Religiosity/Spirituality and Mental Health: Psychiatric Staff’s Attitudes and Behaviors


Along with the bio-psycho-social model in patient-centered care, religiosity/spirituality (ReS) receives increasing attention from medical communities. Correspondingly, healthcare professionals’ perspectives and their attitudes towards ReS receive increased attention, as their attitudes play a crucial role in the therapeutic process. In this context a nationwide study was conducted at Ger- man university hospitals and confessional clinics to find out what kind of attitudes psychiatrists and nurses have towards ReS in clinical settings. The respondents generally regarded dealing with religious/spiritual issues as appropriate, and also rated themselves to be ready to integrate ReS into therapies. Otherwise, most of the respondents underlined professional neutrality as preventing factor for an integration.

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Lee, E. , Zahn, A. and Baumann, K. (2014) Religiosity/Spirituality and Mental Health: Psychiatric Staff’s Attitudes and Behaviors. Open Journal of Social Sciences, 2, 7-13. doi: 10.4236/jss.2014.211002.

Conflicts of Interest

The authors declare no conflicts of interest.


[1] Hill, P.C. and Pargament, K.I. (2008) Advances in the Conceptualization and Measurement of Religion and Spirituality: Implications for Physical and Mental Health Research. Psychology of Religion and Spirituality, S, 3-17.
[2] Huang, C.L.-C., Shang, C.-Y., Shieh, M.-S., Lin, H.-N. and Su, J.C.-J. (2011) The Interactions between Religion, Religiosity, Religious Delusion/Hallucination, and Treatment-Seeking Behavior among Schizophrenic Patients in Taiwan. Psychiatry Research, 187, 347-353.
[3] Lucchetti, G., Lucchetti, A.L.G. and Koenig, H.G. (2011) Impact of Spirituality/Religiosity on Mortality: Comparison with Other Health Interventions. Explore, 7, 234-238.
[4] Miller, L., Bansal, R., Wickramaratne, P., Hao, X., Tenke, C.E., Weissman, M.M. and Peterson, B.S. (2014) Neuroanatomical Correlates of Religiosity and Spirituality: A Study in Adults at High and Low Familial Risk for Depression. JAMA Psychiatry, 71, 128-135.
[5] Nazarzadeh, M., Sarokhani, M. and Sayehmiri, K. (2014) The Relationship between Religious Attitudes, Fear of Death and Dying with General Health Condition: A Survey in College Students. Journal of Religion and Health, June.
[6] Seyringer, M.-E., Friedrich, F., Stompe, T., Frottier, P., Schrank, B. and Frühwald, S. (2007) The “Gretchen Question” for Psychiatry—The Importance of Religion and Spirituality in Psychiatric Treatment. Neuropsychiatrie, 21, 239-247.
[7] Unterrainer, H.F., Lewis, A.J. and Fink, A. (2014) Religious/Spiritual Well-Being, Personality and Mental Health: A Review of Results and Conceptual Issues. Journal of Religion and Health, 53, 382-392.
[8] Lee, S.A., Roberts, L.B. and Gibbons, J.A. (2013) When Religion Makes Grief Worse: Negative Religious Coping as Associated with Maladaptive Emotional Responding Patterns. Mental Health, Religion & Culture, 16, 291-305.
[9] Ai, A.L., Hall, D., Pargament, K. and Tice, T.N. (2013) Post-traumatic Growth in Patients who Survived Cardiac Surgery: The Predictive and Mediating Roles of Faith-Based Factors. Journal of Behavioral Medicine, 36, 186-198.
[10] Baetz, M., Larson, D.B., Marcoux, G., Bowen, R. and Griffin, R. (2002) Canadian Psychiatric Inpatient Religious Commitment: An Association with Mental Health. The Canadian Journal of Psychiatry, 47, 159-166.
[11] Wei, D. and Liu, E.Y. (2013) Religious Involvement and Depression: Evidence for Curvilinear and Stress-Moderating Effects among Young Women in Rural China. Journal for the Scientific Study of Religion, 52, 349-367.
[12] Rasic, D., Robinson, J.A., Bolton, J., Bienvenu, O.J. and Sareen, J. (2011) Longitudinal Relationships of Religious worship Attendance and Spirituality with Major Depression, Anxiety Disorders, and Suicidal Ideation and Attempts: Findings from the Baltimore Epidemiologic Catchment Area Study. Journal of Psychiatric Research, 45, 848-854.
[13] Boisvert, J.A. and Harrell, W.A. (2013) The Impact of Spirituality on Eating Disorder Symptomatology in Ethnically Diverse Canadian Women. International Journal of Social Psychiatry, 59, 729-738.
[14] D’Souza, R. (2002) Do Patients Expect Psychiatrists to Be Interested in Spiritual Issues? Australasian Psychiatry, 10, 44-47.
[15] Knox, S., Catlin, L., Casper, M. and Schlosser, L.Z. (2005) Addressing Religion and Spirituality in Psychotherapy: Clients’ Perspectives. Psychotherapy Research, 15, 287-303.
[16] Koslander, T. and Arvidsson, B. (2007) Patients’ Conceptions of How the Spiritual Dimension Is Addressed in Mental Health Care: A Qualitative Study. Journal of Advanced Nursing, 57, 597-604.
[17] Lawrence, R.M., Head, J., Christodoulou, G., Andonovska, B., Karamat, S., Duggal, A., Hillam, J. and Eagger, S. (2007) Clinicians’ Attitudes to Spirituality in Old Age Psychiatry. International Psychogeriatrics, 19, 962-973.
[18] Hofmann, L. and Walach, H. (2011) Spirituality and Religiosity in Psychotherapy—A Representative Survey among German Psychotherapists. Psychotherapy Research, 21, 179-192.
[19] Laboprabhu, S. and Lomax, J. (2010) The Role of Spirituality in Medical School and Psychiatry Residency Education. International Journal of Applied Psychoanalytic Studies, 7, 180-192.
[20] Bergin, A.E. and Jesen, J.P. (1990) Religiosity of Psychotherapists: A National Survey. Psychotherapy, 27, 3-7.
[21] Baetz, M., Griffin, R. and Bowen, R. (2004) Spirituality and Psychiatry in Canada: Psychiatric Practice Compared with Patient Expectations. Canadian Journal of Psychiatry, 49, 265-271.
[22] Curlin, F.A., Lawrence, R.E., Odell, S., Chin, M.H., Lantos, J.D., Koenig, H.G. and Meador, K.G. (2007) Religion, Spirituality, and Medicine: Psychiatrists’ and Other Physicians’ Differing Observations, Interpretations, and Clinical Approaches. The American Journal of Psychiatry, 164, 1825-1831.
[23] Curlin, F.A., Chin, M.H., Sellergren, S.A., Roach, C.J. and Lantos, J.D. (2006) The Association of Physicians’ Religious Characteristics with Their Attitudes and Self-Reported Behaviors Regarding Religion and Spirituality in the Clinical Encounter. Medical Care, 44, 446-453.
[24] Delaney, H.D., Miller, W.R. and Bisonó, A.M. (2007) Religiosity and Spirituality among Psychologists: A Survey of Clinician Members of the American Psychological Association. Professional Psychology: Research and Practice, 38, 538-546.
[25] Lee, E. (2014) Religiosit?t bzw. Spiritualit?t in Psychiatrie und Psychotherapie. Ihre Bedeutung für psychiatrisches Wirken aus der Sicht des psychiatrischen Personals anhand einer bundesweiten Personalbefragung. Echter Verlag, Würzburg.
[26] Lee, E. and Baumann, K. (2013) German Psychiatrists’ Observation and Interpretation of Religiosity/Spirituality. Evidence-Based Complementary and Alternative Medicine, 2013, 1-8.
[27] Lee, E., Zahn, A. and Baumann, K. (2011) “Religion in Psychiatry and Psychotherapy?” A Pilot Study: The Meaning of Religiosity/Spirituality from Staff’s Perspective in Psychiatry and Psychotherapy. Religions, 2, 525-535.
[28] Albers, G., Francke, A., de Veer, A.J.E., Bilsen, J. and Onwuteaka-Philipsen, B.D. (2014) Attitudes of Nursing Staff towards Involvement in Medical End-of-Life Decisions: A National Survey Study. Patient Education and Counseling, 94, 4-9.

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