Patterns of religiosity and spirituality of psychiatrists in Brazil and the implications for clinical practice: a latent profile analysis

Carregando...
Imagem de Miniatura
Citações na Scopus
3
Tipo de produção
article
Data de publicação
2020
Título da Revista
ISSN da Revista
Título do Volume
Editora
BMC
Citação
BMC PSYCHIATRY, v.20, n.1, article ID 546, 11p, 2020
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
BackgroundAlthough there is consensus, in psychiatry, over the inclusion of religious and spiritual aspects when evaluating and treating the patient, investigation of these dimensions is rare. There is evidence as to the relationship between psychiatrists' religious/spiritual beliefs and their willingness to discuss a patient's religion and spirituality (R/S). Due to the lack of information about how psychiatrists in Brazil deal with R/S in patient care, the aim of the present study is to analyze the religious/spiritual profile of these professionals and to ascertain its influence on attitudes and behavior in clinical practice.MethodsFive hundred and ninety-two psychiatrists from Brazil answered a questionnaire about R/S in clinical practice. The latent profile analysis was used to search for differences of religious/spiritual profiles. The ANOVA and Pearson's chi-square tests were employed to identify any correlation between clinical opinion and behaviors according to the different profiles.ResultsTwo religious/spiritual profiles were identified (entropy value >0,96): the so called ""less religious"" group (n=245), comprised predominantly by men, professionally more experienced, with a higher level of academic education (Master or PhD degrees) and were the ones who least enquired about their patients' R/S; and the ""more religious"" psychiatrists (n=347) those who had higher consideration for R/S on health, and who more often addressed R/S with their patients and therefore usually ascribed importance to include R/S in their professional training.ConclusionThe latent profile analysis produced two distinct classes between the Brazilian psychiatrists according to their R/S views: the more religious professionals, who investigate the patient's R/S in a more detailed manner, and the less religious, who tend to disregard this aspect.
Palavras-chave
Psychiatrics, Psychiatry, Clinical practice, Religion, Spirituality, Latent profile analysis
Referências
  1. Accreditation Council for Graduate Medical Education - ACGME, 2017, ACGM PROGR REQ GRAD
  2. Al-Yousefi NA, 2012, J RELIG HEALTH, V51, P269, DOI 10.1007/s10943-012-9567-z
  3. Amerongen-Meeuse JCV, 2018, MENT HEALTH RELIG CU, V21, P737, DOI 10.1080/13674676.2018.1553029
  4. [Anonymous], 1990, AM J PSYCHIAT, V147, P542, DOI 10.1176/AJP.147.4.542
  5. Baetz M, 2004, CAN J PSYCHIAT, V49, P265, DOI 10.1177/070674370404900407
  6. Baker DP, 2019, THEOR SOC, V48, P39, DOI 10.1007/s11186-018-09338-w
  7. Baker JO, 2009, SOC FORCES, V87, P1251, DOI 10.1353/sof.0.0181
  8. Beit-Hallahmi B, 2015, PSYCHOL PERSPECTIVES
  9. BERGIN AE, 1990, PSYCHOTHER, V27, P3, DOI 10.1037/0033-3204.27.1.3
  10. Best M, 2016, PALLIATIVE MED, V30, P327, DOI 10.1177/0269216315600912
  11. Best M, 2015, PATIENT EDUC COUNS, V98, P1320, DOI 10.1016/j.pec.2015.04.017
  12. Bonelli RM, 2013, J RELIG HEALTH, V52, P657, DOI 10.1007/s10943-013-9691-4
  13. Campion J, 2012, EUR PSYCHIAT, V27, P68, DOI 10.1016/j.eurpsy.2011.10.004
  14. CHAVES M, 1994, SOC FORCES, V72, P749, DOI 10.2307/2579779
  15. Clogg C. C., 1995, HDB STAT MODELING SO
  16. Cook C. C. H., 2015, ADV PSYCHIAT TREATME, V21, P42, DOI [10.1192/apt.bp.114.013276, DOI 10.1192/APT.BP.114.013276]
  17. Cordeiro Q., 2014, PSYCHE SPIRIT, V1, P2
  18. Cox J., 2011, INT J PERSON CTR MED, V1, P146
  19. Crosby JW, 2012, MENT HEALTH RELIG CU, V15, P141, DOI 10.1080/13674676.2011.561485
  20. Curlin FA, 2006, MED CARE, V44, P446, DOI 10.1097/01.mlr.0000207434.12450.ef
  21. Curlin FA, 2005, J GEN INTERN MED, V20, P629, DOI 10.1111/j.1525-1497.2005.0119.x
  22. Curlin FA, 2007, AM J PSYCHIAT, V164, P1825, DOI 10.1176/appi.ajp.2007.06122088
  23. Curlin FA, 2007, ANN FAM MED, V5, P353, DOI 10.1370/afm.677
  24. Curlin FA, 2007, ARCH INTERN MED, V167, P649, DOI 10.1001/archinte.167.7.649
  25. Curlin FA, 2007, NEW ENGL J MED, V356, P593, DOI 10.1056/NEJMsa065316
  26. Deaton A, 2011, EXPLORATIONS EC AGIN, P237, DOI 10.7208/CHICAGO/9780226903385.003.0009
  27. ELLIS A, 1980, J CONSULT CLIN PSYCH, V48, P635, DOI 10.1037/0022-006X.48.5.635
  28. Ellison CG, 2014, SOCIOL RELIG, V75, P208, DOI 10.1093/socrel/srt079
  29. Francis LJ, 2014, RELIGION, PERSONALITY, AND SOCIAL BEHAVIOR, P313
  30. Francis LJ, 1997, RELIGION, V27, P81, DOI 10.1006/reli.1996.0066
  31. Franzen AB, 2018, J RELIG HEALTH, V57, DOI 10.1007/s10943-018-0638-7
  32. Freud S., 1939, MOSES MONOTHEISM
  33. Freud S, 1927, FUTURE ILLUSION CIVI
  34. Gallup Jr GH, 2002, WHY ARE WOMEN MORE R
  35. Geppert C, 2007, DRUG ALCOHOL REV, V26, P389, DOI 10.1080/09595230701373826
  36. GLAESER EL, 2008, J HUMAN CAPITAL, V0002
  37. Goncalves JPB, 2015, PSYCHOL MED, V45, P2937, DOI 10.1017/S0033291715001166
  38. Group for the Advancement of Psychiatry - GAP, 1976, COMM PSYCH REL MYST
  39. Hefti R, 2009, RELIG SPIRITUALITY P, P244, DOI 10.1017/CBO9780511576843.017
  40. HOGE DR, 1972, J SCI STUD RELIG, V11, P369
  41. Huguelet P, 2009, RELIG SPIRITUALITY P, DOI [10.1017/CBO9780511576843, DOI 10.1017/CBO9780511576843]
  42. Hungerman DM, 2014, J ECON BEHAV ORGAN, V104, P52, DOI 10.1016/j.jebo.2013.09.004
  43. Hvidt NC, 2016, RELIGIONS, V7, DOI 10.3390/rel7080107
  44. IBGE, 2010, CENS DEM 2010 CAR GE
  45. Jacob L, 2019, ACTA PSYCHIAT SCAND, V139, P164, DOI 10.1111/acps.12972
  46. Koenig Harold G., 2007, Arch. Clin. Psychiatry (São Paulo), V34, P5, DOI 10.1590/S0101-60832007000700002
  47. Koenig HaroldG., 2012, HDB RELIG HLTH, V2nd ed.
  48. Korup AK, 2019, MEDICINE, V98, DOI 10.1097/MD.0000000000017265
  49. Korup AK, 2017, RELIGIONS, V8, DOI 10.3390/rel8020024
  50. Kovess-Masfety V, 2018, ACTA PSYCHIAT SCAND, V137, P306, DOI 10.1111/acps.12859
  51. Lawrence RE, 2013, ANXIETY STRESS COPIN, V26, P526, DOI 10.1080/10615806.2012.752461
  52. Lee E, 2019, RELIGIONS, V10, DOI 10.3390/rel10100544
  53. Lee E, 2013, EVID-BASED COMPL ALT, V2013, DOI 10.1155/2013/280168
  54. Lee JJ, 2002, REV HIGH EDUC, V25, P369, DOI 10.1353/rhe.2002.0020
  55. Loch AA, 2019, SCHIZOPHR RES, V204, P353, DOI 10.1016/j.schres.2018.09.020
  56. Loch AA, 2013, BMC PSYCHIATRY, V13, DOI 10.1186/1471-244X-13-92
  57. Menegatti-Chequini MC, 2016, BJPSYCH OPEN, V2, P346, DOI 10.1192/bjpo.bp.116.002816
  58. MENEGATTICHEQUINI, 2019, REV BRAS PSIQUIATR, V41, P58, DOI 10.1590/1516-4446-2017-2447
  59. Miller L, 2014, JAMA PSYCHIAT, V71, P128, DOI 10.1001/jamapsychiatry.2013.3067
  60. Miller L, 2012, AM J PSYCHIAT, V169, P89, DOI 10.1176/appi.ajp.2011.10121823
  61. Milner K, 2019, EPIDEMIOL PSYCHIAT S
  62. Moreira-Almeida A, 2011, REV BRAS PSIQUIATR, V33, pS21, DOI 10.1590/S1516-44462011000500004
  63. Muthen B, 2000, ALCOHOL CLIN EXP RES, V24, P882, DOI 10.1111/j.1530-0277.2000.tb02070.x
  64. Muthen B, 2017, MPLUS STAT ANAL LATE
  65. NEELEMAN J, 1995, BRIT J MED PSYCHOL, V68, P169, DOI 10.1111/j.2044-8341.1995.tb01823.x
  66. NEELEMAN J, 1993, ACTA PSYCHIAT SCAND, V88, P420, DOI 10.1111/j.1600-0447.1993.tb03484.x
  67. Pajevic I, 2012, PSYCHIAT DANUB, V24, pS262
  68. Pargament KI, 2000, J CLIN PSYCHOL, V56, P519, DOI 10.1002/(SICI)1097-4679(200004)56:4<519::AID-JCLP6>3.3.CO;2-T
  69. Pargament KI., 1997, PSYCHOL RELIG COPING
  70. Poole R, 2019, BRIT J PSYCHIAT, V214, P181, DOI 10.1192/bjp.2018.241
  71. Peres M, 2018, J RELIG HEALTH, V57, P1842, DOI 10.1007/s10943-017-0400-6
  72. Ramakrishnan P, 2015, J RELIG HEALTH, V54, P649, DOI 10.1007/s10943-014-9906-3
  73. Rosmarin DH, 2010, J ANXIETY DISORD, V24, P799, DOI 10.1016/j.janxdis.2010.05.014
  74. Royal College of Psychiatrists, 2011, REC PSYCH SPIR REL P
  75. Schwadel P, 2014, SOC FORCES, V93, P719, DOI 10.1093/sf/sou080
  76. Shafranske EP, 2000, PSYCHIAT ANN, V30, P525, DOI 10.3928/0048-5713-20000801-07
  77. Curcio CSS, 2019, J RELIG HEALTH, V58, P1217, DOI 10.1007/s10943-018-0723-y
  78. Stack S, 2019, SUICIDE LIFE-THREAT, V49, P371, DOI 10.1111/sltb.12435
  79. Stark R, 2002, J SCI STUD RELIG, V41, P495, DOI 10.1111/1468-5906.00133
  80. Stroppa A, 2018, REV BRAS PSIQUIATR, V40, P238, DOI 10.1590/1516-4446-2017-2365
  81. Sullins DP, 2006, AM J SOCIOL, V112, P838, DOI 10.1086/507852
  82. Uecker JE, 2007, SOC FORCES, V85, P1667, DOI 10.1353/sof.2007.0083
  83. van Randwijk CB, 2019, J RELIG HEALTH, V58, P333, DOI 10.1007/s10943-018-0662-7
  84. van Rensburg ABRJ, 2012, REV PSIQ CLIN-BRAZIL, V39, P122, DOI 10.1590/S0101-60832012000400002
  85. Verhagen P, 2010, RELIG PSYCHIAT BOUND, P615, DOI [10.1002/9780470682203.epil, DOI 10.1002/9780470682203.EPIL]
  86. Vitorino LM, 2018, SCI REP-UK, V8, DOI 10.1038/s41598-018-35380-w
  87. Voltmer E, 2014, J RELIG HEALTH, V53, P1741, DOI 10.1007/s10943-013-9776-0
  88. Welgemoed MA, 2014, SAJP-S AFR J PSYCHI, V20, P140, DOI [10.7196/SAJP.619, 10.7196/sajp.619]
  89. Yoon JD, 2015, SOUTH MED J, V108, P189, DOI 10.14423/SMJ.0000000000000250