Evidence map›Paper›PMID 42756458›Full record

ArticleFrontiers in psychology2026

"Did I look at the blackness, or did I look at the stars?" Meaning making in stories of spirituality, mental health and recovery.

Katja Milner, Paul Crawford, Alison Edgley, Mike Slade

Abstract read
In one paragraph

Article in Frontiers in psychology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. 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

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Katja MilnerCollege of Health and Society, Buckinghamshire New University, High Wycombe, United Kingdom.
Paul CrawfordSchool of Health Sciences, University of Nottingham, Nottingham, United Kingdom.
Alison EdgleySchool of Health Sciences, University of Nottingham, Nottingham, United Kingdom.
Mike SladeSchool of Health Sciences, University of Nottingham, Nottingham, United Kingdom.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This qualitative narrative study explores how adults with lived experience of mental health difficulties draw on spirituality to make meaning and support recovery. Thirty participants were interviewed and asked to share their stories of spirituality, mental health and recovery. A narrative thematic analysis approach was developed to explore the superordinate theme of meaning making which comprised three interrelated themes: (1) Reframing, where spirituality enabled participants to adopt a bigger-picture perspective, evolve interpretations over time, and validate experiences; (2) Navigating mythos and logos, describing how symbolic, intuitive and experiential modes of understanding (mythos) were juxtaposed with rational, logical or scientific modes (logos) to support functional sense-making; and (3) Discerning spiritual guidance, in which intuition, synchronicity, dreams, visions and signs informed decisions, identity and coping as part of an evolving process of meaning making. Findings align with Meaning Making Framework theory, highlighting the integration of situational stressors into broader global meaning systems and the value of positive reappraisal. Mythos and logos were typically held in dynamic relationship to support coherence, agency and wellbeing, with mythos emerging as a powerful, often overlooked resource for meaning making via experiences of spiritual guidance. Drawing on findings across all three themes, the VALID (Validate, Attend, Lightly hold, Internal frameworks, Discern collaboratively) Framework for Spiritually Informed Practice is proposed. These are five evidence-derived principles offering practical orientations for engaging with spirituality at the intersection of mental health and recovery. The study offers novel, practice-relevant insights into spirituality as an intrinsic dimension of meaning-making in mental health recovery, highlighting the need to validate diverse spiritual experiences in mental health contexts.

Indexed as

meaning makingmental healthmental health and illnessnarrativerecoveryreligionspirituality (MeSH)stories/storytelling

Identifiers

PMID42756458
PMCPMC13582621

What OpenQuestion holds

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Registered trials

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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.