Few studies have examined the prevalence, salience, and impact of religious beliefs, activities, and commitment among medical patients in later life. Surveys of the U.S. population aged 65 years and over reveal a high frequency of such beliefs and activities, which are reported to play a significant role in their lives. In this study, the religious beliefs, activities, and motivations of 106 consecutive patients (mean age 74.4 years) attending a geriatric outpatient clinic were examined. A high prevalence of orthodox Christian beliefs, religious community activity, private devotional activity, and intrinsic religious orientation was found. Levels of religious activity and intrinsic orientation were lower among patients with cancer, chronic anxiety, depressive symptoms, and those who smoked cigarettes or consumed moderate to large amounts of alcohol. Intrinsic religiosity was lower among men with hypertension. Patients with mild to moderate dementia tended to have higher levels of intrinsic religious orientation. The results of this study suggest that religion is a powerful cultural force in the lives of older medical patients and is integrally related to both mental and physical health.

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Research on the concept of "spirituality" demonstrates its overlap with "religion," so for many purposes they need to be considered together as "spirituality/religion." Investigations of age differences point to the likelihood that spirituality tends to increase during later adulthood. It has important positive relationships with various measures of life satisfaction, psychosocial well-being, and both physical and mental health. It benefits therapy for recovery from illness and is a source of meaning and purpose in life. Spiritual interventions help to relieve psychological distress and death anxiety, as well as the stresses of caregiving. Because of its therapeutic value, prayer is an important resource for coping with problems experienced during the life course. The Spiritual Well-Being Scale and many other instruments have been developed to measure spirituality and related concepts. As in all other domains of research on people, they all have limits and must be applied with caution for both technical and ethical reasons. Nevertheless, applications of the research findings, which overwhelmingly demonstrate the importance of spirituality to human well-being, already are improving the effectiveness of clinical work and social services in all of the health and human service professions. As scientific knowledge of spirituality expands, so does awareness of the need for further research, including the refinement of methodological procedures, expansion to new topics, and extension to international cultures and diverse religions. The outlook for research on spirituality and the consequent practical applications to benefit humanity is very promising.

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