Brazilian Psychiatric Association guidelines on the integration of spirituality into mental health clinical practice: Part 1. Spiritual history and differential diagnosis
Braz. J. Psychiatry (São Paulo, 1999, Impr.)
; 45(6): 506-517, Nov.-Dec. 2023. tab
Artículo
en Inglés
|
LILACS-Express
| LILACS
| ID: biblio-1534002
Biblioteca responsable:
BR1.1
ABSTRACT
Objectives:
To present evidence-based guidelines for clinical practice regarding religiosity and spirituality in mental health care in Brazil.Methods:
A systematic review was conducted to identify potentially eligible articles indexed in the PubMed, PsycINFO, SciELO, LILACS, and Cochrane databases. A summary of recommendations and their levels of evidence was produced in accordance with Oxford Centre for Evidence-Based Medicine guidelines.Results:
The systematic review identified 6,609 articles, 41 of which satisfied all inclusion criteria. Taking a spiritual history was found to be an essential part of a compassionate and culturally sensitive approach to care. It represents a way of obtaining relevant information about the patient's religiosity/spirituality, potential conflicts that could impact treatment adherence, and improve patient satisfaction. Consistent evidence shows that reported perceptual experiences are unreliable for differentiating between anomalous experiences and psychopathology. Negative symptoms, cognitive and behavioral disorganization, and functional impairment are more helpful for distinguishing pathological and non-pathological anomalous experiences.Conclusion:
Considering the importance of religiosity/spirituality for many patients, a spiritual history should be routinely included in mental health care. Anomalous experiences are highly prevalent, requiring a sensitive and evidence-based approach to differential diagnosis.
Texto completo:
Disponible
Colección:
Bases de datos internacionales
Bases de datos:
LILACS
Temas Transversales:
Espiritualidad en Salud
País/Región como asunto:
America del Sur
/
Brasil
Idioma:
Inglés
Revista:
Braz. J. Psychiatry (São Paulo, 1999, Impr.)
Asunto de la revista:
Psiquiatria
Año:
2023
Tipo del documento:
Artículo
País de afiliación:
Brasil
Institución/País de afiliación:
ABP/BR
/
Associação Brasileira de Psiquiatria (ABP)/BR
/
Associação de Psiquiatria do Rio Grande do Sul (APRS)/BR
/
Universidade Federal do Rio Grande do Sul/BR
/
Universidade Federal do Tocantins/BR
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