Religious/Spiritual Struggles and Mental Health Among Black Adolescents and Emerging Adults: A Meta-synthesis

We conducted a meta-synthesis to understand how religious/spiritual struggles are linked to Black adolescents' and emerging adults' mental health, considering their various socio-demographic identities. To address this research aim, we reviewed and synthesized qualitative data from 19 studies that included the voices of approximately 382 Black adolescents and emerging adults. Data were analyzed using a seven-step meta-ethnography analysis approach. Findings revealed three themes highlighting contributors to Black youths' negative mental health in relation to their religious/spiritual struggles: (a) Rejected and Unloved, (b) Abandoned and Dismissed, and (c) Doubt, Disengaged, and Reconciliation. Moreover, difficult religious/spiritual experiences were nested within contextual issues associated with typical developmental milestones (i.e., increased sexual activity and religious/spiritual identity development) and participants' race, gender, sexual orientation, and mental health status (and related trauma). This meta-synthesis provides a foundation for understanding and responding to Black youths' religious/spiritual struggles when providing culturally responsive and social justice-oriented mental health support.