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Clinical implications of spirituality to mental health: review of evidence and practical guidelines
Open accessAbstract
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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Palomares-Palomares, C. B., Álvarez-Rayón, G., Ortega-Luyando, M., & Amaya-Hernández, A. (2023) · Psicología y Salud · doi:10.25009/pys.v33i2.2826
Novas perspectivas entre resiliência e espiritualidade através de escalas psicológicas
Leão, E. M. S. F. (2017) · Digital Library of Theses and Dissertations (Universidade de São Paulo) · doi:10.11606/t.47.2017.tde-12122017-093851 · Cited by 1
RACISMO OBSTÉTRICO E MATERNIDADE DE MULHERES NEGRAS: QUESTÕES PARA A PSICOLOGIA
GOMES, C. A. D. S. (2024) · doi:10.17771/pucrio.acad.67116 · Cited by 1
Implantação do programa “enfermagem na comunidade de fé”: relato de experiência
Abdala, G. A., Pimentel, M. D. O., Reinert, K. G., Slutz, M., Meira, M. D. D., & Teixeira, C. A. (2016) · Revista Brasileira em Promoção da saúde · doi:10.5020/18061230.2016.p608
A Change of Heart: Understanding Spirituality Following a Shift in Values or Beliefs in Young Adults
Boggs, A. (2016) · JMU Scholoraly Commons (James Madison University)
Silva, T. D., & Marquês, L. F. (2018) · Saberes Plurais Educação na Saúde · doi:10.54909/sp.v2i2.74125
General Applications in Clinical Practice
Koenig, H. (2018) · Elsevier eBooks · doi:10.1016/b978-0-12-811282-3.00010-0
Ectoplasma: O Poder da Cura Através da Manipulação dos Fluídos
de Souza, N. R. (2018) · Revista Científica Multidisciplinar Núcleo do Conhecimento · doi:10.32749/nucleodoconhecimento.com.br/saude/ectoplasma
Harfush, S., Moussa, A. A. A. E.-N., & Elnehrawy, S. (2018) · Journal of Nursing Education and Practice · doi:10.5430/jnep.v9n4p113
Um convite de Allah: experiência etnográfica de uma pesquisadora no campo das religiões
da Cunha, V. F., Barbosa, F. C., & Scorsolini‐Comin, F. (2018) · Semina Ciências Sociais e Humanas · doi:10.5433/1679-0383.2018v39n2p213
TENDE BOM ÂNIMO: ANSIEDADE, DEPRESSÃO E TEOLOGIA PRÁTICA CRISTÃ
Falcão, S. D. C. (2018) · Revista Summae Sapientiae · doi:10.53021/summaesapientiae.v1i1.20
Spiritual Screening in Adolescents
Rai, D., Stuhl, A., Morelli, V., & Rai, N. (2019) · Elsevier eBooks · doi:10.1016/b978-0-323-66130-0.00016-8
Depression in a household population sample in Aracaju (Sergipe, Brazil)
Menezes, M. S., & Faro, A. (2019) · Revista Interamericana de Psicología/Interamerican Journal of Psychology · doi:10.30849/rip/ijp.v53i1.894
Health Benefits of Spirituality
Dragan, D., McDuffie, D. L., & Crowther, M. R. (2020) · Springer eBooks · doi:10.1007/978-3-030-30892-6_12
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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