Evolution of spirituality and religiousness in chronic schizophrenia or schizo-affective disorders: a 3-years follow-up study
- 11 October 2009
- journal article
- case report
- Published by Springer Science and Business Media LLC in Social psychiatry. Sozialpsychiatrie. Psychiatrie sociale
- Vol. 45 (11), 1095-1103
- https://doi.org/10.1007/s00127-009-0151-0
Abstract
Spirituality and religiousness have been shown to be highly prevalent in patients with schizophrenia. Religion can help instil a positive sense of self, decrease the impact of symptoms and provide social contacts. Religion may also be a source of suffering. In this context, this research explores whether religion remains stable over time. From an initial cohort of 115 out-patients, 80% completed the 3-years follow-up assessment. In order to study the evolution over time, a hierarchical cluster analysis using average linkage was performed on factorial scores at baseline and follow-up and their differences. A sensitivity analysis was secondarily performed to check if the outcome was influenced by other factors such as changes in mental states using mixed models. Religion was stable over time for 63% patients; positive changes occurred for 20% (i.e., significant increase of religion as a resource or a transformation of negative religion to a positive one) and negative changes for 17% (i.e., decrease of religion as a resource or a transformation of positive religion to a negative one). Change in spirituality and/or religiousness was not associated with social or clinical status, but with reduced subjective quality of life and self-esteem; even after controlling for the influence of age, gender, quality of life and clinical factors at baseline. In this context of patients with chronic schizophrenia, religion appeared to be labile. Qualitative analyses showed that those changes expressed the struggles of patients and suggest that religious issues need to be discussed in clinical settings.This publication has 21 references indexed in Scilit:
- Concerns About Measuring “Spirituality” in ResearchJournal of Nervous & Mental Disease, 2008
- The natural history of male mental health: Health and religious involvementSocial Science & Medicine, 2008
- God's will, God's punishment, or God's limitations? Religious coping strategies reported by young adults living with serious mental illnessJournal of Clinical Psychology, 2007
- The Assessment of Spirituality and Religiousness in SchizophreniaJournal of Nervous & Mental Disease, 2007
- An increase in religiousness/spirituality occurs after HIV diagnosis and predicts slower disease progression over 4 years in people with HIVJournal of General Internal Medicine, 2006
- Investigating self-esteem in individuals with schizophrenia: Relevance of the Self-Esteem Rating Scale-Short FormPsychiatry Research, 2006
- Religious Coping Methods as Predictors of Psychological, Physical and Spiritual Outcomes among Medically Ill Elderly Patients: A Two-year Longitudinal StudyJournal of Health Psychology, 2004
- The validation of a religiosity measure for individuals with schizophreniaMental Health, Religion & Culture, 2002
- Development of the World Health Organization WHOQOL-BREF Quality of Life AssessmentPsychological Medicine, 1998
- Factors Associated with the Course and Outcome of Schizophrenia in India Results of a Two-Year Multicentre Follow-Up StudyThe British Journal of Psychiatry, 1989