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This is a Quantitative Study study.

September 16, 2025Open Access

The impact of spiritually-oriented therapy on the rehabilitation of mentally ill patients with a religious worldview

AMA. MagayMental Health Research Institute

Key Points

Therapeutically oriented interventions led to 73% of patients showing significant improvement in quality of life indicators.
Patients experienced a notable increase in life meaningfulness while showing reduced pathological religiosity symptoms.
Multifaceted rehabilitation approaches integrated art therapy and psychoeducation to better address patients' needs.
Methodologies used successfully supported patients in transforming their value systems and adapting their religious behaviors.

Abstract

Introduction Spirituality and religiosity have a significant effect on mental health. Biopsychosocyospiritual model in psychiatry is used in multiple researches in Europe and Russia as well (Hefti 2013; 24(2) 119-129). Many patients use religious beliefs and actions to cope with mental disease (Tepper et al., 2001; 2 (5) 660-665). The pathological religiosity phenomenon determining the severity of mental disease is described (Borisova 2020; 120(1) 103-110). Spiritually-oriented therapy methods are aimed at pathological religiosity correction and assist in mental well-being achievement. Objectives To assess the effect of spiritually-oriented therapy on mental health of religious patient during comprehensive rehabilitation. Methods 42 patients with endogenous mental schizophrenic and affective spectrum disorders who participated in comprehensive rehabilitation using spiritually-oriented therapy (26 women and 16 men) were examined. There were used psychometrical (SF-36, PIL, Schwartz Value Survey – SVS, B-RCOPE) and statistical methods. Results In a therapeutic environment in the religious community, 42 patients received psychopharmacological treatment and participated in multimodal rehabilitation throughout the year. Psychoeducational, art-therapeutic, spiritually-oriented modules were used in rehabilitation. 13 (31%) ceased the rehabilitation early, 29 (15 women and 14 men) underwent the entire rehabilitation. 73% of them had a pronounced improvement in quality of life indicators, 84% had a meaningfulness of life increase, a transformation of value system with the dominance of “security,” “kindness” and “traditions”, a higher cohesion of values. Rehabilitated patients had a more harmonious religiosity structure with a predominance of inner religiosity, they used religious behavior to cope with the disease which correlated with a decrease in the intensity of pathological religiosity manifestations. Conclusions The use of spiritually-oriented therapy methods in the rehabilitation of mentally ill patients with a religious worldview promote to correct the manifestations of pathological religiosity and to cope with mental disease. Patients have a qualitative and quantitative change in value system and religious beliefs, mastering adaptive styles of religious behavior. Spiritually-oriented therapy methods are not an alternative to natural religious life, but complement it, taking into account the existing mental disorders. Disclosure of Interest None Declared

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