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Perspectives of Indian Traditional and Allopathic Professionals on Religion/Spirituality and its Role in Medicine: Basis for Developing an Integrative Medicine Program

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Abstract

Allopathic medical professionals in developed nations have started to collaborate with traditional, complementary, and alternative medicine (TCAM) to enquire on the role of religion/spirituality (r/s) in patient care. There is scant evidence of such movement in the Indian medical community. We aim to understand the perspectives of Indian TCAM and allopathic professionals on the influence of r/s in health. Using RSMPP (Religion, Spirituality and Medicine, Physician Perspectives) questionnaire, a cross-sectional survey was conducted at seven (five TCAM and two allopathic) pre-selected tertiary care medical institutes in India. Findings of TCAM and allopathic groups were compared. Majority in both groups (75 % of TCAM and 84.6 % of allopathic practitioners) believed that patients’ spiritual focus increases with illness. Up to 58 % of TCAM and allopathic respondents report patients receiving support from their religious communities; 87 % of TCAM and 73 % of allopaths believed spiritual healing to be beneficial and complementary to allopathic medical care. Only 11 % of allopaths, as against 40 % of TCAM, had reportedly received ‘formal’ training in r/s. Both TCAM (81.8 %) and allopathic (63.7 %) professionals agree that spirituality as an academic subject merits inclusion in health education programs (p = 0.0003). Inclusion of spirituality in the health care system is a need for Indian medical professionals as well as their patients, and it could form the basis for integrating TCAM and allopathic medical systems in India.

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References

  • Anandarajah, G. (2008). The 3 H and BMSEST models for spirituality in multicultural whole-person medicine. Annuals of Family Medicine, 6(5), 448–458.

    Article  Google Scholar 

  • Chattopadhyay, S. (2007). Religion, spirituality, health and medicine: Why should Indian physicians care? Journal of Postgraduate Medicine, 53(4), 262–266.

    Article  CAS  PubMed  Google Scholar 

  • Clarke, J. (2006). Religion and spirituality: a discussion paper about negativity, reductionism and differentiation in nursing texts. International Journal of Nursing Studies, 43(6), 775–785.

    Article  PubMed  Google Scholar 

  • Crammer, C., Kaw, C., Gansler, T., & Stein, K. D. (2011). Cancer survivors’ spiritual well-being and use of complementary methods: a report from the American Cancer Society’s Studies of Cancer Survivors. Journal of Religion and Health, 50(1), 92–107.

    Article  PubMed  Google Scholar 

  • Curlin, F. A., Lantos, J. D., Roach, C. J., Sellergren, S. A., & Chin, M. H. (2005). Religious characteristics of U.S. physicians: a national survey. Journal of General Internal Medicine, 20(7), 629–634.

    Article  PubMed Central  PubMed  Google Scholar 

  • Curlin, F. A., Chin, M. H., Sellergren, S. A., Roach, C. J., & Lantos, J. D. (2006). The association of physicians’ religious characteristics with their attitudes and self-reported behaviors regarding religion and spirituality in the clinical encounter. Medical Care, 44(5), 446–453.

    Article  PubMed  Google Scholar 

  • Curlin, F. A., Lawrence, R. E., Odell, S., Chin, M. H., Lantos, J. D., Koenig, H. G., et al. (2007). Religion, spirituality, and medicine: psychiatrists’ and other physicians’ differing observations, interpretations, and clinical approaches. American Journal of Psychiatry, 164(12), 1825–1831.

    Article  PubMed Central  PubMed  Google Scholar 

  • Department of AYUSH. (2011). Mainstreaming of AYUSH under National Rural Health Mission. Department of AYUSH, Ministry of Health & Family Welfare, Government of India. http://indianmedicine.nic.in/writereaddata/mainlinkFile/File614.pdf. Accessed 02 Mar 2013.

  • Dhar, N., Chaturvedi, S. K., & Nandan, D. (2011). Spiritual health scale 2011: Defining and measuring 4th dimension of health. Indian Journal of Community Medicine, 36(4), 275–282.

    Article  PubMed Central  PubMed  Google Scholar 

  • Dwyer, J. M. (2004). Good medicine and bad medicine: science to promote the convergence of “alternative” and orthodox medicine. Medical Journal of Australia, 180(12), 647–648.

    PubMed  Google Scholar 

  • Fabian, T. K., Vertes, G., & Fejerdy, P. (2005). Pastoral psychology, spiritual counseling in dentistry. [Article in Hungarian] (Abstract). Fogorvosi szemle, 98(1) 37–42.

    Google Scholar 

  • Fortin, A. H. V. I., & Barnett, K. G. (2004). Medical school curricula in spirituality and medicine. JAMA, 291, 2883.

    Article  CAS  PubMed  Google Scholar 

  • Grabovac, A. D., & Ganesan, S. (2003). Spirituality and religion in Canadian psychiatric residency training. Canadian Journal of Psychiatry, 48(3), 171–175.

    Google Scholar 

  • Graves, D. L., Shue, C. K., & Arnold, L. (2002). The role of spirituality in patient care: Incorporating spirituality training into medical school curriculum. Academic Medicine, 77(11), 1167.

    Article  PubMed  Google Scholar 

  • Guck, T. P., & Kavan, M. G. (2006). Medical student beliefs: Spirituality’s relationship to health and place in the medical school curriculum. Medical Teaching, 28(8), 702–707.

    Article  Google Scholar 

  • Hayward, R. (2004). Demonology, neurology, and medicine in Edwardian Britain. Bulletin of the History of Medicine, 78(1), 37–58.

    Article  PubMed  Google Scholar 

  • Hsiao, A. F., Wong, M. D., Miller, M. F., Ambs, A. H., Goldstein, M. S., Smith, A., et al. (2008). Role of religiosity and spirituality in complementary and alternative medicine use among cancer survivors in California. Integrative Cancer Therapies, 7(3), 139–146.

    Article  PubMed  Google Scholar 

  • Hughes, B. M. (2008). How should clinical psychologists approach complementary and alternative medicine? Empirical, epistemological, and ethical considerations. Clinical psychology review, 28(4), 657–675.

    Article  PubMed  Google Scholar 

  • Hull, S. K., DiLalla, L. F., & Dorsey, J. K. (2001). Student attitudes toward wellness, empathy, and spirituality in the curriculum. Academic Medicine, 76(5), 520.

    Article  CAS  PubMed  Google Scholar 

  • Kattimani, S. (2012). Spirituality and medical education in India: Are we ready? Journal of Research in Medical Sciences, 17(7), 500–501.

    PubMed Central  PubMed  Google Scholar 

  • King, M. B., & Koenig, H. G. (2009). Conceptualizing spirituality for medical research and health service provision. BMC Health Services Research, 13(9), 116.

    Article  Google Scholar 

  • Lawrence, R. M., & Duggal, A. (2001). Spirituality in psychiatric education and training. Journal of the Royal Society of Medicine, 94(6), 303–305.

    CAS  PubMed Central  PubMed  Google Scholar 

  • Lukoff, D., Lu, F., & Turner, R. (1992). Toward a more culturally sensitive DSM-IV. Psychoreligious and psychospiritual problems. Journal of Nervous & Mental Disease, 180(11), 673–682.

    Article  CAS  Google Scholar 

  • Menniti-Ippolito, F., & De Mei, B. (1999). The characteristics of the use and the levels of diffusion of nonconventional medicine. [Article in Italian] (Abstract). Annali dell Istituto Superiore di Sanita, 35(4), 489–497.

    CAS  PubMed  Google Scholar 

  • Ministry of Health and Family Welfare. (2005). Task force on medical education for the national rural health mission. http://mohfw.nic.in/NRHM/Documents/Task_Group_Medical_Education.pdf. Accessed 02 Mar 2013.

  • Murray-Swank, A. B., Lucksted, A., Medoff, D. R., Yang, Y., Wohlheiter, K., & Dixon, L. B. (2006). Religiosity, psychosocial adjustment, and subjective burden of persons who care for those with mental illness. Psychiatric Services, 57(3), 361–365.

    Article  PubMed  Google Scholar 

  • Neely, D., & Minford, E. J. (2008). Current status of teaching on spirituality in UK medical schools. Medical Education, 42(2), 176–182.

    Article  PubMed  Google Scholar 

  • Puchalski, C. M. (2006). Spirituality and medicine: curricula in medical education. Journal of Cancer Education, 21(1), 14–18.

    Article  PubMed  Google Scholar 

  • Puchalski, C. M., & Larson, D. B. (1998). Developing curricula in spirituality and medicine. Academic Medicine, 73(9), 970–974.

    Article  CAS  PubMed  Google Scholar 

  • Rao, R. B. R. (2009). Spirituality and mental health: Reflections of past, applications in present, projections for future. Indian Journal of Psychiatry, 51(3), 233–234.

    Article  Google Scholar 

  • Sikand, A., & Laken, M. (1998). Pediatricians’ experience with and attitudes toward complementary/alternative medicine. Archives of Pediatrics and Adolescent Medicine, 152(11), 1059–1064.

    Article  CAS  PubMed  Google Scholar 

  • Silenzio, V. M. (2002). What is the role of complementary and alternative medicine in public health? American Journal of Public Health, 92(10), 1562–1564.

    Article  PubMed Central  PubMed  Google Scholar 

  • Spurlock, W. R. (2005). Spiritual well-being and caregiver burden in Alzheimer’s caregivers. Geriatric Nursing, 26(3), 154–161.

    Article  PubMed  Google Scholar 

  • Warrier, M. (2009). Seekership, spirituality and self-discovery: Ayurveda trainees in Britain. Asian Med (Lieden), 4(2), 423–451.

    Article  Google Scholar 

  • Willis, G. B., Lessler, J. T. (1999). Question appraisal system: QAS 99. National Cancer Institute. http://appliedresearch.cancer.gov/areas/cognitive/qas99.pdf. Accessed 02 Mar 2013.

  • Wu, C., Weber, W., Kozak, L., Standish, L. J., Ojemann, J. G., Ellenbogen, R. G., et al. (2009). A survey of complementary and alternative medicine (CAM) awareness among neurosurgeons in Washington State. Journal of Alternative and Complementary Medicine, 15(5), 551–555.

    Article  Google Scholar 

  • Ziegler, J. (1998). Spirituality returns to the fold in medical practice. Journal of the National Cancer Institute, 90(17), 1255–1257.

    Article  CAS  PubMed  Google Scholar 

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Acknowledgments

This study was made possible by the generosity in time, personal, and financial support of HELP and AdiBhat Foundations in USA and India, respectively. HELP Foundation is a non-profit organization in Omaha, NE, USA, serving the underprivileged population with its community urgent care clinics. AdiBhat is a non-profit organization founded in New Delhi to develop spirituality as a medical subject. Sincere thanks to Dr. Curlin F. A. (University of Illinois, Chicago, Illinois, USA) for providing his RSMPP survey questionnaire to conduct our study. We appreciate the support of Dr.Vijay Kumar, Commissioner of the State department of AYUSH, for permitting us to conduct the study at the AYUSH institutes. Many thanks for dean Dr. V. N. Jindal for his permission and guidance to initiate the study at Goa Medical College, Goa. Thanks goes to Dr. M. S. Kulkarni at Goa Medical College and Dr. Sharavi Gandham at Univ. of Washington for their invaluable statistical inputs. We also like to appreciate all the staff at HELP Foundation for participating in the focus group discussions and other research processes leading to the development of our supplementary survey questionnaire. Finally, we would like to thank all our research respondents for donating their invaluable time and providing their opinions and perspectives toward a successful completion of this study.

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Correspondence to P. Ramakrishnan.

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Ramakrishnan, P., Dias, A., Rane, A. et al. Perspectives of Indian Traditional and Allopathic Professionals on Religion/Spirituality and its Role in Medicine: Basis for Developing an Integrative Medicine Program. J Relig Health 53, 1161–1175 (2014). https://doi.org/10.1007/s10943-013-9721-2

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