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Religion and Spirituality: How Clinicians in Quebec and Geneva Cope with the Issue When Faced with Patients Suffering from Chronic Psychosis

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Abstract

Spirituality and religion have been found to be important in the lives of many people suffering from severe mental disorders, but it has been claimed that clinicians “neglect” their patients’ religious issues. In Geneva, Switzerland and Trois-Rivières, Quebec, 221 outpatients and their 57 clinicians were selected for an assessment of religion and spirituality. A majority of the patients reported that religion was an important aspect of their lives. Many clinicians were unaware of their patients’ religious involvement, even if they reported feeling comfortable with the issue. Both areas displayed strikingly similar results, which supports their generalization.

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References

  • APA. (1994). Global assessment functioning. DSM-IV: Diagnostic and statistical manual of mental disorders. Washington: American Psychiatric Association.

  • Baetz, M., Larson, D. B., Marcoux, G., Bowen, R., & Griffin, R. (2002). Canadian psychiatric inpatient religious commitment: An association with mental health. Canadian Journal of Psychiatry, 47, 159–166.

    Google Scholar 

  • Bellamy, C. D., Jarrett, N. C., & Mowbray, O. (2007). Relevance of spirituality for people with mental illness attending consumer-centered services. Psychiatric Rehabilitation Journal, 30, 287–294.

    Article  PubMed  Google Scholar 

  • Bobgan, M., & Bobgan, D. (1989). Prophets of Psychoheresy I. Santa Barbara, CA: EastGate Publishers.

    Google Scholar 

  • Borras, L., Mohr, S., Brandt, P. Y., Gillieron, C., Eytan, A., & Huguelet, P. (2007). Religious beliefs in schizophrenia: Their relevance for adherence to treatment. Schizophrenia Bulletin, 33, 1238–1246.

    Article  CAS  PubMed  Google Scholar 

  • Campiche, R., Broquet, R., Dubach, A., & Stolz, J. (2004). Les deux visages de la religion : Fascination et désenchantement. Genève: Labor et Fides.

    Google Scholar 

  • 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, 487–499.

    Article  PubMed  Google Scholar 

  • Crossley, D. (1995). Religious experience within mental illness. Opening the door on research. British Journal of Psychiatry, 166, 284–286.

    Article  CAS  PubMed  Google Scholar 

  • Greenberg, D., & Witztum, E. (1991). Problems in the treatment of religious patients. American Journal of Psychothery, 45(4), 554–565.

    CAS  Google Scholar 

  • Huber, S. (2007). Are religious beliefs relevant in daily life? In: H. Streib (Ed.), Religion inside and outside traditional institutions (pp. 211–230). Leiden: Brill Academic Publishers.

  • Huguelet, P., Borras, L., Gillieron, C., Brandt, P.-Y., & Mohr, S. (2009). Influence of spirituality and religiousness on substance misuse in patients with schizophrenia or schizo-affective disorder. Substance Use and Misuse, 44, 502–513.

    Article  PubMed  Google Scholar 

  • Huguelet, P., Mohr, S., Borras, L., Gillieron, C., & Brandt, P. Y. (2006). Spirituality and religious practices among outpatients with schizophrenia and their clinicians. Psychiatric Services, 57, 366–372.

    Article  PubMed  Google Scholar 

  • Huguelet, P., Mohr, S., Jung, V., Gillieron, C., Brandt, P.-Y., & Borras, L. (2007). Effect of religion on suicide attempts in outpatients with schizophrenia or schizo-affective disorders compared with inpatients with non-psychotic disorders. European Psychiatry, 22, 188–194.

    Article  PubMed  Google Scholar 

  • Kay, S. R., Opler, L. A., & Fiszbein, A. (1992). Positive and negative syndrome scale. USA: Multi-Health Systems Inc.

    Google Scholar 

  • Kirov, G., Kemp, R., & David, A. S. (1998). Religious faith after psychotic illness. Psychopathology, 31, 234–245.

    Article  CAS  PubMed  Google Scholar 

  • Kroll, J., & Sheehan, W. (1989). Religious beliefs and practices among 52 psychiatric inpatients in Minnesota. American Journal of Psychiatry, 146, 67–72.

    CAS  PubMed  Google Scholar 

  • Larouche, J.-M., & Ménard, G. (2001). L’étude de la religion au Québec. Bilan et prospective. Québec: Les Presses de l’Université De Laval.

    Google Scholar 

  • Levin, J. S. (1994). Religion and health: Is there an association, is it valid, and is it causal? Social Science and Medicine, 38, 1475–1482.

    Article  CAS  PubMed  Google Scholar 

  • Lukoff, D., Lu, F. G., & Turner, R. (1995). Cultural considerations in the assessment and treatment of religious and spiritual problems. Psychiatric Clinics of North America, 18, 467–485.

    CAS  PubMed  Google Scholar 

  • NIMH. (1978). CGI clinical global impressions. In: W. Guy (Ed.), ECD-EU assessment for psychopharmacology (pp. 217–222). Rockville, MD: National Institute of Mental Health.

    Google Scholar 

  • Mohr, S., Brandt, P.-Y., Borras, L., Gillieron, C., & Huguelet, P. (2006). Toward an integration of spirituality and religiousness into the psychosocial dimension of schizophrenia. American Journal of Psychiatry, 163, 1952–1959.

    Article  PubMed  Google Scholar 

  • Mohr, S., Gillieron, C., Borras, L., Brandt, P.-Y., & Huguelet, P. (2007). The assessment of spirituality and religiousness in schizophrenia. Journal of Nervous and Mental Disease, 195, 247–253.

    Article  PubMed  Google Scholar 

  • Neeleman, J., & Lewis, G. (1994). Religious identity and comfort beliefs in three groups of psychiatric patients and a group of medical controls. International Journal of Social Psychiatry, 40, 124–134.

    Article  CAS  PubMed  Google Scholar 

  • Neeleman, J., & Persaud, R. (1995). Why do psychiatrists neglect religion? British Journal of Medical Psychology, 68(Pt 2), 169–178.

    PubMed  Google Scholar 

  • Payman, V. (2000). Do psychogeriatricians ‘neglect’ religion? An antipodean survey. International Psychogeriatrics, 12, 135–144.

    Article  CAS  PubMed  Google Scholar 

  • Propst, L. R., Ostrom, R., & Waltkins, P. (1992). Comparative efficacy of religious and non religious cognitive-behavioral therapy for the treatment of clinical depression in religious individuals. Journal of Consulting and Clinical Psychology, 60, 94–103.

    Article  CAS  PubMed  Google Scholar 

  • Shafranske, E. (1996). Religion and the clinical practice of psychology. Washington: American Psychological Association.

    Book  Google Scholar 

  • Sheehan, D. V., Lecrubier, Y., & Sheehan, K. H. (1998). The mini-international neuropsychiatric interview (M.I.N.I.): The development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10. Journal of Clinical Psychiatry, 59, 22–33.

    PubMed  Google Scholar 

  • Tepper, L., Rogers, S. A., Coleman, E. M., & Malony, H. N. (2001). The prevalence of religious coping among persons with persistent mental illness. Psychiatr Services, 52, 660–665.

    Article  CAS  Google Scholar 

  • WHO. (2002). The international statistical classification of diseases and related health problems, 10th revision. New York: World Health Organization.

  • Borras, L., Czellar, J., Gillieron, C., Brandt, P.-Y., Leclerc, C., Mohr, S., Huguelet, P. Religious coping among outpatients suffering from schizophrenia: A cross-national comparison, (as submitted).

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Acknowledgments

This study was supported by investigator-initiated grant 325100-114136 from the Swiss National Science Foundation and by the Société Académique de Genève. Dr Huguelet reports receiving research funding from Janssen Pharmaceuticals and Eli Lilly. Dr Borras reports receiving investigator-initiated research funding from Bristol-Myers-Squibb. Other authors report no potential conflicts of interest or financial support.

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Correspondence to Philippe Huguelet.

Appendix

Appendix

Religious and Spiritual Assessment

Religious/Spiritual history

 Family background

 Religious education

 Significant changes in religious beliefs or practices

Effect of the illness upon Spirituality and/or religiousness

Current spiritual/religious beliefs and practices

 Religious preference

 Spiritual beliefs

 Private religious practices

 Organizational religious practices

 Support from religious community

Subjective importance of religion:

 in day-to-day life

 to give meaning to life

Subjective importance of religion to cope with the illness

 to give meaning to the illness

 to cope with symptoms

 to get comfort

 coping style (self-directing, deferring or collaborative)

Synergy of religion with psychiatric care

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Borras, L., Mohr, S., Gillieron, C. et al. Religion and Spirituality: How Clinicians in Quebec and Geneva Cope with the Issue When Faced with Patients Suffering from Chronic Psychosis. Community Ment Health J 46, 77–86 (2010). https://doi.org/10.1007/s10597-009-9247-y

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  • DOI: https://doi.org/10.1007/s10597-009-9247-y

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