Perceived Changes of Attitudes and Behaviors of Seventh-Day Adventists During the COVID-19 Pandemic: Findings from a Cross-Sectional Survey in Germany

To analyze which pandemic related changes of attitudes and behaviors were perceived by Seventh-day Adventists (SDA) and how these relate to wellbeing, a cross-sectional survey with standardized questionnaires was performed. Participants (n = 1,494) stated changes for Relationships, Digital media usage and Nature/Silence/Contemplation, but not for Spirituality or Reflection of life. Best predictors of psychological wellbeing (WHO-5) were Spiritual wellbeing, perceived Restrictions and Awe/Gratitude (R2 = .32). Mediation analyses (R2 = 0.51) revealed a mediation effect of Awe/Gratitude between spiritual to psychological wellbeing (β = 0.11, p < 0.0001). Perceived changes were less relevant to buffer the negative effects of the pandemic; instead, they were related to fears of future. More relevant to stabilize SDAs´ wellbeing was their spirituality.


Introduction
During the COVID-19 pandemic many people were suffering from the outcomes of social restrictions due to the lockdowns (Rawson et al., 2020;Dubey et al., 2020). Studies have shown that the incidence of depressive states and anxiety disorders were increasing because of the pandemic (COVID-19 Mental Disorders Collaborators, 2021). Further, there was an increase in posttraumatic stress disorders, panic attacks and other psychic affections (Anjum et al., 2020). Some felt lonely, socially isolated and their psychological wellbeing was quite low (Passos et al., 2020;Büssing et al., 2020aBüssing et al., , b, 2021a, while others reported that they had lost their (religious) faith during the pandemic (Büssing et al., 2022).
Nevertheless, people were not only experiencing loss and fears but also positive changes of attitudes and behaviors because of the pandemic (Büssing et al., 2020a, b). These changes refer to the dimensions Nature/Silence/Contemplation (i.e., perceiving nature more intensely, enjoying quiet times of reflection, paying more attention to what's really important in life), Spirituality (i.e., praying/ meditating more than before; being more interested in spiritual / religious issues), Relationships (more intense and more aware relationships with partners, family and friends), Reflection on life (i.e., being more concerned about the meaning and purpose of life and about the lifetime one has), and Digital media usage (to connect to friends and use inspiring websites) (Büssing et al., 2020b). Some of these changes could be interpreted in terms of "posttraumatic growth", as people in response to difficult life situations may be more aware of their personal strengths, appreciate life, change priorities, focus on more intimate relationships, prosocial behaviors and spiritual development (Tedeschi & Calhoun, 1996;Tedeschi et al., 2018;Meichenbaum et al., 2006). These changes of attitudes and behaviors because of the pandemic could also be seen as a reappraisal coping, in the context of the transactional stress model (Lazarus & Folkman, 1984), where people try to adjust to the new situation of living in insecure times of the COVID-19 pandemic; this could be seen in terms of a "reappraisal of the person-environment relationship" (Lazarus, 1999). Thus, people intend to "revert" the pandemic related distress and regard it as a "challenge", and thereby using their available resources (i.e., their faith) to cope (Lazarus & Folkman, 1984;Pargament, 1997).
During the first phase of the pandemic, these changes of attitudes and behaviors were perceived significantly stronger by older people, people with higher wellbeing, by those who can rely on their faith as a resource, and by those who perceived moments of wondering awe and gratitude (Büssing et al., 2020b). In the later phases of the pandemic, these perceptions were declining (with the exception of reflection of life), while peoples´ wellbeing decreased and the perception of stressors increased (Büssing et al., 2021a). During the later phases, moments of wondering awe and feelings of gratitude were one of the best predictors of these perceived positive changes in the pandemic (Büssing et al., 2021b). These feelings of wondering awe and gratitude are a perceptive aspect of spirituality that are experienced more often by older people and those who pray or meditate, but also by non-religious persons (Büssing, 2021). Such emotionally touching higher in women and in persons without a clear duty in the church (in contrast to men and persons in leading and other official roles) (Büssing et al., 2021d), and thus we specifically focused on gender and roles in the free church also in terms of perceived changes of attitudes and behaviors related to the pandemic. Further, we asked for SDAs´ hopeful intentions to pay more attention to each other (when the pandemic will once be overcome) and to contribute that the world will become fairer in the future on the one hand, and fearful perceptions that our society is falling apart more and more and to fear the future on the other hand. Both aspects, hope and fear, might be related to their expectation of Christ´s coming (General Conference of Seventh-day Adventists, 2020). Finally, we intended to clarify the impact of the perceived changes and indicators of spirituality on SDAs´ psychological wellbeing. As in a previous study, the perception of wondering awe and gratitude was identified as a relevant influencing variable with mediating effects on wellbeing (Büssing et al., 2021a), we performed mediation analyses with SDAs´ psychological wellbeing as outcome.

Participants
In this anonym cross-sectional survey, members of the German SDA were invited by emails to the regional coordinators, regional groups, Facebook groups, and SDA information journals to participate in an anonymous online survey with standardized measures. By filling in the anonymous questionnaire and by clicking the "Consent box" they consented to participate ("I have read the information provided and have understood the content of this information. I was able to make my decision unaffected. By anonymously completing and sending the questionnaire, I declare my consent to participate and to the anonymous further processing of the statements!"). Neither concrete identifying personal details nor IP addresses were recorded to guarantee anonymity. The study was reviewed and approved at the meeting of the presidents of the national SDA conferences in Dec 2021. The guidelines of the Helsinki Agreement and the voluntary nature of study participation have been confirmed.
Participants were recruited within two months from December 20, 2021, to February 22, 2022 (which represents the switch from the fourth to the fifth wave of the pandemic). Finally, 2,073 SDA were launching the questionnaire website, but not all consented to participate, or provided basic data. After elimination of these "nonresponders" (n = 579), 1,494 participants remained in the sample who responded to the main relevant items addressing perceived changes (72% responder). Participants younger < 18 years were not processed. Participants were from different administrative units (conferences) of the SDA free church in Germany (32% Berlin/Mitteldeutschland, 26% Hanse, 17% Baden-Württemberg, 9% Bayern, 7% Nordrhein-Westfalen, 6% Mittelrheinisch); we included 4 participants from Austria and 7 from German language parts of Switzerland (0.8%).

Perception of Changes
To assess which changes of attitudes and behaviors due to the Corona pandemic were observed by the participants, we used the 32-item Perception of Change Questionnaire (PCQ), which has good psychometric properties (Cronbach´s alpha = 0.91) (Büssing et al., 2020b). The instrument differentiates five main factors: 1) Nature/ Silence/Contemplation (7 items, Cronbach´s alpha = 0.87; i.e., perceiving nature more intensely, enjoying quiet times of reflection, paying more attention to what's really important in life); 2) Spirituality (5 items, Cronbach´s alpha = 0.83; i.e., praying / meditating more than before; being more interested in spiritual / religious issues; having confidence in a higher supporting power); 3) Relationships (6 items, Cronbach´s alpha = 0.80; (i.e., perceiving the relationship with partner / family more intensely; feeling closer to the people in my household; relationships have become important in which one can feel safe and at home); 4) Reflection on life (3 items, Cronbach´s alpha = 0.74; i.e., being more concerned about the meaning and purpose of life, being more concerned about the lifetime that I have; perceiving times of loneliness more); 5) Digital media usage (3 items, Cronbach´s alpha = 0.74; i.e., connected to friends via digital media; using more and more websites that inspire and stimulate) (Büssing et al., 2020b). All items were introduced by the phrase "Due to the current situation…", which referred to the COVID-19 pandemic. The internal consistency of the PCQ in this sample is good (Cronbach´s alpha = 0.86).
A further, independent scale which is part of the PCQ addresses perceived Restrictions (c15 "I feel cut off from life"; c16 "I feel restricted in my freedom"; c17 "I lack social contacts") with acceptable internal consistency (Cronbach´s alpha = 0.78) (Büssing et al., 2020b). Cronbach´s alpha in this sample is 0.75.
Additional items which are not integrated in the aforementioned factors address hopeful intentions (c25 "I have the hope that we ("afterwards") as global mankind will pay more attention to each other and stick together"; c26 "I would like to work to ensure that the world becomes fairer in the future") and also fearful perceptions (c27 "I realize that our society is falling apart more and more"; c28 "I rather fear the future "). These were used as informative single items.
Agreement or disagreement to all these items was scored on a 5-point scale (0does not apply at all; 1-does not truly apply; 2-neither yes nor no; 3-applies quite a bit; 4-applies very much).

Psychological Wellbeing
To assess participants´ psychological well-being, we used the WHO-Five Well-being Index (WHO-5) (Bech et al., 2013). Representative items are "I have felt cheerful and in good spirits" or "My daily life has been filled with things that interest me". Respondents assess how often they had the respective feelings within the last two weeks, ranging from "at no time" (0) to "all of the times" (5). Here, we report the sum scores ranging from 0 to 25. Scores < 13 would indicate reduced wellbeing in terms of even depressive mood. Cronbach´s alpha in this sample is 0.86.

Spiritual Wellbeing
In analogue to the psychological wellbeing as measured with the WHO-5, Spiritual wellbeing was addressed with 5 item that refer more closely to SDA´s spirituality (SpWb-5): "I felt close to God"; "I felt alive and fulfilled in my spiritual life"; "I felt like my prayers were really being answered"; "I was full of hope for the return of Jesus"; "I felt comforted by God in my challenges, worries and fears" (Büssing et al., 2021c). The respective feelings refer to the last two weeks and scored from "at no time" (0) to "all of the times" (5). Minimum scores are 0, and maximum scores are 25. Internal consistency of this SpWb-5 scale is good in this sample (Cronbach´s alpha = 0.88). In a study among SDA during the first lockdown, spiritual wellbeing correlated strongly with psychological wellbeing (WHO-5: r = 0.513) (Büssing et al., 2021c). In this study, the SWb-5 scale correlated moderately with wellbeing (WHO-5: r = 0.477), strongly with Awe/Gratitude (GrAw-7: r = 0.521) and strongly inversely with Spiritual Dryness (SDS-6: r = − 0.683).

Awe and Gratitude
Perceptions of wondering awe and subsequent feelings of gratitude is a perceptive aspect of spirituality which is also relevant to less or non-religious persons (Büssing et al., 2018). To address times of pausing for astonishment or "wonder" in specific situations (mainly in the nature), we measured perceived awe and subsequent feelings of gratitude with the 7-item Awe/Gratitude scale (GrAw-7) (Büssing et al., 2018). This scale has good psychometric properties (Cronbach's alpha = 0.82) and uses items such as "I stop and then think of so many things for which I'm really grateful", "I stop and am captivated by the beauty of nature", "I pause and stay spellbound at the moment" and "In certain places, I become very quiet and devout". Thus, Awe/Gratitude operationalized in this way is a matter of an emotional reaction towards an immediate and "captive" experience. All items were scored on a 4-point scale (0-never; 1-seldom; 2-often; 3-regularly), and finally transferred to a 100-point scale. Cronbach´s alpha in this sample is 0.86.

Spiritual Dryness
Perceptions of "spiritual dryness" were measured with the 6-item Spiritual Dryness Scale (SDS) which has good internal consistency (Cronbach's alpha = 0.87) (Büssing et al., 2013). It addresses feelings that God is distant, that one's prayers go unanswered, of being "spiritually empty" or not able to give any more (in terms of spiritual exhaustion) and, finally, feelings of being abandoned by God. We added a control item which asks for a "deep longing for God" (item SDS0). These items can be scored on a Likert scale ranging from not at all (1), rarely (2), occasionally (3), fairly often (4) to regularly (5). The SDS scores are mean scores and represent the perceived lack/shortage. Cronbach´s alpha in this sample is 0.88.

Frequency of Religious Practices and Perceptions
The frequency of spiritual/religious practices such as praying was assessed with a 4-grade scale ranging from "Less than once per week", "Once per week", "Several times per week" to "At least once per day" (Büssing et al., 2020b). SDA´s participation at worship meetings within the last 8 weeks in presence was categorized as "None", "1-2 times", "3-5 times" and "6-8 times".

Corona Virus Infection and Vaccination
Participants were also asked whether they were already infected with the COVID-19 virus ("No, not to my knowledge", "Yes, but without relevant symptoms", "Yes, with distinct symptoms", "Yes, with strong symptoms and treatment in hospital"), and whether they were vaccinated against the virus or not ("Already vaccinated", "Considering vaccination", "Rejection of vaccination"). These items were used as descriptive items and not as differentiating items.

Statistical analyses
Descriptive statistics for demographic variables and for factors are presented as frequencies for categorical variables and as mean (± standard deviation, SD) for numerical variables. Between group comparisons for categorical variables was performed with Pearson's Chi 2 Independence Test. Analyses of variance (ANOVA), correlational (Spearman rho) and linear regression analyses (stepwise) were computed with SPSS 26.0. Mediation analysis was performed using SPSS 28.0.
Given the exploratory character of this study, we set a stricter significance level at p < 0.01. With respect to classifying the strength of the observed correlations, we adjusted the thresholds to r > 0.5 as a strong correlation, an r between 0.3 and 0.5 as a moderate correlation, an r between 0.2 and 0.3 as a weak correlation, and r < 0.2 as negligible or no correlation.

Description of Study Participants
Among the participants (n = 1,494), gender is well balanced (50:50); their mean age is 53.4 ± 15.4, ranging from 18 to 94 years (Table 1). Within the sample, the majority has some duties in the local church (5% as pastors, and 20% with leading roles, 46% with other duties), while 28% have no circumscribed duties. Most were praying at a daily level (81%), and were often participating in worship meetings in physical presence (Table 1). At the time of recruitment, 70% were already vaccinated, 30% not; 19% stated that they were already infected with the COVID-19 virus (Table 1). Participants' psychological wellbeing is in the lower "normal" range (34% with scores < 13, indicating depressive mood states), while their spiritual wellbeing is in the upper midrange (Table 1). Detailed analyses revealed that SDA without a duty in their church have significantly lower wellbeing scores (13.8 ± 5.2) as compared to persons with leading roles in the local church (15.1 ± 4.9) or pastors (14.8 ± 5.0) (F = 4.6, p = 0.003; ANOVA). Further, their spiritual wellbeing was significantly lower (16.4 ± 5.8) as compared to persons with leading roles in the church (18.2 ± 4.8) or pastors (17.1 ± 4.8) (F = 6.1, p < 0.0001; ANOVA). The effect size between the contrasting groups of SDA without a duty and with leading roles in the church are small for psychological wellbeing (Cohen's d = 0.26) and small also for spiritual wellbeing (Cohen's d = 0.33).
The perception of Awe/Gratitude (Table 1) is marginally lower than observed in a larger reference sample (Büssing, 2021). Phases of spiritual dryness were perceived by 14% often to regularly, by 35% sometimes, by 31% seldom and by 21% not at all. The SDS-6 mean score is in the lower midrange (Table 1).
Addressing their hopeful intentions (Table 1), 50% have "hope that we ("afterwards") as global mankind will pay more attention to each other and stick together" (c25) and 36% are undecided, while 90%, stated that they "would like to work to ensure that the world becomes fairer in the future" (c26). In contrast, 38% perceive "that our society is falling apart more and more" (c27) and 27% are undecided; 33% "rather fear the future " and 43% are undecided (Table 1). With respect to SDAs´ fundamental belief (#25) of the "second coming of Christ", 37% were all of the time "full of hope for the return of Jesus" (SbWb item #4), and 28% most of the time (Table 1). Nevertheless, most have a deep longing for God (72% often / regularly, 21% sometimes, and 8% not at all / seldom) ( Table 1). * data refer to responders (100%)

Perceived Changes of Attitudes and Behaviors due to the Pandemic
The strongest changes of attitudes and behaviors due to the pandemic were observed for Digital media usage and Relationships, followed by Nature/ Silence/Contemplation, and the least strong changes were reported for Spirituality, Reflection on life, and Restrictions (Table 2). These changes were significantly stronger in women than men: They perceived Nature / Silence / Contemplation more intensely, adhered to their Spirituality, valued their Relationships and Reflected on their life; however, in trend also more women than men relied on Digital media to connect with others, while they all perceived the pandemic related Restrictions similarly ( Table 2). The age cohorts differ significantly for Nature/Silence/Contemplation, Digital media usage and Restrictions (which both are lowest in the younger ones and highest in the older ones), and for Reflection of life (which scored lowest in the "mid-agers" and highest in the older ones). Spirituality and Relationships did not differ within the age cohorts (Table 2).
With respect to their role in the free church, the different groups did not differ significantly for the positive changes (with the exception of a trend to more intensive Reflections of life in persons without a duty and lower scores in pastors), while they significantly differ in their perceptions of corona related Restrictions, which scored highest in SDA without a duty in their local church and lowest in persons with a leading role in their local church (Table 2).

Correlations Between Perceived Changes and Indicators of Quality of Life and Spirituality
Most of the positively perceived changes were moderately interrelated (Table 3). However, Digital media usage was moderately related only to Spirituality, and marginally only with the other perceived changes ( Table 3). The positive changes were further marginally only related to perceived Restrictions, both positively (Spirituality and Reflection of life) and negatively (Nature / Silence / Contemplation and Relationships).
The factor Nature / Silence / Contemplation was the most relevant to be associated with indicators of wellbeing. It was moderately related to Awe/Gratitude and spiritual wellbeing, and weakly also with psychological wellbeing. Awe/Gratitude was further weakly related to Spirituality and Relationships. All other factors were either not significantly or marginally only related to these indicators of wellbeing (Table 3). In contrast, perceived Restrictions was negatively related to indicators of psychological and spiritual wellbeing and to Awe/Gratitude.
SDAs' "hope for the return of Jesus" (SbWb item #4) and also their longing for God (SDS0) were weakly correlated with Nature / Silence / Contemplation and Spirituality, and marginally only with the other PCQ factors, but not significantly with Restrictions (Table 3). (2022)   The perception of Spiritual Dryness was weakly negative related to Nature/ Silence/Contemplation and weakly positive to Restrictions, but not to changes in Spirituality or Digital media usage (Table 3).

Correlations Between Perceived Changes and Hopeful Intentions and Fearful Perceptions
SDAs' hope that we will "pay more attention to each other and stick together" was best and moderately associated with Reflection of life, and weakly also with Nature/ Silence/Contemplation and Relationships, but not with perceived Restrictions (Table 3). In contrast, the intention to "work to ensure that the world becomes fairer in the future" when the pandemic is overcome was not relevantly associated with the perceived positive changes, but weakly with perceived Restrictions. However, this might also be due to the fact that there is not enough variance in their responses as most were agreeing anyway.
"Fear of the future" was strongly positively related to Spiritualty, and moderately positive to Nature / Silence / Contemplation and Reflection of life, and weakly positive also to Relationships, but not relevantly with the perceptions of Restrictions (Table 3). In contrast, the resigned statement that "our society is falling apart more and more" is not relevantly related to perceived positive changes, but moderately with Restrictions.
These hopeful intentions were only marginally related to SDAs' "hope for the return of Jesus" or their deep longing for God, while their "fear of the future" was weakly positive associated with both variables and the perception that "our society is falling apart" marginally but inversely related (Table 4). Differentiating these associations in the respective "duty groups" revealed that in the small group of pastors, the hope for the "return of Jesus" was not significantly related with fear of future, and in persons with leading roles in the church only marginally positive (Table 4). In SDA with other duties in the church, both the hope and the longing for God were weakly associated with "fear of future". Also in SDA without a duty hope for the "return of Jesus" was weakly associated with their "fear of future", while this fear was moderately positive related to longing for God (Table 4). This "fear of the future" was strongly associated with more intense praying / meditation because of the pandemic (PCQ item c29) in both pastors (r = 0.651) and in the group of nonleading SDA (r = 0.655).

Predictors of SDA's Psychological and Spiritual Wellbeing
To identify predictors of SDAs' psychological wellbeing as dependent variable, we performed stepwise regression analyses ( Table 5) that included items which were relevantly correlated with wellbeing. Thus, Spirituality, Reflection of life, Digital media usage, longing for God (SDS0), "hope that we will pay more attention to each other" (c25) and "fear of future" (c28) were not included in the model. Stepwise regression analyses revealed that spiritual wellbeing was the best predictor of psychological wellbeing as depending variable, explaining alone as much as 23% of Journal of Religion and Health (2022) 61:2253-2278 variance (Table 5). Further relevant predictors are Restrictions (adding further 9% of explained variance) and Awe/Gratitude (adding further 3% of explaining variance). Further influences come from the perception that "our society is falling apart more and more" (c25), female gender, the intention to "work to ensure that the world becomes fairer in the future" (c26), and Spiritual Dryness. However, these four variables would add only 4% of further explained variance and are thus less relevant predictors. Without significant relevance in the regression model were age cohorts, Nature/Silence/Contemplation and Relationships. Spiritual wellbeing (SpWb-5) as dependent variable was negatively predicted by phases of Spiritual Dryness (explaining alone 49% of variance), and further positively by Awe/Gratitude (adding 6% of explained variance), longing for God (+ 3%) and psychological wellbeing (+ 2%). Additional influences on spiritual wellbeing came from frequency of praying, changes in Spirituality, and age, which together would explain only 2% additional variance and are thus less relevant. The other PCQ factors, Restrictions and also gender had no significant influence in this prediction model.

Mediation Analyses
As Awe/ Gratitude was a relevant predictor for both wellbeing aspects, we investigated whether Awe/Gratitude may mediate the relationship between spiritual wellbeing and psychological wellbeing. In the following procedure of a mediation analysis, both the direct effect from spiritual wellbeing (SpWb-5) and Awe/Gratitude (GrAw-7) on psychological wellbeing (WHO-5) and also the mediation effect is evaluated. As shown in Fig. 1, spiritual wellbeing is a significant predictor for Awe/Gratitude (β = 1.70, p < 0.0001) and Awe/Gratitude is a relevant predictor for psychological wellbeing (β = 0.06, p < 0.0001). The mediation analysis explained 51% of the variability in the data (R 2 = 0.51). The direct influence from spiritual well-being on psychological wellbeing was estimated as β = 0.32, p < 0.0001 and the mediation effect from Awe/Gratitude in the relationship between both wellbeing variables is statistically significant (β = 0.11, p < 0.0001). The total effect from the mediation analysis on well-being is estimated as β = 0.43, p < 0.0001.

Discussion
Aim of this study was to analyze perceived changes of attitudes and behaviors of SDA within the pandemic. The timeframe of recruitment was between December 2021 and February 2022, which refers to the switch from the fourth wave (with the dominating Delta virus variant) to the fifth wave (with the dominating Omicron virus variant) in Germany. Compared to our study before the pandemic (Büssing et al., 2021d) and during the first lockdown (Büssing et al., 2021c), SDAs' psychological wellbeing (WHO-5) scores were similar before the pandemic (14.8 ± 5.4) compared to the current wellbeing scores (14.5 ± 4.9), while they were surprisingly higher at the start of the pandemic (16.6 ± 5.1). Their spiritual wellbeing (SpWb-5) scores remained stable during the pandemic (17.5 ± 5.5 vs. 17.3 ± 5.4). Phases of spiritual dryness, a specific form of spiritual crisis, were perceived in a similar percentage as observed in SDA prior to the pandemic (Büssing et al., 2021d), and in similar proportions as in Catholic pastoral workers prior to the pandemic (Büssing et al., 2016(Büssing et al., , 2017. This means that the pandemic has not triggered more perceptions of spiritual dryness, and that God is not perceived as more "distant" and "non-responding" to prayers than before the pandemic.

Changes of Attitudes and Behaviors Because of the Pandemic
Addressing perceived (positive) changes, SDA stated more intense relationships and more digital media usage to connect with others, but also more intense perceptions of nature and moments of silence and contemplation. No relevant changes were observed for their spirituality and reflection of life; restrictions due to the pandemic were less pronounced perceived. Compared to other cohorts in Germany, these positive changes were perceived much stronger in SDA. In the first phase of the pandemic, Relationships and Nature / Silence / Contemplation scored highest in a general population, followed by Digital media usage and Reflection of life, while Spirituality was not a relevant source (Büssing et al., 2021a). In the later phases of the pandemic (October 2020 to January 2021), these positive changes significantly decreased in those cohorts: Relationships and Reflection of life were still relevant, while Digital media usage (and Nature/ Silence/Contemplation decreased in their relevance, and Spirituality lost its relevance (Büssing et al., 2021a). These decreases were not only observed in less or non-religious people, but also in religious people (Büssing et al., 2021a). The pattern of perceived changes is different in SDA, as they scored highest on Digital media usage and Relationships, followed by Nature / Silence / Contemplation, Reflection on life and Spirituality. This means, recruited in the later phases of the pandemic, SDA still perceive positive changes because of the pandemic. They might be more aware of these aspects in their life in terms of posttraumatic growth and reappraisal coping. This could be attributed either to a stricter religious faith conviction with high praying frequency and their habit to regularly participate in worship service even during the pandemic (see Table 1), but also to more digital support from the religious leaders (Büssing et al., 2021c)-or various other reasons.
Most of these changes in SDAs were perceived significantly stronger by women compared to men, and by older persons compared to younger ones. This pattern was found also in other cohorts (Büssing et al., 2020b). In a Danish sample prior to the pandemic, female SDA were further found to have a higher risk of being hospitalized for severe depression (Thygesen et al., 2013), indicating that they may be more sensitive to perception of burden. Nevertheless, SDAs' role in the local community has no significant influence on the positively perceived changes, except for Restrictions which was perceived stronger by persons without a circumscribed duty in the church, but not significantly stronger by women. In line with previous findings addressing phases of spiritual dryness which were significantly more often perceived by SDA without a clear duty in their church (Büssing et al., 2021d), they are also more aware of pandemic related restrictions. It seems they perceived the negative sides of their spiritual and social life more intensively. In fact, detailed analyses revealed that SDA without a duty in their church have significantly lower psychological and spiritual wellbeing scores as compared to persons with leading roles in the local church or pastors; however, the effects sizes were small only.
Although digital media usage to connect with others and relationships were perceived as intensified, these perceptions were not relevantly related to SDA's psychological and spiritual wellbeing or to perceptions of restrictions because of the pandemic (the associations are not significant at all or marginal only). However, more intense relations were weakly related to moments of wondering awe and gratitude, and marginally only for digital media usage. This means, these perceptions were reported by the participants, but these obviously had no deep impact on their wellbeing. However, the stronger the positive changes in Relationships were perceived, the stronger were SDAs' hope that we will pay more attention to each other and stick together as a helping society when the pandemic is over (and vice versa). It might be that relationships are valued more intensely by the SDA as one may have experienced their fragility during the pandemic (with several people becoming infected, and some having complicated courses of the infection or were dying), and thus SDA may intend to protect that what is important to them -including the general social relationships as an ideal. However, being more aware for Relationships is thus not necessarily related to concrete (external) prosocial behaviors, and refers instead more to the closer (internal) circle of family and friends. In Catholics from Poland, relations in terms of social networks were reported to be larger in people with church attendance as compared to those without, which seems quite obvious, and a mediation effect of religious attendance"via social network size on loneliness and mental well-being" was verified (Okruszek et al., 2022). Interestingly, a small survey one year later revealed an increase of loneliness and decrease of wellbeing in both church attenders and non-attenders (Okruszek et al., 2022). Also in Germany, we observed a decrease of wellbeing with the duration of the pandemic in Catholics, Protestants and in praying people who stated no religious affiliation (Büssing et al., 2022). In this study among SDA from Germany, the frequency of participation of worship services in physical presence was only marginally related to psychological wellbeing (r = 0.15) or spiritual wellbeing (r = 0.19). The effects of religiosity (incl. participation in religious services and activities) on mental health are probably only small anyway, as shown in a meta-analysis by Garssen et al. (2021). Taken together, social relations are important to stabilize a person during the pandemic, but it is not necessarily the fact that one can attend religious services in physical presence (with several others) that would buffer the negative impact of social restrictions and would stabilize mental health. It is not the social network alone, but other factors that might be more important. Is it their spirituality?
SDAs' perceptions regarding more aware aspects of Spirituality had no significant influence on their psychological wellbeing, and a marginal one only on their spiritual wellbeing and perceived Restrictions. Thus, these aspects of spirituality may be seen as a "habit" rather than a reactive form to cope which is intensified because of the pandemic. However, the factor Spirituality was strongly related to "fear of the future", and this would indicate that intensifying this resource in response to the pandemic is in fact a reactive way to cope with the pandemic (related to fears and worries). This is all the more astonishing as the 1892 recommendation of Ellen G. White, cofounder of the SDA church, to meditate and contemplate the Bible on a daily basis (White, 2016) is regarded as still relevant (van Treeck, 2021). In fact, among the other perceived changes, Spirituality was best related to Reflection of life, which implies rather "worrying" aspects (such as being more concerned about the meaning and purpose of life and about the lifetime one has have, but also more intense perceptions of loneliness). This would underline that intensifying one´s spirituality during the pandemic is a strategy to cope with fears and worries, while it is nevertheless not necessarily contributing to psychological wellbeing. This might be different in other religious groups as shown for Muslims (Saud et al., 2021;Mahmood et al., 2021;Anchour et al., 2021).
The source with the most relevant positive associations was Nature/Silence/Contemplation. It was moderately related to perceptions of wondering awe and gratitude, to spiritual wellbeing, weakly to psychological wellbeing and to the hope that mankind will stand together-and moderately also with "fear of the future". While the aforementioned associations are plausible because being aware of God´s creation and enjoying quiet times of contemplation (and praying) may contribute to wellbeing, it is nevertheless also a chance to reflect on what is important in life, and to reflect on the time one has in this lifetime (referring to the moderate positive associations with Relationships and Reflection of life). During these quiet times in silence and prayer one may also become more aware of one's own fears and worries, and could bring these fears before God. This would also explain the weak association between Nature/Silence/Contemplation and SDAs´ "hope for the return of Jesus" and their longing for God. Women and older persons seem to be more aware of this resource for coping with the pandemic.

Hopeful Intentions and Fear of Future
It was interesting to see that SDAs' "hope for the return of Jesus" and their longing for God was expressed quite high. Both are essential parts of SDA fundamental beliefs (General Conference of Seventh-day Adventists, 2020). However, this does not mean that both, the hope and the longing, are relevantly related to their intentions that the world will become fairer when the pandemic is over or that we all will pay more attention to each other and stick together as mankind. These associations are marginal only. Instead, both the expectation and the longing, which are moderately interconnected, are positively and at least weakly related to SDAs' "fear of the future". For SDA that hope should be a living concept and thus one would expect a negative association: The expectation could be a matter of joy as an eschatological perspective and not fear. However, because of its negative association it would again indicate that the "hope for the return of Jesus" might be rather a theoretical concept related to fear. One may consider that Jesus' second coming is said to be a matter of Final Judgement where some are approved and others condemned (Matthew 25:31-46), and thus this belief can be related to fear when one assumes that the own merits are not enough to be approved. In contrast, the perception that our society is "falling apart" is negatively related to both variables (hope for Jesus' coming and longing for God), indicating that strong longing and hope are associated with less "end time experience" (in terms that the society is falling apart). Thus, both indicators of SDAs' spirituality (hope and longing) are buffering the resigned perception on the one hand, but not buffering their fear of future on the other hand. One may fear the concrete future, but may have hope as a spiritual perspective. In pastors and SDA with leading roles in their church the association between both the hope of the return of Jesus and longing for God, were not relevantly associated with fear of the future, while this association was weakly to moderately positive in SDA with other or no duties in the church (representing the "normal" congregation members). For leaders in the church the core beliefs are thus not related to fear for future, probably because they are stronger in their faith convictions or have a profound theological interpretation at hand, while for the other community members one may assume that their longing for God (as a helping resource) is meant to compensate their (worldly) fears and worries. This assumption would be supported by the finding that more intense praying / meditation because of the pandemic was strongly related to "fear of the future", both in persons with leading duties and also in pastors, indicating that they all bring their fears before God during their prayers / meditation.

Wellbeing and Awe Perceptions
One of the further aims of this study was to analyze which of the aforementioned variables may have a significant influence on SDAs' wellbeing during the pandemic. Regression analyses indicated that psychological wellbeing was predicted best by spiritual wellbeing and by Awe/Gratitude, with a further relevant negative effect of perceived Restrictions. It is plausible that the perception of being restricted in social life and that "our society is falling apart more and more" will have a negative impact on wellbeing. Yet, it is worth mentioning that the intention to work "towards the world becoming fairer in the future" is a negative predictor of wellbeing, probably because it is the reaction of the frustration experience of the pandemic related restrictions and that our society is becoming more and more divided.
SDAs' spiritual wellbeing was predicted best by less frequent experiences of Spiritual dryness, which is a specific form of spiritual crisis (Büssing & Dienberg, 2019, 2021Büssing et al., 2021a), and positively by their ability to stop in wondering awe with subsequent feelings of gratitude, by longing for God, frequency of private (spontaneous) praying, and psychological wellbeing. SDAs´ spiritual wellbeing is thus a matter of being connected with God, who is perceived as close and responding to prayers, and as accessible in different situations, either in nature or in prayers.
As a crucial finding was the prominent influence of Awe/Gratitude for both wellbeing aspects, and because Awe/Gratitude was identified in earlier studies as a potential mediator of psychological wellbeing (Büssing et al., 2021b), its mediating role was also analyzed in this study. We found a direct influence from spiritual well-being on psychological well-being, and a mediation effect from Awe/Gratitude in the relationship between both well-being variables. This resource implies an ability to mindfully stop in wondering awe with perceptions of gratitude. It means to be aware of God's creation and of being emotionally and spiritually touched in different situations and encounters-even in difficult situations (Büssing, 2021). This ability was found to be more pronounced in women, older people and praying / meditating persons as compared to men, younger ones, and non-religious people (Büssing et al., 2018;Büssing, 2021). Yet, this resource does not buffer the negative effects of the pandemic-but helps to focus on the still positive aspects of life (Büssing et al., 2021b).
To what extent the celebration of the Sabbath as a regular weekly day of rest (fundamental belief #20) may contribute to the described findings, remains unclear. Adventists are advised to spend a whole day (24 h Sabbath from sunset Friday to sunset Saturday) with rest, leisure, recreation, worship and fellowship, family, and in nature. Perhaps these quiet and reflexive times contribute to integrate the described experiences more easily into everyday life. Further studies could shed light on this. If this kind of Sabbath observance has such an influence on Awe/Gratitude, then this experience could be an impulse for observing a strict weekly day of rest in other religious or non-religious contexts, too. However, in our study before the pandemic (Büssing et al., 2021d), strictness of Sabbath keeping was marginally only related to SDAs' perception of Awe/Gratitude (r = 0.14), while their frequency of private (spontaneous) prayers was moderately related (r = 0.31). Spontaneous prayers are thus more relevant as this would indicate a direct response towards 'touching' experiences (i.e., to give thanks, praise, but also to articulate fears and worries). While the frequency of spontaneous praying is not relevantly contributing to psychological wellbeing (r = 0.10), it is moderately related to SDAs´ spiritual wellbeing (r = 0.35) and thus a relevant resource.

Limitations
This is a cross sectional study and thus no causal interpretations can be drawn. In some cases, it is plausible to assume directions of influences, but these can be verified only in longitudinal studies. For this study, we have reference data from SDA from the start of the pandemic only for some variables (Büssing et al., 2021c). These data would indicate that their wellbeing was in fact decreasing, as it was observed in an other cohorts from Germany, too (Büssing et al., 2021a(Büssing et al., , 2022. With respect to representatives of our sample, 59% of the SDA in Germany are women (mean age 57.8 years) and 41% men (mean age 55.5 years). In our current analysis, 50% women and 50% men have participated. Their mean ages are 51.8 ± 14.9 (women) and 54.9 ± 15.7 (men). Thus, in our sample 9% less women than one could expect have participated, and also the mean age was slightly lower as compared to the general group of SDA. Despite these differences, our sample fits to the expected age ranges.
As this is an online study, SDA with no access to the internet cannot participate. However, as the SDA have very early started to establish digital media usage (i.e., text messages, email, messenger services, satellite evangelism and mission, service broadcasts, and video conferencing), also several of the elderly are digitally interconnected.

Conclusions
Similar to all other religious persons, SDA had to cope with the outcomes of the pandemic. Apart from perceived social restrictions and fears and worries because of the pandemic, their wellbeing scores were higher at the start of the pandemic, and their spiritual wellbeing remained stable. While other cohorts in Germany stated a loss of faith because of the pandemic (Büssing et al., 2022), it seems that SDA have found more stability in their faith and in their community. They noticed positive changes of attitudes and behaviors because of the pandemic, yet the higher awareness of the underlying resources will not necessarily buffer the pandemic related restrictions or their fears and worries. Instead, these changes made them more aware to value life in its complexity more than before, and probably have sensitized their experience of the fragility of human life. The experience of the Sacred in nature and in reflective times of silence (before God) were related to their spiritual and psychological wellbeing and to their ability to stop in wondering awe (with subsequent feelings of gratefulness)-despite of the pandemic. The outstanding role of Awe/ Gratitude was underlined as it was a relevant predictor of both psychological and spiritual wellbeing, and as a mediator of the positive link between spiritual to emotional wellbeing. Thus, this resource should be fostered, as it was experienced also by less or non-religious persons (Büssing et al., 2021b, Büssing, 2021 and could help to perceive the still positive aspects in life, even during the pandemic. A stabilizing source would thus be awareness of one's relation to God that may find its expression in times of silence, in nature and prayer. Yet, this requires some mental stability. In fact, the faith inherent struggles and the fears of the final Judgement can be a burden for religious people. Thus, church leaders have to carefully respond to these struggles which are often not communicated by community members, as these are assumed to be a matter of "shame" or "spiritual weakness" (Büssing & Dienberg, 2019). As it was evident that particularly SDA without a duty in their community perceive the social restrictions of the pandemic, and as they more often