Religious Orientation and Health among Active Older Adults in the United States

This study utilizes a combination of intrinsic and extrinsic Religious Orientation Scales to explore the connection between religion and health in a sample of physically active, older adults. The revised Religious Orientation Scale and the RAND Short Form 36 (SF-36) were adopted to relate religious orientation (intrinsic, extrinsic, pro-religious, and non-religious) and self-rated mental and physical health status. Individuals of pro-religious orientation reported significantly worse health for physical functioning, role limitations due to physical health, and energy or fatigue when compared with those of all other religious orientations; however, no dose–response relationships were found between religious orientation and self-rated health. The results of this study indicate that deleterious health effects may accompany pro-religious orientation. Caution is provided for directors of religious programs for older adults.     

Safety Behaviors in Adults With Social Anxiety: Review and Future Directions

Safety behaviors are considered an important factor in the maintenance of social anxiety disorder (SAD). Safety behaviors are typically employed by socially anxious individuals to reduce anxiety in feared social situations. However, by preventing individuals with social anxiety from gathering evidence that would disconfirm their maladaptive beliefs about social situations, the use of safety behaviors ultimately maintains social anxiety over time. Twenty years ago, Wells and colleagues (1995) demonstrated that use of safety behaviors diminishes the efficacy of exposure treatment for SAD, suggesting that reduction in the use of safety behaviors during exposure can enhance treatment response. Research on safety behaviors has expanded considerably since Wells et al.’s seminal publication, and our understanding of the role safety behaviors may play in the maintenance of social anxiety has grown in breadth and depth. In this paper, we present a detailed review of the published research on safety behaviors relevant to social anxiety and social-anxiety-related processes. Finally, we evaluate the impact of safety behaviors on the outcome of treatment for SAD, and we look to the literature on safety behaviors in other anxiety disorders to inform our understanding of use of safety behaviors during exposure and to facilitate future research in SAD.     

Development and Validation of a Short Health Behaviors Index for Use with Low Socioeconomic Status (SES) Older Adults

This study reports on the development and validation of a health behavior index in predominantly low socioeconomic status (SES) older adults. In order to develop and validate the index for use in low SES older adults, the 24-item Health and Human Services HealthStyle Self-Test was used for item generation. It was reduced to a relatively brief instrument, the Short HealthStyle (SHS) Index with 13 items that measures four major content areas of lifestyle behaviors among low SES older adults. The SHS Index was administered to a sample of 350 low SES older individuals. Principal component model factor analysis indicated a four-factor structure. Items loading on the first factor appeared to assess fitness and leisure activities, whereas those loading on the second and third factor assessed nutrition practices and stress control, respectively. A fourth factor assessed drinking/eating behaviors. Discriminant validity of the SHS was confirmed using the Instrumental Activities of Daily Living, and other health measures that indicated distinct constructs. Internal consistency for the SHS was .72 using Chronbach's alpha. Overall, the SHS Index displayed good psychometric properties in this sample, suggesting the appropriateness of using it to measure selected health behaviors with low SES older adults.     

Survey Response Styles, Acculturation, and Culture Among a Sample of Mexican American Adults

A number of studies have investigated use of extreme (ERS) and acquiescent (ARS) response styles across cultural groups. However, due to within-group heterogeneity, it is important to also examine use of response styles, acculturation, and endorsement of cultural variables at the individual level. This study explores relationships between acculturation, six Mexican cultural factors, ERS, and ARS among a sample of 288 Mexican American telephone survey respondents. Three aspects of acculturation were assessed: Spanish use, the importance of preserving Mexican culture, and interaction with Mexican Americans versus Anglos. These variables were hypothesized to positively associate with ERS and ARS. Participants with higher Spanish use did utilize more ERS and ARS; however, value for preserving Mexican culture and interaction with Mexican Americans were not associated with response style use. In analyses of cultural factors, endorsement of familismo and simpatia were related to more frequent ERS and ARS, machismo was associated with lower ERS among men, and la mujer was related to higher ERS among women. Caballerismo was marginally associated with utilization of ERS among men. No association was found between la mujer abnegada and ERS among women. Relationships between male gender roles and ARS were nonsignificant. Relationships between female gender roles and ARS were mixed but trended in the positive direction. Overall, these findings suggest that Mexican American respondents vary in their use of response styles by acculturation and cultural factors. This usage may be specifically influenced by participants' valuing of and engagement with constructs directly associated with social behavior.     

A Comparison of Religious Orientation and Health Between Whites and Hispanics

The study of religious orientation thus far has neglected the influence of race/ethnicity as well as all four religious orientations (intrinsic, extrinsic, pro-religious and nonreligious) in explaining differences in both physical and psychological health. A representative sample of 250 Hispanics and 236 non-Hispanic Whites in Utah was drawn and analysed for differences in health (self-rated health, life satisfaction, exercise) according to race/ethnicity, religious orientation and religious attendance. Responses to the Religious Orientation Scale differed significantly by race/ethnicity, indicating that future studies of religious orientation should take cultural context into account. For both Whites and Hispanics, pro-religious individuals reported the highest life satisfaction scores, which highlight the utility of employing the fourfold religious orientation typology.     

Examining the Relations Among Narcissism, Impulsivity, and Self-Defeating Behaviors

ABSTRACT A recent meta-analysis ( S. Vazire & D. C. Funder, 2006 ) suggested that narcissism and impulsivity are related and that impulsivity partially accounts for the relation between narcissism and self-defeating behaviors (SDB). This research examines these hypotheses in two studies and tests a competing hypothesis that Extraversion and Agreeableness account for this relation. In Study 1 , we examined the relations among narcissism, impulsivity, and aggression. Both narcissism and impulsivity predicted aggression, but impulsivity did not mediate the narcissism–aggression relation. In Study 2 , narcissism was related to a measure of SDB and manifested divergent relations with a range of impulsivity traits from three measures. None of the impulsivity models accounted for the narcissism–SDB relation, although there were unique mediating paths for traits related to sensation and fun seeking. The domains of Extraversion and low Agreeableness successfully mediated the entire narcissism–SDB relation. We address the discrepancy between the current and meta-analytic findings.     

Beliefs About God and Mental Health Among American Adults

This study examines the association between beliefs about God and psychiatric symptoms in the context of Evolutionary Threat Assessment System Theory, using data from the 2010 Baylor Religion Survey of US Adults (N = 1,426). Three beliefs about God were tested separately in ordinary least squares regression models to predict five classes of psychiatric symptoms: general anxiety, social anxiety, paranoia, obsession, and compulsion. Belief in a punitive God was positively associated with four psychiatric symptoms, while belief in a benevolent God was negatively associated with four psychiatric symptoms, controlling for demographic characteristics, religiousness, and strength of belief in God. Belief in a deistic God and one’s overall belief in God were not significantly related to any psychiatric symptoms.     

Psychological Distress Among a Tunisian Community Sample During the COVID-19 Pandemic: Correlations with Religious Coping

Journal of Religion and Health - Despite advances in medicine and technology, when facing epidemics people continue to turn to religion to deal with such unpredictable...     

Spiritual Transcendence and Mental Health of Psychotherapists and Religious Professionals in a Hungarian Adult Sample

In this study we examine whether components of spiritual transcendence can explain individual differences in mental health in a Hungarian adult sample (N = 583), with a special focus on the associations in two subsamples, religious professionals and psychotherapists. Using the Spiritual Transcendence Scale (STS), we found that religious professionals presented higher Prayer Fulfillment and Universality than psychotherapists; however, members of both professional groups scored higher than other professionals on these dimensions. By contrast, psychotherapists were superior to religious professionals in Connectedness. Moreover, higher Universality predicted better mental health, even after controlling for gender, age, profession, and basic personality traits. No interaction effects were found between profession and the subscales of the STS. Results suggest that the potential mental health benefits of spirituality, especially in form of a universal view of existence, are equally present in both specific professions and in the general sample, whereas the professions themselves still reflect differences both in spirituality and in well-being.     

Centrality of Religiosity of Relationships for Affectionate and Sexual Behaviors Among Emerging Adults

Emerging adults’ religiosity has been consistently linked with less participation in sexual behaviors as supported by cognitive dissonance theory. However, this association may be different when examining centrality of religiosity of relationships (CRR), meaning participating in and discussing religiosity and spirituality with a current or anticipated romantic partner. The goal of this study is to examine the influence of CRR for emerging adults’ affectionate and sexual behaviors. Additionally, we test if the association between CRR and affectionate and sexual behaviors varies by gender, given males’ more positive attitudes towards sexual behaviors compared to females. Data for this study comes from 284 emerging adults, ages 18 to 29 (mean age = 20.9 years; 70.1% female) from an area in the Midwestern United States. Results illustrated that CRR is negatively associated with affectionate behaviors, intimate touching behaviors, oral sex behaviors, and sexual (vaginal) intercourse. Additionally, gender significantly moderated these relationships. Male participants reporting low levels of CRR conveyed significantly higher participation with these sexual behaviors compared to males reporting high levels of CRR, whereas CRR did not appear to significantly alter female participants’ engagement with these sexual behaviors. These findings provide some evidence that CRR contributes to males’ romantic development and that CRR may increase intimacy in females’ romantic relationships, which could promote sexual activity. Other implications for religious and sexual development are discussed.     

Multidimensional Retirement Planning Behaviors,Retirement Confidence,and Post-Retirement Health and Well-Being Among Chinese Older Adults in Hong Kong

Applied Research in Quality of Life - Maintaining health and well-being in later life is becoming increasingly crucial because of rapid population aging and prolonged years in retirement....     

Current Treatment Practices for Children and Adults With Trichotillomania: Consensus Among Experts

Very little is known regarding the efficacy of pharmacological and psychosocial treatments for children and adults with trichotillomania (TTM). Given this dearth of information, the present investigation sought to examine the treatment practices of members of the nationally recognized Trichotillomania Learning Center–Scientific Advisory Board (TLC-SAB) and practitioners known by members of the TLC-SAB to possess extensive experience working with this population. The responses of 67 practitioners to an Internet-based survey were examined. Our results clearly indicate that cognitive-behavioral treatment (CBT) is the treatment of choice for both children and adults with TTM. In particular, several components of CBT (i.e., awareness training, self-monitoring, competing response training, habit reversal training, and stimulus control) are implemented most often. Selective serotonin reuptake inhibitors (SSRIs, e.g., citalopram, fluoxetine) and serotonin-norepinepherine reuptake inhibitors (SNRIs, e.g., venlafaxine, duloxetine) were prescribed most frequently; however, these results are preliminary given our small sample of prescribing practitioners (n = 11). Taken together, these findings are a critical starting point to advancing the understanding of efficacious interventions for the treatment of individuals with TTM. Clinical and research implications, future areas of research, and study limitations are discussed.     

Patient Responsiveness to a Sleep and Circadian Intervention in a Sample of Adults With Serious Mental Illness

Understanding patient responsiveness, a component of fidelity, is essential as it impacts treatment outcome and ongoing use of treatment elements. This study evaluated patient responsiveness—operationalized as receptivity to treatment modules and ratings of the usefulness and the utilization of treatment elements—to the Transdiagnostic Intervention for Sleep and Circadian Dysfunction (TranS-C) in a sample of adults with serious mental illness (SMI) and sleep/circadian dysfunction. Adults with SMI and sleep/circadian dysfunction (N = 104) received TranS-C in a community mental health setting. Independent raters rated TranS-C sessions to assess receptivity. At posttreatment and 6-month follow-up, participants completed a usefulness scale, utilization scale, the PROMIS Sleep Disturbance (PROMIS-SD) and Sleep-Related Impairment (PROMIS-SRI) scales, DSM-5 Cross-Cutting Measure (DSM-5-CC), and Sheehan Disability Scale (SDS). Receptivity was rated as somewhat to fully understood, and predicted a reduction on the DSM-5-CC. On average, participants rated TranS-C as moderately useful and utilized treatment elements occasionally. Ratings of usefulness were associated with the PROMIS-SD, PROMIS-SRI, and DSM-5-CC at posttreatment, but not with the SDS. Ratings of utilization were not associated with outcome. The findings add to the literature on patient responsiveness, an implementation outcome, and provide data on the utility of TranS-C within a community mental health setting.     

Religious Resources,Spiritual Struggles,and Mental Health in a Nationwide Sample of PCUSA Clergy

A growing body of research explores patterns and correlates of mental health among clergy and other religious professionals. Our study augments this work by distinguishing between religious resources (i.e., support from church members, positive religious coping practices), and spiritual struggles (i.e., troubled relations with God, negative interactions with members, chronic religious doubts). We also explore several conceptual models of the interplay between these positive and negative religious domains and stressful life events. After reviewing theory and research on religious resources, spiritual struggles, and mental health, we test relevant hypotheses using data on a nationwide sample of ordained clergy members in the Presbyterian Church (USA). At least some support is found for all main effects hypotheses. Religious resources predict well-being more strongly, while spiritual struggles are more closely linked with psychological distress. There is some evidence that stressful life events erode mental health by fostering an elevated sense of spiritual disarray and struggle. We find limited support for the stress-buffering role of religious resources, and limited evidence for a stress-exacerbating effect of spiritual struggle. Study limitations are identified, along with a number of implications and promising directions for future research.     

Religious Commitment,Attitudes Toward Suicide,and Suicidal Behaviors Among College Students of Different Ethnic and Religious Groups in Malaysia

The variation in suicide patterns across ethnic groups with different religious background is a puzzling social phenomenon. This study sought to examine the impact of religious commitment and attitudes toward suicide on suicidal behaviors of college students across major ethnic and religious groups in a multicultural society of Malaysia. A total of 139 college students completed Religious Commitment Inventory-10, Attitudes Toward Suicide Scale, and Suicidal Behavior Questionnaire-Revised. Findings showed significant discrepancies in attitudes toward suicide, but not suicidal behaviors across ethnic and religious groups. Suicide acceptance significantly affected suicidal behaviors as well. Although religious commitment is not associated with suicidal behaviors, its deviation is reflected in students’ acceptance of suicide. Additionally, college students’ suicide risk, lifetime, and recent suicide ideation, as well as their likelihood of future suicide attempt can be associated with their acceptance of suicide. The influence of attitudes toward suicide and religion, therefore, should be taken into consideration while implementing suicide prevention programs as it helps shape the norms about suicide among youths.     

Health,Finances, Religious Involvement,and Life Satisfaction of Older Adults

ABSTRACT

This study examines the patterns and relationships between twelve independent variables and the expressed subjective well-being of older adults within that classic community setting of the Lynds' “Middletown.” The twelve variables include measures of church attendance, religious activity, religious conservatism/liberalism, subjective health status, social participation, importance of leisure, participation in physical activity, age, sex, marital status, and level of education.     

Happiness, Mental Health, and Socio-Demographic Associations Among a National Cohort of Thai Adults

Research on happiness has been of interest in many parts of the world. Here we provide evidence from developing countries; this is the first analysis of happiness among a cohort of Thai distance learning adults residing throughout the country (n?=?60,569 in 2009). To measure happiness, we tested use of the short format Thai Mental Health Indicators (TMHI), correlating each domain with two direct measures of happiness and life satisfaction. Several TMHI domains correlated strongly with happiness. We found the mental state and the social support domains moderately or strongly correlated with happiness by either measure (correlation coefficients 0.24–0.56). The other two TMHI domains (mental capacity and mental quality) were not correlated with happiness. Analysis of socio-demographic attributes and happiness revealed little effect of age and sex but marital status (divorced or widowed), low household income, and no paid work all had strong adverse effects. Our findings provide Thai benchmarks for measuring happiness and associated socio-demographic attributes. We also provide evidence that the TMHI can measure happiness in the Thai population. Furthermore, the results among Thai cohort members can be monitored over time and could be useful for comparison with other Southeast Asian countries.     

Marital Status and Health Beliefs: Different Relations for Men and Women

Although relations between marital status and health have been substantiated, the results of relatively few studies suggest how or why marriage is associated with health. To understand how marriage and health are associated, this study was designed to examine the role of health beliefs. Two thousand two hundred and six (2,206) adults who participated in the New Jersey Family Health Survey provided information about their marital status, proactive health beliefs, and proactive health behaviors. Results indicated that being married (vs. single) was positively associated with men's proactive health beliefs, whereas marriage did not appear to influence women's proactive health beliefs positively. Significant relations between participants' reports of proactive health beliefs and proactive health behaviors were found. Findings are discussed in terms of the importance of understanding the complex nature of associations between social relationships and health.