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Depressions with religious experiences

Published online by Cambridge University Press:  01 September 2022

E. Gedevani ,
G. Kopeiko ,
O. Borisova ,
T. Vladimirova ,
E. Smirnova  and
V. Kaleda
E. Gedevani*
Affiliation:
FSBSI Mental Health Research Center, Researching Group Of Specific Forms Of Mental Disorders, Moscow, Russian Federation
G. Kopeiko
Affiliation:
FSBSI Mental Health Research Center, Researching Group Of Specific Forms Of Mental Disorders, Moscow, Russian Federation
O. Borisova
Affiliation:
FSBSI Mental Health Research Center, Researching Group Of Specific Forms Of Mental Disorders, Moscow, Russian Federation
T. Vladimirova
Affiliation:
FSBSI Mental Health Research Center, Researching Group Of Specific Forms Of Mental Disorders, Moscow, Russian Federation
E. Smirnova
Affiliation:
FSBSI Mental Health Research Center, Researching Group Of Specific Forms Of Mental Disorders, Moscow, Russian Federation
V. Kaleda
Affiliation:
Mental Health Research Centre, Department Of Youth Psychatry, Moscow, Russian Federation
*
*Corresponding author.

Abstract

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Introduction

Despite a significant number of studies devoted to the relationship between depression and religiosity, the diagnosis of depression in religious patients is complicated due to the insufficiently studied psychopathology and the peculiarities of the patient’s experiences.

Objectives

To determine the specific features of psychopathology and phenomenology of depression, masked by a “religious facade”, for timely diagnostics and prevention of suicidal behavior.

Methods

One hundred and fifteen religious (orthodox) inpatients (41 male, 74 female) with depression (F31.3, F31.4, F 32.1., F 32.2, F 33.1, F 33.2 according to ICD-10) were examined. Psychopathological method, HAM-D, SIDAS and statistical analysis were applied.

Results

Five types of depression were specified, which differed in psychopathological structure and content of the religious experiences. Overvalued ideas of guilt and sinfulness were predominant in melancholic depressions, ideas of God-forsakenness and the loss of “living” faith - in apathetic. Depressions with overvalued doubts whether the right faith and confession has been chosen accompanied with anxiety, melancholy and apathy. It should be specially mentioned apathetic and melancholic depressions characterized by “spiritual hypochondria” with specific cenesto-hypochondrical symptomatology. Melancholic depressions characterized by high suicidal risk prevailed (65%) over the other depressions.

Conclusions

Depressions masked by a “religious facade” often are not recognized due to specifical content, which results in lack of timely diagnostics and creates a high risk of suicidal behavior.

Disclosure

No significant relationships.

Keywords

guilt and sinfulnessDepressionreligious experiencessuicidal risks
Type
Abstract
Information
European Psychiatry , Volume 65 , Special Issue S1: Abstracts of the 30th European Congress of Psychiatry , June 2022 , pp. S218
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of the European Psychiatric Association
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