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and spirituality have been associated with increased levels of   Disclaimer
          meaning and purpose, hope, optimism, self-esteem, exercise,   The opinions or assertions contained herein are the views of
          and healthy diet.  Importantly, meaning making, a central   the authors and are not be construed as official or as reflecting
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          aspect of spirituality, may mediate the relationship between   the views of the Uniformed Services University or Department
          health and spirituality.  Along those lines, a study of US Army   of Defense.
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          Combat Medics provided evidence that the most consistent,
          beneficial predictor of successful adaptation and positive out-  Disclosures
          comes of trauma exposure was commitment to one’s coun-  The  authors  have  no  financial  relationships  or  conflicts  to
          try, one’s military family, and one’s faith in developing strong   disclose.
          resilience.  Moreover, a systematic review of more than 800
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          articles found positive relationships between religious beliefs   Author Contributions
          and practices and satisfaction with life across 80% of those   Both authors approved the final version of the manuscript.
          reviewed.  Meaning and purpose, both important horizontal
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          and vertical aspects of spirituality, strongly influence overall   References
          life performance.                                   1.  Newport F. Five key findings on religion in the U.S. 2016. http://
                                                                news.gallup.com/poll/200186/five-key-findings-religion.aspx.
          Evidence also demonstrates how value-directed living (i.e., be-  Accessed 28 January 2018.
          ing focused and giving attention to an important value) makes   2.  d’Aquili EG, Newberg AB. The neuropsychological basis of reli-
                                                                gions, or why God won’t go away. Zygon. 1998;33(2):187–201.
          people feel less  defensive when faced with information that   3.  d’Aquili E. Neurological basis of myth and concepts of deity.
          challenges them and enables them to experience a greater level     Zygon. 1978;13:257–275.
          of connectedness or self-transcendence than individuals who   4.  Krauss SW, Hood RW. A New Approach to Religious Orienta-
          focus on an unimportant value.  These findings are also sup-  tion: The Commitment-Reflexitivity Circumplex. Amsterdam,
                                   34
          ported by biologic responses: Individuals who actively prac-  Netherlands: Rodopi; 2013.
          tice affirming their values exhibit reduced neuroendocrine and   5.  Wulff DR. Psychology of Religion: Classic and Contemporary.
                                                                2nd ed. Hoboken, NJ: John Wiley & Sons, Inc.; 1996.
          psychological stress responses.  Last, some evidence suggests   6.  Sweeney PJ, Rhodes JE, Boling B. Spiritual fitness: a key compo-
                                  35
          that cognitive flexibility may actually promote growth and   nent of total force fitness. Joint Force Qy. 2012(66).
          adaptive gains after traumatic experiences. 36,37   7.  Wilson KG, Murerell AR. Setting a course for behavioral treat-
                                                                ment. In: Hayes S, Follette V, Linehan M, eds. Mindfulness and
          Individuals can increase their spiritual fitness by increasing their   Acceptance: Expanding the cognitive-behavioral tradition. New
          awareness and attention to their own personal values and ad-  York, NY: Guilford Press; 2004:120–151.
          justing their behaviors to ensure consistency with their beliefs   8.  Wilson KG, Sandoz EK, Kitchens J, et al. The valued living ques-
                                                                tionnaire: defining and measuring valued action within a behav-
          and values. For example, activities that improve and strengthen   ioral framework. Psychol Rec. 2010;60(2):249–272.
          cognitive flexibility and cognitive agility will help increase the   9.  Luoma JB, Hayes SC, Walser RD. Learning ACT: An Acceptance
          likelihood a person can successfully maintain their beliefs, find   and Commitment Therapy Skills-Training Manual for Therapists
          meaning, and flourish even in the face of extreme stress. Cogni-  Oakland, CA: New Harbinger Publication; 2007.
          tive flexibility and agility are skills that can be exercised and   10.  Good D, Yeganeh B. Cognitive agility: adapting to real-time deci-
                                                                sion making at work. OD Practitioner. 2012;44(2):13–17.
          developed through practice over time through various activities.  11.  Dajani DR, Uddin LQ. Demystifying cognitive flexibility: impli-
                                                                cations for clinical and developmental neuroscience. Trends Neu-
          Summary                                               rosci. 2015;38(9):571–578.
                                                             12.  Martin M, Rubin R. A new measure of cognitive flexibility. Psy-
          Spirituality is a vital component of human performance and   chol Rep. 1995;76:623–626.
          interacts and complements the other domains of POTFF/TFF.   13.  McCann RA, Webb M. Enduring and struggling with God in rela-
          Particularly important aspects of spiritual performance and   tion to traumatic symptoms: the mediating and moderating roles of
                                                                cognitive flexibility. Psycholog Relig Spiritual. 2012;4(2):143–153.
          spiritual fitness are one’s ability to find meaning and purpose   14.  Pulakos ED, Arad S, Donovan MA, et al. Adaptability in the
          and to develop an awareness of personal and service values.   workplace: development of a taxonomy of adaptive performance.
          SOF who are aware of their values and consistently behave in   J Appl Psychol. 2000;85(4):612–624.
          accordance with them will benefit from value-directed living   15.  Palitsky R, Kaplan D. The influence of religiosity on response
          and be able to shift between the various roles they have. SOF   to mindfulness-based interventions. Paper presented at: Society
          can also take active steps to increase their cognitive flexibility   for the Scientific Study of Religion Annual Meeting, Washington,
                                                                DC; 13–15 October 2017.
          and agility through practices such as mindfulness, meditation,   16.  Brasileiro TOZ, Prado AAO, Assis BB, et al. Effects of prayer on
          or prayer, which will strengthen their spiritual performance   the vital signs of patients with chronic kidney disease: random-
          and spiritual fitness, readiness, and, ultimately, their overall   ized controlled trial. Rev Esc Enferm USP. 2017;51:e03236.
          performance. Pairing value-directed living with heightened   17.  VanderWeele TJ. Religious communities and human flourishing.
          cognitive flexibility and agility may go beyond protecting   Curr Dir Psychol Sci. 2017;26(5):476–481.
          against negative outcomes after trauma, and actually encour-  18.  Keng SL, Smoski MJ, Robins CJ. Effects of mindfulness on psy-
          age individual growth and thriving after extreme challenges.  chological health: a review of empirical studies. Clin Psychol Rev.
                                                                2011;31(6):1041–1056.
                                                             19.  Doufesh H, Faisal T, Lim KS, et al. EEG spectral analysis on Mus-
          Acknowledgment                                        lim prayers. Appl Psychophysiol Biofeedback. 2012;37(1):11–18.
          Ms  Elizabeth  Alders,  MDiv,  provided  the  fictional  example   20.  Goncalves JPB, Lucchetti G, Menezes PR, et al. Complementary
          and served as a consultant for this article; Eric R. Schuler,   religious and spiritual interventions in physical health and quality
          PhD, a postdoctoral fellow, and Kathleen Charters, PhD, RN,   of life: a systematic review of randomized controlled clinical tri-
                                                                als. PLoS One. 2017;12(10):e0186539.
          provided editorial support. All three are team members of the   21.  Knabb JJ. Centering prayer as an alternative to mindfulness-
          Spiritual Fitness and Spiritual Care Research team at the Con-  based cognitive therapy for depression relapse prevention. J Relig
          sortium for Health and Military Performance.          Health. 2012;51(3):908–924.


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