Abstract
Background: Religiosity has been related to positive health outcomes. Although this relationship is primarily based on studies of church attendance and health, more recent work has focused on the potential mechanisms that may mediate the religion-health findings. One principle that is taught by all of the world’s major religions is compassion.Purpose: It was hypothesized that one pathway through which religiosity may exert its positive influence on health is through encouraging compassionate attitudes and behaviors toward others.Methods: Two separate studies were conducted examining the relationships among intrinsic religiosity (IR), compassionate attitudes and behaviors, and measures of psychosocial health. Measures of psychosocial health included depressive symptoms, perceived stress, and social support.Results: IR was related to positive psychosocial outcomes in both studies, and compassionate attitudes and behaviors mediated these relationships. Compassionate attitudes showed significant relationships with psychosocial outcome measures (depressive symptoms, r = −.46, p < .0001; perceived stress, r = −.45, p < .0001; satisfaction with social support, r = .54, p < .0001; marital adjustment, r = .44) and accounted for most of the mediating effect. Although social support was also related to the variables of interest, its effect was smaller than that of compassionate attitude, and controlling for social support did not significantly add to the mediating effect of compassionate attitude.Conclusions: This study found compassionate attitude to be an important factor in the religion-health relationship and related to positive psychosocial outcomes, including reduced depressive symptoms and reduced perceived stress. Future research on religiosity and health may benefit from exploring the concept of a “;compassionate personality”; (i.e., a way of being in the world where others are treated with love and respect).
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References
World Health Organization.Preamble to the Constitution of the World Health Organization. New York: World Health Organization, 1948.
Ellison CG: Religious involvement and subjective well-being.Journal of Health and Social Behavior. 1991,32:80–99.
Gartner JW, Larson DB, Allen G: Religious commitment and mental health: A review of the empirical literature.Journal of Psychology and Theology. 1991,19:6–25.
George LK, Larson DB, Koenig HG, McCullough ME: Spirituality and health: What we know, we what need to know.Journal of Social and Clinical Psychology. 2000,19:102–116.
McCullough ME, Hoyt WT, Larson DB, Koenig HG, Thoresen C: Religious involvement and mortality: A meta-analytic review.Health Psychology. 2000,19:211–222.
Oxman TE, Freeman DH, Manheimer ED: Lack of social participation or religious strength and comfort as risk factors after cardiac surgery in the elderly.Psychosomatic Medicine. 1995,57:5–15.
Powell LH, Shahabi L, Thoresen CE: Religion and spirituality: Linkages to physical health.American Psychologist. 2003,58:36–52.
Smith TB, McCullough ME, Poll J: Religiousness and depression: Evidence for a main effect and the moderating influence of stressful life events.Psychological Bulletin. 2003,129:614–636.
Sloan RP, Bagiella E, Powell T: Religion, spirituality, and medicine.Lancet. 1999,353:664–667.
Hill PC, Pargament KI: Advances in the measurement and conceptualization of religion and spirituality.American Psychologist. 2003,58:64–74.
Masters KS, Hill RD, Kircher JC, Lensegrav-Benson TL, Fallon JA: Religious orientation, aging, and blood pressure reactivity to interpersonal and cognitive stressors.Annals of Behavioral Medicine. 2004,28:171–178.
Donahue MJ: Intrinsic and extrinsic religiousness: Review and meta-analysis.Journal of Personality and Social Psychology. 1985,48:400–419.
Masters KS, Bergin AE: Religious orientation and mental health. In Schumaker JF (ed),Religion and Mental Health. New York: Oxford University Press, 1992, 221–232.
McIntosh DN, Spilka B: Religion and physical health: The role of personal faith and control beliefs. In Lynn ML, Moberg DO (eds),Research in the Social Scientific Study of Religion (Vol. 2). Greenwich, CT: JAI, 1990, 167–194.
Maltby J, Day L: Religious orientation and death obsession.Journal of Genetic Psychology. 2000,116:122–124.
Laurencelle RM, Abell SC, Schwartz DJ: The relation between intrinsic faith and psychological well-being.International Journal for the Psychology of Religion. 2002,5:177–180.
Acklin MW, Brown EC, Mauger PA: The role of religious values in coping with cancer.Journal of Religion and Health.1983,22:322–333.
Batson CD, Oleson KC, Weeks JL, et al.: Religious prosocial motivation: Is it altruistic or egoistic?Journal of Personality and Social Psychology. 1989,57:873–884.
Swanson JL, Byrd KR: Death anxiety in young adults as a function of religious orientation, guilt, and separation-individuation conflict.Death Studies. 1998,22:257–268.
Bergin AE, Masters KS, Richards PS: Religiousness and mental health reconsidered: A study of an intrinsically religious sample.Journal of Counseling Psychology. 1987,34:197–204.
Markstrom-Adams C, Smith M: Identity formation and religious orientation among high school students from the United States and Canada.Journal of Adolescence. 1996,19: 247–261.
Chau LL, Johnson RC, Bowers JK, Darvill TJ, Danko GP: Intrinsic and extrinsic religiosity as related to conscience, adjustment, and altruism.Personality and Individual Differences. 1990,11:397–400.
Johnson RC, Danko GP, Davill TJ, et al.: Cross-cultural assessment of altruism and its correlates.Personality and Individual Differences. 1989,10:855–868.
Eisenberg N, Miller PA, Schaller M, et al.: The role of sympathy and altruistic personality traits in helping: A reexamination.Journal of Personality. 1989,57:41–67.
Bierhoff HW, Klein R, Kramp P: Evidence for the altruistic personality from data on accident research.Journal of Personality. 1991,59:263–280.
Rushton JP, Chrisjohn RD, Fekken GC: The altruistic personality and the Self-Report Altruism Scale.Personality and Individual Differences. 1981,2:293–302.
Batson CD, Duncan BD, Ackerman P, Buckley T, Birch K: Is empathic emotion a source of altruistic motivation?Journal of Personality and Social Psychology. 1981,40:290–302.
Batson CD, Bolen MH, Cross JA, Neuringer-Benefiel HE: Where is the altruism in the altruistic personality?Journal of Personality and Social Psychology. 1986,50:212–220.
Carlo G, Eisenberg N, Troyer D, Switzer G, Speer AL: The altruistic personality: In what contexts is it apparent?Journal of Personality and Social Psychology. 1991,61:450–458.
Sibicky ME, Schroeder DA, Dovidio JF: Empathy and helping: Considering the consequences of intervention.Basic and Applied Social Psychology. 1995,16:435–453.
Batson CD: Addressing the altruism question experimentally. In Post SG, Underwood LG, Schloss JP, Hurlbut WB (eds),Altruism and Altruistic Love: Science, Philosophy, and Religion in Dialogue. Oxford, England: Oxford University Press, 2002, 89–105.
Allport GW: Religious context of prejudice.Journal for the Scientific Study of Religion. 1966,5:447–457.
Batson CD, Floyd RB, Meyer JM, Winner AL: “And who is my neighbor?”: Intrinsic religion as a source of universal compassion.Journal for the Scientific Study of Religion. 1999,38:445–457.
Batson CD, Eidelman SH, Higley SL, Russell SA: “And who is my neighbor?” II: Quest religion as a source of universal compassion.Journal for the Scientific Study of Religion. 2001,40:39–50.
Goldfried J, Miner M: Quest religion and the problem of limited compassion.Journal for the Scientific Study of Religion. 2002,41:685–695.
Fulton AS, Gorsuch RL, Maynard EA: Religious orientation, antihomosexual sentiment, and fundamentalism among Christians.Journal for the Scientific Study of Religion. 1999,38:14–22.
Hendrick SS, Hendrick C: Love and sex attitudes and religious beliefs.Journal of Social and Clinical Psychology. 1987,5:391–398.
Leak GK: Relationship between religious orientation and love styles, sexual attitudes, and sexual behaviors.Journal of Psychology and Theology. 1993,21:315–318.
Fowler J:Hinduism. Portland, OR: Sussex Academic, 1997.
Gyatso T:The Power of Compassion. San Francisco: Thorsons, 1995.
Ladner L:Wheel of Great Compassion: The Practice of the Prayer Wheel in Tibetan Buddhism. Boston: Wisdom Publications, 2000.
Melton JG, Baumann M (eds):Religions of the World: A Comprehensive Encyclopedia of Beliefs and Practices. Santa Barbara, CA: ABC-CLIO, 2002.
Dulin PL, Hill RD: Relationships between altruistic activity and positive and negative affects among low-income older adult service providers.Aging and Mental Health. 2003,7:294–299.
Schwartz C, Meisenhelder JB, Ma Y, Reed G: Altruistic social interest behaviors are associated with better mental health.Psychosomatic Medicine. 2003,65:778–785.
Ironson G, Solomon GF, Balbin EG, et al.: The Ironson-Woods Spirituality/Religiousness Index is associated with long survival, health behaviors, less distress, and low cortisol in people with HIV/AIDS.Annals of Behavioral Medicine. 2002,24:34–48.
Oman D, Thoresen CE, McMahon K: Volunteerism and mortality among the community-dwelling elderly.Journal of Health Psychology. 1999,4:301–316.
Brown SL, Nesse RM, Vinokur AD, Smith DM: Providing social support may be more beneficial than receiving it: Results from a prospective study of mortality.Psychological Science. 2003,14:320–327.
Brady MJ, Peterman AH, Fitchett G, Cella D: The expanded version of the Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being Scale (FACIT-Sp-Ex): Initial report of psychometric properties. Paper presented at the annual meeting of the Society of Behavioral Medicine. San Diego, CA: 1999.
Peterman AH, Fitchett G, Brady MJ, Hernandez L, Cella D: 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. 2002,24:49–58.
Krause N: Religious support. In the Fetzer Institute/National Institute on Aging Working Group,Multidimensional Measurement of Religiousness/Spirituality for Use in Health Research: A Report of the Fetzer Institute/National Institute on Aging Working Group. Kalamazoo, MI: Fetzer Institute, 1999, 57–64.
Koenig H, Parkerson GR, Meador KG: Religion index for psychiatric research.American Journal of Psychiatry. 1997,153:885–886.
Weinberger DA, Schwartz GE: Distress and restraint as superordinate dimensions of self-reported adjustment: A typological perspective.Journal of Personality. 1990,58:381–417.
Cohen S, Williamson G: Perceived stress in a probability sample of the United States. In Spacapam S, Oskamp S (eds),The Social Psychology of Health: Claremont Symposium on Applied Social Psychology. Newbury Park, CA: Sage, 1988, 130–148.
Sarason IG, Sarason BR, Shearin EN: A brief measure of social support: Practical and theoretical implications.Journal of Social and Personal Relationships. 1987,4:497–510.
Busby DM, Crane DR, Larson JH, Christensen C: A revision of the Dyadic Adjustment Scale for use with distressed and non-distressed couples: Construction hierarchy and multidimensional scales.Journal of Marital and Family Therapy. 1995,21:289–308.
Baron RA, Kenny DA: The moderator-mediator distinction in social psychological research: Conceptual, strategic, and statistical considerations.Journal of Personality and Social Psychology. 1986,31:1173–1182.
George LK, Ellison CG, Larson DB: Explaining the relationships between religious involvement and health.Psychological Inquiry. 2002,13:190–200.
House JS, Landis KR, Umberson D: Social relationships and health.Science. 1988,241:540–545.
Kiecolt-Glaser JK, Newton TL: Marriage and health: His and hers.Psychological Bulletin. 2001,127:472–503.
Antonovsky A:Health, Stress, and Coping. Washington, DC: Jossey-Bass, 1979.
Antonovsky A: The structure and properties of the sense of coherence scale.Social Science and Medicine. 1993,36:725–733.
Allport GW, Ross JM: Personal religious orientation and prejudice.Journal of Personality and Social Psychology. 1967,5:432–443.
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Steffen, P.R., Masters, K.S. Does compassion mediate the intrinsic religion-health relationship?. ann. behav. med. 30, 217–224 (2005). https://doi.org/10.1207/s15324796abm3003_6
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DOI: https://doi.org/10.1207/s15324796abm3003_6