Religiosity/Spirituality and Substance Use in Adolescence as Related to Positive Development: A Literature Review
Abstract
Positive youth development interventions are strategies to address adolescent health risk behaviors and are recommended in Healthy People 2020. Although the incorporation of spirituality into these programs has been recommended, much of the empirical literature actually addresses religiosity rather than spirituality. The purpose of our review of 36 studies published between 2007 and 2013 was to (1) examine the relationship of religiosity and/or spirituality to substance use and abuse in adolescence, (2) discuss the measurement and meaning of the concept of spirituality in contrast to religiosity in adolescence, and (3) discuss the implications of these empirical studies for the concept of positive youth development. Findings from this literature review supported earlier findings of an inverse relationship between religiosity and substance use, a lack of or inconsistent definition of spirituality and religiosity as well as limited measures to address these constructs. Recommendations from this review include dedicated work by interdisciplinary teams to address consistency in definitions and creation of consistent tools that include consideration of the stages of development included in the adolescent years. From a research and clinical perspective, an interprofessional approach to clarify the concepts of spirituality and spiritual development would not only benefit research but could inform the substance abuse prevention field. This work is essential to insure that evidence-based strategies, which include religiosity and spirituality, are developed with the goal of protecting youth and supporting positive development of adolescents.
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A recent literature review indicates there is an inverse relationship between religiosity/spirituality and substance use among adolescents.
“A recent literature review indicates there is an inverse relationship between religiosity/spirituality and substance use among adolescents (Kub and Solari-Twadell, 2013).”
From Assessment of culture and environment in the Adolescent Brain and Cognitive Development Study: Rationale, description of measures, and early data (2018) · cites this paper as Kub and Solari-Twadell, 2013
Recent comprehensive reviews concluded that RS consistently negatively predicted substance use, possibly due in part to prohibitions against alcohol and other substance use inherent in some religions.
“Recent comprehensive reviews concluded that RS consistently negatively predicted substance use, possibly due in part to prohibitions against alcohol and other substance use inherent in some religions (Geppert et al., 2007; Kub & Solari-Twadell, 2013; Walton-Moss et al., 2013; Yeung et al., 2009)”
From Advancing our understanding of religion and spirituality in the context of behavioral medicine (2017) · cites this paper as Kub & Solari-Twadell, 2013
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Zucker, R. A., Gonzalez, R., Feldstein Ewing, S. W., Paulus, M. P., Arroyo, J., Fuligni, A., Morris, A. S., Sanchez, M., & Wills, T. (2018) · Developmental Cognitive Neuroscience · doi:10.1016/j.dcn.2018.03.004 · Cited by 221 · see citing works
“A recent literature review indicates there is an inverse relationship between religiosity/ spirituality and substance use among adolescents (Kub and Solari-Twadell, 2013).”
BackgroundAdvancing our understanding of religion and spirituality in the context of behavioral medicine
Park, C. L., Masters, K. S., Salsman, J. M., Wachholtz, A., Clements, A. D., Salmoirago-Blotcher, E., Trevino, K., & Wischenka, D. M. (2017) · Journal of Behavioral Medicine · doi:10.1007/s10865-016-9755-5 · Cited by 119 · see citing works
- Authors
- Kub, J., & Solari-Twadell, P. A.
- Affiliations
- Johns Hopkins University (US)
- Loyola University Chicago (US)
- Corresponding author
- Kub, Joan
- Venue
- Journal of Addictions Nursing
- Published
- 2013-10
- Volume
- 24
- Issue
- 4
- Pages
- 247-262
- ISSN
- 1088-4602 (ISSN-L)
- OpenAlex
- W2015274356
- Cited by
- 41
- References
- 37
- Citations by year
- 2026: 3 · 2025: 1 · 2024: 6 · 2023: 1 · 2022: 5 · 2021: 3 · 2020: 6 · 2019: 4 · 2018: 4 · 2017: 2 · 2016: 2 · 2015: 3
- FWCI
- 0.30
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Addictions Nursing (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Health › Religion, Spirituality, and Psychology
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Social Sciences › Demography › Workplace Spirituality and Leadership
- Keywords
- religiosity, spirituality, adolescent substance use, substance use prevention, positive youth development, adolescent health risk behaviors, spiritual development, spirituality measurement, interprofessional collaboration
- MeSH terms
- Adolescent, Adolescent Behavior, Age Factors, Humans, Religion and Psychology, Research Design, United States, Substance-Related Disorders, Spirituality, Healthy People Programs, Adolescent Development, Evidence-Based Practice
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