Religion and spirituality in prevention and promotion in mental health

Author(s):  
Arjan W. Braam

The role religion and spirituality (R/S) can play in the promotion and prevention of mental health is not strictly defined, and the influence of culture is probably decisive. Aspects of R/S can be tentatively conceived of as epidemiological factors sometimes associated with better or poorer mental health (as is clear for at least one aspect—that is, religious struggle). Three main targets of prevention are suggested: (1) to consider how R/S may contribute to mental hygiene and educate accordingly, (2) to address religious struggle and positive elements of R/S in people with mental problems, and foster the therapeutic alliance and compliance, and (3) to prevent associated disabilities in those with mental disorders, and consider R/S as a field in need of care, with special attention to how R/S relates to existential concerns and the recovery process.

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
D Stimac Grbic ◽  
I Pavic Simetin ◽  
A Istvanovic

Abstract Issue Care for people with severe mental disorders requires approach that is focused on a person's strengths, not his weaknesses, and is a shift from a deficit model that is often associated with mental illness. Care users and their family members play an important role in this approach. Description of the Problem Mental disorders are the leading group of diseases in Croatia, according to the number of days of hospital treatment. The number of hospitalizations is high, and the rate of hospitalization for depression has tripled in the last twenty years. Such indicators highlight the need for reorientation of mental health care, from hospital-based to community-based, by organizing mobile community intervention teams. Results In Croatia, psychosocial peer teams were established by the NGO Ludruga, financed by local government, to provide peer support to persons with mental disorders. The main activities are: development of a personal recovery plan, home visits and providing psychological support to persons with mental disorders, organizing support groups and education of peer workers. The teams consist of a peer worker, social worker, psychologist, and operate under the supervision of a psychiatrist. The teams have been operating for five years, have had over a hundred users so far and are a significant help to the healthcare system in preventing rehospitalizations. Lessons The goal of therapeutic interventions in mental health care should be recovery. Recovery involves empowering a person to take responsibility for themselves and their health. Peer workers play an important role in the recovery process, providing hope for recovery. Their role must also be recognized by the health system. Key messages People with mental disorders and their families should be co-creators of care and recovery-oriented interventions. Only by comprehensive interventions, tackling all determinants of health, therapeutic goal can be achieved.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Patricia Penas ◽  
Jose-Juan Uriarte ◽  
Susana Gorbeña ◽  
Mike Slade ◽  
María-Concepción Moreno-Calvete ◽  
...  

Abstract Background Personal recovery has become an increasingly important approach in the care of people with severe mental disorders and consequently in the orientation of mental health services. The objective of this study was to assess the personal recovery process in people using mental health services, and to clarify the role of variables such as symptomatology, self-stigma, sociodemographic and treatment. Methods Standardised measures of personal recovery process, clinical recovery, and internalized stigma were completed by a sample of 312 participants in a Severe Mental Disorder program. Results Users valued most the recovery elements of: improving general health and wellness; having professionals who care; hope; and sense of meaning in life. Significant discrepancies between perceived experience and relative importance assigned to each of the components of the REE were observed. Regression modeling (χ2 = 6.72, p = .394; GFI = .99, SRMR = .03) identified how positive discrepancies were associated with a higher presence of recovery markers (β = .12, p = .05), which in turn were negatively related to the derived symptomatology index (β = −.33, p < .001). Furthermore, the relationship between clinical and personal recovery was mediated by internalized stigma. Conclusions An improvement in psychiatric services should be focused on recovery aspects that have the greatest discrepancy between importance and experience, in particular social roles, basic needs and hope. Personal and clinical recovery are correlated, but the relationship between them is mediated by internalized stigma, indicating the need for clinical interventions to target self-stigma.


2021 ◽  
Vol 36 (6) ◽  
pp. 67-88
Author(s):  
Maryla Malewicz-Sawicka ◽  
Anna Więcek-Durańska

The article presents issues related to the importance of relationships in the process of helping people suffering from schizophrenia. Schizophrenia is one of the most severe mental-health disorder, in its course it often leads to mental disability. Therefore, the mental disability and initiating the recovery process of people with schizophrenia are the most important and central concepts of the text. Working with a patient suffering from schizophrenia aims at preventing disability and minimizing its consequences, and the success of these actions should be measured by the degree to which a disabled person is able to work independently, fulfil daily family and home duties and manage their free time. Creating a good or sufficiently good therapeutic relationship with a person suffering from schizophrenia is a complex configuration of many factors: from purely behavioural and information-sharing to those related to a sense of genuine closeness. The list of factors influencing creation of a therapeutic relationship can be elaborated based on various assumptions, some may emphasize the factor of patients' disability, others – cognitive deficits, and still others may be created based on existential assumptions. In this article, particular emphasis is placed on the area of psychosocial rehabilitation with its specific goals and the role of empathy and therapeutic relationship in the process of recovery of people with mental disorders.


2019 ◽  
Vol 21 (3) ◽  
pp. 190-200
Author(s):  
Emily Glorney ◽  
Sophie Raymont ◽  
Amy Lawson ◽  
Jessica Allen

Purpose Religion and spirituality are well-researched concepts within the field of psychology and mental health yet they have rarely been researched in high-secure services within the UK. Research in mental health and prison contexts suggests benefits of religion/spirituality to coping, social support, self-worth, symptoms of depression and anxiety and behavioural infractions. The purpose of this paper is to investigate the role of religion/spirituality in high-secure service users’ personal recovery. Design/methodology/approach Semi-structured interviews were carried out with 13 male patients in a high-secure hospital, with primary diagnoses of mental illness (n=11) or personality disorder (n=2). Participants were from a range of religious/spiritual backgrounds and were asked about how their beliefs impact their recovery and care pathways within the hospital. Data were analysed using interpretative phenomenological analysis. Findings Three superordinate themes were identified: “religion and spirituality as providing a framework for recovery”; “religion and spirituality as offering key ingredients in the recovery process”; and “barriers to recovery through religion/spirituality”. The first two themes highlight some of the positive aspects that aid participants’ recovery. The third theme reported hindrances in participants’ religious/spiritual practices and beliefs. Each theme is discussed with reference to sub-themes and illustrative excerpts. Practical implications Religion/spirituality might support therapeutic engagement for some service users and staff could be more active in their enquiry of the value that patients place on the personal meaning of this for their life. Originality/value For the participants in this study, religion/spirituality supported the principles of recovery, in having an identity separate from illness or offender, promoting hope, agency and personal meaning.


2020 ◽  
Author(s):  
Novrial Ahmad Hanif

Mental health is projected to be one of issues that would be a problem among people's live in the future. This issue is caused by a lack of knowledge and insight into the mental health community, as well as the negative stigma attached to people's perceptions of mental illness and the sufferers. The negative stigma hamper government and community efforts in creating mental health in the community. Stigma obstruct the recovery process of mental disorders that can happen to any human being and for the sufferers will be difficult to live in the midst of the general public.


2021 ◽  
Vol 15 (1) ◽  
pp. 1-8
Author(s):  
Ahmad Wahyudi Wahyudi ◽  
Ah Yusuf ◽  
Mundakir

Recently, the research analyzes the relationship between religion and spirituality has grown rapidly.Many mental health clinics have implemented interventions on religious and spirituality-based mental disorders. This article aimed to examine the effectiveness of handling mental-based mental disorders from various studies that have been conducted. Methods: The articles used in this systematic review were searched in the SCOPUS, PROQUEST, SPRINGERLINK, SAGE and SCIENCEDIRECT databases which is published between 2016-2020. The keyword used were "mental disorders" or "mental illness" and “spiritual” or “religious”, with the use of the phrase Boolean Operators. The articles selected according to the inclusion criteria include articles stating the effectiveness of spiritual healing for mental disorders, articles that analyzed mental illness patients in RCT, case-control studies and experiment. The articles obtained then were analyzed with the DSVIA conclusion table (design, sampling, variables, intervention and analysis). Results: There were 15 articles that meet the criteria as a systematic review.Thestudy result showed that there was a relationship between religious/spiritual involvement and mental disorders (positive). The findings from previous research indicated that religion play an important role in many situations because religious beliefs and rules affect people's lives. Conclusions:The majority of the previous literature stated a significant relationship between religious beliefs and practices and mental health.


2020 ◽  
Vol 20 (3) ◽  
pp. 191-195
Author(s):  
Aleksandra Kielan ◽  
◽  
Marlena Stradomska ◽  
Mariusz Jawoski ◽  
Anna Mosiołek ◽  
...  

Background: Women in Poland suffer from mental disorders more often than men (except for addictions). However, men are about six times more likely to commit suicide than women. What could be the cause of this situation? The aim of the article was to analyse the potential correlation between mental health and suicide in men. Materials and methods: The review was based on the available scientific literature on male depression and suicide. We searched Pubmed, Scopus and Google Schoolar (from 1.11.2019 to 31.01.2020). Results: Polish statistics may differ from others due to the fact that current diagnostic criteria often fail to take into consideration the typical symptoms of mental disorders in men. Male suicide attempts are more commonly lethal. Men are also more likely to try to deal with mental problems on their own, often using alcohol, which, in many cases, leads to suicidal behaviour and addictions. This disparity between the numbers of suicides among men and women in recent years indicates an urgent need to promote mental health among men. Conclusions: Polish health policies should focus more on the mental health of men. It is very important to develop standards of promoting male mental health, which would meet the specific health needs of this group. It is necessary to provide physicians with new diagnostic tools which will allow for better identification of typical male symptoms of mental disorders.


2020 ◽  
Vol 11 ◽  
Author(s):  
Haohao Yan ◽  
Yudan Ding ◽  
Wenbin Guo

Background: Prenatal and postnatal mental disorders can exert severe adverse influences on mothers, fetuses, and children. However, the effect of the coronavirus disease 2019 (COVID-19) pandemic on the mental health of pregnant and postpartum women remains unclear.Methods: Relevant studies that were published from January 1, 2019 to September 19, 2020 were identified through the systematic search of the PubMed, EMBASE, and Web of Science databases. Quality assessment of included studies, random-effects meta-analysis, sensitivity analysis, and planned subgroup analysis were performed.Results: A total of 23 studies conducted with 20,569 participants during the COVID-19 pandemic and with 3,677 pregnant women before the COVID-19 pandemic were included. The prevalence rates of anxiety, depression, psychological distress, and insomnia among pregnant women during the COVID-19 pandemic were 37% (95% confidence interval [CI] 25–49%), 31% (95% CI 20–42%), 70% (95% CI 60–79%), and 49% (95% CI 46–52%), respectively. The prevalence of postpartum depression was 22% (95% CI 15–29%). Multigravida women and women in the first and third trimesters of pregnancy were more vulnerable than other pregnant women. The assessment of the associations between the COVID-19 pandemic and mental health problems revealed that the pooled relative risks of anxiety and depression in pregnant women were 1.65 (95% CI: 1.25–2.19) and 1.08 (95% CI: 0.80–1.46), respectively.Conclusions: The prevalence rates of mental disorders among pregnant and postpartum women during the COVID-19 pandemic were high. Timely and tailored interventions should be applied to mitigate mental problems among this population of women, especially multigravida women and women in the first and third trimesters of pregnancy.


Arsitektura ◽  
2017 ◽  
Vol 15 (1) ◽  
pp. 149
Author(s):  
Deva Bagus Zhafran ◽  
Hardiyati Hardiyati ◽  
Leny Pramesti

<pre><strong><em>Abstract: </em></strong><em>Mental health is projected to be one of issues that would be a problem among people's live in the future. This issue is caused by a lack of knowledge and insight into the mental health community, as well as the negative stigma attached to people's perceptions of mental illness and the sufferers. The negative stigma hamper government and community efforts in creating mental health in the community. Stigma obstruct the recovery process of mental disorders that can happen to any human being and for the sufferers will be difficult to live in the midst of the general public. “balai kesehatan jiwa” that is designed aiming at providing a forum for people with mental disorders transition before returning to the life of society, as well as to create containers mental health services closer to the people so that the people who sought mental health can be achieved more efficiently.the concept of environment’s design </em><em> is applied using a basic principle as the basis of healing environmental considerations whole aspects both component architecture and components forming other neighborhoods that are conducive and supportive user’s mental health. This building is planned by the location, building appearance, structure, landscaping and utilities on the building considering the stimulants wich is  received by the users from the building components.</em></pre><p><em> </em></p><strong><em>Keywords: </em></strong><em>Negative Stigma, Mental Health Centre, Containers Transition, Healing Environment</em>


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