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.
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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”
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“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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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
Maugans, T. (1996) · Archives of Family Medicine · doi:10.1001/archfami.5.1.11 · Cited by 284
Spiritual and religious competencies for psychologists.
Vieten, C., Scammell, S., Pilato, R., Ammondson, I., Pargäment, K. I., & Lukoff, D. G. (2013) · Psychology of Religion and Spirituality · doi:10.1037/a0032699 · Cited by 273
Galileo Goes to Jail and Other Myths about Science and Religion
(2009) · Harvard University Press eBooks · doi:10.4159/9780674054394 · Cited by 271
Older adults’ preferences for religion/spirituality in treatment for anxiety and depression
Stanley, M. A., Amspoker, A. B., Camp, M. E., Jameson, J. P., Phillips, L. L., Barber, C. R., Zeno, D., Lomax, J. W., & Cully, J. A. (2011) · Aging & Mental Health · doi:10.1080/13607863.2010.519326 · Cited by 249
Moreira‐Almeida, A., & Koenig, H. G. (2006) · Social Science & Medicine · doi:10.1016/j.socscimed.2006.03.001 · Cited by 227
Addressing Patients’ Emotional and Spiritual Needs
Clark, P. A., Drain, M., & Malone, M. P. (2003) · The Joint Commission Journal on Quality and Safety · doi:10.1016/s1549-3741(03)29078-x · Cited by 214
Curlin, F. A., Lawrence, R. E., Odell, S., Chin, M. H., Lantos, J. D., Koenig, H. G., & Meador, K. G. (2007) · American Journal of Psychiatry · doi:10.1176/appi.ajp.2007.06122088 · Cited by 213
Self-citationUnderstanding and addressing religion among people with mental illness
Pargament, K. I., & Lomax, J. W. (2013) · World Psychiatry · doi:10.1002/wps.20005 · Cited by 210
Addressing spiritual concerns of patients: family physicians' attitudes and practices.
Ellis, M. R., Vinson, D. C., & Ewigman, B. (1999) · PubMed · Cited by 202
Tanaka, A., Koizumi, A., Imai, H., Hiramatsu, S., Hiramoto, E., & de Gelder, B. (2010) · Psychological Science · doi:10.1177/0956797610380698 · Cited by 179
Kristeller, J. L., Rhodes, M., Cripe, L. D., & Sheets, V. (2005) · The International Journal of Psychiatry in Medicine · doi:10.2190/8ae4-f01c-60m0-85c8 · Cited by 177
Lucchetti, G., Lucchetti, A. L. G., Badan-Neto, A., Peres, P., Peres, M., Moreira‐Almeida, A., Gomes, C. D. S., & Koenig, H. G. (2011) · Journal of Rehabilitation Medicine · doi:10.2340/16501977-0784 · Cited by 149
Huguelet, P., Mohr, S., Betrisey, C., Borras, L., Gillieron, C., Marie, A. M., Rieben, I., Perroud, N., & Brandt, P.-Y. (2011) · Psychiatric Services · doi:10.1176/ps.62.1.pss6201_0079 · Cited by 147
Spirituality and End-of-Life Care: A Time for Listening and Caring
Puchalski, C. M. (2002) · Journal of Palliative Medicine · doi:10.1089/109662102753641287 · Cited by 144
The relationship between schizophrenia and religion and its implications for care
Mohr, S. (2004) · Swiss Medical Weekly · doi:10.4414/smw.2004.10322 · Cited by 136
The Relationship Between Psychiatry and Religion Among U.S. Physicians
Curlin, F. A., Odell, S. V., Lawrence, R. E., Chin, M. H., Lantos, J. D., Meador, K. G., & Koenig, H. G. (2007) · Psychiatric Services · doi:10.1176/ps.2007.58.9.1193 · Cited by 133
Self-citationSpirituality and health in the curricula of medical schools in Brazil
Lucchetti, G., Lucchetti, A. L. G., Espinha, D. C. M., de Oliveira, L. R., Leite, J. R., & Koenig, H. G. (2012) · BMC Medical Education · doi:10.1186/1472-6920-12-78 · Cited by 129
Self-citationWhy do psychiatrists neglect religion
Neeleman, J., & Persaud, R. (1995) · British Journal of Medical Psychology · doi:10.1111/j.2044-8341.1995.tb01823.x · Cited by 117
Religiosity, mood symptoms, and quality of life in bipolar disorder
Stroppa, A., & Moreira‐Almeida, A. (2013) · Bipolar Disorders · doi:10.1111/bdi.12069 · Cited by 115
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
Taking Spiritual History in Clinical Practice: A Systematic Review of Instruments
Lucchetti, G., Bassi, R. M., & Lucchetti, A. L. G. (2013) · EXPLORE · doi:10.1016/j.explore.2013.02.004 · Cited by 108
Handbook of religion and health
(2001) · Choice Reviews Online · doi:10.5860/choice.39-0888 · Cited by 105
Galileo goes to jail: and other myths about science and religion
Ayala, F. J. (2009) · Choice Reviews Online · doi:10.5860/choice.46-6151 · Cited by 105
The importance of spirituality in medicine and its application to clinical practice
D’Souza, R. F. (2007) · The Medical Journal of Australia · doi:10.5694/j.1326-5377.2007.tb01043.x · Cited by 102
An assessment of US physicians’ training in religion, spirituality, and medicine
Rasinski, K. A., Kalad, Y. G., Yoon, J. D., & Curlin, F. A. (2011) · Medical Teacher · doi:10.3109/0142159x.2011.588976 · Cited by 99
Spirituality in Medical Education: Global Reality?
Lucchetti, G., Lucchetti, A., & Puchalski, C. (2012) · Journal of religion and health · doi:10.1007/s10943-011-9557-6 · Cited by 96
Delusions with Religious Content in Patients with Psychosis: How They Interact with Spiritual Coping
Mohr, S., Borras, L., Bétrisey, C., Brandt, P.-Y., Gillièron, C., & Huguelet, P. (2010) · Psychiatry · doi:10.1521/psyc.2010.73.2.158 · Cited by 93
Spirituality and psychiatry in Canada: psychiatric practice compared with patient expectations
Baetz, M., Griffin, R., Bowen, R., & Marcoux, G. (2004) · The Canadian Journal of Psychiatry · doi:10.1177/070674370404900407 · Cited by 90
(1990) · American Journal of Psychiatry · doi:10.1176/ajp.147.4.542 · Cited by 85
Lucchetti, G., Lucchetti, A. L. G., & Vallada, H. (2013) · Sao Paulo Medical Journal · doi:10.1590/s1516-31802013000100022 · Cited by 83
Spiritual Diversity: Multifaith Perspectives in Family Therapy
Walsh, F. W. (2010) · Family Process · doi:10.1111/j.1545-5300.2010.01326.x · Cited by 78
The Assessment of Spirituality and Religiousness in Schizophrenia
Mohr, S., Gillièron, C., Borras, L., Brandt, P.-Y., & Huguelet, P. (2007) · The Journal of Nervous and Mental Disease · doi:10.1097/01.nmd.0000258230.94304.6b · Cited by 76
Spiritual Assessment in Clinical Practice
(2006) · Psychiatric Annals · doi:10.3928/00485713-20060301-06 · Cited by 61
Spirituality in psychiatry residency training programs
Puchalski, C. M., Larson, D. B., & Lu, F. G. (2001) · International Review of Psychiatry · doi:10.1080/09540260124071 · Cited by 59
Spirituality and Religion in Canadian Psychiatric Residency Training
Grabovac, A. D., & Ganesan, S. (2003) · The Canadian Journal of Psychiatry · doi:10.1177/070674370304800305 · Cited by 54
Kalish, N. (2012) · Current Opinion in Supportive and Palliative Care · doi:10.1097/spc.0b013e328353811c · Cited by 53
Religion and Psychiatry: Beyond Boundaries
Verhagen, P. J. (2010) · Cited by 52
O diagnóstico diferencial entre experiências espirituais e transtornos mentais de conteúdo religioso
Menezes, A., & Moreira‐Almeida, A. (2009) · Archives of Clinical Psychiatry (São Paulo) · doi:10.1590/s0101-60832009000200006 · Cited by 48
Grabovac, A. D., Clark, N., & McKenna, M. (2008) · Academic Psychiatry · doi:10.1176/appi.ap.32.4.332 · Cited by 44
Spiritual needs assessments and measurements
Lunder, U., Furlan, M., & Simonič, A. (2011) · Current Opinion in Supportive & Palliative Care · doi:10.1097/spc.0b013e3283499b20 · Cited by 37
Belief in Life-After-Death, Beliefs About the World, and Psychiatric Symptoms
Flannelly, K., Ellison, C. G., Galek, K., & Silton, N. R. (2012) · Journal of religion and health · doi:10.1007/s10943-012-9608-7 · Cited by 34
The importance of ternary awareness for overcoming the inadequacies of contemporary psychiatry
Cloninger, C. R. (2013) · Archives of Clinical Psychiatry (São Paulo) · doi:10.1590/s0101-60832013000300006 · Cited by 31
Incorporating religion and spirituality to improve care for anxiety and depression in older adults.
Phillips, L. L., Paukert, A. L., Stanley, M. A., & Kunik, M. E. (2009) · PubMed · Cited by 27
Religious and Spiritual Factors in Depression
Vasegh, S., Rosmarin, D. H., Koenig, H. G., Dew, R. E., & Bonelli, R. M. (2012) · Depression Research and Treatment · doi:10.1155/2012/298056 · Cited by 27
Josephson, A. M., & Peteet, J. R. (2007) · Psychiatric Clinics of North America · doi:10.1016/j.psc.2007.01.005 · Cited by 27
Religion and health: the more we know the more we need to know
Moreira‐Almeida, A. (2013) · World Psychiatry · doi:10.1002/wps.20009 · Cited by 25
FAITH: spiritual history‐taking made easy
Neely, D., & Minford, E. J. (2009) · The Clinical Teacher · doi:10.1111/j.1743-498x.2009.00317.x · Cited by 24
Religion and psychiatry Beyond boundaries
Muthert, H. (2010) · Blackwell publishing · Cited by 24
Care needed when interpreting the importance of competency-based assessments.
Mariotti, L. L., Lucchetti, G., Dantas, M. F., Banin, V. B., Fumelli, F., & Padula, N. A. D. M. R. (2011) · PubMed · Cited by 21
Should Psychotherapy Consider Reincarnation?
Peres, J. F. P. (2012) · The Journal of Nervous and Mental Disease · doi:10.1097/nmd.0b013e3182439836 · Cited by 19
Cross-cultural differences in the multisensory perception of emotion.
Tanaka, A., Koizumi, A., Imai, H., Hiramatsu, S., Hiramoto, E., & de Gelder, B. (2010) · AVSP · Cited by 10
Hodge, D. R., & Limb, G. E. (2010) · Social Work · doi:10.1093/sw/55.4.297 · Cited by 9
Lawrence, R. E., Rasinski, K. A., Yoon, J. D., & Curlin, F. A. (2013) · The International Journal of Psychiatry in Medicine · doi:10.2190/pm.45.1.c · Cited by 8
Koenig, H. (2006) · Southern medical journal (Birmingham, Ala. Print) · doi:10.1097/01.smj.0000242751.31841.35 · Cited by 5
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
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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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