For women racial differences have been seen to be a major risk factor for anxiety, the impact of which can vary widely( Gazmararian et al, 1995) reported african american women have higher rates of depression and anxiety compared to white women whereas (Kessler et al, 2005) reported lower rates of anxiety and depression among African American women. spirituality is an important component of african american culture (staton-tindall, 2013) which tend to improve coping skills and social support, foster feelings of optimism and hope, promote healthy behavior, reduce feelings of anxiety, and encourage a sense of relaxation thus can act as an important contributor to improving quality of life and health among anxious patients. To date, very little
