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Articles   |    
Roles of Religious and Spiritual Advisors Among Adults in Singapore With Mental Illnesses
Louisa Picco, M.P.H.; Mythily Subramaniam, M.B.B.S., M.H.S.M.; Edimansyah Abdin, Ph.D.; Janhavi Ajit Vaingankar, M.Sc.; Yunjue Zhang, B.Psy.; Siow Ann Chong, M.B.B.S., M.Med.
Psychiatric Services 2013; doi: 10.1176/appi.ps.201200533
View Author and Article Information

The authors are with the Research Division, Institute of Mental Health, Buangkok Green Medical Park, 10 Buangkok View, Singapore 539747 (e-mail: louisa_picco@imh.com.sg).

Copyright © 2013 by the American Psychiatric Association

Abstract

Objective  Information is limited concerning the role of religious and spiritual advisors in providing help to people with mental illnesses in Singapore. This study examined that role, as well as the satisfaction with and the perceived effectiveness of the services provided, among people with mental health problems.

Methods  Data were collected as part of a nationally representative household survey of residents 18 years and older in Singapore. The Composite International Diagnostic Interview, version 3.0, was used to diagnose mental illness as well as to collect information about the mental health services respondents had sought.

Results  A total of 6,616 respondents completed the survey; in the overall sample, 1.5% reported seeking help from religious or spiritual advisors. This rate increased to 6.6% among those with at least one mental illness, with the prevalence being higher among respondents with lifetime dysthymia, generalized anxiety disorder, or bipolar disorder. Sociodemographic correlates associated with a lower likelihood of consultation with a religious or spiritual advisor included reporting “other” race-ethnicity as well as faith in Buddhism, Hinduism, or Islam. Most respondents who sought help from a religious or spiritual advisor in the last 12 months were satisfied with the help they received, and about half reported it to be very useful.

Conclusions  Religious and spiritual advisors are an important source of help for people with mental illness, and a majority of respondents with a mental illness were satisfied with the support they received from these sources.

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Anchor for Jump
Table 1Prevalence of lifetime and 12-month consultation of religious and spiritual advisors among 6,616 Singapore residents
Anchor for Jump
Table 2Sociodemographic correlates of lifetime consultation solely of religious and spiritual advisors in overall sample and in sample with a mental disorder
Table Footer Note

a Reference group for multiple logistic regressions

Table Footer Note

b Due to small number of cells and poor model fit, data were removed for free thinkers, Taoism, and other religions in multiple logistic regression models.

Table Footer Note

c Composite International Diagnostic Interview 3.0 data

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References

 Investing in Mental Health .  Geneva,  World Health Organization, Department of Mental Health and Substance Dependence, Noncommunicable Diseases and Mental Health, 2003
 
Eisenberg  D;  Golberstein  E;  Gollust  SE:  Help-seeking and access to mental health care in a university student population.  Medical Care 45:594–601, 2007
[CrossRef] | [PubMed]
 
Cauce  AM;  Domenech-Rodríguez  M;  Paradise  M  et al:  Cultural and contextual influences in mental health help seeking: a focus on ethnic minority youth.  Journal of Consulting and Clinical Psychology 70:44–55, 2002
[CrossRef] | [PubMed]
 
Vogel  DL;  Wade  NG;  Wester  SR  et al:  Seeking help from a mental health professional: the influence of one’s social network.  Journal of Clinical Psychology 63:233–245, 2007
[CrossRef] | [PubMed]
 
Mackenzie  CS;  Gekoski  WL;  Knox  VJ:  Age, gender, and the underutilization of mental health services: the influence of help-seeking attitudes.  Aging and Mental Health 10:574–582, 2006
[CrossRef] | [PubMed]
 
Andersen  RM:  Revisiting the behavioral model and access to medical care: does it matter? Journal of Health and Social Behavior 36:1–10, 1995
[CrossRef] | [PubMed]
 
Kovess-Masfety  V;  Dezetter  A;  de Graaf  R  et al:  Religious advisors’ role in mental health care in the European Study of the Epidemiology of Mental Disorders survey.  Social Psychiatry and Psychiatric Epidemiology 45:989–998, 2010
[CrossRef] | [PubMed]
 
Koeing  HG:  Religion, spirituality, and medicine: research finding and implications for clinical practice.  Southern Medical Journal 97:1194–1200, 2004
[CrossRef] | [PubMed]
 
Koenig  HG:  Research on religion, spirituality, and mental health: a review.  Canadian Journal of Psychiatry 54:283–291, 2009
 
Chaudhry  HR:  Psychiatric care in Asia: spirituality and religious connotations.  International Review of Psychiatry 20:477–483, 2008
[CrossRef] | [PubMed]
 
Crosby  JW;  Bossley  N:  The religiosity gap: preferences for seeking help from religious advisors.  Mental Health, Religion and Culture 15:141–159, 2012
[CrossRef]
 
Weisman de Mamani  AG;  Tuchman  N;  Duarte  EA:  Incorporating religion/spirituality into treatment for serious mental illness.  Cognitive and Behavioral Practice 17:348–357, 2010
[CrossRef]
 
Kendler  KS;  Gardner  CO;  Prescott  CA:  Religion, psychopathology, and substance use and abuse: a multimeasure, genetic-epidemiologic study.  American Journal of Psychiatry 154:322–329, 1997
[PubMed]
 
Koenig  HG;  Ford  S;  George  LK  et al:  Religion and anxiety disorder: an examination and comparison of associations in young, middle-aged and elderly adults.  Journal of Anxiety Disorders 7:321–342, 1993
[CrossRef]
 
Koenig  HG;  Larson  DB;  Weaver  AJ:  Research on religion and serious mental illness.  New Directions for Mental Health Services 80:81–95, 1998
[CrossRef] | [PubMed]
 
Ng  TP;  Nyunt  MSZ;  Chiam  PC  et al:  Religion, health beliefs and the use of mental health services by the elderly.  Aging and Mental Health 15:143–149, 2011
[CrossRef] | [PubMed]
 
Edman  JL;  Koon  TY:  Mental illness beliefs in Malaysia: ethnic and intergenerational comparisons.  International Journal of Social Psychiatry 46:101–109, 2000
[CrossRef] | [PubMed]
 
Razali  SM;  Najib  MAM:  Help-seeking pathways among Malay psychiatric patients.  International Journal of Social Psychiatry 46:281–289, 2000
[CrossRef] | [PubMed]
 
Kurihara  T;  Kato  M;  Reverger  R  et al:  Pathway to psychiatric care in Bali.  Psychiatry and Clinical Neurosciences 60:204–210, 2006
[CrossRef] | [PubMed]
 
Nurasikin  MS;  Khatijah  LA;  Aini  A  et al:  Religiousness, religious coping methods and distress level among psychiatric patients in Malaysia.  International Journal of Social Psychiatry 59:332–338, 2013
[CrossRef] | [PubMed]
 
Yip  KS:  Taoism and its impact on mental health of the Chinese communities.  International Journal of Social Psychiatry 50:25–42, 2004
[CrossRef] | [PubMed]
 
Census of Population 2010 Statistics: Demographic Characteristics, Education, Language and Religion. Singapore, Singapore Department of Statistics; 2007–2011. Available at www.singstat.gov.sg/publications/publications_and_papers/cop2010/census_2010_release1/cop2010sr1.pdf
 
Chong  SA;  Abdin  E;  Vaingankar  JA  et al:  A population-based survey of mental disorders in Singapore.  Annals of the Academy of Medicine, Singapore 41:49–66, 2012
[PubMed]
 
Subramaniam  M;  Vaingankar  J;  Heng  D  et al:  The Singapore Mental Health Study: an overview of the methodology.  International Journal of Methods in Psychiatric Research 21:149–157, 2012
[CrossRef] | [PubMed]
 
Kessler  RC;  Ustün  TB:  The World Mental Health (WMH) Survey Initiative Version of the World Health Organization (WHO) Composite International Diagnostic Interview (CIDI).  International Journal of Methods in Psychiatric Research 13:93–121, 2004
[CrossRef] | [PubMed]
 
Thong  D;  Carpenter  B;  Krippner  S:  A Psychiatrist in Paradise: Treating Mental Illness in Bali .  Bangkok,  White Lotus, 1992
 
Weiss  M: Explanatory Model Interview Catalogue (EMIC): framework for  comparative study of illness.  Transcultural Psychiatry 34:235, 1997
[CrossRef]
 
Koenig  HG;  McCullough  ME;  Larson  DB:  Handbook of Religion and Health .  New York,  Oxford University Press, 2001
 
Kua  EH;  Chew  PH;  Ko  SM:  Spirit possession and healing among Chinese psychiatric patients.  Acta Psychiatrica Scandinavica 88:447–450, 1993
[CrossRef] | [PubMed]
 
Teo  SH:  The stigma of mental illness.  Nursing Journal of Singapore 18:59–60, 1978
[PubMed]
 
Wang  PS;  Lane  M;  Olfson  M  et al:  Twelve-month use of mental health services in the United States: results from the National Comorbidity Survey Replication.  Archives of General Psychiatry 62:629–640, 2005
[CrossRef] | [PubMed]
 
Wang  PS;  Berglund  PA;  Kessler  RC:  Patterns and correlates of contacting clergy for mental disorders in the United States.  Health Services Research 38:647–673, 2003
[CrossRef] | [PubMed]
 
Sevilla-Dedieu  C;  Kovess-Masféty  V;  Haro  JM  et al:  Seeking help for mental health problems outside the conventional health care system: results from the European Study of the Epidemiology of Mental Disorders (ESEMeD).  Canadian Journal of Psychiatry 55:586–597, 2010
 
Wang  PS;  Aguilar-Gaxiola  S;  Alonso  J  et al:  Use of mental health services for anxiety, mood, and substance disorders in 17 countries in the WHO World Mental Health surveys.  Lancet 370:841–850, 2007
[CrossRef] | [PubMed]
 
Buus  N;  Johannessen  H;  Stage  KB:  Explanatory models of depression and treatment adherence to antidepressant medication: a qualitative interview study.  International Journal of Nursing Studies 49:1220–1229, 2012
[CrossRef] | [PubMed]
 
Dejman  M;  Ekblad  S;  Forouzan  AS  et al:  Explanatory model of help-seeking and coping mechanisms among depressed women in three ethnic groups of Fars, Kurdish, and Turkish in Iran.  Archives of Iranian Medicine 11:397–406, 2008
[PubMed]
 
Koenig HG: Religion, spirituality, and anxiety disorders; in Religion and Spirituality in Psychiatry. Edited by Huguelet P, Koenig HG. Cambridge, United Kingdom, Cambridge University Press, 2009
 
Razali  SM;  Hasanah  CI;  Aminah  K  et al:  Religious–sociocultural psychotherapy in patients with anxiety and depression.  Australian and New Zealand Journal of Psychiatry 32:867–872, 1998
[CrossRef] | [PubMed]
 
Weaver  AJ:  Has there been a failure to prepare and support parish-based clergy in their role as frontline community mental health workers: a review.  Journal of Pastoral Care 49:129–147, 1995
[PubMed]
 
Lahariya  C;  Singhal  S;  Gupta  S  et al:  Pathway of care among psychiatric patients attending a mental health institution in central India.  Indian Journal of Psychiatry 52:333–338, 2010
[CrossRef] | [PubMed]
 
Swami  V;  Arteche  A;  Chamorro-Premuzic  T  et al:  Lay perceptions of current and future health, the causes of illness, and the nature of recovery: explaining health and illness in Malaysia.  British Journal of Health Psychology 14:519–540, 2009
[CrossRef] | [PubMed]
 
Angermeyer  MC;  Matschinger  H;  Riedel-Heller  SG:  Whom to ask for help in case of a mental disorder? Preferences of the lay public.  Social Psychiatry and Psychiatric Epidemiology 34:202–210, 1999
[CrossRef] | [PubMed]
 
Chadda  RK;  Agarwal  V;  Singh  MC  et al:  Help seeking behaviour of psychiatric patients before seeking care at a mental hospital.  International Journal of Social Psychiatry 47:71–78, 2001
[CrossRef] | [PubMed]
 
Wang  JY:  Service users’ personal experience and interpretation of mental illness: Oriental narratives.  International Journal of Social Psychiatry 58:425–432, 2012
[CrossRef] | [PubMed]
 
Narikiyo  TA;  Kameoko  VA:  Attributions of mental illness and judgments about help seeking among Japanese-American and white American students.  Journal of Counseling Psychology 39:363–369, 1992
[CrossRef]
 
Suan  LV;  Taylor  JD:  Mental health values and preference for mental health resources of Japanese-American and Caucasian-American students.  Professional Psychology: Research and Practice 21:291–296, 1990
[CrossRef]
 
Bhana  K;  Daniels  CS:  Generational changes in conceptions of mental illness: a study of a South African sample.  Journal of Cross-Cultural Psychology 17:493–505, 1987
[CrossRef]
 
Narrow  WE;  Regier  DA;  Rae  DS  et al:  Use of services by persons with mental and addictive disorders.  Archives of General Psychiatry 50:95–107, 1993
[CrossRef] | [PubMed]
 
Young  JL;  Griffith  EE;  Williams  DR:  The integral role of pastoral counseling by African-American clergy in community mental health.  Psychiatric Services 54:688–692, 2003
[CrossRef] | [PubMed]
 
Wang  PS;  Berglund  PA;  Olfson  M  et al:  Delays in initial treatment contact after first onset of a mental disorder.  Health Services Research 39:393–415, 2004
[CrossRef] | [PubMed]
 
Sevilla-Dedieu  C;  Kovess-Masfety  V;  Angermeyer  M  et al:  Measuring use of services for mental health problems in epidemiological surveys.  International Journal of Methods in Psychiatric Research 20:182–191, 2011
[PubMed]
 
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