Influence of Spiritual Dimensions on Suicide Risk: The Role of Regional Differences.

The field of suicide prevention has been enriched by research on the association between spirituality and suicide. Many authors have suggested focusing on the various dimensions of religiosity in order to better understand the association between religion and suicidal risk, but it is unclear whether the relationship between spirituality and suicidality differs between countries with different cultures, life values, and sociohistorical experiences. To explore this, the aim of this multicenter study was to investigate the possible relationship between suicide and spirituality in Italy and Austria. In the two countries, two different groups of subjects participated: psychiatric patients and university students. The patients were evaluated with the Mini International Neuropsychiatric Interview. In addition, the following measures were used: a sociodemographic questionnaire, the Columbia-Suicide Severity Rating Scale-B, the Symptom-Checklist-90-Standard, and the Multidimensional Inventory for Religious/Spiritual Well-Being. Our results confirmed the multifactorial nature of the relation between suicide risk and the various religious/spiritual dimensions, including religious/spiritual well-being and hope immanent. However, regional differences moderated this relationship in both the clinical and nonclinical samples.

The Importance of a Biopsychosocial Approach in Melanoma ResearchExperiences from a Single-center Multidisciplinary Melanoma Working Group in Middle-Europe.

The biopsychosocial model represents a very important theoretical framework developed in the 21th century. According to a body mind unity theory, it postulates that research must focus not only on biomedical but also on other aspects in order to understand complex interactions occurring on different system levels. With regard to the occurrence of melanoma, both immunologic surveillance and a lack of cancerogenic factors are crucial in the suppression of tumor development. In addition, a reduction in mental stress (employing effective strategies for coping with stress) in cases of malignant disease seems to prolong life. Focusing on these theories, examples of studies that followed an interdisciplinary, biopsychosocial approach to melanoma research conducted at one center are given to emphasize the multi-dimensional and interdisciplinary aspects of the biopsychosocial model.

Vulnerable Dark Triad Personality Facets Are Associated with Religious Fundamentalist Tendencies.

BACKGROUND: This study explores the possibility that religious fundamentalism (RF) may be linked to deficits in personality structure, which is in contrast to the general assumption that religiosity and spirituality are positively related to mature personality development. SAMPLING AND METHODS: To test this hypothesis, 327 (232 female) college students completed the Multidimensional Inventory for Religious/Spiritual Well-Being together with the Innsbrucker Religious Fundamentalism Scale. In addition, the 'vulnerable dark triad' of personality ('vulnerable narcissism', subscale of the Pathological Narcissism Inventory; 'secondary psychopathy', subscale of Levenson's Self-Report Psychopathy Scale; 'borderline personality', of the Borderline Personality Inventory) was assessed. RESULTS: In general, the relation between spirituality and healthy personality functioning was confirmed. In addition to greatly overlapping with 'general religiosity' (p < 0.001), RF was also relevantly predicted by narcissistic ('hiding the self') and borderline ('primitive defenses') personality facets (p < 0.05 for both). CONCLUSIONS: Based on these preliminary data, we conclude that specific structural deficits in personality might lead to more rigorous variants of religious/spiritual beliefs such as RF. Further research in clinical surroundings as well as in religious extremist groups is recommended.

[The relationship between Yoga Immersion, psychological well-being and psychiatric symptoms]. / Die Beziehung zwischen Yoga Immersion, psychologischem Wohlbefinden und psychiatrischer Symptomatik.

BACKGROUND: In recent years positive effects of Yoga (as a kind of spiritual exercise) in regards to subjective well-being and physical health can be found as well documented in the literature. METHOD: Based on a construct-psychological approach a newly developed scale for the assessment of Yoga involvement (immersion) was validated on a sample of 233 non-clinical subjects (210 females) by means of socio-demographic and well established psychometric parameters of psychological well-being and psychiatric symptoms. Furthermore, the group of yoga practitioners was compared with a control group consisting of 93 gymnastics practitioners (83 women) with respect to these parameters. RESULTS: The amount of Yoga Immersion (YI) can be reliably assessed by means of the one-dimensional YI-scale (10 items) and shows to be strongly correlated with Mindfulness (r = .56; p < .01), Inner Correspondence (r = .61; p < .01) and Religious/Spiritual Well-being (r = .68; p < .01). Furthermore highly yoga-immersive practitioners exhibited a significant higher amount of psychological well-being (p < .01) compared to marginally/moderately yoga-immersive and gymnastics practitioners. The Yoga-group also showed a lower amount of psychiatric symptoms (e.g. depression; p < .01). CONCLUSIONS: The globally postulated positive relationship between Yoga-practicing and mental health could be confirmed; thereby the impact of YI can be assumed as central. Further randomized controlled trial research focusing on the health/disease-related aspects of YI might be conducted especially in clinical groups.

[Religious/spiritual well-being in mentally ill persons III: first results of a body-centered awareness meditation for in-patient rehabilitation]. / Religiös/Spirituelles Befinden bei psychisch Kranken III: Erste Ergebnisse einer Körper-zentrierten Achtsamkeitsmeditation in der stationären Rehabilitation.

OBJECTIVE: In recent years, positive effects of religiosity and spirituality on mental health can be found as well documented in the literature. However, very few studies have examined the effects of a spiritually based therapeutic intervention among psychiatric patients. METHOD: For this reason, in this pilot study we examined the effectiveness of a morning body-centered meditation in comparison to a conventional morning walk in regards to subjective well-being and stress coping styles in 44 (26 females) randomly assigned psychiatric in-patients (according to ICD 10). The patients' amount of subjective well-being as well as their coping ability was assessed at the beginning and at the end of a 6 weeks therapy. RESULTS: Thereby we found a significant increase in Religious/Spiritual Well-Being, Awareness and more adequate Coping strategies. This was paralleled by a decrease of psychiatric symptoms. Overall the general assumption of a positive association between spirituality and mental health was affirmed. However, we did not find any differences between the two treatment methods (meditation vs. morning walk). CONCLUSIONS: Both interventions showed the same positive efficacy. Based on these initial results, possibilities and boundaries for the integration of religious/spiritual issues into the treatment of psychiatric patients are discussed.

Dimensions of religious/spiritual well-being and the dark triad of personality.

BACKGROUND: In general, religious/spiritual dimensions are found to be negatively correlated with all kinds of psychiatric disorders such as depression, suicidal ideation and substance abuse. Contrary to these findings, the goal of this study was to investigate the relationship between dimensions of religious/spiritual well-being (RSWB) and less favorable aspects of personality - the so-called 'dark triad' of personality traits, i.e. narcissism, machiavellianism and psychopathy - together with general deficits in personality structure. SAMPLING AND METHODS: A total of 312 college students (220 females) completed the Multidimensional Inventory for RSWB, the revised Narcissistic Personality Inventory, the Machiavellianism Inventory and the Levenson Self-Report Psychopathy Scale along with the 16-item Inventory of Personality Organization. RESULTS: RSWB was confirmed to be negatively correlated with these negative aspects of personality, in particular with subclinical psychopathy. More specifically, there were several notable overlaps; narcissism, for instance, was found to be significantly positively associated with some RSWB subdimensions such as 'hope' or 'connectedness'. CONCLUSIONS: First deductions can be made from these data concerning an ambivalent role of spirituality in impaired personality structure. These associations might be further investigated especially in psychiatric patients diagnosed with personality disorders in order to describe potential psychopathological facets of religion and spirituality more adequately.

[Religious/spiritual well-being in mentally ill persons II: the development of a short scale and comparison scores for clinical psychiatric groups and healthy controls]. / Religiös/Spirituelles Befinden bei psychisch Kranken II: Die Entwicklung einer Kurzskala und Vergleichswerte von klinisch-psychiatrischen Gruppen und gesunden Kontrollpersonen.

OBJECTIVE: The Multidimensional Inventory for Religious/Spiritual Well-Being (MI-RSWB) was successfully applied in several clinical as well as non-clinical studies. However, the original version of the scale often showed to be as too comprehensive especially for clinical surroundings. There for the aim of this study is to develop a short version of the scale comprising 12 items. METHOD: Based on a sample representative of the Austrian general population (N = 1,500), a first MI-RSWB short version is developed by means of factor- and reliability analysis. Furthermore the new short version of the scale is initially validated through several indicators of mental illness. RESULTS: The MI-RSWB short version shows convincing psychometric properties. The total scale as well as the sub scales exhibit at least a sufficient internal consistency. A significant negative association with several indicators of psychiatric illness is also confirmed for the short version of the scale. CONCLUSIONS: The MI-RWSB 12 scale is especially recommended for further research focusing on the clinical relevance of religiosity and spirituality.

A biopsychosocial model of interferon-alpha-induced depression in patients with chronic hepatitis C infection.

BACKGROUND: The aim of this prospective study was to gain a more comprehensive picture of the biopsychosocial effects of interferon-α (IFN-α) treatment of patients with chronic hepatitis C (HCV). The predictors of depressive development and changes in health-related quality of life, life satisfaction and cognitive ability were measured with the inclusion of the social context. Furthermore, the effects of IFN-α treatment on indoleamine 2,3-dioxygenase, the level of tryptophan supply in the brain, the development of neurotoxic kynurenine metabolites and the thyroid glands were investigated. Therefore, for the first time the conditions for the development of depressive episodes in HCV patients treated with IFN-α were examined over the entire period of treatment as well as 3 months later, applying a holistic biopsychosocial model. METHOD: Psychiatric and biological assessments were carried out at 6 different times: before, during (at 1, 3, 6 and 9 months) and after the end of IFN-α treatment. RESULTS: During IFN-α treatment 22 (53.7%) of 41 patients fulfilled the criteria for a treatment-related depressive disorder at least once during treatment. Contributing factors are tryptophan depletion (tryptophan to competing amino acids quotient), increased neurotoxic challenge (kynurenine to kynurenic acid quotient), less social support, female gender, preexisting psychiatric vulnerability, means of transmission, low financial security, impaired sexual satisfaction, small circle of friends, impaired physical role, strong body pain, low general health and vitality, reduced social functioning, impaired mental health and impaired emotional role. CONCLUSIONS: The awareness of relevant risk factors of IFN-α treatment-induced depression is essential to develop preventative treatment strategies.

[Religious/spiritual well-being in mentally ill persons: a comparison of anxious/depressives, addicts and healthy controls]. / Religiös/Spirituelles Befinden bei psychisch Kranken: Ängstlich/Depressive und Suchtkranke im Vergleich zu gesunden Kontrollpersonen.

OBJECTIVE: The aim of this study is to investigate different dimensions of religiosity and spirituality among psychiatric in-patients. The study examines differences between addictive (ICD 10: F1x) and anxious/depressive (ICD 10: F3x/F4x) patients and considers the main implications for treatment. METHOD: Differences in dimensions of religious/spiritual well-being (RSWB) between addictive (n = 389) and anxious/depressive patients (n = 200) are investigated, also by comparison to a control group (n = 1,500). Furthermore dimensions of RSWB are related to personality factors and different psychiatric parameters within the psychiatric groups. RESULTS: The psychiatric groups show a lower amount of overall RSWB (p < 0.001) than the healthy controls. Furthermore, dimensions of RSWB turned out to be negatively correlated with several psychiatric symptoms. CONCLUSIONS: Based on these results we emphasize religious/spiritual issues within psychiatric treatment. Moreover, there may be a strong potential of the RSWB dimensions such as "Hope" or "Forgiveness" as positive therapeutic factors in psychiatric treatment.