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Research on Religion, Spirituality, and Mental Health: A Review
Open accessAbstract
Religious and spiritual factors are increasingly being examined in psychiatric research. Religious beliefs and practices have long been linked to hysteria, neurosis, and psychotic delusions. However, recent studies have identified another side of religion that may serve as a psychological and social resource for coping with stress. After defining the terms religion and spirituality, this paper reviews research on the relation between religion and (or) spirituality, and mental health, focusing on depression, suicide, anxiety, psychosis, and substance abuse. The results of an earlier systematic review are discussed, and more recent studies in the United States, Canada, Europe, and other countries are described. While religious beliefs and practices can represent powerful sources of comfort, hope, and meaning, they are often intricately entangled with neurotic and psychotic disorders, sometimes making it difficult to determine whether they are a resource or a liability.
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“Spirituality serves to comfort people, assuage anxiety, and increase feelings of security, also boosting confidence in oneself and/or in what Harold G. Koenig (2009) calls “Divine beings”.”
From Trauma, Spirituality, and Healing: A Journey through the Lens of an Incarcerated Person (2022) · cites this paper as Koenig (2009)
Experimental — accuracy not yet measuredThe source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
In the citing paper
“In extant literature, spirituality is shown to predict psychological well-being for adults who have experienced childhood trauma (Balgobin 2021), leading to less depression, suicide, anxiety, and substance abuse (Koenig 2009).”
From Trauma, Spirituality, and Healing: A Journey through the Lens of an Incarcerated Person (2022) · cites this paper as Koenig 2009
Experimental — accuracy not yet measuredThe cited source says what the claim attributes to it.
In the citing paper
“The research literature on religiosity and mental health offers two entangled empirical narratives: some studies suggest that religious beliefs can present a psychological buffer against stress and hopelessness; other studies, however, indicate an intricate link between religious beliefs and psychotic and neurotic disorders [54–56].”
From Unpleasant meditation-related experiences in regular meditators: Prevalence, predictors, and conceptual considerations (2019) · cites this paper as [55]
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“As we see through Joseph's experience, Koenig (2009) shows that the struggles that arise from negative spiritual coping can significantly increase anxiety, wherein people feel that God is punishing them, has abandoned them, or is not able to intercede on their behalf.”
From Trauma, Spirituality, and Healing: A Journey through the Lens of an Incarcerated Person (2022) · cites this paper as Koenig (2009)
In the citing paper
“Also, religion and spirituality seem to confer resilience 112, 113.”
From Resilience in mental health: linking psychological and neurobiological perspectives. (2013) · cites this paper as [112]
In the citing paper
“Thus, religious beliefs may provide a sense of meaning and purpose during difficult life circumstances 112.”
From Resilience in mental health: linking psychological and neurobiological perspectives. (2013) · cites this paper as [112]
In the citing paper
“One of them is that religion and spirituality may stimulate a sense of life purpose 112, 115”
From Resilience in mental health: linking psychological and neurobiological perspectives. (2013) · cites this paper as [112]
In the citing paper
“Some authors33,34 attribute this finding to the influence of psychological theories, such as Sigmund Freud's35 psychoanalysis, which is known to have pathologized religious behavior.”
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 [34]
In the citing paper
“Religion/spirituality has been associated, for example, with lower rates of suicide, depression, anxiety, and substance misuse, better recovery in cases of depression and greater overall well-being.1–4”
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 [3]
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Cited by
Sorted by citations
Klein, E. M., Brähler, E., Dreier, M., Reinecke, L., Müller, K. W., Schmutzer, G., Wölfling, K., & Beutel, M. E. (2016) · BMC Psychiatry · doi:10.1186/s12888-016-0875-9 · Cited by 716
“Interestingly, religion was not considered in the studies reviewed although religious coping has been a research topic in the investigation of psychological adjustment to stress [18, 19].”
BackgroundWALSH, R. N. (2011) · American Psychologist · doi:10.1037/a0021769 · Cited by 763
“The benefits of service are also said to extend to healing, such that healing oneself and others can be intimately linked.”
BackgroundBurnout and Resilience Among Nurses Practicing in High-Intensity Settings
Rushton, C. H., Batcheller, J. L., Schroeder, K., & Donohue, P. (2015) · American Journal of Critical Care · doi:10.4037/ajcc2015291 · Cited by 745
Impact of COVID-19 pandemic on mental health: An international study
Gloster, A. T., Lamnisos, D., Lubenko, J., Presti, G., Squatrito, V., Constantinou, M., Nicolaou, C., Papacostas, S., Aydın, G., Chong, Y. Y., et al. (2020) · PLOS ONE · doi:10.1371/journal.pone.0244809 · Cited by 558
“Likewise, some religious and spiritual traditions encourage simplicity, mindfulness, and solitude with the goal of increasing wellbeing [12].”
BackgroundMental disorders, religion and spirituality 1990 to 2010: a systematic evidence-based review
Bonelli, R. M., & Koenig, H. G. (2013) · Journal of Religion and Health · doi:10.1007/s10943-013-9691-4 · Cited by 516
“This began a deep divide that would separate religion from mental health care for the next century (Koenig 2009).”
BackgroundSelf-citationResilience in mental health: linking psychological and neurobiological perspectives.
Rutten, B. P. F., Hammels, C., Geschwind, N., Menne‐Lothmann, C., Pishva, E., Schruers, K., van den Hove, D., Kenis, G., van Os, J., & Wichers, M. (2013) · Acta Psychiatrica Scandinavica · doi:10.1111/acps.12095 · Cited by 418
“The conclusion that religion serves as a ‘pervasive and potentially effective method of coping for persons with mental illness’, warrants its integration into psychiatric and psychological practice (112).”
BackgroundInfluentialReligion and Suicide Risk: A Systematic Review
Lawrence, R. E., Oquendo, M. A., & Stanley, B. (2016) · Archives of Suicide Research · doi:10.1080/13811118.2015.1004494 · Cited by 390
“Although religion is reported to be protective against suicide, (Koenig, 2009; Perlman, Neufeld et al., 2011; Suicide Prevention Resource Center, 2003), the empirical evidence is inconsistent, with some studies reporting it to be protective (Dervic et al., 2004), others finding it a risk factor…”
BackgroundSpirituality, religiosity, aging and health in global perspective: A review
Zimmer, Z., Jagger, C., Chiu, C., Ofstedal, M. B., Rojo, F., & Saito, Y. (2016) · SSM - Population Health · doi:10.1016/j.ssmph.2016.04.009 · Cited by 429
“…are not universal, on balance, studies indicate salutary benefits arising from religious and spiritual involvement across a number of health outcomes (Hummer, Ellison, Rogers, Moulton, & Romero, 2004; Koenig, 2009; Koenig, King, & Carson, 2012; Marks, 2005; Seeman, Dubin, & Seeman, 2003).”
BackgroundCommunity Resilience: Models, Metaphors and Measures
Kirmayer, L. J., Social, D. O., & Johns, M. S. (2013) · Cited by 350
Spirituality, religiousness, and mental health: A review of the current scientific evidence
Lucchetti, G., Koenig, H. G., & Lucchetti, A. L. G. (2021) · World Journal of Clinical Cases · doi:10.12998/wjcc.v9.i26.7620 · Cited by 451
Self-citationReligious Communities and Human Flourishing
VanderWeele, T. J. (2017) · Current Directions in Psychological Science · doi:10.1177/0963721417721526 · Cited by 312
“For the dramatically lower suicide rates among those attending religious services, while social support, less alcohol, and less depression may account for some of the effect, these factors may not be as explanatory as might be thought and the moral belief that suicide is wrong, reinforced by religious communities, is…”
InfluentialClinical implications of spirituality to mental health: review of evidence and practical guidelines
Moreira-Almeida, A., Koenig, H. G., & Lucchetti, G. (2014) · Revista Brasileira de Psiquiatria · doi:10.1590/1516-4446-2013-1255 · Cited by 261
Salsman, J. M., Pustejovsky, J. E., Jim, H. S. L., Munoz, A. R., Merluzzi, T. V., George, L., Park, C. L., Danhauer, S. C., Sherman, A. C., Snyder, M. A., et al. (2015) · Cancer · doi:10.1002/cncr.29350 · Cited by 232
“Reviews of this literature have concluded that R/S has a favorable association with mental health, although there is some heterogeneity in study findings.(1,2) A growing part of this literature has examined the correlation between R/S and mental health among cancer patients and survivors.”
Validation of the Duke Religion Index: DUREL (Portuguese Version)
Lucchetti, G., Lucchetti, A. L. G., Peres, M. F. P., Leão, F. C., Moreira‐Almeida, A., & Koenig, H. G. (2010) · Journal of Religion and Health · doi:10.1007/s10943-010-9429-5 · Cited by 224
“The relationship between religiousness and health has been extensively examined in recent decades (Koenig 2009; Sulmasy 2009).”
BackgroundSelf-citationFeder, A., Ahmad, S., Lee, E. J., Morgan, J. E., Singh, R., Smith, B. W., Southwick, S. M., & Charney, D. S. (2012) · Journal of Affective Disorders · doi:10.1016/j.jad.2012.10.027 · Cited by 245
“, 2004), positive religious coping has generally been associated with healthier adjustment to stress and lower depression levels (Ano and Vasconcelles, 2005; Koenig, 2009; Smith et al., 2003).”
BackgroundBüssing, A., Balzat, H.-J., & Heusser, P. (2010) · European journal of medical research · doi:10.1186/2047-783x-15-6-266 · Cited by 220
Rasic, D. T., Robinson, J. A., Bolton, J. M., Bienvenu, O. J., & Sareen, J. (2011) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2010.11.014 · Cited by 224
Faith to move mountains: Religious coping, spirituality, and interpersonal trauma recovery.
Bryant-Davis, T., & Wong, E. C. (2013) · American Psychologist · doi:10.1037/a0034380 · Cited by 201
Schlosser, M., Sparby, T., Vörös, S., Jones, R., & Marchant, N. L. (2019) · PLOS ONE · doi:10.1371/journal.pone.0216643 · Cited by 209
Forms, Frequency, and Correlates of Perceived Anti-Atheist Discrimination
Hammer, J. H., Cragun, R. T., Hwang, K., & Smith, J. M. (2012) · Secularism and Nonreligion · doi:10.5334/snr.ad · Cited by 209
“There is a substantial body of evidence suggesting that R/S is associated with better physical and mental health (Hill & Pargament, 2008), though the relationship is typically quite small (Koenig, 2009).”
BackgroundSchwalm, F. D., Zandavalli, R. B., Filho, E. D. D. C., & Lucchetti, G. (2021) · Journal of Health Psychology · doi:10.1177/1359105320984537 · Cited by 225
Hartmann, W. E., Wendt, D. C., Burrage, R. L., Pomerville, A., & Gone, J. P. (2019) · American Psychologist · doi:10.1037/amp0000326 · Cited by 197
“, 2006), identity development (Sellers, Copeland-Linder, Martin, & Lewis, 2006; Yip, Gee, & Takeuchi, 2008), and religious/spiritual practices (Koenig, 2009; Whitley, 2012)—RT scholars have not yet turned to advancing participatory community health programs.”
BackgroundPrayer, Attachment to God, and Changes in Psychological Well-Being in Later Life
Bradshaw, M., & Kent, B. V. (2018) · Journal of Aging and Health · doi:10.1177/0898264316688116 · Cited by 114
Religion and Completed Suicide: a Meta-Analysis
Wu, A., Wang, J., & Jia, C.-X. (2015) · PLoS ONE · doi:10.1371/journal.pone.0131715 · Cited by 188
“This is in regard to the enormous changes religion tends to undergo throughout history–specifically in how it affects worldviews and culture [5, 7, 37].”
BackgroundReligion and Suicide: New Findings
Gearing, R. E., & Alonzo, D. M. (2018) · Journal of Religion and Health · doi:10.1007/s10943-018-0629-8 · Cited by 202
PERSPECTIVE—How Does Religion Matter and Why? Religion and the Organizational Sciences
Chan‐Serafin, S., Brief, A. P., & George, J. M. (2012) · Organization Science · doi:10.1287/orsc.1120.0797 · Cited by 167
“For example, religious individuals tend to be more hopeful (e.g., Koenig 2009), agreeable, and conscientious (e.g., Saroglou 2002), and to express the values of honesty (e.g., Katz et al. 1994) and forgiveness (e.g., Exline et al. 2004).”
BackgroundReligiousness and Mental Health: Systematic Review Study
AbdAleati, N. S., Mohd Zaharim, N., & Mydin, Y. O. (2016) · Journal of Religion and Health · doi:10.1007/s10943-014-9896-1 · Cited by 158
Anderson, N., Heywood‐Everett, S., Siddiqi, N., Wright, J. M., Meredith, J., & McMillan, D. (2015) · Journal of Affective Disorders · doi:10.1016/j.jad.2015.01.019 · Cited by 170
“In line with other researchers (Koenig, 2009; Moreira-Almeida et al., 2006) we beliefs, teachings or traditions of an organised religion, arising from a group of people with common beliefs and B personal relationship with or belief in the transcendent, which may or may not coincide with the…”
BackgroundResultThe Protective Effects of Religiosity on Depression: A 2-Year Prospective Study
Ronneberg, C. R., Miller, E. A., Dugan, E., & Porell, F. W. (2014) · The Gerontologist · doi:10.1093/geront/gnu073 · Cited by 162
“…factor against depression (Blay, Batista, Andreoli, & Gastal, 2008; Blazer, 2010; Hayward, Owen, Koenig, Steffens, & Payne, 2012; King et al., 2007; Koenig, 2007, 2009; Law Downloaded from https://academic.oup.com/gerontologist/article-abstract/56/3/421/2605601 by guest on 26 July 2018 & Sbarra,…”
Arrey, A. E., Bilsen, J. J. R., Lacor, P., & Deschepper, R. (2016) · PLoS ONE · doi:10.1371/journal.pone.0159488 · Cited by 158
“Many patients are spiritual, and religious needs related to their disease can affect their mental health, and failure to meet these needs may impact their quality of life [7].”
BackgroundReligion and Health: Anxiety, Religiosity, Meaning of Life and Mental Health
Shiah, Y., Chang, F., Chiang, S., Lin, I., & Tam, W. C. (2013) · Journal of Religion and Health · doi:10.1007/s10943-013-9781-3 · Cited by 149
“This might partly explain why religion can improve psychological adjustment in cases of illness or adversity (Bowen et al. 2006; Chapman and Steger 2010; Koenig 2009; Koenig et al. 2004, 1998; Koszycki et al. 2010; Lizardi et al. 2008; Park 2007; Shreve-Neiger and Edelstein 2004).”
BackgroundInfluentialReligion and health: A synthesis.
VanderWeele, T. J. (2017) · Cited by 143
European Psychiatric Association (EPA) guidance on prevention of mental disorders
Campion, J., Bhui, K. S., & Bhugra, D. (2012) · European Psychiatry · doi:10.1016/j.eurpsy.2011.10.004 · Cited by 138
Religious Attendance, Spirituality, and Major Depression in Canada: A 14-Year Follow-up Study
Balbuena, L., Baetz, M., & Bowen, R. (2013) · The Canadian Journal of Psychiatry · doi:10.1177/070674371305800408 · Cited by 138
“ca The Canadian Journal of Psychiatry, Vol 58, No 4, April 2013 W 225 CanJPsychiatry 2013;58(4):225–232”
BackgroundRELIGION AND SOCIAL TRANSFORMATION IN AFRICA: A CRITICAL AND APPRECIATIVE PERSPECTIVE
Agbiji, O. M., & Swart, I. (2015) · Scriptura · doi:10.7833/114-0-1115 · Cited by 133
“In line with the perspectives (or claims) of several other scholars (Deng 1998:143-241; Koenig 2009:284; Kunhiyop 2008:226; Nkom 2000:75; Omosegbon 2010:55; Schuurman 2011:273-274), in this article we uphold the thesis that religion constitutes the main fabric of African societies, and is…”
InfluentialReligiosity/Spirituality and Physiological Markers of Health
Shattuck, E. C., & Muehlenbein, M. P. (2018) · Journal of Religion and Health · doi:10.1007/s10943-018-0663-6 · Cited by 149
“Considering the strong, bidi- rectional links between depression and physical health (Kiecolt-Glaser et al. 2002; Moussavi et al. 2007), the anti-depressive effects of R/S may be a major mechanism to explain observed health benefits (but see Koenig 2009 and VanderWeele 2016).”
BackgroundClinical Implications of Research on Religion, Spirituality, and Mental Health
Baetz, M., & Toews, J. (2009) · The Canadian Journal of Psychiatry · doi:10.1177/070674370905400503 · Cited by 134
“I n general, research has shown RS positively affects mental health outcomes, as noted by Koenig.(1) Although largely”
ResultCould Spirituality and Religion Promote Stress Resilience in Survivors of Childhood Trauma?
Brewer‐Smyth, K., & Koenig, H. G. (2014) · Issues in Mental Health Nursing · doi:10.3109/01612840.2013.873101 · Cited by 142
“While spirituality and religious beliefs and practices could be powerful sources of comfort, hope, and meaning, they also may be related to self-guilt, neurosis, and psychotic disorders (Koenig, 2009).”
BackgroundSelf-citationYoung, R., Sweeting, H. N., & Ellaway, A. (2011) · BMC Public Health · doi:10.1186/1471-2458-11-874 · Cited by 126
“In respect of school denomination, individual religion or religiosity is (generally) considered to lower the risk of, those without a religious preferences or minority religions developing mental health problems, but whether or how school and individual religion interact is unknown [21-23].”
BackgroundHawthorne, D. M., Youngblut, J. M., & Brooten, D. A. (2015) · Journal of Pediatric Nursing · doi:10.1016/j.pedn.2015.07.008 · Cited by 124
“Religious coping gives indirect control to God/the sacred and reduces the need for personal control (Koenig, 2009).”
Religion and mental health: what should psychiatrists do?
Koenig, H. G. (2008) · Psychiatric Bulletin · doi:10.1192/pb.bp.108.019430 · Cited by 122
Self-citationKoszycki, D., Raab, K., Aldosary, F., & Bradwejn, J. (2010) · Journal of Clinical Psychology · doi:10.1002/jclp.20663 · Cited by 116
“There is also evidence that spiritual beliefs and practices can positively affect outcome in clinical populations, including patients with psychiatric disorders (Koenig, 2009).”
BackgroundChiang, Y., Lee, H., Chu, T., Han, C.-Y. S., & Hsiao, Y. (2015) · Nursing Outlook · doi:10.1016/j.outlook.2015.11.012 · Cited by 114
Padela, A. I., Killawi, A., Heisler, M., DeMonner, S. M., & Fetters, M. D. (2010) · Journal of Religion and Health · doi:10.1007/s10943-010-9428-6 · Cited by 114
“Religion and spirituality also have direct effects upon mental and physical health through influencing coping strategies, health behaviors, and healthcare-seeking attitudes (Koenig 2008, 2009; Larson et al. 2002).”
BackgroundSpiritual Struggles and Mental Health: Exploring the Moderating Effects of Religious Identity
Ellison, C. G., Fang, Q., Flannelly, K. J., & Steckler, R. A. (2013) · International Journal for the Psychology of Religion · doi:10.1080/10508619.2012.759868 · Cited by 113
“E-mail: christopher.ellison@utsa.edu 214 psychosocial outcomes, such as lower levels of depression and anxiety, and elevated levels of life satisfaction and happiness (George, Ellison, & Larson, 2002; Koenig, 2009, 2011; Smith, McCullough, & Poll, 2003).”
BackgroundA Randomized Trial of the Effect of Prayer on Depression and Anxiety
Boelens, P. A., Reeves, R. R., Replogle, W. H., & Koenig, H. G. (2009) · The International Journal of Psychiatry in Medicine · doi:10.2190/pm.39.4.c · Cited by 113
“In the majority of these cases the effect has been positive [8].”
BackgroundSelf-citationCoelho‐Júnior, H. J., Calvani, R., Panza, F., Allegri, R. F., Picca, A., Marzetti, E., & Alves, V. P. (2022) · Frontiers in Medicine · doi:10.3389/fmed.2022.877213 · Cited by 112
McIntosh, D. N., Poulin, M. J., Silver, R. C., & Holman, E. A. (2011) · Journal of Behavioral Medicine · doi:10.1007/s10865-011-9331-y · Cited by 118
“Although definitions vary, spirituality is typically aligned with subjective, personal beliefs, whereas religiosity is identified with traditional, institutionally related practices and behaviors (Hill and Pargament 2003; Koenig 2009).”
BackgroundHayward, R. D., & Elliott, M. (2013) · Review of Religious Research · doi:10.1007/s13644-013-0135-0 · Cited by 107
Ross, L. A., & Austin, J. (2013) · Journal of Nursing Management · doi:10.1111/jonm.12087 · Cited by 110
Mohr, S., Perroud, N. A., Gillièron, C., Brandt, P.-Y., Rieben, I., Borras, L., & Huguelet, P. (2010) · Psychiatry Research · doi:10.1016/j.psychres.2010.08.012 · Cited by 112
“2010) and severe mental disorders (Koenig, 2009).”
BackgroundThe relationship between spirituality and burnout among medical students
Wachholtz, A., & Rogoff, M. (2013) · Journal of Contemporary Medical Education · doi:10.5455/jcme.20130104060612 · Cited by 183
“Religion and spirituality may serve as protective factors against burnout in medical students [13].”
BackgroundRosmarin, D. H., Bigda-Peyton, J. S., Kertz, S. J., Smith, N., Rauch, S. L., & Björgvinsson, Þ. (2012) · Journal of Affective Disorders · doi:10.1016/j.jad.2012.08.030 · Cited by 106
“What is surprising, however, is that although the number of studies in this area has grown over the past two decades (Hill and Pargament, 2003) virtually all research has been conducted within the general population or within specific religious communities (Koenig, 2009).”
BackgroundHourani, L. L., Williams, J. G., Forman‐Hoffman, V. L., Lane, M. E., Weimer, B., & Bray, R. M. (2012) · Depression Research and Treatment · doi:10.1155/2012/425463 · Cited by 109
“In contrast, it has been suggested that religious beliefs may exert a negative influence on mental health especially in the emotionally vulnerable by increasing fears or guilt, reinforcing neurotic tendencies [2].”
BackgroundResultA many-analysts approach to the relation between religiosity and well-being
Hoogeveen, S., Sarafoglou, A., Aczél, B., Aditya, Y., Alayan, A. J., Allen, P., Altay, S., Alzahawi, S., Amir, Y., Anthony, F.-V., et al. (2022) · Religion Brain & Behavior · doi:10.1080/2153599x.2022.2070255 · Cited by 147
“…religion is replete with positive correlations between (self-rated) religiosity and mental health (Abdel-Khalek, 2006; George et al., 2002; Koenig & Larson, 2001; Plante & Sherman, 2001; Seybold & Hill, 2001; Smith et al., 2003; T horesen,1999; Zimmer et al., 2016; see Koenig, 2009 for a review).”
Tenke, C. E., Jürgen Kayser, A., Svob, C., Miller, L., Alvarenga, J. E., Abraham, K. S., Warner, V., WICKRAMARATNE, P. J., Weissman, M. M., & Bruder, G. E. (2017) · Biological Psychology · doi:10.1016/j.biopsycho.2017.01.005 · Cited by 105
Understanding the roles of religiosity and spirituality in emerging adults in the united states.
Cazzell, A. R., Hardy, S. A., & Barry, C. M. (2016) · Psychology of Religion and Spirituality · doi:10.1037/rel0000104 · Cited by 104
“…spirituality, two main challenges arise: (a) to avoid making spirituality into something completely divorced from the social world, and (b) to avoid the poignant criticism that Koenig (2009) provides about spirituality becoming tautological with mental health, and lacking a grounding in the divine.”
BackgroundReligious education can contribute to adolescent mental health in school settings
Estrada, C. A. M., Lomboy, M. F. T. C., Gregorio, E. R., Amalia, E., Leynes, C. R., Quizon, R. R., & Kobayashi, J. (2019) · International Journal of Mental Health Systems · doi:10.1186/s13033-019-0286-7 · Cited by 153
Validação da versão brasileira da escala de religiosidade de Duke (DUREL)
Taunay, T. C. D., Gondim, F. D. A. A., Macêdo, D. S., Moreira‐Almeida, A., Gurgel, L. D. A., Andrade, L. M. S., & Carvalho, A. F. (2012) · Archives of Clinical Psychiatry (São Paulo) · doi:10.1590/s0101-60832012000400003 · Cited by 103
A Meta-Analysis of Religion/Spirituality and Life Satisfaction
Yaden, D. B., Batz-Barbarich, C. L., Ng, V., Vaziri, H., Gladstone, J. N., Pawelski, J. O., & Tay, L. (2022) · Journal of Happiness Studies · doi:10.1007/s10902-022-00558-7 · Cited by 127
“Perhaps due to these elements, religion is associated with less mental illness and drug/alcohol abuse (Koenig, 2009; Koenig et al., 2001).”
BackgroundReligious service attendance, health behaviors and well-being—an outcome-wide longitudinal analysis
Pawlikowski, J., Białowolski, P., Węziak‐Białowolska, D., & VanderWeele, T. J. (2019) · European Journal of Public Health · doi:10.1093/eurpub/ckz075 · Cited by 100
Koszycki, D., Bilodeau, C., Raab, K. A., & Bradwejn, J. (2013) · Journal of Clinical Psychology · doi:10.1002/jclp.22052 · Cited by 103
“Although certain religious beliefs and practices can contribute to psychopathology (Ano & Vasconcelles, 2004; Koenig, 2009; Pargament, Koenig, Tarakeshwar, & Hahn, 2004; Shreve-Neiger & Edelstein, 2004; Sternthal et al., 2010), the documented salutary effect of religion and spirituality on mental health–coupled by fin…”
BackgroundInfluentialReligion, Social Capital, and Health
Yeary, K. H. K., Ounpraseuth, S., Moore, P. C., Bursac, Z., & Greene, P. G. (2012) · Review of Religious Research · doi:10.1007/s13644-011-0048-8 · Cited by 96
Das, S., Punnoose, V. P., Doval, N., & Nair, V. Y. (2018) · Psychiatry Research · doi:10.1016/j.psychres.2018.04.030 · Cited by 94
Gearing, R. E., Alonzo, D., Smolak, A., McHugh, K., Harmon, S., & Baldwin, S. (2011) · Schizophrenia Research · doi:10.1016/j.schres.2010.11.005 · Cited by 92
“spirituality as both a strength anda liability for individualswith a psychotic condition (Koenig, 2009).”
BackgroundInfluentialPrayer and healing: A medical and scientific perspective on randomized controlled trials
Andrade, C., & Radhakrishnan, R. (2009) · Indian Journal of Psychiatry · doi:10.4103/0019-5545.58288 · Cited by 93
“We do not intend to belittle any religion or the religious practices of those who pray, nor do we deny the medical and psychosocial benefits that have been identified to result from religious affiliations and practices.[1]”
Positive aspects of mental illness: A review in bipolar disorder
Galvez, J. F., Thommi, S. B., & Ghaemi, S. N. (2010) · Journal of Affective Disorders · doi:10.1016/j.jad.2010.03.017 · Cited by 105
Hamren, K., Chungkham, H. S., & Hyde, M. (2014) · Aging & Mental Health · doi:10.1080/13607863.2014.952709 · Cited by 91
Lorenz, L., Doherty, A. M., & Casey, P. (2019) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph16071238 · Cited by 92
“Many studies confound the two, notwithstanding the changing definition of spirituality in recent decades from one that was located within a religious framework to one that is secular [9].”
BackgroundMethodInfluentialBrennan, W., & Belser, A. B. (2022) · Frontiers in Psychology · doi:10.3389/fpsyg.2022.866018 · Cited by 90
“…post-medicine spiritual self-development may contribute additional benefit, as suggested by prior PAP research (Griffiths et al., 2018; Lafrance et al., 2021) and nonpsychedelic findings of negative correlations between spirituality and depressive symptoms (Koenig, 2009; Bonelli et al., 2012).”
BackgroundReligious competence as cultural competence
Whitley, R. (2012) · Transcultural Psychiatry · doi:10.1177/1363461512439088 · Cited by 93
“…the evidence for the salutary nature of religiosity among the general population and especially in minorities, analysis suggests that contemporary ‘‘mainstream’’ psychiatry still struggles in its efforts to integrate religion- or faith-based interventions (Galanter, 2005; Koenig, 2009).”
BackgroundInfluentialCabassa, L. J., Nicasio, A., & Whitley, R. (2013) · Psychiatric Services · doi:10.1176/appi.ps.201200503 · Cited by 90
“religious services, a religious congregation is a supportive community that can increase socialization, shift negative social norms, and reduce isolation (25,26).”
Robinson, J. A., Bolton, J. M., Rasic, D. T., & Sareen, J. (2012) · Depression and Anxiety · doi:10.1002/da.21978 · Cited by 93
“[5, 6] In terms of major depression, some studies report decreased risk among religious respondents while others report increased risk of depression or no relationship.[3, 7] Thus, the relationship between suicide and religious attendance requires further examination and clarification.”
BackgroundDein, S. L. (2018) · BJPsych Bulletin · doi:10.1192/bjb.2017.13 · Cited by 89
Religious and spiritual beliefs, self‐esteem, anxiety, and depression among nursing students
Papazisis, G., Nicolaou, P., Tsiga, E., Christoforou, T., & Sapountzi‐Krepia, D. (2013) · Nursing and Health Sciences · doi:10.1111/nhs.12093 · Cited by 89
Barton, Y. A., & Miller, L. (2015) · Journal of Religion and Health · doi:10.1007/s10943-015-0045-2 · Cited by 112
“In addition, findings have suggested a positive relationship between spirituality and a wide array of psychological resiliencies (Dowling et al. 2004; Koenig 2009; Tuck and Anderson 2014).”
BackgroundAustin, P., Macdonald, J., & MacLeod, R. (2018) · Religions · doi:10.3390/rel9030070 · Cited by 95
Lucette, A., Ironson, G. H., Pargäment, K. I., & KRAUSE, N. M. (2016) · Psychosomatics · doi:10.1016/j.psym.2016.03.005 · Cited by 89
Mann, J. R., Mannan, J., Quiñones, L. A., Palmer, A. A., & Torres, M. E. (2010) · Journal of Obstetric, Gynecologic & Neonatal Nursing · doi:10.1111/j.1552-6909.2010.01188.x · Cited by 84
Spirituality aspects in patients with epilepsy
Tedrus, G. M. A. S., Fonseca, L. C., & Höehr, G. C. (2013) · Seizure · doi:10.1016/j.seizure.2013.09.005 · Cited by 84
Current Understanding of Religion, Spirituality, and Their Neurobiological Correlates
Rim, J. I., Ojeda, J. C., Svob, C., Jürgen Kayser, A., Drews, E., Kim, Y., Tenke, C. E., Skipper, J., & Weissman, M. M. (2019) · Harvard Review of Psychiatry · doi:10.1097/hrp.0000000000000232 · Cited by 85
“The total is greater than 25 as one of the studies utilized bothMRI and EEG. Religions investigated in the articles (with number of articles) included Christianity/Catholicism (14), Buddhism (2), Islam (1), various (7), and unspecified (1) (Tables 1–3).”
BackgroundMethodInfluentialPraying with a patient constitutes a breach of professional boundaries in psychiatric practice
Poole, R., & Cook, C. C. H. (2011) · The British Journal of Psychiatry · doi:10.1192/bjp.bp.111.096529 · Cited by 83
Lucchetti, G., Lucchetti, A. L. G., & Vallada, H. (2013) · Sao Paulo Medical Journal · doi:10.1590/s1516-31802013000100022 · Cited by 83
Spirituality: Everyone has it, but what is it?
Lepherd, L. (2014) · International Journal of Nursing Practice · doi:10.1111/ijn.12285 · Cited by 97
Boelens, P. A., Reeves, R. R., Replogle, W. H., & Koenig, H. G. (2012) · The International Journal of Psychiatry in Medicine · doi:10.2190/pm.43.1.f · Cited by 81
“These other modalities may also come in the form of various religious practices, the majority of which may have positive effects [5], but there have been no published studies of these practices in a peer reviewed journal documenting their effect on depression and anxiety.”
BackgroundSelf-citationTesting the Efficacy of Chaplaincy Care
Jankowski, K. R. B., Handzo, G. F., & Flannelly, K. J. (2011) · Journal of Health Care Chaplaincy · doi:10.1080/08854726.2011.616166 · Cited by 85
Kim, N., Huh, H.-J., & Chae, J. (2015) · Comprehensive Psychiatry · doi:10.1016/j.comppsych.2015.04.009 · Cited by 83
“These studies have mostly identified an inverse association between religiosity and depression [6,15-19].”
BackgroundInfluentialNeuroanatomical Variability of Religiosity
Kapogiannis, D., Barbey, A. K., Su, M. W., Krüeger, F., & Grafman, J. H. (2009) · PLoS ONE · doi:10.1371/journal.pone.0007180 · Cited by 79
“abuse, given their relationship with religiosity [69,70] and their”
BackgroundReligion and spirituality: Pathways to positive body image
Tiggemann, M., & Hage, K. (2019) · Body Image · doi:10.1016/j.bodyim.2019.01.004 · Cited by 81
Levin, J. (2013) · Psychology of Religion and Spirituality · doi:10.1037/a0032601 · Cited by 79
“As a result of this work, it is possible to reach fairly well supported conclusions about a generally salutary influence, on average, of religiousness, broadly defined, on mental health and overall psychological wellbeing, also broadly defined (see, e.g., Koenig, 2009; Levin, 2010).”
BackgroundWong, P. T. P., Arslan, G., Bowers, V. L., Peacock, E. J., Kjell, O., Ivtzan, I., & Lomas, T. (2021) · Frontiers in Psychology · doi:10.3389/fpsyg.2021.648549 · Cited by 89
“…evidence (Bethelmy and Corraliza, 2019; Lin et al., 2021; Worth and Smith, 2021; Yaden and Newberg) regarding the power of self-transcendence, which comes from altruism (Feigin et al., 2014), religious faith (Koenig, 2009), meaning (Wong, 1998), and the feeling of awe (Yaden et al., 2017).”
BackgroundLiu, E. X., Carter, E. W., Boehm, T. L., Annandale, N. H., & Taylor, C. E. (2014) · Intellectual and developmental disabilities · doi:10.1352/1934-9556-52.5.388 · Cited by 76
“…behaviors of respondents, thousands of empirical studies have addressed the associations between spirituality, faith community involvement, and myriad indicators of health and well-being (Chida, Steptoe, & Powell, 2009; Koenig, 2009; Koenig, King, & Carson, 2012; Smith, McCullough, & Poll, 2003).”
BackgroundReligion and Smoking: A Review of Recent Literature
Garrusi, B., & Nakhaee, N. (2012) · The International Journal of Psychiatry in Medicine · doi:10.2190/pm.43.3.g · Cited by 74
“• To avoid measurement bias, questionnaires employed for measuring religiousness and spirituality need to maintain acceptable levels of validity and reliability [26, 40].”
MethodMeanings and Interpretations of Spirituality in Nursing and Health
Lalani, N. S. (2020) · Religions · doi:10.3390/rel11090428 · Cited by 75
“Empirical studies indicate that for the majority of people, it is difficult to separate religion from spirituality (Koenig 2009; Moberg 2010; Sessanna et al. 2007).”
BackgroundHolt‐Lunstad, J., Steffen, P. R., Sandberg, J. G., & Jensen, B. J. (2011) · Journal of Behavioral Medicine · doi:10.1007/s10865-011-9343-7 · Cited by 83
“Previous research has linked religiosity/spirituality to tobacco and alcohol use, stress, and depression (Koenig, 2009; Park et al., 2009; WhelanGales et al., 2009).”
BackgroundAbu-Ras, W. M., & Laird, L. D. (2010) · Journal of Religion and Health · doi:10.1007/s10943-010-9357-4 · Cited by 75
“…1999; Pargament 1997) and physical health (Koenig et al. 1988, 1991, 1998, 2001; Luskin 2000; Powell et al. 2003), support the prevention of illness and provide psychological benefits and social resources across divergent religious communities (Koenig et al. 1991; Koenig 2008, 2009; McNichol 1996).”
BackgroundMcClintock, C. H., Lau, E., & Miller, L. (2016) · Frontiers in Psychology · doi:10.3389/fpsyg.2016.01600 · Cited by 78
Religion, social integration, and depression in Europe: Evidence from the European Social Survey
Schnittker, J. (2019) · Social Science & Medicine · doi:10.1016/j.socscimed.2019.112376 · Cited by 73
The Influence of Religiosity and Spirituality on Health in Canada: A Systematic Literature Review
Litalien, M., Atari, D. O., & Obasi, I. (2021) · Journal of Religion and Health · doi:10.1007/s10943-020-01148-8 · Cited by 78
“Improvement in medical illness was also found among people interacting with traditional North American Indigenous healers (Mainguy et al.”
BackgroundInfluentialReligious Congregations as Voluntary Associations
Cnaan, R. A., & Curtis, D. W. (2012) · Nonprofit and Voluntary Sector Quarterly · doi:10.1177/0899764012460730 · Cited by 72
“On the individual and family level, many scholars find that participation in organized religious activities improves mental health, strengthens overall physical health, and increases the participant’s ability to cope with stress and other pressures (Huguelet & Koenig, 2009; Koenig, 1999).”
Background
Metadata
- Authors
- Koenig, H. G.
- Affiliations
- Duke Medical Center (US)
- Corresponding author
- Koenig, Harold G
- ORCID
- Koenig, Harold G
- Venue
- The Canadian Journal of Psychiatry
- Publisher
- SAGE Publications
- Published
- 2009-05
- Volume
- 54
- Issue
- 5
- Pages
- 283-291
- ISSN
- 0706-7437 (ISSN-L)
- 1497-0015
- OpenAlex
- W181914314
- Cited by
- 1,442
- References
- 77
- Citations by year
- 2026: 53 · 2025: 88 · 2024: 100 · 2023: 90 · 2022: 100 · 2021: 122 · 2020: 153 · 2019: 85 · 2018: 101 · 2017: 75 · 2016: 83 · 2015: 70 · 2014: 73 · 2013: 81 · 2012: 76
- FWCI
- 8.39
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- The Canadian Journal of Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Center for Spirituality, Theology and Health, Duke University
- Topics
- Social Sciences › Health › Religion, Spirituality, and Psychology
- Social Sciences › Sociology and Political Science › Religion and Society Interactions
- Social Sciences › Arts and Humanities › Philosophy › Study and Philosophy of Religion
- Keywords
- religion, spirituality, mental health, depression, suicide, anxiety, psychosis, substance abuse, stress coping, religious beliefs and practices, neurosis, psychotic delusions
- MeSH terms
- Adaptation, Psychological, Alcoholism, Anxiety Disorders, Mental Disorders, Culture, Depressive Disorder, Humans, Mental Health, Prognosis, Psychotic Disorders, Religion and Psychology, Suicide, Substance-Related Disorders, Spirituality
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