International Journal of Behavioral Medicine

, Volume 20, Issue 3, pp 327–336 | Cite as

Jewish Spirituality, Depression, and Health: an Empirical Test of a Conceptual Framework

  • Elizabeth J. Krumrei
  • Steven Pirutinsky
  • David H. Rosmarin
Article
First Online:

Abstract

Background

Little is known about the links between spirituality and mental health among Jews.

Purpose

This study assessed trust/mistrust in God and religious coping and examined their relationships to depressive symptoms and physical health. Religious affiliation and intrinsic religiousness were examined as moderating variables and religious coping was examined as a mediator.

Method

Anonymous internet surveys were completed by 208 Jewish women and men of diverse denominations who resided primarily in the USA.

Results

Trust in God and positive religious coping were associated with lower levels of depressive symptoms and mistrust in God and negative religious coping were associated with greater depressive symptoms. Intrinsic religiosity showed a small moderation effect for mistrust in God and negative religious coping in relation to depressive symptoms and for trust in God in relation to physical health. Further, positive religious coping fully mediated the link between trust in God and less depressive symptoms and negative religious coping fully mediated the relationship between mistrust in God and greater depressive symptoms.

Conclusion

The data lend themselves to a possible integrative cognitive-coping model, in which latent core beliefs about the Divine activate coping strategies during times of distress, which in turn impact psychological health. The findings highlight the potential clinical significance of spirituality to mental health among Jews and provide a basis for future longitudinal, experimental, and treatment outcome research.

Keywords

Religious coping Trust in God Jews Depression Health 
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Notes

Acknowledgment

Funding for this study was provided by the Diane and Guilford Glazer Institute for Jewish Studies and the Gertrude B. Nielsen Charitable Trust. The authors wish to express gratitude to Kenneth I. Pargament for his ongoing mentorship.

References

  1. 1.
    Post BC, Wade NG. Religion and spirituality in psychotherapy: a practice-friendly review of research. J Clin Psychol. 2009;65(2):131–46. doi: 10.1002/jclp. 20563.PubMedCrossRefGoogle Scholar
  2. 2.
    Rosmarin DH, Wachholtz A, Ai A. Beyond descriptive research: advancing the study of spirituality & health. J Behav Med. 2011;34:409–13.PubMedCrossRefGoogle Scholar
  3. 3.
    Hage S, Hopson A, Siegel M, Payton G, DeFanti E. Multicultural training in spirituality: an interdisciplinary review. Couns Values. 2006;50:217–34.CrossRefGoogle Scholar
  4. 4.
    Cohen AB, Hill PC. Religion as culture: religious individualism and collectivism among American Catholics, Jews, and Protestants. J Personal. 2007;75:709–42.CrossRefGoogle Scholar
  5. 5.
    Rosmarin DH, Pirutinsky S, Pargament KI, Krumrei EJ. Are religious beliefs relevant to mental health among Jews? Psychol Relig Spiritual. 2009;1(3):180–90. doi: 10.1037/a0016728.CrossRefGoogle Scholar
  6. 6.
    Rosmarin DH, Pirutinsky S, Siev J. Recognition of scrupulosity and non-religious OCD by Orthodox and non-Orthodox Jews. J Soc Clin Psychol. 2010;29(8):931–45.CrossRefGoogle Scholar
  7. 7.
    Lawrence RT. Measuring the image of God: the God image inventory and the God image scales. J Psychol Theol. 1997;25(2):214–26.Google Scholar
  8. 8.
    Ibn Pekuda, B. (1996). Duties of the heart (Y. Feldman, Trans.). Northvale, NJ: Jason Aronson. (Original work published circa 1080).Google Scholar
  9. 9.
    Beck JS. Cognitive therapy: basics and beyond. New York: Guilford Press; 1995.Google Scholar
  10. 10.
    Rosmarin DH, Krumrei EJ, Andersson G. Religion as a predictor of psychological distress in two religious communities. Cogn Behav Ther. 2009;38(1):54–64. doi: 10.1080/16506070802477222.PubMedCrossRefGoogle Scholar
  11. 11.
    Rosmarin DH, Pargament KI, Mahoney A. The role of religiousness in anxiety, depression, and happiness in a Jewish community sample: a preliminary investigation. Ment Health Relig Cult. 2009;12(2):97–113. doi: 10.1080/13674670802321933.CrossRefGoogle Scholar
  12. 12.
    Rosmarin DH, Pirutinsky S, Auerbach RP, Björgvinsson T, Bigda-Peyton J, Andersson G, Pargament KI, Krumrei EJ. Incorporating spiritual beliefs into a cognitive model of worry. J Clin Psychol. 2011;67:1–10.CrossRefGoogle Scholar
  13. 13.
    Rosmarin DH, Pargament KI, Pirutinsky S, Mahoney A. A randomized controlled evaluation of a spiritually-integrated treatment for subclinical anxiety in the Jewish community, delivered via the Internet. J Anxiety Disord. 2010;24(7):799–808.PubMedCrossRefGoogle Scholar
  14. 14.
    Pargament KI. The psychology of religion and coping: theory, research, practice. New York: Guilford Press; 1997.Google Scholar
  15. 15.
    Pargament KI, Ano G. Empirical advances in the psychology of religion and coping. In: Schaie KW, Krause N, Booth A, editors. Religious influences on health and well-being in the elderly. New York: Springer; 2004. p. 114–40.Google Scholar
  16. 16.
    Pargament KI, Smith BW, Koenig HG, Perez L. Patterns of positive and negative religious coping with major life stressors. J Sci Study Relig. 1998;37:711–25.CrossRefGoogle Scholar
  17. 17.
    Pargament KI, Koening HG, Tarakeshwar N, Hahn J. Religious struggle as a predictor of morality among medically ill elderly patients: a two-year longitudinal study. Arch Intern Med. 2001;161:1881–5.PubMedCrossRefGoogle Scholar
  18. 18.
    Pargament KI. Religion and coping: the current state of knowledge. In: Folkman S, editor. Oxford handbook of stress, health, and coping. New York: Oxford University Press; 2011. p. 269–88.Google Scholar
  19. 19.
    Dubow EF, Pargament KI, Boxer P, Tarakeshwar N. Initial investigation of Jewish early adolescents' ethnic identity, stress and coping. J Early Adolesc. 2000;20(4):418–41. doi: 10.1177/0272431600020004003.CrossRefGoogle Scholar
  20. 20.
    Rosmarin DH, Pargament KI, Krumrei EJ, Flannelly KJ. Religious coping among Jews: development and initial validation of the JCOPE. J Clin Psychol. 2009;65(7):670–83. doi: 10.1002/jclp. 20574.PubMedCrossRefGoogle Scholar
  21. 21.
    Rosmarin DH, Pargament KI, Flannelly KJ. Do spiritual struggles predict poorer physical/mental health among Jews? Int J Psychol Relig. 2009;19(4):244–58. doi: 10.1080/10508610903143503.CrossRefGoogle Scholar
  22. 22.
    Pirutinsky S, Rosmarin DH, Holt C. Religious coping moderates the relationship between emotional functioning and obesity. Heal Psychol. 2012;21:394–7. doi: 10.1037/a0026665.CrossRefGoogle Scholar
  23. 23.
    Kohn R, Levav I, Zolondek S, Richter M. Affective disorders among Jews: a historical review and meta-analysis. Hist Psychiatry. 1999;10:245–67. doi: 10.1177/0957154X9901003805.PubMedCrossRefGoogle Scholar
  24. 24.
    Moussavi S, Chatterji S, Verdes E, Tandon A, Patel V, Ustun B. Depression, chronic diseases, and decrements in health: results from the World Health Surveys. Lancet. 2007;370:851–8. doi: 10.1016/S0140-6736(07)61415-9.PubMedCrossRefGoogle Scholar
  25. 25.
    Cassano P, Fava M. Depression and public health: an overview. J Psychosom Res. 2002;53:849–57. doi: 10.1016/S0022-3999(02)00304-5.PubMedCrossRefGoogle Scholar
  26. 26.
    Lazarus RS, Folkman S. Stress, appraisals, and coping. New York: Springer; 1984.Google Scholar
  27. 27.
    Belavich TG, Pargament KI. The role of attachment in predicting spiritual coping with a loved one in surgery. J Adult Dev. 2002;9:13–29. doi: 10.1023/A:1013873100466.CrossRefGoogle Scholar
  28. 28.
    Cohen AB, Rozin P. Religion and the morality of mentality. J Personal Soc Psychol. 2001;81:697–710.CrossRefGoogle Scholar
  29. 29.
    Lewinsohn PM, Sullivan JM, Grosscup SJ. Changing reinforcing events: an approach to the treatment of depression. Psychother Theory Res Pract. 1980;47:322–34.Google Scholar
  30. 30.
    Allport GW, Ross MJ. Personal religious orientation and prejudice. J Personal Soc Psychol. 1967;5:432–43.CrossRefGoogle Scholar
  31. 31.
    Rosmarin DH, Pirutinsky S, Pargament KI. A brief measure of core religious beliefs for use in psychiatric settings. Int J Psychiatry Med. 2011;41(3):253–61.PubMedCrossRefGoogle Scholar
  32. 32.
    Radloff LS. The CES–D Scale: a self-report depression scale for research in the general population. Appl Psychol Meas. 1977;1:385–401.CrossRefGoogle Scholar
  33. 33.
    Andresen EM, Malmgren JA, Carter WB, Patrick DL. Screening for depression in well older adults: evaluation of a short form of the CES-D. Am J Prev Med. 1994;10:77–84.PubMedGoogle Scholar
  34. 34.
    Gandek B, Ware JE, Aaronson NK, Apolone G, Bjorner JB, Brazier JE, … Sullivan M. Cross-validation of item selection and scoring for the SF-12 Health Survey in nine countries: results from the IQOLA Project. J Clin Epidemiol. 1998;51:1171–8.PubMedCrossRefGoogle Scholar
  35. 35.
    Ware JE, Kosinki M, Keller SD. 12-Item short-form health survey: construction of scales and preliminary tests of reliability and validity. Med Care. 1996;34:220–33.PubMedCrossRefGoogle Scholar
  36. 36.
    Koenig H, Patterson G, Meador K. Religion Index for psychiatric research: a 5-item measure for use in health outcomes studies. Am J Psychiatry. 1997;154:885–97.PubMedGoogle Scholar
  37. 37.
    Hoge D. A validated intrinsic religious motivation scale. J Sci Study Relig. 1972;11:369–76.CrossRefGoogle Scholar
  38. 38.
    Storch EA, Strawser MS, Storch JB. Two-week test–retest reliability of the Duke Religion Index. Psychol Rep. 2004;94:993–4.PubMedCrossRefGoogle Scholar
  39. 39.
    Aiken S, West SG. Multiple regression: testing and interpreting interactions. Newbury Park: Sage; 1991.Google Scholar
  40. 40.
    Preacher KJ, Hayes AF. Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models. Behav Res Methods. 2008;40:879–91. doi: 10.3758/BRM.40.3.879.PubMedCrossRefGoogle Scholar
  41. 41.
    Newport, F. (2010, May 21). In U.S., Increasing Number Have No Religious Identity. Princeton, NJ: Gallup. Retrieved from http://www.gallup.com/poll/128276/Increasing-Number-No-Religious-Identity.aspx
  42. 42.
    Barna Group. (2010, July 26). Has the Economy Influenced Americans' Priorities? Retrieved from http://www.barna.org/culture-articles/405-has-the-economy-influenced-americans-priorities?q=religion+important
  43. 43.
    Cohen J. Statistical power analysis for the behavioral sciences. 2nd ed. Hillsdale: Erlbaum; 1988.Google Scholar
  44. 44.
    Cohen J, Cohen P, West SG, Aiken LS. Applied multiple regression/correlation analysis for the behavioral sciences. 3rd ed. Mahwah: Erlbaum; 2003.Google Scholar
  45. 45.
    Aguinis H, Beaty JC, Boik RJ, Pierce CA. Effect size and power in assessing moderating effects of categorical variables using multiple regression: a 30-year review. J Appl Psychol. 2005;90(1):94–107. doi: 10.1037/0021-9010.90.1.94.PubMedCrossRefGoogle Scholar
  46. 46.
    Kenny, D. A. (2011, August 8). Moderation. Retrieved from http://davidakenny.net/cm/moderation.htm
  47. 47.
    Hill PC, Pargament KI. Advances in the conceptualization and measurement of religion and spirituality: implications for physical and mental health research. Am Psychol. 2003;58:64–74. doi: 10.1037/0003-066X.58.1.64.PubMedCrossRefGoogle Scholar
  48. 48.
    Cohen AB, Siegel JI, Rozin P. Faith versus practice: different bases for religiosity judgments by Jews and Protestants. Eur J Soc Psychol. 2003;33:287–95.CrossRefGoogle Scholar
  49. 49.
    Hack J. Taming technology: ultra-Orthodox Jewish families and their domestication of the internet. In: Mansell R, Cammaerts B, editors. MEDIA@LSE Electronic MSc Dissertation Series. London: LSE; 2007. p. 3–42.Google Scholar

Copyright information

© International Society of Behavioral Medicine 2012

Authors and Affiliations

  • Elizabeth J. Krumrei
    • 1
  • Steven Pirutinsky
    • 2
  • David H. Rosmarin
    • 3
  1. 1.Department of Psychology, Social Science DivisionPepperdine UniversityMalibuUSA
  2. 2.Department of Counseling and Clinical Psychology, Teachers CollegeColumbia UniversityNew YorkUSA
  3. 3.Department of PsychiatryMcLean Hospital/Harvard Medical SchoolBelmontUSA

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