The wishes of outpatients with severe mental disorders to discuss spiritual and religious issues in their psychiatric care

Mohr, Sylvia; Huguelet, Philippe

doi:10.3109/13651501.2014.902071

Cited by 10 publications

(10 citation statements)

References 18 publications

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“…The situation is unique for each patient and every patient is an expert on his or her own life, being in possession of core knowledge necessary to perform SDM. The personal aspects include the life‐world of the patient, including family traditions and cultural affiliation . It is a premise for fulfilling the SDM process that the service facilitates and encourages the patient to bring individual perspectives into the process.…”

Section: Introductionmentioning

confidence: 99%

“…The attitudes towards the content of clinical encounters held by the practitioners, expressed by behavioural styles, influence the clinical encounter and the patient‐practitioner relationship . The behavioural styles are outlined as a patient‐centred style and a disease‐centred style, respectively.…”

Section: Introductionmentioning

confidence: 99%

“…The personal aspects include the life-world of the patient, including family traditions and cultural affiliation. 14 It is a premise for fulfilling the SDM process that the service facilitates and encourages the patient to bring individual perspectives into the process. To assess the extent and the quality of SDM several tools have been developed.…”

Section: Introductionmentioning

confidence: 99%

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Practitioners' positive attitudes promote shared decision‐making in mental health care

Drivenes

Haaland

Mesel

et al. 2019

Evaluation Clinical Practice

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Rationale and aims There is a growing expectation of implementing shared decision making (SDM) in today's health care service, including mental health care. Traditional understanding of SDM may be too narrow to capture the complexity of treatments of mental health problems. Although the patients' contribution to SDM is well described, the contribution from the health care practitioners is less explored. Therefore, our aim was to explore the attitudes of practitioners in mental health care and the associations between practitioners' attitudes and SDM. Method We performed a cross‐sectional study where practitioners reported their sharing and caring attitudes on the Patient‐Practitioner Orientation Scale (PPOS) and age, gender, profession, and clinical working site. The patients reported SDM using the CollaboRate tool. We used a mixed effect model linking the data from each practitioner to one or more patients. We presented the findings and used them as background for a more philosophic reflection. Results We included 312 practitioners with mean age 46.1 years. Of the practitioners, 60 held a medical doctors degree, 97 were psychologists, and 127 held a college degree in nursing, social science, or pedagogy. Female practitioners reported higher sharing (4.79 vs 4.67 [range 1‐6], P = .04) and caring scores (4.77 vs 4.65 [range 1‐6], P = .02) than males. The regression model contained 206 practitioners and 772 patients. We found a higher probability for the patient to report high SDM score if the practitioner reported higher sharing scores, and lower probability if the practitioner worked in ambulatory care. Conclusions SDM in mental health care is complex and demands multifaceted preparations from practitioners as well as patients. The practitioners' attitudes are not sufficiently explored using one instrument. The positive association between practitioners' patient‐centred attitudes and SDM found in this study implies a relevance of the practitioners' attitudes for accomplishment of SDM processes in mental health care.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Practitioners' positive attitudes promote shared decision‐making in mental health care

Drivenes

Haaland

Mesel

et al. 2019

Evaluation Clinical Practice

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“…Even among patients whose R/S experiences are associated with psychopathology and a psychiatric diagnosis, a sensitive, respectful, and considerate approach to their perception and interpretation of their experiences is recommended, especially after resolving an acute crisis. 70 , 71 To many individuals, R/S perceptions eventually become a source of faith, hope, community integration, resilience, meaning, and long-term psychological well-being following resolution of acute psychiatric episodes. 70 To others, R/S experiences might be a source of struggle, and clinicians should also be aware of this.…”

Section: Resultsmentioning

confidence: 99%

Brazilian Psychiatric Association guidelines on the integration of spirituality into mental health clinical practice: Part 1. Spiritual history and differential diagnosis

Mosqueiro,

Costa,

Caribé

et al. 2023

Brazilian Journal of Psychiatry

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Objectives: To present evidence-based guidelines for clinical practice regarding religiosity and spirituality in mental health care in Brazil. Methods: A systematic review was conducted to identify potentially eligible articles indexed in the PubMed, PsycINFO, SciELO, LILACS, and Cochrane databases. A summary of recommendations and their levels of evidence was produced in accordance with Oxford Centre for Evidence-Based Medicine guidelines. Results: The systematic review identified 6,609 articles, 41 of which satisfied all inclusion criteria. Taking a spiritual history was found to be an essential part of a compassionate and culturally sensitive approach to care. It represents a way of obtaining relevant information about the patient’s religiosity/spirituality, potential conflicts that could impact treatment adherence, and improve patient satisfaction. Consistent evidence shows that reported perceptual experiences are unreliable for differentiating between anomalous experiences and psychopathology. Negative symptoms, cognitive and behavioral disorganization, and functional impairment are more helpful for distinguishing pathological and non-pathological anomalous experiences. Conclusion: Considering the importance of religiosity/spirituality for many patients, a spiritual history should be routinely included in mental health care. Anomalous experiences are highly prevalent, requiring a sensitive and evidence-based approach to differential diagnosis.

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“…In dementia, depression, suicide, substance abuse, and stress-related disorders, spirituality is associated with mental health; however, for many other mental disorders, such as personality disorders and eating disorders, data are still lacking (Bonelli and Koenig, 2013). In recovery-oriented care, the wishes of patients must be taken into account, including those that relate to spiritual issues (Gomi et al, 2014;Huguelet, 2013;Mohr and Huguelet, 2014;Ouwehand et al, 2014).…”

mentioning

confidence: 98%

Spiritual Meaning in Life and Values in Patients With Severe Mental Disorders

Huguelet¹,

Mohr²,

Olié³

et al. 2016

J Nerv Ment Dis

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Spirituality and meaning in life are key dimensions of recovery in psychiatric disorders. The aim of this study was to explore spiritual meaning in life in relation to values and mental health among 175 patients with schizophrenia, borderline personality disorder, bipolar disorder, and anorexia nervosa. For 26% of the patients, spirituality was essential in providing meaning in life. Depending on the diagnosis, considering spirituality as essential in life was associated with better social functioning; self-esteem; psychological and social quality of life; fewer negative symptoms; higher endorsement of values such as universalism, tradition (humility, devoutness), and benevolence (helpfulness); and a more meaningful perspective in life. These results highlight the importance of spirituality for recovery-oriented care.

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The wishes of outpatients with severe mental disorders to discuss spiritual and religious issues in their psychiatric care

Abstract: 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.

Cited by 10 publications

References 18 publications

Practitioners' positive attitudes promote shared decision‐making in mental health care

Practitioners' positive attitudes promote shared decision‐making in mental health care

Brazilian Psychiatric Association guidelines on the integration of spirituality into mental health clinical practice: Part 1. Spiritual history and differential diagnosis

Spiritual Meaning in Life and Values in Patients With Severe Mental Disorders

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