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Use of Spirituality in the Treatment of Depression: Systematic Literature Review

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Abstract

Spirituality has been gaining recognition as a potential treatment modality. Our paper aimed to provide a systematic overview of existing research examining the use of spirituality as a treatment method for depression. All articles published between 2000 and 2018 that scientifically evaluated therapeutic interventions with elements of spirituality were included in the review. Ten studies met the inclusion criteria. Their analysis showed that there were elements of spirituality-based treatments that were repeatedly mentioned, including gratitude, forgiveness, self-acceptance, and compassion. Most often, spirituality was used together with psychotherapy. The review also noted the emergence of digital interventions.

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Notes

  1. TAU has been defined as “watchful waiting or physical exercise for mild depressive symptoms, antidepressant medication or psychological treatment for mild to moderate major depression and a combination of treatments for severe major depression” ([23], p.73).

References

  1. Angoa-Perez M, Kane MJ, Briggs DI, Herrera-Mundo N, Sykes CE, Francescutti DM, et al. Mice genetically depleted of brain serotonin do not display a depression-like behavioral phenotype. ACS Chem Neurosci. 2014;5(10):908–19. https://doi.org/10.1021/cn500096g.

    Article  CAS  PubMed  Google Scholar 

  2. Baetz M, Toews J. Clinical implications of research on religion, spirituality, and mental health. Can J Psychiatr. 2009;54(5):292–301. https://doi.org/10.1177/070674370905400503.

    Article  Google Scholar 

  3. * Baker DC. The investigation of pastoral care interventions as a treatment for depression among continuing care retirement community residents. J Relig Gerontol. 2000;12(1):63–85. https://doi.org/10.1300/J078v12n01_06.

    Article  Google Scholar 

  4. Bamonti P, Lombardi S, Duberstein PR, King DA, Van Orden KA. Spirituality attenuates the association between depression symptom severity and meaning in life. Aging Ment Health. 2016;20(5):494–9. https://doi.org/10.1080/13607863.2015.1021752.

    Article  PubMed  Google Scholar 

  5. * Boelens P, Reeves R, Replogle W, Koenig H. A randomized trial of the effect of prayer on depression and anxiety. Int J Psychiatry Med. 2009;39(4):377–92. https://doi.org/10.2190/PM.39.4.c.

    Article  PubMed  Google Scholar 

  6. Bryan JL, Young CM, Lucas S, Quist MC. Should I say thank you? Gratitude encourages cognitive reappraisal and buffers the negative impact of ambivalence over emotional expression on depression. Personal Individ Differ. 2018;120:253–8. https://doi.org/10.1016/j.paid.2016.12.013.

    Article  Google Scholar 

  7. Chaar E, Hajj A, Khabbaz L, Hallit S, Aaraj R, Kattan J, et al. Evaluating the impact of spirituality on the quality of life, anxiety, and depression among patients with cancer: an observational transversal study. Support Care Cancer. 2018;26(8):2581–90. https://doi.org/10.1007/s00520-018-4089-1.

    Article  PubMed  Google Scholar 

  8. Clunne SJ, Ryan BJ, Hill AJ, Brandenburg C, Kneebone I. Accessibility and applicability of currently available e-mental health programs for depression for people with poststroke aphasia: scoping review. J Med Internet Res. 2018;20(12):e291. https://doi.org/10.2196/jmir.9864.

    Article  PubMed  PubMed Central  Google Scholar 

  9. Comte-Sponville A. The book of atheist spirituality. London: Bantam Press; 2008.

    Google Scholar 

  10. Currier JM, Foster JD, Witvliet CV, Abernethy AD, Root Luna LM, Schnitker SA, et al. Spiritual struggles and mental health outcomes in a spiritually integrated inpatient program. J Affect Disord. 2019;249:127–35. https://doi.org/10.1016/j.jad.2019.02.012.

    Article  PubMed  Google Scholar 

  11. Cvetek, R. (2010). Bolečina preteklosti: Travma, medosebni odnosi, družina, terapija. [the pain of the past: trauma, relationships, family, therapy]. Celje: Mohorjeva družba.

  12. Dein S, Cook CH, Koenig H. Religion, spirituality, and mental health: current controversies and future directions. J Nerv Ment Dis. 2012;200(10):852–5. https://doi.org/10.1097/NMD.0b013e31826b6dle.

    Article  PubMed  Google Scholar 

  13. Delaney C, Barrere C, Helming M. The influence of a spirituality-based intervention on quality of life, depression, and anxiety in community-dwelling adults with cardiovascular disease: a pilot study. J Holist Nurs. 2011;29(1):21–32. https://doi.org/10.1177/0898010110378356.

    Article  PubMed  Google Scholar 

  14. Dew R, Goldston D, Koenig H, Daniel S. Religion, spirituality, and depression in adolescent psychiatric outpatients. J Nerv Ment Dis. 2008;196(3):247–51. https://doi.org/10.1097/NMD.0b013e3181663002.

    Article  PubMed  Google Scholar 

  15. Disabato D, Kashdan T, Short J, Jarden A. What predicts positive life events that influence the course of depression? A longitudinal examination of gratitude and meaning in fife. Cognitive Therapy & Research. 2017;41(3):444–58. https://doi.org/10.1007/s10608-016-9785-x.

    Article  Google Scholar 

  16. Gonzalez Celis A, Ruiz Carrillo E, Tron Alvarez R, Chavez Becerra M. Depression, spirituality and quality of life in Mexicans elderly. Int J Psychol. 2012;43(3–4):312.

    Google Scholar 

  17. Harris JI, Park CL, Currier JM, Usset TJ, Voecks CD. Moral injury and psycho-spiritual development: considering the developmental context. Spirituality in Clinical Practice. 2015;2(4):256–66. https://doi.org/10.1037/scp0000045.

    Article  Google Scholar 

  18. Jung M, Han K. Effectiveness of gratitude disposition promotion program on depression and quality of life of chronic schizophrenic patients. Indian J Psychiatry. 2017;59(2):189–95. https://doi.org/10.4103/psychiatry.IndianJPsychiatry_227_16.

    Article  PubMed  PubMed Central  Google Scholar 

  19. Kim N, Huh H, Chae J. Effects of religiosity and spirituality on the treatment response in patients with depressive disorders. Compr Psychiatry. 2015;60:26–34. https://doi.org/10.1016/j.comppsych.2015.04.009.

    Article  PubMed  Google Scholar 

  20. Kirsch I, Deacon BJ, Huedo-Medina TB, Scobaria A et al (2008) Initial severity and antidepressant bbenefits: A meta-analysis of data submitted to the FDA. PLoS Medicine 5:260–268

  21. * Koenig HG, Pearce MJ, Cohen HJ, Berk LS, Nelson B, Shaw SF, et al. Religious vs. conventional cognitive behavioral therapy for major depression in persons with chronic medical illness: a pilot randomized trial. J Nerv Ment Dis. 2015a;203(4):243–51. https://doi.org/10.1097/NMD.0000000000000273.

    Article  PubMed  Google Scholar 

  22. * Koenig HG, Pearce MJ, Nelson B, Daher N. Effects of religious versus standard cognitive-behavioral therapy on optimism in persons with major depression and chronic medical illness. Depress Anxiety. 2015b;32(11):835–42. https://doi.org/10.1002/da.22398.

    Article  PubMed  Google Scholar 

  23. Kolovos S, van Tulder MW, Cuijpers P, Prigent A, Chevreul K, Riper H, et al. The effect of treatment as usual on major depressive disorder: a meta-analysis. J Affect Disord. 2017;210:72–81. https://doi.org/10.1016/j.jad.2016.12.013.

    Article  PubMed  Google Scholar 

  24. Latendresse G, Deneris A, Elmore C. Selective serotonin reuptake inhibitors as first-line antidepressant therapy for perinatal depression. J Midwifery Womens Health. 2017;62(3):317–28. https://doi.org/10.1111/jmwh.12607.

    Article  PubMed  Google Scholar 

  25. Lazaridou A, Pentaris P. Mindfulness and spirituality: therapeutic perspectives. Person-Centered And Experiential Psychotherapies. 2016;15(3):235–44. https://doi.org/10.1080/14779757.2016.1180634.

    Article  Google Scholar 

  26. Lucchetti AG, Peres MP, Vallada HP, Lucchetti G. Spiritual treatment for depression in Brazil: an experience from spiritism. Explore: The Journal Of Science and Healing. 2015;11(5):377–86. https://doi.org/10.1016/j.explore.2015.07.002.

    Article  Google Scholar 

  27. Moon Y, Kim D. Association between religiosity/spirituality and quality of life or depression among living-alone elderly in a south Korean city. Asia Pac Psychiatry. 2013;5(4):293–300. https://doi.org/10.1111/appy.12025.

    Article  PubMed  Google Scholar 

  28. * Moritz S, Kelly MT, Xu TJ, Toews J, Rickhi B. A spirituality teaching program for depression: qualitative findings on cognitive and emotional change. Complement Ther Med. 2011;19(4):201–7. https://doi.org/10.1016/j.ctim.2011.05.006.

    Article  PubMed  Google Scholar 

  29. * Pearce M, Koenig H, Robins C, Berk L, Cohen H, Daher N, et al. Effects of religious versus conventional cognitive-behavioral therapy on gratitude in major depression and chronic medical illness: a randomized clinical trial. Journal of Spirituality in Mental Health. 2016;18(2):124–44. https://doi.org/10.1080/19349637.2015.1100971.

    Article  Google Scholar 

  30. Plesničar B. Epidemiology, etiology, clinical aspects and diagnosis of depressive disorder. Farm Vestn. 2006;57(4):241–4.

    Google Scholar 

  31. Raab K. Manic depression and religious experience: the use of religion in therapy. Mental Health, Religion & Culture. 2007;10(5):473–87. https://doi.org/10.1080/13674670600941361.

    Article  Google Scholar 

  32. * Rajagopal D, Mackenzie E, Bailey C, Lavizzo-Mourey R. The effectiveness of a spiritually-based intervention to alleviate subsyndromal anxiety and minor depression among older adults. Journal of Religion & Health. 2002;41(2):153–66. https://doi.org/10.1023/A:1015854226937.

    Article  Google Scholar 

  33. * Ramos K, Erkanli A, Koenig HG. Effects of religious versus conventional cognitive-behavioral therapy (CBT) on suicidal thoughts in major depression and chronic medical illness. Psychol Relig Spiritual. 2018;10(1):79–87. https://doi.org/10.1037/rel0000113.

    Article  Google Scholar 

  34. * Rickhi B, Moritz S, Xu T, Paccagnan P, Urbanska B, Toews J, et al. A spirituality teaching program for depression: a randomized controlled trial. Int J Psychiatry Med. 2011;42(3):315–29. https://doi.org/10.2190/PM.42.3.f.

    Article  PubMed  Google Scholar 

  35. * Rickhi B, Kania-Richmond A, Moritz S, Cohen J, Paccagnan P, Dennis C, et al. Evaluation of a spirituality informed e-mental health tool as an intervention for major depressive disorder in adolescents and young adults -- a randomized controlled pilot trial. BMC Complementary & Alternative Medicine. 2015;15(1):450. https://doi.org/10.1186/s12906-015-0968-x.

    Article  CAS  Google Scholar 

  36. Rossiter-Thornton JF. Prayer in psychotherapy. Alternative Therapies. 2000;6(1):125–8.

    Google Scholar 

  37. Sheldrake P. Spirituality: a very short introduction. Oxford: Oxford University Press; 2012.

    Book  Google Scholar 

  38. Sirlene Lopes de, M., Maria dos Anjos Lara, L., & Wanderley Chieppe, F. (2015). Spirituality, depression, and quality of life in the fight of cancer: an exploratory study. Psicologia: Ciência E Profissão, 35(3), 870–885. https://doi.org/10.1590/1982-3703002342013.

  39. Sorajjakool S, Aja V, Chilson B, Ramirez-Johnson J, Earll A. Disconnection, depression, and spirituality: a study of the role of spirituality and meaning in the lives of individuals with severe depression. Pastor Psychol. 2008;56(5):521–32. https://doi.org/10.1007/s11089-008-0125-2.

    Article  Google Scholar 

  40. Stanley MA, Bush AL, Camp ME, Jameson JP, Phillips LL, Barber CR, et al. Older adults' preferences for religion/spirituality in treatment for anxiety and depression. Aging Ment Health. 2011;15(3):334–43. https://doi.org/10.1080/13607863.2010.519326.

    Article  PubMed  Google Scholar 

  41. Tate D, Forchheimer M. Quality of life, life satisfaction, and spirituality: comparing outcomes between rehabilitation and cancer patients. Am J Phys Med Rehabil. 2002;81(6):400–10. https://doi.org/10.1097/00002060-200206000-00002.

    Article  PubMed  Google Scholar 

  42. Toussaint, L. L., Marschall, J. C., & Williams, D. R. (2012). Prospective associations between religiousness/spirituality and depression and mediating effects of forgiveness in a nationally representative sample of United States adults. Depression Research and Treatement, Volume 2012, Article ID 267820. https://doi.org/10.1155/2012/267820.

  43. Waraporn S, Areewan C, Talerngsak K, Maliwan B, Kornkaew C. Associations among spirituality, health-related quality of life, and depression in pre-dialysis chronic kidney disease patients: an exploratory analysis in Thai Buddhist patients. Religions. 2015;6(4):1249–62. https://doi.org/10.3390/rel6041249.

    Article  Google Scholar 

  44. Weisman de Mamani AG, Tuchman N, Duarte EA. Incorporating religion/spirituality into treatment for serious mental illness. Cogn Behav Pract. 2010;17(4):348–57. https://doi.org/10.1016/j.cbpra.2009.05.003.

    Article  Google Scholar 

  45. Wittink MN, Barg FK, Joo JH, Lewis LM, Barg FK. Losing faith and using faith: older African Americans discuss spirituality, religious activities, and depression. J Gen Intern Med. 2009;24(3):402–7. https://doi.org/10.1007/s11606-008-0897-1.

    Article  PubMed  PubMed Central  Google Scholar 

  46. World Health Organization. Mental health action plan 2013–2020. Geneva: World Health Organization; 2013.

    Google Scholar 

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Correspondence to Tatjana Markelj Pečečnik.

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The authors declare that they have no conflict of interests. No funding has been received for this study and manuscript preparation. This article does not contain any studies with human participants or animals performed by any of the authors.

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Potential reviewers:

1. prim. Dušan Žagar, MD, specialist neuropsychiatrist, senior physician, psih.ord@siol.net

2. Prof. Barbara Simonič, PhD, barbara.simonic@teof.uni-lj.si

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Pečečnik, T.M., Gostečnik, C. Use of Spirituality in the Treatment of Depression: Systematic Literature Review. Psychiatr Q 93, 255–269 (2022). https://doi.org/10.1007/s11126-020-09881-9

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