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Clinical implications of spirituality to mental health: review of evidence and practical guidelines
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OBJECTIVE: Despite empirical evidence of a relationship between religiosity/spirituality (R/S) and mental health and recommendations by professional associations that these research findings be integrated into clinical practice, application of this knowledge in the clinic remains a challenge. This paper reviews the current state of the evidence and provides evidence-based guidelines for spiritual assessment and for integration of R/S into mental health treatment. METHODS: PubMed searches of relevant terms yielded 1,109 papers. We selected empirical studies and reviews that addressed assessment of R/S in clinical practice. RESULTS: The most widely acknowledged and agreed-upon application of R/S to clinical practice is the need to take a spiritual history (SH), which may improve patient compliance, satisfaction with care, and health outcomes. We found 25 instruments for SH collection, several of which were validated and of good clinical utility. CONCLUSIONS: This paper provides practical guidelines for spiritual assessment and integration thereof into mental health treatment, as well as suggestions for future research on the topic.
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“Indeed, most patients would like to talk about their R/S in health care settings but, surprisingly, most have never been asked.18”
From Brazilian Psychiatric Association guidelines on the integration of spirituality into mental health clinical practice: Part 1. Spiritual history and differential diagnosis (2023) · cites this paper as [18]
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“it is an aspect of person-centered, compassionate, and culturally sensitive care18,26”
In the citing paper
“The evidence shows that a large majority of physicians consider it important to integrate R/S into their practice, but most of them face difficulties in addressing such topics with their patients, due to a lack of time and a lack of appropriate training.13,14”
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 [14]
In the citing paper
“In addition, some authors have emphasised the importance of discussing religion/spirituality in the therapeutic context and distinguished between their positive and negative aspects.23,24”
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 [24]
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Mosqueiro, 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
“…SHs should be taken in a patient-centered way that involves ethical commitment without proselytizing or prescribing religious or anti-religious perspectives 18 ; the approach must be respectful to the patient’s faith and culture, and the process should be focused on the patient’s beliefs and needs.”
The Effect of Spirituality on the Subjective Recovery of Psychiatric Patients
ÖZ, Y. C., & Duran, S. (2021) · Journal of Religion and Health · doi:10.1007/s10943-021-01226-5 · Cited by 12
Weathers, E. (2019) · Springer eBooks · doi:10.1007/978-3-030-04420-6_1 · Cited by 12
The Use of Bibliotherapy in Revealing and Addressing the Spiritual Needs of Cancer Patients
Bálint, Á., & Magyari, J. (2020) · Religions · doi:10.3390/rel11030128 · Cited by 19
Spirituality, religion, and mood disorders
Mosqueiro, B. P., Pinto, A. D. R., & Moreira‐Almeida, A. (2020) · Elsevier eBooks · doi:10.1016/b978-0-12-816766-3.00001-x · Cited by 12
Toward the Concept of ‘Spiritist Chaplaincy’
Saad, M., Lucchetti, G., Peres, M. F. P., & de Medeiros, R. (2015) · Journal of Religion and Health · doi:10.1007/s10943-015-0011-z · Cited by 11
Alsamara, K., Kakaje, A., Soqia, J., Ghareeb, A., Watson, L., Hadakie, R., Jawich, K., ALhomsi, A., & Forbes, D. (2024) · Journal of Religion and Health · doi:10.1007/s10943-024-02005-8 · Cited by 11
A Model of Collaborative Spiritual and Psychiatric Care of Oncology Patients
Kao, L. E., Lokko, H. N., Gallivan, K., O’Brien, V., & Peteet, J. R. (2017) · Psychosomatics · doi:10.1016/j.psym.2017.06.004 · Cited by 12
Spiritual Themes and Challenges in Global Health
Addiss, D. G. (2015) · Journal of Medical Humanities · doi:10.1007/s10912-015-9378-9 · Cited by 11
Bioética no acolhimento a dependentes de drogas psicoativas em comunidades terapêuticas
Schlemper, B. R. (2018) · Revista Bioética · doi:10.1590/1983-80422018261225 · Cited by 11
Leung, C. H. (2022) · Asia Pacific Journal of Education · doi:10.1080/02188791.2022.2114425 · Cited by 11
Religion, Spirituality, and Ethics in Psychiatric Practice
Dike, C. C., Briz, L., Fadus, M., Martinez, R., May, C., Milone, R., Nesbit-Bartsch, A., Powell, T., Witmer, A. M., & Brendel, R. W. (2022) · The Journal of Nervous and Mental Disease · doi:10.1097/nmd.0000000000001505 · Cited by 12
Religious syncretism as a sociocultural factor of social security in cross-border regions
Gavrilova, Y., Анатольевна, Щ. И., Борисовна, Л. М., & Gordeeva, N. (2018) · Mental Health Religion & Culture · doi:10.1080/13674676.2018.1460590 · Cited by 10
Impact of Religion and Spirituality in Older Persons
Lucchetti, G., Vitorino, L. M., Nasri, F., & Lucchetti, A. L. G. (2019) · Religion, spirituality and health: a social scientific approach · doi:10.1007/978-3-030-21221-6_8 · Cited by 11
Jiménez, M. S. R., & Desfilis, E. S. (2020) · Nursing Reports · doi:10.3390/nursrep10020022 · Cited by 14
Bhagwandas, K., Kumar, G., Satish, L., Behera, N., Mohanty, S., & Mahadevan, J. (2024) · Journal of Religion and Health · doi:10.1007/s10943-024-02220-3 · Cited by 11
Metadata
- Authors
- Moreira-Almeida, A., Koenig, H. G., & Lucchetti, G.
- Affiliations
- Universidade Federal de Juiz de Fora (UFJF), Brazil
- King Abdulaziz University (SA)
- Universidade Federal de Juiz de Fora (BR)
- Venue
- Revista Brasileira de Psiquiatria
- Publisher
- EDITORA SCIENTIFIC
- Published
- 2014-04
- Volume
- 36
- Issue
- 2
- Pages
- 176-182
- ISSN
- 1516-4446 (ISSN-L)
- OpenAlex
- W2158904243
- Cited by
- 261
- References
- 64
- Citations by year
- 2026: 11 · 2025: 18 · 2024: 14 · 2023: 25 · 2022: 32 · 2021: 38 · 2020: 29 · 2019: 23 · 2018: 34 · 2017: 12 · 2016: 15 · 2015: 9
- FWCI
- 1.72
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Licence
- cc-by-nc
- Locations
- Brazilian Journal of Psychiatry (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Científicas) (publishedVersion, other-oa)
- Americanae (AECID Library) (submittedVersion, other-oa)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Social Sciences › Health › Religion, Spirituality, and Psychology
- Social Sciences › Business, Management and Accounting › Organizational Behavior and Human Resource Management › Workplace Spirituality and Leadership
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Keywords
- spirituality, religiosity, mental health, spiritual assessment, spiritual history, medication adherence, patient satisfaction
- MeSH terms
- Mental Disorders, Humans, Mental Health, Treatment Outcome, Practice Guidelines as Topic, Needs Assessment, Spirituality
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