The DOI matches its Crossref record; 64 of the 64 references it cites were found in a registry or an index.
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.
Overview
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
The source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
In the citing paper
“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]
Experimental — accuracy not yet measuredThe cited source says what the claim attributes to it.
In the citing paper
“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]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Citations
Cites
Handbook of Religion and Health
Koenig, H. G., McCullough, M. E., & Larson, D. B. (2004) · American Journal of Geriatric Psychiatry · doi:10.1097/00019442-200405000-00015 · Cited by 3,262
Research on Religion, Spirituality, and Mental Health: A Review
Koenig, H. G. (2009) · The Canadian Journal of Psychiatry · doi:10.1177/070674370905400502 · Cited by 1,442
Religiousness and mental health: a review
Moreira-Almeida, A., Lotufo Neto, F., & Koenig, H. G. (2006) · Revista Brasileira de Psiquiatria · doi:10.1590/s1516-44462006005000006 · Cited by 835
Taking a Spiritual History Allows Clinicians to Understand Patients More Fully
Puchalski, C. M., & Romer, A. L. (2000) · Journal of Palliative Medicine · doi:10.1089/jpm.2000.3.129 · Cited by 746
Concerns about measuring spirituality in research
Koenig, H. G. (2008) · Journal of Nervous & Mental Disease · doi:10.1097/nmd.0b013e31816ff796 · Cited by 730
Self-citationAnandarajah, G., & Hight, E. S. (2001) · Journal of Osteopathic Medicine · doi:10.1016/s1443-8461(01)80044-7 · Cited by 636
Mental 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
Ehman, J. W., Ott, B. B., Short, T. H., Ciampa, R. C., & Hansen-Flaschen, J. (1999) · Archives of Internal Medicine · doi:10.1001/archinte.159.15.1803 · Cited by 503
Williams, J. A., Meltzer, D., Arora, V., Chung, G., & Curlin, F. A. (2011) · Journal of General Internal Medicine · doi:10.1007/s11606-011-1781-y · Cited by 310
Toward a More Culturally Sensitive DSM-IV
Lukoff, D. G., Lu, F. G., & TURNER, R. (1992) · The Journal of Nervous and Mental Disease · doi:10.1097/00005053-199211000-00001 · Cited by 295
Research works printed but not linked: 4
- Mariotti LG, 2011, Spirituality and medicine: views and opinions of teachers in a Brazilian medical school, Med Teach, 33, 339
- 1995, American Psychiatric Association, Am J Psychiatry, 152, 63
- Moreira-Almeida A, 2011, Differential diagnosis between non-pathological psychotic and spiritual experiences and mental disorders: a contribution from Latin American studies to the ICD-11, Rev Bras Psiquiatr, 33, S21
- Menezes A, 2009, Differential diagnosis between spiritual experiences and mental disorders of religious content, Rev Psiquiatr Clin, 36, 75
Cited by
Sorted by citations
Items 201–261 of 261
Religiosidad y cerebro : psicología de la práctica religiosa
Palacios, P., & Andrea, P. (2020)
Gaia, R. D. S. P. (2021) · Digital Library of Theses and Dissertations (Universidade de São Paulo) · doi:10.11606/d.22.2021.tde-07052021-152621
A influência da espiritualidade na terapêutica e prognóstico dos pacientes com transtornos mentais
Gomes, L. N., Rodrigues, I. C. D. F., Rocha, S. M. A., Alves, W. G., Botelho, L. L., Franco, A. C. S. D. M., Santana, D. S., Labuda, S. F., Gonçalves, L. S. F., & Soares, G. F. G. (2021) · Revista Eletrônica Acervo Científico · doi:10.25248/reac.e7729.2021
A religiosidade e a espiritualidade na prática psiquiátrica
Chequini, M. C. M. (2020) · doi:10.11606/t.5.2020.tde-14062021-084122
A perspectiva de um teólogo e de um neurocientista em relação a fé
Rodrigues, F. D. A. A., & Colares, I. (2021) · CPAH Scientific Journal of Health · doi:10.53504/cpahjv1n4-006
Fanning, S. (2021) · The Research Repository @ WVU (West Virginia University) · doi:10.33915/etd.8319
THE SPIRITUALITY IN THE HOSPITAL CONTEXT:
Neto, J. G. D. O. (2021) · Health and Society · doi:10.51249/hes01.05.2021.478
A relação histórica entre ciência e religião
de Miranda, L. M. (2018) · doi:10.47749/t/unicamp.2018.1061167
Gonçalves, J. P. D. B. (2020) · Digital Library of Theses and Dissertations (Universidade de São Paulo) · doi:10.11606/t.5.2020.tde-10032021-193551
Povezanost religioznosti s tjelesnim i mentalnim zdravljem
Radionov, T. (2022) · Obnovljeni život : časopis za filozofiju i religijske znanosti · doi:10.31337/oz.77.1.7
Roxburgh, E. C., & Evenden, R. E. (2021) · Routledge eBooks · doi:10.4324/9781003187943-3
Quality of Life and Religiosity in Arab College Students and Elderly
Abdel‐Khalek, A. M. (2021) · Springer eBooks · doi:10.1007/978-3-319-69909-7_3832-2
Religião, Espiritualidade e Genética: Possíveis conexões
Porfírio, G. B., & Figueiredo, D. L. A. (2022) · Research Society and Development · doi:10.33448/rsd-v11i6.29426
A perspectiva de um teólogo e de um neurocientista em relação a fé
Rodrigues, F. D. A. A. (2022) · Ciencia Latina Revista Científica Multidisciplinar · doi:10.37811/cl_rcm.v6i3.2401
State of the art of sports spirituality in metabolic processes and immunity: a systematic review
(2022) · International Journal of Development Research · doi:10.37118/ijdr.24990.07.2022
Суицидальный риск при депрессиях у пациентов с религиозным мировоззрениемPreprint
Cranier, L. (2022) · doi:10.31219/osf.io/2j3f7
Mumin, K. H. A., Maideen, A. A., Lupat, A., Mohd-Alipah, S. N.-D., Mohammad-Alli, R. H., Abd-Manaf, H.-N. H., Osman, A.-R., Fata, H. M. R. A., busrah, N., Darling‐Fisher, C. S., et al. (2022) · Research Square · doi:10.21203/rs.3.rs-2160729/v1
Humanização em saúde: um olhar sobre a arte de cuidar
Beltrão, J. R., Beltrão, M. R., Vendramini, D. R., Dotto, R. N., Dezan, T. H., Sedrez, P. C., Simão, T. C. M., Hornung, F. L., de Oliveira, M. L. F., & Andraus, G. S. (2022) · Texto e contexto editora eBooks · doi:10.54176/mlcs7453
МОЛИТВА У СТРУКТУРІ РЕЛІГІЙНИХ КОПІНГ-СТРАТЕГІЙ ВІРУЮЧИХ
Kuznetsov, O. I., & Діомідова, Н. (2022) · Вісник ХНПУ імені Г С Сковороди Психология · doi:10.34142/23129387.2022.66.09
As duas alternativas da pesquisa em espiritualidade e saúde
Coelho, H. S. (2021) · HORIZONTE - Revista de Estudos de Teologia e Ciências da Religião · doi:10.5752/p.2175-5841.2021v19n60p998
Afiliação religiosa e decisões de cuidado à saúde
Borges, M. (2022) · Digital Library of Theses and Dissertations (Universidade de São Paulo) · doi:10.11606/d.5.2022.tde-18012023-183154
de Barros, M. C. M. (2022) · Digital Library of Theses and Dissertations (Universidade de São Paulo) · doi:10.11606/t.5.2022.tde-19042023-123148 · Cited by 1
“Saúde e Espiritualidade”: das evidências científicas para a prática clínica
Lucchetti, G. (2023) · HORIZONTE - Revista de Estudos de Teologia e Ciências da Religião · doi:10.5752/p.2175-5841.2022v20n62e206202 · Cited by 1
Impact of spirituality on mortality of patients admitted to the intensive care unit
Gasparoto, A. L. V., Gasparoto, R. C. G. W., Ceglias, T. B., Guarnieri, F. H. E., Saldanha, A. L. R., Margeotto, A. P. P., Nosé, P. M. G., Nunes, E. R., de Oliveira, R. C. S., & Martinez, T. L. D. R. (2023) · International Journal of Family & Community Medicine · doi:10.15406/ijfcm.2023.07.00325
Espiritualidade na Clínica Psicológica: Contribuições do Pensamento de Viktor Frankl
Egg-Serra, A. P., Holanda, A. F., & Scaduto, A. A. (2023) · PsicoFAE/Revista PsicoFAE · doi:10.55388/psicofae.v12n1.426 · Cited by 1
Manifestações psicopatológicas e cognitivas associadas à infecção pelo vírus SARS-CoV-2
Damiano, R. F. (2023) · Digital Library of Theses and Dissertations (Universidade de São Paulo) · doi:10.11606/t.5.2023.tde-29082023-114208
ทรรศนะดานจตวญญาณของจตแพทยไทยตอสขภาพจต
โกศลศักดิ์, ว., & กาญจนถวัลย์, บ. (2019) · doi:10.58837/chula.the.2019.1414
Relationships between spirituality and religiosity in dentistry academics in the state of Bahia
Souza, I. A., Tavares, M. D. M., Michel‐Crosato, E., & Yarid, S. D. (2023) · RGO - Revista Gaúcha de Odontologia · doi:10.1590/1981-86372023003620220012
Concepções sobre espiritualidade de idosos inseridos em uma unidade de convivência
Meloni, L. M., Gonçalves, A. R., Gonçalves, A. C. M., de Macedo, T. C., Santo, G. A. A. D. E., Rabelo, L. A. D. S., & Gonçalves, J. R. L. (2023) · Brazilian Journal of Health Review · doi:10.34119/bjhrv6n5-511
Quality of Life and Religiosity in Arab College Students and Elderly
Abdel‐Khalek, A. M. (2023) · Springer eBooks · doi:10.1007/978-3-031-17299-1_3832
Suteja, J., & Setiawan, B. (2024) · Jurnal Ilmu Dakwah · doi:10.15575/idajhs.v17i2.25067 · Cited by 1
Perceptions of the spiritual dimension of patients under palliative care for gastric câncer
Duarte, H. P. P., da Luz, A. S., Conde, S. R. S. D. S., & Ramos, J. G. D. C. (2024) · Brazilian Journal of Health Review · doi:10.34119/bjhrv7n2-021
Wijayanti, D. Y., Sari, S. P., & Sarjana, W. (2024) · Jurnal Aisyah Jurnal Ilmu Kesehatan · doi:10.30604/jika.v9i1.2710
Jenkins, R., & Gureje, O. (2024) · Springer eBooks · doi:10.1007/978-3-030-51366-5_154
Suicide and religion: A comparative analysis of a complex relationship to inform practice
Gearing, R. E., Alonza, D., Savani, S., Burr, S., Arora, A., & Khudododova, S. (2024) · doi:10.1093/med/9780198843405.003.0007
Towards a Person-Centered Care Approach in Community Mental Health Services
Galea, M., & Galea, F. Z. (2024) · Advances in human resources management and organizational development book series · doi:10.4018/979-8-3693-5991-4.ch009
Benefícios da espiritualidade para a saúde física e mental dos indivíduos
moreira, A. C. H. S. B., Malosso, M. G., & Carvalho, R. P. (2024) · Cuadernos de Educación y Desarrollo · doi:10.55905/cuadv16n13-048
Athayde, A. C. R., Cordeiro, A. C. G., Mamede, A. P., Cruz, D. O., Leite, E., Waked, J. P., de Andrade, J. R., Júnior, L. D. B., & Júnior, O. R. D. F. (2025) · Caderno Pedagógico · doi:10.54033/cadpedv22n5-052
Spirituality and Cardiovascular Disease: Valuing Cultural Sensitivity in Cardiology
Lucchetti, G. (2025) · Arquivos Brasileiros de Cardiologia · doi:10.36660/abc.20250143i
Espiritualidade e Doença Cardiovascular: Valorizando a Sensibilidade Cultural na Cardiologia
Lucchetti, G. (2025) · Arquivos Brasileiros de Cardiologia · doi:10.36660/abc.20250143
Spiritual Assessment in Mental Health
Gossa, J. R., & Cook, C. C. H. (2025) · Springer eBooks · doi:10.1007/978-3-031-78575-7_16
Why the Continuing Interest in Spirituality Within Healthcare?
Ross, L. A., & Coll, A.-M. (2025) · Springer eBooks · doi:10.1007/978-3-031-78575-7_1
da Cunha, C. R. O. B. E. J., & Scorsolini‐Comin, F. (2025) · International Journal of Latin American Religions · doi:10.1007/s41603-025-00302-y
Health Benefits of Spirituality
Dragan, D., McDuffie, D. L., & Crowther, M. R. (2025) · Nutrition and health · doi:10.1007/978-3-031-87441-3_16
The Self And Suffering: Therapeutic Perspectives From Indian Knowledge SystemsPreprint
Bhavananai, A. B., & Anandhi, M. (2025) · Social Science Research Network · doi:10.2139/ssrn.5381223
Ali, M., Abdelrahman, R. M., Alyousef, D. S. A., & Al-Dossary, S. A. (2025) · Humanities and Social Sciences Communications · doi:10.1057/s41599-025-05864-y
Oliveira, B. C. D., Santos, G. C., Jacinto, R. A., Daher, G. F., Mattos, C. P., da Câmara, L. A. F. C., & Jacinto, R. A. (2025) · Research Society and Development · doi:10.33448/rsd-v14i11.50075
Youth Ministry Contexts for Youth Development: Strengthening Benefits Via Academic-Faith Partnership
Metaweh, M., Agaibi, C. E., Dawood, S., Shokry, P., Maximous, J., & Frazier, S. L. (2025) · Journal of Child and Family Studies · doi:10.1007/s10826-025-03226-5
The Intersection of Religion, Health, and Development in Africa
Kilonzo, S. M., & Chitando, E. (2026) · Springer eBooks · doi:10.1007/978-3-031-62891-7_1-1
Nunes, A. P. D. A., Lucchetti, A., de Oliveira, R. G., Firmino, A. J. D. F., Ezequiel, O. D. S., & Lucchetti, G. (2026) · European journal of dental education · doi:10.1111/eje.70090
Godinho, R. C. D. S., Godinho, P. S., Soares, L. C. B., Gouvêia, A., & Pedroso, J. D. S. (2026) · Research Square · doi:10.21203/rs.3.rs-8809260/v1
Religiosity/Spirituality Association on Oral Diseases: A Systematic Review
da Costa, V. B. A., Filho, W. R. A., Guimarães, L. S., Antunes, L. S., Antunes, L. A., & Assaf, A. V. (2022) · International Journal of Health Sciences (IJHS) · doi:10.15640/ijhs.v10n1a5
The Intersection of Religion, Health, and Development in Africa
Kilonzo, S. M., & Chitando, E. (2026) · Springer eBooks · doi:10.1007/978-3-032-05464-7_1
Andre, B. M. (2026) · Revue Interaméricaine des Sciences Humaines & Sociales · doi:10.67311/rishs.v1n1.01
The Chopra Wellbeing Index: Examination of Psychometric Properties
Wortham, J. S., Martin, D., Donaldson, S. I., & Howley, C. G. (2026) · The International Journal of Psychiatry in Medicine · doi:10.1177/00912174261465740
Akhtar, J., & Samuel, J. (2026) · Journal of Religion Spirituality & Aging · doi:10.1080/15528030.2026.2733211
Taking a spiritual history in the oral oncology setting
Santos‐Silva, A. R., Magalhaes, M., Calderipe, C. B., Lopes, M. A., Pires, E. V. Á., & Epstein, J. B. (2026) · Supportive Care in Cancer · doi:10.1007/s00520-026-11215-7
Vitorino, L., Rosa, R. A., Carvalho, F. T., Massa, C. D. O., Testa, A. C. S., Guimarães, M. V. C., & Lucchetti, G. (2026) · Research Square · doi:10.21203/rs.3.rs-10638124/v1
Além da “Falência” Cardíaca: Por que a Espiritualidade Importa
Faria, V. S., Siqueira, A. R. D. O., & Siqueira, S. (2026) · ABC Heart Failure & Cardiomyopathy · doi:10.36660/abchf.20260025
Beyond Heart "Failure": Why Spirituality Matters
Faria, V. S., Siqueira, A. R. D. O., & Siqueira, S. (2026) · ABC Heart Failure & Cardiomyopathy · doi:10.36660/abchf.20260025i
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
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review