The Relationship Between Spirituality and Risky Alcohol and Drug Use: A Comprehensive Meta-Analysis of Longitudinal Research - Scorecard - MDSpire

The Relationship Between Spirituality and Risky Alcohol and Drug Use: A Comprehensive Meta-Analysis of Longitudinal Research

  • By

  • Howard K. Koh

  • Donald E. Frederick

  • Tracy A. Balboni

  • Samantha M. O’Reilly

  • John F. Kelly

  • Keith Humphreys

  • Michael Botticelli

  • Maya B. Mathur

  • Constantine S. Psimopoulos

  • Katelyn N. G. Long

  • Tyler J. VanderWeele

  • April 1, 2026

  • 0 min

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Clinical Scorecard: The Relationship Between Spirituality and Risky Alcohol and Drug Use: A Comprehensive Meta-Analysis of Longitudinal Research

At a Glance

CategoryDetail
ConditionHarmful or hazardous alcohol and other drug (AOD) use
Key MechanismsSpirituality as a potential protective factor against AOD use
Target PopulationIndividuals with diagnosable AOD disorders
Care SettingClinical contexts and public health interventions

Key Highlights

  • 16.7% of US individuals have a diagnosable AOD disorder.
  • Spirituality may lower AOD use risk and improve recovery chances.
  • Regular religious service attendance is a significant spiritual exposure linked to reduced AOD use.
  • The study is the first meta-analysis quantifying longitudinal associations between spirituality and AOD use.
  • Subgroup analyses reveal varying effects by AOD type and exposure type.

Guideline-Based Recommendations

Diagnosis

  • Utilize validated measures of spirituality in assessing AOD use.

Management

  • Incorporate spirituality into prevention and treatment strategies for AOD use.

Monitoring & Follow-up

  • Evaluate the impact of spiritual practices on AOD use outcomes over time.

Risks

  • Consider the potential for unmeasured confounding in studies assessing spirituality and AOD use.

Patient & Prescribing Data

Individuals at risk for or diagnosed with AOD disorders.

Spirituality may enhance treatment efficacy and recovery outcomes.

Clinical Best Practices

  • Engage patients in discussions about spirituality and its relevance to their recovery.
  • Facilitate access to spiritual resources and community support for patients.

References

Original Source(s)

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