Authors: Lindsay B. Carey; Terrence Hill; Harold G. Koenig; David Drummond; Ezra Gabbay; Jeffery Cohen; Carl Aiken; Piret Paal · Research
How Do Religion and Spirituality Impact Mental Health, Chronic Illness, and Wellbeing?
A comprehensive look at how religious and spiritual factors influence suicide risk, moral injury, and management of chronic conditions
Source: Carey, L. B., Hill, T., Koenig, H. G., Drummond, D., Gabbay, E., Cohen, J., Aiken, C., & Paal, P. (2023). Suicide, Moral Injury, Parkinson's Disease, Diabetes and Dialysis. Journal of Religion and Health, 62, 3703-3708. https://doi.org/10.1007/s10943-023-01940-2
What you need to know
- Religious and spiritual factors play a significant role in mental health outcomes, including suicide risk and moral injury
- Moral injury - the trauma from violating deeply held moral beliefs - can lead to serious mental health consequences if left unaddressed
- Spirituality and religious practices may help people cope with chronic conditions like Parkinson’s disease and diabetes
Understanding the Connection Between Religion and Mental Health
When facing life’s biggest challenges, many people turn to their faith or spiritual beliefs for support and meaning. This natural human tendency has captured researchers’ attention, leading to important discoveries about how religion and spirituality influence our mental wellbeing. Of particular concern is suicide - a leading global cause of death that claims one out of every 100 lives worldwide. While this is a sensitive topic, understanding the protective role that religious beliefs and communities can play is crucial for prevention efforts.
The Impact of Moral Injury
One of the most fascinating areas of recent research focuses on moral injury - a type of trauma that occurs when someone experiences or witnesses actions that violate their core moral beliefs. Think of a soldier who has to make an impossible choice in combat, or a healthcare worker forced to ration care during a crisis. This violation of deeply held values can lead to profound psychological wounds.
The symptoms of moral injury often include intense guilt, shame, anger, loss of trust, and spiritual struggles about the meaning of life. These core symptoms can then spiral into depression, anxiety, relationship problems, and even thoughts of suicide. It’s like a deep crack in the foundation of someone’s moral worldview that weakens their entire psychological structure.
Religion’s Role in Chronic Illness Management
For people living with chronic conditions like Parkinson’s disease or diabetes, religious and spiritual practices often serve as powerful coping tools. Research shows that higher levels of religious involvement may even be associated with lower risk of developing certain conditions. This could be due to multiple factors - the social support of religious communities, the stress-reducing effects of spiritual practices, or the healthy behaviors that many religions encourage.
Supporting Patients Through Religious and Spiritual Care
Healthcare providers are increasingly recognizing the importance of addressing patients’ spiritual needs alongside their physical ones. This is especially true for conditions requiring ongoing care, like dialysis treatment. When medical teams acknowledge and support patients’ religious practices - whether that’s prayer, meditation, or religious dietary observations - it can lead to better treatment adherence and outcomes.
What This Means for You
If you or someone you care about is struggling with mental health challenges or managing a chronic condition, consider these insights:
- Don’t hesitate to draw upon your religious or spiritual beliefs as a source of strength
- Seek support from both mental health professionals and spiritual advisors when needed
- Remember that moral injury is a real form of trauma that deserves professional attention
- Look for healthcare providers who respect and support your religious/spiritual practices
- Consider joining religious or spiritual communities for additional social support
Conclusions
- Religion and spirituality can provide valuable resources for mental health and chronic illness management
- Moral injury represents a serious but under-recognized form of psychological trauma that often has spiritual dimensions
- Healthcare that integrates attention to religious and spiritual needs may lead to better outcomes
- Further research is needed to understand how best to leverage religious and spiritual factors in health care