Spiritual Struggles and Health: Assessing the Influence of Socioeconomic Status

Growing evidence suggests that spiritual struggles may play a major role in explaining the relationship between religion and health. Even so, there are significant gaps in the literature. More specifically, researchers do not know enough about how spiritual struggles arise in the first place. This study has two major goals. The first is to see whether socioeconomic status is associated with spiritual struggles. The second is to see whether spiritual struggles are associated with physical health. A conceptual model is tested that contains the following core hypotheses: (1) individuals with lower levels of educational attainment are more likely to encounter chronic economic difficulties; (2) people who experience ongoing financial strain are more likely to live in rundown neighborhoods; (3) people who live in dilapidated neighborhoods will be more angry than their well‐to‐do counterparts; (4) people who are more angry will, in turn, be more likely to experience spiritual struggles; and (5) greater spiritual struggles will be associated with more symptoms of physical illness. Data from a recent nationwide survey (N = 2,146) provide empirical support for each hypothesis.     

Age Differences in Risk: Perceptions,Intentions and Domains

Although it is commonly assumed that older people are more cautious and risk averse than their younger counterparts, the research on age differences in risk taking is mixed. While some research has found that older adults are less risk seeking, other research has found the opposite or no differences. One explanation is that age differences vary across risk domains. In two studies, we surveyed three adult age groups ranging in age from 18 to 83 on their risk perceptions and intentions of risky behaviors across several domains. Our studies showed that compared with young adults, older adults tend to see more risk in behaviors in health and ethical domains but less risk in behaviors from the social domain. A similar pattern occurred for participants' intentions of engaging in the risky behaviors. Older adults rated risky behaviors from health and ethical domains as less enjoyable and less likely to produce gains than young adults, whereas they rated risky behaviors from the social domain as more enjoyable, less unpleasant, and less likely to produce losses than young adults. These results suggest that age differences in risk preferences may vary across domains and may result from differing motivations. Copyright © 2015 John Wiley & Sons, Ltd.     

Social Factors in the Church and Positive Religious Coping Responses: Assessing Differences Among Older Whites, Older Blacks, and Older Mexican Americans

Findings from a growing number of studies point to the social basis of a wide range of religious beliefs and behaviors. This study has two main goals. The first is to see whether four social aspects of congregational life (church attendance, attendance at Bible study groups, attendance at prayer groups, and informal spiritual support) are associated with greater use of positive religious coping responses. The second goal is to determine if the relationships between these social aspects of the church and religious coping vary across older whites, older blacks, and older Mexican Americans. The data suggest that more frequent church attendance is associated with greater use of religious coping responses in all three groups. However, the findings further reveal that the relationship between informal spiritual support and religious coping is especially stronger among older whites. The theoretical implications of these findings are discussed.     

Church-Based Social Support and a Sense of Belonging in a Congregation Among Older Mexican–Americans

Research suggests that people with a strong sense of belonging in a congregation tend to rate their health in a more favorable way. However, relatively little is known about how a sense of belonging arises in a congregation. The purpose of the current study is to see if five different dimensions of church-based social support are associated with a sense of belonging in a congregation. In the process, an effort is made to contribute to the literature in two potentially important ways. First, the relationship between church-based support and belonging is evaluated with data from a nationwide survey of older Mexican–Americans. Second, tests are conducted to see if there are gender differences in the relationship between church-based support and belonging. The findings suggest that for the sample as a whole, receiving more of each type of church-based social support is associated with a stronger sense of belonging. Moreover, the results reveal that the relationship between all five types of church-based support and belonging is stronger for older Mexican–American men than for older Mexican–American women.     

Assessing the Relationships among Religion,Humility, Forgiveness,and Self-Rated Health

The purpose of this study is estimate a model that contains five hypotheses: (1) people who attend worship services more often will receive more spiritual support; (2) individuals who receive more spiritual support will be more humble; (3) people who are more humble will be more likely to forgive; (4) people who are more forgiving will find a greater sense of meaning in life; and (5) a greater sense of meaning in life will be associated with better self-rated health. Data from a nationwide survey of adults age 18 and older (N = 1,744) provide support for each hypothesis.     

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.     

Spiritual struggles and compassion: the positive side of moral concerns

A large body of research has focused on the negative consequences associated with spiritual struggles, with little consideration to the potential positive aspects of these experiences. To fill this void in literature, we investigated the relationship between spiritual struggles and state compassion using film methodology. The results of this study show that the moral concerns component of spiritual struggles is the only one that predicted feelings of compassion, and this relation was not explained by other individual differences factors. The results demonstrated that one facet of spiritual struggles can predict positive outcomes, such as compassion.     

The Social Milieu of the Church and Religious Coping Responses: A Longitudinal Investigation of Older Whites and Older Blacks

The purpose of this study is to see if the social environment of the church influences the use of religious coping responses over time. The following theoretical relationships were embedded in the conceptual model that was developed to evaluate this issue: (a) People who go to church more often are more likely to feel their congregation is highly cohesive (e.g., share the same values and beliefs); (b) individuals who worship in highly cohesive congregations are more likely to receive spiritual support (i.e., encouragement to adopt religious teachings and principles) from their fellow church members; and (c) people who receive more spiritual support will be more likely to adopt religious coping responses. In the process of evaluating this model, tests were performed to examine the influence of racial culture. Data from a nationwide longitudinal survey of older adults provide support for each link in the conceptual model. Pervasive racial cultural differences were also found: Older Blacks were more likely to be deeply involved in each facet of religion than older Whites.     

Adverse childhood experiences,religious/spiritual struggles,and mental health symptoms: examination of mediation models

Emerging research has documented greater risk for posttraumatic stress disorder (PTSD) and depression among young adults with prior adverse childhood experiences (ACEs). Building upon prior findings, we hypothesised that religious/spiritual (R/S) struggles may serve as an intervening pathway through which accumulation of ACEs impacts mental health symptom severity in this population. Young adults (N?=?458) were recruited from a southeastern university to complete an online self-report survey that assessed for ACEs, lifetime trauma exposure, R/S struggles, PTSD and depressive symptomatology. Bivariate correlations yielded significant positive relationships between ACEs and all six types of R/S struggles, depression, and PTSD. Additionally, when accounting for non-childhood trauma exposure, the mediational analyses indicated an indirect effect of struggles with ultimate meaning on the well-establish association between ACEs and mental health symptoms. Clinical implications (such as the importance of fostering meaning making), study limitations, and future research directions are discussed.     

Spiritual Struggles and Mental Health: Exploring the Moderating Effects of Religious Identity

Although many studies have explored the salutary associations between multiple dimensions of religiousness and psychological well-being, a smaller body of work has focused on the links between spiritual struggles and negative mental health outcomes. Two types of spiritual struggles have received considerable attention in this literature: divine struggles, or troubled relationships with God, and struggles with belief, or religious doubts. Using data from a nationwide online survey of U.S. adults conducted in 2006, our study investigated links between these types of spiritual struggles and four aspects of psychopathology: depressed affect, anxiety, phobic anxiety, and somatization. In particular, we tested the hypothesis that these links vary according to religious identity, such that individuals who identify themselves as highly religious—and therefore are likely to be most invested in their roles as religious persons—experience the strongest negative effects of spiritual struggles, in comparison with persons who identify themselves as moderately religious, or not religious at all. Findings supported this overall hypothesis. The article concludes by noting several study limitations and identifying promising directions for further research.     

Social Relationships in the Church During Late Life: Assessing Differences Between African Americans,Whites, and Mexican Americans

The purpose of this study is to see if there are differences in the social relationships that older African Americans, older whites, and older Mexican Americans form with the people where they worship. Data from two large surveys are pooled to see if race differences emerge in eleven different measures of church-based social relationships. These measures assess social relationships with rank-and-file church members as well as social relationships with members of the clergy. The findings reveal that older African Americans tend to have more well-developed social relationships in the church than either older whites or older Mexican Americans. This is true with respect to relationships with fellow church members as well as relationships with the clergy. In contrast, relatively few differences emerged between older Americans of European descent and older Mexican Americans. However, when differences emerged in the data, older whites tend to score higher on the support measures than older Mexican Americans.     

Exploring religious and/or spiritual identities: part 1 – assessing relationships with health

ABSTRACT

There is considerable debate about the distinction between being religious and being spiritual. It is time to move beyond this issue to an examination of the health-related implications of being religious and/or spiritual. Three health outcomes are used in this study: self-rated health, depressive symptoms, and alcohol use. The data are from a large nationwide random probability survey of adults of all ages who reside in the United States (N?=?2,876–2,883). Four self-identified categories of religiousness/spirituality are examined: religious and spiritual, spiritual only, not religious/not spiritual, and religious only. Tests are performed to see if membership in each category offsets the noxious effects of lifetime trauma on the health-related outcomes. A clear pattern emerges from the data. Lifetime trauma is associated with less favourable health ratings, more symptoms of depression, and greater alcohol consumption. However, these relationships are substantially stronger among people who say they are religious only.     

Examining Satisfaction of Older Home Owners with Intergenerational Homesharing

We surveyed 252 homeowners in three midwestern cities about their satisfaction with intergenerational homesharing, using a 21-question survey with 5 satisfaction-with-life dimensions. The purpose of this study was to see if homeowners would report changes in these satisfaction dimensions as a result of taking part in homesharing. An additional purpose was to see if there were age differences, gender differences, and length-of-match differences in satisfaction. Across the five satisfaction dimensions of the survey, 94% of the responses indicated that older participants' lives had either stayed the same or improved due to involvement in intergenerational homesharing. Results suggest that younger homeowners (ages 50 to 69) reaped more financial benefits from homesharing, probably because the purpose of their homesharing match was for the collection of rent. Older homeowners (age 70 and older), who are more likely to be looking for companionship and assistance, reported significantly greater satisfaction than younger homeowners in the dimensions of health, well-being and social activities. Males reported being significantly better off than females in the areas of well-being and health. No differences based on length of homesharing match were found. These data are generally consistent with previous survey work conducted on intergenerational homesharing, suggesting that homesharing is a viable housing option for older homeowners. Given that verbal reports may not be consistent with behavior, the collection of direct observation outcome data on homesharing is recommended for future research on homesharing.     

God-Mediated Control and Change in Self-Rated Health

The purpose of this study was to see if feelings of God-mediated control are associated with change in self-rated health over time. In the process, an effort was made to see if a sense of meaning in life and optimism mediated the relationship between God-mediated control and change in health. The following hypothesized relationships were contained in the conceptual model that was developed to evaluate these issues: (1) people who go to church more often tend to have stronger God-mediated control beliefs than individuals who do not attend worship services as often; (2) people with a strong sense of God-mediated control are more likely to find a sense of meaning in life and be more optimistic than individuals who do not have a strong sense of God-mediated control; (3) people who are optimistic and who have a strong sense of meaning in life will rate their health more favorably over time than individuals who are not optimistic, as well as individuals who have not found a sense of meaning in life. Data from a longitudinal nationwide survey of older adults provided support for each of these hypotheses.     

Adult Age Differences in the Access and Deletion Functions of Inhibition

ABSTRACT

This study examined age differences in working memory using a delayed-matching-to-sample (DMTS) task. Based on the inhibitory decline hypothesis, which posits that older adults are more susceptible to interference, age differences were expected to be greater for older adults when irrelevant information was present during encoding. Two experiments tested both the access and deletion functions of inhibition. In both experiments, performance was equated for older and younger participants on a no-interference version of the DMTS task to control for age differences in encoding information into working memory. Results consistently showed equivalent effects of distraction for older and younger adults regardless of the difficulty of the perceptual discrimination of targets and distractors, the degree of processing of the distractors, or the semantic relationship between targets and distractors. These results support theories that propose age differences in encoding to explain age differences in working memory, and are inconsistent with theories that propose that older adults are more susceptible to interference than younger adults.     

Performance of healthy, older adults on the Tower of London Revised: Associations with verbal and nonverbal abilities

Neuropsychological studies suggest a subclinical impairment in executive function that occurs with normal aging. This is the first study to examine the performance of healthy older adults on the Tower of London-Revised (TOL-R), as well as the relationship between TOL-R performance and verbal and nonverbal abilities. Performance of 63 older adult participants on the TOL-R and two WAIS-III subtests was compared to that of 35 young adult college students. Group comparisons indicated age differences in TOL-R performance; however, these were eliminated after adjusting for individual differences in Matrix Reasoning performance. In the older adult groups, multiple regression analyses demonstrated that Matrix Reasoning performance was a stronger predictor of TOL-R performance than was chronological age or years of education. These results suggest that performance on the TOL-R is a psychometrically sound executive function measure for older adults and that individual differences in fluid intelligence are more predictive of performance than chronological age.     

Attributions for Memory Performance in Adulthood: Age Differences and Mediation Effects

We examined age differences in attributions to internal (controllable and uncontrollable), external (uncontrollable), and unstable factors for performance on a free recall memory task in 149 young, middle-aged, and older adults. Attributions varied by age and by level of memory performance. Middle-aged and older adults rated internal, uncontrollable factors (ability and genes) as more influential for high performance than for low performance, and they were less likely than young adults to attribute low performance to these factors. Within age groups, only the older adults rated memory ability as more influential than strategy use, even though they were as likely as the other age groups to use a categorization strategy. Attributions to both internal controllable (strategy use) and uncontrollable (ability) factors as well as to health were associated with better memory performance. These attributions partially mediated the relationship between age and memory performance. Thus, attributions may provide some insight into sources of age differences in memory performance.     

Praying for Others, Financial Strain, and Physical Health Status in Late Life

The purpose of this study is to see if praying for other people buffers the effects of financial strain on the physical health status of the person who offers the prayer. In the process, race differences in the frequency of praying for others are evaluated. Three main findings emerge from the nationwide survey of older people that was conducted for this study. First, the data suggest that the deleterious effects of chronic financial problems on physical health are reduced significantly for older people who pray for others often. In contrast, the findings further reveal that praying for material things fails to offset the pernicious effects of economic difficulty on health. Finally, the results indicate that older African Americans are more likely to pray for others than older whites.     

Aging, exercise, and attention.

The authors investigated the relationship among aging, attentional processes, and exercise in 2 experiments. First they examined age differences on 2 attentional tasks, a time-sharing task and an attentional flexibility task. Young adults alternated attention between 2 sequenced tasks more rapidly and time-shared the processing of 2 tasks more efficiently than older adults. They then investigated the effects of aerobic exercise on the same 2 attentional tasks in older adults. Following the 10-week exercise program, older exercisers showed substantially more improvement in alternation speed and time-sharing efficiency than older controls. Interestingly, this exercise effect was specific to dual-task processing. Both groups of subjects showed equivalent effects on single-task performance. These results indicate that aerobic exercise can exert a beneficial influence on the efficiency of at least 2 different attentional processes in older adults.