Religion, spirituality, and medicine: psychiatrists' and other physicians' differing observations, interpretations, and clinical approaches

Am J Psychiatry. 2007 Dec;164(12):1825-31. doi: 10.1176/appi.ajp.2007.06122088.

Abstract

Objective: This study compared the ways in which psychiatrists and nonpsychiatrists interpret the relationship between religion/spirituality and health and address religion/spirituality issues in the clinical encounter.

Method: The authors mailed a survey to a stratified random sample of 2,000 practicing U.S. physicians, with an oversampling of psychiatrists. The authors asked the physicians about their beliefs and observations regarding the relationship between religion/spirituality and patient health and about the ways in which they address religion/spirituality in the clinical setting.

Results: A total of 1,144 physicians completed the survey. Psychiatrists generally endorse positive influences of religion/spirituality on health, but they are more likely than other physicians to note that religion/spirituality sometimes causes negative emotions that lead to increased patient suffering (82% versus 44%). Compared to other physicians, psychiatrists are more likely to encounter religion/spirituality issues in clinical settings (92% versus 74% report their patients sometimes or often mention religion/spirituality issues), and they are more open to addressing religion/spirituality issues with patients (93% versus 53% say that it is usually or always appropriate to inquire about religion/spirituality).

Conclusions: This study suggests that the vast majority of psychiatrists appreciate the importance of religion and/or spirituality at least at a functional level. Compared to other physicians, psychiatrists also appear to be more comfortable, and have more experience, addressing religion/spirituality concerns in the clinical setting.

Publication types

  • Comparative Study
  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Attitude of Health Personnel*
  • Communication
  • Female
  • Humans
  • Logistic Models
  • Male
  • Mental Disorders / psychology
  • Mental Disorders / therapy
  • Middle Aged
  • Physician-Patient Relations*
  • Physicians / psychology*
  • Physicians / statistics & numerical data
  • Psychiatry / statistics & numerical data*
  • Religion and Medicine*
  • Sampling Studies
  • Spirituality*
  • Surveys and Questionnaires