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Bouwhuis-Van Keulen AJ, Koelen J, Eurelings-Bontekoe L, Hoekstra-Oomen C, Glas G. The evaluation of religious and spirituality-based therapy compared to standard treatment in mental health care: A multi-level meta-analysis of randomized controlled trials. Psychother Res 2024; 34:339-352. [PMID: 37615090 DOI: 10.1080/10503307.2023.2241626] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/01/2022] [Revised: 07/20/2023] [Accepted: 07/21/2023] [Indexed: 08/25/2023] Open
Abstract
OBJECTIVE Psychotherapies are increasingly incorporating spiritual and religious systems of belief and practice, which aligns with recent developments toward person-centered treatments. The main objective of this meta-analysis was to compare the efficacy of a religion and spiritually-based (R/S) therapy to non-R/S treatments. METHOD A multi-level meta-analysis was conducted to compare randomized controlled studies of the efficacy between R/S-based and regular treatments in mental health care setting. Inclusion criteria were diagnosis, psychotherapeutic treatment, and explicitly religion/spirituality therapy. Outcome was assessed for symptoms and for functioning separately, and combined. We also examined several moderators, such as type of comparison, outcome domain, and diagnosis. RESULTS Overall effect sizes obtained from 23 studies and 27 comparison groups indicated that a R/S treatment is moderately more efficacious compared to regular treatments at posttreatment (g = .52, p < .01) and at follow-up (g = .72, p < .01) (only available for symptoms). Results were similar for symptoms (g = .44, p < .01) and functioning (g = .62, p < .01). CONCLUSION In patients with a strong religious and spiritual affiliation, treatments with a focus on religious and spiritual issues are more efficacious than non-R/S-based therapy. Limitations as well as future directions are discussed.
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Affiliation(s)
| | - Jurrijn Koelen
- Faculty of Behavioural, Management and Social Sciences, Department of Psychology, Health and Technology, University of Twente, Enschede, The Netherlands
| | | | | | - Gerrit Glas
- Faculty of Humanities, Department of Philosophy, VUmc Amsterdam, Amsterdam, The Netherlands
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Fereydouni S, Forstmeier S. An Islamic Form of Logotherapy in the Treatment of Depression, Anxiety and Stress Symptoms in University Students in Iran. JOURNAL OF RELIGION AND HEALTH 2022; 61:139-157. [PMID: 35018526 PMCID: PMC8837512 DOI: 10.1007/s10943-021-01495-0] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 12/29/2021] [Indexed: 05/30/2023]
Abstract
Previous research demonstrated that spiritually sensitive psychotherapy is an effective treatment for clients with depression or anxiety, with outcomes equivalent to secular control interventions. The goal of this study was to evaluate the efficacy of spiritually sensitive logotherapy intervention in the treatment of depression, anxiety, and stress symptoms in university students in Iran. Sixty students with elevated depression symptoms (Beck Depression Inventory II, BDI-II, 22 or greater) were randomly assigned to either a twelve-session group logotherapy programme or a control group. Results showed that spiritually sensitive logotherapy significantly reduced depression, anxiety, and stress, and significantly more so than in the control group (e.g. interaction effect for BDI-II: F = 56.8, p < 0.001, with a large effect size).
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Affiliation(s)
- Shapour Fereydouni
- Developmental Psychology and Clinical Psychology of the Lifespan, Institute of Psychology, University of Siegen, Adolf-Reichwein-Str. 2a, 57068 Siegen, Germany
- Department of Educational Psychology, Islamic Azad University, Gachsaran Branch, Gachsaran, Iran
| | - Simon Forstmeier
- Developmental Psychology and Clinical Psychology of the Lifespan, Institute of Psychology, University of Siegen, Adolf-Reichwein-Str. 2a, 57068 Siegen, Germany
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Rosmarin DH, Salcone S, Harper D, Forester BP. Spiritual Psychotherapy for Inpatient, Residential, and Intensive Treatment. Am J Psychother 2019; 72:75-83. [DOI: 10.1176/appi.psychotherapy.20180046] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- David H. Rosmarin
- Spirituality and Mental Health Program (Rosmarin, Salcone) and Geriatric Psychiatry Research Program (Salcone, Harper, Forester), McLean Hospital, Belmont, Massachusetts; Department of Psychiatry, Harvard Medical School, Boston (Rosmarin, Harper, Forester)
| | - Sarah Salcone
- Spirituality and Mental Health Program (Rosmarin, Salcone) and Geriatric Psychiatry Research Program (Salcone, Harper, Forester), McLean Hospital, Belmont, Massachusetts; Department of Psychiatry, Harvard Medical School, Boston (Rosmarin, Harper, Forester)
| | - David Harper
- Spirituality and Mental Health Program (Rosmarin, Salcone) and Geriatric Psychiatry Research Program (Salcone, Harper, Forester), McLean Hospital, Belmont, Massachusetts; Department of Psychiatry, Harvard Medical School, Boston (Rosmarin, Harper, Forester)
| | - Brent P. Forester
- Spirituality and Mental Health Program (Rosmarin, Salcone) and Geriatric Psychiatry Research Program (Salcone, Harper, Forester), McLean Hospital, Belmont, Massachusetts; Department of Psychiatry, Harvard Medical School, Boston (Rosmarin, Harper, Forester)
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Nygren T, Brohede D, Koshnaw K, Osman SS, Johansson R, Andersson G. Internet-based treatment of depressive symptoms in a Kurdish population: A randomized controlled trial. J Clin Psychol 2019; 75:985-998. [PMID: 30702758 DOI: 10.1002/jclp.22753] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/01/2018] [Revised: 01/07/2019] [Accepted: 01/07/2019] [Indexed: 01/03/2023]
Abstract
OBJECTIVE Kurdish immigrants in Sweden have a doubled risk of mental health problems, and refugee and immigrant populations underutilize mental health services. The present study investigated the efficacy of culturally adapted guided internet-based cognitive behavior therapy (ICBT) for depressive symptoms in a Kurdish population. METHOD We included 50 individuals who were randomized to either an 8-week treatment or a wait-list. The Beck Depression Inventory-II was the primary outcome measure, and measures of anxiety and insomnia were secondary outcomes. RESULTS Depressive symptoms were significantly reduced (intention-to-treat analysis) in the treatment group, with a between-group effect size at posttreatment of Cohen's d = 1.27. Moderate to large between-group effects were also observed on all secondary outcome measures. Treatment effects were sustained at 11-month follow-up. CONCLUSION The results provide preliminary support for culturally adapted ICBT as a complement to other treatment formats for treating symptoms of depression in a Kurdish population.
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Affiliation(s)
- Tomas Nygren
- Department of Behavioural Sciences and Learning, Linköping University, Linköping, Sweden
| | - David Brohede
- Department of Behavioural Sciences and Learning, Linköping University, Linköping, Sweden
| | - Kocher Koshnaw
- Department of Behavioural Sciences and Learning, Linköping University, Linköping, Sweden
| | - Shevan Sherzad Osman
- Department of Behavioural Sciences and Learning, Linköping University, Linköping, Sweden
| | - Robert Johansson
- Department of Psychology, Stockholm University, Stockholm, Sweden
| | - Gerhard Andersson
- Department of Behavioural Sciences and Learning, Linköping University, Linköping, Sweden.,Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden
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Tulbure BT, Andersson G, Sălăgean N, Pearce M, Koenig HG. Religious versus Conventional Internet-based Cognitive Behavioral Therapy for Depression. JOURNAL OF RELIGION AND HEALTH 2018; 57:1634-1648. [PMID: 29067598 DOI: 10.1007/s10943-017-0503-0] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
The accessibility and efficacy of two Internet-supported interventions for depression: conventional cognitive behavioral therapy (C-CBT) and religious CBT (R-CBT) were investigated. Depressed participants (N = 79) were randomly assigned to either active treatment or wait-listed control group. Self-report measures of depression, anxiety, and life quality were collected before, immediately after, and 6 months after the intervention. Significant differences among the three conditions emerged at post-intervention with medium to large effect sizes (Cohen's d between 0.45 and 1.89), but no differences between the R-CBT and C-CBT were found. However, the addition of religious components to CBT contributed to the initial treatment appeal for religious participants, thus increasing the treatment accessibility.
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Affiliation(s)
- Bogdan Tudor Tulbure
- Department of Psychology, West University of Timişoara, Bd. V. Pârvan No. 4, 300223, Timişoara, Romania.
| | - Gerhard Andersson
- Department of Behavioral Sciences and Learning, Linköping University, 581 83, Linköping, Sweden
- Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden
| | - Nastasia Sălăgean
- Department of Psychology, West University of Timişoara, Bd. V. Pârvan No. 4, 300223, Timişoara, Romania
| | - Michelle Pearce
- School of Medicine, University of Maryland, Baltimore, MD, USA
| | - Harold G Koenig
- Department of Psychiatry and Behavioral Science, Duke University Medical Center, Durham, NC, USA
- Department of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia
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Abstract
SummaryIt is time to improve clinical approaches to faith in mental healthcare, particularly in psychotherapy. Understood as a psychological trait, faith has potentially great personal salience and introduces socially desirable biases into human reasoning. Therapies may have faith-informed components, either explicitly, or (as with some forms of mindfulness) implicitly, which may modify the patient's faith as well as producing symptomatic change. In this narrative review, the ethics of faith's inclusion in therapy is briefly appraised. The psychology of faith is discussed, and a model of the influence of the practitioner's faith on therapeutic choice is presented. Finally, faith-informed approaches to practice, including their impact on therapeutic effectiveness, are considered and recommendations made for their optimal implementation.LEARNING OBJECTIVES•Understand the main types, characteristics and likely effectiveness of faith-informed therapies versus their secular equivalents•Develop a framework for effective assessment of the contribution of faith to a patient's quality of life, and use this to balance the advantages and risks of employing a faith-informed therapy•Be aware of the unavoidability of bias in the assessment of faith, and learn how to minimise this bias, if necessary by making a group decision
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Adapted cognitive-behavioral therapy for religious individuals with mental disorder: a systematic review. Asian J Psychiatr 2014; 9:3-12. [PMID: 24813028 DOI: 10.1016/j.ajp.2013.12.011] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/18/2013] [Accepted: 12/26/2013] [Indexed: 11/22/2022]
Abstract
Cognitive-behavioral therapy (CBT) is considered an evidence-based psychological intervention for various mental disorders. However, mental health clinicians should be cognizant of the population that was used to validate the intervention and assess its acceptability to a target group that is culturally different. We systematically reviewed published empirical studies of CBT adapted for religious individuals with mental disorder to determine the extent to which religiously modified CBT can be considered an empirically supported treatment following the criteria delineated by the American Psychological Association Task Force on Promotion and Dissemination of Psychological Procedures. Overall, nine randomized controlled trials and one quasi-experimental study were included that compared the effectiveness of religiously modified CBT to standard CBT or other treatment modalities for the treatment of depressive disorders, generalized anxiety disorder, and schizophrenia. The majority of these studies either found no difference in effectiveness between religiously modified CBT compared to standard CBT or other treatment modalities, or early effects that were not sustained. Considering the methodological limitations of the reviewed studies, religiously modified CBT cannot be considered a well-established psychological intervention for the treatment of the foregoing mental disorders following the a priori set criteria at this juncture. Nevertheless, melding religious content with CBT may be an acceptable treatment modality for individuals with strong religious convictions.
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Chang EC, Kahle ER, Yu EA, Lee JY, Kupfermann Y, Hirsch JK. Relations of religiosity and spirituality with depressive symptoms in primary care adults: Evidence for hope agency and pathway as mediators. JOURNAL OF POSITIVE PSYCHOLOGY 2013. [DOI: 10.1080/17439760.2013.800905] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Pane HT, White RS, Nadorff MR, Grills-Taquechel A, Stanley MA. Multisystemic therapy for child non-externalizing psychological and health problems: a preliminary review. Clin Child Fam Psychol Rev 2013; 16:81-99. [PMID: 23385370 PMCID: PMC3800084 DOI: 10.1007/s10567-012-0127-6] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Abstract
Multisystemic therapy (MST) is effective for decreasing or preventing delinquency and other externalizing behaviors and increasing prosocial or adaptive behaviors. The purpose of this project was to review the literature examining the efficacy of MST for other child psychological and health problems reflecting non-externalizing behaviors, specifically difficulties related to child maltreatment, serious psychiatric illness [Serious psychiatric illness was defined throughout the current review paper as the "presence of symptoms of suicidal ideation, homicidal ideation, psychosis, or threat of harm to self or others due to mental illness severe enough to warrant psychiatric hospitalization based on the American Academy of Child and Adolescent Psychiatry (Level of care placement criteria for psychiatric illness. American Academy of Child and Adolescent Psychiatry, Washington, DC, 1996) level of care placement criteria for psychiatric illness" (Henggeler et al. in J Am Acad Child Psy 38:1331-1345, p. 1332, 1999b). Additionally, youth with "serious emotional disturbance (SED)" defined as internalizing and/or externalizing problems severe enough to qualify for mental health services in public school who were "currently in or at imminent risk of a costly out-of-home placement" (Rowland et al. in J Emot Behav Disord 13:13-23, pp. 13-14, 2005) were also included in the serious psychiatric illness category.], and health problems (i.e., obesity and treatment adherence for diabetes). PubMed, Web of Science, MEDLINE, and PsycINFO databases; Clinicaltrials.gov; DARE; Web of Knowledge; and Cochrane Central Register of Controlled Trials were searched; and MST developers were queried to ensure identification of all relevant articles. Of 242 studies identified, 18 met inclusion criteria for review. These were combined in a narrative synthesis and critiqued in the context of review questions. Study quality ratings were all above mean scores reported in prior reviews. Mixed support was found for the efficacy of MST versus other treatments. In many cases, treatment effects for MST or comparison groups were not sustained over time. MST was efficacious for youth with diverse backgrounds. No studies discussed efficacy of MST provided in different treatment settings. Four studies found MST more cost-effective than a comparison treatment, leading to fewer out-of-home placements for youth with serious psychiatric illness or lower treatment costs for youth with poorly controlled diabetes.
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Affiliation(s)
- Heather T Pane
- Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, 1977 Butler Blvd., Suite E4.400, Houston, TX 77030, USA.
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Barrera TL, Zeno D, Bush AL, Barber CR, Stanley MA. Integrating Religion and Spirituality Into Treatment for Late-Life Anxiety: Three Case Studies. COGNITIVE AND BEHAVIORAL PRACTICE 2012. [DOI: 10.1016/j.cbpra.2011.05.007] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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