When Meaning Matters: Coping Mediates the Relationship of Religiosity and Illness Appraisal with Well-Being in Older Cancer Patients

When individuals face serious, traumatic illnesses such as cancer, religion can contribute to their coping processes and psychosocial adjustment. In the current study, we examined the relationship between religiosity conceptualized as the religious meaning system, illness appraisal, and psychological well-being with religious and nonreligious coping as potential mediators of this relationship among older cancer patients. In a cross-sectional design, 215 older Polish patients (60–83 years of age; 80% Catholic, 9% Protestant) with gastrointestinal cancer completed measures of religiosity, illness appraisal, religious coping, nonreligious coping, and psychological well-being. Using structural equation modeling analysis, we found support for our model depicting a mediated relationship between religiosity, illness appraisal, and psychological well-being. Three forms of coping—negative religious, problem focused, and meaning focused—were key mechanisms in the relationship between the religious meaning system, positive and negative illness appraisal, and psychological well-being. These findings suggest that both religious factors (religiosity and religious coping) and nonreligious factors (illness appraisal and nonreligious coping) can operate together in influencing older cancer patients’ well-being.     

Disentangling the belief in God and cognitive rigidity/flexibility components of religiosity to predict racial and value-violating prejudice: A Post-Critical Belief Scale analysis

Past research indicates that being religious is associated with prejudice toward racial and value-violating out-groups. However, this past research treated religiosity as a unidimensional construct without taking into account how different components of religiosity—belief in a higher power and the rigidity/flexibility of religious beliefs—are associated with measures of prejudice. Two studies examined the relationship between these two components of religiosity, as measured by the Post-Critical Beliefs Scale, and racial (African Americans, Arabs) and value-violating prejudices (atheists, gay men). As the flexibility of religious beliefs increased (literal vs. symbolic dimension), attitudes toward racial and value-violating out-groups became more positive (Study 1). As belief in God strengthened (exclusion vs. inclusion of transcendence dimension), attitudes toward value-violating out-groups became more negative. Study 2 demonstrated that these two components of religiosity fully mediated the relationship between general religiosity and prejudice toward African Americans, Arabs, and gay men and partially mediated the relationship between religiosity and prejudice toward atheists. Results are discussed in light of reexamining the conclusion that simply being religious is associated with prejudice.     

Relationship Between Religiosity and Conduct Problems Among African American and Caucasian Adolescents

This study investigated the relationship between religiosity and conduct problems in a racially diverse sample of high school aged adolescents (ages 13–19) who attended public schools in a large metropolitan area. The results of the study found racial and gender differences in religiosity: African American adolescents were more likely to attend church, describe themselves as very religious and use Collaborative and Deferring religious coping styles; they were less likely to use Self-Directing religious coping styles when compared to Caucasian adolescents. Females were more likely to be involved in church activities, use a Collaborative religious coping style and tended to be less likely to use a Self-Directing religious coping style when compared to males. The results of multiple regression analyses, after controlling for race, gender, and self-reported religiousness found that Self-Directing and Deferring religious coping styles were risk factors for conduct problems; there was no relationship between Collaborative religious coping and conduct problems. The findings from the study provide additional support for the importance of considering religiosity, race and gender when examining mental health outcomes in adolescents and have implications for the development of mental health interventions for adolescents.     

Anxiety and Depression in Cancer Patients: The Association with Religiosity and Religious Coping

There is a lack of studies looking into religiosity and religious coping in cancer patient. In this cross-sectional study, we examined the religiosity using Duke University Religion Index, religious coping using Brief Religious Coping Scale, anxiety and depression based on Hospital Anxiety and Depression Scale among 200 cancer patients. The association between religiosity and religious coping with anxiety and depression was studied. The findings showed that subjects with anxiety or depression used more negative religious coping and had lower non-organization religiosity. Hence, measurements in reducing negative religious coping and encouraging religious activities could help to reduce psychological distress in cancer patients.     

Predicting attitudes towards seeking medical care among Nigerian immigrants in the UK

ABSTRACT

This study investigates the relationships between acculturation, religion, and coping styles; as well as their predictive potentials in relation to socio-demographic factors, on access to medical help among Nigerians in the UK. This is a cross-sectional study using questionnaires for data collection (N?=?297). Results revealed negative correlations between assimilative behaviours and religious behaviours and between religious behaviours, denial and religious coping. High levels of religiosity and coping through behavioural disengagement and self-blame predicted poor attitudes to medical help; but those who used instrumental support, emotional support, and active coping showed more positive attitudes to medical help-seeking. No gender differences in medical help-seeking were found, but older people sought medical help more than those who were younger; while affiliation to the Christian religion predicted positive attitudes towards medical help seeking. These findings have implications for policy development towards tailored interventions that can enhance healthcare utilisation among immigrants.     

The relationships between perfectionism,religious motivation,and mental health utilisation among latter-day saint students

The present study examined the influence of perfectionism and religious motivation on help-seeking and attitudes towards mental health services (ATMHS) in a Latter-Day Saint sample of 119 undergraduates. Increased levels of perfectionism significantly predicted more negative ATMHS. Higher intrinsic religious motivation was significantly and positively related to help-seeking from religious sources, but not from mental health professionals. Intrinsic religious motivation was also related to perfectionism, but only for adaptive subscales. The implications for focusing utilisation interventions towards religious populations are discussed.     

Disgust,scrupulosity and conservative attitudes about sex: Evidence for a mediational model of homophobia

In the present study, core disgust predicted negative attitudes toward homosexuals even after controlling for contamination fear. The effect of core disgust on negative attitudes toward homosexuals was indirect, partially mediated by conservative sexual attitudes and religiosity. The effects of religious principles on negative attitudes toward homosexuals were indirect, via conservative sexual beliefs. These results establish a link between disgust and negative attitudes towards homosexuals that is not fully accounted for by contamination concerns, but rather is partially accounted for by conservative sexual ideology and religiosity.     

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.     

Understanding the Relationship between Religiosity and Caregiver–Adolescent Communication About Sex within African-American Families

Caregiver–adolescent communication about sex plays a critical role in the sexual socialization of youth. Many caregivers, however, do not engage their youth in such conversations, potentially placing them at risk for negative sexual health outcomes. Lack of caregiver–adolescent communication about sex may be particularly harmful for rural African American youth, as they often report early sex initiation and are disproportionately impacted by STIs. Moreover, sexual communication may be particularly challenging for families with strong religious backgrounds, potentially affecting the occurrence and breadth of topics covered during communication. Study aims were to: determine whether there was a relationship between caregiver religiosity and type of topics covered during communication about sex (e.g., general sexual health vs. positive aspects of sexuality) among 435 caregivers of early adolescent, African American youth; and if so, identify factors that might explain how religiosity affects communication about sex. Results indicated that caregiver religiosity was positively associated with communication about general, but not positive aspects of sexuality for caregivers of males. Attitudes towards communication about sex and open communication style mediated the relationship. There was no association between religiosity and communication about sex for caregivers of females. The findings from this study could provide a base to better understand and support the sexual socialization process within religious, African American families.     

Homonegativity and its Relationship to Religiosity,Nationalism and Attachment Style

This study investigated the relationships between negative attitudes towards homosexuals and two traditional ideologies: religiosity and nationalism, and explored the link with attachment style. An Internet survey yielded 290 participants, of highly diverse ages, nationalities, and religious backgrounds. The participants provided demographic details, and completed measures of adult attachment, nationalism, religiosity, and both explicit and implicit measures of homonegativity. The results indicated that both nationalism and religiosity were highly significant predictors of homonegativity. In the religious group, homonegativity and religiosity were positively related. This finding was greater for less securely attached individuals. Avoidance moderated the relationship in religious females, while anxiety moderated the relationship in religious males. No significant attachment moderation was found between the nationalism–homonegativity relationships.     

The relationships between religiosity,stress, and mental health for Muslim immigrant youth

Acculturation, or the process of change that takes place as a result of intercultural contact, can cause a range of stressors. The task of managing this acculturative stress is particularly difficult for Muslim immigrants in Western contexts due to the global rise of Islamophobia. Research investigating the experiences of young migrant Muslims has found inconsistent results regarding the moderating influences of religious identity and religious practices on the relationship between stress and mental health. The current study examined whether levels of religiosity interacted with distinct forms of acculturative stress in the prediction of depression and well-being for Muslim youth in New Zealand. Results painted a complex picture of the relationships between religiosity and mental health, finding that greater religiosity is generally positive for youth outcomes, but it also carries the risk lowering levels of mental health through its interactions with acculturative stress.     

Religious Coping,Coping Resources,and Depressive Symptoms: Test of a Mediation Model

This study examined the relationships between religious coping, coping resources, and depressive symptoms. The authors tested whether coping resources explained the link between religious coping and depressive symptoms in a sample of 349 college students. Results indicated that coping resources partially mediated the relationship between negative religious coping and depressive symptoms, primarily through decreased social ease. The results offered no evidence that coping resources mediated the relationship between positive religious coping and depressive symptoms.     

Religious coping,stigma, and psychological functioning among HIV-positive African American women

The present study examined the role of religious coping in psychological distress and adjustment both cross-sectionally and longitudinally among 141 HIV-positive African American women. Cross-sectional analyses showed that negative religious coping was associated with poorer mental health and functioning, and greater perceptions of stigma and discrimination. Longitudinal analyses revealed that greater negative religious coping at baseline significantly predicted greater changes in mental health in a negative direction 12 months later. Positive religious coping was not associated with any measures of psychological well-being, nor did it predict any mental health outcomes at 12 months. However, participants who experienced high levels of HIV-related stigma and reported high levels of positive religious coping were less depressed than those who reported lower levels of positive religious coping. These results suggest that for this population, negative religious coping was a more salient determinant of psychological distress than positive religious coping was of psychological health.     

Religiosity and Attitudes Toward Lesbians and Gay Men: A Meta-Analysis

Meta-analysis was used to examine the relationships between seven forms of religiosity (fundamentalism; frequency of attendance at religious services; endorsement of Christian orthodoxy; self-ratings of religiosity; and intrinsic, extrinsic, and quest orientations) and attitudes toward lesbians and gay men. All forms of religiosity except quest and extrinsic orientation had at least small negative relationships with these attitudes. Higher quest orientation was related to positive attitudes toward lesbians and gay men and extrinsic orientation had no relationship to these attitudes. In contrast, most forms of religiosity had small relationships with positive racial/ethnic attitudes; the exceptions were fundamentalism and extrinsic orientation, which had small negative relationships with racial/ethnic attitudes. A number of moderator variables of the relationship between religiosity and attitudes toward lesbians and gay men were identified.     

The Association Between Strength of Religious Faith and Coping with Daily Stress

Recent research has examined the positive relationship between religious faith and both physical and mental health. The current study investigated the association between strength of religious faith and the ability to cope with daily stress over a 7-day period. The participants consisted of 68 students and 64 faculty or staff from a Catholic, liberal arts university. Measures included the Santa Clara Strength of Religious Faith Questionnaire, the Marlowe-Crowne Social Desirability Scale, the Symptom Check List-90-Revised, the Weinberger Low Self Esteem Scale, and a 10-point daily stress, coping, and strength of faith scale. Results suggest that religious faith was not associated with coping with daily stress.     

Is Religious Coping Associated with Cumulative Health Risk? An Examination of Religious Coping Styles and Health Behavior Patterns in Alzheimer’s Dementia Caregivers

The current study explored the relationship between religious coping and cumulative health risk associated with health behavior patterns in a sample of 256 Latina and Caucasian female caregivers of elderly relatives with dementia. Primary analyses examined the relationship between religious coping (both positive and negative) and an overall index of cumulative health risk. Secondary analyses were conducted on the individual health behaviors subsumed in the broader index. Findings revealed that negative religious coping was significantly associated with increased cumulative health risk. Positive religious coping was predictive of decreased cumulative health risk among Latina caregivers but not among Caucasians. Negative religious coping was significantly associated with both an increased likelihood for weight gain and increased dietary restriction. Positive religious coping was associated with decreased likelihood for weight gain in Latinas. Implications for both caregivers and clinicians are discussed.     

Religiosity and Religious Coping in Patients with Cardiovascular Disease: Change over Time and Associations with Illness Adjustment

Little is known about the longitudinal relationship between religiosity/spirituality (R/S) and patient physical and mental health in patients with cardiovascular disease. Forty-three patients with a first-time myocardial infarction or coronary artery revascularization bypass surgery completed measures of religiosity, religious coping, quality of life (QOL), and weight prior to a cardiac rehabilitation program and 1 and 2 years later. R/S changed over time; the direction of the change varied by type of R/S. Increases in religiosity were associated with increases in weight and QOL; increases in religious coping were associated with decreases in weight and increases in QOL.     

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.     

Religiosity and adolescents' premarital sexual attitudes and behaviour: an empirical study of conceptual issues

A review of the literature concerning the relationship between religiosity and premarital sexual attitudes and behavior revealed inconsistencies in research findings and problems with methodology and operationalization of variables. A postal questionnaire to 527 16-18 year olds examined the associations between 6 models of religiosity (religious upbringing, denominational affiliation, ritual/behavioral, self-attitude/self-schema, and salience of religious identity) and personal sexual standards, attitudes towards sexually active others, virginal status, anticipation of sexual intercourse, and frequency of both coitus and noncoital sexual experiences over the previous year. A negative relationship between religiosity and a number of sexual attitudes and behaviors was observed, though nonsignificant relationships in the case of sexual experiences without intercourse suggested the maintenance of a technical virginity to accord with religious precepts. There was also some evidence that Catholic adolescents were more likely to be sexually active than non-Catholics when current religiosity was controlled for. The results lent strongest support to models which implicated self-conception either in terms of self-attitudes/self-schemas or the salience of religious identity. Implications of the study and suggestions for future research are outlined.     

Religious Coping and Psychological and Behavioral Adjustment After Hurricane Katrina

Positive and negative religious coping are related to positive and negative psychological adjustment, respectively. The current study examined the relation between religious coping and PTSD, major depression, quality of life, and substance use among residents residing in Mississippi at the time of Hurricane Katrina. Results indicated that negative religious coping was positively associated with major depression and poorer quality of life and positive religious coping was negatively associated with PTSD, depression, poorer quality of life, and increased alcohol use. These results suggest that mental health providers should be mindful of the role of religious coping after traumatic events such as natural disasters.