A randomized trial of spiritual assessment of outpatients with schizophrenia: Patients' and clinicians' experience

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State: Public
Version: author
Serval ID
serval:BIB_9E83B32845AF
Type
Article: article from journal or magazin.
Collection
Publications
Title
A randomized trial of spiritual assessment of outpatients with schizophrenia: Patients' and clinicians' experience
Journal
Psychiatric Services
Author(s)
Huguelet P., Mohr S., Betrisey C., Borras L., Gillièron C., Marie A.M., Rieben I., Perroud N., Brandt P.-Y.
ISSN
1075-2730
Publication state
Published
Issued date
01/2011
Peer-reviewed
Oui
Volume
62
Number
1
Pages
79-86
Language
english
Abstract
Objective: Recovery-oriented care for patients with schizophrenia involves consideration of cultural issues, such as religion and spirituality. However, there is evidence that psychiatrists rarely address such topics. This study examined acceptance of a spiritual assessment by patients and clinicians, suggestions for treatment that arose from the assessment, and patient outcomes-in terms of treatment compliance and satisfaction with care (as measured by treatment alliance). Methods: Outpatients with psychosis were randomly assigned to two groups: an intervention group that received traditional treatment and a religious and spiritual assessment (N=40) and a control group that received only traditional treatment (N=38). Eight psychiatrists were trained to administer the assessment to their established and stable patients. After each administration, the psychiatrist attended a supervision session with a psychiatrist and a psychologist of religion. Baseline and three-month data were collected. Results: The spiritual assessment was well accepted by patients. During supervision, psychiatrists reported potential clinical uses for the assessment information for 67% of patients. No between-group differences in medication adherence and satisfaction with care were found at three months, although patients in the in- tervention group had significantly better appointment attendance dur- ing the follow-up period. Their interest in discussing religion and spirituality with their psychiatrists remained high. The process was not as well accepted by psychiatrists. Conclusions: Spiritual assessment can raise important clinical issues in the treatment of patients with chronic schizophrenia. Cultural factors, such as religion and spirituality, should be considered early in clinical training, because many clinicians are not at ease addressing such topics with patients.
Create date
05/07/2010 14:23
Last modification date
20/08/2019 16:04
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