Spirituality and mental health
Spirituality and mental health intersect in various complex ways, with research indicating that spirituality is generally associated with improved mental health outcomes. Spirituality can encompass traditional religious practices, personal beliefs, and activities such as meditation or prayer, while mental health ranges from psychopathology, including conditions like depression and anxiety, to positive states like happiness and life satisfaction. Studies suggest that higher levels of spirituality correlate with lower levels of psychopathology and increased psychological well-being, although the causative links remain unproven.
Specifically, spirituality may protect against mental health issues, such as depression and anxiety disorders, often providing social support and coping mechanisms that contribute to resilience. While many individuals find comfort and meaning through spirituality, it is also important to note that not all aspects of spirituality or religiosity are beneficial. Some studies have highlighted potential negative impacts, such as increased guilt or anxiety stemming from religious beliefs. Overall, spirituality can promote healthier lifestyles and positive psychological states, offering a sense of belonging and purpose that may contribute to mental well-being.
Spirituality and mental health
TYPE OF PSYCHOLOGY: Psychopathology
Research suggests that spirituality, variously defined, is favorably related to multiple aspects of mental health. In particular, spirituality is related to less psychopathology and higher levels of psychological well-being.
Introduction
Both spirituality and mental health have multiple dimensions, which makes summary statements about their connection complex. Spirituality may involve traditional religiousness (such as attendance at religious services or congregational support), a sense of transcendence or connection with the divine, or behaviors such as meditation and prayer. Mental health may range from psychopathology, such as depression, anxiety, and substance abuse, to positive mental states, such as happiness and life satisfaction.
Research findings generally indicate that spirituality is correlated with better mental health, although causality has not been shown. Most of this research has specifically examined the religiousness-mental health link. Harold Koenig, Michael McCullough, and David Larson conducted a major review of 850 studies on this topic in 2001. They found that higher levels of spirituality generally related to less psychopathology and higher levels of psychological well-being. In 2014, Moreira-Almeida and Koenig published a review and summary of their analysis of over one thousand papers on the subject of spirituality and mental health. They provide the evidence and guidelines most agreed on in terms of the efficacy of incorporating religion and spirituality into clinical practice.
Spirituality has been shown to be modestly associated with lower levels of clinical depression, depressive symptoms, and negative mood states. In addition, many dimensions of spirituality appear to protect against suicidal behavior or ideation. These effects seem to be stronger for spirituality related to service attendance and integration in spiritual communities. In addition, spirituality is related to lower levels of a range of anxiety disorders, including , panic disorder, and generalized anxiety disorder, and to lower levels of anxious mood in general population . In particular, individuals who have higher levels of social connections through their spirituality and who use spiritual coping methods or find comfort in their beliefs are less inclined to anxiety and anxiety disorders.
There is little evidence that spirituality is related to schizophrenia or obsessive-compulsive disorder, but the delusions of those diagnosed with the former and the and compulsions of those diagnosed with the latter often contain spiritual, particularly religious, elements.
Spirituality consistently relates to less abuse of or dependence on alcohol and other drugs, including marijuana, heroin, and nicotine. The fact that use or abuse of intoxicating substances is forbidden by certain religious groups makes usage low among the followers of these groups. Those who use more religious coping, feel a stronger connection to the transcendent, or have a more active private spiritual life, including prayer and meditation, are less likely to use or be dependent on alcohol and other drugs.
Myriad studies have demonstrated that spirituality is favorably correlated with positive mental health and psychological well-being, including measures such as life and relationship satisfaction, happiness, and higher morale. These findings have been demonstrated for a number of aspects of spirituality, including service attendance, a sense of connection to the transcendent, spiritual beliefs, and the use of spiritual coping in the context of stressful events.
Many dimensions of spirituality are related to mental health. These relationships are, for the most part, modest in strength but are found consistently in numerous studies conducted in samples diverse in race, ethnicity, socioeconomic status, gender, age, and religious affiliation. A caveat to these findings, however, is that research shows associations but has not demonstrated causal relationships between spirituality and mental health. Based on these positive links, psychotherapies are being developed and implemented to assist clients in drawing on their spiritual resources. A 2020 study published in the journal Frontiers in Psychology found a positive relationship be-tween spirituality and well-being, although the casual relationship between the two remained unknown.
However, some experts note that religion and spirituality are not always conducive to good mental health. A study in the December 2007, issue of the American Journal of Psychiatry found that 21 percent of psychiatrists thought that religion had equally negative and positive effects on mental health. Some 82 percent found that religion or spirituality could cause guilt, anxiety, or other negative emotions that increased patients’ suffering. Other studies have linked religion with failure to comply with treatment or fatalistic attitudes toward illness. Other studies have linked religion with the use of extensive medical procedures to prolong life, hoping for a medical miracle. Excessive religiosity also has been linked to adverse mental health effects, both on the individual and on the person’s children.
Pathways of Influence
The pathways through which spirituality may influence mental health are diverse and include the promotion of healthier lifestyles and positive psychological states, the reduction of stress, and the provision of , meaning, and resources that aid in more adaptive coping in stressful situations.
Many individuals derive a sense of meaning or purpose in their lives through their spirituality. This sense of meaning provides direction and grounding and also seems to help buffer against the stresses of life, thus protecting against psychopathology. Some types of spirituality also directly promote taking better care of one’s physical and mental health by engaging in a lifestyle that incorporates preventive health care behaviors, a healthful diet, and regular exercise. Such a lifestyle leads to more robust physical and mental health. In addition, spirituality can help bring about positive psychological states that promote mental health; these include gratitude, hope, optimism, awe, forgiveness, and being at peace.
Spirituality offers many positive social aspects, which can provide support, a sense of value and belonging, integration into a social network, and the comfort of a shared belief system. These aspects of social support provide strong protection against psychopathology, especially depression.
Spirituality can foster particular beliefs that allow more benign interpretations of potentially stressful events, lessening the impact of minor and major life . In addition, spirituality provides a range of coping behaviors, including engaging in prayer and relying on the religious community for support. These coping resources have been shown to lower distress and promote better mental health.
Spirituality Different from Religiosity
A 2022 article in Psychology Today suggests that a school of thought acknowledges spirituality as beneficial to mental health, but also distinguishes spirituality from religiosity. This mental construct suggests that people can encounter many of the positive aspects that come from religious practice, such as hope, meaning, and harmony, without an adherence to religious precepts. Such a belief has fostered efforts to study both spirituality and religiosity and their positive contributions on well-being and mental health. The impetus would be to understand what makes religiosity effective and then to replicate these neuroscience and clinical traits apart from the institutional religious aspects. Other efforts seek to combine both clinical and religious approaches.
Bibliography
Bożek, Agnieszka, Paweł F. Nowak, and Mateusz Blukacz. "The Relationship Between Spirituality, Health-Related Behavior, and Psychological Well-Being." Frontiers in Psychology, vol. 11, 2020, doi.org/10.3389/fpsyg.2020.01997. Accessed 13 Feb. 2023.
Curlin, Farr A., et al. “Religion, Spirituality, and Medicine: Psychiatrists’ and Other Physicians’ Differing Observations, Interpretations, and Clinical Approaches.” American Journal of Psychiatry, vol. 164, 2007, pp. 1825–31.
Dein, Simon, et al. "Religion, Spirituality, and Mental Health: Current Controversies and Future Directions." Journal of Nervous and Mental Disease vol. 200, no. 10, 2012, pp. 852–55.
Hackney, C. H., and G. S. Sanders. “Religiosity and Mental Health: A Meta-analysis of Recent Studies.” Journal for the Scientific Study of Religion, vol. 42, 2003, pp. 43–55.
Koenig, H. G., M. McCullough, and D. B. Larson. Handbook of Religion and Health: A Century of Research Reviewed. Oxford University Press, 2001.
Martin, Rachel. "This Ivy League Researcher Says Spirituality Is Good for Our Mental Health." NPR, 30 July 2023, www.npr.org/2023/07/30/1190748216/religion-spirituality-science-mental-health. Accessed 28 Oct. 2024.
Miller, L., and B. S. Kelley. “Relationships of Religiosity and Spirituality with Mental Health and Psychopathology.” Handbook of the Psychology of Religion and Spirituality. Ed. R. F. Paloutzian and C. L. Park. Guilford, 2005.
Moreira-Almeida, Alexander, Harold G. Koenig, and Giancarlo Lucchetti. "Clinical Implications of Spirituality to Mental Health: Review of Evidence and Practical Guidelines." Revista Brasileira de Psiquiatria, vol. 36, no. 2, 2014, pp. 176–82.
Rosmarin, David H., et. al. "The Neuroscience of Spirituality, Religion, and Mental Health: A Systematic Review and Synthesis." Journal of Psychiatric Research, vol. 156, 2022, pp. 100-113. doi.org/10.1016/j.jpsychires.2022.10.003. Accessed 28 Oct. 2024.
Sallcru, Sebastian. "Spirituality and Its Contribution to Mental Health." Psychology Today, 6 Aug. 2022, www.psychologytoday.com/us/blog/psychology-insights-new-world/202208/spirituality-and-its-contribution-mental-health. Accessed 28 Oct. 2024.
Schumacher, John F., ed. Religion and Mental Health. Oxford University Press, 1992.
Toussaint, Loren, et al. "Religion, Spirituality, and Mental Health." The Psychology of Religion and Spirituality for Clinicians: Using Research in Your Practice. Eds. Jamie D. Aten, et al. Routledge, pp. 331–56.