Abstract
Claims about religion’s beneficial effects on physical and psychological health have received substantial attention in popular media, but empirical support for these claims is mixed. Many of these claims are tenuous because they fail to address basic methodological issues relating to construct validity, sampling methods or analytical problems. A more conceptual problem has to do with the near universal lack of atheist control samples. While many studies include samples of individuals classified as “low spirituality” or religious “nones”, these groups are heterogeneous and contain only a fraction of members who would be considered truly secular. We illustrate the importance of including an atheist control group whenever possible in the religiosity/spirituality and health research and discuss areas for further investigation.
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Asher, H. B. (1983). Causal modeling. Newbury Park: Sage.
Associated Press. (2007). Military probes atheist GI’s harassment claims: Soldier alleges mistreatment by officers, peers while serving in Iraq. MSNBC Interactive News LLC. Retrieved from http://www.msnbc.msn.com/id/20922106/.
Bainbridge, W. S. (2005). Atheism. Interdisciplinary Journal of Research on Religion, 1, 1–26.
Barna Research Group. (1999). Atheists and agnostics invading Christian churches. Ventura, CA: Barna Research Group.
Beit-Hallahmi, B., & Argyle, M. (1997). The psychology of religious behaviour, belief and experience. New York: Routledge.
Ben-Zur, H. (2008). Personal resources of mastery-optimism, and communal support beliefs, as predictors of posttraumatic stress in uprooted Israelis. Anxiety, Stress & Coping: An International Journal, 21, 295–307.
Bjorck, J. P., & Thurman, J. W. (2007). Negative life events, patterns of positive and negative religious coping, and psychological functioning. Journal for the Scientific Study of Religion, 46, 159–167.
Blumenthal, J. A., Babyak, M. A., Ironson, G., et al. (2007). Spirituality, religion, and clinical outcomes in patients recovering from an acute myocardial infarction. Psychosomatic Medicine, 69, 501–508.
Brennan, M. (2004). Spirituality and religiousness predict adaptation to vision loss in middle-aged and older adults. International Journal for the Psychology of Religion, 14, 193–214.
Buggle, F., Bister, D., Nohe, G., et al. (2001). Are atheists more depressed than religious people? A new study tells the tale. Free Inquiry, 20, 4.
Chang, B. H., Skinner, K. M., & Boehmer, U. (2001). Religion and mental health among women veterans with sexual assault experience. International Journal of Psychiatry and Medicine, 31, 77–95.
Christenfeld, N. J., Sloan, R. P., Carroll, D., & Greenland, S. (2004). Risk factors, confounding, and the illusion of statistical control. Psychosomatic Medicine, 66, 868–875.
Cragun, R., Kosmin, B., Kosmin, A., & Hammer, J. On the receiving end: Discrimination toward the non-religious. Unpublished manuscript.
D’Andrea, L., & Sprenger, J. (2007). Atheism and nonspirituality as diversity issues in counseling. Counseling and Values, 51, 149–158.
Dawkins, R. (2007). Foreword. In T. Flynn (Ed.), The new encyclopedia of unbelief (pp. 10–14). Amherst, NY: Prometheus Books.
Downey, M. (2004). Discrimination against atheists: The facts. Free inquiry, 24, 4.
Dyer, J. (2007). How does spirituality affect physical health? A conceptual review. Holistic Nursing Practice, 21, 324–328.
Ecklund, E. H., & Park, J. Z. (2007). Religious diversity and community volunteerism among Asian Americans. Journal for the Scientific Study of Religion, 46, 233–244.
Edgell, P., Gerteis, J., & Hartmann, D. (2006). Atheists as “other:” Moral boundaries and cultural membership in American society. American Sociological Review, 71, 211–234.
Egbert, N., Mickley, J., & Coeling, H. (2004). A review and application of social scientific measures of religiosity and spirituality: Assessing a missing component in health communication research. Health Communication, 16, 7–27.
Ehrlich, H. J., & Van Tubergen, G. N. (1971). Exploring the structure and salience of stereotypes. Journal of Social Psychology, 83, 113–127.
Emerson, M. O., & Hartman, D. (2006). The rise of religious fundamentalism. Annual Review of Sociology, 32, 127–144.
Emerson, M. O., & Smith, C. (2000). Divided by faith: Evangelical religion and the problem of race in America. New York: Oxford University Press.
Exline, J. J., Yali, A. M., & Lobel, M. (1999). When God disappoints: Difficulty forgiving God and its role in negative emotion. Journal of Health Psychology, 4, 365–379.
Feather, N. T. (1967). Evaluation of religious and neutral arguments in religious and atheist student groups. Australian Journal of Psychology, 19, 3–12.
Flynn, T. (2009). Taken in the wrong spirit. Free Inquiry, 29, 14–15.
Furnham, A., Nicholas, M., & McClelland, A. (1998). Factors affecting nonmedical participants’ allocation of scarce medical resources. Journal of Social Behavior and Personality, 12, 735–746.
Guralnik, J. M., Land, K. C., Blazer, D., Fillenbaum, G. G., & Branch, L. G. (1993). Educational status and active life expectancy among older blacks and whites. New England Journal of Medicine, 329, 110–116.
Hadaway, C. K. (1989). Identifying American apostates: A cluster analysis. Journal for the Scientific Study of Religion, 28, 201–215.
Hadaway, C. K., Marler, P. L., & Chaves, M. (1998). Overreporting church attendance in America: Evidence that demands the same verdict. American Sociological Review, 63, 122–130.
Halama, P. (2005). Psychological aspects of religious conversion. Ceskoslovenska Psychologie, 49, 34–52.
Hall, T. W., & Edwards, K. J. (2002). The spiritual assessment inventory: A theistic model and measure for assessing spiritual development. Journal for the Scientific Study of Religion, 41, 341–357.
Hall, D. E., Koenig, H. G., & Meador, K. G. (2008). Hitting the target: Why existing measures of “religiousness” are really reverse-scored measures of “secularism”. Explore, 4, 368–373.
Harper, M. (2007). The stereotyping of nonreligious people by religious students: Contents and subtypes. Journal for the Scientific Study of Religion, 46, 539–552.
Harris, R. C., Dew, M. A., Lee, A., et al. (1995). The role of religion in heart-transplant recipients’ long-term health and well-being. Journal of Religion and Health, 34, 17–22.
Hayes, B. C. (2000). Religious independents within western industrialized nations: A socio-demographic profile. Sociology of Religion, 61, 191–207.
Heaton, T. B., Bahr, S. J., & Jacobson, C. K. (2005). A statistical profile of Mormons: Health, wealth, and social life. Lewiston: Edwin Mellen Press.
Heiner, R. (1992). Evangelical heathens: The deviant status of freethinkers in Southland. Deviant Behavior, 13, 1–20.
Hill, P. C. (2005). Measurement in the psychology of religion and spirituality: Current status and evaluation. In R. F. Paloutzian & C. L. Park (Eds.), Handbook of the psychology of religion and spirituality (pp. 43–61). New York: Guilford Press.
Hill, P. C., & Hood, R. W., Jr. (Eds.). (1999). Measures of religiosity. Birmingham, Alabama: Religious Education Press.
Hill, P. C., & Pargament, K. I. (2003). Advances in the conceptualization and measurement of religion and spirituality: Implications for physical and mental health research. American Psychologist, 58, 64–74.
Hill, P. C., Pargament, K. J., Hood, R. W., et al. (2000). Conceptualizing religion and spirituality: Points of commonality, points of departure. Journal for the Theory of Social Behaviour, 30, 51–77.
Hoge, D. R. (1981). Converts, dropouts, returnees: A study of religious change among Catholics. New York: Pilgrim Press.
Hood, R. W., Jr., Spilka, B., Hunsberger, B., & Gorsuch, R. (1996). The psychology of religion: An empirical approach (2nd ed.). New York: Guilford.
House, J. (2001). Social isolation kills, but how and why? Psychosomatic Medicine, 63, 273–274.
Hout, M., & Fischer, C. (2002). Why more Americans have no religious preference: Politics and generations. American Sociological Review, 67, 165–190.
Hunsberger, B., & Altemeyer, B. (2006). Atheists: A groundbreaking study of America’s nonbelievers. Buffalo: Prometheus Books.
Hunsberger, B., Pratt, M., & Pancer, S. M. (2001). Religious versus nonreligious socialization: Does religious background have implications for adjustment? International Journal for the Psychology of Religion, 11, 105–128.
Hwang, K. (2008). Experiences of atheists with spinal cord injury: Results of an internet-based exploratory survey. SCI Psychosocial Process, 20, 4–17.
Ironson, G., Stuetzle, R., & Fletcher, M. A. (2006). An increase in religiousness/spirituality occurs after HIV diagnosis and predicts slower disease progression over 4 years in people with HIV. Journal of General Internal Medicine, 21(Suppl 5), S62–S68.
James, A., & Wells, A. (2002). Death beliefs, superstitious beliefs and health anxiety. British Journal of Clinical Psychology, 41, 43–53.
Jantos, M., & Kiat, H. (2007). Prayer as medicine: How much have we learned? Medical Journal of Australia, 21, S51–S53.
Jenks, R. J. (1986). Perceptions of two deviant and two nondeviant groups. The Journal of Social Psychology, 126, 783–790.
Jindra, I. (2008). Religious stage development among converts to different religious groups. International Journal for the Psychology of Religion, 18, 195–215.
Johnstone, B., Glass, B. A., & Oliver, R. E. (2007). Religion and disability: Clinical, research and training considerations for rehabilitation professionals. Disability and Rehabilitation, 15, 1153–1163.
Jones, J. M. (2007). Some Americans reluctant to vote for Mormon, 72-year old presidential candidates. Gallup, Inc. Retrieved from http://www.gallup.com/poll/26611/Some-Americans-Reluctant-Vote-Mormon-72YearOld-Presidential-Candidates.aspx.
Keysar, A., Mayer, E., & Kosmin, B. A. (2003). No religion—a profile of America’s unchurched. Public Perspective, 14, 28–32.
Kier, F., & Davenport, D. S. (2004). Unaddressed problems in the study of spirituality and health. American Psychologist, 59, 53–54.
Koenig, H. G. (2004). Religion, spirituality, and medicine: Research findings and implications for clinical practice. Southern Medical Journal, 97, 1194–1200.
Koenig, H. G. (2008). Concerns about measuring “spirituality” in research. Journal of Nervous and Mental Disease, 196, 349–355.
Koenig, H. G., McCullough, M. E., & Larson, D. B. (2001). Handbook of religion and health. New York: Oxford University Press.
Koproske, C. (2006). Living without religion: The secular stigma. Free Inquiry, 27, 49–50.
Kosmin, B. A. (2007). Introduction: Contemporary secularity and secularism. In A. Keysar & B. A. Kosmin (Eds.), Secularism and secularity: Contemporary international perspectives (pp. 1–16). Hartford, CT: Institute for the Study of Secularism in Society and Culture.
Kosmin, B., & Keysar, G. (2009). American religious identification survey 2008: Summary report. Hartford, CT: Trinity College.
Kosmin, B., & Lachman, S. (1993). One nation under God. New York: Harmony Books.
Kosmin, B., Mayer, E., & Keysar, G. (2001). American religious identification survey 2001. New York: Graduate Center, City University of New York.
Laubmeier, K. K., Zakowski, S. G., & Bair, J. P. (2004). The role of spirituality in the psychological adjustment to cancer: A test of the transactional model of stress and coping. International Journal of Behavioral Medicine, 11, 48–55.
Lauder, W., Mummery, K., & Sharkey, S. (2006). Social capital, age and religiosity in people who are lonely. Journal of Clinical Nursing, 15, 334–340.
Levin, J. S. (1994). Religion and health: Is there an association, is it valid, and is it causal? Social Science and Medicine, 38, 1475–1482.
Levin, J. S., & Vanderpool, H. Y. (1987). Is frequent religious attendance really conducive to better health? Toward an epidemiology of religion. Social Science and Medicine, 24, 539–550.
Luskin, F. (2000). Review of the effect of spiritual and religious factors on mortality and morbidity with a focus on cardiovascular and pulmonary diseases. Journal of Cardiopulmonary Rehabilitation, 20, 8–15.
Matheis, E. N., Tulsky, D. S., & Matheis, R. J. (2006). The relation between spirituality and quality of life among individuals with spinal cord injury. Rehabilitation Psychology, 51, 265–271.
McNicholas, J., Gilbey, A., & Rennie, A. (2005). Pet ownership and human health: A brief review of evidence and issues. British Medical Journal, 33, 1252–1254.
Meyer, I. H. (2003). Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: Conceptual issues and research evidence. Psychological Bulletin, 129, 674–697.
Miller, L., & Kelley, B. (2005). Relationships of religiosity and spirituality with mental health and psychopathology. In R. F. Paloutzian & C. L. Park (Eds.), Handbook of the psychology of religion and spirituality (pp. 459–478). New York, NY: Guilford Press.
Miller, W. R., & Thoreson, C. E. (2003). Spirituality, religion, and health. An emerging research field. American Psychologist, 58, 24–35.
Mohr, L. B. (1990). Understanding significance testing (1st ed.). Thousand Oaks, CA: Sage Publications, Inc.
Nairn, R. C., & Merluzzi, T. V. (2003). The role of religious coping in adjustment to cancer. Psychooncology, 12, 428–441.
Newport, F. (2006). Democrats view religious groups less positively than Republicans. Gallup, Inc. Retrieved from http://www.gallup.com/poll/24385/Democrats-View-Religious-Groups-Less-Positively-Than-Republicans.aspx.
Nooney, J., & Woodrum, E. (2002). Religious coping and church-based social support as predictors of mental health outcomes: Testing a conceptual model. Journal for the Scientific Study of Religion, 41, 359.
Paloutzian, R. F., Richardson, J. T., & Rambo, L. R. (1999). Religious conversion and personality change. Journal of Personality, 67, 1047–1079.
Pargament, K. I. (2002). The bitter and the sweet: An evaluation of the costs and benefits of religiousness. Psychological Inquiry, 13, 168–181.
Pasquale, F. (2007). Unbelief and irreligion, empirical study and neglect of. In T. Flynn (Ed.), The new encyclopedia of unbelief (pp. 760–766). Amherst, NY: Prometheus Books.
Perry, E. L., Davis, J. H., Doyle, R. T., & Dyble, J. E. (1980). Toward a typology of unchurched Protestants. Review of Religious Research, 21, 388–404.
Persaud, R. (2007). Spirituality and HIV disease progression. Journal of General Internal Medicine, 22, 12–20.
Pesut, B., Fowler, M., Taylor, E. J., et al. (2008). Conceptualising spirituality and religion for healthcare. Journal of Clinical Nursing, 17, 2803–2810.
Peterman, A. H., Fitchett, G., Brady, M. J., et al. (2002). Measuring spiritual well-being in people with cancer: The functional assessment of chronic illness therapy—spiritual well-being scale (FACIT-Sp). Annals of Behavioral Medicine, 24, 49–58.
Pew Forum on Religion. (2008). Many Americans say other faiths can lead to eternal life. The Pew Forum on Religion and Public Life. Retrieved from http://pewforum.org/docs/?DocID=380.
Pew Research Center for the People and the Press. (2005). Views of Muslim-Americans hold steady after London bombings. Pew Research Center. Retrieved from http://people-press.org/report/252/views-of-muslim-americans-hold-steady-after-london-bombings.
Phelps, A. C., Maciejewski, P. K., Nilsson, M., Balboni, T. A., Wright, A. A., Paulk, M. E., et al. (2009). Religious coping and use of intensive life-prolonging care near death in patients with advanced cancer. Journal of the American Medical Association, 301, 1140–1147.
Powell, L. H., Shahabi, L., & Thoresen, C. E. (2003). Religion and spirituality. Linkages to physical health. American Psychologist, 58, 36–52.
Presser, S., & Stinson, L. (1998). Data collection mode and social desirability bias in self-reported religious attendance. American Sociological Review, 63, 137–145.
Rettig, S., & Pasamanick, B. (1959). Moral codes of American and Korean college students. Journal of Social Psychology, 50, 65–73.
Riley, J., Best, S., & Charlton, B. G. (2005). Religious believers and strong atheists may both be less depressed than existentially-uncertain people. QJM: Monthly Journal of the Association of Physicians, 98, 840.
Sharkey, P. W., & Maloney, H. N. (1986). Religiosity and emotional disturbance: A test of Ellis’s thesis in his own counseling center. Psychotherapy, 23, 640–641.
Shaver, P., Lenauer, M., & Sadd, S. (1980). Religiousness, conversion, and subjective well-being: The “healthy-minded” religion of modern American women. American Journal of Psychiatry, 137, 1563–1568.
Sherkat, D. E. (2008). Beyond belief: Atheism, agnosticism, and theistic certainty in the United States. Sociological Spectrum, 28, 438–459.
Silverman, D. (2002). Coming out: The other closet. American Atheists. Retrieved January 6, 2009 from http://atheists.org/atheism/coming_out.
Simonton, D. K. (2002). Creativity. In C. R. Snyder & S. Lopez (Eds.), Handbook of positive psychology (pp. 189–201). New York: Oxford University Press.
Sloan, R. (2006). Blind faith. New York: St. Martin’s Press.
Sloan, R. P., & Bagiella, E. (2001). Religion and health. Health Psychology, 20, 228.
Sloan, R. P., & Bagiella, E. (2002). Claims about religious involvement and health outcomes. Annals of Behavioral Medicine, 24, 14–21.
Smith, G. H. (1980). Atheism: The case against God (1st ed., p. 355). Amherst, NY: Prometheus Books. Retrieved January 23, 2007.
Smith, R. E., Wheeler, G., & Diener, E. (1975). Faith without works: Jesus people, resistance to temptation, and altruism. Journal of Applied Social Psychology, 5, 320–330.
Stefanek, M., McDonald, P. G., & Hess, S. A. (2006). Religion, spirituality, and cancer: Current status and methodological challenges. Psychooncology, 14, 450–463.
Thuné-Boyle, I. C., Stygall, J. A., Keshtgar, M. R., & Newman, S. P. (2006). Do religious/spiritual coping strategies affect illness adjustment in patients with cancer? A systematic review of the literature. Social Science and Medicine, 63, 151–164.
Vance, D. E., Struzick, T. C., & Raper, J. L. (2008). Biopsychosocial benefits of spirituality in adults aging with HIV: Implications for nursing practice and research. Journal of Holistic Nursing, 26, 119–125.
Vernon, G. M. (1968). The religious “nones”: A neglected category. Journal for the Scientific Study of Religion, 7, 219–229.
Vetter, G. B., & Green, M. (1932). Personality and group factors in the making of atheists. Journal of Abnormal and Social Psychology, 27, 179–194.
Waite, L. J., & Lehrer, E. L. (2003). The benefits from marriage and religion in the United States: A comparative analysis. Population Development Review, 29, 255–276.
Wenneberg, S. R., Schneider, R. H., Walton, K. G., et al. (1997). A controlled study of the effects of the Transcendental Meditation program on cardiovascular reactivity and ambulatory blood pressure. International Journal of Neuroscience, 89, 15–28.
West, E. M. (2006). Religious tests of office-holding. In P. Finkelman (Ed.), Encyclopedia of American civil liberties (pp. 1314–1315). New York: Routledge.
Wong, J. Y., Rew, L., & Slaikeu, K. D. (2006). A systematic review of recent research on adolescent religiosity/spirituality and mental health. Issues in Mental Health Nursing, 27, 161–183.
Wulff, D. M. (1997). Psychology of religion: Classic and contemporary (2nd ed.). New York: Wiley.
Yohannes, A. M., Koenig, H. G., Baldwin, R. C., & Connolly, M. J. (2008). Health behavior, depression and religiosity in older patients admitted to intermediate care. International Journal of Geriatric Psychiatry, 23, 735–740.
Zinnbauer, B. J., Pargament, K. I., Cole, B., Rye, M. S., Butter, E. M., Belavich, T. G., et al. (1997). Religion and spirituality: Unfuzzying the fuzzy. Journal for the Scientific Study of Religion, 36, 549–564.
Zorn, E. (2008). Rep. Monique Davis to atheist Rob Sherman: `It’s dangerous for our children to even know that your philosophy exists!’ Tribune Interactive, Inc. Retrieved from http://blogs.chicagotribune.com/news_columnists_ezorn/2008/04/rep-monique-dav.html.
Zuckerman, P. (2006). Atheism: Contemporary numbers and patterns. In M. Martin (Ed.), The Cambridge companion to atheism (pp. 47–68). Cambridge: Cambridge University Press.
Zuckerman, P. (2008). Society without God: What the least religious nations can tell us about contentment. New York: New York University Press.
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Hwang, K., Hammer, J.H. & Cragun, R.T. Extending Religion-Health Research to Secular Minorities: Issues and Concerns. J Relig Health 50, 608–622 (2011). https://doi.org/10.1007/s10943-009-9296-0
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DOI: https://doi.org/10.1007/s10943-009-9296-0