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宗教和精神信仰融入美国精神科门诊治疗

Integrating Religion and Spirituality into Psychiatric Outpatient Treatment in the United States.

机构信息

Hope and Healing Center and Institute, 717 Sage Rd., Houston, TX, 77056, USA.

出版信息

J Relig Health. 2023 Aug;62(4):2258-2271. doi: 10.1007/s10943-023-01821-8. Epub 2023 Apr 27.

DOI:10.1007/s10943-023-01821-8
PMID:37101093
Abstract

It is common for mental health clients to desire that religion and spirituality (RS) be integrated into their treatment. Despite this preference, clients' RS beliefs often go overlooked in therapy for a variety of reasons including lack of provider training on integration, fear of causing offense, or concerns about wrongly influencing clients. The present study assessed the effectiveness of using a psychospiritual therapeutic curriculum to integrate RS into psychiatric outpatient treatment for highly religious clients (n = 150) seeking services through a faith-based clinic. The curriculum was well accepted by both clinicians and clients, and a comparison of clinical assessments administered at intake and program exit (clients averaged 6.5 months in the program) showed significant improvement across a broad range of psychiatric symptoms. These results suggest the use of a religiously integrated curriculum within a broader psychiatric treatment program is beneficial and may be a way to overcome clinicians' RS concerns and shortcomings while meeting religious clients' desires for inclusion.

摘要

心理健康客户通常希望将宗教和精神信仰(RS)融入他们的治疗中。尽管有这种偏好,但由于各种原因,客户的 RS 信仰在治疗中经常被忽视,包括缺乏整合方面的提供者培训、担心冒犯、或担心错误地影响客户。本研究评估了使用心理精神治疗课程将 RS 融入通过信仰为基础的诊所寻求服务的高度宗教客户(n=150)的精神科门诊治疗的有效性。该课程受到临床医生和客户的广泛欢迎,对在入组时和项目结束时(客户平均在项目中进行了 6.5 个月)进行的临床评估进行比较,显示出在广泛的精神症状方面有显著改善。这些结果表明,在更广泛的精神科治疗计划中使用宗教整合课程是有益的,并且可能是克服临床医生 RS 担忧和不足的一种方式,同时满足宗教客户对包容的渴望。

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本文引用的文献

1
Client preference accommodation for religious/spiritual integration and psychotherapy outcomes in naturalistic practice settings.在自然主义实践环境中,为宗教/精神融合和心理治疗结果提供客户偏好的住宿。
Psychotherapy (Chic). 2022 Sep;59(3):392-399. doi: 10.1037/pst0000386. Epub 2021 Sep 23.
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Religion-Adapted Cognitive Behavioral Therapy: A Review and Description of Techniques.宗教适应认知行为疗法:技术回顾与描述。
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精神性与心理健康——探究精神态度与身心治疗效果之间的关联。
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J Clin Psychol. 2018 Nov;74(11):1938-1951. doi: 10.1002/jclp.22681. Epub 2018 Sep 16.
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Faith-adapted psychological therapies for depression and anxiety: Systematic review and meta-analysis.信仰调整的心理疗法治疗抑郁和焦虑:系统综述和荟萃分析。
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Religiously integrated cognitive behavioral therapy: a new method of treatment for major depression in patients with chronic medical illness.宗教整合认知行为疗法:慢性疾病患者重度抑郁症的一种新治疗方法。
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