TY - JOUR
T1 - Religiosity and psychological resilience in patients with schizophrenia and bipolar disorder
T2 - an international cross-sectional study
AU - Mizuno, Y.
AU - Hofer, A.
AU - Frajo-Apor, B.
AU - Wartelsteiner, F.
AU - Kemmler, G.
AU - Pardeller, S.
AU - Suzuki, T.
AU - Mimura, M.
AU - Fleischhacker, W. W.
AU - Uchida, H.
N1 - Funding Information:
This work was supported by Grant-in-Aid for Young Scientists-B from the Ministry of Education, Culture, Sports, Science and Technology (HU, grant number 25870713); Astellas Foundation for Research on Metabolic Disorders (HU); SENSHIN Medical Research Foundation (HU); Keio University Grant-in-Aid for Encouragement of Young Medical Scientists (YM); and the Inokashira Hospital Foundation (YM). The funders had no role in the study design, data collection, analysis and interpretation of data, writing of the report, or the decision to submit the paper for publication. Dr. Mizuno is supported by fellowship grants from the Japan Society for the Promotion of Science, Astellas Foundation for Research on Metabolic Disorders, Japanese Society of Clinical Neuropsychopharmacology, and Mochida Memorial Foundation for Medical and Pharmaceutical Research. We would like to thank all of the subjects who participated in this study and all members of staff who assisted with subject recruitment.
Funding Information:
This work was supported by Grant-in-Aid for Young Scientists-B from the Ministry of Education, Culture, Sports, Science and Technology (HU, grant number 25870713); Astel-las Foundation for Research on Metabolic Disorders (HU); SENSHIN Medical Research Foundation (HU); Keio University Grant-in-Aid for Encouragement of Young Medical Scientists (YM); and the Inokashira Hospital Foundation (YM). The funders had no role in the study design, data collection, analysis and interpretation of data, writing of the report, or the decision to submit the paper for publication. Dr. Mizuno is supported by fellowship grants from the Japan Society for the Promotion of Science, Astellas Foundation for Research on Metabolic Disorders, Japanese Society of Clinical Neuropsy-chopharmacology, and Mochida Memorial Foundation for Medical and Pharmaceutical Research. We would like to thank all of the subjects who participated in this study and all members of staff who assisted with subject recruitment.
Publisher Copyright:
© 2017 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd
PY - 2018/4
Y1 - 2018/4
N2 - Objective: The impact of religious/spiritual activities on clinical outcomes in patients with serious mental illnesses remains controversial, which was addressed in this international cross-sectional study. Method: Three-hundred sixty-nine subjects were recruited from Austria (n = 189) and Japan (n = 180), consisting of 112 outpatients with paranoid schizophrenia, 120 with bipolar I disorder (DSM-IV), and 137 healthy controls. Religiosity was assessed in terms of attendance and importance of religious/spiritual activities, while resilience was assessed using the 25-item Resilience Scale. General linear models were used to test whether higher religiosity will be associated with higher resilience, higher social functioning, and lower psychopathology. The association between levels of spiritual well-being and resilience was also examined. Results: Attendance of religious services (F [4,365] = 0.827, P = 0.509) and importance of religion/spirituality (F [3,365] = 1.513, P = 0.211) did not show significant associations with resilience. Regarding clinical measures, a modest association between higher importance of religion/spirituality and residual manic symptoms was observed in bipolar patients (F [3,118] = 3.120, P = 0.029). In contrast to the findings regarding religiosity, spiritual well-being showed a strong positive correlation with resilience (r = 0.584, P < 0.001). Conclusion: The protective effect of religiosity in terms of resilience, social functioning, and psychopathology was not evident in our sample. Spiritual well-being appears more relevant to resilience than religiosity.
AB - Objective: The impact of religious/spiritual activities on clinical outcomes in patients with serious mental illnesses remains controversial, which was addressed in this international cross-sectional study. Method: Three-hundred sixty-nine subjects were recruited from Austria (n = 189) and Japan (n = 180), consisting of 112 outpatients with paranoid schizophrenia, 120 with bipolar I disorder (DSM-IV), and 137 healthy controls. Religiosity was assessed in terms of attendance and importance of religious/spiritual activities, while resilience was assessed using the 25-item Resilience Scale. General linear models were used to test whether higher religiosity will be associated with higher resilience, higher social functioning, and lower psychopathology. The association between levels of spiritual well-being and resilience was also examined. Results: Attendance of religious services (F [4,365] = 0.827, P = 0.509) and importance of religion/spirituality (F [3,365] = 1.513, P = 0.211) did not show significant associations with resilience. Regarding clinical measures, a modest association between higher importance of religion/spirituality and residual manic symptoms was observed in bipolar patients (F [3,118] = 3.120, P = 0.029). In contrast to the findings regarding religiosity, spiritual well-being showed a strong positive correlation with resilience (r = 0.584, P < 0.001). Conclusion: The protective effect of religiosity in terms of resilience, social functioning, and psychopathology was not evident in our sample. Spiritual well-being appears more relevant to resilience than religiosity.
KW - psychological resilience
KW - religion
KW - serious mental illness
KW - spirituality
KW - transcultural
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U2 - 10.1111/acps.12838
DO - 10.1111/acps.12838
M3 - Article
C2 - 29141100
AN - SCOPUS:85034230195
SN - 0001-690X
VL - 137
SP - 316
EP - 327
JO - Acta Psychiatrica Scandinavica
JF - Acta Psychiatrica Scandinavica
IS - 4
ER -
