Mayanei Hayeshua Medical Center, Bnei Brak, Israel.
Mayanei Hayeshua Medical Center, Bnei Brak, Israel; Stockholm University, Stockholm, Sweden.
Psychiatry Res. 2020 Nov;293:113349. doi: 10.1016/j.psychres.2020.113349. Epub 2020 Aug 2.
Religious coping is prevalent among individuals diagnosed with psychotic disorders, however its clinical relevance has been insufficiently studied. Thirty ultra-Orthodox Jewish patients experiencing current psychotic symptoms and receiving treatment in the inpatient and day-care units were administered measures assessing severity of psychotic symptoms, psychological distress/well-being, beliefs about treatment credibility/expectancy, and aspects of religious belief and coping. Among men, negative religious coping was associated with lower treatment credibility. Among women, positive religious coping was associated with increased treatment expectancy and greater quality of life; and trust in God was associated with reduced psychiatric symptoms and greater treatment expectancy. Study findings indicate that religious factors may promote treatment motivation and engagement, crucial factors for subpopulations facing culturally-based barriers to treatment, as well as boost more favorable outcomes. Sensitivity to religious factors in treatment appears to play an important role in the management of psychotic disorders and should be engaged when culturally appropriate in order to maximize treatment potential.
宗教应对在被诊断患有精神病障碍的个体中很普遍，但它的临床相关性尚未得到充分研究。 30 名经历当前精神病症状并在住院和日间护理病房接受治疗的极端正统派犹太患者接受了评估精神病症状严重程度、心理困扰/幸福感、对治疗可信度/期望的信念以及宗教信仰和应对方式的措施。在男性中，消极的宗教应对与较低的治疗可信度相关。在女性中，积极的宗教应对与增加的治疗期望和更高的生活质量相关；对上帝的信任与减少的精神症状和更高的治疗期望相关。研究结果表明，宗教因素可能会促进治疗动机和参与度，这对于面临基于文化的治疗障碍的亚人群来说是至关重要的因素，并且可以提高更有利的结果。在治疗中对宗教因素的敏感性似乎在管理精神病障碍方面起着重要作用，并且应该在文化上适当的时候进行，以最大限度地发挥治疗潜力。
