The association of religiosity, spirituality, and ethnic background with ego-pathology in acute schizophrenia

Authors: Rohricht, Frank1; Basdekis-Jozsa, Raphaela2; Sidhu, Juggy3; Mukhtar, Amer3; Suzuki, Iris3; Priebe, Stefan4

Source: Mental Health, Religion & Culture, Volume 12, Number 6, September 2009 , pp. 515-526(12)

Publisher: Routledge, part of the Taylor & Francis Group

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Abstract:

Studies have highlighted the impact of ego-consciousness, religiosity and spirituality on psychotic symptoms, although so far no study has investigated if and how these factors may be interrelated. In this exploratory cross-sectional study, involving 42 patients with a diagnosis of acute paranoid schizophrenia (DSM-IV), we assessed religiosity (Religious Orientation Test) spirituality (Spiritual Transcendence Scale) and ego-pathology (Ego Pathology Inventory) and analysed any relationship with these and psychopathological symptoms (Positive and Negative Symptom Scale). The subjects were divided into four ethnic groups (Caucasian, Afro-Caribbean, African, and Asian) and a structured, qualitative interview on religious needs and self-concepts was also conducted. Using a multivariate analysis, we found statistically significant negative associations between the scores on ego and common pathology and religiosity and spirituality as covariates. This was seen across all ethnic groups. The findings are discussed in respect of the potential clinical importance of ethnic, religious and spiritual factors for assessment and management of patients with schizophrenia.

Keywords: schizophrenia; religion; spirituality; ego; psychopathology; ethnicity

Document Type: Research article

DOI: http://dx.doi.org/10.1080/13674670902800133

Affiliations: 1: School for Social Community & Health Studies, University of Hertfordshire, London, E13 8SP, UK 2: Klinik und Poliklinik fur Psychiatrie und Psychotherapie, Institut fur Sexualforschung und Forensische Psychiatrie, Hamburg, Germany 3: East London NHS Foundation Trust, London, UK 4: Unit for Social and Community Psychiatry, Newham Centre for Mental Health, London, E13 8SP, UK

Publication date: 2009-09-01

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