Evidence map›Paper›PMID 42670176›Full record

SynthesisBrain and behavior2026

The Neuroscience of Religious and Spiritual Practices: A Systematic Review of Neurotheological Evidence.

Waqar Husain, Achraf Ammar, Urwa-Tul Wusqa, Maha Farooq, Zehra Tariq, Seithikurippu R Pandi-Perumal, Ahmed S BaHammam, Khaled Trabelsi, Mark D Griffiths, Amir Pakpour and 1 more

Erratum issuedAbstract readSystematic Review
In one paragraph

Synthesis in Brain and behavior, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors.

Waqar HusainDepartment of Humanities, COMSATS University Islamabad, Islamabad Campus, Islamabad, Pakistan.ORCID https://orcid.org/0000-0003-3047-1834
Achraf AmmarDepartment of Training and Movement Science, Institute of Sport Science, Johannes Gutenberg-University Mainz, Mainz, Germany.ORCID https://orcid.org/0000-0003-0347-8053
Urwa-Tul WusqaDepartment of Humanities, COMSATS University Islamabad, Islamabad Campus, Islamabad, Pakistan.
Maha FarooqDepartment of Humanities, COMSATS University Islamabad, Islamabad Campus, Islamabad, Pakistan.
Zehra TariqDepartment of Humanities, COMSATS University Islamabad, Islamabad Campus, Islamabad, Pakistan.
Seithikurippu R Pandi-PerumalCentre For Research and Development, Chandigarh University, Mohali, Punjab, India.ORCID https://orcid.org/0000-0002-8686-7259
Ahmed S BaHammamDepartment of Medicine, University Sleep Disorders Center, College of Medicine, King Saud University, Riyadh, Saudi Arabia.ORCID https://orcid.org/0000-0002-1706-6167
Khaled TrabelsiResearch Laboratory Education, Motricité, Sport et Santé, EM2S, LR19JS01, High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax, Tunisia.ORCID https://orcid.org/0000-0003-2623-9557
Mark D GriffithsNottingham Insitute of Psychology, Nottingham Trent University, Nottingham, UK.ORCID https://orcid.org/0000-0001-8880-6524
Amir PakpourDepartment of Nursing, School of Health and Welfare, Jönköping University, Jönköping, Sweden.ORCID https://orcid.org/0000-0002-8798-5345
Haitham JahramiGovernment Hospitals, Manama, Bahrain.ORCID https://orcid.org/0000-0001-8990-1320

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundReligious and spiritual practices are among the most ancient and universal human behaviors, yet their neurobiological substrates remain incompletely characterized. Neurotheology-the scientific study of the relationship between spiritual experience and brain function-has produced growing evidence that such practices generate measurable, systematic, and neuroplastic changes in brain structure and function. However, prior reviews have been limited to single practice types, narrow evidence bases, or narrative methods, with none synthesizing the full spectrum of traditions, practices, and neuroimaging modalities in a single review.

methodsAdhering to the PRISMA 2020 guidelines and registered on the Open Science Framework, Scopus, PubMed/MEDLINE, and ProQuest (23 sub-databases) were searched from inception to June 30, 2026. Eligible studies comprised those using objective neuroimaging or neurophysiological techniques. After multi-stage screening, 105 studies (1998-2026) were synthesized narratively using the synthesis without meta-analysis (SWiM) framework, given substantial heterogeneity.

resultsStudies spanned Buddhist, Christian, Islamic, Hindu, Santo Daime, Spiritist, Sant Mat, and mixed traditions, examining meditation, prayer, chanting, recitation, worship, retreat, mystical experience, mediumistic trance, and ritual altered states. Consistent engagement appeared across the prefrontal cortex, anterior cingulate, default mode network (DMN), insula, amygdala, hippocampus, temporoparietal junction, and dopaminergic/serotonergic systems. Practice-specific signatures emerged: meditation (DMN suppression, prefrontal augmentation), prayer (social-cognition networks), chanting/recitation (limbic deactivation, gamma/delta enhancement), and mystical states (most distributed profiles). Long-term practitioners showed structural neuroplasticity, and clinical-population studies linked these circuits to depression, anxiety, and stress.

conclusionsReligious and spiritual practices produce consistent, practice-specific, and neuroplastic modifications to brain systems governing attention, emotion regulation, self-referential processing, and reward-supporting a plausible mechanistic link between spiritual engagement and mental health, and positioning neurotheology as an empirically grounded dialogue between contemplative tradition and clinical neuroscience.

Indexed as

BrainNeuronal PlasticityReligionSpiritualityHumansMeditationNeurosciencesdefault mode networkmeditationmental healthneural activityneuroimagingneuroplasticityneurotheologyprayerreligious practicesspiritual practices

Identifiers

PMID42670176
PMCPMC13527413

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.