Religiosity,spirituality, mental health,and mental health treatment outcomes in Australia: a systematic literature review

The relationship between religiosity and mental health is a relatively well-researched field within North America, covering numerous domains of religiosity, including: religion, spirituality, prayer, church attendance, church affiliation and belief in God or a higher power. Considering the Australian literature, there are few papers that explore these dimensions of religiosity and their relationship with health, and in particular, very little research into the field of religiosity and mental health. Using systematic literature review methods, this study explores the Australian research into relationships between religiosity, mental health, and treatment outcomes for psychiatric illness and suicidal behaviour.     

Religiosity and its association with positive and negative emotions among college students from Algeria

To explore the associations between religiosity and both positive and negative emotions and traits, a sample of 244 volunteer Muslim college students from Algeria was recruited. The students responded to five self-rating scales to assess religiosity, physical health, mental health, happiness, and satisfaction with life, in addition to the Arabic Scale of Optimism and Pessimism, and the Kuwait University Anxiety Scale. Religiosity and satisfaction with life were higher among women than men. Among men, religiosity was significantly correlated only with mental health. However, in women, religiosity was significantly and positively correlated with physical health, mental health, happiness, satisfaction with life, and optimism, whereas religiosity correlated negatively with both anxiety and pessimism. Factor analysis yielded a single bipolar factor labelled positive emotions and religiosity vs. neurotic tendency (anxiety and pessimism) in women. Two orthogonal factors were extracted in men: positive vs. negative traits of mental health, and religiosity. The present results are compatible with the wider literature on the association between religion and positive variables among a Muslim context.     

Religiosity and the mental health of adolescents in Great Britain

Most studies show that religion is a protective factor for mental health. A few argue that it is detrimental and the remainder conclude it makes no difference. We investigate the religiosity correlates of childhood psychopathology – strength of belief, importance of being able to practice one’s religion, and worship frequency. Questions on religiosity were included in the mental health survey of children in Great Britain administered to 2992 11–19-year-olds in 2007. The Development and Well-Being Assessment was used to generate rates of clinically recognisable mental disorders. Logistic regression analysis was used to establish the magnitude of the religiosity correlates of emotional and conduct disorders. Young people with a stated religion who had weakly held beliefs or who regarded religious practice as unimportant were those with the greater likelihood of having emotional disorders. Regular attendance at religious services or prayer meetings reduced the likelihood of having a conduct disorder.     

Religiosity and psychological distress among blacks

The influence of religion on mental well-being has been the subject of controversy for a long while. Yet little is known about this relationship among black Americans. Using a probability-based sample of 451 urban black Americans, this study examines gender differences in religiosity and explores the ramifications for mental health. Findings indicate that females are more religious than males as evidenced by their greater participation in organizational forms of religious practice such as meetings and other gatherings. However, for both males and females, religiosity varied significantly by age and by marital and parental status. On the other hand, there were no differences in religiosity according to levels of education, income, and employment status for either males or females. With regard to mental health, greater religiosity was associated with fewer depressive symptoms for both males and females. Further, in the event of stressful circumstances, the influence of religion on mental well-being for females was direct, while religious involvement appeared to have an indirect or stress- buffering effect for males.     

The Influence of Religion on Victims of Childhood Sexual Abuse

Survey responses of 5,417 women were studied to obtain information about childhood sexual abuse, religion, and mental health. There were 653 (13%) who reported being sexually abused while growing up. When studying those who were sexually abused, it was found that this childhood experience was associated with less emotional maturity, lower self-esteem, more instability in their relationships with partners, and higher levels of depression. The highest scores on the mental health indicators were found for women who were not abused and highly religious, then highly religious and abused, and the lower scores for no abuse and low religiosity, low religiosity and abuse, and medium religiosity and abuse. These findings were interpreted as demon- strating that religion could help ameliorate negative mental health outcomes associ- ated with childhood sexual abuse.     

The Use of Religion Among HIV-Infected African American Women

A study of the associations among physical and mental health and differential patterns of religiosity among African American women was conducted with a sample of 253 participants: 104 HIV-infected, 46 chronically ill (not HIV-infected), and 103 healthy subjects. Participants' uses of private (i.e., prayer) and public (i.e., church attendance) forms of religiosity were assessed using data from semi-structured interviews. The relationship between religiosity and mental health exhibited an incongruous pattern, differing across health condition and forms of religious behavior. The practice of public religiosity was found to be inversely associated with engagement in high-risk health behaviors among HIV-infected and healthy women but not among the chronically ill. Although private religiosity was unrelated to participants' perceptions of physical health, public religiosity was positively associated with physical health among HIV-infected women and inversely associated with their CD4 count. Finally, having a sense of control over one's health was positively related to religiosity. Results from this study support the important role religion plays for persons faced with chronic terminal diseases, as in the case of HIV/AIDS.     

Religiousness and Mental Health: Systematic Review Study

Many people use religious beliefs and practices to cope with stressful life events and derive peace of mind and purpose in life. The goal of this paper was to systematically review the recent psychological literature to assess the role of religion in mental health outcomes. A comprehensive literature search was conducted using medical and psychological databases on the relationship between religiosity and mental health. Seventy-four articles in the English and Arabic languages published between January 2000 and March 2012 were chosen. Despite the controversial relationship between religion and psychiatry, psychology, and medical care, there has been an increasing interest in the role which spirituality and religion play in mental health. The findings of past research showed that religion could play an important role in many situations, as religious convictions and rules influence the believer’s life and health care. Most of the past literature in this area reported that there is a significant connection between religious beliefs and practices and mental health.     

Is the Connection Between Religiosity and Psychological Functioning Due to Religion’s Social Value? A Failure to Replicate

Increasingly, religion and spirituality has been tied to well-being. However, the mediators are likely multifold, contextually dependent, and remain unclear. A recent report suggested that this is due to religion’s social value and presented results indicating that religiosity was more strongly related to psychological adjustment within countries with higher mean religiosity. Effect sizes were small, and given previous research suggesting other more proximal mediators, it was my hypothesis that these findings would not be replicated. Analysis of data from the European Social Survey revealed no significant interactions between country-level religiosity and individual religiosity in predicting psychological well-being. These conflicting findings point to the nuanced nature of the religion–health relationship and suggest that this correlation is unlikely to be due to social valuation. Studies using cursory measures are likely to explain only a small proportion of the variance, yield contradictory findings, and fail to significantly enhance theory in this domain.     

Are Religiosity and Spirituality Associated with Obesity Among African Americans in the Southeastern United States (the Jackson Heart Study)?

There are several lines of evidence that suggest religiosity and spirituality are protective factors for both physical and mental health, but the association with obesity is less clear. This study examined the associations between dimensions of religiosity and spirituality (religious attendance, daily spirituality, and private prayer), health behaviors and weight among African Americans in central Mississippi. Jackson Heart Study participants with complete data on religious attendance, private prayer, daily spirituality, caloric intake, physical activity, depression, and social support (n = 2,378) were included. Height, weight, and waist circumference were measured. We observed no significant association between religiosity, spirituality, and weight. The relationship between religiosity/spirituality and obesity was not moderated by demographic variables, psychosocial variables, or health behaviors. However, greater religiosity and spirituality were related to lower energy intake, less alcohol use, and less likelihood of lifetime smoking. Although religious participation and spirituality were not cross-sectionally related to weight among African Americans, religiosity and spirituality might promote certain health behaviors. The association between religion and spirituality and weight gain deserves further investigation in studies with a longitudinal study design.     

The “religiosity gap” in a clinical setting: experiences of mental health care consumers and professionals

ABSTRACT

In Western countries, professionals in mental health care (“professionals”) tend to be less religious than “consumers”. This qualitative study explores the meaning of this “religiosity gap” for professionals and consumers in mental health care. Both a regular, secular and a Christian clinic in the Netherlands participated in this study. Content analysis was applied to 35 consumer interviews and 18 interviews with professionals. Consumers reported negative experiences (e.g., perceived disrespect and a lack of confidence) and/or negative expectations (e.g., misunderstanding and misinterpretation) related to a religiosity gap. They also mentioned advantages of a “religiosity match”, like safety and confidence and appreciated professionals’ religious/spiritual self-disclosure. Professionals in secular care setting tended to avoid religion and spirituality. In both clinics, they tended to neutralise religious/spiritual differences and be reticent in self-disclosure. Professionals are recommended to recognise the relevance of a religiosity gap and to consider different strategies in approaching religion/spirituality.     

Religiosity,Prosocial Values,and Adjustment among Students in Catholic High Schools in Canada

The present study explored the facilitating function of religious commitment in the lives of adolescents. A total of 369 boys and 372 girls attending Catholic high schools in Canada completed measures of family religion, religiosity, prosocial values, social adjustment (school attitudes and family satisfaction), and personal adjustment (life satisfaction and self-esteem). There were no significant gender differences in family religion, religiosity, social adjustment or personal adjustment. However, girls endorsed prosocial values much more than did boys. Religiosity had strong positive correlations with prosocial values and lesser significant correlations with social adjustment. Religiosity had much higher correlations with prosocial values and social adjustment among boys than among girls. Structural-equation analyses of the total sample, of boys, and of girls supported a path model where family religion fosters adolescents's religiosity, religiosity fosters prosocial values, prosocial values promote social adjustment and social adjustment promotes personal adjustment.     

Measuring Intrinsic Religiosity: scales for use in mental health studies in China – a research report

While Hoge Intrinsic Religiosity Scale and the Duke University Religion Index have gained popularity in the field of religion and mental health, it remains unknown whether these scales are optimal measures of religiosity in the Chinese culture. This study is to provide some evidence to support the use of the Chinese versions of Hoge Intrinsic Religiosity Scale and the Duke University Religion Index. The data were from a community-based sample of 1039 Chinese women, 18–34 years old, in rural China. Reliability tests were performed on the two religiosity scales. Internal consistency analysis showed excellent correlation coefficients for most of the items. In addition, factor analysis produced two factors for the Hoge Intrinsic Religiosity Scale, a result consistent with previous findings in the Western, predominantly Christian cultures and societies. Moreover, our findings showed statistically significant correlations between the two religiosity scales and mental health outcomes, even though the strength of correlation between the Hoge Intrinsic Religiosity Scale and mental health outcomes appeared to be stronger. In sum, this study suggests that both the Hoge Intrinsic Religiosity Scale and the Duke University Religion Index should be appropriate instruments for detecting and measuring religiosity in the Chinese context.     

The Effects of Religiosity on Psychopathology in Emerging Adults: Intrinsic Versus Extrinsic Religiosity

Recent research has suggested that religion may play an important role in determining mental health. Although research has examined the effects of religiosity on specific types of psychopathology, less research has examined psychopathology broadly in the context of particular aspects of religion. Thus, the current study examined intrinsic and extrinsic religiosity and a range of psychopathology in 486 emerging adult college students. Results of a MANOVA indicated a main effect for intrinsic religiosity on a range of psychopathology and an interaction effect between intrinsic and extrinsic religiosity on antisocial personality problems. Implications and limitations of the current study are discussed.     

Advances in the conceptualization and measurement of religion and spirituality. Implications for physical and mental health research

Empirical studies have identified significant links between religion and spirituality and health. The reasons for these associations, however, are unclear. Typically, religion and spirituality have been measured by global indices (e.g., frequency of church attendance, self-rated religiousness and spirituality) that do not specify how or why religion and spirituality affect health. The authors highlight recent advances in the delineation of religion and spirituality concepts and measures theoretically and functionally connected to health. They also point to areas for areas for growth in religion and spirituality conceptualization and measurement. Through measures of religion and spirituality more conceptually related to physical and mental health (e.g., closeness to God, religious orientation and motivation, religious support, religious struggle), psychologists are discovering more about the distinctive contributions of religiousness and spirituality to health and well-being.     

Psychotherapy,sin, and mental health

The authors contend that there are important consistencies between the Judeo-Christian tradition and psychotherapy. Empirical findings suggesting a weak correlation between religiosity and mental health are discussed in terms of there being both healthy and unhealthy aspects of religion. The crucial balance may involve the shame engendered via the awareness of sin vs. the assurance of ultimate acceptance or grace. Also discussed are issues that arise when psychiatry and religion seemingly conflict.     

The Moderating Influence of Religion on the Behavioral Health of Formerly Incarcerated Men

Formerly incarcerated persons have been found to sustain disproportionate rates of infectious and chronic diseases that place them at elevated levels of morbidity and mortality. However, prior research has found that religiosity moderates risks for poor health outcomes. We assess the moderating influence of religiosity on non-compliance with health maintenance and risk behaviors found to be robust predictors of poor health. Findings indicated that religiosity was not significantly associated with health maintenance behaviors. However, religiosity did demonstrate a significant negative relationship with reductions in health risk behaviors including marginal reductions in prior substance dependency and significant reductions in opinions on extramarital and unprotected sex practices contrary to prior research findings of the prevalence of high sexual risk behaviors. Findings validate prior research that found this population at sustained risk for illness. However, the study demonstrated a clear inverse relationship between religion and health risk behaviors found to be prevalent among formerly incarcerated men. Results from this exploratory investigation suggest that the moderating influence of religion on high risk behaviors of formerly incarcerated men should be examined over a much longer study period with controls to tease out the unfettered influence of religion.     

The Impact of Religiosity on Suicidal Ideation Among Youth in Central Mexico

Although over 100 years of research has been dedicated to understanding the connection between religiosity and suicide, many questions still remain. This is especially true among adolescent populations in countries outside the US. In 2008, over 700 students attending eight alternative high school centers in central Mexico completed a health survey designed to provide a comprehensive overview of their physical, mental, spiritual, and emotional health. This article reports on the findings of a secondary analysis study of those data and focuses on the protective influence of religiosity on suicidal ideation. The findings of this study are discussed in light of the network theory’s assertion that there is a belonging aspect to religion, and also to the idea that in religiously homogeneous communities of Mexico, religion can have a protective effect on the suicidal ideation of its members.     

Religion and health relationships: A review

This review examines various studies showing the relation between religiosity (religious beliefs and/or practices) and health. It also includes church attendance and its relation to drug use. The role of the church in health promotion is discussed, with examples of church intervention model programs. Several attempts have been made to measure religiosity and religious commitment, but as yet little has been done to identify specific dimensions of religion as they relate to health behaviors. Even though the literature indicates that religion is generally associated with health behaviors, health status, and longevity, further research on the specifics of this relationship is needed.He has been doing research on the relation between religion and health for the past five years.     

Exploring two approaches to an existential function of religiosity in mental health

Recent research demonstrates beneficial associations between religiosity and measures of mental health. In this study, we examined whether religiosity benefits mental health (a) by limiting the negative impact of existential concerns, and (b) by enhancing purpose in life. Three hundred fifty-three undergraduates completed the following measures: Scale for Existential Thinking, Purpose in Life Test, Religiousness Measure, Center for Epidemiologic Studies Depression Scale – Revised, Generalized Anxiety Disorder-7, and the Drug, Alcohol, and Nicotine Scale. We hypothesised that religiosity scores moderate the relationship between existential thinking and mental health, and purpose in life scores mediate the relationship between religiosity and mental health. Religiosity did not moderate the relationships between existential thinking and these outcomes, however, purpose in life scores mediated the relationships of religiosity with depression and anxiety, but not with substance use. Our findings confirm the significance of existential concerns and purpose in life in the religiosity-mental health connection.     

Religion as Cultural Models: Developing an Emic Measure of Religiosity

Despite a century's worth of work, lacunae remain in our understanding of the religion‐health relationship. Scholars in this field have called for increasingly sophisticated conceptualizations of religiosity that refine its connection to well‐being, accounting for both positive and negative associations, while being sensitive to the cultural variations in the experience of religion. This article argues that cognitive anthropological methods provide a novel approach to these issues by conceptualizing aspects of religion as culturally shared “styles of life.” Specifically, the combined approaches of cultural consensus and cultural consonance provide an emically valid measure of religiosity that is then linked to health through the psychosocial stress paradigm. Utilizing research among Brazilian Pentecostals within the state of São Paulo, this intrareligious study evaluates the predictive power of religious cultural consonance relative to widely used and established religiosity scales. Religious consonance is found to have a stronger correlation with psychological well‐being than comparable measures, suggesting that existing standardized measures miss important dimensions of the religion‐health relationship. As such, this article outlines an important area of collaboration between anthropologists and other religion‐health researchers.