The volume and quality of research on what we term the religion-health connection have increased markedly in recent years. This interest in the complex relationships between religion and mental and physical health is being fueled by energetic and innovative research programs in several fields, including sociology, psychology, health behavior and health education, psychiatry, gerontology, and social epidemiology. This article has three main objectives: (1) to briefly review the medical and epidemiologic research on religious factors and both physical health and mental health; (2) to identify the most promising explanatory mechanisms for religious effects on health, giving particular attention to the relationships between religious factors and the central constructs of the life stress paradigm, which guides most current social and behavioral research on health outcomes; and (3) to critique previous work on religion and health, pointing out limitations and promising new research directions.

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The Religion-Health Connection: Evidence, Theory, and Future Directions

This paper provides a concise but comprehensive review of research on religion/spirituality (R/S) and both mental health and physical health. It is based on a systematic review of original data-based quantitative research published in peer-reviewed journals between 1872 and 2010, including a few seminal articles published since 2010. First, I provide a brief historical background to set the stage. Then I review research on R/S and mental health, examining relationships with both positive and negative mental health outcomes, where positive outcomes include well-being, happiness, hope, optimism, and gratefulness, and negative outcomes involve depression, suicide, anxiety, psychosis, substance abuse, delinquency/crime, marital instability, and personality traits (positive and negative). I then explain how and why R/S might influence mental health. Next, I review research on R/S and health behaviors such as physical activity, cigarette smoking, diet, and sexual practices, followed by a review of relationships between R/S and heart disease, hypertension, cerebrovascular disease, Alzheimer's disease and dementia, immune functions, endocrine functions, cancer, overall mortality, physical disability, pain, and somatic symptoms. I then present a theoretical model explaining how R/S might influence physical health. Finally, I discuss what health professionals should do in light of these research findings and make recommendations in this regard.

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Religion, Spirituality, and Health: The Research and Clinical Implications

A meta–analysis was performed in an attempt to clarify the proposed relationship between religiosity and psychological adjustment. Specific focus was given to the issue of definition, namely, whether differences in researchers’ conceptualizations of religiosity and mental health could account for the various contradictory findings by psychologists of religion. Analysis of 34 studies conducted during the past 12 years revealed that the definitions of religiosity and mental health utilized by psychologists in this field were indeed associated with different types and strengths of the correlations between religiosity and mental health. Discussion of results assesses the fit between relevant theory and the pattern of change in effect size across categories of religion and adjustment, and concludes with implications for therapeutic uses of religious involvement.

Religiosity and Mental Health: A Meta–Analysis of Recent Studies

There is increasing research evidence that religious involvement is associated both cross-sectionally and prospectively with better physical health, better mental health, and longer survival. These relationships remain substantial in size and statistically significant with other risk and protective factors for morbidity and mortality statistically controlled. In this article, we review the social and psychological factors that have been hypothesized to explain the health-promoting effects of religious involvement. The four potential psychosocial mechanisms that have received empirical attention are health practices, social support, psychosocial resources such as self-esteem and self-efficacy, and belief structures such as sense of coherence. Evidence concerning these potential mediators is mixed and inconsistent, suggesting there is more to be learned about the pathways by which religion affects health. Other possible explanations for the salubrious effects of religious involvement on health and longevity...

Explaining the relationships between religious involvement and health.

Cet article developpe un modele theorique mettant en relation la participation aux institutions religieuses, les liens sociaux et l'assistance sociale. Les hypotheses derivees de ce modele sont ensuite soumises au test en utilisant les donnees d'un large echantillon d'une communaute du sud-est des Etats-Unis. Ceux qui frequentent regulierement les eglises ont un contact plus approfondi avec les membres du reseau, ils recoivent plus d'assistance sociale et percoivent d'une meilleure facon leurs relations sociales que ceux qui ne frequentent pas les eglises

Caroline M. Pyle

Papers

Religion and psychological distress in a community sample.