A preliminary survey on the religious profile of Brazilian psychiatrists and their approach to patients' religiosity in clinical practice

Menegatti-Chequini, Maria Cecilia; Gonçalves, Juliane P. B.; Leão, Frederico Camelo; Peres, Mário Fernando Prieto; Vallada, Homero

doi:10.1192/bjpo.bp.116.002816

Cited by 15 publications

(26 citation statements)

References 30 publications

(72 reference statements)

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“…However, caution is recommended when using these treatments, as this is a private and personal matter that should be considered but not used as a prescription [ 68 ]. In addition, some doctors do not feel prepared to integrate R/S in clinical practice [ 69 – 71 ]. These observations endorse the necessity of introducing the R/S topic into medical schools to clarify the clinical implications and professional conduct in the field [ 72 , 73 ].…”

Section: Discussionmentioning

confidence: 99%

Complementary religious and spiritual interventions in physical health and quality of life: A systematic review of randomized controlled clinical trials

et al. 2017

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ObjectiveTo examine whether religious and spiritual interventions (RSIs) can promote physical health and quality of life in individuals.MethodsThe following databases were used to conduct a systematic review: PubMed, Scopus, Web of Science, EMBASE, PsycINFO, Cochrane, and Scielo. Randomized controlled trials that evaluated RSIs regarding physical health outcomes and/or quality of life in English, Spanish or Portuguese were included. RSI protocols performed at a distance (i.e. intercessory prayer) or for psychiatric disorders were excluded. This study consisted of two phases: (a) reading titles and abstracts, and (b) assessing the full articles and their methodological quality using the Cochrane Back Review Group scale.ResultsIn total, 7,070 articles were identified in the search, but 6884 were excluded in phase 1 because they were off topic or repeated in databases. Among the 186 articles included in phase 2, 140 were excluded because they did not fit the inclusion criteria and 16 did not have adequate randomization process. Thus, a final selection of 30 articles remained. The participants of the selected studies were classified in three groups: chronic patients (e.g., cancer, obesity, pain), healthy individuals and healthcare professionals. The outcomes assessed included quality of life, physical activity, pain, cardiac outcomes, promotion of health behaviors, clinical practice of healthcare professionals and satisfaction with protocols. The divergence concerning scales and protocols proposed did not allow a meta-analysis. RSIs as a psychotherapy approach were performed in 40% of the studies, and the control group was more likely to use an educational intervention (56.7%). The results revealed small effect sizes favoring RSIs in quality of life and pain outcomes and very small effects sizes in physical activity, promotion of health behaviors and clinical practice of health professionals compared with other complementary strategies. Other outcomes, such as cardiac measures and satisfaction with the protocols, revealed no evidence for RSIs. Regarding the quality of the selected articles according to the Cochrane Back Review Group Scale, the average score was 6.83 (SD = 9.08) on a scale of 11, demonstrating robustness in the studies.ConclusionClinical trials on RSIs demonstrated that they had small benefits compared with other complementary health therapies by reducing pain and weight, improving quality of life and promoting health behaviors. The lack of clinical trials that included biological outcomes and the diversity of approaches indicate a need for more studies to understand the possible mechanisms of action of RSIs and their roles in health care.

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Section: Discussionmentioning

confidence: 99%

Complementary religious and spiritual interventions in physical health and quality of life: A systematic review of randomized controlled clinical trials

et al. 2017

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“…9 Surveys of mental health professionals have indicated the main reasons why R/S has not been routinely addressed in clinical practice, with a lack of training being among the most frequently cited. 10,11 Surveys have found that mental health professionals tend to be less religious than their patients, constituting what has been called a ''religiosity gap.'' [11][12][13] This lower religiosity among mental health professionals seems to be at least partially related to some anti-R/S bias and a pathologizing of R/S in professional training, especially among those whose training was less recent.…”

Section: Introductionmentioning

confidence: 99%

Religiosity and spirituality in psychiatry residency programs: why, what, and how to teach?

Oliveira

Peteet

Moreira‐Almeida

2021

Braz. J. Psychiatry

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Objective: To propose a core curriculum for religiosity and spirituality (R/S) in clinical practice for psychiatry residency programs based on the available evidence. Methods: After performing a review of studies on the implementation of R/S curricula and identifying the most commonly taught topics and teaching methods, an R/S curriculum was developed based on the most prevalent strategies, as well as recommendations from psychiatric associations, resulting in a fairly comprehensive R/S curriculum that is simple enough to be easily implemented, even where there is a shortage of time and of faculty expertise. Results: The curriculum is a twelve-hour course (six 2-hour sessions). The topics include: concepts and evidence regarding R/S and mental health relationships, taking a spiritual history/case formulation, historical aspects and research, main local R/S traditions, differential diagnosis between spiritual experiences and mental disorders, and R/S integration in the approach to treatment. The teaching methods include: classes, group discussions, studying guidelines, taking spiritual histories, panels, field visits, case presentations, and clinical supervision. The evaluation of residents includes: taking a spiritual history and formulating an R/S case. The program evaluation includes: quantitative and qualitative written feedback. Conclusions: A brief and feasible core R/S curriculum for psychiatry residency programs is proposed; further investigation of the impact of this educational intervention is needed.

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“…However, many health professionals still find it difficult to address the issue of patients' R/S (38) . Therefore, several publications have addressed how to integrate R/S in an ethical and responsible way, based on scientific evidence, in clinical care (36,39) .…”

Section: Discussionmentioning

confidence: 99%

Elderly caring for the elderly: spirituality as tensions relief

2018

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Objective: To investigate the forms of coping used to relieve tensions by elderly caregivers of elderly relatives and to know the type of support they receive from the Primary Health Care service at home. Method: A qualitative study with a theoretical-methodological contribution of Grounded Theory, carried out with 10 elderly caregivers interviewed between August 2014 and January 2015. Results: Participants use primarily religious coping to deal with adverse situations that arise in their lives; they attribute to the sacred the strength to continue to age and care for another elderly person at home. Religiousness was the main coping strategy used by the participants, but little recognized by the health service. Final considerations: It is recommended that the Primary Health Care service provide greater support to these caregivers and be attentive to the spiritual dimension as an auxiliary element in the process of comprehensive and inclusive health care of these elderly caregivers.

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A preliminary survey on the religious profile of Brazilian psychiatrists and their approach to patients' religiosity in clinical practice

Cited by 15 publications

References 30 publications

Complementary religious and spiritual interventions in physical health and quality of life: A systematic review of randomized controlled clinical trials

Complementary religious and spiritual interventions in physical health and quality of life: A systematic review of randomized controlled clinical trials

Religiosity and spirituality in psychiatry residency programs: why, what, and how to teach?

Elderly caring for the elderly: spirituality as tensions relief

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