Spiritual Resources and Distress in Patients With Affective Disorders

November 4, 2022 updated by: Psychiatric University Hospital, Zurich
In this study, the investigators want to assess spiritual resources, spiritual distress and spiritual coping in patients with psychiatric disorders of the affective spectrum with a new designed questionnaire the Spiritual Distress and Resources Questionnaire (SDRQ)

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Detailed Description

The inclusion of the spiritual dimension in healthcare has been a recommendation of the World Health Organization (WHO) since 1984. According to the WHO, 'spiritual' refers "to those aspects of human life relating to experiences that transcend sensory phenomena. This is not the same as 'religious', though for many people the spiritual dimension of their lives includes a religious component. The spiritual aspect of human life may be viewed as an integrating element holding together the physical, psychological and social dimensions. It is often perceived as being concerned with meaning and purpose". Today there is a growing body of scientific evidence for therapeutic relevance of the spiritual dimension in different fields of medical health care. Based on this increasing scientific evidence, medical associations such as the Royal College of Psychiatrists recommend the assessment of spiritual needs for therapeutic goals. Despite those long-standing calls and findings, these recommendations have not yet been widely implemented. Even in palliative care, patients indicate that their spiritual concerns are often inadequately addressed. Many clinicians report that they lack the required communication skills to adequately address spiritual concerns, while patients are not used to bring up their spiritual needs by themselves. As spiritual needs can only be integrated into care delivery if known to the practitioners, an explicit assessment is necessary. There are numerous instruments to assess spiritual aspects in the context of health care research - but only few to be used in a clinical context. Furthermore, there are many instruments that take into account the specific spiritual needs at the end of life in palliative care, while there are fewer established instruments in the care of chronic diseases. To close this gap, the investigators constructed and validated a new screening tool for assessing spiritual distress and resources, the Spiritual Distress and Resources Questionnaire (SDRQ) in patients with chronic pain in a previous project within the National Research Program "Smarter Health Care" (NRP 74).

The results of this NRP 74 project showed clearly: Spiritual aspects are considered as important in the context of chronic pain by health care professionals and patients alike. They could be important resources to be integrated in a multimodal pain therapy.

In this study, the investigators want to assess spiritual resources, spiritual distress and spiritual coping in patients with psychiatric disorders of the affective spectrum. To compare the results with the results of chronic pain patients, similar questionnaires as in the above mentioned study within NRP 74 will be used. Additionally, the investigators want to assess the proportion and characteristics of patients who wish spiritual aspects to be integrated in the therapeutic setting. Overall, the goal is to create knowledge to adequately address spiritual aspects in those patients who wish the integration of their spiritual needs into treatment.

Study Type

Observational

Enrollment (Actual)

236

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years and older (ADULT, OLDER_ADULT)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Sampling Method

Non-Probability Sample

Study Population

To investigate the objectives, 220 psychiatric patients suffering from an affective disorder (ICD F3/F4) will be recruited consecutively. Because we assess a questionnaire with 22 items for our primary objective, the number of 220 patients seems reasonable. The project population consists of psychiatric patients at the outpatient and day-clinics of the Center for Social Psychiatry, Department of Psychiatry, Psychotherapy and Psychosomatics, University Hospital for Psychiatry of Zurich.

Description

Inclusion Criteria:

  • Minimum age of 18 years
  • Sufficient command of German language as assessed by local study coordinator
  • Psychiatric disorder of the affective spectrum (depressive disorder, anxiety disorder, obsessive-compulsive disorder, adjustment disorder, somatoform disorder)

Exclusion Criteria:

  • Cognitive disorders that would impair participation in assessment

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

Cohorts and Interventions

Group / Cohort
Intervention / Treatment
Patients with psychiatric disorders
Patients with psychiatric disorders of the affective spectrum.
Behavioral: Spiritual Distress and Resources Questionnaire (SDRQ)
The SDRQ is a validated self-rating instrument to assess spiritual distress and resources. It focuses on beliefs, attitudes, experiences and practices of various kinds (every day and extraordinary), as well as on (dis-)connectedness. It consists of 22 items covering three subscales: spiritual resources, spiritual distress, and spiritual coping (Peng-Keller et. al., 2020, submitted). We constructed five additional questions to find out more why patients want to include spiritual aspects in their treatment.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Spiritual distress, spiritual resources and spiritual coping as assessed with the SDRQ
Time Frame: 6 months
To what extent do psychiatric patients with disorders of the affective spectrum have spiritual distress, spiritual resources and spiritual coping strategies?
6 months
Characteristics of patients as assessed with the sociodemographic questionnaire
Time Frame: 6 months
What characterizes patients who want spirituality to be included in their treatment in comparison to patients who do not want this?
6 months
Comparison of the results of the SDRQ with the results of chronic pain patients
Time Frame: 6 months
Are the results specific to patients with disorders of the affective spectrum in comparison to patients with chronic pain?
6 months

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Psychiatric University Hospital, Zurich

Investigators

  • Principal Investigator: Michael Rufer, Prof. Dr., PUK Zürich

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (ACTUAL)

July 1, 2021

Primary Completion (ACTUAL)

September 30, 2022

Study Completion (ACTUAL)

September 30, 2022

Study Registration Dates

First Submitted

July 15, 2021

First Submitted That Met QC Criteria

August 30, 2021

First Posted (ACTUAL)

September 5, 2021

Study Record Updates

Last Update Posted (ACTUAL)

November 7, 2022

Last Update Submitted That Met QC Criteria

November 4, 2022

Last Verified

November 1, 2022

More Information

Terms related to this study

Additional Relevant MeSH Terms

Other Study ID Numbers

  • 2020-02859

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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