Skip to main content

Advertisement

Log in

Mechanisms Behind Religiosity and Spirituality’s Effect on Mental Health, Quality of Life and Well-Being

  • Original Paper
  • Published:
Journal of Religion and Health Aims and scope Submit manuscript

Abstract

This cross-sectional study aims to evaluate the role of meaning, peace, faith and religiosity on mental health, quality of life (QOL) and well-being in 782 adults. We found associations between (a) meaning and peace with less depression and more QOL, (b) peace with less stress and (c) faith and religiousness with more psychological QOL. Meaning and peace were more strongly associated with health outcomes, and those with high levels of intrinsic religiosity but low levels of meaning/peace have worse outcomes than those with low religiousness and high meaning/peace. However, religious participants found great meaning and peace than nonreligious participants.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Bandeira, M., Bekou, V., Lott, K. S., Teixeira, M. A., & Rocha, S. S. (2002). Validação transcultural do teste de orientação da vida (TOV-R). Estudos de Psicologia, 7(2), 251–258.

    Article  Google Scholar 

  • Bergerot, C. D., Laros, J. A., & Araujo, T. C. C. F. (2014). Assessment of anxiety and depression in cancer patients: A psychometric comparison. Psico-USF, 19(2), 187–197.

    Article  Google Scholar 

  • Berlim, M. T., Pavanello, D. P., Caldieraro, M. A. K., & Fleck, M. P. A. (2005). Reliability and validity of the WHOQOL BREF in a sample of Brazilian outpatients with major depression. Quality of Life Research, 14(2), 561–564.

    Article  PubMed  Google Scholar 

  • Brandstatter, M., Baumann, U., Borasio, G. D., & Fegg, M. J. (2012). Systematic review of meaning in life assessment instruments. Psycho-Oncology, 21(10), 1034–1052. doi:10.1002/pon.2113.

    Article  PubMed  Google Scholar 

  • Canada, A. L., Murphy, P. E., Fitchett, G., & Stein, K. (2015). Re-examining the contributions of faith, meaning, and peace to quality of life: A Report from the American Cancer Society’s Studies of Cancer Survivors-II (SCS-II). Annals of Behavioral Medicine. doi:10.1007/s12160-015-9735-y.

    Article  Google Scholar 

  • Ciarrocchi, J. W., Dy-Liacco, G. S., & Deneke, E. (2008). Gods or rituals? Relational faith, spiritual discontent, and religious practices as predictors of hope and optimism. The Journal of Positive Psychology, 3(2), 120–136.

    Article  Google Scholar 

  • Cohen, S., Kamarck, T., & Mermelstein, R. (1983). A global measure of perceived stress. Journal of Health and Social Behavior, 24(4), 385–396.

    Article  PubMed  CAS  Google Scholar 

  • Diener, E., Emmons, R. A., Larsen, R. J., & Griffin, S. (1985). The satisfaction with life scale. Journal of Personality Assessment, 49(1), 71–75. doi:10.1207/s15327752jpa4901_13.

    Article  PubMed  CAS  Google Scholar 

  • Fitchett, G., Murphy, P. E., Kim, J., Gibbons, J. L., Cameron, J. R., & Davis, J. A. (2004). Religious struggle: Prevalence, correlates and mental health risks in diabetic, congestive heart failure, and oncology patients. The International Journal of Psychiatry in Medicine, 34(2), 179–196.

    Article  PubMed  Google Scholar 

  • Goncalves, J. P., Lucchetti, G., Menezes, P. R., & Vallada, H. (2015). Religious and spiritual interventions in mental health care: A systematic review and meta-analysis of randomized controlled clinical trials. Psychological Medicine. doi:10.1017/s0033291715001166.

    Article  PubMed  PubMed Central  Google Scholar 

  • Gouveia, V. V., Milfont, T. L., Da Fonseca, P. N., & de Miranda Coelho, J. A. P. (2009). Life satisfaction in Brazil: Testing the psychometric properties of the satisfaction with life scale (SWLS) in five Brazilian samples. Social Indicators Research, 90(2), 267–277.

    Article  Google Scholar 

  • Huang, M. Y., Huston, S. A., & Perri, M. (2014). Consumer preferences for the predictive genetic test for Alzheimer disease. Journal of Genetic Counseling, 23(2), 172–178. doi:10.1007/s10897-013-9627-x.

    Article  PubMed  Google Scholar 

  • Huston, S. A. (2013). Patients’ intentions to seek medication information from pharmacists. Journal of the American Pharmacists Association, 53(5), 466–474. doi:10.1331/JAPhA.2013.12172.

    Article  PubMed  Google Scholar 

  • Jafari, N., Farajzadegan, Z., Loghmani, A., Majlesi, M., & Jafari, N. (2014). Spiritual well-being and quality of life of Iranian adults with type 2 diabetes. Evidence-Based Complementary and Alternative Medicine, 2014, 619028. doi:10.1155/2014/619028.

    Article  PubMed  PubMed Central  Google Scholar 

  • Koenig, H. G. (2012). Religion, spirituality, and health: The research and clinical implications. ISRN Psychiatry, 2012, 278730. doi:10.5402/2012/278730.

    Article  PubMed  PubMed Central  Google Scholar 

  • Koenig, H. G., McCullough, M. E., & Larson, D. B. (2001). Handbook of religion and health. Oxford: Oxford University Press.

    Book  Google Scholar 

  • Koenig, H., Parkerson, G. R., Jr., & Meador, K. G. (1997). Religion index for psychiatric research. American Journal of Psychiatry, 154(6), 885–886.

    PubMed  CAS  Google Scholar 

  • Kroenke, K., Spitzer, R. L., & Williams, J. B. (2001). The PHQ-9: Validity of a brief depression severity measure. Journal of General Internal Medicine, 16(9), 606–613.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  • Lucchetti, G., Granero Lucchetti, A. L., Peres, M. F., Leao, F. C., Moreira-Almeida, A., & Koenig, H. G. (2012). Validation of the duke religion index: DUREL (Portuguese version). Journal of Religion and Health, 51(2), 579–586. doi:10.1007/s10943-010-9429-5.

    Article  PubMed  Google Scholar 

  • Lucchetti, G., & Lucchetti, A. L. (2014). Spirituality, religion, and health: Over the last 15 years of field research (1999–2013). International Journal of Psychiatry in Medicine, 48(3), 199–215. doi:10.2190/PM.48.3.e.

    Article  PubMed  Google Scholar 

  • Lucchetti, G., Lucchetti, A. L., de Bernardin Goncalves, J. P., & Vallada, H. P. (2015). Validation of the Portuguese version of the functional assessment of chronic illness therapy—spiritual well-being scale (FACIT-Sp 12) among Brazilian psychiatric inpatients. Journal of Religion and Health, 54(1), 112–121. doi:10.1007/s10943-013-9785-z.

    Article  PubMed  Google Scholar 

  • Lucchetti, G., Lucchetti, A. L., & Vallada, H. (2013). Measuring spirituality and religiosity in clinical research: A systematic review of instruments available in the Portuguese language. Sao Paulo Medical Journal, 131(2), 112–122.

    Article  PubMed  Google Scholar 

  • Lyubomirsky, S., & Lepper, H. S. (1999). A measure of subjective happiness: Preliminary reliability and construct validation. Social Indicators Research, 46(2), 137–155.

    Article  Google Scholar 

  • Medeiros, F. D. L., Xavier, A. J., Schneider, I. J. C., Ramos, L. R., Sigulem, D., & d’Orsi, E. (2012). Digital inclusion and functional capacity of older adults living in Florianópolis, Santa Catarina, Brazil (EpiFloripa 2009–2010). Revista Brasileira de Epidemiologia, 15(1), 106–122.

    Article  Google Scholar 

  • Moreira-Almeida, A., Koenig, H. G., & Lucchetti, G. (2014). Clinical implications of spirituality to mental health: Review of evidence and practical guidelines. Rev Bras Psiquiatr, 36(2), 176–182.

    Article  PubMed  Google Scholar 

  • Oh, P. J., & Shin, S. R. (2014). Effects of dignity interventions on psychosocial and existential distress in terminally ill patients: A meta-analysis. Journal of Korean Academy of Nursing, 44(5), 471–483. doi:10.4040/jkan.2014.44.5.471.

    Article  PubMed  Google Scholar 

  • Peres, M. F. P., & Lucchetti, G. (2010). Coping strategies in chronic pain. Current Pain and Headache Reports, 14(5), 331–338.

    Article  PubMed  Google Scholar 

  • Peterman, A. H., Fitchett, G., Brady, M. J., Hernandez, L., & Cella, D. (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(1), 49–58.

    Article  PubMed  Google Scholar 

  • Puchalski, C. M., Vitillo, R., Hull, S. K., & Reller, N. (2014). Improving the spiritual dimension of whole person care: Reaching national and international consensus. Journal of Palliative Medicine, 17(6), 642–656.

    Article  PubMed  PubMed Central  Google Scholar 

  • Reis, R. S., Hino, A. A., & Anez, C. R. (2010). Perceived stress scale: Reliability and validity study in Brazil. Journal of Health Psychology, 15(1), 107–114. doi:10.1177/1359105309346343.

    Article  PubMed  Google Scholar 

  • Rodrigues, A., & Silva, J. A. (2010). The role of sociodemographic characteristics on happiness. Psico-USF, 15(1), 113–123.

    Article  Google Scholar 

  • Salsman, J. M., Brown, T. L., Brechting, E. H., & Carlson, C. R. (2005). The link between religion and spirituality and psychological adjustment: The mediating role of optimism and social support. Personality and Social Psychology Bulletin, 31(4), 522–535.

    Article  PubMed  Google Scholar 

  • Santos, I. S., Tavares, B. F., Munhoz, T. N., Almeida, L. S. P. D., Silva, N. T. B. D., Tams, B. D., et al. (2013). Sensitivity and specificity of the Patient Health Questionnaire-9 (PHQ-9) among adults from the general population. Cadernos de Saúde Pública, 29(8), 1533–1543.

    Article  PubMed  Google Scholar 

  • Scheier, M. F., Carver, C. S., & Bridges, M. W. (1994). Distinguishing optimism from neuroticism (and trait anxiety, self-mastery, and self-esteem): A reevaluation of the Life Orientation Test. Journal of Personality and Social Psychology, 67(6), 1063–1078.

    Article  PubMed  CAS  Google Scholar 

  • Spitzer, R. L., Kroenke, K., Williams, J. B., & Lowe, B. (2006). A brief measure for assessing generalized anxiety disorder: The GAD-7. Archives of Internal Medicine, 166(10), 1092–1097. doi:10.1001/archinte.166.10.1092.

    Article  PubMed  Google Scholar 

  • Steger, M. F., & Frazier, P. (2005). Meaning in life: One link in the chain from religiousness to well-being. Journal of Counseling Psychology, 52(4), 574–582.

    Article  Google Scholar 

  • Steger, M. F., Frazier, P., Oishi, S., & Kaler, M. (2006). The meaning in life questionnaire: Assessing the presence of and search for meaning in life. Journal of Counseling Psychology, 53(1), 80–93.

    Article  Google Scholar 

  • Whitford, H. S., & Olver, I. N. (2012). The multidimensionality of spiritual wellbeing: Peace, meaning, and faith and their association with quality of life and coping in oncology. Psycho-Oncology, 21(6), 602–610.

    Article  PubMed  Google Scholar 

  • WHOQOL-Group. (1998). Development of the World Health Organization WHOQOL-BREF quality of life assessment. Psychological Medicine, 28(03), 551–558.

    Article  Google Scholar 

  • Zenger, M., Finck, C., Zanon, C., Leal, W. J., Singer, S., & Hinz, A. M. (2013). Evaluation of the Latin American version of the Life Orientation Test-Revised. International Journal of Clinical and Health Psychology, 13(3), 243–252.

    Article  Google Scholar 

Download references

Acknowledgements

This work was supported by a Grant from Natura Innovation, Brazil.

Author information

Authors and Affiliations

Authors

Contributions

MFFP, HHK, PRT and GL designed and carried out the study. MFPP and GL conducted all analysis; MFPP and GL drafted the manuscript; all authors contributed to the execution of the study and approved the final draft.

Corresponding author

Correspondence to Mario Fernando Prieto Peres.

Ethics declarations

Conflict of interest

MFPP and GL declares that they have no conflict of interest. HHK and PRT work at Natura Innovation, Brazil.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Peres, M.F.P., Kamei, H.H., Tobo, P.R. et al. Mechanisms Behind Religiosity and Spirituality’s Effect on Mental Health, Quality of Life and Well-Being. J Relig Health 57, 1842–1855 (2018). https://doi.org/10.1007/s10943-017-0400-6

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10943-017-0400-6

Keywords

Navigation