来提高人们对心理健康的认识。精神卫生项目的实施受到财政限制、耻辱、保密问题和低参与度的阻碍。研究结果强调了教会在精神健康宣传中的关键作用。
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引用次数: 0
Role Overload and Health Among Family Caregivers of Older Persons in the United States: Does Religious Attendance Matter? 美国老年人家庭照顾者的角色超载与健康:宗教出席是否重要?
IF 2 1区 哲学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-12-22 DOI: 10.1007/s10943-025-02536-8
Zhiya Hua

This study adopted a cross-sectional moderation analysis to examine whether religious attendance buffers the negative effects of role overload on caregivers' health. A total of 1455 family caregivers of older persons (mean age = 63.05 years; 67.4% female) drawn from the National Study of Caregiving (NSOC IV) in the United States in 2021 constituted the sample and were measured by the three-item Role Overload Scale, a single-item self-rated health measure, the four-item Patient Health Questionnaire (PHQ-4), and a six-item physical health scale. Caregivers, on average, reported moderate to high ratings of self-rated health (M = 3.43, SD = 1.03), mental health (M = 13.99, SD = 2.39), and physical health (M = 25.18, SD = 4.55). Additionally, 54% of caregivers had attended religious services in the past month. Regression analyses demonstrated that role overload was a significant negative predictor of self-rated health (B = - 0.188, p < 0.001), mental health (B = - 0.576, p < 0.001), and physical health (B = - 1.075, p < 0.001). Religious attendance significantly moderated the associations between role overload and self-rated health (B = 0.083, p = 0.004) and mental health (B = 0.176, p = 0.009), but not physical health (B = 0.213, p = 0.097). The findings highlight that religious or spiritual engagement may contribute to buffering the health consequences of caregiving-related stress. Health professionals and religious leaders should consider working collaboratively to promote religious involvement, integrate spiritual support into caregiver services, and develop community-based interventions that address both psychological and physical health needs of family caregivers.

本研究采用横断面调节分析来检验宗教出席是否缓冲角色超载对照顾者健康的负面影响。选取2021年美国国家护理研究(NSOC IV)中1455名老年人家庭照顾者(平均年龄63.05岁,67.4%为女性)作为样本,采用3项角色超载量表、单项自评健康量表、4项患者健康问卷(PHQ-4)和6项身体健康量表进行测量。平均而言,照顾者报告的自评健康(M = 3.43, SD = 1.03)、心理健康(M = 13.99, SD = 2.39)和身体健康(M = 25.18, SD = 4.55)的评分为中高。此外,54%的看护人在过去一个月参加过宗教仪式。回归分析表明,角色超载是自我评价健康的显著负向预测因子(B = - 0.188, p . 888)
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引用次数: 0
"God Chose Me to Go Through This Experience": Religious and Emotional Perspectives of Bedouin Mothers in Israel Coping with a Child with Special Needs. “上帝选择我经历这段经历”:以色列贝都因母亲处理特殊需要孩子的宗教和情感视角。
IF 2 1区 哲学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-12-21 DOI: 10.1007/s10943-025-02534-w
Bilha Paryente, Yael Barak-Levy

This study examined the coping strategies of 40 mothers of children with special needs within Israeli Bedouin society, focusing on the prediction between mothers' narcissistic characteristics and their religious coping. The findings revealed two distinct maternal perspectives on a child's disability: (1) a pessimistic perspective (perceiving the disability as divine punishment), and (2) an optimistic perspective (perceiving the disability as divine gift/opportunity). The pessimistic reactions to the child's diagnosis included shock, fear and sorrow, while the optimistic view included feelings of love, caring and acceptance of the child. Regression analyses indicated that higher levels of narcissism predicted stronger negative religious coping but were unrelated to positive religious coping. Understanding the combination of religious and emotional perspectives contributing to Bedouin mothers' coping may help practitioners design and implement culturally sensitive interventions for a wide range of traditional populations.

本研究考察了以色列贝都因社会中40名特殊需要儿童母亲的应对策略,重点研究了母亲自恋特征与宗教应对之间的预测关系。研究结果揭示了母亲对儿童残疾的两种不同观点:(1)悲观观点(将残疾视为上帝的惩罚)和(2)乐观观点(将残疾视为上帝的礼物/机会)。对孩子的诊断的悲观反应包括震惊、恐惧和悲伤,而乐观的看法包括爱、关心和接受孩子的感觉。回归分析表明,自恋水平越高,消极宗教应对能力越强,但与积极宗教应对能力无关。了解对贝都因母亲应对的宗教和情感观点的结合,可能有助于从业者为广泛的传统人群设计和实施文化敏感的干预措施。
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引用次数: 0
The Relationship Between Religious Coping and Quality of Life of Hemodialysis Patients in Somalia. 索马里血液透析患者宗教应对与生活质量的关系
IF 2 1区 哲学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-12-20 DOI: 10.1007/s10943-025-02532-y
Elif Bulbul, Merve Kolcu, Samira Hassan Mohamed, Leila Ahmed Shuja, Esra Ozden

The study aimed to determine the relationship between religious coping and the quality of life of hemodialysis patients in Somalia. This cross-sectional and correlational study was conducted with 174 -12 Health Survey hemodialysis patients in April-July 2024 in the hemodialysis unit of a Training and Research Hospital in Somalia. The data were collected using the Patient Identification Form, Religious Coping Scale, and Short Form (SF-12). A significant positive correlation was found between patients' positive religious coping scores (r = 0.270; p < 0.05), physical (r = 0.177; p < 0.05), and mental quality of life and age (r = 0.363; p < 0.05). Additionally, there was a negative correlation between physical quality of life and hemodialysis duration (r =  - 0.170; p < 0.05) and a negative correlation between mental quality of life and age (r =  - 0.231; p < 0.05). In the multiple linear regression analysis, 15.2% of the total variance in physical quality of life was explained by occupation, positive religious coping, and duration of hemodialysis (F = 10.171. p = 0.000. R2 = 0.152; R = 0.390). The total variance at the mental quality of life level was explained by living with whom and vascular access with a rate of 13.8% (F = 5.363. p = 0.000. R2 = 0.138; R = 0.372). Positive religious coping was associated with improved mental and physical health-related quality of life in hemodialysis patients.

本研究旨在确定索马里血液透析患者的宗教应对与生活质量之间的关系。这项横断面和相关性研究于2024年4月至7月在索马里一家培训和研究医院的血液透析部门对174 -12名健康调查血液透析患者进行了研究。数据采用患者识别表、宗教应对量表和SF-12短表收集。患者积极宗教应对得分与积极宗教应对得分呈显著正相关(r = 0.270; p 2 = 0.152; r = 0.390)。心理生活质量水平的总方差由与谁一起生活和血管通路解释,占13.8% (F = 5.363)。p = 0.000。r2 = 0.138;r = 0.372)。积极的宗教应对与血液透析患者精神和身体健康相关生活质量的改善有关。
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引用次数: 0
The Relationship between Religious Text, Religious Tolerance, and Mental Health in different Religious Groups of Pakistan: An Exploratory Mixed Methods Study. 巴基斯坦不同宗教群体的宗教文本、宗教宽容与心理健康的关系:一项探索性混合方法研究
IF 2 1区 哲学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-12-18 DOI: 10.1007/s10943-025-02520-2
Sara Rizvi Jafree, Gloria Calib, Syeda Khadija Burhan, Tehniyat Fatima

Pakistan is a religiously pluralistic society that has been plagued by inter-religious conflict. Given that religious tolerance is key to a progressive and harmonious society, it is essential to understand the impact of engagement with religious texts on the tolerance and mental health of people in the country. This mixed methods study aims to quantitatively identify (i) the relationship between engagement with religious text, religious tolerance, and mental health, and (ii) which religious groups show comparatively better religious tolerance. In the second phase, the study aims to collect qualitative data to understand whether religious texts influence religious groups in Pakistan in terms of inter-religious tolerance and what challenges they face in achieving interfaith harmony. We purposively collected data in Lahore, Pakistan, from graduate degree holders who regularly visit religious centers. Quantitative data revealed that higher engagement with religious texts among educated individuals who read them with a critical understanding is associated with improved religious tolerance and mental health. Qualitative analysis from 289 respondents revealed that religious text from all six groups-Ahmadis, Christians, Hindus, Muslim Sunnis, Muslim Shias, and Sikhs-promotes tolerance, peace, humanitarianism, and service and trade with each other. Challenges to interfaith harmony include fear of misuse of religious misinterpretations and laws, illegitimate scholars, political agents, illiteracy, and unregulated social media. The study concludes with salient recommendations to promote interfaith harmony in the country and support the mental health of religious minorities.

巴基斯坦是一个宗教多元化的社会,一直受到宗教间冲突的困扰。鉴于宗教宽容是进步与和谐社会的关键,必须了解接触宗教文本对该国人民的宽容和心理健康的影响。这项混合方法研究旨在定量地确定(i)宗教文本参与、宗教宽容和心理健康之间的关系,以及(ii)哪些宗教团体表现出相对更好的宗教宽容。在第二阶段,该研究旨在收集定性数据,以了解宗教文本是否影响巴基斯坦宗教团体的宗教间宽容,以及他们在实现宗教间和谐方面面临哪些挑战。我们在巴基斯坦拉合尔有目的地收集了定期访问宗教中心的研究生学位持有者的数据。定量数据显示,受过良好教育的人对宗教文本的参与度更高,他们以批判性的理解来阅读宗教文本,这与宗教宽容和心理健康的改善有关。对289名受访者的定性分析显示,来自所有六个群体——艾哈迈迪派、基督教徒、印度教徒、逊尼派穆斯林、什叶派穆斯林和锡克教徒——的宗教文本都提倡宽容、和平、人道主义以及相互之间的服务和贸易。宗教间和谐面临的挑战包括害怕滥用宗教误解和法律、非法学者、政治代理人、文盲以及不受管制的社会建议,以促进该国的宗教间和谐和支持媒体的心理健康。这项研究的结论是突出的宗教少数群体。
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引用次数: 0
Exploring the Role of Spirituality and Religiosity in Medical Education in Brazil. 探索巴西医学教育中精神和宗教的作用。
IF 2 1区 哲学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-12-17 DOI: 10.1007/s10943-025-02529-7
Marciléa Silva Santos, Laís Michele Cunha, Ana Júlia Ferreira, Ana Paula Drummond-Lage

Spirituality and religiosity play an important role in medical practice, helping patients cope with illness and treatment. Despite this relevance, gaps in medical education persist. This study, conducted in Brazil, evaluated the knowledge acquired during medical school and students' perceptions of the importance of spirituality in patient care and psychological well-being. This cross sectional, quantitative, exploratory study used a self-administered 19-item questionnaire developed by the researchers. A total of 300 medical students from the last two years of a six-year program participated. The sample consisted of 205 women and 95 men, with a mean age of 23.9 ± 3.4 years. Most students (84%) recognized the importance of knowledge about spirituality, yet 93% reported no academic exposure to the topic. Just over half (55.7%) felt comfortable obtaining a patient's spiritual history, while 97% agreed that addressing spirituality enhances the doctor-patient relationship, including cultural beliefs and life purposes. A significant sex difference emerged regarding the importance of assisting patients with relaxation and stress-reduction activities (p = 0.017). An exploratory logistic regression analysis examining the perceived importance of knowledge about spirituality indicated that age, gender, and academic cycle were not significantly associated with the outcome (all p > 0.05). In conclusion, integrating spirituality and religiosity into medical education is essential for strengthening the doctor-patient relationship and improving patient follow-up, contributing to better clinical outcomes.

精神和宗教信仰在医疗实践中发挥着重要作用,帮助患者应对疾病和治疗。尽管存在这种相关性,但医学教育方面的差距仍然存在。这项在巴西进行的研究评估了在医学院获得的知识和学生对精神在病人护理和心理健康中的重要性的看法。这项横断面的、定量的、探索性的研究使用了一份由研究人员自行编制的19项问卷。总共有300名医学院学生参加了这项为期6年的研究。样本包括205名女性和95名男性,平均年龄23.9±3.4岁。大多数学生(84%)认识到灵性知识的重要性,但93%的学生表示没有在学术上接触过这个话题。超过一半(55.7%)的医生认为了解病人的精神病史是可以接受的,而97%的医生认为解决精神问题可以改善医患关系,包括文化信仰和生活目的。在帮助患者放松和减压活动的重要性方面,出现了显著的性别差异(p = 0.017)。一项考察灵性知识感知重要性的探索性逻辑回归分析表明,年龄、性别和学术周期与结果无显著相关(均p < 0.05)。总之,将灵性和宗教信仰融入医学教育对于加强医患关系和改善患者随访,促进更好的临床结果至关重要。
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引用次数: 0
Religious Service Attendance, Religious Discrimination, and Well-being in a Nationally Representative Sample of Canadians. 加拿大全国代表性样本的宗教服务出席、宗教歧视与幸福感。
IF 2 1区 哲学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-12-17 DOI: 10.1007/s10943-025-02526-w
Michaela Ritchie, David Speed

The experience of discrimination is associated with worse health outcomes. Religious attendance associated with positive health is theorized to buffer the harmful effect of stressors (e.g., discrimination). Using data from the 2020 Canadian General Social Survey, we examined whether discrimination moderated the religious attendance-health relationship. The effects of religious attendance on well-being were modest and not uniformly linear. Additionally, the current results did not support that religious service attendance mitigated the adverse impacts of religious discrimination. The results highlight a need to revisit theoretical models of buffering to consider additional factors that influence the R/S-health relationship amid discrimination, including the nature, frequency, and intensity of discrimination experiences.

遭受歧视的经历与较差的健康结果有关。从理论上讲,参加宗教活动与积极健康有关,可以缓冲压力源(如歧视)的有害影响。利用2020年加拿大综合社会调查的数据,我们研究了歧视是否调节了宗教出席率与健康的关系。参加宗教活动对幸福感的影响是适度的,而且不是一致的线性。此外,目前的研究结果并不支持出席宗教礼拜会减轻宗教歧视的负面影响。研究结果强调需要重新审视缓冲理论模型,以考虑在歧视中影响R/ s -健康关系的其他因素,包括歧视经历的性质、频率和强度。
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引用次数: 0
Development, Network Analysis, and Validation of the Ethical-Spiritual Algorithmic Trust Calibration Scale (ES-ATCS): Exploring Teachers' Ethical and Spiritual Trust in AI Integration Within Jordanian Secondary Education. 伦理-精神算法信任校准量表(ES-ATCS)的开发、网络分析和验证:探索约旦中等教育中人工智能整合中教师的伦理和精神信任。
IF 2 1区 哲学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-12-17 DOI: 10.1007/s10943-025-02511-3
Mahmoud Gharaibeh, Ayoub Hamdan Al-Rousan, Mohammad Nayef Ayasrah, Mohamad Ahmad Saleem Khasawneh

The purpose of this study is to design and evaluate the psychometric properties of the Ethical-Spiritual Algorithmic Trust Calibration Scale (ES-ATCS) among teachers. The primary aim was to develop a reliable and valid instrument to understand how teachers navigate trust, ethical accountability, and spiritual coherence when engaging with AI-driven educational technologies. The study was conducted in two main phases. Phase 1 comprised item generation, 12 specialist expert reviews (Lawshe CVR cutoff = 0.56), and pilot testing (n = 35 teachers), which reduced the item pool through CVR/I-CVI filtering and impact-score analyses. Phase 2 involved a cross-sectional sample of 666 teachers, which was randomly split into two halves for EFA and CFA. EFA and exploratory graph analysis suggested a coherent six-factor structure accounting for 63.20% of total variance, with the Spiritual Coherence Perception factor explaining 12.26% of the variance. Iterative CFA supported a final 48-item first- and second-order six-factor model with acceptable fit (RMSEA < .08; CFI, TLI > .90; SRMR < .08) and standardized loadings > .40. Measurement invariance was acceptable across gender and teaching experience. Reliability (Cronbach's α .898-.953, McDonald's ω .848-.953, CR .898-.954) and stability were strong: ICCs ranged from .755 to .853. Convergent (AVE .501-.940) and discriminant validity (Fornell-Larcker) were acceptable. Network EGA identified 43 nodes and 209 edges with six communities; centrality indices identified salient items. The 48-item ES-ATCS is culturally sensitive and psychometrically sound for measuring teachers' ethical-spiritual trust in AI.

本研究旨在设计并评估教师伦理-心灵算法信任校准量表(ES-ATCS)的心理测量特性。主要目标是开发一种可靠有效的工具,以了解教师在使用人工智能驱动的教育技术时如何处理信任、道德责任和精神一致性。这项研究分两个主要阶段进行。第一阶段包括项目生成、12名专家评审(Lawshe CVR截止值= 0.56)和试点测试(n = 35名教师),通过CVR/I-CVI过滤和影响评分分析减少了项目池。第二阶段涉及666名教师的横断面样本,随机分为两半进行EFA和CFA。EFA和探索性图分析表明,连贯的六因子结构占总方差的63.20%,其中精神连贯感知因子解释方差的12.26%。迭代CFA支持最终的48项一阶和二阶六因子模型,具有可接受的拟合(RMSEA .90; SRMR .40)。测量不变性在性别和教学经验上是可接受的。信度(Cronbach’s α .898- 0.953, McDonald’s ω .848- 0.953, CR .898- 0.954)和稳定性都很强:ICCs范围从。755到0.853。收敛效度(AVE .501- 0.940)和判别效度(Fornell-Larcker)均可接受。网络EGA识别出43个节点和209条边,共6个社区;中心性指数确定了突出项目。48项ES-ATCS在文化上是敏感的,在心理计量学上是可靠的,用于衡量教师对人工智能的伦理-精神信任。
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引用次数: 0
Religiosity and Organ Donation: A Meta-Analysis of Attitudes, Willingness, and Registration Status. 宗教信仰与器官捐献:态度、意愿和登记状况的元分析。
IF 2 1区 哲学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-12-16 DOI: 10.1007/s10943-025-02521-1
Kross Jiayuan Wen, Yongkang Hou

Existing research examining the relationship between religiosity and organ donation has produced inconsistent results. To address this ambiguity, the current study adopts meta-analysis to synthesize findings from 18 studies examining associations between religiosity and two categories of organ donation variables: psychological indicators (attitudes toward donation and intentions to register) and registration outcomes (actual donor registration status). Two separate random-effects meta-analyses were conducted, indicating that religiosity was not significantly associated with psychological outcomes (k = 15), yet demonstrated a significant negative impact on actual organ donor registration behaviors (k = 5). A random-effects meta-regression further assessed potential moderators including age, gender, country context, and data collection type, none of which meaningfully explained variability in the observed effect sizes. Evidence of publication bias was identified, suggesting the current results may underestimate the negative magnitude of religiosity's impact on organ donation. Our findings underscore the attitude-registration discrepancy, highlighting the importance of clergy clearly communicating guidance regarding organ donation. Further theoretical and practical implications are discussed.

现有的关于宗教信仰和器官捐赠之间关系的研究得出了不一致的结果。为了解决这一歧义,本研究采用荟萃分析综合了18项研究的结果,这些研究考察了宗教信仰与两类器官捐赠变量之间的关系:心理指标(对捐赠的态度和登记意愿)和登记结果(实际捐赠者登记状态)。进行了两个独立的随机效应荟萃分析,表明宗教信仰与心理结果不显着相关(k = 15),但对实际器官捐献者登记行为有显着的负面影响(k = 5)。随机效应元回归进一步评估了潜在的调节因素,包括年龄、性别、国家背景和数据收集类型,这些因素都没有意义地解释观察到的效应大小的变异性。发现了发表偏倚的证据,表明目前的结果可能低估了宗教信仰对器官捐赠的负面影响。我们的研究结果强调了态度与登记的差异,强调了神职人员明确传达器官捐赠指导的重要性。进一步讨论了理论和实践意义。
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引用次数: 0
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