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Ann Gen Psychiatry. 2017 Feb 16;16:13. doi: 10.1186/s12991-017-0136-4. eCollection 2017.

The Greek-Orthodox version of the Brief Religious Coping (B-RCOPE) instrument: psychometric properties in three samples and associations with mental disorders, suicidality, illness perceptions, and quality of life.

Annals of general psychiatry

Vassiliki Paika, Elias Andreoulakis, Elisavet Ntountoulaki, Dimitra Papaioannou, Konstantinos Kotsis, Vassiliki Siafaka, Konstantinos N Fountoulakis, Kenneth I Pargament, Andre F Carvalho, Thomas Hyphantis,

Affiliations

  1. Department of Psychiatry, Faculty of Medicine, School of Health Sciences, University of Ioannina, 45110 Ioannina, Greece.
  2. Third Department of Psychiatry, School of Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece.
  3. Department of Speech and Language Therapy, Technological Educational Institute of Epirus, Ioannina, Greece.
  4. Department of Psychology, Bowling Green State University, Bowling Green, OH USA.
  5. Department of Clinical Medicine and Translational Psychiatry Research Group, Faculty of Medicine, Federal University of CearĂ¡, Fortaleza, CE Brazil.

PMID: 28239407 PMCID: PMC5314716 DOI: 10.1186/s12991-017-0136-4

Abstract

BACKGROUND: The B-RCOPE is a brief measure assessing religious coping. We aimed to assess the psychometric properties of its Greek version in people with and without long-term conditions (LTCs). Associations between religious coping and mental illness, suicidality, illness perceptions, and quality of life were also investigated.

METHODS: The B-RCOPE was administered to 351 patients with diabetes, chronic pulmonary obstructive disease (COPD), and rheumatic diseases attending either the emergency department (

RESULTS: The Greek version of B-RCOPE showed a coherent two-dimensional factor structure with remarkable stability across the three samples corresponding to the positive (PRC) and negative (NRC) religious coping dimensions. Cronbach's alphas were 0.91-0.96 and 0.77-0.92 for the PRC and NRC dimensions, respectively. Furthermore, NRC was associated with poorer mental health, greater depressive symptom severity and suicidality, and impaired HRQoL. In patients with LTCs, PRC correlated with lower perceived illness timeline, while NRC was associated with greater perceived illness consequences, lower perceived treatment control, greater illness concern, and lower illness comprehensibility.

CONCLUSIONS: These findings indicate that the Greek-Orthodox B-RCOPE version may reliably assess religious coping. In addition, negative religious coping (i.e., religious struggle) is associated with adverse illness perceptions, and thus may detrimentally impact adaptation to medical illness. These findings deserve replication in prospective studies.

Keywords: Anxiety; Chronic illness; Depression; Illness perceptions; Mental disorder; Psychometric properties; Quality of life; Religious coping; Religiousness; Suicidal risk

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