Stress and quality of life in international and domestic university students: cultural differences in the use of religious coping

Studying overseas entails a number of transitions and challenges, and the present study investigated the strategies international university students use to cope with stressors. Previous research suggests that international students may be more likely than domestic students to draw on religion/spirituality as a source of dealing with stress, but the direct links between stress, religious coping and quality of life are yet to be documented explicitly. A sample of 679 university students in New Zealand completed the quality of life scale WHOQOL-BREF with an additional WHOQOL module used to assess spiritual, religious, and personal beliefs (SRPB). The students also completed the Perceived Stress Scale and the Brief COPE inventory. Irrespective of stress levels encountered or whether participants were international or domestic students, Asian students were more likely to use religious coping strategies than European students. Unlike European students, Asian students’ use of religious coping was effective in improving psychological and social quality of life. The findings also provide support for the main effects hypothesis of religion/spirituality. The present study demonstrates that cultural factors play an important role in the manner in which individuals maintain mental health and quality of life.     

Role of Religion and Spirituality in Stress Management Among Nurses

Religion and spirituality play a significant role as coping resources under stressful circumstances. Nursing professionals confront with a variety of stressors repeatedly and are found to employ religious/spiritual coping techniques in managing the negative impact of work stress. The present review explores different religious and spiritual coping strategies utilized by nurses of different socio-cultural and religious backgrounds and highlights the importance of treating religion and spirituality as two separate entities in studying their stress-buffering effect. The MEDLINE, CINAHL, PsycINFO, PsycArticles databases and Google Scholar were searched from 2006 to 2017 with the key words nursing, stress, religious coping, religiosity and spirituality. Various notions of the divine/transcendent aspect of life have led to lack of consensus over a functional definition of religion as well as spirituality. This is found to be the core element of methodological inadequacy in studying individuals’ reliance on religion and spirituality during stress. Further, most of the existing measures do not adequately explore spirituality as a construct independent of religion. Measures should be more culture sensitive to discover culturally enriched religious practices and rituals adopted by individuals belonging to different socio-cultural milieu to overcome stress. The role of religion and spirituality in stress resilience, emotion regulation and burnout among nurses around the globe needs further empirical support. Multiple levels at which religious and spiritual coping may moderate/mediate the relationship between work stress and behavioral/emotional outcomes among human service personnel who face high emotional labor demands should be more comprehensively analyzed.     

Research and Theory Religion and Spirituality in Coping With Stress

Relations among and between religion, spirituality, and the ability to cope with stress were examined using a sample of 115 graduate students in counseling. Religion and spirituality positively correlated with coping with stress. Counseling students who expressed spirituality through religious beliefs had greater spiritual health and immunity to stressful situations than counseling students who identified themselves as spiritual but not religious. Counseling students with a religious/spiritual affiliation indicated more discomfort counseling clients hostile to religion compared with counseling students with a spiritual‐only affiliation. The results have implications for preparing counseling students to work with clients with religious/spiritual issues.     

The Relationship Between Spirituality,Health Beliefs,and Health Behaviors in College Students

The United States is a country in which religion and spirituality play a significant role in people’s lives. The relationship between religion, spirituality and health has long been investigated. However, most of these studies have focused only on patient populations and the elderly. The present study examines whether the same pattern of relations reported earlier is seen in a sample of healthy, college students using measures of both spirituality and religion. Health beliefs and behaviors were also examined. The results show that individuals with higher spirituality scores are more active and hold difference health beliefs than those who scored in the low spirituality group. However, some contradictions from previous research were reported in this sample. The study suggests religion may have some different pattern of relations in the overall health and health behaviors of younger, healthier populations. Dr. Sgoutas-Emch teaches at the University of San Diego. Erik Nagel received his BA from there.     

Religious coping,stress, and quality of life of Muslim university students in New Zealand

Most of the research on religious coping has been conducted with Christian participants from Western cultures, although in recent years increasingly more studies have been conducted with Muslim participants. For university students in Muslim countries, religiosity is positively correlated with a variety of indices of mental health and psychological well-being, but only a small number of studies investigated coping in Muslims living and studying in a non-Muslim country. The present study thus explored the relationship between perceived stress, quality of life (QOL), and religious coping in a sample of 114 Muslim university students in New Zealand. International Muslim students had higher levels of spirituality/religiousness than domestic Muslim students, and used more positive and negative religious coping methods. For international students, positive religious coping was positively related to QOL and lack of stress, while, for domestic students, negative religious coping was negatively related to the QOL and increased stress. This different pattern may relate to the ethnic background of the participants, and the results of the present study thus highlight that Muslims studying at universities overseas can certainly not be considered as a homogenous group.     

Marriage and Family Therapy Graduate Students’ Satisfaction with Training Regarding Religion and Spirituality

Marriage and family therapists are likely to encounter religious or spiritual clients in their career and thus are encouraged to be aware of their clients’ religious and spirituality. This awareness is often fostered within graduate training programs. This study aims to examine graduate students’ incorporation of religion and spirituality in therapy and their satisfaction with the quality and amount of training programs’ adherence to religion and spirituality. A sample of 135 graduate students from American Association for Marriage and Family Therapy accredited programs completed the survey. Findings showed that graduate students with greater levels of religiosity and spirituality were more likely to perceive it important to address religion/spirituality in therapy and to perceive there is a need for religious/spiritual education. When controlling for religious and spiritual orientations, overall regression results revealed that not having a course on religion and spirituality and perceiving a need for religious/spirituality in education predicted lower satisfaction with the amount and quality of current training surrounding these dimensions. Implications demonstrate the need to address religious/spiritual concepts in the curriculum, supervision, and in marriage and family therapy training.     

Religion and Spirituality in Quality of Life Studies

The authors present their views on the current state of the art for research focused upon religion/spirituality and quality of life. Because of the undeniable influence of religion and spirituality at the macro-level of cultures, the internal and external worlds of individuals embedded in any culture are touched by religion and spirituality – even for individuals who deny any religious affiliation or beliefs. Religion and spirituality has already attracted attention from QOL researchers across a wide set of disciplines and should continue to do so in the future. The authors discuss approaches, topics and methodological issues that should be considered when researching religion/spirituality and QOL. Recommendations for future research are set in italics.     

The Importance of Spirituality in Well-Being for Jews and Christians

There is a well-known association between religion and happiness, although it is not known which particular aspects of religiosity correlate with life satisfaction, or if the correlates are different for people of different religions. In three studies, the correlations of different facets of religiosity with happiness or life satisfaction were explored. In different samples and with different measures, congregational support and public practice of religion appear to correlate similarly with measures of life satisfaction for members of different religions. However, spirituality, religious coping, and religious belief were better predictors of happiness and quality of life for Protestants and Catholics than for Jews. It is therefore contended that religion should be an important consideration, along with religiosity, in study of satisfaction with life, and that the link between spirituality and life satisfaction be followed up, particularly among Christians.     

Distinguishing Between Self-Classified Religious and Spiritual Groups of Emerging Adult Males: Conceptual and Psychometric Challenges

This study sought to determine whether measures of religion and spirituality could discriminate between emerging adult males who self-identified as both religious and spiritual (B), religious only (R), spiritual only (S), or neither (N). Two religion measures and three spirituality measures were employed to assess the constructs. It was predicted that those who self-identify as religious only would score significantly higher on the religion measures than those who identified as spiritual only, and those that identified as spiritual only would score significantly higher on the spirituality measures than those who identified as religious only. Results supported the first hypothesis, but not the second. The relationship between spirituality and religion measures indicated substantial overlap and the possibility of differential relationships between emerging male and female adults.     

The relationship between spirituality and depressive symptom severity,psychosocial functioning impairment,and quality of life: examining the impact of age,gender, and ethnic differences

Research has documented the contribution of spirituality on overall health and mental health among college students. However, very few studies have explored the impact of cultural and ethnic differences on the effect of spirituality on mental health outcomes in this population. The aims of this study were to examine the relationships among spirituality, depressive symptom severity, psychosocial functioning impairment, and quality of life in a large multi-ethnic sample of college students and explore the impact of age, gender, and ethnicity on these relationships. The sample consisted of Latino, African-American, Caucasian, and Caribbean/West Indian college students. Findings indicated that spirituality, believing in God's presence, age, gender, and ethnicity were significantly related to depressive symptoms. These factors were also associated with impairment in psychosocial functioning and quality of life related to depression.     

Stressors, quality of the child-caregiver relationship, and children's mental health problems after parental death: the mediating role of self-system beliefs

Investigated whether three self-system beliefs, fear of abandonment, coping efficacy, and self-esteem, mediated the relations of stressors and caregiver-child relationship quality with concurrent and prospective internalizing and externalizing problems in a sample of children who had experienced parental death in the previous 2.5 years. The cross-sectional sample consisted of 340 children ages 7-16 and their surviving parent/current caregiver; the longitudinal analyses employed a subset of this sample that consisted of 100 children and their parents/caregivers who were assessed at three time points. A multirater, multimethod measure of caregiver-child relationship quality and a multirater measure of children's mental health problems were used. The cross-sectional model supported a mediational relation for fear of abandonment, coping efficacy, and self-esteem. The three-wave longitudinal model showed that fear of abandonment at Time 2 mediated the relation between stressors at Time 1 and internalizing and externalizing problems at Time 3. Implications of these findings for understanding the development of mental health problems in parentally bereaved children and designing interventions for this at-risk group are discussed.     

Religion and Spirituality in the Meaning–Making and Coping Experiences of African American Women: A Qualitative Analysis

This qualitative study examines the ways in which African American women use religion/spirituality to cope and to construct meaning in times of adversity. Content analysis of the narratives of a sample of African American women respondents ( n = 23) revealed a set of eight nonoverlapping themes that explicate religiosity/spirituality's role in meaning–making and coping. Findings suggest that religion/spirituality help women to (1) interrogate and accept reality, (2) gain the insight and courage needed to engage in spiritual surrender, (3) confront and transcend limitations, (4) identify and grapple with existential questions and life lessons, (5) recognize purpose and destiny, (6) define character and act within subjectively meaningful moral principles, (7) achieve growth, and (8) trust in the viability of transcendent sources of knowledge and communication. Narrative examples are used to elucidate each theme. Findings point to the importance of relationships and intimacy in the meaning–making enterprise. Implications for theory and practice are discussed.     

Effects of Spirituality on Health‐Related Quality of Life in Men With HIV/AIDS: Implications for Counseling

This study examined the association of spirituality and health‐related quality of life among 226 HIV‐positive men. Two measures of spirituality were used: the Spiritual Growth subscale from the Health‐Promoting Lifestyle Profile II (S. N. Walker, K. R. Sechrist, & N. J. Pender, 1987) and the Spirituality subscale of the HIV Coping Instrument (L. Moneyham, A. Demi, Y. Mizuno, R. Sowell, & J. Guillory, 1998). Health‐related quality of life was measured with the HIV Cost and Services Utilization Study (R. D. Hays et al., 1998). Spiritual coping (i.e., relying on religion‐based coping techniques) was not associated with health‐related quality of life at baseline or 12‐month follow‐up. Spiritual growth (i.e., existential feelings of connection with a force greater than oneself) improved some aspects of mental and emotional well‐being but did not affect physical functioning or pain management.     

Religion, Spirituality and Therapy: Implications for Training

Religion and spirituality are recognized coping resources but are neglected in psychological training and practice. However, religion and spirituality can be successfully used to cope with psychological disorders, prevent unhealthy behaviors and promote resilience. This study explored and described two questions regarding the concepts of the terminology religion and spirituality, and the perceptions of the use of religion and spirituality in therapy. Purposive sampling was utilized in a qualitative study of 15 registered psychologists, and data were analyzed using Tesch’s model of qualitative content analysis. The concepts religion and spirituality appear difficult to define but the importance of their use as coping mechanisms in their own and their clients’ lives was recognized. These findings have implications for professional training.     

How Religious Coping is Used Relative to Other Coping Strategies Depends on the Individual’s Level of Religiosity and Spirituality

Results from empirical studies on the role of religiosity and spirituality in dealing with stress are frequently at odds, and the present study investigated whether level of religiosity and spirituality is related to the way in which religious coping is used relative to other coping strategies. A sample of 616 university undergraduate students completed the Brief COPE (Carver in Int J Behav Med 4:92?C100, 1997) questionnaire and was classified into groups of participants with lower and higher levels of religiosity and spirituality, as measured by the WHOQOL-SRPB (WHOQOL-SRPB Group in Soc Sci Med 62:1486?C1497, 2006) instrument. For participants with lower levels, religious coping tended to be associated with maladaptive or avoidant coping strategies, compared to participants with higher levels, where religious coping was more closely related to problem-focused coping, which was also supported by multigroup confirmatory factor analysis. The results of the present study thus illustrate that investigating the role of religious coping requires more complex approaches than attempting to assign it to one higher order factor, such as problem- or emotion-focused coping, and that the variability of findings reported by previous studies on the function of religious coping may partly be due to variability in religiosity and spirituality across samples.     

Positive Coping among Wives of Male Christian Clergy

Clergy spouses experience various life stressors, yet many cope and function effectively in the midst of their daily challenges. Mental health professionals were asked to identify wives of male clergy who exemplify emotional and spiritual health. Nominees were contacted and interviews conducted with 25 women. Each interviewee was asked about coping with normal life stressors, stressors associated with being married to a minister, and catastrophic life events. All interviews were transcribed and coded, using grounded theory. Participants emphasized the importance of spirituality, social support, limit-setting, and healthy lifestyle choices. Implications are discussed.

Book Review

Past research has found positive links between happiness and various aspects of religiousness, yet it remains unclear how religion contributes to happiness and other well-being outcomes. One possible route is through purpose in life. Among a sample of 208 Christian Polish university students we investigated the mediating role of purpose in life between religion and subjective well-being. Intrinsic religiosity, as expected, was related to higher levels of purpose in life, happiness and life satisfaction, and positively predicted happiness and life satisfaction through purpose in life. The findings support the notion that eudaimonia and eudaimonic constructs like purpose in life may be the links between religion and well-being outcomes.     

The Ways in Which Adolescents Cope and their Relationship to Age,Gender and Specific Religious Variables

This study investigated the roles of age, gender, the importance of religion/spirituality, attending church activities and frequency of prayer on the types of adolescents’ coping strategies. Participants were drawn from ten public high schools. Data on coping strategies, personal variables and religiosity and spirituality were collected using the Adolescent Coping Orientation for Problem Experiences (A-COPE) coping inventory. Scheffé posthoc tests were used to evaluate associations between the coping strategies used by adolescents and the identified personal and faith-oriented variables. Gender and age explained some differences in types of coping strategies preferred. Specifically, females used the developing social support coping strategy more than males; older adolescents used the avoiding problems coping strategy more than younger adolescents. Adolescents for whom religion/spirituality is of lesser importance, obtained a significantly higher mean score for the avoiding problems subscale. Both personal variables (age and gender) as well as one of the faith-oriented variables (importance of religion) were identified as important role players in using developing social support and avoiding problems as coping strategies by adolescents.     

Spirituality and Resilience in Trauma Victims

The way people process stressors is critical in determining whether or not trauma will be experienced. Some clinical and neuroimaging findings suggest that posttraumatic stress disorder patients experience difficulty in synthesizing the traumatic experience in a comprehensive narrative. Religiousness and spirituality are strongly based on a personal quest for understanding of questions about life and meaning. Building narratives based on healthy perspectives may facilitate the integration of traumatic sensorial fragments in a new cognitive synthesis, thus working to decrease post-traumatic symptoms. Given the potential effects of spiritual and religious beliefs on coping with traumatic events, the study of the role of spirituality in fostering resilience in trauma survivors may advance our understanding of human adaptation to trauma.