Struggling and Enduring With God, Religious Support, and Recovery From Severe Mental Illness
ABSTRACT People with severe mental illnesses may achieve varying degrees of recovery, including symptom reduction and community integration. Research also indicates that religiosity facilitates coping with psychological disorders. In this study, we assessed the relationship between religiosity and recovery from severe mental illnesses.
Self-report data were collected from 81 participants with severe mental illnesses. We measured recovery, religious support, and participants' struggle or endurance with faith.
Religious support and enduring with faith were positively associated with recovery. Struggling was negatively associated with recovery, and that relationship was mediated by religious support.
Religious variables, including religious support and spiritual struggle, might affect recovery from severe mental illnesses.
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ABSTRACT: As a consequence of the 1994 Rwandan genocide, prevalences of mental disorders are elevated in Rwanda. More knowledge about determinants of mental stress can help to improve mental health services and treatment in the east-central African country. The present study aimed to investigate actual rates of mental stress (posttraumatic stress disorder, syndromal depression and syndromal anxiety) in Rwanda and to examine if gender, persecution during the genocide, readiness to reconcile as well as importance given to religiosity and quality of religiosity are predictors of mental stress. The study comprised a community sample of N = 200 Rwandans from Rwanda's capital Kigali, who experienced the Rwandan genocide. By conducting structured interviews, ten local Master level psychologists examined types of potentially lifetime traumatic events, symptoms of posttraumatic stress disorder (PTSD), depression and anxiety, readiness to reconcile and religiosity. Applying non-recursive structural equation modeling (SEM), the associations between gender, persecution, readiness to reconcile, religiosity and mental stress were investigated. Respondents had experienced an average number of 11.38 types of potentially lifetime traumatic events. Of the total sample, 11% met diagnostic criteria for PTSD, 19% presented with syndromal depression and 23% with syndromal anxiety. Female sex, persecution and readiness to reconcile were significant predictors of mental stress. Twofold association was found between centrality of religion (which captures the importance given to religiosity) and mental stress, showing, that higher mental stress provokes a higher centrality and that higher centrality reduces mental stress. The variables positive and negative religious functioning (which determine the quality of religiosity) respectively had an indirect negative and positive effect on mental stress. Study results provide evidence that rates of mental stress are still elevated in Rwanda and that female sex, persecution, readiness to reconcile, centrality and religious functioning are predictors of mental stress. Seventeen years after the genocide, there remains a large gap between the need for and provision of mental health services in Rwanda. Results underline the importance of improving the respective infrastructure, with a focus on the requirements of women and persons, who were persecuted during the genocide. They further highlight that the consideration of readiness to reconcile, centrality and religious functioning in therapeutic interventions can aid mental health in Rwanda.International Journal of Mental Health Systems 09/2014; 8(1):37. DOI:10.1186/1752-4458-8-37 · 1.06 Impact Factor
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ABSTRACT: Religion and spirituality exert a significant role in the lives of many individuals, including people with schizophrenia. However, the contribution of religion and spirituality to various domains (psychopathology, explanatory models, treatment seeking, treatment adherence, outcome, etc.) has not received much attention. In this article, we review the exiting data with regards to the relationship of religion, spirituality, and various domains in patients with schizophrenia. Available evidence suggests that for some patients, religion instills hope, purpose, and meaning in their lives, whereas for others, it induces spiritual despair. Patients with schizophrenia also exhibit religious delusions and hallucinations. Further, there is some evidence to suggest that religion influences the level of psychopathology. Religion and religious practices also influence social integration, risk of suicide attempts, and substance use. Religion and spirituality also serves as an effective method of coping with the illness. Religion also influences the treatment compliance and outcome in patients with schizophrenia.Indian Journal of Psychological Medicine 03/2014; 36(2):119-124. DOI:10.4103/0253-7176.130962
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ABSTRACT: BACKGROUND: Women of reproductive age are vulnerable to psychosocial problems but these have remained largely unexplored in some groups especially amongst Muslims in developing countries. The aim of this study was to explore and describe psychosocial impact and social support following perinatal loss among Muslim women. METHODS: A qualitative study was conducted in specialist centre among Muslim mothers who had experienced perinatal loss. Purposive sampling to achieve maximum variation among Muslims in relation to age, parity and previous perinatal death was used. Data was captured using focus group discussion and in-depth unstructured interview until the saturation point met. RESULTS: Sixteen mothers participated, having had one recent perinatal loss of a wanted pregnancy, had received antenatal follow up from public or private health clinics, and had delivery in our centre. All of them had experienced psychological difficulties including feelings of confusion, emptiness and anxiety over facing another pregnancy. Two of them showed anger and one felt guilt. They reported experiencing a lack of communication and privacy in the hospital during the period of grief. Family members and friends play an important role in providing support was reported. The majority agreed that the decision makers were their husbands and families rather than themselves alone. The respondents felt that repetitive reminder by husband, family or friends that whatever happened was a test from God improved their sense of self-worth. CONCLUSION: Muslim mothers who had experienced perinatal loss showed some level of adverse psychosocial impact which affected their feelings. Health care providers should provide psychosocial support in hospital, and ongoing support should be available where needed. Majority said that their husbands and family members were the main decision makers.BMC Women's Health 06/2012; 12(1):15. DOI:10.1186/1472-6874-12-15 · 1.66 Impact Factor