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Modulation of the Neurophysiological Response to Fearful and Stressful Stimuli Through Repetitive Religious Chanting
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[Endogenous depressions with religious experience].

G I Kopeyko1, E V Gedevani1, O A Borisova1

  • 1Mental Health Research Center, Moscow, Russia.

Zhurnal Nevrologii I Psikhiatrii Imeni S.S. Korsakova
|August 18, 2021
PubMed
Summary

Depression with religious distress can mask mental disorders, leading to severe outcomes like suicidal activity. Early diagnosis and tailored treatments are crucial for these patients.

Keywords:
endogenous depressiongodforsakennessguilt and sinfulnesspathological pseudo-religiosityreligiosityreligious experiencesspiritual hypochondriasuicidal risks

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Area of Science:

  • Psychiatry
  • Clinical Psychology
  • Religious Studies

Background:

  • Mental disorders, particularly depression, can be obscured by religious content.
  • A
  • religious facade
  • may delay diagnosis and treatment, increasing risks like suicidal behavior.

Purpose of the Study:

  • To define the psychopathology and phenomenology of religious experiences in depressed patients.
  • To facilitate early diagnosis of mental disorders masked by religious distress.
  • To inform prevention strategies for suicidal activity in this population.

Main Methods:

  • The study involved 115 patients diagnosed with affective disorders or schizophrenia (ICD-10 codes F31.3-F33.2, F20.0, F20.4, F21).
  • Patients experienced religious distress within their affective disorders or schizophrenia.

Main Results:

  • Five distinct types of depression were identified based on psychopathological structure.
  • Melancholic depression was the predominant type (61%).
  • Depression types were further categorized by religious experience: congruent guilt/sinfulness, loss of faith/God-forsakenness, faith doubts, and spiritual hypochondria.

Conclusions:

  • Mental disorders with a religious facade are often underdiagnosed due to their specific content.
  • This underdiagnosis can lead to severe consequences, including suicidal activity.
  • Early detection and specialized treatment approaches are essential for managing these conditions.