Medical students, spirituality and religiosity-results from the multicenter study SBRAME
Open accessAbstract
BACKGROUND: To evaluate the relationship between spirituality/religiosity (S/R) and the attitudes, beliefs and experiences of medical students in Brazil with respect to S/R in their undergraduate training and clinical practice. METHODS: SBRAME (Spirituality and Brazilian Medical Education) is a multicenter study involving 12 Brazilian medical schools with 5950 medical students (MS). Participants completed a questionnaire that collected information on socio-demographic data and S/R in their undergraduate training and practice. RESULTS: Of all MS, 3630 participated in the survey (61.0%). The sample was 53.8% women and the mean age was 22.5 years. The majority of MS believed that spirituality has an impact on patients' health (71.2%) and that this impact was positive (68.2%). The majority also wanted to address S/R in their clinical practice (58.0%) and considered it relevant (75.3%), although nearly one-half (48.7%) felt unprepared to do so. Concerning their training, most MS reported that they had never participated in a "spirituality and health" activity (81.0%) and that their medical instructors had never or rarely addressed this issue (78.3%). The majority also believed that they should be prepared to address spiritual issues related to the health of their patients (61.6%) and that this content should be included in the medical curriculum (62.6%). CONCLUSION: There is a large gap between MS attitudes and expectations and the S/R training that they are receiving during their undergraduate training. The majority of MS surveyed believe that patients should have their beliefs addressed and that these beliefs could have important effects on their health and the doctor-patient relationship. These results should stimulate discussion about the place that S/R training should have in the medical curriculum.
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The percentage of participants with a religious affiliation in this sample was lower than that of Brazilian physicians from other specialties (94.9%) and medical students from 12 different schools of medicine (66.1%).
“The percentage in our sample was also lower than that of Brazilian physicians from other specialties (94.9%)28 and that of medical students from 12 different schools of medicine (66.1%).29”
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 [29]
Compared to medical students, this sample showed lower percentages for belief in God (59.5% vs 84.2%), belief in life after death (28.6% vs 66.8%), and belief in reincarnation (19% vs 36.9%).
“Compared to medical students, our sample also showed lower percentages for belief in God (59.5% vs. 84.2%), belief in life after death (28.6% vs. 66.8%), and belief in reincarnation (19% vs. 36.9%).29”
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 [29]
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Impact of Religion and Spirituality in Older Persons
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Vargas-Escobar, L. M., & Guarnizo-Tole, M. (2020) · International Journal of Nursing Education Scholarship · doi:10.1515/ijnes-2019-0049 · Cited by 9 · see citing works
Saúde e espiritualidade na formação profissional em saúde, um diálogo necessário
de Oliveira, R. A. (2017) · Revista da Faculdade de Ciências Médicas de Sorocaba · doi:10.23925/1984-4840.2017v19i2a1 · Cited by 8 · see citing works
Holford, D. L., Schmid, P., Fasce, A., Garrison, A., Karlsson, L. C., Taubert, F., Verger, P., Lewandowsky, S., Fisher, H., Betsch, C., et al. (2024) · BMJ Public Health · doi:10.1136/bmjph-2023-000195 · Cited by 7 · see citing works
Evaluación de los niveles de empatía médica en médicos residentes de un hospital general en Perú
Huarcaya-Victoria, J., Cano-Uría, B., Villanueva-Ruska, A., & la Cruz-Oré, J. D. (2019) · Educación Médica · doi:10.1016/j.edumed.2018.04.004 · Cited by 7 · see citing works
A espiritualidade no processo de formação dos profissionais de saúde
Cafezeiro, A. S., Silva, A. A., Cunha, A. L. G. D. O., Yarid, S. D., Longuiniere, A. C. F. D. L., & Souza, I. A. (2020) · Revista Pró-UniverSUS · doi:10.21727/rpu.v11i2.2369 · Cited by 7 · see citing works
Espiritualidade no ensino: a perspectiva dos discentes de uma universidade pública da área da saúde
Ribeiro, L. D. S., Bragé, É. G., de Almeida, B. L. R., & Rabin, E. G. (2021) · Educação (UFSM) · doi:10.5902/1984644443450 · Cited by 6 · see citing works
Ramakrishnan, P., Baccari, A., Ramachandran, U., Ahmed, S. F., & Koenig, H. G. (2017) · Journal of Religion and Health · doi:10.1007/s10943-017-0474-1 · Cited by 6 · see citing works
Religiosity and Physician Lifestyle from a Family Health Strategy
Sens, G. R., Abdala, G. A., Meira, M. D. D., Bueno, S., & Koenig, H. G. (2018) · Journal of Religion and Health · doi:10.1007/s10943-018-0619-x · Cited by 6 · see citing works
Lucchetti, G., Gonçalves, L. M., Ferreira, A. G. D. C., Daher, J. C., & Lucchetti, A. L. G. (2019) · Religion, spirituality and health: a social scientific approach · doi:10.1007/978-3-030-21221-6_15 · Cited by 6 · see citing works
Medical Students’ Reflections on Their Experiences in a Trauma Chaplain Shadowing Program
Suda, S., Burkbauer, L., White, B., Browning, J., & Delisser, H. (2023) · The American journal of hospice & palliative care · doi:10.1177/10499091221149192 · Cited by 4 · see citing works
RELIGIÃO E ESPIRITUALIDADE NO CAMPO DA SAÚDE: QUESTÕES PARA A EDUCAÇÃO SUPERIOR
Holanda, A. F., & Pereira, K. C. L. (2020) · PARALELLUS Revista de Estudos de Religião - UNICAP · doi:10.25247/paralellus.2020.v11n28.p619-640 · Cited by 5 · see citing works
Jordán, A. D. P. W., da Silva, A. F., Cruz, D. B., & Barbosa, L. N. F. (2021) · Interdisciplinary Journal of Health Education · doi:10.4322/ijhe.2020.013 · Cited by 4 · see citing works
Inclusão da espiritualidade do paciente durante o tratamento quimioterápico
Longuiniere, A. C. F. D. L., & Yarid, S. D. (2024) · Saúde e Sociedade · doi:10.1590/s0104-12902024220053pt · Cited by 6 · see citing works
Spirituality, religiousness and health: implications for the field of hematology
Lucchetti, G. (2014) · Revista Brasileira de Hematologia e Hemoterapia · doi:10.1016/j.bjhh.2014.03.016 · Cited by 5 · see citing works
A Influência do Curso de Medicina na Espiritualidade dos Estudantes
Sousa, R. S., & de Aguiar, M. C. M. (2021) · Revista Pró-UniverSUS · doi:10.21727/rpu.v12i2.2929 · Cited by 4 · see citing works
Koenig, H. G., VanderWeele, T. J., & Peteet, J. R. (2023) · Oxford University Press eBooks · doi:10.1093/oso/9780190088859.003.0002 · Cited by 4 · see citing works
Puci, M. V., Sotgiu, M. A., Muresu, N., Saderi, L., Moretti, V., Ratti, S., Piana, A. F., Montella, A., & Sotgiu, G. (2025) · Anatomical Sciences Education · doi:10.1002/ase.70084 · Cited by 3 · see citing works
Can a Mystical Experience be Emulated by AI-Generated Rationality?
Yin, M. (2025) · International Journal of Human-Computer Interaction · doi:10.1080/10447318.2025.2607552 · Cited by 3 · see citing works
Understanding the Religion, Mental, and Social Health Relationship
Koenig, H. G., VanderWeele, T. J., & Peteet, J. R. (2023) · Oxford University Press eBooks · doi:10.1093/oso/9780190088859.003.0016 · Cited by 5 · see citing works
Junior, A. C., de Oliveira, A. M. N., Piexak, D. R., Silva, C. D., & Lucchetti, G. (2025) · Intensive and Critical Care Nursing · doi:10.1016/j.iccn.2024.103924 · Cited by 4 · see citing works
Borragini-Abuchaim, S., Alonso, L. G., & Tárcia, R. M. L. (2021) · Frontiers in Psychology · doi:10.3389/fpsyg.2021.787340 · Cited by 6 · see citing works
Escala de actitud religiosa en estudiantes de Medicina Humana
Rivera-Encinas, M., & Huarcaya-Victoria, J. (2019) · Horizonte Médico (Lima) · doi:10.24265/horizmed.2019.v19n4.05 · Cited by 3 · see citing works
Holford, D. L., Schmid, P., Fasce, A., Garrison, A., Karlsson, L. C., Taubert, F., Verger, P., Lewandowsky, S., Fisher, H., Betsch, C., et al. (2023) · doi:10.31234/osf.io/j3526 · Cited by 3 · see citing works
Psychological Well-Being and Positive Emotions
Koenig, H. G., VanderWeele, T. J., & Peteet, J. R. (2023) · Oxford University Press eBooks · doi:10.1093/oso/9780190088859.003.0012 · Cited by 2 · see citing works
King, N. E., Nelson, S., Joseph, S., Chowdhury, M., Whitfield, B. T., Hanjra, P., & Lin, L. O. (2021) · Journal of Religion and Health · doi:10.1007/s10943-021-01325-3 · Cited by 2 · see citing works
Opening a hermeneutic space for spiritual care practices
Esperandio, M. R. G., & Leget, C. J. W. (2023) · HORIZONTE - Revista de Estudos de Teologia e Ciências da Religião · doi:10.5752/p.2175-5841.2022v20n62e206204 · Cited by 2 · see citing works
Leal, M. M., de Melo, G. F., Gomes, E. T., Trindade, E. V., & de Freitas, M. H. (2023) · Journal of Psychology & Clinical Psychiatry · doi:10.15406/jpcpy.2023.14.00736 · Cited by 2 · see citing works
de Aguiar, P. R. D. C., Cazella, S. C., & da Costa, M. R. (2016) · MedEdPublish · doi:10.15694/mep.2016.000048 · Cited by 2 · see citing works
Conde, S. R. S. D. S., Barros, L. E. D. C., de Oliveira, J. H. B., ARRUDA, U. T. D., Batista, S. H. S. D. S., & Batista, N. A. (2019) · Interdisciplinary Journal of Health Education · doi:10.4322/ijhe.2018.013 · Cited by 2 · see citing works
Spiritual Needs in People with Mild to Moderate Dementia
Abreu, W., de Abreu, M. D. S. N., & Büssing, A. (2021) · Springer eBooks · doi:10.1007/978-3-030-70139-0_16 · Cited by 2 · see citing works
Carvalho, P. P., de Souza, D. C., Rossato, L., & Scorsolini‐Comin, F. (2021) · Research Society and Development · doi:10.33448/rsd-v10i13.21606 · Cited by 2 · see citing works
de Oliveira, J. A. C. (2018) · Digital Library of Theses and Dissertations (Universidade de São Paulo) · doi:10.11606/d.5.2018.tde-28092018-083224 · Cited by 2 · see citing works
Koenig, H. G., VanderWeele, T. J., & Peteet, J. R. (2023) · Oxford University Press eBooks · doi:10.1093/oso/9780190088859.003.0025 · Cited by 1 · see citing works
Substance Use and Substance Use Disorders
Koenig, H. G., VanderWeele, T. J., & Peteet, J. R. (2023) · Oxford University Press eBooks · doi:10.1093/oso/9780190088859.003.0010 · Cited by 1 · see citing works
Koenig, H. G., VanderWeele, T. J., & Peteet, J. R. (2023) · Oxford University Press eBooks · doi:10.1093/oso/9780190088859.003.0014 · Cited by 4 · see citing works
Koenig, H. G., VanderWeele, T. J., & Peteet, J. R. (2023) · Oxford University Press eBooks · doi:10.1093/oso/9780190088859.003.0015 · Cited by 1 · see citing works
An Innovative Approach to Cultural Competency and Spirituality Education for Medical Students
Tannous, A. M., Fuchs, J. R., & Kaul, P. (2025) · Southern Medical Journal · doi:10.14423/smj.0000000000001841 · Cited by 1 · see citing works
Confronting Mortality in the Anatomy Laboratory: Effects on Medical Students’ Sense of Purpose
Farkouh, E. K., Gupta, J. A., Michel, I. M., Kattil, P. K., Pawlina, W., & Bostwick, J. M. (2025) · American Journal of Hospice and Palliative Medicine® · doi:10.1177/10499091251362441 · Cited by 1 · see citing works
Gender and institutional gap of self-compassion: Implications for counseling practice
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Exploring the Role of Spirituality and Religiosity in Medical Education in Brazil
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Médecine bucco-dentaire, spiritualité et religiosité
Vergnes, J., Rosenzweig, J., & Hamel, O. (2020) · Ethics Medicine and Public Health · doi:10.1016/j.jemep.2020.100485 · Cited by 1 · see citing works
Quality of Life and Spirituality in Medical Students
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Pensamiento mágico, religiosidad y decisiones bioéticas en estudiantes de medicina de Sonora
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Espiritualidade em saúde: percepções e desafios na educação médica do Brasil
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Public Health and Human Flourishing
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Understanding the Religion–Physical Health Relationship
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Concepts of spirituality prevailing among undergraduate medical students in Delhi
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CONCEPÇÕES SOBRE ESPIRITUALIDADE: PROGRAMAS DE PROVIMENTO DE MÉDICOS NO CARIRI CEARENSE
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- Authors
- Collaborators, F. T. S., Lucchetti, G., de Oliveira, L. R., Koenig, H. G., Leite, J. R., & Lucchetti, A. L.
- Affiliations
- Universidade Federal de Juiz de Fora (BR)
- King Abdulaziz University (SA)
- Universidade Federal de São Paulo (BR)
- Corresponding author
- Lucchetti, Giancarlo
- Venue
- BMC Medical Education
- Published
- 2013-12
- Volume
- 13
- Issue
- 1
- Pages
- 162-162
- ISSN
- 1472-6920 (ISSN-L)
- PMC
- PMC4029451
- OpenAlex
- W1985542169
- Cited by
- 150
- References
- 40
- Citations by year
- 2026: 4 · 2025: 10 · 2024: 7 · 2023: 51 · 2022: 6 · 2021: 15 · 2020: 12 · 2019: 13 · 2018: 9 · 2017: 8 · 2016: 8 · 2015: 5 · 2014: 2
- FWCI
- 5.69
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- BMC Medical Education (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Americanae (AECID Library) (publishedVersion, other-oa)
- LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Científicas) (submittedVersion, other-oa)
- Topics
- Social Sciences › Health › Religion, Spirituality, and Psychology
- Health Sciences › Medicine › Psychiatry and Mental health › Empathy and Medical Education
- Social Sciences › Demography › Workplace Spirituality and Leadership
- Keywords
- spirituality, religiosity, medical students, medical education, spiritual care, medical curriculum, physician-patient relationship, attitudes toward spirituality, Brazil
- MeSH terms
- Brazil, Cross-Sectional Studies, Data Collection, Female, Humans, Male, Surveys and Questionnaires, Religion and Medicine, Students, Medical, Spirituality, Young Adult
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