The wishes of outpatients with severe mental disorders to discuss spiritual and religious issues in their psychiatric care

Int J Psychiatry Clin Pract. 2014 Oct;18(4):304-7. doi: 10.3109/13651501.2014.902071. Epub 2014 Jun 9.

Abstract

Objective: In a previous multisite comparative study of spiritual and religious coping (S/R) among outpatients with schizophrenia; S/R were adaptive for 80% of patients; harmful for 13%; and marginal for 7%. This importance was underestimated by clinicians. We created an interfaith therapeutic group to address such topics. The aim of the study is to assess patients' wish to address S/R issues in their psychiatric care.

Method: Psychiatrists asked consecutive outpatients about their wish; with who they shared S/R concerns; and their interest to enroll in the "Spiritual and Recovery Group".

Results: Among the 147 patients included less than half shared their spiritual concerns with other people. A quarter wished to address S/R issues in their care; 24/147 already shared those issues with a religious professional; half of them wished also to share them with their psychiatrist. Among the 21 patients who participated in an in-depth spiritual assessment 16 patients were directed to the S/R group and 5 patients were directed to groups addressing other therapeutic objectives.

Conclusion: For one patient out of ten, S/R issues were of a clinical significance warranting integration into psychiatric treatment. This study shows that patients' views are in accordance with former research, putting forward psychiatrists' stance on this issue.

Keywords: Spirituality; psychiatric care; recovery; religion; severe mental disorders.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Humans
  • Male
  • Mental Disorders / psychology*
  • Mental Health Services*
  • Middle Aged
  • Outpatients / psychology*
  • Patient Preference / psychology*
  • Spirituality*