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Spiritual Factors Predict State and Trait Anxiety

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Abstract

This research study was designed to examine the effect of spiritual well-being and spirituality on state and trait anxiety. Two hundred and thirty-eight adults in the USA were surveyed using the State–Trait Anxiety Inventory, Duke University Religion Index, Spiritual Well-Being Scale, and Participant Questionnaire. Results indicate that spiritual well-being can predict 39.1 % of an adult’s state anxiety and 37.9 % of trait anxiety. Furthermore, frequency of religious attendance, frequency of private religious activity, and intrinsic religiosity can predict 6.2 % of an adult’s state anxiety and 8.6 % of trait anxiety. Recommendations for researchers and implications for clinicians are discussed.

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References

  • Agorastos, A., Demiralay, C., & Huber, C. G. (2014). Influence of religious aspects and personal beliefs on psychological behavior: Focus on anxiety disorders. Psychology Research and Behavior Management, 7, 93–101.

    Article  PubMed  PubMed Central  Google Scholar 

  • Allport, G. W., & Ross, J. M. (1967). Personal religious orientation and prejudice. Journal of Personality and Social Psychology, 5(4), 432–443.

    Article  CAS  PubMed  Google Scholar 

  • Anema, C., Johnson, M., Zeller, J. M., Fogg, L., & Zetterlund, J. (2009). Spiritual well-being in individuals with fibromyalgia syndrome: Relationships with symptom pattern variability, uncertainty, and psychosocial adaptation. Research and Theory for Nursing Practice: An International Journal, 23(1), 8–22.

    Article  Google Scholar 

  • Aranda, M. P. (2008). Relationship between religious involvement and psychological well-being: A social justice perspective. Health and Social Work, 33(1), 9–21.

    Article  PubMed  Google Scholar 

  • Aten, J. D., & Leach, M. M. (2009). Spirituality and the therapeutic process: A comprehensive resource from intake to termination. Washington, DC: American Psychological Association.

    Book  Google Scholar 

  • Baker, M., & Gorsuch, R. (1982). Trait anxiety and intrinsic-extrinsic religiousness. Journal for the Scientific Study of Religion, 21(2), 119–122.

    Article  Google Scholar 

  • Bergin, A. E., Masters, K. S., & Richards, P. S. (1987). Religiousness and mental health reconsidered: A study of an intrinsically religious sample. Journal of Counseling Psychology, 34(2), 197–204.

    Article  Google Scholar 

  • Blazek, M., & Besta, T. (2012). Self-Concept clarity and religious orientations: Prediction of purpose in life and self-esteem. Journal of Religious Health, 51, 947–960.

    Article  Google Scholar 

  • Bonelli, R. M., & Koenig, H. G. (2013). Mental disorders, religion and spirituality: A systematic evidence-based review. Journal of Religion and Health, 52(2), 657–673.

    Article  PubMed  Google Scholar 

  • Bowen, R., Baetz, M., & D’Arcy, C. (2006). Self-rated importance of religion predicts one-year outcome of patients with panic disorder. Depression and Anxiety, 23(5), 266–273.

    Article  PubMed  Google Scholar 

  • Brown, D. R., Carney, J. S., Parrish, M. S., & Klem, J. L. (2013). Assessing spirituality: The relationship between spirituality and mental health. Journal of Spirituality in Mental Health, 15(2), 107–122.

    Article  Google Scholar 

  • Bufford, R. K., Paloutzian, R. F., & Ellison, C. W. (1991). Norms for the spiritual well-being scale. Journal of Psychology and Theology, 19(1), 56–70.

    Google Scholar 

  • Clements, A. D., & Ermakova, A. V. (2012). Surrender to God and stress: A possible link between religiosity and health. Psychology of Religion and Spirituality, 4(2), 93–107.

    Article  Google Scholar 

  • Davis, T. L., Kerr, B. A., & Robinson Kurpius, S. E. (2003). Meaning, purpose and religiosity in at-risk youth: The relationship between anxiety and spirituality. Journal of Psychology and Theology, 31(4), 356–365.

    Google Scholar 

  • Ellison, C. W. (1983). Spiritual well-being: Conceptualization and measurement. Journal of Psychology and Theology, 11(4), 330–340.

    Google Scholar 

  • Ellison, C. W., & Paloutzian, R. D. (1982). SWB scale. Retrieved from www.lifeadvance.com.

  • Elwood, L. S., Wolitzky-Taylor, K., & Olatunji, B. O. (2012). Measurements of anxious traits: A contemporary review and synthesis. Anxiety, Stress, & Coping, 25(6), 647–666.

    Article  Google Scholar 

  • Fisher, J. (2011). The four domains model: Connecting spirituality, health, and well-being. Journal of Religions, 2, 17–28.

    Article  Google Scholar 

  • Freud, S. (1961). The future of an illusion. In J. Strachey (Ed. and Trans.) The standard edition of the complete psychological works of Sigmund Freud (Vol. 21, pp. 1–56). London: Hogarth Press. (Original work published in 1927).

  • Gibson, M., & Hendricks, C. S. (2006). Integrative review of spirituality in African American breast cancer survivors. ABNF Journal, 17(2), 67–72.

    PubMed  Google Scholar 

  • Hall, R. E., & Breland-Noble, A. (2011). Spirituality vis-à-vis Islam as prerequisite to Arab Americans well-being: The implications of Eurocentrism for mainstream psychology. American Journal of Psychotherapy, 6(5), 151–162.

    Google Scholar 

  • Hodges, S. (2002). Mental health, depression, and dimensions of spirituality and religion. Journal of Adult Development, 9(2), 109–115.

    Article  Google Scholar 

  • Ivtzan, I., Chan, C. P. L., Gardner, H. E., & Prashar, K. (2011). Linking religion and spirituality with psychological well-being: Examining self-actualization, meaning in life, and personal growth initiative. Journal of Religious Health, 52, 915–929.

    Article  Google Scholar 

  • Johnstone, B., Yoon, D. P., Cohen, D., Schopp, L. H., McCormack, G., Campbell, J., et al. (2012). Relationships among spirituality, religious practices, personality factors, and health for five different faith traditions. Journal of Religious Health, 51, 1017–1041.

    Article  Google Scholar 

  • Kandasamy, A., Chaturvedi, S. K., & Desai, G. (2011). Spirituality, distress, depression, anxiety, and quality of life in patients with advanced cancer. Indian Journal of Cancer, 48(1), 55–59.

    Article  CAS  PubMed  Google Scholar 

  • Kessler, R. C., Chiu, W. T., Demler, O., & Walters, E. E. (2005). Prevalence, severity, and comorbidity of twelve-month DSM-IV disorders in the National Comorbidity Survey Replication (NCS-R). Archives of General Psychiatry, 62(6), 617–627.

    Article  PubMed  PubMed Central  Google Scholar 

  • Koenig, H. G. (2009). Research on religion, spirituality, and mental health: A review. Canadian Journal of Psychiatry, 54(5), 283–291.

    Article  PubMed  Google Scholar 

  • Koenig, H. G. (2011). Spirituality and health research: Methods measurements, statistics, and resources. West Conshohocken, PA: Templeton Press.

    Google Scholar 

  • Koenig, H. G., & Bussing, A. (2010). The duke university religion index (DUREL): A five-item measure for use in epidemiological studies. Religions, 1, 78–85.

    Article  Google Scholar 

  • Koenig, H. G., Moberg, D. O., & Kvale, J. N. (1988). Religious activities and attitudes of older adults in a geriatric assessment clinic. Journal of the American Geriatric Society, 36, 362–374.

    Article  CAS  Google Scholar 

  • Koenig, H. G., Parkerson, G., & Meador, K. G. (1997). Religion index for psychiatric research. American Journal of Psychiatry, 154, 885–886.

    CAS  PubMed  Google Scholar 

  • Labbé, E. E., & Fobes, A. (2009). Evaluating the interplay between spirituality, personality, and stress. Applied Psychophysiology Biofeedback, 35, 141–146.

    Article  Google Scholar 

  • Min, J., Jung, Y., Kim, D., Yim, H., Kim, J., Kim, T., et al. (2012). Characteristics associated with low resilience in patients with depression and/or anxiety disorders. Quality of Life Research, 22, 231–241.

    Article  PubMed  Google Scholar 

  • Moore, B. A. (2014). Taking control of anxiety: Small steps for getting the best of worry, stress and fear. Washington, DC: American Psychological Association.

    Google Scholar 

  • Paloutzian, R. F., Bufford, R. K., & Wildman, A. J. (2012). Spiritual well-being scale: Mental and physical health relationships. In M. Cobb, C. M. Puchalski, & B. Rumbold (Eds.), Oxford textbook of spirituality in healthcare (pp. 353–358). New York: Oxford University Press.

    Chapter  Google Scholar 

  • Paloutzian, R. F., & Ellison, C. W. (1982). Loneliness, spiritual well-being and the quality of life. In L. A. Peplau & D. Perlman (Eds.), Loneliness: A sourcebook of current theory, research and therapy (pp. 224–237). New York: Wiley.

    Google Scholar 

  • Parker, S. (2011). Spirituality in counseling: A faith development perspective. Journal of Counseling and Development, 89, 112–119.

    Article  Google Scholar 

  • Phillips, L. L., Paukert, A. L., Stanley, M. A., & Kunik, M. E. (2009). Incorporating religion and spirituality to improve care for anxiety and depression in older adults. Geriatrics, 64(8), 15–18.

    PubMed  Google Scholar 

  • Richards, P. S., & Bergin, A. E. (2005). A spiritual strategy for counseling and psychotherapy (2nd ed.). Washington, DC: American Psychiatric Association.

    Book  Google Scholar 

  • Roman, O. T. (2011). Rationale emotive behavior therapy features on intrinsically religiously oriented people. Journal of Psychology and Educational Research, 19(2), 67–95.

    Google Scholar 

  • Sheldrake, P. (2007). A brief history of spirituality. Boston, MA: Blackwell Publishing.

    Google Scholar 

  • Shreve-Neiger, A. K., & Edelstein, B. A. (2004). Religion and anxiety: A critical review of the literature. Clinical Psychology Review, 24(4), 379–397.

    Article  PubMed  Google Scholar 

  • Spielberger, C. D., Gorsuch, R. L., Lushene, R., Vagg, P. R., & Jacobs, G. A. (1983). Manual for the state-trait anxiety inventory. Palo Alto, CA: Consulting Psychologists Press.

    Google Scholar 

  • Storch, E. A., Strawser, M. S., & Storch, J. B. (2004). Two-week test-retest reliability of the duke religion index. Psychological Reports, 94(3), 993–994.

    Article  PubMed  Google Scholar 

  • Sturgeon, R. S., & Hamley, R. W. (1979). Religiosity and anxiety. The Journal of Social Psychology, 108(1), 137–138.

    Article  CAS  PubMed  Google Scholar 

  • Swinton, J. (2001). Spirituality and mental health care. London: Jessica Kingsley Publishers. Retrieved from http://www.ebrary.com.

  • Tapanya, S., Nicki, R., & Jarusawad, O. (1997). Worry and intrinsic/extrinsic religious orientation among Buddhist (Thai) and Christian (Canadian) elderly persons. International Journal of Aging and Human Development, 1, 73.

    Article  Google Scholar 

  • Wong-McDonald, A., & Gorsuch, R. L. (2000). Surrender to God: An additional coping style? Journal of Psychology and Theology, 28(2), 149–161.

    Google Scholar 

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Authors and Affiliations

  1. Alliance Graduate School of Counseling, Nyack College, Nyack, NY, 10960, USA

    Lisa M. Steiner, Sarah Zaske, Sabrina Durand, Melanie Molloy & Rosana Arteta

Authors
  1. Lisa M. Steiner
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  2. Sarah Zaske
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  3. Sabrina Durand
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  4. Melanie Molloy
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  5. Rosana Arteta
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Correspondence to Lisa M. Steiner.

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There are no conflicts of interest.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Declaration of Helsinki and its later amendments or comparable ethical standards.

Informed Consent

Informed consent was obtained from all individual participants included in the study.

Additional information

Special thanks to our statistician, Dr. Sue Kopel.

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Steiner, L.M., Zaske, S., Durand, S. et al. Spiritual Factors Predict State and Trait Anxiety. J Relig Health 56, 1937–1955 (2017). https://doi.org/10.1007/s10943-016-0293-9

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  • DOI: https://doi.org/10.1007/s10943-016-0293-9

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