Our “winter holidays” are of primarily religious origin and focus, so it seemed appropriate to look at the effect of religion and spirituality on mental health and well being. Below are research results that show religion/spirituality improves adult and adolescent mental health, including recovery from mental crises and substance abuse, when it (and believers) carries the message of love, kindness, tolerance, and moral responsibility. But when religion had a punitive or unforgiving message to those with mental or substance abuse disorders, the results could be a worsening of psychotic symptoms, inability to sustain recovery from substance abuse, and physical abuse.
If you look at the dates of some of these studies, you’ll see that researchers have been measuring of the value of spirituality for mental health for at least 30 years, and have consistently shown positive benefits that are statistically significant. I’ve tried to simplify scanning through the lengthy studies and jargon by highlighting results and conclusions in red.
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The influence of religious moral beliefs on adolescents’ mental stability.
Pajević I, Hasanović M, Delić A., : Psychiatry Danub. 2007 Sep;19(3):173-83
University Clinical Centre Tuzla, Trnovac b.b, 75 000 Tuzla, Bosnia & Herzegovina. email@example.com.
This study included 240 mentally and physically healthy male and female adolescents attending a high school, who were divided into groups equalized by gender (male and female), age (younger 15, older 18 years); school achievement (very good, average student); behaviour (excellent, average); family structure (complete family with satisfactory family relations), and level of exposure to psycho-social stress (they were not exposed to specific traumatizing events). Subjects were assessed with regard to the level of belief in some basic ethical principles that arise from religious moral values.
CONCLUSIONS: A higher index of religious moral beliefs in adolescents enables better control of impulses, providing better mental health stability. It enables neurotic conflicts typical for adolescence to be more easily overcome. It also causes healthier reactions to external stimuli. A higher index of religious moral beliefs of young people provides a healthier and more efficient mechanism of anger control and aggression control. It enables transformation of that psychical energy into neutral energy which supports the growth and development of personality, which is expressed through socially acceptable behaviour. In this way, it helps growth, development and socialization of the personality, leading to the improvement in mental health.
Religion, Stress, and Mental Health in Adolescence: Findings from Add Health
Nooney, J. G. 2008-10-23 from http://www.allacademic.com/meta/p106431_index.html
A growing body of multidisciplinary research documents the associations between religious involvement and mental health outcomes, yet the causal mechanisms linking them are not well understood. Ellison and his colleagues (2001) tested the life stress paradigm linking religious involvement to adult well-being and distress. This study looked at adolescents, a particularly understudied group in religious research. Analysis of data from the National Longitudinal Study of Adolescent Health (Add Health) reveals that religious effects on adolescent mental health are complex. While religious involvement did not appear to prevent the occurrence of stressors or buffer their impact, some support was found for the hypothesis that religion facilitates coping by enhancing social and psychological resources.
Study Links Religion and Mental Health
David H. Rosmarin and Kenneth Pargament, Bowling Green State University, Ohio
A series of research studies – known as the JPSYCH program – reveals that traditional religious beliefs and practices are protective against anxiety and depression among Jews. The research indicates thatfrequency of prayer, synagogue attendance, and religious study, and positive beliefs about the Divine are associated with markedly decreased levels of anxiety and with higher levels of happiness. “In this day and age, there is a lot to worry about,” Rosmarin notes, “and the practice of religion may help people to maintain equanimity and perspective.”
The Once-Forgotten Factor in Psychiatry: Research Findings on Religious Commitment and Mental Health (excerpt)
David B. Larson, M.D., M.S.P.H., Susan S. Larson, M.A.T., and Harold G. Koenig, M.D., M.H.Sc.
Psychiatric Times. Vol. 17 No. 10, October 1, 2000
“The data from many of the studies conducted to date are both sufficiently robust and tantalizing to warrant continued and expanded clinical investigations.”
Treatment of Drug Abuse
- The lack of religious/spiritual commitment stands out as a risk factor for drug abuse, according to past reviews of published studies. Benson (1992) reviewed nearly 40 studies documenting that people with stronger religious commitment are less likely to become involved in substance abuse.
- Gorsuch and Butler (1976) found that lack of religious commitment was a predictor of drug abuse. The researchers wrote: “Whenever religion is used in analysis, it predicts those who have not used an illicit drug regardless of whether the religious variable is defined in terms of membership, active participation, religious upbringing or the meaningfulness of religion as viewed by the person himself.”
- Lorch and Hughes (1985), as cited by the National Institute for Healthcare Research (1999), surveyed almost 14,000 youths and found that the analysis of six measures of religious commitment and eight measures of substance abuse revealed religious commitment was linked with less drug abuse. The measure of “importance of religion” was the best predictor in indicating lack of substance abuse. The authors stated, “This implies that the controls operating here are deeply internalized values and norms rather than fear or peer pressure.”
- Developing and drawing upon spiritual resources can also make a difference in improving drug treatment. For instance, 45% of participants in a religious treatment program for opium addiction were still drug-free one year later, compared to only 5% of participants in a nonreligious public health service hospital treatment program-a ninefold difference(Desmond and Maddux, 1981).
- Confirming other studies showing reduced depression and substance abuse, a study of 1,900 female twins found significantly lower rates of major depression, smoking and alcohol abuse among those who were more religious (Kendler et al., 1997). Since these twins had similar genetic makeup, the potential effects of nurture versus nature stood out more clearly.
Treatment of Alcohol Abuse
- Religious/spiritual commitment predicts fewer problems with alcohol (Hardesty and Kirby, 1995). People lacking a strong religious commitment are more at risk to abuse alcohol (Gartner et al., 1991). Religious involvement tends to be low among people diagnosed for substance abuse treatment (Brizer, 1993).
- A study of the religious lives of alcoholics found that 89% of alcoholics had lost interest in religion during their teen-age years, whereas 48% among the community control group had increased interest in religion, and 32% had remained unchanged (Larson and Wilson, 1980).
- A relationship between religious/spiritual commitment and the non-use or moderate use of alcohol has been documented. Amoateng and Bahr (1986) reported that, whether or not a religious tradition specifically proscribes alcohol use,those who are active in a religious group consumed substantially less alcohol than those who are not active.
- Religion/spirituality is also often a strong force in recovery. Alcoholics Anonymous (AA) invokes a Higher Power to help alcoholics recover from addiction. Those who participate in AA are more likely to remain abstinent after inpatient or outpatient treatment(Montgomery et al., 1995).
Suicide Prevention – Surging suicide rates plague the United States, especially among adolescents. One in seven deaths among those 15 to 19 years of age results from suicide.
- One study of 525 adolescents found that religious commitment significantly reduced risk of suicide(Stein et al., 1992).
- A study of adolescents found that frequent church-goers with high spiritual support had the lowest scores on the Beck Depression Inventory(Wright et al., 1993). High school students of either gender who attended church infrequently and had low spiritual support had the highest rates of depression, often at clinically significant levels.
- How significantly might religious commitment prevent suicide? One early large-scale study found that people who did not attend church were four times more likely to kill themselves than were frequent church-goers (Comstock and Partridge, 1972). Stack (1983) found rates of church attendance predicted suicide rates more effectively than any other evaluated factor, including unemployment. He proposed several ways in which religion might help prevent suicide, including enhancing self-esteem through a belief that one is loved by God and improving moral accountability, which reduces the appeal of potentially self-destructive behavior.
- Many psychiatric inpatients indicate that spiritual/religious beliefs and practices help them to cope. Lindgren and Coursey (1995) reported83% of psychiatric patients felt that spiritual belief had a positive impact on their illness through the comfort it provided and the feelings of being cared for and not being alone it engendered.
Potential Harmful Effects – “Psychiatry still needs more research and clearer hypotheses in differentiating between the supportive use of religion/spirituality in finding hope, meaning, and a sense of being valued and loved versus harmful beliefs that may manipulate or condemn.”
- Alcoholics often report negative experiences with religion and hold concepts of God that are punitive, rather than loving and forgiving(Gorsuch, 1993).
- Bowman (1989). In assessing multiple personality disorder, children in rigid religious families, whose harsh parenting practices border on abuse, harbor negative images of God. Josephson (1993),Individual psychopathology is linked with families whose enmeshment, rigidity and emotional harshness were supported by enlisting spiritual precepts.
- Sheehan and Kroll (1990). Of 52 seriously mentally ill hospitalized patients diagnosed with major depression, schizophrenia, manic episode, personality disorder and anxiety disorder, almost one-fourth of them believed their sinful thoughts or acts may have contributed to the development of their illness. Without the psychiatrist inquiring about potential religious concerns, these beliefs would remain unaddressed, potentially hindering treatment until discovered and resolved. Collaboration with hospital chaplains or clergy may help in some of these instances of spiritual problems or distress.
Religious/spiritual commitment may enhance recovery from depression, serious mental or physical illness, and substance abuse; help curtail suicide; and reduce health risks. More longitudinal research with better multidimensional measures will help further clarify the roles of these factors and whether they are beneficial or harmful.