Spiritual-religious coping in patients with schizophrenia: A qualitative analysis

Background: Spiritual and religious ways of coping are adaptive for individuals battling schizophrenia in the face of various illness-related factors. Related research is mainly focused on those with acute symptoms. Schizophrenia and a qualitative analysis of the connotation of spirituality-religiosity (SR) in processing illness-related difficulties in Indian context is sparse. This study analyzed how the SR helps people with schizophrenia to handle various day-to-day challenges in life. Methods: A qualitative approach was adopted, and consenting patients were asked open-ended questions. Data collected from these in-depth interviews with 15 individuals with schizophrenia and currently in remission were analyzed according to a predetermined model. Data were collected and analyzed based on grounded theory principles. Results: Twelve out of 15 of the individuals regarded SR as an inherent part of their well-being. At a personal level, the descriptions reflected a tendency toward achieving inner peace, meaning, and purpose in life; whereas at social/interpersonal levels, it was more about acceptance and seeking other's support. These individuals regarded SR as a way of sharing love, care, and support, which would further help them in handling difficulties and accepting responsibilities. Conclusion: A well-formed SR belief system helps the patients with schizophrenia to navigate better through the day-to-day life stressors by changing the ways of coping.