fr
Article scientifique
Anglais

Delusions with religious content in patients with psychosis: how they interact with spiritual coping

Publié dansPsychiatry, vol. 73, no. 2, p. 158-172
Date de publication2010
Résumé

Delusions with religious content have been associated with a poorer prognosis in schizophrenia. Nevertheless, positive religious coping is frequent among this population and is associated with a better outcome. The aim of this study was to compared patients with delusions with religious content (n = 38), patients with other sorts of delusions (n = 85) and patients without persistent positive symptoms (n = 113) clinically and spiritually. Outpatients (n = 236) were randomly selected for a quantitative and qualitative evaluation of religious coping. Patients presenting delusions with religious content were not associated with a more severe clinical status compared to other deluded patients, but they were less likely to adhere to psychiatric treatment. For almost half of the group (45%), spirituality and religiousness helped patients cope with their illness. Delusional themes consisted of: persecution (by malevolent spiritual entities), influence (being controlled by spiritual entities), and self-significance (delusions of sin/guilt or grandiose delusions). Both groups of deluded patients valued religion more than other patients, but patients presenting delusions with religious content received less support from religious communities. In treating patients with such symptoms, clinicians should go beyond the label of "religious delusion," likely to involve stigmatization, by considering how delusions interact with patients' clinical and psychosocial context.

Mots-clés
  • *Adaptation, Psychological
  • Adult
  • Delusions/complications/*psychology
  • Female
  • Humans
  • Male
  • Middle Aged
  • Psychotic Disorders/complications/*psychology
  • Regression Analysis
  • *Religion and Psychology
  • Schizophrenia/complications
  • *Schizophrenic Psychology
  • Sex Factors
Citation (format ISO)
MOHR, Sylvia et al. Delusions with religious content in patients with psychosis: how they interact with spiritual coping. In: Psychiatry, 2010, vol. 73, n° 2, p. 158–172. doi: 10.1521/psyc.2010.73.2.158
Identifiants
ISSN du journal0033-2747
621vues
0téléchargements

Informations techniques

Création22/05/2012 15:15:35
Première validation22/05/2012 15:15:35
Heure de mise à jour14/03/2023 17:30:00
Changement de statut14/03/2023 17:30:00
Dernière indexation15/01/2024 23:38:33
All rights reserved by Archive ouverte UNIGE and the University of GenevaunigeBlack