Abstract：
BACKGROUND: Little is known about types of religious/spiritual (R/S) struggles with regard to various diagnostic groups in mental health care. The current qualitative study aims to give an impression of R/S struggles as observed in six diagnostic groups in clinical mental health care.
METHODS: Inductive thematic content analysis was applied to 34 semi-structured interviews. The interviews were performed among (day) clinical mental health care patients in two institutions.
RESULTS: Among patients with depression, a lack of positive R/S experiences, isolation, and feelings of guilt and shame were present. Those with cluster C and anxiety disorders reported uncertainty toward God and faith and R/S reticence. Psychotic disorders were accompanied by impressive R/S experiences, reticence to share these, and mistrust toward health professionals. Patients with bipolar disorder struggled with the interpretation of their R/S experiences and with both attraction and distance toward R/S. Cluster B patients showed ambivalence and anger toward God and others, and some reported existential tiredness. Patients with autism mentioned doubts and troubles with religious beliefs. In all groups, many patients had questions like \"why?\" or \"where is God?\"
CONCLUSIONS: R/S struggles to some extent may be the language of the illness. Mental health professionals are recommended to take this into account, taking heed of the content of individual R/S struggles and considering using R/S interventions.
METHODS: Inductive thematic content analysis was applied to 34 semi-structured interviews. The interviews were performed among (day) clinical mental health care patients in two institutions.
RESULTS: Among patients with depression, a lack of positive R/S experiences, isolation, and feelings of guilt and shame were present. Those with cluster C and anxiety disorders reported uncertainty toward God and faith and R/S reticence. Psychotic disorders were accompanied by impressive R/S experiences, reticence to share these, and mistrust toward health professionals. Patients with bipolar disorder struggled with the interpretation of their R/S experiences and with both attraction and distance toward R/S. Cluster B patients showed ambivalence and anger toward God and others, and some reported existential tiredness. Patients with autism mentioned doubts and troubles with religious beliefs. In all groups, many patients had questions like \"why?\" or \"where is God?\"
CONCLUSIONS: R/S struggles to some extent may be the language of the illness. Mental health professionals are recommended to take this into account, taking heed of the content of individual R/S struggles and considering using R/S interventions.
摘要：
背景：关于精神卫生保健中各种诊断小组的宗教/精神（R/S）斗争类型知之甚少。当前的定性研究旨在给人一种R/S斗争的印象，如在临床精神保健的六个诊断组中观察到的那样。
方法：将归纳性主题内容分析应用于34次半结构化访谈。访谈是在两个机构的（日间）临床精神保健患者中进行的。
结果：在抑郁症患者中，缺乏积极的R/S经验，隔离,内疚和羞愧的感觉是存在的。患有C群和焦虑症的人报告了对上帝和信仰的不确定性以及R/S沉默。精神疾病伴随着令人印象深刻的R/S经历，不愿分享这些，以及对卫生专业人员的不信任。双相情感障碍患者在解释他们的R/S经历以及对R/S的吸引力和距离方面苦苦挣扎。B组患者对上帝和他人表现出矛盾和愤怒，和一些报告的存在疲劳。自闭症患者提到了对宗教信仰的怀疑和烦恼。在所有组中,许多患者有诸如“为什么？”或“上帝在哪里？”
结论：R/S斗争在某种程度上可能是疾病的语言。建议心理健康专业人员考虑到这一点，注意个人R/S斗争的内容，并考虑使用R/S干预措施。
方法：将归纳性主题内容分析应用于34次半结构化访谈。访谈是在两个机构的（日间）临床精神保健患者中进行的。
结果：在抑郁症患者中，缺乏积极的R/S经验，隔离,内疚和羞愧的感觉是存在的。患有C群和焦虑症的人报告了对上帝和信仰的不确定性以及R/S沉默。精神疾病伴随着令人印象深刻的R/S经历，不愿分享这些，以及对卫生专业人员的不信任。双相情感障碍患者在解释他们的R/S经历以及对R/S的吸引力和距离方面苦苦挣扎。B组患者对上帝和他人表现出矛盾和愤怒，和一些报告的存在疲劳。自闭症患者提到了对宗教信仰的怀疑和烦恼。在所有组中,许多患者有诸如“为什么？”或“上帝在哪里？”
结论：R/S斗争在某种程度上可能是疾病的语言。建议心理健康专业人员考虑到这一点，注意个人R/S斗争的内容，并考虑使用R/S干预措施。
