Mohr Sylvia, Huguelet Philippe
Department of Mental Health and Psychiatry, Service of General Psychiatry, University Hospital of Geneva , Geneva , Switzerland.
Int J Psychiatry Clin Pract. 2014 Oct;18(4):304-7. doi: 10.3109/13651501.2014.902071. Epub 2014 Jun 9.
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.
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".
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.
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.
在先前一项针对精神分裂症门诊患者的精神与宗教应对方式（S/R）的多中心比较研究中，80%的患者的S/R应对方式具有适应性，13%具有有害性，7%处于边缘状态。临床医生低估了这一重要性。我们创建了一个跨信仰治疗小组来探讨此类话题。本研究的目的是评估患者在精神科护理中探讨S/R问题的意愿。
精神科医生询问连续就诊的门诊患者他们的意愿、与谁分享S/R相关问题，以及他们参加“精神与康复小组”的兴趣。
在纳入的147名患者中，不到一半的人与他人分享过他们的精神问题。四分之一的患者希望在护理中探讨S/R问题；24/147的患者已经与宗教专业人士分享过这些问题，其中一半患者也希望与他们的精神科医生分享。在参与深入精神评估的21名患者中，16名患者被转至S/R小组，5名患者被转至针对其他治疗目标的小组。
每十名患者中有一名患者，其S/R问题具有临床意义，值得纳入精神科治疗。本研究表明患者的观点与先前的研究一致，提出了精神科医生在这个问题上的立场。
