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27.04.2023 | ORIGINAL PAPER

Integrating Religion and Spirituality into Psychiatric Outpatient Treatment in the United States

verfasst von: Matthew S. Stanford, Madeline R. Stiers, Keaton Soileau

Erschienen in: Journal of Religion and Health | Ausgabe 4/2023

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Abstract

It is common for mental health clients to desire that religion and spirituality (RS) be integrated into their treatment. Despite this preference, clients’ RS beliefs often go overlooked in therapy for a variety of reasons including lack of provider training on integration, fear of causing offense, or concerns about wrongly influencing clients. The present study assessed the effectiveness of using a psychospiritual therapeutic curriculum to integrate RS into psychiatric outpatient treatment for highly religious clients (n = 150) seeking services through a faith-based clinic. The curriculum was well accepted by both clinicians and clients, and a comparison of clinical assessments administered at intake and program exit (clients averaged 6.5 months in the program) showed significant improvement across a broad range of psychiatric symptoms. These results suggest the use of a religiously integrated curriculum within a broader psychiatric treatment program is beneficial and may be a way to overcome clinicians’ RS concerns and shortcomings while meeting religious clients’ desires for inclusion.

Anderson, N., Heywood-Everett, S., Siddiqi, N., Wright, J., Meredith, J., & McMillan, D. (2015). Faith-adapted psychological therapies for depression and anxiety: Systematic review and meta-analysis. Journal of Affective Disorders, 176(1), 183–196. https://doi.org/10.1016/j.jad.2015.01.019CrossRefPubMed

American Psychiatric Association. (2013a). The principles of medical ethics with annotations especially applicable to psychiatry. https://www.psychiatry.org/File%20Library/Psychiatrists/Practice/Ethics/principles-medical-ethics.pdf

American Psychiatric Association. (2013b). DSM-5-TR self-rated level 1 cross-cutting symptom measure—Adult. https://www.psychiatry.org/getmedia/e0b4b299-95b3-407b-b8c2-caa871ca218d/APA-DSM5TR-Level1MeasureAdult.pdf

American Psychological Association. (2017). Ethical principles of psychologists and code of conduct. Retrieved September 28, 2022, from https://www.apa.org/ethics/code.

Beck, A. T. (1970). Cognitive therapy: Nature and relation to behavior therapy. Behavior Therapy, 1(2), 184–200. https://doi.org/10.1016/S0005-7894(70)80030-2CrossRef

Captari, L. E., Hook, J. N., Hoyt, W., David, D. E., McElroy-Heltzel, S. E., & Worthington, E. L., Jr. (2018). Integrating clients’ religion and spirituality within psychotherapy: A comprehensive meta-analysis. Journal of Clinical Psychology, 74(11), 1938–1951. https://doi.org/10.1002/jclp.22681CrossRefPubMed

Cohen, P., Cohen, J., Aiken, L. S., & West, S. G. (1999). The problem of units and the circumstance for POMP. Multivariate Behavioral Research, 34(3), 315–346. https://doi.org/10.1207/S15327906MBR3403_2CrossRef

de Abreu Costa, M., & Moreira-Almeida, A. (2022). Religion-adapted cognitive behavioral therapy: A review and description of techniques. Journal of Religion and Health, 61(1), 443–466. https://doi.org/10.1007/s10943-021-01345-zCrossRefPubMed

Delaney, H. D., Miller, W. R., & Bisono, A. M. (2007). Religiosity and spirituality among psychologists: A survey of clinician members of the American Psychological Association. Professional Psychology: Research and Practice, 38(5), 538–546. https://doi.org/10.1037/0735-7028.38.5.538CrossRef

Dimmick, A. A., Trusty, W. T., & Swift, J. K. (2022). Client preferences for religious/spiritual integration and matching in psychotherapy. Spirituality in Clinical Practice, 9(3), 202–211. https://doi.org/10.1037/scp0000269CrossRef

English Standard Version Bible. (2001). Literal word English standard version. https://esv.literalword.com/

Giordano, A. L., & Cashwell, C. S. (2014). Entering the sacred: Using motivational interviewing to address spirituality in counseling. Counseling and Values, 59(1), 65–79. https://doi.org/10.1002/j.2161-007X.2014.00042.xCrossRef

Goncalves, J. P. B., Lucchetti, G., Menezes, P. R., & Vallada, H. (2015). Religious and spiritual interventions in mental health care: A systematic review and meta-analysis of randomized controlled clinical trials. Psychological Medicine, 45(14), 2937–2949. https://doi.org/10.1017/S0033291715001166CrossRefPubMedPubMedCentral

Harris, K. A., Randolph, B. E., & Gordon, T. D. (2016). What do clients want? Assessing spiritual needs in counseling: A literature review. Spirituality in Clinical Practice, 3(4), 250–275. https://doi.org/10.1037/scp0000108CrossRef

Hofmann, S. G., Asnaani, A., Vonk, I. J., Sawyer, A. T., & Fang, A. (2012). The efficacy of cognitive behavioral therapy: A review of meta-analyses. Cognitive Therapy and Research, 36(5), 427–440. https://doi.org/10.1007/s10608-012-9476-1CrossRefPubMedPubMedCentral

Jones, J. M. (2022, June 17). Belief in god in U.S. Dips to 81%, a new low. Gallup. https://news.gallup.com/poll/393737/belief-god-dips-new-low.aspx

Koenig, H. G., Pearce, M. J., Nelson, B., Shaw, S. F., Robins, C. J., Daher, N. S., Cohen, H. J., Berk, L. S., Bellinger, D. L., Pargament, K. I., Rosmarin, D. H., Vasegh, S., Kristeller, J., Juthani, N., Nies, D., & King, M. B. (2015). Religious vs conventional cognitive behavioral therapy for major depression in persons with chronic medical illness: A pilot randomized trial. Journal of Nervous and Mental Disease, 203(4), 243–251. https://doi.org/10.1097/NMD.0000000000000273CrossRefPubMed

Lundahl, B. W., Kunz, C., Brownell, C., Tollefson, D., & Burke, B. L. (2010). A meta-analysis of motivational interviewing: Twenty-five years of empirical studies. Research on Social Work Practice, 20(2), 137–160. https://doi.org/10.1177/1049731509347850CrossRef

Miller, W. R. & Rollnick, S. (2002). Motivational interviewing: Preparing people for change (2nd ed). The Guilford Press.

Oxhandler, H. K., Moffatt, K. M., & Giardina, T. D. (2018). Clinical helping professionals’ perceived support, barriers, and training to integrate clients’ religion/spirituality in practice. Spirituality in Clinical Practice, 6(4), 279–291. https://doi.org/10.1037/scp0000189CrossRef

Oxhandler, H. K., & Pargament, K. I. (2018). Measuring religious and spiritual competence across helping professions: Previous efforts and future directions. Spirituality in Clinical Practice, 5(5), 120–132. https://doi.org/10.1037/scp0000149CrossRef

Oxhandler, H. K., Pargament, K. I., Pearce, M. J., Vieten, C., & Moffatt, K. M. (2021). Current mental health clients’ attitudes regarding religion and spirituality in treatment: A national survey. Religions, 12(6), 371. https://doi.org/10.3390/rel12060371CrossRef

Pearce, M. J., Koenig, H. G., Robins, C. J., Nelson, B., Shaw, S. F., Cohen, H. J., & King, M. B. (2015). Religiously integrated cognitive behavioral therapy: A new method of treatment for major depression in patients with chronic medical illness. Psychotherapy, 52(1), 56–66. https://doi.org/10.1037/a0036448CrossRefPubMed

Pew Research Center. (2014). Religious landscape study. https://www.pewresearch.org/religion/religious-landscape-study/

Pew Research Center. (2012). The global religious landscape. https://assets.pewresearch.org/wp-content/uploads/sites/11/2014/01/global-religion-full.pdf

Post, B. C., & Wade, N. G. (2009). Religion and spirituality in psychotherapy: A practice-friendly review of research. Journal of Clinical Psychology, 65(2), 131–146. https://doi.org/10.1002/jclp.20563CrossRefPubMed

Rogers, E. B., & Stanford, M. S. (2015). A church-based peer-led group intervention for mental illness. Mental Health, Religion and Culture, 18(6), 470–481. https://doi.org/10.1080/13674676.2015.1077560CrossRef

Rosmarin, D. H., Forester, B. P., Shassian, D. M., Webb, C. A., & Bjorgvinsson, T. (2015). Interest in spiritually integrated psychotherapy among acute psychiatric patients. Journal of Consulting and Clinical Psychology, 83(6), 1149–1153. https://doi.org/10.1037/ccp0000046CrossRefPubMedPubMedCentral

Rosmarin, D. H., Green, D., Pirutinsky, S., & McKay, D. (2013). Attitudes toward spirituality/religion among members of the Association for Behavioral and Cognitive Therapies. Professional Psychology: Research and Practice, 44(6), 424–433. https://doi.org/10.1037/a0035218CrossRef

Rosmarin, D. H., Bocanegra, E. S., Hoffnung, G., & Appel, M. (2019). Effectiveness of cognitive behavioral therapy for anxiety and depression among Orthodox Jews. Cognitive and Behavioral Practice, 26(4), 676–687. https://doi.org/10.1016/j.cbpra.2019.07.005CrossRef

Smith, T. B., Bartz, J. D., & Richards, P. S. (2007). Outcomes of religious and spiritual adaptations to psychotherapy: A meta-analytic review. Psychotherapy Research, 17(6), 643–655. https://doi.org/10.1080/10503300701250347CrossRef

Stanford, M. S., Elverson, T. M., Padilla, J. I., & Rogers, E. B. (2014). Feasibility and efficacy of a peer-led recovery group program for war-related trauma in Libya. South African Journal of Psychology, 44(1), 97–105. https://doi.org/10.1177/0081246313515847CrossRef

Stanford, M. S., & Padilla, J. I. (2018). reImagine: A holistic approach to mental health wellness and recovery. Hope and Healing Center and Institute. https://mentalhealthgateway.org/product/reimagine-digital-workbook/

Swift, J. K., Bird, M. O., Penix, E. A., & Trusty, W. T. (2022). Client preference accommodation for religious/spiritual integration and psychotherapy outcomes in naturalistic practice settings. Psychotherapy, 59(3), 392–399. https://doi.org/10.1037/pst0000386CrossRefPubMed

Walker, D. F., Gorsuch, R. L., & Tan, S. Y. (2004). Therapists’ integration of religion and spirituality in counselling: A meta-analysis. Counseling and Values, 49(1), 69–80. https://doi.org/10.1002/j.2161-007X.2004.tb00254.xCrossRef

Wong-Anuchit, C., Chantamit-o-pas, C., Kraenzle Schneider, J., & Mills, A. C. (2019). Motivational interviewing–based compliance/adherence therapy interventions to Improve psychiatric symptoms of people with severe mental illness: Meta-analysis. Journal of the American Psychiatric Nurses Association, 25(2), 122–133. https://doi.org/10.1177/1078390318761790CrossRefPubMed

Worthington, E. L., Hook, J. N., Davis, D. E., & McDaniel, M. A. (2011). Religion and spirituality. Journal of Clinical Psychology, 67(2), 204–214. https://doi.org/10.1002/jclp.20760CrossRefPubMed

Titel: Integrating Religion and Spirituality into Psychiatric Outpatient Treatment in the United States
verfasst von: Matthew S. Stanford
Madeline R. Stiers
Keaton Soileau
Publikationsdatum: 27.04.2023
Verlag: Springer US
Erschienen in: Journal of Religion and Health / Ausgabe 4/2023
Print ISSN: 0022-4197
Elektronische ISSN: 1573-6571
DOI: https://doi.org/10.1007/s10943-023-01821-8

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Abstract

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