Higher Levels Of Spirituality Research Articles

Correlation between spirituality and academic performance using the instrument General Theology Scale (GenTheS)

This study investigates the correlation between the spirituality of the students at Caraga State University and their academic performance. Spirituality is measured using the General Theology Scale (GenTheS), while academic performance is measured using the grade-point average (GPA). The study, employing a descriptive-correlational research design, involved 366 randomly selected participants using stratified random sampling with colleges as strata. Descriptive statistics such as average and percentage determine the level of spirituality and academic performance, while Pearson’s R Correlation test determines the relationship between spirituality and academic performance. The findings show that the participants from Caraga State University have a high level of spirituality, with an average of 4.32. Most of the students have very good academic performance. Their spirituality and academic performance level have a positive yet very weak correlation and are not statistically significant, with a coefficient of 0.36 and a p-value of 0.495. The positive yet weak and not significant relation is because most students have the same high level of spirituality. The study suggests that it is still beneficial to promote spirituality in the school as it does not have a negative relationship with education, and it is non-discriminatory since both the academically inclined and non-academically inclined students manifest the same value and importance to spirituality.

ETHNO-CULTURAL NATURE OF NAMES RELATED TO SACRED PLACES IN SYR REGION

Any nation's unique identity, traditions, material and spiritual heritage, which have formed since ancient times, are a reflection of the life path of that nation. The heritage from ancient times is not only a simple witness of history for today's generation but also a high pillar of our modern culture. Our goal is to increase the need to study and master the material and spiritual heritage through ethnocultural analysis of the names related to sacred places, introducing onyms, previously excluded from research, into scientific discourse. To achieve this objective, it will be essential to solve the following tasks: Separation of the names related to the public and social life of people in the country into several groups; Classify the names of sacred places based on their lexical-semantic types. The methods of analysis, systematization, ethno linguistic analysis of language data, and descriptive approaches were used during the research. An overview of the works of domestic and foreign scientists of the mentioned nature was made. The need to study and promote sacred places is that they have essential historical, cultural and social-political significance. Sacred places show the depth of the roots of ethnic consciousness and the people's high spiritual level; they are also considered one of the key mechanisms of restoration and renewal of ethnic, historical, cultural and religious memory. Twelve objects along the Syr are included in the list of sacred places of Kazakhstan. They are: Shirik-Rabat town, Zhankent town, Begim Ana tower, Zhent, Syganaq town, Oqshy ata mausoleum, Qorasan ata mausoleum, Tolegetai-Qylyshty Ata mausoleum, Zhanqozha batyr mausoleum, Buqarbai batyr mausoleum, Qorqyt Ata monument complex, icon of Mother of God dedicated to the Sacred Kazan Cathedral (Sacred Kazan Cathedral Icon of God's Mother). Some places are not included in this list. Word formation and lexical-semantic analysis of the names of sacred places were made, and their features were highlighted. Although sacred places in the Syr region are studied from a historical-archaeological, literary, and ethnographic point of view, the article was based on studying them from an ethnolinguistic point of view in connection with the national values characteristic of the ethnos.

Exploring the Role of Spirituality in Healing: A Case Study of Patients at Bekwai Municipal Hospital, Bekwai, Ghana

Spirituality and its relationship to health and healing has been a topic of interest across cultures and religious traditions. While spirituality is a broad concept, for many it involves a connection to a higher power or search for meaning and purpose. This study explored the role of spirituality in the healing process from the perspective of patients receiving care at Bekwai Municipal Hospital, Bekwai, Ghana. A mixed method approach was used, incorporating the administering of questionnaires and interviews with 58 patients from various religious and spiritual backgrounds, including Christianity, Islam, African Traditional Religion, and non-religious beliefs. The results showed high levels of spirituality among patients, with most engaging in spiritual or religious practices like prayer, meditation, and music to cope with illness. The study furthermore showed that the majority believed these practices positively contributed to their healing process. From the study, it was also established that while definitions of spirituality varied, common themes of inner peace, transcendence, and connection to a higher power emerged. Furthermore, it was noted that both religious and non-religious patients described drawing strength and meaning from their spiritual worldviews. Healthcare staff also acknowledged the importance of addressing patients’ spiritual needs. This study provides insights into how spirituality is a significant part of the healing experience for many patients in Ghana. By exploring diverse spiritual and religious perspectives, this study highlights opportunities for more holistic and culturally sensitive care that meets patients’ spiritual as well as medical needs. Further research could continue investigating the mechanisms through which spirituality may support health and well-being. Keywords: Religion, Spirituality, Patients, Healing

Correlation Between Spirituality and The Level of Psychological Well-Being in the Elderly at Banyuwangi Nursing Home

Background: Elderly in nursing homes face various problems such as a decline in body condition and health due to the aging process which has an impact on psychological well- being. Problems in psychological well-being can be addressed through spirituality, which functions as a coping mechanism. Purpose: This study aims to analyze the relationship between spirituality and the level of psychological well-being in elderly at nursing home in Banyuwangi. Methods: This study is a quantitative study, correlational study design with a cross sectional approach. The sample in this study consisted of 42 respondents selected using a total sampling according to inclusion and exclusion criteria. This study used the Daily Spiritual Experience Scale (DSES) questionnaire and the Psychological Well-Being Scale (PWBS) questionnaire. Results: Descriptive analysis showed that the majority of elderly at nursing home in Banyuwangi had a high level of spirituality (50.0%) and a high level of psychological well-being (38.1%). Based on the Kendall's Tau b correlation test, the p-value was 0.001, indicating there is relationship between spirituality and the level of psychological well-being in the elderly at nursing home in Banyuwangi. The results of the r-value was +0.487, show there is a positive correlation which means the higher the level of spirituality in the elderly, the higher the level of psychological well-being. Conclussion: spirituality has an important role in improving the psychological well-being of the elderly, so efforts can be made to improve the psychological well-being in the elderly by increasing spirituality in the elderly.

The associations of spirituality and Hispanic ethnicity with neuroendocrine biomarkers among patients with colorectal cancer

ObjectiveDealing with cancer evokes not only physical and emotional distress, but may also promote resilience through spirituality. Patients with cancer are vulnerable to neuroendocrine dysregulation. This longitudinal observational study examined the degree to which spirituality was associated with neuroendocrine biomarkers and the moderating role of Hispanic ethnicity. MethodsParticipants were adults who were recently diagnosed with colorectal cancer (n = 81, 55 years old, 66% male, 63% Hispanic, 72% advanced cancer, 7 months post-diagnosis). The domains of spirituality (faith, meaning, and peace) and ethnicity (Hispanic vs. non-Hispanic) were self-reported. Cortisol and alpha amylase (sAA) were assayed from saliva samples collected at waking and bedtime on seven consecutive days. Mean levels at waking and bedtime, and diurnal slopes over seven days were calculated. Age and cancer stage were covariates. Results: Overall, patients reported moderate to high levels of spirituality. General linear modeling revealed that greater faith was associated with higher levels of sAA at waking and bedtime as well as more blunted diurnal pattern of sAA only among Hispanic patients (p ≤ .045). Greater peace was associated with steeper diurnal pattern of sAA, regardless of ethnicity (B = 0.021, p = .005). Meaning and cortisol were not significantly associated with study variables. ConclusionsFindings indicate that presence of peace facing a cancer diagnosis associated with neuroendocrine regulation, whereas drawing on one's faith, particularly among Hispanic patients, associated with neuroendocrine dysregulation during the first months after the diagnosis. Further investigations of psychobiobehavioral moderators and mediators for healthy neuroendocrine functioning among patients with cancer are warranted.

Spirituality, Religiosity, Caring Behavior, Spiritual Care, and Personalized Care Among Student Nurses: A Descriptive Correlational Study in the Philippines.

This study sought to determine the student nurses' spirituality, religiosity, caring behavior, spiritual care, and personalized care. Further, it sought to determine the relationship between spirituality, religiosity, and caring behavior in student nurses' spiritual care and personalized care. The study used a descriptive correlational design using convenience sampling to collect data from 1248 student nurses in the Philippines from December 2023 to February 2024. We collected data using the Spirituality and Spiritual Care Scale rating scale and the Caring Behaviors Inventory. The study revealed that the mean scores of the students in their "spirituality" and "religiosity" were 4.08 (SD = 0.98) and 2.99 (SD = 1.26), respectively. Student nurses had sufficient confidence and skills in spiritual care, caring behavior, and personalized care. The students' age had a weak and negative association with the students' spirituality and religiosity. Students from University A had higher levels of spirituality and religiosity than students from University B, University C, and University D. Students in the 4th year level were more religious than 3rd year students. Students who had their last clinical exposure in the Admission and emergency room reported poorer caring behaviors than those who had previous clinical exposure in the Medical-surgical ward, Obstetrics and gynecology, Intensive Care Units, and Community. There is no significant relationship between a student nurse's spiritual care and caring behavior. This trend is similar to caring behavior and personalized care. The students' age predicts their personalized care.

How Does Spirituality Increase the Happiness of Medical Students?

After completing education, medical students are expected to provide good medical services, so good mental health must be possessed. But in reality psychological problems occur since the time of medical education. This condition resulted in their unhappiness. Spirituality is believed to play a role in increasing happiness, so increasing spirituality will increase happiness. There has been no research on the relationship between spirituality and happiness in medical students, especially in Indonesia. The purpose of this study was to see the relationship of spirituality for individual medical students that has an impact on happiness. The study adopted an analytical observational type with a cross sectional design. The study subjects were randomly selected by sampling a population of 100 medical students at Universitas Sebelas Maret class of 2020-2023. Primary data were taken using spirituality instruments based on DSES to determine the level of spirituality and happiness instruments based on SHS and SWLS to determine the level of happiness. To analyze ordinal relationships, a spearman correlation test is used. The results showed that medical students at Universitas Sebelas Maret had a high level of spirituality, while the level of happiness was in the medium category. The relationship between spirituality and happiness showed significance with a correlation value of r = 0.179; p = 0.037 (p < 0.005) indicates that there is a weak relationship between spirituality and happiness. Many factors affect happiness, the higher the spirituality of medical students, the higher the level of happiness. Keywords: spirituality; happiness; medical students

Is there an association among spirituality, resilience and empathy in medical students?

BackgroundSpirituality has religious and nonreligious dimensions and is often linked to well-being, positive emotions, connection and meaning in life. Both empathy and resilience are important in medical training and future professional practice since they are considered core skills related to professionalism and patient care. Our study aimed to understand the relationships among spirituality, resilience, and empathy in medical students. We also aimed to determine whether there are differences by gender and between medical students in different years of a medical program.MethodsMedical students (n = 1370) of the first to fourth years of a six-year medical program, from six medical schools, completed questionnaires to assess empathy (Jefferson Empathy Scale and Davis Multidimensional Interpersonal Reactivity Scale) and resilience (Wagnild & Young Scale) and to rate their spirituality.ResultsMedical students with high spirituality showed higher scores for both resilience and empathy (p < 0.001). In addition, we observed higher levels of both spirituality and empathy, but not resilience, in female medical students than in male medical students. In contrast, we did not detect significant differences in spirituality, empathy, or resilience between students in different years of medical school.ConclusionMedical students with high levels of spirituality have also higher scores for both empathy and resilience. Spirituality, empathy and resilience have similar values for students in different years of a medical program.

Spirituality and Mental Health in Covid-19 Survivors

The COVID-19 pandemic can affect not only the physical but also mental health of the survivors. Particularly, mental health problems may influence their emotional, cognitive, physical, and social aspects. Meanwhile, one of the factors that closely relate to the problems is spirituality. This study aimed to determine the relationship between spirituality and mental health in COVID-19 survivors. The type of the research was descriptive correlation. The research respondents totaled 100 COVID-19 survivors. The sampling technique used simple random sampling. To collect the data, The Daily Spiritual Experience Scale (DSES) was utilized to measure spirituality and The Mental Health Continuum-Short Form (MHC-SF) to measure mental health. The results showed that the majority of respondents had a high level of spirituality (52%) and a good mental health (64%). The chi-square test results obtained a P value of 0.003, which means there was a significant relationship between spirituality and mental health in COVID-19 survivors. This research showed that the higher the spirituality, the better the mental health of COVID-19 survivors.

HUBUNGAN TINGKAT SPIRITUALITAS DENGAN PSYCHOLOGICAL DISTRESS PADA KELUARGA PASIEN DI UNIT PERAWATAN INTENSIF

Intensive care units often become stressful environments where families of patients experience emotional impacts due to serious health conditions, and spirituality serves as an effort to cope with psychological discomfort. The research aims to examine the correlation between the level of spirituality and psychological distress in the families of patients. This is a non-experimental quantitative study using a correlational approach with a cross-sectional method. The research was conducted at Arifin Achmad Hospital in Pekanbaru. Sample selection was done using accidental sampling, considering inclusion and exclusion criteria, resulting in 40 respondents. The measurement tools used were the Daily Spiritual Experience Scale (DSES) questionnaire and the Hospital Anxiety and Depression Scale (HADS) questionnaire. Data analysis employed the Chi-Square test with α = 0.05. The research results indicate a description of a high level of spirituality in 67.5% of the respondents. The description of psychological distress is moderate in 40% of the cases. The Chi-Square statistical test yielded a p-value of 0.000 (p &lt; 0.05). In conclusion, there is a relationship between the level of spirituality and psychological distress in the families of patients in the intensive care unit, indicating that families with lower levels of spirituality are more susceptible to experiencing severe psychological distress when facing high-stress situations.

Գրիգոր Սկևռացու աղոթքները

Grigor Archimandrite Skevratsi, a follower of the famous clergyman and theologian Nerses of Lambron, was one of the outstanding public, political and cultural figures of medieval Armenia, who in his literary, cultural, religious, social and pedagogical activities was a worthy disciple of his teacher and carried on the traditions establishedby him. Grigor Skevratsi is a multi-genre author. He wrote in practically every genre of spiritual literature and left a legacy of odes and Church Hymns (sharakan), orations and sermons, exhortations and prayers, interpretations and translations. The current paper presents the prayers of Grigor Skevatsi. His theory of prayer is directly derived from the teaching of the school of Narek Monastery which is evidence of a continuity of tradition. Grigor Skevratsi expressed his views on prayer as the highest moment of spiritual life in a number of works, in the theologicalpoem “Instruction on the true Faith and the Virtuous and Pure Life” (“Khrat” (exhortation) «Բան խրատու վասն ուղիղ հաւատոյ և մաքուր վարուց առաքի-նութեան» («Խրատ»)), sermons, several small and large prayers. Skevratsi's prayers testify to his deep faith and high spiritual level.

STUDI KORELASIONAL SPIRITUALITAS DAN BURNOUT SYNDROME PERAWAT RUANG INTENSIF SELAMA PANDEMI COVID-19

The COVID-19 pandemic has put extraordinary pressure on medical personnel, especially nurses who work in critical wards. They are faced with high health-related risks as well as constant psychological stress. This study aims to investigate the relationship between the level of spirituality of nurses and the level of burnout syndrome they experience during the pandemic. This research was conducted using a survey method and data collection through questionnaires (SWBS (Spiritual Well Being Scale) and MBI-HSS (Maslach Burnout Inventory Human Service Survey)) which were given to 55 nurses who work in critical rooms selected using total sampling techniques. Research data was analyzed using Chi-square with Fisher's Exact Test. The research results showed that almost all nurses had a high level of spirituality (85.5%) and the majority of nurses did not experience burnout syndrome (60.0%). The calculated statistical value obtained a sig (2-tiled) value of 0.007 (p&lt;0.05) meaning that there is a significant relationship between the level of spirituality of nurses and the level of burnout syndrome they experience. Nurses with higher levels of spirituality tend to experience lower levels of burnout. This indicates that aspects of spirituality, such as strong beliefs and regular spiritual practices, act as protective factors in reducing the risk of burnout syndrome. Apart from that, it is also important to include a holistic approach that pays attention to spiritual aspects in care and support for nurses during pandemics and other critical situations.

I Am Young, Religious and/or Spiritual—Is It Beneficial to Me? Association of Religiosity, Spirituality and Images of God with Meaning in Life and Self-Esteem in Adolescents

Religiosity and spirituality (R/S) have been suggested to be positive factors in adolescents’ well-being and development. The aim of this study is to explore the relationship of R/S and images of God with meaning in life and self-esteem in adolescents in a secular environment. A sample of Czech adolescents (n = 984, mean age 16.61, SD 1.21; 28% male) participated in an online survey. We measured religiosity, religious affiliation (Raf), religious attendance (Ratt), spirituality, images of God (IMG), meaning in life (ML), subdivided into components of presence (ML-P) and search (ML-S), and adolescents’ self-esteem (ASE). Religiosity, Raf, Ratt, and a higher level of spirituality were associated with ML-P, with odds ratios (OR) ranging from 1.56 (95% confidence interval (CI) 1.34–1.80) for spirituality to 1.88 (1.27–2.80) for church affiliation. ML-S was associated with religiosity, OR 1.41 (1.10–1.82), and spirituality, OR 1.73 (1.51–2.00). No associations were found for self-esteem. The combination of spirituality with Raf and Ratt led to associations with ML-P, ML-S, and ASE for those who were spiritual and affiliated/non-affiliated, with ORsof 2.14–6.00, as well as for those who were spiritual and attending/non-attending, with ORs of 1.84–4.84. Respondents who reported positive images of God were more likely to report an increase in ML-P, ML-S, and ASE, whereas those reporting negative images were more likely to report a decrease. Our findings suggest that R/S, in particular their mutual interactions with higher levels of spirituality and images of God, are associated with adolescent development and encourage the internalisation of R/S values among youth.

Nexus between emotional intelligence and occupational stress: Role of workplace spirituality among teaching fraternity

The Union Government's New Education Policy 2020 of India is said to be a game changer and has brought many reforms into the education sector. This initiation provoked many changes in the education sector along with the impact of the Covid-19 pandemic. In this regard, there is a dire need to know the emotional status and stress among the teaching fraternity. The present study considers emotional intelligence and workplace spirituality as influencers of occupational stress. The findings of the study interpret that emotional intelligence and workplace spirituality predict occupational stress in the teaching fraternity. The mediation effect of workplace spirituality between emotional intelligence and occupational stress is nominal and very low. However, it is observed that high levels of spirituality and moderate emotional intelligence predict low-stress levels.

Gratitude exercise and well-being in relation to spirituality: A mixed-method study

Previous studies have shown inconsistent results regarding the effectiveness of gratitude exercises on well-being. Several researchers suggested this inconsistency could be due to the frequency of performing the exercise, the type of comparison group used in the study, and due to the presence of some moderators like positive affect, trait gratitude, spirituality, religiosity, etc. Out of these variables, the present study tried to examine the role of spirituality. The present investigation experimentally studied the effect of a 4-week gratitude exercise on the well-being of a sample of working Indian adults while examining spirituality as a moderator. Participants were randomly allotted to the gratitude exercise group and control group, consisting of 60 participants in each group (N = 120). The present study employed a sequential explanatory mixed method. The quantitative results were analyzed using a mixed-design ANOVA. The results found a significant increase in gratitude, satisfaction with life, and positive affect and a significant decrease in the negative affect of participants in the gratitude group at post-exercise and follow-up compared to the control group. Spirituality was found to be a significant moderator as participants with high levels of spirituality benefited the most from the gratitude exercise. For the qualitative part, an interpretative phenomenological analysis was used. Three themes: Experience of performing the gratitude exercise, gratitude expressed towards and, benefits of the exercise were identified which were further categorized under several subthemes. Mixing of the study was done at the interpretation level where qualitative data was used to contextualize the quantitative findings.

Relationship between the Level of Spirituality and Blood Pressure Control among Adult Hypertensive Patients in a Southwestern Community in Nigeria

Background: Spirituality has been strongly associated with good blood pressure control as it forms a strong coping mechanism in hypertensive patients. This hospital-based cross-sectional study was done to determine the relationship between spirituality and blood pressure control among adult hypertensive patients in rural Southwestern Nigeria to achieve good blood pressure control. Method: The selection was done by systematic random sampling technique. Socio-demographic and clinical information were obtained through semi-structured interviewer-administered questionnaires. The level of spirituality was assessed using the Spiritual Perspective Scale. Data were analysed using the Statistical Package for Social Sciences version 20.0. Statistical significance was set at p ≤ 0.05. Results: The mean age of the respondents was 61.1 ± 11.1 years. More than half (52.6%) had a high level of spirituality and more than two-thirds (67.1%) of respondents had controlled blood pressure. Respondents with a high level of spirituality were 4.76 times more likely to have good blood pressure control {p &lt; 0.001, 95% CI (1.05-14.99)} than those with a low level of spirituality. Conclusion: Proper understanding and effective utilization of this relationship will assist health professionals and researchers in the appropriate integration of this concept into patients’ holistic care with the aim of achieving better blood pressure control among hypertensive patients.

Relationship between the Level of Spirituality and Medication Adherence among Adult Hypertensive Patients in Rural South Western Nigeria

Background: Spirituality has been found to drive the motivational component of the Behavioural Wheel of the Theory of Change Approach in adaptation mechanisms. Effective medication adherence has been strongly associated with good hypertension control and one way to achieve this is to leverage spirituality as a strong coping mechanism in hypertensive patients. Method: Selection was done by systematic random sampling technique. Socio-demographic and clinical information were obtained through semi-structured interviewer-administered questionnaires. The level of Spirituality was assessed using the Spiritual Perspective Scale and medication adherence was assessed using the Morisky Medication Adherence Scale 8. Data were analysed using the Statistical Package for Social Sciences version 20.0. Statistical significance was set at p ≤ 0.05. Results: The mean age of the respondents was 61.1±11.1 years. More than half (52.6% and 61.2%) had high level of spirituality and good medication adherence respectively. Respondents with high level of spirituality (99.4%) had good medication adherence and this was statistically significant with p&lt;0.001. Conclusion: Proper understanding and effective utilization of this relationship will assist health professionals and researchers in the appropriate integration of this concept into patients’ holistic care with the aim of achieving better blood pressure control among hypertensive patients.

Spirituality and Academic Performance: Exploring the Interplay for Students

This study aimed to explore the association between students' spirituality level at Caraga State University and their academic performance. Spiritual health and life orientation were assessed using the Spiritual Health and Life Orientation Measure (SHALOM) developed by John Fisher, while academic performance was measured in terms of Grade-Point Average (GPA). A descriptive-correlational research design was employed, involving 366 randomly selected participants through stratified random sampling with colleges as strata. Descriptive statistics, including averages and percentages, were utilized to assess the participants' spirituality level and academic performance. Additionally, Pearson's R Correlation test was applied to investigate the relationship between spirituality and academic performance. The results indicated that the participants at Caraga State University generally exhibited good spirituality, with an average score of 4.23. Most students demonstrated very good academic performance. The study found a positive, yet weak correlation between students' spirituality and academic performance, which was not statistically significant, with a coefficient of 0.049 and a p-value of 0.347. This weak and insignificant relationship can be attributed to the majority of students having a consistently high level of spirituality. The findings suggest that promoting spirituality within the school environment remains beneficial, as it does not adversely impact education. Furthermore, spirituality appears to be non-discriminatory, as both academically-inclined and non-academically-inclined students place equal value and importance on spirituality. Therefore, fostering spirituality in the university setting may contribute positively to students' holistic development.

A Scoping Review on Coping Strategies and Quality of Life of Stroke Caregivers: Often Underestimated Variables in Stroke Recovery Process?

The purpose of the present study was to review all available work published within the last decade focusing on coping strategies in stroke caregivers and their impact on quality of Life (QoL) and psycho-emotional status. A literature search of two databases (MEDLINE, Scopus) was conducted to identify all relevant full-text English studies published between 2013–2023. Sixteen articles were traced and were finally included. Cognitive and behavioral coping strategies were beneficial for stroke caregivers’ and survivors’ QoL. The level of mutuality in the caregiver-survivor relationship was associated with the impact of depressive symptoms on caregivers’ QoL and the protective effect of mutuality on survivors’ QoL over time. The level and quality of social support were positively associated with QoL for stroke caregivers and survivors. Caregivers’ preparedness was a moderator for the impact of depression on both caregivers’ and survivors’ QoL. High levels of spirituality had a significant role in ameliorating the negative impact of depressive symptoms on the psychological and physical QoL of stroke caregivers and survivors. In conclusion, the study of coping strategies can be used as a psychological reserve in the process of stroke rehabilitation and actively contribute to improving the QoL of both caregivers and stroke survivors.

Religiosity & mental health seeking behaviors among U.S. adults.

The association between religiosity and secular mental health utilization is unclear. Evidence suggests that religious and spiritual leaders (R/S leaders) may be more trusted than secular mental health therapists (SMHTs) and are often the first point of contact for individuals with mental health problems who identify as religious. Generalized equation estimate (GEE) analyses were used to examine the association between religiosity and mental health seeking behaviours in 2,107 participants using t Midlife in the United States Study (MIDUS) data collected between 1995 and 2014. The final model indicated that after adjusting for covariates, higher levels of baseline religious identification and baseline spirituality (assessed in 1995) predicted an increase in visits to R/S leaders from 1995 to 2014 by a factor of 1.08 (95% CI=1.01-1.16) and 1.89 (95% CI=1.56-2.28), respectively. Higher levels of baseline religious identification reduced SMHTs visits by a factor of 0.94 (95% CI=0.90-0.98), whereas higher levels of baseline spirituality increased SMHTs visits by a factor of 1.13 (95% CI=1.00-1.27) during the same timeframe. Higher levels of spirituality and religious identification increased the frequency over time of seeking mental health support from R/S leaders relative to SMHTs. Individuals with mental illness may seek support from religious resources, mental health professionals, or both, underscoring the importance of collaboration between R/S leaders and SMHTs. Mental health training for R/S leaders and collaboration with SMHTs may help alleviate mental health burden, especially among those who highly value their religious and spiritual beliefs.