屏東縣不同背景原住民宗教信仰與憂鬱之關係

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屏東縣不同背景原住民宗教信仰與

憂鬱之關係

蔡美惠

*

李百麟

**

黃誌坤

***

摘要

身心靈健康常在日常生活中被當做一個詞語使用，即身體、心理與心靈健康常被認為是一體的。然相較於身體與心理健康之關係，心理與心靈的關係則甚少被研究者關注。據此，為彌補此文獻上的缺乏性，本研究探討：一、不同背景變項之中老年原住民其憂鬱症狀之差異；二、中老年原住民宗教信仰虔誠度與憂鬱症之關係。本研究對象為屏東縣中老年原住民，年齡45 歲以上，共161位。本研究採立意取樣之問卷調查法進行，宗教信仰虔誠度為自編量表；憂鬱狀況採簡式老人憂鬱量表。本研究結果資料採單因子變異數及羅吉斯迴歸分析，結果發現：一、不同年齡層的中老年原住民在憂鬱變項有顯著差異；二、宗教信仰虔誠度與憂鬱狀況有顯著關係，亦即宗教信仰虔誠度每增加一個單位，罹患憂鬱症之危險機率就降低23.70%。研究結果顯示健康促進與衛生教育學報第 44 期，頁 99-122，2015 年 12 月

Journal of Health Promotion and Health Education No. 44, pp. 99-122, December 2015 * 屏東縣南州國民小學教師 ** 國立高雄師範大學成人教育所教授（通訊作者），E-mail: orientalpai@yahoo. com.tw 通訊地址：高雄市和平一路116號，聯絡電話：07-7172930轉2682 *** 美和科技大學社會工作系副教授投稿日期：104年8月24日；修改日期：104年12月1日；接受日期：104年12月4日 DOI: 10.3966/207010632015120044004 04-4_李百麟_p099-122.indd 99 2016/1/20 上午 09:58:40

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心靈層面的宗教信仰與心理健康有相當的關聯性，此結果可作為中老年原住民憂鬱防治之參考。

關鍵詞：中高齡、宗教信仰、原住民、憂鬱

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誌謝

本研究非常感謝《健康促進與衛生教育學報》主編及審稿人員提供寶貴修改意見，使本論文更具可讀性，謹此致謝。

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蔡美惠、李百麟、黃誌坤　屏東縣不同背景原住民宗教信仰與憂鬱之關係

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參考文獻

一、中文部分

內政部（2014）。103年底人口結構分析。取自http://sowf.moi.gov.tw/stat/week/ list.htm 王瑞鈴（2008）。中老年人憂鬱傾向相關影響因素—變動分析（未出版之碩士論文）。亞洲大學，臺中市。王淳盈（2005）。花蓮縣吉安鄉東昌村阿美族與漢族老人之生活滿意度的影響（未出版之碩士論文）。慈濟大學，花蓮市。李百麟（2009）。高齡者之生活滿意度與成功老化各因素關係之探討。危機管理，6（2），25-38。李百麟（2013a）。老人心理12講。臺北市：心理。李百麟（2013b）。中高齡者宗教信仰與心理健康之關係。危機管理學刊，10 （2），61-68。李百麟、王巧利（2012）。老年情緒與調適。危機管理學刊，9（2），95-104。李佳綺（2005）。以路徑分析探討宗教信仰與憂鬱症狀對醫療利用之影響：以臺灣地區中老年人為例（未出版之碩士論文）。國立臺灣大學，臺北市。李麗美（2008）。支援銀髮族休閒生活之研究—以臺東縣利嘉社區日托關懷站活動為例（未出版之碩士論文）。國立臺東大學，臺東縣。吳曼阡、宋惠娟（2010）。光線治療在老人照護的運用。志為護理—慈濟護理雜誌，9（3），63-70。吳家純、施以諾（2009）。臺灣近十年來音樂治療論文分析：1999年到2008年為例。臺灣老人保健學刊，5（2），93-104。邵靖翰（2004）。玉里地區老人憂鬱盛行率及危險因子之探討（未出版之碩士論文）。國立陽明大學，臺北市。林俞均（2008）。老人憂鬱狀態與休閒活動之相關性研究（未出版之碩士論文）。亞洲大學，臺中市。 04-4_李百麟_p099-122.indd 115 2016/1/20 上午 09:58:42

(18)

116

健康促進

與

衛生教育

學報　第 44 期林藍萍（2007）。老人憂鬱情形：流行病學與防治策略初探。臺灣老人保健學刊，3（1），53-64。林怡君、余豎文、張宏哲（2004）。新店地區機構和非機構老人憂鬱情形及相關因素之調查。臺灣家醫誌，14（2），81-93。林如瀚、陳志展（2007）。從音樂治療觀點探討音樂對運動的影響。中華體育季刊，21，20-26。范綱華（2014）。信宗教，得憂鬱？社會學如何解析信仰與憂鬱症之關係。取自 http://twstreetcorner.org/2014/10/14/fanganghua/ 張俊一、許建民（2012）。原住民老年人的休閒參與及休閒阻礙。體育學報，45 （3），247-260。張家銘、蔡智能（2003）。老年人之周全性評估。臺灣醫學，7（ 3），364-374。葉雅馨、林家馨（2006）。臺灣民眾憂鬱程度與求助行為的調查研究。中華心理衛生學刊，19，125-148。葉宗烈（2006）。臺灣憂鬱症防治協會：「臺灣老年憂鬱量表」簡介。取自 http://www.depression.org.tw/knowledge/know_info_part.asp?paper_id=51 蔡岱蓉（2013）。宗教信仰對癌症病人健康影響之初探（未出版之碩士論文）。國立臺北護理健康大學，臺北市。蘇秀華（2010）。原住民老年人生活滿意度之調查研究—以南投縣仁愛鄉為例（未出版之碩士論文）。南開科技大學，南投縣。劉承宗（2007）。宗教信仰：人類的救贖—以印度教（Hinduism）、佛教（Buddism）、基督教（Christianity）與伊斯蘭教（Islam）為例。嶺東通識教育研究學刊，2（2），1-16。賴郁華、李百麟（2014）。高齡者宗教的感受及行為與其生活滿意度之關係探討。臺灣老人保健學刊，10（2），140-155。鍾智龍（2003）。宗教對憂鬱症患者影響之研究（未出版之碩士論文）。玄奘大學，新竹市。 04-4_李百麟_p099-122.indd 116 2016/1/20 上午 09:58:42

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₁₁₇

二、英文部分

Anstey, K. J., von Sanden, C., Sargent-Cox, K., & Luszcz, M. A. (2007). Prevalence and risk factors for depression in a longitudinal, population-based study including individuals in the community and residential care. American Journal of Geriatric

Psychiatry, 15(6), 497-505.

Basham, A., & O’Connor, M. (2005). Use of spiritual and religious beliefs in pursuit of client’s goals. In C. S. Cashwell & J. S. Young (Eds.), Integrating spirituality and

religion into counseling: A guide to competent practice (pp. 143-167). Alexandria,

VA: American Counseling Association.

Berkman, B. J., & Daniel, B. (2009). Religon and spirituality in the elderly. Retrieved from http://www.merckmanuals.com/professional/geriatrics/social_issues_in_the_ elderly/religion_and_spirituality_in_the_elderl.html

Biderman, A., Cwikel, J., Fried, A. V., & Galinsky, D. (2002). Depression and falls among community dwelling elderly people: A earch for common risk factors.

Journal of Epidemiology and Community Health, 56, 631-636.

Bjelland, I., Krokstad, S., Mykletun, A., Dahl, A. A., Tell, G. S., & Tambs, K. (2008). Does a higher educational level protect against anxiety and depression? The HUNT study. Soialc Science and Medison, 66(6), 1334-1345. doi:10.1016/j. socscimed.2007.12.019

Chen, C.-S., Tsang, H.-Y. Chong, M.-Y., & Tang, T.-C. (2000). Validation of the Chinese Health Questionnaire (CHQ-12) in community elders. The Kaohsiung

Journal of Medical Sciences, 16(11), 559-565.

Dowshen, N., Forke, C. M., Johnson, A. K., Kuhns, L. M., Rubin, D., & Garofalo, R. (2011). Religiosity as a protective factor against HIV risk among young transgender women. Journal of Adolescent Health, 48(4), 410-414.

Ellison, C. G., & George, L. K. (1994). Religious involvement, social ties, and social support in a southeastern community. Journal for the Scientific Study of Religion,

(20)

118

健康促進

與

衛生教育

學報　第 44 期

33, 46-61.

Fu, T. S.-T., Lee, C.-S., Gunnell, D., Lee, W.-C., & Cheng, A. T.-A. (2013). Changing trends in the prevalence of common mental disorders in Taiwan: A 20-year repeated cross-sectional survey. Lancet, 381, 235-241.

Gupta, S., Avasthi, A., & Kumar, S. (2011). Relationship between religiosity and psychopathology in patients with depression. Indian J Psychiatry, 53(4), 330-335. Hahn, C.-Y., Yang, M.-S., Yang, M.-J., Shih, C.-H., & Lo, H.-Y. (2004). Religious

attendance and depressive symptoms among community dwelling elderly in Taiwan. International Journal of Geriatric Psychiatry, 19(12), 1148-1154.

Heaton, T. B., & Pratt, E. L. (1990). The effects of religious homogamy on marital satisfaction and stability. Journal of Family Issues, 11, 191-207.

Kim, J. I., Choe, M. A., & Chae, Y. R. (2009). Prevalence and predictors of geriatric depression in community-dwelling elderly (Korea). Asian Nursing Research, 3(3), 121-129.

Kramer, M. K. (2001). A trio to treasure: The elderly, the nurse, and music. Geriatric

nursing, 22, 191-195.

King, M., & Dein, S. (1999). The spiritual variable in psychiatry. Psychol Med, 28, 1259-1262.

Kendler, K. S., Gardner, C. O., & Prescott, C. A. (1997). Religion, psychopathology, and substance use and abuse: A multimeasure, Genetic-Epidemiologic study. The

American Journal of Psychiatry, 154(3), 322-329.

Kennedy, G. J., Kelman, H. R., & Thomas, C. (1990). The emergence of depressive symptoms in late life: The importance of declining healthand increasing disability.

Journal of Community Health, 15(2), 93-104.

Leurent, B., Nazareth, I., Bellón-Saameño, J., Geerlings, M. I., Maaroos, H., Saldivia, S., ...King, M. (2013). Spiritual and religious beliefs as risk factors for the onset of major depression: An international cohort study. Psychology Medicine, 43(10), 2109-2120. doi:10.1017/S0033291712003066

(21)

₁₁₉

Lee, M.-S., Choi, Y.-K., Jung, I.-K., & Kwak, D.-I. (2000). Epidemiological study

of geriatric depression in a Korean urban area. Korean Journal of Geriatric

Psychiatry, 4(2), 154-163.

Lee, Y., & Shinkai, S. (2005). Correlates of cognitive impairment and depressive symptoms among older adults in Korea and Japan. International Journal of

Geriatric Psychiatry, 20(6), 576-586. doi:10.1002/gps.1313

Levin, J. (2010). Religion and mental health: Theory and research. International

Journal of Applied Psychoanalytic Studies, 7, 102-115.

Levin, J. S., & Vanderpool, H. Y. (1989). Is religion therapeutically significant for hypertension? Social Science and Medicine, 29, 69-78.

Lim, C., & Putnam, R. D. (2010). Religion, social networks, and life satisfaction.

American Sociological Review, 75(6), 914-933.

Miller, L., Wickramaratne, P., Gameroff, M. J., Sage, M., Tenke, C. E., & Weissman, M. M. (2012). Religiosity and major depression in adults at high risk: A ten-year prospective study. Am J Psychiatry, 169, 89-94.

Mitchell, J., & Weatherly, D. (2000). Beyond church attendance: Religiosity and mental health among rural older adults. Journal of Cross-Culture Gerontology, 15, 37-54. Maton, K. I. (1987). Patterns and psychological correlates of material support within

a religious setting: The bidirectional support hypothesis. American Journal of

Community Psychology, 15(2), 185-207.

O’Dea, T. F. (1983). The sociology of religion. Englewood Cliffs, NJ: Prentice Hall. Pratt, L. A., & Brody, D. J. (2008). Depression in the United States household

population, 2005-2006. NCHS Data Brief, 7, 1-8.

Purnell, M. J., Walsh, S. M., & Milone, M. A. (2004). Oncology nursing education: Teaching strategies that work. Nursing Education Perspectives, 25(6), 304-308. Penninx, W. J. H., Leveille, S., Ferrucci, L., Eijk, M., & Guralnik, M. (1999). Exploring

the effect of depression on physical disability: Longitudinal evidence from the established populations for epidemiologic studies of the elderly. American Journal

(22)

120

健康促進

與

衛生教育

學報　第 44 期

of Public Health, 89(9), 1346-1352.

Pressman, P., Lyons, J. S., Larson, D. B., & Strain, J. J. (1990). Religious belief, depression, and ambulation status in elderly women with broken hips. The

American Journal of Psychiatry, 147(6), 758-760.

Salsman, J. M., Brown, T. L., Brechting, E. H., & Carlson, C. R. (2005). The link between religion and spirituality and psychological adjustment: The mediating role of optimism and social support. Personality and Social Psychology Bulletin,

31, 522-535.

Sheikh, R. L., & Yesavage, J. A. (1986). Geriatric Depression Scale (GDS). Recent evidence and development of a shorter version. Clinical Gerontologist, 5, 165-173.

Stack, S. (1983). The effect of religious commitment on suicide: A cross-national analysis. Journal Health Social Behavior, 24, 362-374.

Sternthal, M. J., Williams, D. R., Musick, M. A., & Buck, A. C. (2010). Depression, anxiety, and religious practice: A search for mediators. Journal of Health and

Social Behavior, 51(3), 343-359.

Tsai, Y.-F. (2006). Self-care management and risk factors for depressive symptoms among elderly nursing home residents in Taiwan. Journal of Pain Symptom

Manage, 32, 140-147.

Tsai, Y.-F., Chung, J.-W., & Wong, T.-K. (2005). Comparison of the prevalence and risk factors for depressive symptoms among elderly nursing home resident in Taiwan and Hong Kong. International Journal of Geriatric Psychiatry, 20, 315-321. Vink, D., Aartsen, M. J., Comijs, H. C., Heymans, M. W., Penninx, B. W., Stek, M. L.,

& Beekman, A. T. (2009). Onset of anxiety and depression in the aging population: Comparison of risk factors in a 9-year prospective study. American Journal of

Geriatric Psychiatry, 17(8), 642-652.

Waltilington, C. G., & Murphy, C. M. (2006). The roles of religion spirituality among African American survivors of domestic violence. Journal of Clinical Psychology,

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₁₂₁

62(7), 837-857.

Wang, J.-J. (2001). Prevalence and correlates of depressive symptoms in the elderly of rural communities in southern taiwan. Journal of Nursing Research, 9(3), 1-12. World Health Organization. (2010). Burden of mental and behavioural disorders: Some

commom disorders, depression. Retrieved from http://www.who.int/whr/2001/

chapter2/en/index4.html

Wynstrock, N. (1995). The ritual as a psychotherapeutic intervention. Psychotherapy,

32, 397-404.

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The Relationship between Level of Religious

Belief and Depression in Aborigines of

Pingtung County

Mei-Hui Tsai

*

_{Pai-Lin Lee}

**

_{Chih-Kun Huang}

***

Abstract

Physical, psychological, and spiritual health usually are combined as a term in our culture. However, the relationship between psychological and spiritual are rarely discussed, compared to physical-psychological health. Accordingly, the study ﬁlled the knowledge gap aimed to explore: 1. The differences of depressive symptoms among various socio-demographic participants; and 2. The relationship between religious beliefs and depression in Aboriginal residents. The participants (aged 45 and above, N =161) were obtained from Aborigines in Pingtung County by purposive sampling design. We used religious level (self-developed) and geriatric depression questionnaire as measurement tools in the study. The data were analyzed by ANOVA and logistic regression, and the findings revealed: 1. The depressive symptoms were different among various ages; and 2. Increasing one unit level of religious beliefs reduced depression by 23.70 percents. The study ﬁndings showed the link between level of religious beliefs and depression is strong, which may be adopted as one way of solution for depression prevention.

Key words: Middle age and beyond, Religious beliefs, Aboriginal, Depression

* Teacher, Nan-Chou Elementary School, Pingtung County

** Professor, Graduate Institute of Adult Education, National Kaohsiung Normal University (Corresponding author), E-mail: orientalpai@ yahoo.com.tw

*** Associate Professor, Department of Social Work, Meiho University

屏東縣不同背景原住民宗教信仰與憂鬱之關係