Psychiatric Co-morbidity, Religiosity and Spirituality in Patients with Chronic Pain Syndrome.

Jyothi, K S (2008) Psychiatric Co-morbidity, Religiosity and Spirituality in Patients with Chronic Pain Syndrome. Masters thesis, Christian Medical College, Vellore.


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Introduction: Definition of health by world health organization states “Health is a state of Complete physical, mental, and social well being and not merely the absence of disease Or infirmity” (WHO, 1946). A major criticism for this is that, health cannot defined as a state at all, but must Be seen as a process of continuous adjustment to the changing demands of living and of The changing meaning we give to life. Severe or persistent pain is one of the most challenging experiences that a Person can face and it affects health. Psychological impact of chronic pain on Individual is important; many of them have adjustment disorders, major depression or Anxiety. From the mid to late 1990s, structured interviews such as the Diagnostic Interview Schedule have been used to ascertain the presence of formal psychiatric Diagnosis in chronic pain patients. (Francis JK et al, 2002). In a state of chronic pain how people give meaning to spirituality and religion is An area relatively unexplored by research. Despite claim that religious or spiritual belief Is conducive to better health (Levin et al, 1987) spiritual belief are rarely considered in Psychological or medical publications (Larson et al; 1986, Craig et al, 1998). Usually, Only the presence or absence of religious practice is considered (Sheril & Larson, 1998; Pressman et al, 1990). A narrow use of the term religious has led to a failure to Appreciate the broader metaphysical understanding of the word spiritual and the Presumption that, if someone does not profess a recognized religious faith, they have no Spiritual discernment or need (Speck et al, 1988). Religion pertains to the outward practice of a spiritual understanding and /or the Framework for a system of belief, values, and codes of conducts or rituals (King et al 1995). The term spiritual can be taken broadly to mean a person’s belief in a power Outside of his or her own existence. Some people may use the term god; others are less Specific (King et al 1995). Studies related to psychological effects of pain in an Indian context are scarce. Western studies show that chronic pain is a state of continuous distress that causes Psychiatric morbidity. Identifying these psychiatric morbidities and treating them are Important. Evaluating the spiritual and religious beliefs will provide a wider Understanding of the client’s experience, and will help in devising coping strategies.

Item Type: Thesis (Masters)
Uncontrolled Keywords: Psychiatric Co-morbidity ; Religiosity ; Spirituality ; Patients ; Chronic Pain Syndrome.
Subjects: MEDICAL > Psychiatry
Depositing User: Subramani R
Date Deposited: 19 Aug 2017 02:35
Last Modified: 19 Aug 2017 02:35

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