Abstract
The present study analyzed the association between specific beliefs about God and psychiatric symptoms among a representative sample of 1,306 U.S. adults. Three pairs of beliefs about God served as the independent variables: Close and Loving, Approving and Forgiving, and Creating and Judging. The dependent variables were measures of General Anxiety, Depression, Obsessive-Compulsion, Paranoid Ideation, Social Anxiety, and Somatization. As hypothesized, the strength of participants’ belief in a Close and Loving God had a significant salutary association with overall psychiatric symptomology, and the strength of this association was significantly stronger than that of the other beliefs, which had little association with the psychiatric symptomology. The authors discuss the findings in the context of evolutionary psychiatry, and the relevance of Evolutionary Threat Assessment Systems Theory in research on religious beliefs.
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Aldridge, J. W., Berridge, K. C., & Rosen, A. R. (2004). Basal ganglia neural mechanisms of natural movement sequences. Canadian Journal of Physiological Pharamcology, 82, 732–739. doi:10.1139/y04-061.
Ano, G. G., & Vasconcelles, E. B. (2005). Religious coping and psychological adjustment to stress: A meta-analysis. Journal of Clinical Psychology, 61(4), 461–480. doi:10.1002/jclp.20049.
Ansseau, M., Fischler, B., Dierick, M., Albert, A., Leyman, S., & Mignon, A. (2008). Socioeconomic correlates of generalized anxiety disorder and major depression in primary care: The GADIS II study (Generalized Anxiety and Depression Impact Survey II). Depression and Anxiety, 25(6), 506–513. doi:10.1002/da.20306.
Araya, R., Lewis, G., Rojas, G., & Fritsch, R. (2003). Education and income: Which is more important for mental health? Journal of Epidemiology and Community Health, 57(7), 501–505. doi:10.1136/jech.57.7.501.
Baxter, L. R. (2003). Basal ganglia systems in ritualistic social displays: Reptiles and humans; function and illness. Physiology & Behavior, 79, 451–460. doi:10.1016/S0031-9384(03)00164-1.
Beck, A. T. (1987). Cognitive models of depression. Journal of Cognitive Psychotherapy, 1, 5–37.
Beck, A. T. (1991). Cognitive therapy. A 30-year retrospective. American Psychologist, 46(4), 368–375.
Beck, A. T. (1996). Beyond belief: A theory of modes, personality, and psychopathology. In P. M. Salkovskis (Ed.), Frontiers of cognitive therapy (pp. 1–25). New York: Guilford Press.
Beck, A. T., & Cloninger, C. R. (1999). Cognitive aspects of personality disorders and their relation to syndromal disorders: A psychoevolutionary approach Personality and psychopathology (pp. 411–429). Washington: American Psychiatric Association.
Beck, A. T., Emery, G., & Greenberg, R. L. (1985). Anxiety disorders and phobias: A cognitive perspective. New York: Basic Books.
Bekker, M. H., & van Mens-Verhulst, J. (2007). Anxiety disorders: Sex differences in prevalence, degree, and background, but gender-neutral treatment. Gender Medicine, 4(Suppl 3), S178–S193.
Benson, P., & Spilka, B. (1973). God image as a function of self-esteem and locus of control. Journal for the Scientific Study of Religion, 12(3), 297–310. doi:10.2307/1384430.
Beversluis, J. (Ed.). (2000). Sourcebook of the world’s religions. Novato, CA: New World Library.
Bhar, S. S., Brown, G. K., & Beck, A. T. (2008). Dysfunctional beliefs and psychopathology in borderline personality disorder. Journal of Personality Disorders, 22(2), 165–177. doi:10.1521/pedi.2008.22.2.165.
Bradshaw, M., Ellison, C. G., & Flannelly, K. J. (2008). Prayer, God imagery, and symptoms of psychopathology. Journal for the Scientific Study of Religion, 47(4), 644–659. doi:10.1111/j.1468-5906.2008.00432.x.
Brenes, G. A. (2006). Age differences in the presentation of anxiety. Aging & Mental Health, 10(3), 298–302. doi:10.1080/13607860500409898.
Butler, A. C., Brown, G. K., Beck, A. T., & Grisham, J. R. (2002). Assessment of dysfunctional beliefs in borderline personality disorder. Behaviour Research and Therapy, 40(10), 1231–1240. doi:10.1016/S0005-7967(02)00031-1.
Clark, D. M. (1999). Anxiety disorders: Why they persist and how to treat them. Behaviour Research and Therapy, 37(Suppl 1), S5–S27. doi:10.1016/S0005-7967(99)00048-0.
Dantzer, R. (2005). Somatization: A psychoneuroimmune perspective. Psychoneuroendocrinology, 30(10), 947–952. doi:10.1016/j.psyneuen.2005.03.011.
Davison, M. L., Bershadsky, B., Bieber, J., Silversmith, D., Maruish, M. E., & Kane, R. L. (1997). Development of a brief, multidimensional, self-report instrument for treatment outcomes assessment in psychiatric settings: Preliminary findings. Assessment, 4, 259–276.
Ellison, C. G., Boardman, J. D., Williams, D. R., & Jackson, J. S. (2001). Religious involvement, stress, and mental health: Findings from the 1995 Detroit area study. Social Forces, 80(1), 215–249. doi:10.1353/sof.2001.0063.
Ellison, C. G., & Levin, J. S. (1998). The religion–health connection: Evidence, theory and future directions. Health Education & Behavior, 2516, 700–720. doi:10.1177/109019819802500603.
Flannelly, K. J., Ellison, C. G., Galek, K., & Koenig, H. G. (2008). Beliefs about life-after-death, psychiatric symptomology and cognitive theories of psychopathology. Journal of Psychology and Theology, 36, 94–103.
Flannelly, K. J., Koenig, H. G., Ellison, C. G., Galek, K., & Krause, N. (2006). Belief in life after death and mental health: Findings from a national survey. The Journal of Nervous and Mental Disease, 194(7), 524–529. doi:10.1097/01.nmd.0000224876.63035.23.
Flannelly, K. J., Koenig, H. G., Galek, K., & Ellison, C. G. (2007). Beliefs, mental health, and evolutionary threat assessment systems in the brain. The Journal of Nervous and Mental Disease, 195(12), 996–1003.
Foster, R. A., & Keating, J. P. (1992). Measuring androcentrism in the Western God-concept. Journal for the Scientific Study of Religion, 31(3), 366–375. doi:10.2307/1387128.
Francis, L. J., Gibson, H. M., & Robbins, M. (2001). God images and self-worth among adolescents in Scotland. Mental Health Religion & Culture, 4(2), 103–108. doi:10.1080/13674670110048327.
Froese, P., & Bader, C. D. (2007). God in America: Why theology is not simply the concern of philosophers. Journal for the Scientific Study of Religion, 46(4), 465–481.
Fyer, A. J. (1998). Current approaches to etiology and pathophysiology of specific phobia. Biological Psychiatry, 44(12), 1295–1304. doi:10.1016/S0006-3223(98)00274-1.
Galek, K., Flannelly, K. J., & Porter, M. (2008). The importance of cognitions in measuring spirituality and religion: The case for personal theological beliefs. Paper presented at the annual meeting of the society for spirituality, theology & health.
George, L. K., Ellison, C. G., & Larson, D. B. (2002). Explaining the relationships between religious involvement and health. Psychological Inquiry, 13(3), 190–200. doi:10.1207/S15327965PLI1303_04.
Gilbert, P. (1984). Depression: From psychology to brain state. Hillsdale, NJ: Lawrence Erlbaum.
Gilbert, P. (1995). Biopsychosocial approaches and evolutionary theory as aids to integration in clinical psychology and psychotherapy. Clinical Psychology & Psychotherapy, 2(3), 135–156.
Gilbert, P. (1998a). Evolutionary psychopathology: Why isn’t the mind designed better than it is? The British Journal of Medical Psychology, 71(Pt 4), 353–373.
Gilbert, P. (1998b). The evolved basis and adaptive functions of cognitive distortions. The British Journal of Medical Psychology, 71(Pt 4), 447–463.
Gilbert, P. (2001a). Evolution and social anxiety. The role of attraction, social competition, and social hierarchies. The Psychiatric Clinics of North America, 24(4), 51–72. doi:10.1016/S0193-953X(05)70260-4.
Gilbert, P. (2001b). Evolutionary approaches to psychopathology: The role of natural defences. The Australian and New Zealand Journal of Psychiatry, 35(1), 17–27. doi:10.1046/j.1440-1614.2001.00856.x.
Gilbert, P. (2002). Evolutionary approaches to psychopathology and cognitive therapy. Journal of Cognitive Psychotherapy: An International Quarterly, 16(3), 263–294. doi:10.1891/jcop.16.3.263.52515.
Gilbert, P. (2006). Evolution and depression: Issues and implications. Psychological Medicine, 36(3), 287–297. doi:10.1017/S0033291705006112.
Gilbert, P. (2007). Evolved minds and compassion in the therapeutic relationship. In P. Gilbert & R. L. Leahy (Eds.), The therapeutic relationship in cognitive behavioural psychotherapies (pp. 107–142). London: Routledge.
Gilbert, P. (in press). Developing a compassion focused approach in cognitive behavioural therapy. In G. Simos (Ed.), Cognitive behaviour therapy: A guide to the practicing clinician. London: Routledge.
Gilbert, P., Gilbert, P., & Bailey, K. G. (2000). Social mentalities: Internal “social’ conflict and the role of inner warmth and compassion in cognitive therapy. Genes on the couch: Explorations in evolutionary psychotherapy (pp. 118–150). New York: Brunner-Routledge.
Gorsuch, R. L. (1968). The conceptualization of God as seen in adjective ratings. Journal for the Scientific Study of Religion, 7(1), 56–64. doi:10.2307/1385110.
Greenberg, L. S. (2002). Evolutionary perspectives on emotion: Making sense of what we feel. Journal of Cognitive Psychotherapy, 16, 331–347. doi:10.1891/jcop.16.3.331.52517.
Grigoriadis, S., & Robinson, G. E. (2007). Gender issues in depression. Annals of Clinical Psychiatry, 19(4), 247–255. doi:10.1080/10401230701653294.
Hackney, C. H., & Sanders, G. S. (2003). Religiosity and mental health: A meta-analysis of recent studies. Journal for the Scientific Study of Religion, 42(1), 43–55. doi:10.1111/1468-5906.t01-1-00160.
Harris, S., Sheth, S. A., & Cohen, M. S. (2008). Functional neuroimaging of belief, disbelief, and uncertainty. Annals of Neurology, 63(2), 141–147. doi:10.1002/ana.21301.
Heath, A. C., Eaves, L. J., & Martin, N. G. (1998). Interaction of marital status and genetic risk for symptoms of depression. Twin Research, 1(3), 119–122. doi:10.1375/136905298320566249.
Hoffman, L., Hoffman, J. L., Dillard, K., Clark, J., Acoba, R., Williams, F., et al. (2008). Diversity and the God image: Examining ethnic differences in the experience of God for a college-age population. Journal of Psychology and Theology, 36(1), 26–41.
Hofmann, S. G., Moscovitch, D. A., & Heinrichs, N. (2002). Evolutionary mechanisms of fear and anxiety. Journal of Cognitive Psychotherapy: An International Quarterly, 16(3), 317–330. doi:10.1891/jcop.16.3.317.52519.
Jorm, A. F. (2000). Does old age reduce the risk of anxiety and depression? A review of epidemiological studies across the adult life span. Psychological Medicine, 30(1), 11–22. doi:10.1017/S0033291799001452.
Kirkpatrick, L. A. (2005). Attachment, evolution, and the psychology of religion. New York: Guilford Press.
Kirkpatrick, L. A., & Shaver, P. R. (1992). An attachment-theoretical approach to romantic love and religious belief. Personality and Social Psychology Bulletin, 18(3), 266–275. doi:10.1177/0146167292183002.
Koenig, H. G., McCullough, M. E., & Larson, D. B. (2001). Handbook of religion and health. New York: Oxford University Press.
Krause, N. (2002). Church-based social support and health in old age: Exploring variations by race. Journal of Gerontology, 57B(6), S332–S347.
Krause, N. (2005). God-mediated control and psychological well-being in late life. Research on Aging, 27(2), 136–164. doi:10.1177/0164027504270475.
Krause, N. M. (2007). Social involvement in religious institutions and God-mediated control beliefs: A longitudinal investigation. Journal for the Scientific Study of Religion, 46(4), 519–537.
Krause, N., & Ellison, C. G. (2003). Forgiveness by God, forgiveness of others, and psychological well-being in late life. Journal for the Scientific Study of Religion, 42, 77–93. doi:10.1111/1468-5906.00162.
Kroll, J., & Erickson, P. (2002). Religion and psychiatry. Current Opinion in Psychiatry, 15(5), 549–554. doi:10.1097/00001504-200209000-00014.
Kuyken, W., Kurzer, N., DeRubeis, R. J., Beck, A. T., & Brown, G. K. (2001). Response to cognitive therapy in depression: The role of maladaptive beliefs and personality disorders. Journal of Consulting and Clinical Psychology, 69(3), 560–566. doi:10.1037/0022-006X.69.3.560.
Leahy, R. L. (2002). Pessimism and the evolution of negativity. Journal of Cognitive Psychotherapy, 16, 295–316. doi:10.1891/jcop.16.3.295.52520.
Levin, J. (2002). Is depressed affect a function of one’s relationship with God?: Findings from a study of primary care patients. International Journal of Psychiatry in Medicine, 32(4), 379–393.
Lin, K. M. (2001). Biological differences in depression and anxiety across races and ethnic groups. The Journal of Clinical Psychiatry, 62(Suppl 13), 13–19.
MacLean, P. D. (1985). Evolutionary psychiatry and the triune brain. Psychological Medicine, 15(2), 219–221.
MacLean, P. D. (1990). The triune brain in evolution: Role in paleocerebral functions. New York: Plenum Press.
Marks, I. M., & Nesse, R. M. (1994). Fear and fitness: An evolutionary analysis of anxiety disorders. Ethology and Sociobiology, 15(5–6), 247–261. doi:10.1016/0162-3095(94)90002-7.
McConnell, K. M., Pargament, K. I., Ellison, C. G., & Flannelly, K. J. (2006). Examining the links between spiritual struggles and symptoms of psychopathology in a national sample. Journal of Clinical Psychology, 62(12), 1469–1484. doi:10.1002/jclp.20325.
Nelsen, H. M., Cheek, N. H., & Au, P. (1985). Gender differences in images of God. Journal for the Scientific Study of Religion, 24(4), 396–402. doi:10.2307/1385990. Article.
Nesse, R. (1998). Emotional disorders in evolutionary perspective. The British Journal of Medical Psychology, 71(4), 397–415.
Pargament, K. I., Kennell, J., Hathaway, W., & Grevengoed, N. (1988). Religion and the problem-solving process: Three styles of coping. Journal for the Scientific Study of Religion, 27(1), 90–104. doi:10.2307/1387404.
Pargament, K. I., Koenig, H. G., Tarakeshwar, N., & Hahn, J. (2004). Religious coping methods as predictors of psychological, physical and spiritual outcomes among medically ill elderly patients. Journal of Health Psychology, 9(6), 713–730. doi:10.1177/1359105304045366.
Pargament, K. I., Zinnbauer, B. J., Scott, A. B., Butter, E. M., Zerowin, J., & Stanik, P. (1998). Red flags and religious coping: Identifying some religious warning signs among people in crisis. Journal of Clinical Psychology, 54(1), 77–89. doi:10.1002/(SICI)1097-4679(199801)54:1<77::AID-JCLP9>3.0.CO;2-R.
Patrick, J. H., & Kinney, J. M. (2003). Why believe? The effects of beliefs on emotional well-being. Journal of Religious Gerontology, 14(2–3), 153–170. doi:10.1300/J078v14n02_05.
Phillips, R. E., Lynn, Q. K., Crossley, C. D., & Pargament, K. I. (2004). Self-directing religious coping: a deistic god, abandoning god, or no god at all? Journal for the Scientific Study of Religion, 43(3), 409–418. doi:10.1111/j.1468-5906.2004.00243.x.
Poulton, R., & Menzies, R. G. (2002). Non-associative fear acquisition: A review of the evidence from retrospective and longitudinal research. Behaviour Research and Therapy, 40(2), 127–149. doi:10.1016/S0005-7967(01)00045-6.
Price, J. S., Gardner, R., Jr., & Erickson, M. (2004). Can depression, anxiety and somatization be understood as appeasement displays? Journal of Affective Disorders, 79(1–3), 1–11. doi:10.1016/S0165-0327(02)00452-4.
Rapoport, J. L., & Fiske, A. (1998). The new biology of obsessive-complusive disorder: Implications for evolutionary psychology. Perspectives in Biology and Medicine, 41(2), 159–175.
Rauch, S. L., & Savage, C. R. (1997). Neuroimaging and neuropsychology of the striatum: Bridging basic science and clinical practice. The Psychiatric Clinics of North America, 20(4), 741–768. doi:10.1016/S0193-953X(05)70343-9.
Roof, W. C., & Roof, J. L. (1984). Review of the polls: Images of God among Americans. Journal for the Scientific Study of Religion, 23(2), 201–205. doi:10.2307/1386110.
Schieman, S., Pudrovska, T., Pearlin, L. I., & Ellison, C. G. (2006). The sense of divine control and psychological distress: Variations across race and socioeconomic status. Journal for the Scientific Study of Religion, 45(4), 529–549. doi:10.1111/j.1468-5906.2006.00326.x.
Schore, A. N. (1994). Affect regulation and the origin of the self: The neurobiology of emotional development. Hillsdale, NJ: Lawrence Erlbaum.
Simon, R. W. (2002). Revisiting the relationships among gender, marital status, and mental health. American Journal of Sociology, 107(4), 1065–1096. doi:10.1086/339225.
Sitarenios, G., Rayes, M., & Morrison, J. (2000). SA-45: The symptom assessment-45 questionnaire. North Tonawanda, New York: Multi-Health Systems Inc.
Snowdon, J. (2001). Is depression more prevalent in old age? The Australian and New Zealand Journal of Psychiatry, 35(6), 782. doi:10.1046/j.1440-1614.2001.00968.x.
Spilka, B., Armatas, P., & Nussbaum, J. (1964). The concept of God: A factor analytic approach. Review of Religious Research, 6(1), 28–36. doi:10.2307/3510880.
Stein, D. J., Ono, Y., Tajima, O., & Muller, J. E. (2004). The social anxiety disorder spectrum. The Journal of Clinical Psychiatry, 65(Suppl 14), 27–33.
Tamayo, A., & Desjardines, L. (1976). Belief systems and conceptual images of parents and God. Journal of Psychology: Interdisciplinary and Applied, 92(1), 131–140.
Taylor, G. J. (2003). Somatization and the conversion: Distinct or overlapping contructs? The Journal of the American Academy of Psychoanalysis and Dynamic Psychiatry, 31(3), 487–508. doi:10.1521/jaap.31.3.487.22136.
Vandervoort, D. (1999). Quality of Social Support in Mental and Physical Health. Current Psychology (New Brunswick, N.J.), 18(2), 205. doi:10.1007/s12144-999-1029-8.
Waite, R. L. (2006). Variations in the experiences and expressions of depression among ethnic minorities. Journal of the Naionatl Black Nurses’. Association, 17(1), 29–35.
Waller, E., & Schedit, C. E. (2006). Somatoform disorders of affect regulation: A development perspective. International Review of Psychiatry (Abingdon, England), 18(1), 13–24. doi:10.1080/09540260500466774.
Wenzel, A., Sharp, I. R., Brown, G. K., Greenberg, R. L., & Beck, A. T. (2006). Dysfunctional beliefs in panic disorder: The Panic Belief Inventory. Behaviour Research and Therapy, 44(6), 819–833. doi:10.1016/j.brat.2005.06.001.
Zimet, G. D., Dahlem, N. W., Zimet, S. G., & Farley, G. K. (1988). The multidimensional scale of perceived social support. Journal of Personality Assessment, 52(1), 30–41. doi:10.1207/s15327752jpa5201_2.
Zimmerman, F. J., & Katon, W. (2005). Socioeconomic status, depression disparities, and financial strain: What lies behind the income-depression relationship? Health Economics, 14(12), 1197–1215. doi:10.1002/hec.1011.
Acknowledgments
This research was supported, in part, by a grant from the John Templeton Foundation. The authors wish to thank HealthCare Chaplaincy’s Research Assistant Kathryn M. Murphy for helping to prepare the manuscript and Research Librarian Helen P. Tannenbaum for her assistance in locating and obtaining pertinent literature. The authors also wish to thank an anonymous reviewer of the manuscript for his critique and insightful suggestions.
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Flannelly, K.J., Galek, K., Ellison, C.G. et al. Beliefs about God, Psychiatric Symptoms, and Evolutionary Psychiatry. J Relig Health 49, 246–261 (2010). https://doi.org/10.1007/s10943-009-9244-z
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DOI: https://doi.org/10.1007/s10943-009-9244-z