title: Healthcare Engagement as a Potential Source of Psychological Distress among People without Religious Beliefs: A Systematic Review.
abstract: Research into religion and mental health is increasing, but nonbelievers in terms of religion are often overlooked. Research has shown that nonbelievers experience various forms of psychological distress and that the negative perception of nonbelievers by others is a potential source of distress. This review builds on that research by identifying another potential source of psychological distress for nonbelievers: engagement with the healthcare system. Poor understanding of nonbelievers by healthcare professionals may lead to impaired communication in the healthcare setting, resulting in distress. Attempts by nonbelievers to avoid distress may result in different patterns of healthcare utilization. Awareness of these concerns may help healthcare providers to minimize distress among their nonbelieving patients.
authors.affiliation: Intermountain Healthcare, Logan, UT 84341, USA. samuelrobertweber@gmail.com.
authors.forename: Samuel R
authors.initials: SR
authors.lastname: Weber
authors.affiliation: Department of Psychiatry, Baylor College of Medicine, Houston, TX 77030, USA. jlomax@bcm.edu.
authors.forename: James W
authors.initials: JW
authors.lastname: Lomax
authors.affiliation: Department of Psychology, Bowling Green State University, Bowling Green, OH 43403, USA. kpargam@bgsu.edu.
authors.forename: Kenneth I
authors.initials: KI
authors.lastname: Pargament
keywords: agnosticism; atheism; mental health; psychological distress; religion