The influence of Religiosity/Spirituality on the therapeutic response and prognosis of patients with mental disorders: an integrative review

Authors

DOI:

https://doi.org/10.33448/rsd-v9i11.9784

Keywords:

Religion; Spirituality; Mental disorders; Prognosis; Therapy.

Abstract

Religiosity/Spirituality (R/S) have become the object of interest by many health researchers, allowing care to become more compassionate and suitable to the patient’s integrality. The aims of this study were to analyze and describe the influence of R/S on the therapy and prognosis of patients with mental disorders. This is an integrative literature review based on the following databases: PubMed, BIREME, SciELO, Cochrane Library and Portal de Periódicos CAPES. Controlled descriptors combined with boolean operators were used: “mental disorders” AND “spirituality” AND “prognosis”; and, in the last databases: “spirituality” AND “mental disorders prognosis”. The data collection took place in April 2020. 753 articles were recovered 69 studies were included that filled on the inclusion criterias and describes the influence of R/S on the therapy and prognosis of Dementia, Affective/Mood Disorders, Personality Disorders, Schizophrenia, Post-Traumatic Stress Disorder, Alcohol and other drugs disorders, and mental health in general. The articles evidenced a decrease in hospitalization and in patient’s symptoms, in addition to an increase in treatment adherence, improvement in quality of life, lower rates of alcohol abuse and development of gratitude, optimism, purpose and generosity. Studies converge on spirituality as a protective factor in several psychiatric diseases, also acting as an ally to treatment and improving prognosis. Furthermore, there is also a cost reduction in hospitalizations, which are proven to be shorter when spirituality is considered in the care process.

Author Biographies

Bruna Paola Santos Zonta, Universidade Federal do Estado do Rio de Janeiro - UNIRIO

Discente da Escola de Medicina e Cirurgia (EMC) da Universidade Federal do Estado do Rio de Janeiro (UNIRIO). Participou da concepção, delineamento, pesquisa e análise/interpretação dos dados, discussão dos resultados e redação do artigo.

Taís Veronica Cardoso Vernaglia, Universidade Federal do Estado do Rio de Janeiro

Professora Doutora da Escola de Enfermagem Alfredo Pinto (EEAP) da Universidade Federal do Estado do Rio de Janeiro (UNIRIO). Orientadora da pesquisa. Participou da revisão crítica e aprovação da versão final do trabalho.

Denise de Assis Corrêa Sória, Universidade Federal do Estado do Rio de Janeiro

Professora Titular da Escola de Enfermagem Alfredo Pinto (EEAP) da Universidade Federal do Estado do Rio de Janeiro (UNIRIO). Doutora em Enfermagem pela Universidade Federal do Rio de Janeiro (UFRJ). Coorientadora da pesquisa. Participou da revisão crítica e aprovação final do trabalho.

References

Baetz, M., Larson, B. D., Marcoux, G., Bowen, R., & Griffin, R. (2002). Canadian psychiatric inpatient religious commitment: an association with mental health. Canadian journal of psychiatry, 47 (2), 159-166. doi: 10.1177/070674370204700206

Best, M., Butow, P., & Olver, I. (2015a). Do patients want doctors to talk about spirituality? A systematic literature review. Patient Education and Counseling, 98 (11), 1320-1328. doi:10.1016/j.pec.2015.04.017

Best, M., Butow, P., & Olver, I. (2015b). Doctors discussing religion and spirituality: A systematic literature review. Palliative Medicine, 30 (4), 327-337. doi:10.1177/0269216315600912

Blixen, C., Levin, J. B., Cassidy, K. A., Perzynski, A. T., & Sajatovic, M. (2016). Coping strategies used by poorly adherent patients for self-managing bipolar disorder. Patient Preference and Adherence, 10, 1327-1335. doi: 10.2147/PPA.S110199

Bonelli, R., Dew, R. E., Koenig, H. G., Rosmarin, D. H., & Vasegh, S. (2012). Religious and Spiritual Factors in Depression: Review and Integration of the Research. Depression Research and Treatment, 2012, 1-8. doi: 10.1155/2012/962860

Bormann, J. E., Oman, D., Walter, K. H., & Johnson B. D. (2014). Mindful Attention Increases and Mediates Psychological Outcomes Following Mantram Repetition Practice in Veterans with Posttraumatic Stress Disorder. Medical Care, 52 (12), 13-18. doi: 10.2307/26417874

Bormann J. E., Thorp S., Wetherell J. L., & Golshan, S. (2008). A spiritually based group intervention for combat veterans with posttraumatic stress disorder: feasibility study. Journal of Holistic Nursing, 26 (2), 109-116. doi: 10.1177/0898010107311276

Brandão, J. L., Gomes, A. M. T., Mota, D. B., Thiengo, P. C. S., Fleury, M. L. O., Dib, R. V., Santos, C. S., & Spezani, R. S. (2020). Espiritualidade e Religiosidade no contexto da integralidade da assistência: reflexões sobre o cuidado integral em saúde e enfermagem. Research, Society and Development, 9 (10), 1-22. doi: 10.33448/rsd-v9i10.8780

Caribé, A. C., Studart, P., Bezerra-Filho, S., Britzke, E., Noto, M. N., Vianna-Sulzbach, M., Kapczinski, F., Neves, F. S., Correa, H., & Miranda-Scippa, A. (2015). Is religiosity a protective factor against suicidal behavior in bipolar I outpatients? Journal of Affective Disorders, 186 (1), 156-161. doi: 10.1016/j.jad.2015.07.024

Choi, J. -W., Cha, B., Jang, J., Park, C. -S., Kim, B. -J., Lee, C. -S., & Lee S. -J. (2015). Resilience and impulsivity in euthymic patients with bipolar disorder. Journal of Affective Disorders, 170 (1), 172-177. doi: 10.1016/j.jad.2014.08.056

Connell, A., Koen, L., Niehaus, D., Cloete, K. J., Jordaan, E., & Botha, U. (2015). Religious Delusions in a Xhosa Schizophrenia Population. Journal of Religion and Health, 54, 1555-1562. doi: 10.1007/s10943-014-9860-0

Conner, B. T., Anglin M. D., Annon, J., & Longshore, D. (2009). Effect of religiosity and spirituality on drug treatment outcomes. The Journal of Behavioral Health Services & Research, 36 (2), 189–198. doi: 10.1007/s11414-008-9145-z

Currier, J. M., Holland, J. M., & Drescher, K. D. (2015). Spirituality factors in the prediction of outcomes of PTSD treatment for U.S. military veterans. Journal of Traumatic Stress, 28 (1), 57-64. doi: 10.1002/jts.21978

Dew, R. E., Daniel, S. S., Goldston, D. B., Mccall, W. V., Kuchibhatla, M., Schleifer, C., Triplett, M. F., & Koenig, H., G. (2010). A prospective study of religion/spirituality and depressive symptoms among adolescent psychiatric patients. Journal of Affective Disorders, 120 (1-3), 149-157. doi: 10.1016/j.jad.2009.04.029

Dos Santos, S. B., Rocha, P. R., Fernandez, L. L., De Padua, A. C., & Reppold, C. T. (2018). Association of Lower Spiritual Well-Being, Social Support, Self-Esteem, Subjective Well-Being, Optimism and Hope Scores with Mild Cognitive Impairment and Mild Dementia. Frontiers in Psychology, 9 (371), 1-10. doi: 10.3389/fpsyg.2018.00371

Ehman J. W., Ott, B. B., Short, T. H., Ciampa, R. C., & Hansen-Flaschen, J. (1999). Do patients want physicians to inquire about their spiritual or religious beliefs if they become gravely ill? Arch Intern Med, 159 (15), 1803-1806. doi: 10.1001/archinte.159.15.1803

Fernández-Niño, J. A., Bojorquez, I., Becerra-Arias, C., & Astudillo-Garcia, C. I. (2019). Religious affiliation and major depressive episode in older adults: a cross-sectional study in six low- and middle- income countries. BMC Public Health, 19 (460), 1-9. doi:10.1186/s12889-019-6806-1

Galvão, T. F., Pansani, T. S. A., & Harrad, D. (2015). Principais itens para relatar Revisões sistemáticas e Meta-análises: A recomendação PRISMA. Epidemiologia e Serviços de Saúde, 24 (2), 335-342. doi: 10.5123/S1679-49742015000200017

Galvez, J. F., Thommi, S., & Ghaem, N. (2011). Positive aspects of mental illness: A review in bipolar disorder. Journal of Affective Disorders, 128 (3), 185-190. doi:10.1016/j.jad.2010.03.017

Hafizi, S., Tabatabaei, D., & Koenig, H. G. (2014). Borderline Personality Disorder and Religion: A perspective from a Muslim country. Iranian Journal of Psychiatry, 9 (3), 137–141. Recuperado de https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4277802/

Hill, P. C., & Pargament, K. I. (2003). Advances in the conceptualization and measurement of religion and spirituality. Implications for physical and mental health research. American Psychologist, 58 (1), 64–74. doi: 10.1037/0003-066X.58.1.64

Hillbrand, M. & Young J. L. (2008). Instilling hope into forensic treatment: the antidote to despair and desperation. Journal of the American Academy of Psychiatry and the Law, 36 (1), 90-94. Recuperado de https://pesquisa.bvsalud.org/portal/resource/pt/mdl-18354129

Hosack, L. (2019). Borderline Personality Disorder and Religiosity: Exploring the Relationship. Social Work & Christianity, 46 (2), 40-56. doi: 10.34043/swc.v46i2.68

Huguelet, P., Borras, L., Gilliéron, C., Brandt, P. Y., & Mohr, S. (2009). Influence of Spirituality and Religiousness on Substance Misuse in Patients with Schizophrenia or Schizo-Affective Disorder. Journal Substance Use & Misuse, 44 (4), 502-513. doi:10.1080/10826080802344872

Kim, N., Huh, H., & Chae, J. (2015). Effects of religiosity and spirituality on the treatment response in patients with depressive disorders. Comprehensive Psychiatry, 60, 26-34. doi:10.1016/j.comppsych.2015.04.009

Koenig, H. G., Berk, L. S., Daher, N. S., Pearce, M. J., Bellinger, D. L., Robins, C. J., Nelson, B., Shaw, S. F., Cohen, H. J., & King, M. B. (2014). Religious involvement is associated with greater purpose, optimism, generosity and gratitude in persons with major depression and chronic medical illness. Journal of Psychosomatic Research, 77 (2), 135-143. doi:10.1016/j.jpsychores.2014.05.002

Koenig, H. G., Youssef, N. A., Ames, D., Oliver, J. P., Volk, F., Teng, E. J., & Hill, T. D. (2019). Dimensions of Religiosity and PTSD Symptom Clusters in US Veterans and Active Duty Military. Journal of Religion and Health, 58 (3), 805-822. doi: 10.1007/s10943-019-00817-7

Koenig, H. G. (2012). Religion, Spirituality, and Health: The Research and Clinical Implications. International Scholarly Research Network, 2012, 1-34. doi:10.5402/2012/278730

Koenig, H. G. (2008). Spirituality and mental health. International Journal of Applied Psychoanalytic Studies, 7 (2), 116-122. doi: 10.1002/aps.239

Koenig, H. G. (2015). Espiritualidade no cuidado com o paciente: Por que, como, quando e o quê. Estados Unidos: FE Editora.

Laird, K. T., Lavretsky, H., Cyr, N. S., & Siddharth, P. (2018). Resilience predicts remission in antidepressant treatment of geriatric depression. International Journal of Geriatric Psychiatry, 33 (12), 1596-1603. doi: 10.1002/gps.4953

McCord, G., Gilchrist, V. J., Grossman, S. D., King, B. D., McCormick, K. F., Oprandi, A. M., Schrop, S. L., Selius, B. A., Smucker, W. D., Weldy, D. L., Amorn, M., Carter, M. A., Deak, A. J., Hefzy H., & Srivastava, M. (2004). Discussing spirituality with patients: a rational and ethical approach. Annals of family medicine, 2 (4), 356-361. doi: 10.1370/afm.71

Medlock, M. M., Rosmarin, D. H., Connery, H. S., Griffin, M. L., Weiss R. D., Karakula, S. L., & McHugh, R. K. (2017). Religious coping in patients with severe substance use disorders receiving acute inpatient detoxification. The American Journal on Addictions, 26 (7), 744-750. doi: 10.1111/ajad.12606

Miller, W. R., Forcehimes, A., O’leary, M. J., & Lanoue, M. D. (2008). Spiritual direction in addiction treatment: two clinical trials. Journal of Substance Abuse Treatment, 35 (4), 434-442. doi: 10.1016/j.jsat.2008.02.004

Minayo, M. C. S. (2012). Análise qualitativa: teoria, passos e fidedignidade. Ciência e Saúde Coletiva, 17 (3), 621-626. Recuperado de https://www.scielosp.org/article/csc/2012.v17n3/621-626/pt/

Mohr, S., Borras, L., Betrisey, C., Brandt, P. Y., Gilliéron, C., & Huguelet, P. (2010). Delusions with religious content in patients with psychosis: how they interact with spiritual coping. Psychiatry, 73 (2), 158-172. doi: 10.1521/psyc.2010.73.2.158

Mohr, S., & Huguelet, P. (2004). The relationship between schizophrenia and religion and its implications for care. Swiss Medical Weekly, 134 (25-26), 369-376. Recuperado de https://pesquisa.bvsalud.org/portal/resource/pt/mdl-15340880

Moreira-Almeida, A., & Koenig, H. G. (2006). Retaining the meaning of the words religiousness and spirituality: a commentary on the WHOQOL SRPB group’s ‘‘a cross-cultural study of spirituality, religion, and personal beliefs as components of quality of life’’. Social Science & Medicine, 63, 843-845. doi: 10.1016/j.socscimed.2006.03.001

Moreira-Almeida, A., Koenig, H. G., & Lucchetti, G. (2014). Clinical implications of spirituality to mental health: review of evidence and practical guidelines. Revista Brasileira de Psiquiatria, 36, 176-182. doi: 10.1590/1516-4446-2013-1255

Moreira-Almeida, A., & Lucchetti, G. (2016). Panorama das pesquisas em ciência, saúde e espiritualidade. Ciência e Cultura, 68 (1), 54-57. doi: 10.21800/2317-66602016000100016

Negro-Dellacqua, M., de Sá-Junior A. R., de Sousa, I. F., & Lima, M. K. (2019). Panorama sobre espiritualidade e saúde: o que literatura científica aponta sobre o tema nos últimos 5 anos? Research, Society and Development, 8 (7), 1-23. doi: 10.33448/rsd-v8i7.1103

Pargament, K. I., & Lomax, J. W. (2013). Understanding and addressing religion among people with mental illness. World Psychiatry, 12 (1), 26-32. doi: 10.1002/wps.20005

Parhami, I., Davtian, M., Collard, M., Lopez, J., Fong, T. W. (2014). A preliminary 6-month prospective study examining self-reported religious preference, religiosity/spirituality, and retention at a Jewish residential treatment center for substance-related disorders. The Journal of Behavioral Health Services & Research, 41 (3), 390-401. doi: 10.1007/s11414-012-9279-x

Pearce, M. J., Koenig, H. G., Robins, C. J., Daher, N., Shaw, S. F., Nelson, B., Berk, L. S., Belinger, D., Cohen, H. J., & King, M. B. (2016). Effects of Religious Versus Conventional Cognitive-Behavioral Therapy on Gratitude in Major Depression and Chronic Medical Illness: A Randomized Clinical Trial. Journal of Spirituality in Mental Health, 18 (2), 124-144. doi:10.1080/19349637.2015.1100971

Puchalski, C. M. (2017). The role of spirituality in health care. Baylor University Medical Center Proceedings, 14 (4), 352-357. doi: 10.1080/08998280.2001.11927788

Robinson, E. A. R., Krentzman, A., R., Webb, J. R., & Brower, K. J. (2011). Six-month changes in spirituality and religiousness in alcoholics predict drinking outcomes at nine months. Journal of Studies on Alcohol and Drugs, 72 (4), 660-668. doi:10.15288/jsad.2011.72.660

Santos, C. M C., Pimenta, C. A. M., & Nobre, M., R., C. (2007). A estratégia pico para a construção da pergunta de pesquisa e busca de evidências. Revista Latino-Americana de Enfermagem, 15 (3), 1-4. doi: 10.1590/S0104-11692007000300023

Shamsalina, A., Norouzi, K., Khoshknab, M. F., & Farhoudiyan, A. (2014). Recovery based on spirituality in substance abusers in Iran. Global Journal of Health Science, 6 (6), 154-162. doi: 10.5539/gjhs.v6n6p154

Strobbe, S., Cranford, J. A., Wojnar, M., & Brower, K. J. (2013). Spiritual awakening predicts improved drinking outcomes in a Polish treatment sample. Journal of Addictions Nursing, 24 (4), 209-216. doi: 10.1097/JAN.0000000000000002

Teixeira, V. S., Monteiro, C. B., Ferreira, E. C., Pacheco, M. A. B., Santiago M. P., & Loyola, C. M. P. (2020). Primeira internação psiquiátrica: um olhar do cuidado a partir da experiência do paciente. Research, Society and Development, 9 (9), 1-18. doi: 10.33448/rsd-v9i9.7402

Tonigan, J. S., McCallion, E. A., Frohe, T., & Pearson, M. R. (2017). Lifetime Alcoholics Anonymous attendance as a predictor of spiritual gains in the Relapse Replication and Extension Project (RREP). Psychology of Addictive Behaviors, 31 (1), 54-60. doi:10.1037/adb0000235

Touchet, B., Youman, K., Pierce, A., & Yates, W. (2012). The Impact of Spirituality on Psychiatric Treatment Adherence. Journal of Spirituality in Mental Health, 14 (4), 259-267. doi: 10.1080/19349637.2012.730468

Tulbure, B. T., Andersson, G., Salagean, N., Pearce, M., & Koenig, H. G. (2018). Religious versus Conventional Internet-based Cognitive Behavioral Therapy for Depression. Journal of Religion and Health, 57, 1634-1648. doi: 10.1007/s10943-017-0503-0

Yeterian, J. D., Bursik, K., & Kelly, J. F. (2015). Religiosity as a Predictor of Adolescents' Substance Use Disorder Treatment Outcomes. Substance Abuse Journal, 36 (4), 453-461. doi:10.1080/08897077.2014.960550

Downloads

Published

14/11/2020

How to Cite

ZONTA, B. P. S. .; VERNAGLIA, T. V. C. .; SÓRIA, D. de A. C. . The influence of Religiosity/Spirituality on the therapeutic response and prognosis of patients with mental disorders: an integrative review. Research, Society and Development, [S. l.], v. 9, n. 11, p. e2889119784, 2020. DOI: 10.33448/rsd-v9i11.9784. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/9784. Acesso em: 26 dec. 2024.

Issue

Vol. 9 No. 11

Section

Health Sciences

License

Copyright (c) 2020 Bruna Paola Santos Zonta; Taís Veronica Cardoso Vernaglia; Denise de Assis Corrêa Sória

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Authors who publish with this journal agree to the following terms:

1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.

2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.

3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.