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EV1177

Spirituality and quality of life: reclaiming a neglected dimension in neurodevelopmental disabilities

SPIRITUALITY AND QUALITY OF LIFE: RECLAIMING A NEGLECTED DIMENSION IN NEURODEVELOPMENTAL DISABILITIES

Spirituality is measurably associated with quality of life in people with neurodevelopmental disabilities, yet it is systematically neglected in frameworks and services; it should be explored and assessed without assumptions or imposition.

The aim is to examine whether spirituality is a meaningful component of quality of life (QoL) in people with neurodevelopmental disabilities (NDD) and to compare whether major quality-of-life models explicitly represent spirituality. The method used was a narrative synthesis integrating research on spirituality, religion, and quality of life in intellectual disability and autism; the focus areas were the conceptualization of spirituality, its representation in quality-of-life frameworks, its empirical associations with quality of life, barriers to opportunities, and implications for clinical services. The findings indicate that spirituality is unevenly represented across frameworks: WHOQOL explicitly includes personal beliefs and spirituality, while the 3B quality-of-life model includes a Spiritual Being domain; some other widely used frameworks lack a distinct spiritual domain. Among deaf adults with intellectual disability, individual spirituality (r = 0.334) and spiritual practices in the community (r = 0.514) were positively associated with self-reported quality of life (Fellinger et al., 2023). Lower Spiritual Being scores have been reported in intellectual disability and low-functioning autism, and opportunities for religious participation have been reported to be more limited than those for other community activities. In a longitudinal study of autistic adults (Kelley and Aller, 2025; N = 306), transcendent spirituality predicted psychological flexibility (β = 0.31), and psychological flexibility predicted life satisfaction (β = 0.42); the indirect effect was 0.285 (p < 0.001), and psychological flexibility fully mediated the relationship between spirituality and life satisfaction. In conclusion, the poster recommends including spirituality in person-centered quality-of-life assessment; asking about it without making assumptions, distinguishing spirituality from psychopathology, creating genuine opportunities for participation, and ensuring that spiritual support never becomes religious prescription or coercion.

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