title: The interactions between religion, religiosity, religious delusion/hallucination, and treatment-seeking behavior among schizophrenic patients in Taiwan.
abstract: Religion could influence the psychopathology, treatment-seeking behavior, and treatment outcome in schizophrenia, but the associations between these factors have never been explored thoroughly, and the data in Han-Chinese society are scarcer still. The current study recruited 55 schizophrenic patients to explore the relationship between religion, psychopathology with religious content, treatment-seeking behavior, and outcome. Subjects with religious delusions/hallucinations had lower scores on functioning and higher scores on religiosity. The higher religiosity scores were correlated with older age, longer duration of illness, religious affiliation, lower preference of psychiatric treatment, lower functioning score, and delusion/hallucination. As to treatment-seeking behavior, patients with religious affiliation showed less preference toward psychiatric treatment. Individuals with religious delusion/hallucination were more likely to receive magico-religious healing and not to be satisfied with psychiatric treatment. A more positive view of psychiatric treatment was predicted by lower religiosity score, higher satisfaction with psychiatric treatment, and lower years of education. The religiosity level seems not directly related to clinical severity, but it seems to be a better predictor of religious delusions/hallucinations than religious affiliation status. Patients with religious delusions/hallucinations did not necessarily have more severe psychopathology. There are different profiles associated with religious affiliation/religiosity and religious delusions/hallucinations in relation to treatment-seeking behavior among schizophrenia patients in Han-Chinese society.
authors.affiliation: Department of Psychiatry, Chi Mei Medical Center, Tainan, Taiwan. psychidr@gmail.com
authors.forename: Charles Lung-Cheng
authors.initials: CL
authors.lastname: Huang
authors.forename: Chi-Yung
authors.initials: CY
authors.lastname: Shang
authors.forename: Ming-Shien
authors.initials: MS
authors.lastname: Shieh
authors.forename: Hsin-Nan
authors.initials: HN
authors.lastname: Lin
authors.forename: Jin Chung-Jen
authors.initials: JC
authors.lastname: Su
mesh_terms: D000328:Adult; D003702:Delusions / Q000150:complications* / Q000523:psychology; D005260:Female; D006212:Hallucinations / Q000150:complications* / Q000523:psychology; D006801:Humans; D008297:Male; D017060:Patient Satisfaction; D011237:Predictive Value of Tests; D011569:Psychiatric Status Rating Scales; D012067:Religion; D012069:Religion and Psychology; D012559:Schizophrenia / Q000150:complications*; D012565:Schizophrenic Psychology; D011795:Surveys and Questionnaires; D013624:Taiwan / Q000453:epidemiology; D055815:Young Adult