Spiritual beliefs and practices compared to psychological strengths: are they unique or overlapping predictors of health in inflammatory bowel disease?

dc.contributor.authorHaviva, Clove
dc.contributor.examiningcommitteeBailis, Dan (Psychology) Starzyk, Katherine (Psychology) Furer, Patricia (Clinical Health Psychology) Segerstrom, Suzanne (University of Kentucky)en_US
dc.contributor.supervisorWalker, John (Psychology)en_US
dc.date.accessioned2018-02-22T21:52:05Z
dc.date.available2018-02-22T21:52:05Z
dc.date.issued2018
dc.degree.disciplinePsychologyen_US
dc.degree.levelDoctor of Philosophy (Ph.D.)en_US
dc.description.abstractDespite widespread claims that religion benefits physical health, scant research has compared the ability to predict health by different aspects of spirituality and related psychological strengths. 175 Canadians, with the autoimmune-based, chronic illness inflammatory bowel disease (IBD), were surveyed and interviewed. Outcome measures were disease symptoms, physical and mental health. The spiritual variables were attendance at spiritual services, use of prayer, belief in God, belief in an afterlife, and spiritual meaning in life. The psychological constructs were meaning in life, optimism, mastery, peacefulness, social support, and gratitude. Hierarchical linear regression, controlling for health 10 years prior, showed that, as a set, the psychological variables predicted all 3 health outcomes, before and after the influence of the set of spiritual variables was accounted for. The set of spiritual variables did not predict any of the health outcomes, before or after the influence of the psychological variables was accounted for. All psychological variables were positively correlated with mental and physical health. No spiritual variable was correlated with any health measure. There were few correlations between spiritual and psychological variables, but prayer was negatively correlated with mastery and social support. Partial correlations, showing belief in God and belief in an afterlife were negatively correlated with mental health, imply that any religiosity index including beliefs with predictors of positive health may have limited efficacy. In paired squared semipartial correlation, optimism predicted 4 times the variability in mental health, while mastery predicted twice the variability in physical health, therefore, both should be measured routinely in health research. Public health advocates should encourage optimism, mastery, and peacefulness, over spirituality. By bridging the foundations of key health psychology constructs, for the first time directly comparing them and joining them with the spirituality literature, this study builds a new, integrated structure of knowledge.en_US
dc.description.noteMay 2018en_US
dc.identifier.urihttp://hdl.handle.net/1993/32889
dc.language.isoengen_US
dc.rightsopen accessen_US
dc.subjectInflammatory bowel disease (IBD)en_US
dc.subjectMastery (perceived control)en_US
dc.subjectOptimismen_US
dc.subjectGratitudeen_US
dc.subjectMeaning in lifeen_US
dc.subjectSocial supporten_US
dc.subjectPeacefulnessen_US
dc.subjectPrayeren_US
dc.subjectBelief in Goden_US
dc.subjectBelief in an afterlifeen_US
dc.subjectAttendance at religious servicesen_US
dc.subjectSpiritualityen_US
dc.subjectReligionen_US
dc.subjectPhysical healthen_US
dc.subjectMental healthen_US
dc.subjectSpiritual meaning in lifeen_US
dc.subjectChronic illnessen_US
dc.titleSpiritual beliefs and practices compared to psychological strengths: are they unique or overlapping predictors of health in inflammatory bowel disease?en_US
dc.typedoctoral thesisen_US
local.subject.manitobayesen_US
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