Spirituality and mental health: challenges and opportunities
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Increasing high-quality evidence has demonstrated the impact of R/S on different mental health conditions.
“Increasing high-quality evidence has demonstrated the impact of R/S on different mental health conditions.7”
Cites
Association Between Religious Service Attendance and Lower Suicide Rates Among US Women
VanderWeele, T. J., Li, S., Tsai, A. C., & Kawachi, I. (2016) · JAMA Psychiatry · doi:10.1001/jamapsychiatry.2016.1243 · Cited by 363 · see citing works
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Why we heal: The evolution of psychological healing and implications for global mental health
Kohrt, B. A., Ottman, K. E., Panter‐Brick, C., Konner, M. J., & Patel, V. (2020) · Clinical Psychology Review · doi:10.1016/j.cpr.2020.101920 · Cited by 77 · see citing works
Fenzel, L., & Richardson, K. (2021) · Journal of Adult Development · doi:10.1007/s10804-021-09384-2 · Cited by 45 · see citing works
“The increased visibility of Buddhist-inspired mindfulness in the U.S. and its value in treating stress and symptoms of depression and anxiety may also be contributing to increased interiority in the expression of R/S among emerging adults (Rosmarin et al., 2021).”
BackgroundUnterrainer, . (2023) · Religions · doi:10.3390/rel14070882 · Cited by 13 · see citing works
Religion, Morality, Ethics, and Problematic Pornography Use
Mestre-Bach, G., Blycker, G., Actis, C. C., Brand, M., & Potenza, M. (2021) · Current Addiction Report · doi:10.1007/s40429-021-00388-2 · Cited by 15 · see citing works
Vitorino, L. M., Cazerta, M. F., Corrêa, N. R., Foresto, E. D. P., de Oliveira, M. A. F., & Lucchetti, G. (2021) · Health Education & Behavior · doi:10.1177/10901981211057535 · Cited by 14 · see citing works
“…which shows that RS can have a positive impact on well-being, mental health, resilience, and also positive emotions such as happiness and optimism (J. P. Gonçalves et al., 2015; Koenig et al., 2012; Rosmarin et al., 2021; Schwalm et al., 2021; Villani et al., 2019; Vitorino et al., 2018).”
BackgroundTöbelmann, L., Hahne, I., Schulze, T., Bergmann, N., Fuchs, L., Zierhut, M., Hahn, E., & Böge, K. (2023) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2023.1086468 · Cited by 13 · see citing works
Rohmi, F., Yusuf, A., Fitriasari, R., & Agustinus, H. (2023) · SAGE Open Nursing · doi:10.1177/23779608231214935 · Cited by 13 · see citing works
“The term “ spirituality ” refers to a person ’ s connection, whether religious or not, to what they perceive to be a non-physical reality (Jordan et al., 2020; Rosmarin et al., 2021).”
BackgroundResultSpiritual Care for COVID-19 Patients: A Neglected Necessity
Bahramnezhad, F., & Asgari, P. (2020) · Infectious Diseases in Clinical Practice · doi:10.1097/ipc.0000000000000955 · Cited by 13 · see citing works
“In this critical conditions of high workload, fatigue, time constraints, lack of awareness of the spiritual needs of these patients, fear of getting the disease, limited number of nursing personnel, and insufficient training of nurses are the main obstacles to providing spiritual care to these patients.(8,9) COVID-19…”
BackgroundMosqueiro, B. P., Costa, M. D. A., Caribé, A. C., Oliveira e Oliveira, F. H. A., Pizutti, L., Zimpel, R. R., Baldaçara, L., da Silva, A. G., & Moreira-Almeida, A. (2023) · Brazilian Journal of Psychiatry · doi:10.47626/1516-4446-2023-3056 · Cited by 12 · see citing works
Hinterberger, T., & Walter, N. (2025) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2024.1497630 · Cited by 11 · see citing works
Casaleiro, T., Martins, H., & Caldeira, S. (2024) · Healthcare · doi:10.3390/healthcare12131247 · Cited by 11 · see citing works
“This path has challenges and opportunities [13].”
Developing a definition of spiritual health for Canadian young people: a qualitative study
Michaelson, V. E. (2020) · International Journal of Children s Spirituality · doi:10.1080/1364436x.2020.1856048 · Cited by 18 · see citing works
“…journals in the health sciences, the word spiritual is used to describe complementary or alternative approaches to medicine, health and healing and is also found in more clinical journals such as the Lancet (Rosmarin, Pargament, and Koenig 2020) and the British Medical Journal (Murray et al. 2010).”
BackgroundFellinger, M., Holzinger, D., Fogler, J., & Fellinger, J. (2023) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/s00127-023-02451-x · Cited by 11 · see citing works
“However, negative aspects of R/S on the health and mental health of people should not be unnoticed [23].”
BackgroundFuchshuber, J., & Unterrainer, H. (2021) · Frontiers in Psychology · doi:10.3389/fpsyg.2021.597565 · Cited by 8 · see citing works
“In terms of neural correlates of MI-RSWB, a voxel-based morphometry study regarding the belief in the miracles of Lourdes (Schienle et al., 2020) reported substantial correlations between the MI-RSWB dimensions and specific areas in the brain.”
BackgroundMethodKnorr, A., Podolin-Danner, N., Fuchshuber, J., Wenzl, M., Silani, G., & Unterrainer, H. (2023) · Personality and Individual Differences · doi:10.1016/j.paid.2023.112213 · Cited by 7 · see citing works
Freund, A., Fuchshuber, J., Silani, G., & Unterrainer, H. (2024) · Frontiers in Public Health · doi:10.3389/fpubh.2024.1375850 · Cited by 6 · see citing works
Chambers-Richards, T., Chireh, B., & D’Arcy, C. (2022) · Journal of Religion and Health · doi:10.1007/s10943-022-01510-y · Cited by 6 · see citing works
Rammouz, I., Aalouane, R., Fakir, S. E., Ghazi, M. E., Bennoudi, H., Trimasse, N., Madaoui, R., Boujraf, S., & Koenig, H. G. (2020) · Journal of Religion and Health · doi:10.1007/s10943-020-01111-7 · Cited by 7 · see citing works
Self-citationVillani, D., Eissa, S., Zambelli, M., & Natale, A. D. D. (2025) · Religions · doi:10.3390/rel16020106 · Cited by 5 · see citing works
The use of spirituality/religiosity by oncology nurse residents in nursing care
Tomaz, A. P. K. D. A., Antunes, R. F., Dib, R., Ramos, R. D. S., Nascimento, F., de Jesus, S. A., Sousa, K. H. J. F., & Zeitoune, R. C. G. (2024) · Revista Brasileira de Enfermagem · doi:10.1590/0034-7167-2023-0383 · Cited by 4
“Furthermore, most individuals use spirituality to deal with emotional vulnerability, psychological distress and mental changes associated with anxiety and other negative feelings (16) .”
BackgroundGarcia, A. C., Maia, L. O., & Reed, P. G. (2024) · Journal of Holistic Nursing · doi:10.1177/08980101241257836 · Cited by 4 · see citing works
“Spirituality refers to a sense of connection, whether religious or not, with a non-physical reality perceived by an individual (Rosmarin et al., 2021) and can be understood as “ a dynamic and intrinsic aspect of humanity through which individuals seek ultimate meaning, purpose, and transcendence,…”
Navigating Spiritual Turmoil in the Doctoral Journey: An Autoethnographic Perspective
Somsao, A., & Kuroda, A. (2025) · Journal of Education and Learning · doi:10.5539/jel.v14n6p197 · Cited by 3
“Some view them as existential crises marked by meaninglessness (Naor & Mayseless, 2020; Pargament, 2013; Rosmarin et al., 2021), while others see them as catalysts for self-transformation (Grossi, 2006; Hernandez & Ngunjiri, 2013).”
InfluentialSpirituality in occupational therapy practice: A scoping review with narrative synthesis
So, H., Mackenzie, L. A., Chapparo, C., Ranka, J. L., & McColl, M. A. (2025) · British Journal of Occupational Therapy · doi:10.1177/03080226251326759 · Cited by 3 · see citing works
“Yet within healthcare, the dominant medical model reduces clients to ‘bodies’ and ‘minds’, with little time for discussions of a spiritual nature (Rosmarin et al., 2021).”
The current state of spirituality: A four world view
Young, T., Rappleyea, D. L., Jensen, J. F., Sira, N., & Quagliana, H. L. (2024) · Journal for the Study of Spirituality · doi:10.1080/20440243.2024.2415616 · Cited by 3 · see citing works
“(Gillilan et al. 2017; Lloreda-Garcia 2017; Rosmarin, Pargament, and Koenig 2021; Tehranineshat et al. 2019).”
InfluentialTorres, A., Alabarse, O., Alves, Â. C., Teixeira, A. L., de Azevedo, R. C. S., & Fernandes, A. (2022) · Gynecologie et obstetrique · doi:10.1055/s-0043-1772594 · Cited by 3
“23,24 Thus, it is possible that the association between the variables not having a religion/being Catholic and non-Rev The loss of outpatient follow-up was less frequent and considered by the authors to have less impact on treatment, since only two variables were shown to be associated with loss of…”
BackgroundTomaz, A. P. K. D. A., Antunes, R. F., Dib, R. V., Ramos, R. D. S., Nascimento, F. P. B., de Jesus, S. A., Sousa, K. H. J. F., & Zeitoune, R. C. G. (2024) · Revista Brasileira de Enfermagem · doi:10.1590/0034-7167-2023-0383pt · Cited by 3
de Miranda, K. S., Santos, L. D. R., Neto, O. P. D. A., Raponi, M. B. G., & Scalia, L. A. M. (2023) · Jornal Brasileiro de Psiquiatria · doi:10.1590/0047-2085000000433 · Cited by 6 · see citing works
“Várias estratégias de enfrentamento podem ser utilizadas pelos profissionais de saúde nesse momento, entre elas, a religiosidade, a qual pode ter um papel protetor com relação ao uso de substâncias e saúde mental 37 .”
BackgroundThe Relationship between spirituality and Resilience Among Families with Mental Illness in Indonesia
Rohmi, F., & Setiawan, A. A. (2025) · Clinical Epidemiology and Global Health · doi:10.1016/j.cegh.2025.102192 · Cited by 2 · see citing works
Vergara, F. A., & Taja-on, E. P. (2025) · Journal of Mental Health & Well-being · doi:10.54536/jmhwb.v1i1.5121 · Cited by 2
“This integration enriches welfare programming and provides students with a foundation for long-term personal development (Alviar, 2020; Aller et al. , 2021; Rosmarin et al. , 2021; Scherer & Leshner, 2021; Del Castillo et al. , 2023; Mulvogue et al. , 2023; Taja-on & Vergara, 2025).”
Body image, mental resilience, spirituality, and mental health in the population of young adults
Pakut, A., Wayda-Zalewska, M., Ostrowski, T., & Kucharska, K. (2022) · Kwartalnik naukowy Fides et Ratio · doi:10.34766/fetr.v4i52.1134 · Cited by 2 · see citing works
“There is also an increase in scientific reports and publications in the research literature on the role of spirituality in the prevention or treatment of mental disorders (Rosmarin and Koenig, 2020; Rosmarin et al., 2021).”
BackgroundMilner, K., Crawford, P., Edgley, A., & Slade, M. (2026) · Frontiers in Psychology · doi:10.3389/fpsyg.2026.1876226 · Cited by 1
“Those for whom spirituality was experienced as harmful or distressing, including individuals with experiences of religious trauma or spiritual abuse may have been underrepresented (Ellis et al., 2022; Rosmarin et al., 2021).”
Sharma, A., Rautela, S., & Panackal, N. (2025) · Journal for the Study of Spirituality · doi:10.1080/20440243.2025.2530946 · Cited by 1 · see citing works
“…2024), workplace (Bandyopadhyay and Seema 2025; Barik and Nayak 2024; Munjal and Sachdeva 2024), human biology (Lynn and Schell 2024), psychiatry (Rosmarin, Pargament, and Koenig 2021), religious studies (Geaquinto King 2017; Rocha and Fry 2023), biomedical sciences (Buttle 2015), resilience…”
Humer, E. C., Unterrainer, ., Büttner, J. T., & Probst, T. (2025) · Journal of Spirituality in Mental Health · doi:10.1080/19349637.2025.2487281 · Cited by 2 · see citing works
“Religion and spirituality have been integral aspects of human life for centuries, providing frameworks for meaning, support, and coping mechanisms during times of crisis and stress (Goodwin & Kraft, 2022; Rosmarin et al., 2021).”
Marmarosh, C. L., Nguyen, J., Williams, M., Flanagan, M., & Rosmarin, D. H. (2024) · International Journal of Group Psychotherapy · doi:10.1080/00207284.2024.2361239 · Cited by 1 · see citing works
“Utilizing spiritual coping methods are related to greater health and well-being (Ano & Vasconcelles, 2005; Pargament, 2013; Rosmarin, Pargament, et al., 2021).”
Self-citationQuality of Life and Spirituality in Medical Students
de Trotta, J., Kowalski, S., Comin, F. C., Zeni, R., & de Araújo, P. V. J. (2020) · Global Journal of Health Science · doi:10.5539/gjhs.v13n2p37 · Cited by 1 · see citing works
Spirituality as a coping resource: Towards integration into mental health framework
Nepali, S. (2026) · PLOS mental health · doi:10.1371/journal.pmen.0000667
“Global survey data suggests that about 84% of the world’s population have reported to follow a religion [19].”
Human Concept According to Mullā Ṣadrā and Its Contribution to the Modern Spiritual Crisis
Imansyah, A. R. (2026) · Kanz Philosophia: A Journal for Islamic Philosophy and Mysticism · doi:10.20871/kpjipm.v12i1.558
“…health care presents both challenges and opportunities, suggesting that Ṣadrā’s integrative framework— which synthesizes philosophical reasoning, mystical insight, and scriptural foundation—offers a particularly robust model for spiritually informed therapeutic practice (Rosmarin et al. 2021, 92).”
Desai, S., Bilal, L., Alhabeeb, A., Alsubaie, A. S., & Altwaijri, Y. (2026) · Frontiers in Public Health · doi:10.3389/fpubh.2026.1813677
“One aspect of the relationship between headaches and mental health that has not been studied is the role of religion, although over 80% of the world’s population is religiously affiliated (15).”
Hamzaa, H. G., El‐Sayed, M. M., Amin, S. M., Alkubati, S. A., Khedr, M. A., Hendy, A. S., Alasqah, I., Alqarawi, N., & Ahmed, H. A. (2026) · Archives of Psychiatric Nursing · doi:10.1016/j.apnu.2026.152095
Romero, A. G. C., Rozario, K., Marselle, M. R., Oh, R. R. Y., Müller, S., Becker, O. A., Schröger, E., Meemken, M.-T., Scherer‐Lorenzen, M., & Bonn, A. (2026) · Journal of Environmental Psychology · doi:10.1016/j.jenvp.2026.103007 · Cited by 2 · see citing works
Vrijmoeth, C., Blok, J., van den Brink, B., Schaap-Jonker, H., & Giltay, E. (2025) · Psychiatry Research · doi:10.1016/j.psychres.2025.116762
Anderson, C. D., Hall, S., Steadman, M., McCallister, C., Humphries, D., & Loosli, F. (2025) · Journal of Disability & Religion · doi:10.1080/23312521.2025.2457772
“Since an estimated 84% of the world’s population is religiously affiliated (Rosmarin et al., 2021), mental health practitioners should maintain competency for integrating religious and spiritual factors into treatment plans.”
Storch, E. A., & Fuselier, M. N. (2023) · Journal of Cognitive Psychotherapy · doi:10.1891/jcp-2022-0038
- Authors
- Rosmarin, D. H., Pargament, K. I., & Koenig, H. G.
- Affiliations
- Harvard University (US)
- King Abdulaziz University (SA)
- Corresponding author
- Rosmarin, David H
- Venue
- The Lancet Psychiatry
- Publisher
- Elsevier BV
- Published
- 2021-02
- Volume
- 8
- Issue
- 2
- Pages
- 92-93
- ISSN
- 2215-0366 (ISSN-L)
- OpenAlex
- W3008357666
- Cited by
- 68
- References
- 0
- Citations by year
- 2026: 5 · 2025: 14 · 2024: 11 · 2023: 11 · 2022: 17 · 2021: 5 · 2020: 5
- FWCI
- 5.26
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Lancet Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Funders
- John Templeton Foundation (60877)
- Topics
- Social Sciences › Health › Religion, Spirituality, and Psychology
- Social Sciences › Arts and Humanities › Philosophy › Study and Philosophy of Religion
- Social Sciences › Demography › Workplace Spirituality and Leadership
- Keywords
- spirituality, mental health, research funding, religious affiliation, neurosis
- MeSH terms
- Adaptation, Psychological, Mental Disorders, Humans, Mental Health, Religion and Psychology, Self Concept, Spirituality
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