Papers by Maria Cecilia Menegatti-Chequini
Religiosity and spirituality in psychiatric practice
Nas últimas décadas um corpo consistente de trabalhos vem apontando o envolvimento religioso/espi... more Nas últimas décadas um corpo consistente de trabalhos vem apontando o envolvimento religioso/espiritual, geralmente, associado a indicadores positivos de saúde física e mental. No entanto, apenas recentemente os aspectos religiosos/espirituais vêm sendo considerados importantes na avaliação e no tratamento de pacientes. Além disso, alguns estudos têm relatado que as crenças religiosas/espirituais dos próprios médicos podem influenciar nas estratégias, decisões e no manejo clínico dos pacientes. Portanto, a presente tese buscou caracterizar o perfil religioso/espiritual de psiquiatras brasileiros e investigar sua influência nos cuidados de seus pacientes. Para tanto, foi realizada uma pesquisa do tipo observacional transversal, utilizando um questionário que avaliou as características da religiosidade/espiritualidade (R/E) do psiquiatra e sua prática clínica. Essa abordagem investigativa resultou em três estudos. O primeiro analisou 484 psiquiatras pertencentes à Associação Brasileir...
Physicians’ religious/spiritual characteristics and their behavior regarding religiosity and spirituality in clinical practice
Medicine, 2021
Supplemental Digital Content is available in the text Abstract Background: Religiosity and/or spi... more Supplemental Digital Content is available in the text Abstract Background: Religiosity and/or spirituality (R/S) of physicians have been reported to inform behavior regarding religiosity and spirituality in clinical practice (R/S-B). Our aim was to study this association. Methods: Building upon a large international data pool of physician values we performed network and systematic literature searches using Google Scholar, Web of Science, Embase, Medline, and PsycInfo. Measures for R/S and R/S-B were selected for comparability with existing research. We performed a two-stage IPDMA using R/S coefficients from sample-wise multiple regression analyses as summary measures. We controlled for age, gender, and medical specialty. An additional sub-analysis compared psychiatrists to non-psychiatrists. Results: We found 11 eligible surveys from 8 countries (n = 3159). We found a positive association between R/S and R/S-B with an overall R/S coefficient of 0.65 (0.48–0.83). All samples revealed a positive association between R/S and R/S-B. Only 2 out of the 11 samples differed from the overall confidence interval. Psychiatrists had a higher degree of R/S-B, but associations with R/S did not differ compared to non-psychiatrists. Conclusions: We confirmed a significant association between R/S and R/S-B in this study. Despite large cultural differences between samples, coefficients remained almost constant when controlling for confounders, indicating a cultural independent effect of R/S on R/S-B, which to our knowledge has not been documented before. Such interaction can constitute both facilitators and barriers for high quality health care and should be considered in all aspects of patient and relationship-centered medicine.
Este trabalho teve como objetivo estudar a interrelacao entre resiliencia e espiritualidade em pa... more Este trabalho teve como objetivo estudar a interrelacao entre resiliencia e espiritualidade em pacientes oncologicos, utilizando como referencia a linha teorica junguiana. O termo resiliencia foi empregado no sentido de processo atraves do qual uma pessoa, grupo ou comunidade, superam situacoes de adversidades, transformando-as em desenvolvimento pessoal e coletivo. Espiritualidade referiu-se a experiencia com o Self, que traz sentido e significado para a existencia. Foram aplicados a Escala de Resiliencia (WAGNILD e YOUNG, 1993), a Escala de Bem-Estar Espiritual (PAULOTIZIAN e ELLISON, 1982) e um questionario para levantamento de dados sociodemograficos, religiosos/espirituais e de saude em uma amostra de 60 pessoas, entre 27 e 72 anos (14 homens e 46 mulheres), residentes na capital de Sao Paulo. Todos os participantes foram diagnosticados com algum tipo de câncer e estavam em fase de tratamento. A analise estatistica dos dados mostrou que ha uma relacao positiva significativa ent...
BMC Psychiatry, 2020
Background Although there is consensus, in psychiatry, over the inclusion of religious and spirit... more Background Although there is consensus, in psychiatry, over the inclusion of religious and spiritual aspects when evaluating and treating the patient, investigation of these dimensions is rare. There is evidence as to the relationship between psychiatrists’ religious/spiritual beliefs and their willingness to discuss a patient’s religion and spirituality (R/S). Due to the lack of information about how psychiatrists in Brazil deal with R/S in patient care, the aim of the present study is to analyze the religious/spiritual profile of these professionals and to ascertain its influence on attitudes and behavior in clinical practice. Methods Five hundred and ninety-two psychiatrists from Brazil answered a questionnaire about R/S in clinical practice. The latent profile analysis was used to search for differences of religious/spiritual profiles. The ANOVA and Pearson’s chi-square tests were employed to identify any correlation between clinical opinion and behaviors according to the differ...
Brazilian Journal of Psychiatry, 2019
Objective: To examine the relationship between psychiatrists' religious/spiritual beliefs and the... more Objective: To examine the relationship between psychiatrists' religious/spiritual beliefs and their attitudes regarding religion and spirituality in clinical practice. Methods: A cross-sectional survey of religion/spirituality (R/S) in clinical practice was conducted with 121 psychiatrists from the largest academic hospital complex in Brazil. Results: When asked about their R/S beliefs, participants were more likely to consider themselves as spiritual rather than religious. A total of 64.2% considered their religious beliefs to influence their clinical practice and 50% reported that they frequently enquired about their patients' R/S. The most common barriers to approaching patients' religiosity were: lack of time (27.4%), fear of exceeding the role of the doctor (25%), and lack of training (19.1%). Those who were less religious or spiritual were also less likely to find difficulties in addressing a patient's R/S. Conclusion: Differences in psychiatrists' religious and spiritual beliefs are associated with different attitudes concerning their approach to R/S. The results suggest that medical practice may lead to a religious conflict among devout psychiatrists, making them question their faith. Training might be of importance for handling R/S in clinical practice and for raising awareness about potential evaluative biases in the assessment of patients' religiosity.
Additional file 1 of Patterns of religiosity and spirituality of psychiatrists in Brazil and the implications for clinical practice: a latent profile analysis
Additional file 1. Questionnaire.
Os temas espiritualidade e resiliencia ocupam, na atualidade, posicoes de destaque entre os topic... more Os temas espiritualidade e resiliencia ocupam, na atualidade, posicoes de destaque entre os topicos de interesse das ciencias fisicas e sociais, principalmente na area da saude. Nas ciencias humanas, resiliencia refere-se ao processo atraves do qual o ser humano e capaz nao apenas de superar e se recuperar dos efeitos danosos das adversidades, mas tambem de se transformar e ser fortalecido por essas experiencias. Ja o termo espiritualidade tem sido tomado pela maioria dos teoricos do assunto para designar a experiencia humana que traz sentido e significado para a existencia, a busca do divino, do sagrado, que implica o entendimento ou o sentido de conexao com um proposito supremo, nao material, ou seja, o reconhecimento do poder de algo Absoluto, alem-ego, que nos remete a uma sensacao de plenitude e comunhao com o universo e nao somente a adocao de um sistema especifico de crenca ou pratica religiosa. O objetivo do artigo e relatar os conhecimentos de varios estudiosos que estabele...
A religiosidade e a espiritualidade na prática psiquiátrica
F1000Research
Background In order to facilitate better international and cross-cultural comparisons of health p... more Background In order to facilitate better international and cross-cultural comparisons of health professionals (HPs) attitudes towards Religiosity and/or Spirituality (R/S) we updated the NERSH Data Pool. Methods We performed both a network search, a citation search and systematic literature searches to find new surveys. Results We found six new surveys (N=1,068), and the complete data pool ended up comprising 7,323 observations, including 4,070 females and 3,253 males. Most physicians (83%, N=3,700) believed that R/S had “some” influence on their patients’ health (CI95%) (81.8%–84.2%). Similarly, nurses (94%, N=1,020) shared such a belief (92.5%–95.5%). Across all samples 649 (16%; 14.9%–17.1%) physicians reported to have undergone formal R/S-training, compared with nurses where this was 264 (23%; 20.6%–25.4%). Conclusions Preliminary analysis indicates that HPs believe R/S to be important for patient health but lack formal R/S-training. Findings are discussed. We find the data pool...
Background: Although there is consensus, in psychiatry, over the inclusion of religious and spiri... more Background: Although there is consensus, in psychiatry, over the inclusion of religious and spiritual aspects when evaluating and treating the patient, investigation of these dimensions is rare. There is evidence as to the relationship between psychiatrists' religious/spiritual beliefs and their willingness to discuss a patient's religion and spirituality (R/S). Due to the lack of information about how psychiatrists in Brazil deal with R/S in patient care, the aim of the present study is to analyze the religious/spiritual profile of these professionals and to ascertain its influence on attitudes and behavior in clinical practice. Methods: Five hundred and ninety-two psychiatrists from Brazil answered a questionnaire about R/S in clinical practice. The latent profile analysis was used to search for differences of religious/spiritual profiles. The ANOVA and Pearson's chi-square tests were employed to identify any correlation between clinical opinion and behaviors according to the different profiles. Results: Two religious/spiritual profiles were identified (entropy value > 0,96): the so called "less religious" group (n = 245), comprised predominantly by men, professionally more experienced, with a higher level of academic education (Master or PhD degrees) and were the ones who least enquired about their patients' R/S; and the "more religious" psychiatrists (n = 347) those who had higher consideration for R/S on health, and who more often addressed R/S with their patients and therefore usually ascribed importance to include R/S in their professional training. Conclusion: The latent profile analysis produced two distinct classes between the Brazilian psychiatrists according to their R/S views: the more religious professionals, who investigate the patient's R/S in a more detailed manner, and the less religious, who tend to disregard this aspect.
Objective: To examine the relationship between psychiatrists' religious/spiritual beliefs and the... more Objective: To examine the relationship between psychiatrists' religious/spiritual beliefs and their attitudes regarding religion and spirituality in clinical practice. Methods: A cross-sectional survey of religion/spirituality (R/S) in clinical practice was conducted with 121 psychiatrists from the largest academic hospital complex in Brazil. Results: When asked about their R/S beliefs, participants were more likely to consider themselves as spiritual rather than religious. A total of 64.2% considered their religious beliefs to influence their clinical practice and 50% reported that they frequently enquired about their patients' R/S. The most common barriers to approaching patients' religiosity were: lack of time (27.4%), fear of exceeding the role of the doctor (25%), and lack of training (19.1%). Those who were less religious or spiritual were also less likely to find difficulties in addressing a patient's R/S. Conclusion: Differences in psychiatrists' religious and spiritual beliefs are associated with different attitudes concerning their approach to R/S. The results suggest that medical practice may lead to a religious conflict among devout psychiatrists, making them question their faith. Training might be of importance for handling R/S in clinical practice and for raising awareness about potential evaluative biases in the assessment of patients' religiosity.
British Journal of Psychiatry Open, 2016
BackgroundAlthough there is evidence of a relationship between religion/ spirituality and mental ... more BackgroundAlthough there is evidence of a relationship between religion/ spirituality and mental health, it remains unclear how Brazilian psychiatrists deal with the religion/spirituality of their patients.AimsTo explore whether Brazilian psychiatrists enquire about religion/spirituality in their practice and whether their own beliefs influence their work.MethodFour hundred and eighty-four Brazilian psychiatrists completed a cross-sectional survey on religion/spirituality and clinical practice.ResultsMost psychiatrists had a religious affiliation (67.4%) but more than half of the 484 participants (55.5%) did not usually enquire about patients' religion/spirituality. The most common reasons for not assessing patients' religion/spirituality were ‘being afraid of exceeding the role of a doctor’ (30.2%) and ‘lack of training’ (22.3%).ConclusionsVery religious/spiritual psychiatrists were the most likely to ask about their patients' religion/spirituality. Training in how to d...
Psicol Rev, 2007
Os temas espiritualidade e resiliência ocupam, na atualidade, posições de destaque entre os tópic... more Os temas espiritualidade e resiliência ocupam, na atualidade, posições de destaque entre os tópicos de interesse das ciências físicas e sociais, principalmente na área da saúde. Nas ciências humanas, resiliência refere-se ao processo através do qual o ser humano é capaz não apenas de superar e se recuperar dos efeitos danosos das adversidades, mas também de se transformar e ser fortalecido por essas experiências. Já o termo espiritualidade tem sido tomado pela maioria dos teóricos do assunto para designar a experiência humana que traz sentido e significado para a existência, a busca do divino, do sagrado, que implica o entendimento ou o sentido de conexão com um propósito supremo, não material, ou seja, o reconhecimento do poder de algo Absoluto, além-ego, que nos remete a uma sensação de plenitude e comunhão com o universo e não somente a adoção de um sistema específico de crença ou prática religiosa. O objetivo do artigo é relatar os conhecimentos de vários estudiosos que estabelecem relações entre os dois fenômenos, apontando a espiritualidade como fator decisivo no processo de resiliência e fundamental no desenvolvimento de métodos para a sua promoção. Abstract Nowadays, Spirituality and Resilience are outstanding themes among the issues relevant to physical and social sciences, mainly in the area of health. In human science, 'resilience' is the process through which a human being * Psicóloga clínica, especialista em psicologia analítica e mestranda, sob orientação da Professora Dra. Ceres Isabel Napolitani 94
Este trabalho discorre sobre acontecimentos que trouxeram os temas espiritualidade e religiosidad... more Este trabalho discorre sobre acontecimentos que trouxeram os temas espiritualidade e religiosidade para o mundo das ciências empíricas, mais especificamente à área da saúde. Focaliza a psicologia Junguiana como uma das abordagens pioneiras no trato do assunto. A espiritualidade ou religiosidade na psicologia analítica referem-se à experiência psicológica com o Self. O encontro com o sagrado que atrai, fascina, causa estranheza, temor e reverência ao Outro Absoluto. O reconhecimento de um centro orientador, que contém a meta individual e coletiva, aponta o mito individual e o destino da humanidade. A força integradora que conduz à totalidade e remete à individuação." […] a psicologia analítica só serve para encontrar o caminho que leva à experiência religiosa" (JUNG, 2002, p.432).
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Papers by Maria Cecilia Menegatti-Chequini