Stress and Somatic Symptoms pp 305-313 | Cite as
The Role of Religion and Spirituality in Health and Illness
Abstract
There is mounting evidence that religious cognitions and behaviors can offer effective resources for dealing with stress. Religious involvement may promote better health by enhancing feelings of self-esteem, or a sense of intrinsic moral self-worth, feelings of efficacy, or perception that one can master or have control over one’s personal affairs, promoting constructive coping responses, or enhancing social support. In particular, participation in religious communities may promote mental and physical well-being by regulating health-related behaviors in ways that decrease the risks of diseases. Spirituality such as sharing of religious thoughts and insights and praying for others is a source of social support. Studies on the health effects of religion/spirituality have linked it to reduced depression and anxiety, increased longevity, and other physical and psychological health benefits. Religion/spirituality may give depressed patients with physical diseases a sense of purpose and meaning in life as well as social support despite health problems. These effects may protect the patients from depression by enabling them to cope better with their illnesses. However, certain aspects of religiosity may undermine self-esteem and feelings of personal mastery. Religious coping styles such as passively leaving the responsibility for resolving crises entirely up to divine intervention are likely to yield pathological health-related consequences.
Keywords
Religious cognitions Religious behaviors Self-esteem Social support Mental well-being Physical well-being SpiritualityReferences
- 1.Lukoff D, Lu F, Turner R. Toward a more culturally sensitive DSM-IV: psychoreligious and psychospiritual problems. J Nerv Ment Dis. 1992;180:673–82.CrossRefGoogle Scholar
- 2.Colombo D. Psychoanalysis and the Catholic Church in Italy: the role of Father Agostino Gemelli, 1925–1953. J Hist Behav Sci. 2003;39:333–48.CrossRefGoogle Scholar
- 3.Turner RP, Lukoff D, Barnhouse RT, Lu FG. Religious or spiritual problem: a culturally sensitive diagnostic category in the DSM-IV. J Nerv Ment Dis. 1995;183:435–44.CrossRefGoogle Scholar
- 4.O’Connell RA. The church and psychiatry. National Cathol Wkly. 2001;185:15–7.Google Scholar
- 5.Greenberg D, Witztum E. Problems in the treatment of religious patients. Am J Psychother. 1991;45:554–65.CrossRefGoogle Scholar
- 6.Curlin FA, Lawrence RE, Odell S, et al. Religion, spirituality, and medicine: psychiatrists’ and other physicians’ differing observations, interpretations, and clinical approaches. Am J Psychiatry. 2007;164:1825–31.CrossRefGoogle Scholar
- 7.Kitchell MA, Barnes RF, Veith RC, et al. Screening for depression in hospitalized geriatric medical patients. J Am Geriatr Soc. 1982;30:174–7.CrossRefGoogle Scholar
- 8.Koenig HG, Meador KG, Cohen HJ, et al. Depression in elderly hospitalized patients with medical illness. Arch Intern Med. 1988a;148:1929–36.CrossRefGoogle Scholar
- 9.Yi MS, Mrus JM, Wade TJ, et al. Religion, spirituality, and depressive symptoms in patients with HIV/AIDS. J Gen Intern Med. 2006a;21:S21–7.CrossRefGoogle Scholar
- 10.Koenig HG. Religion and depression in older medical inpatients. Am J Geriatr Psychiatry. 2007a;15:282–91.CrossRefGoogle Scholar
- 11.Baetz M, Bowen R, Marcoux G. Spirituality and psychiatry in Canada: psychiatric practice compared with patient expectations. Can J Psychiatr. 2004;49:265–71.CrossRefGoogle Scholar
- 12.Sansone RA, Khatain K, Rodenhauser P. The role of religion in psychiatric education: a national survey. Acad Psychiatry. 1990;14:34–8.CrossRefGoogle Scholar
- 13.Sulmasy DP. The rebirth of the clinic: an introduction to spirituality in health care. Washington, DC: Georgetown University Press; 2007.Google Scholar
- 14.Koenig HG. Medicine, religion, and health: where science and spirituality meet. West Conshohocken: Templeton Foundation Press; 2008.Google Scholar
- 15.Muldoon M, King N. Spirituality, health care, and bioethics. J Relig Health. 1995;34:329–49.CrossRefGoogle Scholar
- 16.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.CrossRefGoogle Scholar
- 17.Pargament KI. The psychology of religion and coping. New York: Guilford; 1997a.Google Scholar
- 18.Crawford M, Handal P, Weiner R. The relationship between religion and mental health/distress. Rev Relig Res. 1989;31:16–22.CrossRefGoogle Scholar
- 19.Ellison C. Religious involvement and subjective well-being. J Health Soc Behav. 1991;32:80–99.CrossRefGoogle Scholar
- 20.Hathaway W, Pargament K. Intrinsic religiousness, religious coping, and psychosocial competence: a covariance structural analysis. J Sci Study Relig. 1990;29:423–41.CrossRefGoogle Scholar
- 21.Pargament K, Kennell J, Hathaway W, et al. Religion and the problem-solving process: three styles of coping. J Sci Study Relig. 1988;27:90–104.CrossRefGoogle Scholar
- 22.Ross C. Religion and psychological distress. J Sci Study Relig. 1990;29:235–45.CrossRefGoogle Scholar
- 23.Maton R. Spiritual discernment in psychiatric patients. J Relig Health. 1987;26:125–30.CrossRefGoogle Scholar
- 24.Donahue M. Intrinsic and extrinsic religiousness: review and meta-analysis. J Pers Soc Psychol. 1985;48:400–19.CrossRefGoogle Scholar
- 25.Petersen L, Roy A. Religiosity, anxiety, and meaning and purpose: religion’s consequences for psychological well-being. Rev Relig Res. 1985;27:49–62.CrossRefGoogle Scholar
- 26.Sullivan WP. It helps me to be a whole person: the role of spirituality among the mentally challenged. Psychosoc Rehabil J. 1993;16:125–34.Google Scholar
- 27.Bergin AE. Religiosity and mental health: a critical reevaluation and meta-analysis. Prof Psychol Res Pract. 1983;14:170–84.CrossRefGoogle Scholar
- 28.Gartner JD, Larson DB, Allen GD. Religious commitment and mental health: a review of the empirical literature. J Psychol Theol. 1991;19:6–25.CrossRefGoogle Scholar
- 29.Walsh K, King M, Jones L, et al. Spiritual beliefs may affect outcome of bereavement: prospective study. BMJ. 2002;324:1551–6.CrossRefGoogle Scholar
- 30.Idler EL. Religion, health, and non-physical senses of self. Soc Forces. 1995a;74:683–704.CrossRefGoogle Scholar
- 31.Mattlin JA, Wethington E, Kessler RC. Situational determinants of coping and coping effectiveness. J Health Soc Behav. 1990;31:103–22.CrossRefGoogle Scholar
- 32.Chopra D. Perfect health: the complete mind/body guide. New York: Harmony Books; 1991.Google Scholar
- 33.Dossey L. Healing words: the power of prayer and the practice of medicine. San Francisco: Harper; 1993.Google Scholar
- 34.Benson H. Timeless healing: the power and biology of belief. New York: Scribners; 1996.Google Scholar
- 35.Ellison CG, Levin JS. The religion-health connection: evidence, theory, and future directions. Health Educ Behav. 1998;25:700–20.CrossRefGoogle Scholar
- 36.Mueller PS, Plevak DJ, Rummans TA. Religious involvement, spirituality, and medicine: implications for clinical practice. Mayo Clin Proc. 2001;76:1225–35.CrossRefGoogle Scholar
- 37.Matthews DA, McCullough ME, Larson DB, et al. Religious commitment and health status: a review of the research and implications for family medicine. Arch Fam Med. 1998;7:118–24.CrossRefGoogle Scholar
- 38.Pargament K, Ensing DS, Falgout K, et al. God help me: (1) religious coping efforts as predictors of the outcomes to significant negative life events. Am J Community Psychol. 1990;18:793–824.CrossRefGoogle Scholar
- 39.Foley DP. Eleven interpretations of personal suffering. J Relig Health. 1988;27:321–8.CrossRefGoogle Scholar
- 40.Ellis AL. Reason and emotion in psychotherapy. Secaucus: Lyle Stuart; 1992.Google Scholar
- 41.Branden N. The six pillars of self-esteem. New York: Bantam; 1994.Google Scholar
- 42.Pargament K, Ishler K, Dubow EF, et al. Methods of religious coping with the Gulf war: cross-sectional and longitudinal analyses. J Sci Study Relig. 1994;33:347–61.CrossRefGoogle Scholar
- 43.Kaplan BH, Monroe-Blum H, Blazer DG. Religion, health, and forgiveness: traditions and challenges. In: Levin JS, editor. Religion in aging and health: theoretical foundations and methodological frontiers. Thousand Oaks: Sage; 1994. p. 52–77.CrossRefGoogle Scholar
- 44.Cochran JK, Beeghley L, Bock EW. Religiosity and alcohol behavior: an exploration of reference group theory. Sociol Forum. 1988;3:256–76.CrossRefGoogle Scholar
- 45.Koenig HG, George LK, Meador KG, et al. Religious practices and alcoholism in a Sothern adult population. Hosp Community Psychiatry. 1994;45:225–31.PubMedGoogle Scholar
- 46.Ellis L. Religiosity and criminality: evidence and explanations complex relationships. Sociol Perspect. 1985;28:501–20.CrossRefGoogle Scholar
- 47.Grasmik HG, Bursik RJ, Cochran JK. Render unto Caesar what is Caesar’s: religiosity and taxpayers’ inclinations to cheat. Sociol Q. 1991;32:251–66.CrossRefGoogle Scholar
- 48.Pollner M. Divine relations, social relations, and well-being. J Health Soc Behav. 1989;30:92–104.CrossRefGoogle Scholar
- 49.Ellison CG. Religion, the life stress paradigm, and the study of depression. In: Levin JS, editor. Religion in aging and health: theoretical foundations and methodological frontiers. Thousand Oaks: Sage; 1994. p. 78–121.CrossRefGoogle Scholar
- 50.Poloma MM, Gallup G. Varieties of prayer: a survey report. Philadelphia: Trinity Press International; 1991.Google Scholar
- 51.Taylor RJ, Chatters LM. Church members as a source of informal social support. Rev Relig Res. 1988;30:193–202.CrossRefGoogle Scholar
- 52.Maton KI. Community settings as buffers of life stress? Highly supportive churches, mutual help groups, and senior centers. Am J Community Psychol. 1989;17:203–32.CrossRefGoogle Scholar
- 53.Sorenson AM, Grindstaff CF, Turner RJ. Religious involvement among unmarried adolescent mothers: a source of emotional support? Sociol Relig. 1995;56:71–81.CrossRefGoogle Scholar
- 54.Strawbridge WJ, Shema SJ, Cohen RD, et al. Religiosity buffers effects some stressors on depression but exacerbates others. J Gerotol Soc Sci. 1998;53B:S118–S26.Google Scholar
- 55.Koenig HG, Smiley M, Gonzales JP. Religion, health and aging: a review and theoretical integration. Westport: Greenwood Press; 1988. p. 13–21.Google Scholar
- 56.Swanson WC, Harter CL. How do elderly blacks cope in New Orleans? Int J Aging Hum Dev. 1971;2:210–6.CrossRefGoogle Scholar
- 57.Rosen CC. Ethnic differences among impoverished rural elderly in use of religion as a coping mechanism. J Rural Community Psychol. 1982;3:27–34.Google Scholar
- 58.Conway K. Coping with the stress of medical problems among black and white elderly. Int J Aging Hum Dev. 1985–1986;21:39–48.CrossRefGoogle Scholar
- 59.Koenig HG. Religion and remission of depression in medical inpatients with heart failure/pulmonary disease. J Nerv Ment Dis. 2007b;195:389–95.PubMedGoogle Scholar
- 60.George LK, Larson DB, Koenig HG, et al. Spirituality and health: what we know, what we need to know. J Soc Clin Psychol. 2000;19:102–16.CrossRefGoogle Scholar
- 61.Breitbart W. Spirituality and meaning in supportive care: spirituality and meaning-centered group psychotherapy interventions in advanced cancer. Support Care Cancer. 2002;10:272–80.CrossRefGoogle Scholar
- 62.Koenig HG. Faith and mental health. Philadelphia: Templeton Foundation Press; 2005.Google Scholar
- 63.Koenig HG. Religious beliefs and practices of hospitalized medically ill older adults. In J Geriatr Psychiatry. 1998;13:213–24.CrossRefGoogle Scholar
- 64.Bekelman DB, et al. Spiritual well-being and depression in patients with heart failure. J Gen Intern Med. 2007;22:470–7.CrossRefGoogle Scholar
- 65.Freud S. Future of an illusion (1927). In: Stachey J, editor. Standard edition of the complete psychological works of Sigmund Freud. London: Hogarth Press; 1962. p. 43.Google Scholar