Spirituality, Religiosity and Addiction Recovery: Current Perspectives
Abstract
Substance use disorders are an important public health problem with a multifactorial etiology and limited effective treatment options. Within this context, spirituality-based approaches may provide interesting and useful options in managing substance use disorders. This kind of intervention can have positive effects in alleviating some core symptoms associated with substance use, such as aggressiveness. Improvement in cessation rates for alcohol, cocaine and opioid use disorders have also been described in some clinical studies. However, spirituality may not play a beneficial role in some subgroups, such as among individuals with crack cocaine and cannabis use disorders. A widely available intervention for alcohol use disorders is Alcoholics Anonymous (AA), which can be seen as a spirituality-based intervention. Spirituality also seems to be especially beneficial for minorities such as Latinos, African-Americans and Native-Americans. Moreover, spiritual-based interventions are also helpful alternatives in many rural environments where conventional healthcare for substance use disorders may not be easily available. However, spiritual-based interventions may be considered as a possible adjunctive therapeutic option to conventional treatments. There is a need for prospective studies outside U.S., especially where spiritual-based approaches are available. It may be difficult to carry out randomized controlled trials because of the nature of the spiritual/ religious dimensions. Ho…
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
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?
R/S has even greater protective effects regarding substance use disorders and suicide risk.
“and even greater protective effects regarding substance use disorders10 and suicide risk.11,12”
Cites
Neurobiology of addiction: a neurocircuitry analysis
Koob, G. F., & Volkow, N. D. (2016) · The Lancet Psychiatry · doi:10.1016/s2215-0366(16)00104-8 · Cited by 3,698 · see citing works
Grant, B. F., Goldstein, R. B., Saha, T. D., Chou, S. P., Jung, J., Zhang, H., Pickering, R. P., Ruan, W. J., Smith, S. M., Huang, B., et al. (2015) · JAMA Psychiatry · doi:10.1001/jamapsychiatry.2015.0584 · Cited by 2,556 · see citing works
Alcohol myopia: Its prized and dangerous effects.
Steele, C. M., & Josephs, R. A. (1990) · American Psychologist · doi:10.1037/0003-066x.45.8.921 · Cited by 2,070 · see citing works
Religion and spirituality: Linkages to physical health.
Powell, L. H., Shahabi, L., & Thoresen, C. E. (2003) · American Psychologist · doi:10.1037/0003-066x.58.1.36 · Cited by 1,093 · see citing works
Culturally adapted psychotherapy and the legitimacy of myth: A direct-comparison meta-analysis.
Benish, S. G., Quintana, S., & Wampold, B. E. (2011) · Journal of Counseling Psychology · doi:10.1037/a0023626 · Cited by 661 · see citing works
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 · see citing works
Worthington, E. L., Hook, J. N., Davis, D. E., & McDaniel, M. A. (2011) · Journal of Clinical Psychology · doi:10.1002/jclp.20760 · Cited by 484 · see citing works
Patient predictors of alcohol treatment outcome: A systematic review
Adamson, S. J., Sellman, J. D., & Frampton, C. M. A. (2009) · Journal of Substance Abuse Treatment · doi:10.1016/j.jsat.2008.05.007 · Cited by 370 · see citing works
Giancola, P. R., Josephs, R. A., Parrott, D. J., & Duke, A. A. (2010) · Perspectives on Psychological Science · doi:10.1177/1745691610369467 · Cited by 280 · see citing works
Explaining the relationship between religiousness and substance use: Self-control matters.
DeWall, C. N., Pond, R. S., Carter, E. C., McCullough, M. E., Lambert, N. M., Fincham, F. D., & Nezlek, J. B. (2014) · Journal of Personality and Social Psychology · doi:10.1037/a0036853 · Cited by 68 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Jones, G. M., Ricard, J., Lipson, J., & Nock, M. (2022) · Scientific Reports · doi:10.1038/s41598-022-08085-4 · Cited by 52 · see citing works
The neuroscience of spirituality, religion, and mental health: A systematic review and synthesis
Rosmarin, D. H., Kaufman, C. C., Ford, S. F., Keshava, P., Drury, M. J., Minns, S. A., Marmarosh, C. L., Chowdhury, A., & Sacchet, M. D. (2022) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2022.10.003 · Cited by 46 · see citing works
Pouille, A., Bellaert, L., Laenen, F. V., & Vanderplasschen, W. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph182413025 · Cited by 30 · see citing works
Ameh, S., Akeem, B. O., Ochimana, C., Oluwasanu, A., Mohamed, S., Okello, S., Muhihi, A., & Danaei, G. (2020) · BMC Family Practice · doi:10.1186/s12875-021-01394-z · Cited by 29
Jones, G. M., Lipson, J., & Nock, M. (2022) · Scientific Reports · doi:10.1038/s41598-022-14809-3 · Cited by 27 · see citing works
Jordan, A., Costa, M., Nich, C., Swarbrick, M., Babuscio, T., Wyatt, J. P., O'Connell, M., Guy, K., Blackman, K., Anderson, R., et al. (2023) · Journal of substance use and addiction treatment · doi:10.1016/j.josat.2023.209057 · Cited by 26 · see citing works
Dubey, M. J., Ghosh, R., Das, G., Roy, D., Das, S., Chakraborty, A., Chatterjee, S., Dubey, S., & Benito-León, J. (2024) · Journal of religion and health · doi:10.1007/s10943-024-02090-9 · Cited by 22 · see citing works
“The relationship between religiosity and addictive behaviors remains complex and multifaceted, with evidence pointing to both protective and risk-enhancing effects (Beraldo et al., 2019; Jennings et al., 2021; Lewczuk et al., 2021; Steinhorn et al., 2017; Zimmer & Imhoff, 2020).”
Gökçay, G., Çevirme, A., Küçük, H. İ., & Akgün, Z. G. (2024) · Scientific Reports · doi:10.1038/s41598-024-56641-x · Cited by 21
“Additionally, some studies have suggested that religious beliefs are effective as alternative treatments in substance use disorder therapy 43–45 .”
BackgroundRansome, Y., Haeny, A. M., McDowell, Y. E., & Jordan, A. (2019) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2019.107615 · Cited by 16 · see citing works
Spirituality as a Therapeutic Approach for Severe Mental Illness: Insights from Neural Networks
Knegtering, H., Bruggeman, R., & Spoelstra, S. K. (2024) · Religions · doi:10.3390/rel15040489 · Cited by 14 · see citing works
Spirituality in Addiction Recovery: A Narrative Review
Snodgrass, S., Corcoran, L., & Jerry, P. (2023) · Journal of religion and health · doi:10.1007/s10943-023-01854-z · Cited by 14 · see citing works
“While descriptions of religion include reference to spirituality as a cultural concept (Paloutzian & Park, 2021) involving the organized tradition of beliefs, practices, and rituals in a faith community (Beraldo et al., 2019; Koenig, 2012; Paul Victor & Treschuk, 2020).”
Modeling intrinsic spirituality in gambling disorder
Gavriel-Fried, B., Moretta, T., & Potenza, M. (2020) · Addiction Research and Theory · doi:10.1080/16066359.2019.1622002 · Cited by 14 · see citing works
Kelley, A., Steinberg, R., McCoy, T., Pack, R., & Pepion, L. (2021) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2021.108559 · Cited by 13 · see citing works
“What is known is that spirituality, addressing trauma and loss, and involvement in traditional activities help support recovery (Spicer, 2001; Skewes and Blume, 2019; Beraldo et al., 2019).”
BackgroundMosqueiro, 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 · see citing works
“1 Prospective high-quality studies have confirmed the predominantly positive effect of R/S across different psychiatric conditions, including depressive disorders 8 and bipolar disorders, 9 and even greater protective effects regarding substance use disorders 10 and suicide risk.”
Environmental Impact on Relapse and Motivation Recovery Among Drug Addicts
Razali, A., Pauzi, N., Maraya, R., Shamshudeen, R. I., Razali, N. A., & Luqman, M. (2023) · Journal of Intercultural Communication · doi:10.36923/jicc.v23i3.122 · Cited by 12 · see citing works
Sonbol, H., El-Sayed, M. M., Taha, S. M., Khedr, M. A., El-Ashry, A., & Elhay, E. A. A. (2024) · Journal of Psychiatric and Mental Health Nursing · doi:10.1111/jpm.13089 · Cited by 10 · see citing works
Impact of Spiritual Meditation on Drug Addiction Recovery and Wellbeing: A Systematic Review
Kadri, R., Husain, R., & Omar, S. (2020) · International Journal of Human and Health Sciences (IJHHS) · doi:10.31344/ijhhs.v4i4.208 · Cited by 10 · see citing works
Medical Student Spirituality and Substance Use
Williams, M. K., Greene, W. M., Leitner, S. A., & Merlo, L. (2020) · Journal of addiction medicine · doi:10.1097/adm.0000000000000686 · Cited by 9 · see citing works
What is known about treatment aimed at indigenous people suffering from alcohol use disorder?
Andersen, L., Munk, S., Nielsen, A., & Bilberg, R. (2019) · Journal of Ethnicity in Substance Abuse · doi:10.1080/15332640.2019.1679317 · Cited by 8 · see citing works
Exploring the perspectives of community members on use of Nyaope in Tshwane, South Africa
Nzaumvila, D., Mash, R., & Helliwell, T. (2023) · South African Family Practice · doi:10.4102/safp.v65i1.5715 · Cited by 7
Rajabi, R., Eslamialiabadi, H., Mahdizadeh, M. J., & Forouzi, M. A. (2023) · BMC Research Notes · doi:10.1186/s13104-023-06377-0 · Cited by 7 · see citing works
Martínez, E. Z., da Silva, A. S., Giglio, F. M., Terada, N. A. Y., & Zucoloto, M. L. (2019) · Cadernos Saúde Coletiva · doi:10.1590/1414-462x201900020234 · Cited by 9 · see citing works
Torales, J. C. (2026) · Journal of Religion and Health · doi:10.1007/s10943-026-02729-9 · Cited by 6 · see citing works
“Spirituality and religiosity have long been discussed as resources in addiction recovery, not because they replace conventional treatment, but because they can support meaning, belonging, self-regulation, hope, and social networks (Beraldo et al., 2019).”
Self-citationPagis, M., Elbaz, A., & Yair, Y. B. (2024) · Journal of religion and health · doi:10.1007/s10943-024-02152-y · Cited by 6 · see citing works
“Studies have shown the value of spirituality and religion in the prevention, treat-ment of, and recovery from substance use (Beraldo et al., 2019; Travis et al., 2021; Unterrainer et al., 2013).”
Travis, D. J., Vazquez, C., Spence, R. T., & Brooks, D. (2021) · Journal of religion and health · doi:10.1007/s10943-021-01235-4 · Cited by 6 · see citing works
Khalid, S., & Ali, B. (2023) · Pakistan journal of humanities and social sciences · doi:10.52131/pjhss.2023.1103.0590 · Cited by 5
“In travel and tourism sector, spiritual aspects of subjective experience have been receiving increasing attention (Beraldo et al., 2019).”
BackgroundRamos, S. D. A., & Bernardo, A. B. I. (2025) · International Journal of Applied Positive Psychology · doi:10.1007/s41042-025-00218-0 · Cited by 5 · see citing works
“…because they are already intact within people with substance use disorders, consistent with earlier studies that found that family support (Birkeland et al., 2021) and spirituality (Beraldo et al., 2019) are valued in Filipino culture in the context of substance abuse recovery (Ramos, 2019).”
Exploring the Connections between Medical Rehabilitation, Faith and Spirituality
Irsay, L., Ciortea, V. M., Popa, T., Iliescu, M. G., & Ciubean, A. D. (2024) · Healthcare · doi:10.3390/healthcare12121202 · Cited by 4 · see citing works
“In medicine, approaching spirituality can be associated with discomfort because of the differences in various religions, the fear of approaching an intimate topic and the apparent lack of connection between science and spirit [8,9].”
BackgroundFalade, J., Mustapha, A., Oyebanji, A. H., & Falade, O. (2022) · Babcock University Medical Journal · doi:10.38029/babcockunivmedj.v5i2.137 · Cited by 4 · see citing works
“disorders is Alcoholics Anonymous (AA), which can be seen as a spirituality-based intervention (28).”
BackgroundEstablishing spirituality competencies in social work
Boynton, H. (2025) · Social Thought · doi:10.1080/15426432.2025.2547230 · Cited by 3 · see citing works
“…aging, and end of life care (Van Hook & Rivera, 2004), pregnancy and abortion (Backes et al., 2022), addictions and chronic mental health (Beraldo et al., 2019), illnesses and accidents (Pandya, 2016), relationship issues including sexual infidelity and 2SLGBTQ+ and other related gender…”
Mistur, E. J., Crete, A. A., Scalora, S. C., Anderson, M. R., Chapman, A. L., & Miller, L. (2025) · Psychology International · doi:10.3390/psycholint7020032 · Cited by 3 · see citing works
“Studies have shown that spirituality is linked to lower rates of completed suicides, as well as reduced alcohol and drug use (Beraldo et al., 2019; ˇCepulien˙e & Skruibis, 2022; Nayak et al., 2023; Rosmarin et al., 2022).”
Ramos, S. D. A., & Bernardo, A. B. I. (2025) · Journal of Ethnicity in Substance Abuse · doi:10.1080/15332640.2025.2468295 · Cited by 3 · see citing works
“The insight echoes previous studies that found that spirituality is important in SUD recovery (Beraldo et al., 2019; Dermatis & Galanter, 2016).”
[The psychosocial rehabilitation in addiction medicine].
Peyron, E., Franck, N., Labaume, L., & Rolland, B. (2023) · L'Encephale · doi:10.1016/j.encep.2023.07.001 · Cited by 3 · see citing works
Shaari, A. A. H. (2021) · Pertanika Journal of Social Sciences and Humanities · doi:10.47836/pjssh.29.4.12 · Cited by 3 · see citing works
Women’s spiritually mediated stories about recovery from Alcohol Use Disorder: A brief report
Jacobs, L. (2018) · Journal of Psychology in Africa · doi:10.1080/14330237.2018.1523338 · Cited by 3 · see citing works
Rosidi, R., Subandi, S., & Mubasit, M. (2026) · Islamic Guidance and Counseling Journal · doi:10.25217/0020269773200 · Cited by 2
“In addition, recent evidence has shown that spiritual experiences form part of the coping repertoire used by people in recovery to manage stress and temptation (Beraldo et al., 2019) .”
The religious experience of homeless people who use drugs in the city of Porto – Portugal
Chagas, C., Fernandes, L., Martins, L., Zangari, W., & Galduróz, J. C. (2025) · Ethnography · doi:10.1177/14661381251391995 · Cited by 1 · see citing works
“Back to Where It All Started”: Quality of Life of Community-Reintegrated Recovering Drug Dependents
Coloscos, P. A. (2025) · European Journal of Arts, Humanities and Social Sciences · doi:10.59324/ejahss.2025.2(5).03 · Cited by 1 · see citing works
Courchesne‐Krak, N. S., Chandrasekaran, A. R., Gonzalez, J., Bianchi, S. B., Tran, V., Johnson, E. O., Troiani, V., Hettema, J. M., Stein, M. B., Coon, H. H., et al. (2025) · Complex Psychiatry · doi:10.1159/000546389
Brockdorf, A. N., Tilstra-Ferrell, E. L., Danielson, C. K., Moreland, A. D., Rheingold, A. A., Salim, S. R., Gilmore, A. K., Siciliano, R. E., Smith, D. W., & Hahn, C. K. (2025) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph22020190 · Cited by 1 · see citing works
“For some survivors, this could also include religious support to aid recovery [53]; although religion was the least commonly selected personal value, it was perceived as helpful when it was selected.”
Wang, E., Pan, A., Srinivas, T., Loftus, J., Geller, G., Carrese, J. A., Antoine, D. G., & Fingerhood, M. (2024) · Journal of general internal medicine · doi:10.1007/s11606-024-08939-9 · Cited by 1 · see citing works
Gellé, T., Paquet, A., Wenkourama, D., Girard, M., Lacroix, A., Togan, R., Degboe, Z. S., Boni, R. B., Sacca, H. R., Boumédiène, F., et al. (2024) · BMC Public Health · doi:10.1186/s12889-024-19032-5 · Cited by 1 · see citing works
Ameh, S., Akeem, B. O., Ochimana, C., Oluwasanu, A., Mohamed, S., Okello, S., Muhihi, A., & Danaei, G. (2020) · doi:10.21203/rs.3.rs-50542/v1 · Cited by 1
Buluma, A. L. (2026) · Mental Health, Religion & Culture · doi:10.1080/13674676.2026.2670378
Khan, M. U., Khan, R., Yousafzai, K., Arshad, A., Areej, K., & Ullah, N. (2026) · Kashmir Journal of Academic Research and Development · doi:10.71317/kjard.2.9(s).2026.702
“Further analysis is warranted to explore the effects of resilience and religiosity on psychological well -being of SUD clients using building resilience and spirit -based integration therapies (Krentzman, 2013; Beraldo et al., 2019).”
InfluentialThe Role of Spirituality in Addiction Recovery: A Qualitative Study
Snodgrass, S., & Corcoran, L. (2026) · Alcoholism Treatment Quarterly · doi:10.1080/07347324.2026.2724871
Ahuja, S., Narayanan, G., Murthy, P., & Bhaskarapillai, B. (2026) · Journal of Psychosocial Rehabilitation and Mental Health · doi:10.1007/s40737-026-00543-w
Uzoegwu, E., Ysseldyk, R., Banerjee, A., Williams, B., Pimenova, M., Tippins, E., Lapish, C. C., & Vail, K. E. (2026) · Journal of Religion Spirituality & Aging · doi:10.1080/15528030.2026.2693849
Trombley, C. (2026) · Journal of Religion and Health · doi:10.1007/s10943-026-02704-4
Experiences with recovery from substance use in a Northern Midwest Indigenous Reservation setting.
Reid, M. C., Schneider, K. E., Conrad, M. A., Barney, B., Steinberg, R. I., O'Rourke, A., Hughes, P., Wakemup, T., Walls, M. L., & Allen, S. T. (2026) · The International journal on drug policy · doi:10.1016/j.drugpo.2026.105207
Krishnan, S. R. G., Das, N. J., & Potter, A. (2025) · Journal of Religion & Spirituality in Social Work Social Thought · doi:10.1080/15426432.2025.2602866
The Role of Spiritual Coping and Psychological Capital in Predicting Students’ Addiction
Jamalian, H., & Minoo, M. (2025) · Health, Spirituality and Medical Ethics · doi:10.32598/hsmej.12.4.1181.1
“In fact, spirituality-based interventions may be considered a possible adjunct treatment option to conventional treatments, but in regions where their acceptance is minimal, they not only bring positive clinical effects, but some-times have adverse effects [34].”
Villarreal-Mata, J., Cruz-Zuñiga, N., Castillo-Arcos, L. D. C., González-Vázquez, A., Tirado-Reyes, R., & Noh-Moo, P. M. (2025) · Salud, Ciencia y Tecnología · doi:10.56294/saludcyt20252196
Ofuchi, T., Shimane, T., & Matsumoto, T. (2025) · Neuropsychopharmacology Reports · doi:10.1002/npr2.70032
“Spirituality appears to be particularly advantageous for minority groups, including Latino, African American, and American Indian populations [25].”
Onyenwe, C. A., Onwumere, C., & Odilibe, I. P. (2024) · International Journal of Multidisciplinary Research Updates · doi:10.53430/ijmru.2024.7.1.0025
“Addressing these systemic inequalities is essential for promoting equitable access to substance use treatment (Weinandy, and Grubbs, 2021; Pastwa-Wojciechowska, et al., 2021; Beraldo, et al., 2019).”
BackgroundRisk and protective factors for rehospitalization among substance use disorders: A systematic review
de Mattos, B. P., Torres, J. D. B., Garcia, M. G., Chrusciel, J. H., Martins, R. D. A., Bicca, C., Kluwe-Schiavon, B., Grassi-Oliveira, R., Viola, T., & Tractenberg, S. (2024) · Revista Brasileira de Terapias Cognitivas · doi:10.5935/1808-5687.20240410
“This chronic nature and its multifactorial phenomena, comprising a variety of psychosocial factors (Beraldo et al., 2019; Crist et al., 2019), lead to challenging care.”
- Authors
- Beraldo, L., Gil, F., Ventriglio, A., de Andrade, A. G., da Silva, A. G., Torales, J., Gonçalves, P. D., Bhugra, D., & Castaldelli-Maia, J. M.
- Affiliations
- Universidade de São Paulo (BR)
- ABC Center for Mental Health Studies, Santo Andre, SP, Brazil
- University of Foggia (IT)
- Department of Psychiatry, Medical School, University of Sao Paulo, Sao Paulo, SP, Brazil
- Brazilian Psychiatric Association, Rio de Janeiro, RJ, Brazil
- Universidad Nacional de Asunción (PY)
- King's College London (GB)
- Corresponding author
- Castaldelli-Maia, João M.
- Venue
- Current Drug Research Reviews
- Publisher
- Bentham Science Publishers Ltd.
- Published
- 2019-02-26
- Volume
- 11
- Issue
- 1
- Pages
- 26-32
- ISSN
- 2589-9775 (ISSN-L)
- OpenAlex
- W2808496461
- Cited by
- 63
- References
- 0
- Citations by year
- 2026: 8 · 2025: 11 · 2024: 11 · 2023: 11 · 2022: 4 · 2021: 11 · 2020: 2 · 2019: 4 · 2018: 1
- FWCI
- 0.75
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Current Drug Research Reviews (publishedVersion)
- PubMed (publishedVersion)
- Research Portal (King's College London) (submittedVersion)
- Topics
- Social Sciences › Health › Religion, Spirituality, and Psychology
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Opioid Use Disorder Treatment
- Keywords
- spirituality, religiosity, addiction recovery, substance use disorders, Alcoholics Anonymous, alcoholism, cocaine dependence, opioid use disorder, cannabis use disorder, crack cocaine, aggression, minority groups, rural healthcare access, adjunctive therapy
- MeSH terms
- Alcoholics Anonymous, Humans, Religion, Substance-Related Disorders, 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