We read the article by Baetz and others (1) with interest, as we emphatically agree with the principle of acknowledging the spiritual aspect of patients' lives to address the person as a whole. However, we were disappointed to find that the published results do not seem to support the clinical implications stated at the beginning of the article. Unfortunately, the cross-sectional nature of this study does not allow us to assess the potential benefits of "support[ing] this potentially significant coping resource" or of "involv[ing] spiritual advisors, such as clergy or chaplains, when needed." Although the authors may have shown a correlation between religious involvement and mental health, they have not demonstrated that external support for religious involvement has any effect upon patient outcome.