Spiritually Informed Interventions and Psychotic Disorders: A Systematic Review of Randomized Controlled Trials

Turner, Patricia R.; Hodge, David R.

doi:10.1177/1049731520946824

Cited by 6 publications

(5 citation statements)

References 60 publications

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“…Given that higher levels of spirituality are endorsed by those persons with serious mental health conditions who are resilient (Mizuno et al, 2016), interventions for people who embrace spirituality should target increasing and capitalizing on their spiritual strengths as key resources for coping with stress related to COVID-19 (Franczak et al, 2016). A recent review of spiritually informed interventions for persons with serious mental health conditions revealed that such approaches are consistently associated with positive outcomes, including lower levels of psychotic symptoms and recovery, and show no evidence of being harmful (Turner & Hodge, 2020). Such interventions involve psychoeducation about the value of spiritual coping and incorporate the person’s spiritual beliefs into the treatment.…”

Section: Resilience Intervention Frameworkmentioning

confidence: 99%

Promoting resilience in persons with serious mental health conditions during the Coronavirus pandemic.

Friis-Healy¹,

Farber²,

Cook³

et al. 2022

Psychological Services

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This article highlights the profound and far-reaching impact of the Coronavirus disease 2019 health crisis on persons with serious mental health conditions. To understand and mitigate against the negative effects of the crisis on this population, we offer a resilience intervention framework that attends to three key resilience processes, namely control, coherence, and connectedness (3Cs). We then detail interventions and associated evidence-informed intervention strategies at the individual, interpersonal, and systemic levels that behavioral health professionals can employ to bolster each of the 3Cs for persons with serious mental health conditions. These intervention strategies, which must be implemented in a flexible manner, are designed to enhance the biopsychosocial functioning of persons with serious mental health conditions during the COVID-19 pandemic and beyond and strengthen their interpersonal and systemic environments. We conclude with recommendations for future directions. Impact StatementResilience is a powerful predictor of positive mental health in the context of stress, such as a pandemic. This article offers an array of individual, interpersonal, and systemic interventions to bolster the resilience of persons with serious mental health conditions and support their ongoing recovery. These interventions can help these individuals have more control over their lives, a greater sense of meaning in accord with their values, and feel more connected to others and their community.

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Section: Resilience Intervention Frameworkmentioning

confidence: 99%

Promoting resilience in persons with serious mental health conditions during the Coronavirus pandemic.

Friis-Healy¹,

Farber²,

Cook³

et al. 2022

Psychological Services

View full text Add to dashboard Cite

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“…This would help to clarify if one's perceptions are true hallucinations or prevalent in religion, thereby reducing misdiagnosis risk (Adeponle et al, 2012). In a recent systematic‐review, integrating religion‐spirituality into CBTp was more effective than CBTp alone for it validated clients' religious‐spiritual viewpoints rather than dismissing them as maladaptive (Turner & Hodge, 2020). Hence, EIS services could adopt a bio‐psycho‐spiritual‐social‐model within CBTp.…”

Section: Discussionmentioning

confidence: 99%

The role of culture on the phenomenology of hallucinations and delusions, explanatory models, and help‐seeking attitudes: A narrative review

Ghanem,

Evangeli‐Dawson,

Georgiades

2023

Early Intervention Psych

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AimCulture has been posited to be involved in the formation and maintenance of delusions and hallucinations. The extent of these differences and how they affect explanatory models of psychosis and help‐seeking attitudes remains to be understood. This review aims to present a cultural formulation to account for psychosis onset, symptom maintenance, and help‐seeking attitudes.MethodsA narrative review was conducted to summarize the existing evidence base regarding cross‐cultural differences in hallucinatory and delusional prevalence, explanatory models, and help‐seeking attitudes in First Episode Psychosis (FEP) and Non‐FEP Schizophrenia samples.ResultsSixteen studies were eligible for inclusion. In terms of positive symptom specificity, cross‐cultural differences were found. Specifically, auditory and visual hallucinations occurred most frequently in African patients, persecutory and grandiose delusions occurred at higher rates in African, Pakistani, and Latino patients, while delusions of reference were most prevalent in White‐British groups. Three explanatory models were identified. Westerners tended to endorse a bio‐psychosocial explanation, which was associated with increased help‐seeking, engagement, and positive medication attitudes. Asian, Latino, Polish, and Māori patients endorsed religious‐spiritual explanatory models, while African patients opted for a bewitchment model. The religious‐spiritual and bewitchment models were associated with a longer duration of untreated psychosis (DUP) and poorer engagement with mental health services.ConclusionsThese findings highlight the important influence of culture in the formation and maintenance of positive symptoms of psychosis, engagement, and help‐seeking attitudes across different ethnic groups. The incorporation of cultural beliefs in formulation development could facilitate enriched CBTp practices and improved engagement amongst different cultural groups with Early Intervention Services.

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“…It may be useful to factor in families (e.g. Habib et al, 2015;Ma et al, 2020;Nickels et al, 2016) and religion (Heffernan et al, 2016;Turner & Hodge, 2020) when designing psychosis self-help tools in the Nicaraguan and Latin American context. Future research could develop different versions of CBT-based self-help, and make a comparison of the effectiveness of these tools.…”

Section: Discussionmentioning

confidence: 99%

A qualitative exploration of the acceptability of a cognitive behavioural therapy self-help book for people with psychosis in Nicaragua

et al. 2021

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Background: Cognitive Behavioural Therapy (CBT) self-help interventions have become a popular tool in High-Income Countries (HIC) to support people living with psychosis. There is limited research of this in Low-and Middle-Income Country (LMIC) contexts. We report findings of a qualitative investigation of a self-help book for psychosis in Nicaragua in Central America. Methods: Ten service users who self-identified as having psychosis were recruited from a mental health non-governmental organisation (NGO). Participants were given a Spanish version of a popular self-help book developed in the UK. They had four weeks to familiarise themselves with the book. Following this, we asked participants about their experiences of the book via an open ended questionnaire and a focus group discussion. Results: We conducted an inductive content analysis on the data. Evaluations of the book were positive. The book was considered easy to understand. The exercises were useful for coping with symptoms, as well as for recognising and managing relapse. Case studies were perceived useful in terms of reducing stigma and promoting self-acceptance. Conclusion:The data highlight potential acceptability of CBT self-help books in the Nicaraguan context. We make recommendations for further research and evaluation to build on this signal of acceptability.

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Spiritually Informed Interventions and Psychotic Disorders: A Systematic Review of Randomized Controlled Trials

Cited by 6 publications

References 60 publications

Promoting resilience in persons with serious mental health conditions during the Coronavirus pandemic.

Promoting resilience in persons with serious mental health conditions during the Coronavirus pandemic.

The role of culture on the phenomenology of hallucinations and delusions, explanatory models, and help‐seeking attitudes: A narrative review

A qualitative exploration of the acceptability of a cognitive behavioural therapy self-help book for people with psychosis in Nicaragua

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