TABLE 3. Psychiatrists Versus Nonpsychiatrists: Addressing Religion/Spirituality in Clinical Practice.
| Questionnaire Item | Response Category | Psychiatrists (weighted %) |
Other Physicians (weighted %) |
Analysis |
|---|---|---|---|---|
| p (χ2) | ||||
| Inquiry | ||||
| In general, is it appropriate or inappropriate for a physician to inquire about a patient’s religion/ spirituality? |
<0.0001 | |||
| Usually or always appropriate | 93 | 53 | ||
| Usually or always inappropriate | 7 | 47 | ||
| Do you ever inquire about patients’ religious/ spiritual issues? |
<0.0001 | |||
| Yes | 87 | 49 | ||
| No | 13 | 51 | ||
| How often do you inquire when a patient suffers from anxiety or depression? |
<0.0001 | |||
| Rarely or never | 21 | 57 | ||
| Sometimes | 35 | 29 | ||
| Often or always | 44 | 14 | ||
| Dialogue | ||||
| In general, is it appropriate or inappropriate for a physician to discuss religious/spiritual issues when a patient brings them up? |
0.05 | |||
| Usually or always appropriate | 97 | 91 | ||
| Usually or always inappropriate | 3 | 9 | ||
| When, if ever, is it appropriate for a physician to talk about his or her own religious beliefs or experiences with a patient? |
<0.05 | |||
| Never | 20 | 13 | ||
| Only when the patient asks | 32 | 44 | ||
| Whenever the physician senses…a | 48 | 43 | ||
| I encourage patients in their own religious/ spiritual beliefs and practices…b |
0.11 | |||
| Rarely or never | 4 | 8 | ||
| Sometimes | 13 | 19 | ||
| Often or always | 83 | 73 | ||
| I respectfully share my own religious ideas and experiences…b |
<0.01 | |||
| Rarely or never | 74 | 58 | ||
| Sometimes | 24 | 29 | ||
| Often or always | 2 | 12 | ||
| I try to change the subject in a tactful way…b | <0.01 | |||
| Rarely or never | 90 | 74 | ||
| Sometimes | 7 | 20 | ||
| Often or always | 2 | 6 | ||
| Prayer | ||||
| When, if ever, is it appropriate for a physician to pray with a patient? |
<0.0001 | |||
| Never | 34 | 16 | ||
| Only when the patient asks | 34 | 54 | ||
| Whenever the physician senses…a | 32 | 29 | ||
| I pray with the patient…b | <0.01 | |||
| Rarely or never | 94 | 80 | ||
| Sometimes | 5 | 16 | ||
| Often or always | 1 | 4 | ||
| Barriers | ||||
| Do any of the following discourage you from discussing religion/spirituality with patients? (check all that apply) |
||||
| Insufficient time | 35 | 48 | 0.02 | |
| Concern about offending patients | 25 | 41 | <0.01 | |
| Insufficient knowledge/training | 25 | 26 | 0.80 | |
| General discomfort | 13 | 24 | 0.02 | |
| Concern that colleagues will disapprove |
3 | 4 | 0.61 |
Followed by “it would be appropriate.”
Followed by “when religious/spiritual issues come up in discussions with patients.”