The Relationship Between Psychiatry and Religion Among U.S. Physicians
Open accessAbstract
OBJECTIVE: This study compared the religious characteristics of psychiatrists with those of other physicians and explored whether nonpsychiatrist physicians who are religious are less willing than their colleagues to refer patients to psychiatrists and psychologists. METHODS: Surveys were mailed to a stratified random sample of 2,000 practicing U.S. physicians, with an oversampling of psychiatrists. Physicians were queried about their religious characteristics. They also read a brief vignette about a patient with ambiguous psychiatric symptoms and were asked whether they would refer the patient to a clergy member or religious counselor, or to a psychiatrist or a psychologist. RESULTS: A total of 1,144 physicians completed the survey, including 100 psychiatrists. Compared with other physicians, psychiatrists were more likely to be Jewish (29% versus 13%) or without a religious affiliation (17% versus 10%), less likely to be Protestant (27% versus 39%) or Catholic (10% versus 22%), less likely to be religious in general, and more likely to consider themselves spiritual but not religious (33% versus 19%). Nonpsychiatrist physicians who were religious were more willing to refer patients to clergy members or religious counselors (multivariate odds ratios from 2.9 to 5.7) and less willing to refer patients to psychiatrists or psychologists (multivariate odds ratios from .4 to .6). CONCLUSIONS: Psychiatrists are less religious than other physicians, and religious physicians are less willing than nonreligious physicians to refer patients to psychiatrists. These findings suggest that historic tensions between religion and psychiatry continue to shape the care that patients receive for mental health concerns.
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According to Curlin et al., historical tensions between psychiatry and religion influenced many psychiatrists in the past century and continue to be influential today.
“According to Curlin et al.,31 the historical tensions between psychiatry and religion influenced many psychiatrists in the past century and continue to be influential today.”
From How psychiatrists think about religious and spiritual beliefs in clinical practice: findings from a university hospital in São Paulo, Brazil (2019) · cites this paper as [31]
The data are in accordance with previous reports that psychiatrists are less likely to believe in God and declare a religious affiliation than the general population or physicians from other specialties.
“Our data are in accordance with previous reports in which psychiatrists were less likely to believe in God and declare a religious affiliation than the general population16-18,30 or physicians from other specialties.31”
From How psychiatrists think about religious and spiritual beliefs in clinical practice: findings from a university hospital in São Paulo, Brazil (2019) · cites this paper as [31]
Brazilian psychiatrists who responded to the survey had a greater percentage of belief in God than American, German, Canadian, and British psychiatrists.
“However, Brazilian psychiatrists showed a greater percentage of belief in God (71.4%), when compared with American (65%),17 German (56%),11 Canadian (54%)10 and British (23%) psychiatrists.9”
From A preliminary survey on the religious profile of Brazilian psychiatrists and their approach to patients' religiosity in clinical practice (2016) · cites this paper as [17]
Brazilian psychiatrists who responded to the survey tended to have less religious affiliation than psychiatrists in the United States, Germany, and South Africa.
“They also tended to have less religious affiliation when compared with psychiatrists in the United States (82%),17 Germany (70.7%)11 and South Africa (84%).12”
From A preliminary survey on the religious profile of Brazilian psychiatrists and their approach to patients' religiosity in clinical practice (2016) · cites this paper as [17]
American psychiatrists have 82% religious affiliation, German 70.7%, and South African 84%.
“They also tended to have less religious affiliation when compared with psychiatrists in the United States (82%),17 Germany (70.7%)11 and South Africa (84%).12”
From A preliminary survey on the religious profile of Brazilian psychiatrists and their approach to patients' religiosity in clinical practice (2016) · cites this paper as [17]
American psychiatrists have 65% belief in God, German 56%, Canadian 54%, and British 23%.
“when compared with American (65%),17 German (56%),11 Canadian (54%)10 and British (23%) psychiatrists.9”
From A preliminary survey on the religious profile of Brazilian psychiatrists and their approach to patients' religiosity in clinical practice (2016) · cites this paper as [17]
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- Authors
- Curlin, F. A., Odell, S. V., Lawrence, R. E., Chin, M. H., Lantos, J. D., Meador, K. G., & Koenig, H. G.
- Affiliations
- University of Chicago (US)
- Venue
- Psychiatric Services
- Published
- 2007-09
- Volume
- 58
- Issue
- 9
- Pages
- 1193-1198
- ISSN
- 0022-1597 (ISSN-L)
- 1075-2730
- 1557-9700
- PMC
- PMC2867459
- OpenAlex
- W2142542657
- Cited by
- 133
- References
- 37
- Citations by year
- 2026: 4 · 2025: 6 · 2024: 6 · 2023: 1 · 2022: 5 · 2021: 14 · 2020: 8 · 2019: 9 · 2018: 10 · 2017: 3 · 2016: 7 · 2015: 2 · 2014: 14 · 2013: 10 · 2012: 9
- FWCI
- 7.63
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Psychiatric Services (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- DigitalGeorgetown (Georgetown University Library) (submittedVersion)
- Funders
- University of Chicago
- National Center for Complementary and Alternative Medicine
- National Center for Complementary and Integrative Health (K23AT002749)
- Topics
- Social Sciences › Health › Religion, Spirituality, and Psychology
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Social Sciences › Sociology and Political Science › Religion and Society Interactions
- Keywords
- religion and psychiatry, psychiatrists, religious affiliation, physician referral behavior, spiritual but not religious, access to mental health care, Jewish physicians
- MeSH terms
- Adult, Data Collection, Female, Humans, Male, Middle Aged, Physicians, Psychiatry, Religion and Medicine, United States
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