What Role Do Religion and Spirituality Play In Mental Health?

What Role Do Religion and Spirituality Play In Mental Health? March 24, 2013

Nearly 80 percent of Americans say they practice some type of religion, while approximately 20 percent, mostly younger people, say they do not, according to a 2012 Pew Research Center study. Whether a person is religious, spiritual or neither, the major influence religion has on American culture will be emphasized over the coming days with religious observances of Passover and Easter.
Kenneth I. Pargament, PhD, is a leading expert in the psychology of religion and spirituality. Known for his scholarly work and his scientific analyses of religion’s role in mental health, he served as editor-in-chief of the “APA Handbook of Psychology, Religion and Spirituality” published in January 2013. He has written two books: “The Psychology of Religion and Coping: Theory, Research, Practice” (1997) and “Spiritually Integrated Psychotherapy: Understanding and Addressing the Sacred” (2007). He is a clinical psychologist and a professor of psychology at Bowling Green State University and distinguished scholar at the Institute for Spirituality and Health at the Texas Medical Center.
APA recently asked Pargament the following questions about the psychology of religion and spirituality.
APA: You are known for research about the links between religion and coping. What are you discovering in your studies of the relationship between religion and psychological well-being and stress? What is the difference between positive and negative religious coping and its potential outcomes for patients?

Pargament: The old saying that there are no atheists in foxholes is not really true. Before, during and after combat, we can find atheists who consistently hold to their orientation. It is true, though, that people often do turn to their faith as a source of solace and support in their most stressful moments. In fact, some groups such as the elderly and minority groups may be more likely to look to their faith for help than to family, friends and the health care system.
Empirical studies of many groups dealing with major life stressors such as natural disaster, illness, loss of loved ones, divorce and serious mental illness show that religion and spirituality are generally helpful to people in coping, especially people with the fewest resources facing the most uncontrollable of problems. However, there are many forms of religious coping, and some are more helpful than others. People can draw on many religious and spiritual resources that have been tied to better adjustment in times of crisis. These positive religious coping methods include spiritual support from God or a higher power, rituals to facilitate life transitions, spiritual forgiveness, support from a religious institution or clergy and reframing a stressful situation into a larger, more benevolent system of meaning.
On the other hand, some forms of religious and spiritual coping can be more problematic. Life events can shake and shatter people spiritually as well as psychologically, socially and physically. People may struggle spiritually with their understanding of God, with inner conflicts or with other people. A growing body of research has linked these spiritual struggles to higher levels of psychological distress, declines in physical health and even greater risk of mortality. Thus, it is important for psychologists and other health care providers to be aware of the dual nature of religion and spirituality; they can be vital resources for health and well-being, but they can also be sources of distress.
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