The perceptions and religious beliefs held by family members, mental health and health care professionals, and the community may affect the treatment of individuals with schizophrenia. To better identify and understand the influence of families, professionals and community members on individual’s treatment for schizophrenia, this review paper examines: (1) the religious perceptions of families, professionals, and the public towards schizophrenia; (2) religious perceptions of the etiology of schizophrenia; (3) how others perceive religion as a coping mechanism; and (4) how religion influences treatment engagement and help-seeking behaviors. MEDLINE and PsycInfo databases were systematically searched from 1980 to 2010 using the terms schizophrenia, schizoaffective, schizophreniform, psychotic disorder not otherwise specified and religion, religiosity, spirituality, and faith. Forty-three (n = 43) original research studies met the inclusion criteria. This study found that religious beliefs influence the treatment of schizophrenia in the following ways: Religious themes were positively associated with coping, treatment engagement and help-seeking behavior. Evidence of religious underpinnings was found in perceptions of etiology. The findings also indicate that there is often both a preference among family members and caregivers to utilize religious-based professionals and caution toward mental health professionals. Researchers and professionals may find avenues for improving treatment through examining the interaction of religious and schizophrenia at the social support level.
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Bhavsar, V., & Bhugra, D. (2008). Religious delusions: Finding meanings in psychosis. Psychopathology, 41, 165–172.
Borras, L., Mohr, S., Brandt, P., Gillieron, C., Eytan, A., & Huguelet, P. (2007). Religious beliefs in schizophrenia: Their relevance for adherence to treatment. Schizophrenia Bulletin, 33(5), 1238–1246.
Borras, L., Mohr, S., Gillieron, C., Brandt, P.-Y., Rieben, I., Leclerc, C., et al. (2010). Religion and spirituality: How clinicians in Quebec and Geneva cope with the issue when faced with patients suffering from chronic psychosis. Community Mental Health Journal, 46(1), 77–86. doi:10.1007/s10597-009-9247-y.
Buchanan, J. (1995). Social support and schizophrenia: A review of the literature. Archives of Psychiatric Nursing, 9(2), 68–76. doi:10.1016/S0883-9417(95)80003-4.
Corrigan, P., McCorkle, B., Schell, B., & Kidder, K. (2003). Religion and spirituality in the lives of people with serious mental illness. Community Mental Health Journal, 39(6), 487–499. doi:10.1023/b:comh.0000003010.44413.37.
Furnham, A., & Igboaka, A. (2007). Young people’s recognition and understanding of schizophrenia: A cross-cultural study of young people from Britain and Nigeria. International Journal of Social Psychiatry, 53(5), 430–446.
Furnham, A., Rajaa, N., & Khanb, U. A. (2008). A cross-cultural comparison of British and Pakistani medical students’ understanding of schizophrenia. Psychiatry Research, 159(3), 308–319.
Furnham, A., & Wong, L. (2007). A cross-cultural comparison of British and Chinese beliefs about the causes, behaviour manifestations and treatment of schizophrenia. Psychiatry Research, 151(1–2), 123–138.
Gearing, R. E. (2008). Evidence-based family psychoeducational interventions for children and adolescents with psychotic disorders. Journal of the Canadian Academy of Child and Adolescent Psychiatry, 17(1), 2–11.
Gearing, R. E., Alonzo, D., Smolak, A., McHuge, K., Harmon, S., & Baldwin, S. (2011). Association of religion with delusions and hallucinations in the context of schizophrenia: Implications for engagement and adherence. Schizophrenia Research, 126, 150–163.
Harland, R., Antonova, E., Owen, G. S., Broome, M., Landau, S., Deeley, Q., et al. (2009). A study of psychiatrists’ concepts of mental illness. Psychological Medicine, 39(6), 967–976.
Hartog, K., & Gow, K. M. (2005). Religious attributions pertaining to the causes and cures of mental illness. Mental Health, Religion & Culture, 8(4), 263–276.
Joel, D., Sathyaseelan, M., Jayakaran, R., Vijayakumar, C., Muthurathnam, S., & Jacob, K. S. (2003). Explanatory models of psychosis among community health workers in South India. Acta Psychiatrica Scandinavica, 108(1), 66–69.
Kim-Goh, M. (1993). Conceptualization of mental illness among Korean-American clergymen and implications for mental health service delivery. Community Mental Health Journal, 29(5), 405–412.
Kinsella, K. B., Anderson, R. A., & Anderson, W. T. (1996). Coping skills, strengths, and needs as perceived by adult offspring and siblings of people with mental illness: A retrospective study. Psychiatric Rehabilitation Journal, 20(2), 24–32.
Koenig, H. G. (2009). Research on religion, spirituality, and mental health: A review. The Canadian Journal of Psychiatry, 54(5), 283–291.
Koenig, H. G., McCullough, M. E., & Larson, D. B. (2001). Handbook of religion and health. Oxford & New York: Oxford University Press.
Kulhara, P., Avasthi, A., & Sharma, A. (2000). Magico-religious beliefs in schizophrenia: A study from North India. Psychopathology, 33, 62–68.
Loewenthal, K. M., & Cinnirella, M. (1999). Beliefs about the efficacy of religious, medical and psychotherapeutic interventions for depression and schizophrenia among women from different cultural-religious groups in Great Britain. Transcultural Psychiatry, 36(4), 491–504.
Magliano, L., Fadden, G., Madianos, M., de Almeida, J. M., Held, T., Guarneri, M., et al. (1998). Burden on the families of patients with schizophrenia: Results of the BIOMED I study. Social Psychiatry and Psychiatric Epidemiology, 33(9), 405–412.
Magliano, L., Marasco, C., Fiorillo, A., Malangone, C., Guarneri, M., Maj, M., et al. (2002). The impact of professional and social network support on the burden of families of patients with schizophrenia in Italy. Acta Psychiatrica Scandinavica, 106(4), 291–298.
McCorkle, B. H., Rogers, E. S., Dunn, E. C., Lyass, A., & Wan, Y. M. (2008). Increasing social support for individuals with serious mental illness: Evaluating the compeer model of intentional friendship. Community Mental Health Journal, 44(5), 359–366.
Milstein, G., Midlarsky, E., Link, B. G., Raue, P. J., & Bruce, M. L. (2000). Assessing problems with religious content: a comparison of rabbis and psychologists. Journal of Nervous and Mental Disease, 188(9), 608–615.
Mohr, S., Borras, L., Betrisey, C., Pierre-Yves, B., Gilliéron, C., & Huguelet, P. (2010). Delusions with religious content in patients with psychosis: How they interact with spiritual coping. Psychiatry, 73(2), 158–172.
Moller, M. D. (1999). Meeting spiritual needs on an inpatient unit. Journal of Psychosocial Nursing and Mental Health Services, 37(11), 5–10.
Moreira-Almeida, A., & Koss-Chioino, J. D. (2009). Recognition and treatment of psychotic symptoms: Spiritists compared to mental health professionals in Puerto Rico and Brazil. Psychiatry, 72(3), 268–283.
Motlana, L. M., Sokudela, B., Moraka, T., Roos, J. L., & Snyman, M. (2004). In touch with reality. South African Psychiatry Review, 7(4), 26–29.
Mzimkulu, K. G., & Simbayi, L. C. (2006). Perspectives and practices of Xhosa-speaking African traditional healers when managing psychosis. International Journal of Disability, Development and Education, 53(4), 417–431.
Ng, F. (2007). The interface between religion and psychosis. Australasian Psychiatry, 15(1), 62–66.
O’Connor, S., & Vandenberg, B. (2005). Psychosis or faith? Clinicians’ assessment of religious beliefs. Journal of Consultation and Clinical Psychology, 73, 610–616.
Pargament, K. I. (1997). The psychology of religion and coping: Theory, research, practice. New York: Guilford Press.
Peluso, E. T. P., & Blay, S. L. (2009). Public beliefs about the treatment of schizophrenia and depression in Brazil. International Journal of Social Psychiatry, 55(1), 16–27.
Pfiffner, L. J., Mikami, A. Y., Huang-Pollock, C., Easterlin, B., Zalecki, C., & McBurnett, K. (2007). A randomized, controlled trial of integrated home-school behavioral treatment for ADHD, predominantly inattentive type. Journal of the American Academy of Child and Adolescent Psychiatry, 46(8), 1041–1050.
Pierre, J. M. (2001). Faith or delusion? At the crossroads of religion and psychosis. Journal of Psychiatric Practice, 7, 163–172.
Rammohan, A., Rao, K., & Subbakrishna, D. K. (2002). Religious coping and psychological wellbeing in carers of relatives with schizophrenia. Acta Psychiatrica Scandinavica, 105(5), 356–362.
Rüesch, P., Graf, J., Meyer, P. C., Rössler, W., & Hell, D. (2004). Occupation, social support and quality of life in persons with schizophrenic or affective disorders. Social Psychiatry and Psychiatric Epidemiology, 39(9), 686–694.
Rungreangkulkij, S., & Chesla, C. (2001). Smooth a heart with water: Thai mothers care for a child with schizophrenia. Archives of Psychiatric Nursing, 15(3), 120–127.
Schuster, M. A., Stein, B. D., Jaycox, L. H., Collins, R. L., Marshall, G. N., Elliott, M. N., et al. (2001). A national survey of stress reactions after the September 11, 2001, terrorist attacks. New England Journal of Medicine, 345, 1507–1512.
Srinivasan, T. N., & Thara, R. (2001). Beliefs about causation of schizophrenia: Do Indian families believe in supernatural causes? Social Psychiatry and Psychiatric Epidemiology, 36(3), 134–140.
Swami, V., Furnham, A., Kannan, K., & Sinniah, D. (2008). Beliefs about schizophrenia and its treatment in Kota Kinabalu. Malaysia. International Journal of Social Psychiatry, 54(2), 164–179.
Teuton, J., Bentall, R., & Dowrick, C. (2007a). Conceptualizing psychosis in Uganda: The perspective of indigenous and religious healers. Transcultural Psychiatry, 44(1), 79–114.
Teuton, J., Dowrick, C., Bentall, R. P., Teuton, J., Dowrick, C., & Bentall, R. P. (2007b). How healers manage the pluralistic healing context: The perspective of indigenous, religious and allopathic healers in relation to psychosis in Uganda. Social Science and Medicine, 65(6), 1260–1273.
Verhagen, P. J. (2010). Religion and psychiatry. Hoboken, NJ: Wiley.
Weisman, A. G., Gomes, L. G., & Lopez, S. R. (2003). Shifting blame away from ill relatives: Latino families’ reactions to schizophrenia. Journal of Nervous and Mental Disease, 191(9), 574–581.
Zafar, S. N., Syed, R., Tehseen, S., Gowani, S. A., Waqar, S., Zubair, A., et al. (2008). Perceptions about the cause of schizophrenia and the subsequent help seeking behavior in a Pakistani population: Results of a cross-sectional survey. BMC Psychiatry, 8, 56.
Alex Smolak thanks Robin Gearing for his mentorship, and acknowledges that the project described was partially supported by Grant Number UL1 RR024156 from the National Center for Research Resources (NCRR), a component of the National Institutes of Health (NIH) and NIH Roadmap for Medical Research, and its contents are solely the responsibility of the authors and do not necessarily represent the official view of NCRR or NIH.
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Smolak, A., Gearing, R.E., Alonzo, D. et al. Social Support and Religion: Mental Health Service Use and Treatment of Schizophrenia. Community Ment Health J 49, 444–450 (2013). https://doi.org/10.1007/s10597-012-9536-8