Practical Recovery

Spirituality and Addictive Problems

By Posted on May 14, 2026

By Tom Horvath, PhD

A recent study found a helpful effect from having a “spiritual component” to one’s life. That component significantly prevented addictive problems and aided in the change process if problems already existed. The strength of the effect was not major but given the challenges of addressing an addictive problem it is helpful to know about any helpful effect.

Spirituality was defined as an aspect of life

“through which persons seek ultimate meaning, purpose, and transcendence, and experience relationship to self, family, others, community, society, nature, and the significant or sacred.” Although spirituality encompasses religion as part of established faith institutions, it also broadly includes other ways people find meaning, purpose, and connection to something greater than themselves.

From my perspective many individuals have spirituality according to this definition. Many of us would probably benefit from devoting more time to this component of life. However, one of the major questions about defining this component is whether meaning, purpose, and connection to others are sufficient, or whether transcendence (connection to something greater than themselves) is also necessary.

This meta-analysis covered 55 studies, screened from over 20,000 candidate studies. The 55 studies were based on 540,712 participants. None were published before 2000, and all were rigorously conducted.

This study does not address the question about the need for transcendence. Even without transcendence, in the process of resolving addictive problems it is generally very helpful to enhance meaning, purpose, and connection to others. One way to describe success is that the meaningful, purposeful, connected life one is now leading is so good that returning to addictive problems (which would disrupt the new life) becomes almost unthinkable.

The implication of these findings is that if we can enhance someone’s sense of meaning, purpose, and transcendence, we may prevent or resolve more addictive problems. The challenge, as it has always been, is how to help someone think at this high level when they are trying just to get by hour to hour and day to day. One approach for all of us is to remember the times in our lives when these aspects were strong, and how we felt at that time. Perhaps we would feel motivated enough to return to those activities and feelings more often.

Spirituality and Harmful or Hazardous Alcohol and Other Drug Use: A Meta-Analysis of Longitudinal Studies. (2026). Koh, Frederick, Balboni, O’Reilly, et. al,

https://jamanetwork.com/journals/jamapsychiatry/fullarticle/2844883?guestAccessKey=d20dec59-9fb8-4182-93c3-28c873289faa&utm_medium=email&utm_source=postup_jn&utm_campaign=article_alert-jamapsychiatry&utm_content=olf-tfl_&utm_term=021826&asam.org#250902100

Liked this article on spirituality and addictive problems? You might also be interested in: On Being a SEN Master, part 1.

Rewards in Long Term Recovery

By Tom Horvath, PhD What’s the point of stopping an addictive problem if your life does not become…

Housing First Debate

By Tom Horvath, PhD Housing First project launches in Alaska, but the debate about housing first continues. Anchorage,…

How Are You and Food Doing?

By Tom Horvath, PhD Eating is an addictive behavior (not necessarily an addictive problem) we typically engage in…

The Continuing Debate About Addiction As a Disease

By Tom Horvath, PhD A recent scientific article entitled “Transcriptional regulation of ventral hippocampus-nucleus accumbens circuit excitability drives…

Substance Use and Risk of Stroke

  By Tom Horvath, PhD This recently published meta-analysis (a study, using rigorous statistical methods, to summarize the…

Podcast Interview on Sixty Plus Uncensored

By Tom Horvath, PhD Given that I will speak to as many audiences as feasible on topics like…

Pre-Existing Brain Structure and Later Substance Use

By Tom Horvath, PhD This finding is an opportunity to highlight the ABCD, the Adolescent Brain Cognitive Development…

Practical Recovery’s New Website

By Tom Horvath, PhD It was getting time to refresh the appearance of Practical Recovery’s website. A new…

Risk Factors in Long-Term Recovery

By Tom Horvath, PhD This study examined relapses in individuals who had at least one year of sustained…

A Standard for Cannabis Moderation

By Tom Horvath, PhD We know how to estimate levels of alcohol moderation and intoxication. For instance, we…