Religiosity

Spiritual Concerns Decrease Quality of Life in Cancer Patients

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Spiritual Concerns Decrease Quality of Life in Cancer Patients

 

By John M. de Castro, Ph.D.

 

“For some, a cancer diagnosis has the opposite effect on their sense of spirituality. It makes them doubt their beliefs or religious values, challenges their faith, and can cause spiritual distress. Some people become angry with God for allowing them to get cancer or wonder if they are being punished. Spiritual distress can make it harder for patients to cope with cancer and its treatment.” –  National Comprehensive Cancer Network

 

Receiving a diagnosis of cancer has a huge impact on most people. Feelings of depression, anxiety, and fear are very common and are normal responses to this life-changing and potentially life-ending experience. These feeling can result from changes in body image, changes to family and work roles, feelings of grief at these losses, and physical symptoms such as pain, nausea, or fatigue. People might also fear death, suffering, pain, or all the unknown things that lie ahead. So, coping with the emotions and stress of a cancer diagnosis is a challenge and there are no simple treatments for these psychological sequelae of cancer diagnosis.

 

Religion and spirituality become much more important to people when they’re diagnosed with cancer, when living with advanced cancer, and at end of life care. It is thought that people take comfort in the spiritual when facing their own mortality. There is very little information available, however, regarding the effectiveness of religion and spirituality in relieving the psychological burdens of cancer or on the quality of life of advance cancer patients. Additionally, the impact of spiritual concerns that the patient might have are not known. Concerns such as feelings of being abandoned by God or needing forgiveness for actions in their lives might lead to anxiety and worry rather than comfort.

 

In today’s Research News article “The Relationship of Spiritual Concerns to the Quality of Life of Advanced Cancer Patients: Preliminary Findings.” See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5206727/

Winkelman and colleagues study the relationship of patients’ spiritual concern to their quality of life with advanced cancer. They recruited terminal cancer patients who were undergoing palliative radiation treatments. They completed measures of religiousness, spirituality, spiritual concerns including spiritual struggles and spiritual seeking, and quality of life including physical and existential quality of life. The patients died on average of 180 days after completing the measures.

 

The majority of the patients experienced one or more forms of spiritual struggle (58%), and most (82%) experienced spiritual seeking. Their struggles included “wondering why God has allowed this to happen” and “wondering whether God has abandoned me.” The most common spiritual seekings were “seeking a closer connection to God” and “thinking about what gives meaning to life.”  They found that the greater the spiritual concerns, spiritual struggles, or spiritual concerns, the lower the patient’s quality of life. Virtually all of the patients indicated that spiritual care was important in their treatment.

 

These results are somewhat surprising in that religiousness and spirituality were not associated with comfort but with poorer quality of life in these terminal cancer patients. In particular, it appears that concerns about the spiritual meaning of their situation were very common and greatly troubled the patients leading to poorer quality of life. Being at peace with God is a very important goal of these patients and their concerns interfered with attaining that peace. Hence, it appears that in hospice and palliative care there should be greater attention paid to the religiousness and spirituality of the patients, particularly to their spiritual concerns, struggles, and seeking. This is important as spiritual concerns trouble them deeply and decrease the quality of life of terminal cancer patients.

 

 “When we took a closer look, we found that patients with stronger spiritual well-being, more benign images of God (such as perceptions of a benevolent rather than an angry or distant God), or stronger beliefs (such as convictions that a personal God can be called upon for assistance) reported better social health. In contrast, those who struggled with their faith fared more poorly.” – Allen Sherman

 

CMCS – Center for Mindfulness and Contemplative Studies

 

This and other Contemplative Studies posts are also available on Google+ https://plus.google.com/106784388191201299496/posts and on Twitter @MindfulResearch

 

Study Summary

Winkelman, W. D., Lauderdale, K., Balboni, M. J., Phelps, A. C., Peteet, J. R., Block, S. D., … Balboni, T. A. (2011). The Relationship of Spiritual Concerns to the Quality of Life of Advanced Cancer Patients: Preliminary Findings. Journal of Palliative Medicine, 14(9), 1022–1028. http://doi.org/10.1089/jpm.2010.0536

 

Abstract

Purpose

Religion and/or spirituality (R/S) have increasingly been recognized as key elements in patients’ experience of advanced illness. This study examines the relationship of spiritual concerns (SCs) to quality of life (QOL) in patients with advanced cancer.

Patients and Methods

Patients were recruited between March 3, 2006 and April 14, 2008 as part of a survey-based study of 69 cancer patients receiving palliative radiotherapy. Sixteen SCs were assessed, including 11 items assessing spiritual struggles (e.g., feeling abandoned by God) and 5 items assessing spiritual seeking (e.g., seeking forgiveness, thinking about what gives meaning in life). The relationship of SCs to patient QOL domains was examined using univariable and multivariable regression analysis.

Results

Most patients (86%) endorsed one or more SCs, with a median of 4 per patient. Younger age was associated with a greater burden of SCs (β = −0.01, p = 0.006). Total spiritual struggles, spiritual seeking, and SCs were each associated with worse psychological QOL (β = −1.11, p = 0.01; β = −1.67, p < 0.05; and β = −1.06, p < 0.001). One of the most common forms of spiritual seeking (endorsed by 54%)—thinking about what gives meaning to life—was associated with worse psychological and overall QOL (β = − 5.75, p = 0.02; β = −12.94, p = 0.02). Most patients (86%) believed it was important for health care professionals to consider patient SCs within the medical setting.

Conclusions

SCs are associated with poorer QOL among advanced cancer patients. Furthermore, most patients view attention to SCs as an important part of medical care. These findings underscore the important role of spiritual care in palliative cancer management.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5206727/

Improve Physician Care of Patients and Themselves with Religious Practice

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By John M. de Castro, Ph.D.

 

“Patients need to believe in their doctor. An empathetic touch can make all the difference and also be the key to medical success. . . The tragedy of burnout is that it effaces genuine empathy, spirituality, and commitment. Nietzsche put it best: “Physician, heal thyself: Then wilt thou also heal thy patient.” – Tom Murphy

 

Stress is epidemic in the western workplace with almost two thirds of workers reporting high levels of stress at work. In high stress occupations burnout is all too prevalent. This is the fatigue, cynicism, emotional exhaustion, and professional inefficacy that comes with work-related stress. Healthcare and teaching are high stress occupations. It is estimated that over 45% of healthcare workers experience burnout with emergency medicine at the top of the list, over half experiencing burnout. Currently, over a third of healthcare workers report that they are looking for a new job. Nearly half plan to look for a new job over the next two years and 80% expressed interest in a new position if they came across the right opportunity.

 

Burnout frequently results from emotional exhaustion. This exhaustion not only affects the healthcare providers personally, but also the patients, as it produces a loss of enthusiasm, empathy, and compassion. Regardless of the reasons for burnout or its immediate presenting consequences, it is a threat to the healthcare providers and their patients. In fact, it is a threat to the entire healthcare system as it contributes to the shortage of doctors and nurses. Hence, preventing burnout has to be a priority. Mindfulness has been demonstrated to be helpful in treating and preventing burnout. Religiosity and spirituality are also known to help improve mental health and well-being.

 

In today’s Research News article “An exploration of the role of religion/spirituality in the promotion of physicians’ wellbeing in Emergency Medicine.” See:

https://www.facebook.com/ContemplativeStudiesCenter/photos/a.628903887133541.1073741828.627681673922429/1313533765337213/?type=3&theater

or see summary below or view the full text of the study at http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4929145/, Salmoirago-Blotcher and colleagues surveyed emergency room physicians measuring burnout, maladaptive behaviors, malpractice, religiosity, religious affiliation, spirituality, private religious/spiritual practice, and religious commitment. They found that high levels of burnout were associated with being single or divorced, and not surprisingly with high numbers of patients seen, hours on call, and shifts each month. There were no significant relationships between religiosity/spirituality and burnout. They did find, however, that the greater the observance of a religious day of rest, the lower the levels of malpractice and maladaptive behaviors. In addition, the greater the attendance at religious services the lower the level of maladaptive behaviors.

 

These results are interesting and suggest that although not directly associated with burnout, religious practice was associated with higher quality of medical services provided to the patients, as evidenced by fewer malpractice suits, and the better care the physicians took of themselves, as evidenced by low maladaptive behaviors. The maladaptive behaviors included smoking, drug use and addiction, and alcohol use. It is interesting that the results were not due to the levels of spirituality or religiosity themselves but rather to participation in religious services and taking a religious day of rest. This suggests that the effects may be the result taking time off to go to church and rest may be important for physicians well-being. Since, this was a correlational study, however, it’s possible that the causation was in the opposite direction with the kinds of physicians who participated in religious practices also being the type of physicians who take better care of themselves and others.

 

So, improve physician care of patients and themselves with religious practice.

 

“We can’t afford to ignore the potential effect of spirituality and religion on health.”  – Alexandra Shields

 

CMCS – Center for Mindfulness and Contemplative Studies

 

This and other Contemplative Studies posts are also available on Google+ https://plus.google.com/106784388191201299496/posts

 

Study Summary

Salmoirago-Blotcher, E., Fitchett, G., Leung, K., Volturo, G., Boudreaux, E., Crawford, S., … Curlin, F. (2016). An exploration of the role of religion/spirituality in the promotion of physicians’ wellbeing in Emergency Medicine. Preventive Medicine Reports, 3, 189–195. http://doi.org/10.1016/j.pmedr.2016.01.009

 

Abstract

Background: Burnout is highly prevalent among Emergency Medicine (EM) physicians and has significant impact on quality of care and workforce retention. The objective of this study was to determine whether higher religion/spirituality (R/S) is associated with a lower prevalence of burnout among EM physicians (primary outcome). A history of malpractice lawsuits and maladaptive behaviors were the secondary outcomes. Methods: This was a cross-sectional, survey-based study conducted among a random sample of physicians from the Massachusetts College of Emergency Physicians mailing list. Burnout was measured using a validated 2-item version of the Maslach Burnout Inventory. Maladaptive behaviors (smoking, drinking, and substance use) and medical malpractice were self-reported. R/S measures included organized religiosity, religious affiliation, private R/S practice, self-rated spirituality, religious rest, and religious commitment. Logistic regression was used to model study outcomes as a function of R/S predictors. Results: Of 422 EM physicians who received the invitation to participate, 138 completed the survey (32.7%). The prevalence of burnout was 27%. No significant associations were observed between burnout and R/S indicators. Maladaptive behaviors (adjusted OR = 0.42, CI: 0.19 to 0.96; p = 0.039) and history of medical malpractice (adjusted OR = 0.32; CI: 0.11 to 0.93; p = 0.037) were less likely among physicians reporting to be more involved in organized religious activity and to observe a day of rest for religious reasons, respectively. Conclusion: This study provides preliminary evidence for a possible protective association of certain dimensions of R/S on maladaptive behaviors and medical malpractice among EM physicians.

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4929145/

 

Meditate to Pray. Pray to Meditate

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Meditate to Pray. Pray to Meditate

 

By John M. de Castro, Ph.D.

 

“Silence is God’s first language; everything else is a poor translation.” ― Thomas Keating

 

Prayer takes a number of different forms most of which are not meditative. Prayers of adoration are prayers focused on the worship of God, without any reference to circumstances, needs, or desires. They are often recited by rote. Prayers of thanksgiving are expressions of gratitude towards God, made in reference to specific positive life experiences. Prayers of supplication “taps requests for God’s intervention in specific life events for oneself or others”. Prayers of confession involve the admission of negative behaviors, and a request for forgiveness. Obligatory prayers are required prayers consist primarily of fixed prayers repeated at each worship time. All of these types of prayer generally don’t parallel meditation and might be characterized as self-serving.

 

The final type, on the other hand, prayers of reception are very similar to meditation. These are prayers in which “one more passively awaits divine wisdom, understanding, or guidance”. They are “characterized by a contemplative attitude of openness, receptivity, and surrender, resulting in experiences ranging from peaceful/quiet to rapture/ecstasy”. The following story exemplifies this form of prayer:

“Mother Theresa was once asked about her prayer life.

The interviewer asked, “When you pray, what do you say to God?”

Mother Teresa replied, “I don’t talk, I simply listen.”

Believing he understood what she had just said, the interviewer next asked, “Ah, then what is it that God says to you when you pray?”

Mother Teresa replied, “He also doesn’t talk. He also simply listens.”

There was a long silence, with the interviewer seeming a bit confused and not knowing what to ask next.

Finally, Mother Teresa breaks the silence by saying, “If you can’t understand the meaning of what I’ve just said, I’m sorry but there’s no way I can explain it any better.” –  David Matthew Brown

 

This is the kind of prayer described by Mother Theresa is the form of contemplative prayer engaged in by the Christian or Sufi mystics. Receptive prayer might be characterized as the deepest most profound form of prayer. In this prayer the mind is quieted and there is no specific goal as in meditation. The practitioner simply quiets the mind and patiently monitors experience, just like meditation. So, not only can contemplative prayer be viewed as a form of meditation, but meditation can be viewed as a form of prayer. Both involve quieting the mind and simply resting peacefully observing whatever transpires.

 

This idea is further evidenced by what is arguably the most famous definition of prayer from St John Damascene ,‘Prayer is the raising of the mind and heart to God’. It is also evident in the sermons of the highly regarded Christian mystic, Meister Eckhart. He states that

“The most powerful form of prayer, and the one which can virtually gain all things and which is the worthiest work of all, is that which flows from a free mind. The freer the mind is, the more powerful and worthy, the more useful, praiseworthy and perfect the prayer and the work become. A free mind can achieve all things. But what is a free mind? A free mind is one which is untroubled and unfettered by anything, which has not bound its best part to any particular manner of being or devotion and which does not seek its own interest in anything but is always immersed in God’s most precious will, having gone out of what is its own. (Talks of Instruction 2 in Davies, 1994).”

 

So, prayers of reception are essentially meditations. They involve quieting the mind and simply observing what transpires. The difference is simply one of intent. In the case of prayer, the practitioner has the intent of becoming one with the Deity, while in the case of meditation the practitioner has the intent of becoming one with the universe. Simply thinking of the universe as the expression of the Devine makes contemplative prayer and meditation identical. It’s all a matter of the label put on it. The meditator calls the ultimate product of meditation as awakening or enlightenment while the contemplative prayer practitioner calls the ultimate product of the prayer Devine revelation. It could be argued that these two are identical except for the labels put on them. In fact, the mystical experiences reported by the Christian and Sufi mystics only differ from those reported by meditators in the labels put on them. In their essence they are identical and lead to effectively the same place.

 

So, meditate to pray and pray to meditate!

 

“Spiritual meditation is the pathway to Divinity. It is a mystic ladder which reaches from earth to heaven, from error to Truth, from pain to peace.” ~James Allen

 

CMCS – Center for Mindfulness and Contemplative Studies

 

This and other Contemplative Studies posts are also available on Google+ https://plus.google.com/106784388191201299496/posts

Religiosity Protects against Alcohol and Drug Abuse

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“Research investigating the relationship between religious commitment and drug use consistently indicates that those young people who are seriously involved in religion are more likely to abstain from drug use than those who are not; moreover, among users, religious youth are less likely than non-religious youth to use drugs heavily” – Gerald Bachman

 

Alcohol intake is a ubiquitous fact of life. In the United States 87% of adults reported that they drank alcohol at some point in their lifetime; 71% reported that they drank in the past year; 56% reported that they drank in the past month. If alcohol intake is tempered by moderation and caution it can be enjoyed and may be potentially beneficial. But as alcohol intake gets out of control it can lead to binge drinking and alcoholism. It is reported that 25% of U.S. adults reported that they engaged in binge drinking in the last month and 7% have what is termed an alcohol use disorder.

 

This is troubling as it can be very dangerous and potentially fatal. Nearly 88,000 people in the US and 3.3 million globally die from alcohol-related causes annually, making it the third leading preventable cause of death in the United States. Drunk driving accounted for over 10,000 deaths; 31% of all driving fatalities. Excessive alcohol intake has been shown to contribute to over 200 diseases including alcohol dependence, liver cirrhosis, cancers, and injuries. It is estimated that over 5% of the burden of disease and injury worldwide is attributable to alcohol consumption. So, clearly, it is important to control excessive alcohol intake.

 

Spirituality and religiosity have been shown to be associated with successful treatment and relapse prevention with substance abuse in general including alcoholism. Alcohol intake and binge drinking rates are higher in sexual minorities than in heterosexuals, especially women. So, it makes sense to further investigate the relationship of spirituality and religiosity with alcohol intake in sexual minority women. In today’s Research News article “Religiosity as a protective factor for hazardous drinking and drug use among sexual minority and heterosexual women: Findings from the National Alcohol Survey”

https://www.facebook.com/ContemplativeStudiesCenter/photos/a.628903887133541.1073741828.627681673922429/1173823035974954/?type=3&theater

Drabble and colleagues revisit a major national survey of alcohol intake patterns and investigate participation in religion and alcohol intake in sexual minority women.

 

They found that sexual minority women had significantly higher rates of drug use in general including alcohol intake, higher rates of hazardous drinking and lower rates of being lifetime abstainers from alcohol. Sexual minority women had significantly lower rates of high religiosity and participation in religions that had norms unfavorable to alcohol intake. This was particularly true with lesbian women. So, sexual minority women are more likely to drink and misuse alcohol and are less religious than heterosexual women. They also found that religiosity was associated with higher rates of lifetime abstinence of alcohol regardless of sexual orientation. But, religiosity and participation in religions that had norms unfavorable to alcohol intake were associated with lower rates of hazardous alcohol or illicit drug use in heterosexual women but not in sexual minority women. So, religiosity appears to have less of an impact on alcohol intake in sexual minority women than heterosexual women.

 

Why is religiosity associated with lower overall and hazardous use of alcohol? One possible reason is that religions in general have negative teachings about alcohol. Buddhism teaches that intoxication is an impediment to spiritual development. Other religions completely prohibit alcohol while many decry the behaviors that occur during alcoholic stupor.  This provides a cognitive incompatibility between drinking and religiosity. The recognition that drinking is not an OK thing to do might provide the extra motivation to help withstand the cravings. In addition, religious groups tend to be populated with non-alcoholics. So, increased religiosity also tends to shift the individual’s social network away from drinking buddies to people less inclined to provide temptation. It is very difficult to not drink when those around you are not only drinking themselves but encouraging you to drink. So shifting social groups to people who either abstain or demonstrate controlled drinking can help tremendously.

 

But, why does religiosity appear to have a smaller effect on sexual minority women than heterosexual women? One possibility is that many religions are associated with negative teachings regarding homosexuality. For sexual minority women, their rejection of these teachings may generalize to affect their adherence to the other teaching of the religion including alcohol intake. As a result, being religious has less of an impact on alcohol and drug use for these women. It would be interesting to investigate the relationship of religiosity and alcohol intake in sexual minority women who belong to religions that are very tolerant to homosexuality versus religions who are intolerant.

 

Regardless, protects against alcohol and drug abuse with religiosity.

 

“Religious involvement can protect against substance use by providing opportunities for prosocial activities, which themselves may promote antidrug conduct norms, and for interaction with nondeviant peers. Youth who are involved in religious activities tend to form peer groups with youth who are involved in similar activities, and they are less likely to form friendships with deviant peers.” – Flavio Marsiglia

 

CMCS – Center for Mindfulness and Contemplative Studies

 

Get more Spiritual with Mindfulness

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“While the stillness and connecting with one’s inner self cultivated through mindfulness are certainly an important part of a spiritual practice, feelings of wonder and awe — the amazement we get when faced with incredible vastness — are also central to the spiritual experience. And according to new research, mindfulness may actually set the stage for awe.” – Carolyn Gregoire

 

Mindfulness practices developed primarily as spiritual practices. Contemplative practices developed millennia ago and were seen in Hinduism, Buddhism, Islam, Judaism, and Christianity and many native (so called primitive) religions. They were used to heighten the practitioner’s experience with ultimate reality, whether that be a deity or seeing the nature of reality. By calming the mind and reducing the internal chatter contemplative practices are thought to open up a transcendent reality not otherwise attainable. So, mindfulness and spirituality/religion have been intimately linked. (see http://contemplative-studies.org/wp/index.php/2015/08/16/why-are-we-spiritualreligious/).

 

It has only been in the last few decades that mindfulness has been practiced as a secular activity. This allowed it to flourish in a skeptical west which saw it as a heathen religious practice. As a result, mindfulness practices were employed for secular purposes such as improvement of health, psychological well-being, and cognitive development. But, now because their secular benefits have been firmly established by science, mindfulness practices have become accepted and firmly embedded in western life. The establishment of their acceptability, has led to a re-emergence of their initial purpose of the development of spirituality.

 

Adolescence is often a time of rapid spiritual development as the teens begin to seek deeper understandings of reality and life. But, there has been very little research into the emergence of spirituality and religious practice in adolescents. In today’s Research News article “Support for adolescent spirituality: contributions of religious practice and trait mindfulness”

https://www.facebook.com/ContemplativeStudiesCenter/photos/a.628903887133541.1073741828.627681673922429/1153755041315087/?type=3&theater

Cobb and colleagues explore spirituality, religious practices, and mindfulness in 11 to 16-year old adolescents. They asked “two questions: (1) do different portraits of spiritual life exist for adolescents involving religious practice and spiritual experience and (2) might religious practice and trait mindfulness offer support for the development of spiritual experience.” They used statistical techniques to identify different clusters of activity and discovered four unique profiles of spirituality and religious practices: Highest Overall Spirituality, Spiritual Experience, Religious Practice, and Lowest Overall Spirituality.

 

The adolescents indicating Highest Overall Spirituality had a strong religious practice and strong spiritual beliefs and experiences. The Spiritual Experience group had a moderate-high level of spiritual experience and Spiritual Self-Discovery, but generally did not religiously practice. Religious Practice group was defined by moderate-high levels of private religious practice and religious identity and relatively low spiritual experience and values. Finally, the Lowest Overall Spirituality group had low levels of spiritual experience and low levels of religious practice.

 

Spirituality/religious practice groups and percentage of adolescents in each group.

Spirituality
High Low
High 28% 11%
Religious Highest Overall Spirituality Religious Practice
Practice Low 28% 34%
Spiritual Experience Lowest Overall Spirituality

 

Cobb and colleagues also found that the adolescents in the high spirituality groups had significantly higher mindfulness than those in the low spirituality groups regardless of the level of religious practice. This analysis implies that high mindfulness is associated with spirituality while religious practice is not.

 

The authors speculate that mindfulness is a “gateway” to great spiritual awareness and ultimately a more integrated spiritual life. That would certainly fit with the origins of mindfulness practices as means to attain spiritual development. But, their results do not demonstrate that mindfulness causes spirituality as there was no active manipulation of either. It is possible that high levels of spirituality cause high mindfulness or that some third factor such as familial spirituality might simultaneously increase both spirituality and mindfulness. Research is needed wherein mindfulness training is implemented and its effects on spirituality measured. In addition, it will be important to explore these relationships in older individuals to establish that the relationship of mindfulness and spirituality is not simply restricted to adolescents.

 

Regardless, it is clear that spirituality and mindfulness are intimately connected, that an ability to quiet the mind and look inside is highly associated with spiritual experience. So, get more spiritual with mindfulness.

 

“My religion consists of a humble admiration of the illimitable superior spirit who reveals himself in the slight details we are able to perceive with our frail and feeble mind.” ― Albert Einstein
CMCS – Center for Mindfulness and Contemplative Studies

 

Spirituality Assists in Addiction Recovery

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“Addiction tries to make a spiritual experience static. When we are in an addictive process, we want to hold on to the moment, not feeling the discomfort of the longing but attempting to maintain what we feel in an instant. Our spirituality becomes stagnate and the addiction leads us into a deep bondage with a substance or process.” –  Jim Seckman

 

Substance abuse is a major health and social problem. There are estimated 22.2 million people in the U.S. with substance dependence. It is estimated that worldwide there are nearly ¼ million deaths yearly as a result of illicit drug use which includes unintentional overdoses, suicides, HIV and AIDS, and trauma. In the U.S. about 17 million people abuse alcohol. Drunk driving fatalities accounted for over 10,000 deaths annually and including all causes alcohol abuse accounts for around 90,000 deaths each year, making it the third leading preventable cause of death in the United States.

 

Drug and alcohol addictions are very difficult to kick and if successful about half the time the individual will relapse. So, there have been developed a number of programs to help the addict recover and prevent relapse. The 12 step programs of Alcoholics Anonymous, Narcotics Anonymous, Cocaine Anonymous, etc. have been as successful as any programs in treating addictions. These programs insist that spirituality is essential to recovery.  Indeed, addiction is described as a “spiritual, physical, and emotional” problem. It appears that spirituality is highly associated with successful treatment and relapse preventions as demonstrated in a number of research studies (see links below).

 

In today’s Research News article “NIDA-Drug Addiction Treatment Outcome Study (DATOS) Relapse as a Function of Spirituality/Religiosity”

https://www.facebook.com/ContemplativeStudiesCenter/photos/a.628903887133541.1073741828.627681673922429/1146018118755446/?type=3&theater

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4455957/

Schoenthaler and colleagues analyze the data from the National Institutes of Drug Abuse (NIDA) Drug Addiction Treatment Outcome Study. They found that there were much higher rates of successful treatment outcomes for drug abuse when either spirituality or religious participation were high in the patients. They found that the higher the level of spirituality or religious participation the greater the likelihood that the individual will be drug free 12 months after the end of the program. This was true for alcohol, cocaine, heroin, and marijuana addictions, but not for crack cocaine addiction. The measures of spirituality and religious participation that were most clearly linked to successful outcomes were frequency of attending religious services, reading religious books watching religious programs and meditation/prayer

 

It should be pointed out that as impressive as these results are, they do not prove that spirituality and religious participation were the cause of improved addiction recovery. There was not a manipulation so there may be other factors that both increase addiction recovery and simultaneously spirituality and religious participation. These could include the support of a religious community, or that people who tend toward spirituality and religious participation are also good candidates for addiction recovery, or the belief that spirituality and religious participation would help.

 

Why is spirituality and religious participation associated with better outcomes? One possible reason is that spirituality provides a source of comfort as the individual faces the challenges of recovery. Spirituality may provide another way to cope with the individual’s problems. The individual can take solace in the Devine instead of drugs when upheavals occur. This can help to break the vicious cycle, making it possible to deal with the addiction. Spirituality and religious participation can provide the recognition that help is needed, that they can’t control the addiction without outside assistance. The addict then can allow fellow addicts, people close to them, or therapists to provide needed assistance when the urge to use the drug begins to overwhelm the individual’s will to stop. The recognition that there are greater powers than themselves makes it easier to ask for and accept assistance.

 

It has also the case that spirituality is associated with negative beliefs about drugs. Buddhism teaches that intoxication is an impediment to spiritual development. Other religions completely prohibit alcohol and drugs while many decry the behaviors that occur during alcoholic or drug induced stupor.  This provides a cognitive incompatibility between drug use and spirituality. The recognition that using drugs or alcohol is not an OK thing to do might provide the extra motivation to help withstand the cravings. In addition, spiritual groups tend to be populated with non-addicts. So, increased spirituality also tends to shift the individual’s social network away from drug or alcohol using buddies to people less inclined to provide temptation. It is very difficult to stop using when those around you are not only using themselves but encouraging you. So shifting social groups to people who abstain can help tremendously.

 

Nevertheless, it is clear that there is a strong relationship between spirituality and religious participation and successful recovery from addiction to a variety of different substances.

 

“The earliest A.A. members, then, discovered that some kind of spirituality— some kind of sense of the reality of some “beyond”—was essential to their sobriety” – Ernest Kurtz
CMCS – Center for Mindfulness and Contemplative Studies

 

Religion-Spirituality Improve Mental Health

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Spirituality Mental Health Goncalves2

 

“Happiness cannot be traveled to, owned, earned, worn or consumed. Happiness is the spiritual experience of living every minute with love, grace, and gratitude.” – Denis Waitley

 

Religion and spirituality have been promulgated as solutions to the challenges of life both in a transcendent sense and in a practical sense. On a transcendent level western religions promise a better life in an afterlife while eastern practices promise an escape from suffering and the cycle of birth and death. On a more mundane level western religions promise feelings of self-control, compassion, and fulfillment while eastern practices promise greater happiness and mindfulness.

 

What evidence is there that these claims are in fact true? The transcendent claims are untestable with the scientific method. But, the practical claims are amenable to scientific analysis. There have been a number of studies of the influence of religiosity and spirituality on the physical and psychological well-being of practitioners (see http://contemplative-studies.org/wp/index.php/category/spirituality/religiosity/) mostly showing positive benefits. In today’s Research News article “Religious and spiritual interventions in mental health care: a systematic review and meta-analysis of randomized controlled clinical trials”

https://www.facebook.com/ContemplativeStudiesCenter/photos/a.628903887133541.1073741828.627681673922429/1138180826205842/?type=3&theater

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4595860/

Gonçalves and colleagues review the published literature on the effects of randomized controlled trials of religious and spiritual practices on psychological health. In these studies the spiritual practices involved ”themes such as moral values, belief in a ‘high power’, coping and transcendence, and others in the form of therapeutic models, audiovisual resources and meditation. Religious approaches explored the beliefs and specific traditions of Catholics, Jews and Muslims, conducted in pastoral services and therapeutic models.” The studies compared the results of the interventions to the results of secular therapy, disease education, or wait list controls.

 

They found that religious or spiritual interventions produced significant improvements in psychological health, particularly in anxiety levels. The interventions that included meditation or psychotherapy were especially effective. These results, summarizing the literature on active interventions that were either religious or spiritual in orientation, clearly show that these practices have mental health benefits in comparison to secular interventions. It is important to note that in these studies groups were randomly assigned and active interventions employed. It is thus reasonable to conclude that the religious or spiritual practices were the cause of improved mental health. Hence, scientific analysis was able to confirm some practical psychological benefits of religious and spiritual practices.

 

So, engage in religious and/or spiritual practices to improve mental health.

 

“The world sometimes feels like an insane asylum. You can decide whether you want to be an inmate or pick up your visitor’s badge. You can be in the world but not engage in the melodrama of it; you can become a spiritual being having a human experience thoroughly and fully.” – Deepak Chopra

 

CMCS – Center for Mindfulness and Contemplative Studies

 

Religion and Spirituality have Different Relationships with Sexual Attitudes

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Spirituality Sex Ahrold2

“Spiritualizing sex is actually a movement of energy—feeling and emotion—that rises within you and moves into your sexual physicality as an alive, tender, erotic, or passionate expression. Your bodies move without inhibition so all the energy can flow out of you and between the two of you. You allow spiritual energy to express its dance through you. Sexuality can be a profound demonstration of your love, and especially your freedom, to express and bond. Spiritual sex, then, combines how you express your love with the intentions or blessings you bring to your partnership.” ― Alexandra Katehakis

 

Sex is a powerful motivation that is responsible for both very positive and very negative behavior. Its negative potential has resulted in a myriad of laws and regulations not to mention social mores, to control it. This is very evident in traditional religions and their teachings. The control of sexual behavior plays a prominent role in most religions. This ranges from celibacy to polygamy to prohibitions against sex outside of marriage, to its use for procreation only.

 

Many of these prohibitions result in frustration and repression. In many this can produce negative consequences. But, sometimes sexual motivation can find expression in sublimation, a creative and positive substitution of a socially acceptable outlet for the prohibited behavior. Unfortunately, in others sexual frustrations can result in release of abhorrent behaviors such as forced sex. Hence it is clearly important to understand how religion and spirituality affect sexual behavior.

 

In today’s Research News article “The Relationship among Sexual Attitudes, Sexual Fantasy, and Religiosity”

https://www.facebook.com/ContemplativeStudiesCenter/photos/a.628903887133541.1073741828.627681673922429/1133798173310774/?type=3&theater

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4419361/

Ahrold and colleagues studied sexual attitudes and sexual fantasies in college students with diverse religious affiliations. They found not surprisingly that those who were not affiliated with a formal religion, agnostics, had the most sexually liberal attitudes of any group. They also found that higher levels of intrinsic religiosity were consistently associated with more conservative sexual attitudes. That is the participants who were more sincere and devout about their religion had the most conservative sexual attitudes. Interestingly they also found a large gender difference in the relationship of spirituality with sexual attitudes. High levels of spirituality were associated with less conservative sexual attitudes in men but more conservative sexual attitudes in women.

 

It is not surprising that the true believers (intrinsic religiosity) would be more conservative in sexual attitudes. This simply reflects the teachings of most religions. Hence those that are sincere and devout in their religion would be expected to follow those teachings regarding sex. Unlike religiosity, high levels of spirituality had gender specific associations, with men more liberal and women more conservative in their sexual attitudes. But when intrinsic religiosity was considered along with spirituality the results were more straightforward with spirituality associated with more liberal sexual attitudes across all participants.

 

It’s interesting that spirituality and intrinsic religiosity appeared to act in different directions. “Whereas religiosity refers to importance of an organized belief system” its effects line up with the teachings of the religion. On the other hand, “spirituality refers to the subjective, experiential relationship with or understanding of a divine being or force.” This does not produce clear teachings and dogma; thus allowing for more liberal interpretations as to what behaviors and attitudes are appropriate to be expressed (see Katehakis quote above).

 

Regardless, it is clear that religion and spirituality play a powerful role in shaping sexual attitudes.

 

“A man’s eroticism is a woman’s sexuality.” ~ Karl Kraus

 

CMCS – Center for Mindfulness and Contemplative Studies

 

Lower Disordered Eating with Genuine Religion and Spirituality

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“Eating disorders are like a gun that’s formed by genetics, loaded by a culture and family ideals, and triggered by unbearable distress.” – Aimee Liu

 

Around 30 million people in the United States of all ages and genders suffer from an eating disorder; either anorexia nervosa, bulimia, or binge eating disorder.  95% of those who have eating disorders are between the ages of 12 and 26. Eating disorders are not just troubling psychological problems, they can be deadly, having the highest mortality rate of any mental illness. Indeed, the mortality rate associated with anorexia nervosa is 12 times higher than the death rate associated with all causes of death for females 15-24 years old

 

Anorexia Nervosa is particular troubling as it is often fatal as sufferers literally starve themselves to death. It occurs in about 1% to 4% of women in the U.S. In binge eating disorder (BED), the initiation of eating frequently results in the ingestion of wildly excessive amounts. It is called disinhibited eating as there appears to be no restraints (inhibitions) that stop food intake. Once eating starts it goes on without anything holding it back. “Binge eating disorder is the most common eating disorder in the United States, affecting 3.5% of women, 2% of men, and up to 1.6% of adolescents.” – National Eating Disorders Association. Bulimia Nervosa is characterized by a cycle of binge eating followed by some form of purge, often induced vomiting. It is estimated that up to 4% of females in the United States will have bulimia during their lifetime. Tragically around 4% of the sufferers will die.

 

Disordered eating is difficult to deal with in part because it is frequently paired with other disorders. In fact, around 50% of people with eating disorders meet the criteria for clinical depression. Eating disorders are also difficult to treat because eating is necessary and cannot be simply stopped as in smoking cessation or abstaining from drugs or alcohol. One must learn to eat appropriately not stop. So, it is important to find methods that can help prevent and treat eating disorders. Contemplative practices, mindfulness, and mindful eating have shown promise for treating eating disorders (see http://contemplative-studies.org/wp/index.php/category/research-news/eating/).

 

In today’s Research News article “Religiosity, spirituality in relation to disordered eating and body image concerns: A systematic review”

https://www.facebook.com/ContemplativeStudiesCenter/photos/a.628903887133541.1073741828.627681673922429/1123497741007484/?type=3&theater

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4536728/

Akrawi and colleagues review the literature on the relationship between religiosity and eating disorders. They defined religiosity “as a system of organized beliefs, practices, rituals and symbols designed to facilitate closeness to the transcendent” and spirituality “as the personal quest for understanding answers to ultimate questions about life, meaning, and a relationship with the transcendent.” They found that an extrinsic orientation to religion and spirituality where faith was superficial and religion was “pursued for social reasons, and seen as a way of achieving status, acceptance and security,” was associated with higher levels of disordered eating. Conversely, they found that an intrinsic orientation to religion and spirituality where faith was deep and devout and religion was associated “with deeply internalized beliefs manifested through strong religious observance and commitment,” was associated with lower levels of disordered eating. So sincere spirituality but not superficial spirituality is related to low incidence of eating disorders.

 

Eating disorders are often driven by social concerns, particularly about how one appears to others. So, it is not surprising that superficial faith that is also pursued for social reasons would be associated with high levels of eating disorders. The individuals’ high reliance on the opinions of others is their downfall. On the other hand a deep and devout religious orientation is associated with the idea that the body is a temple of God and must be treated as a sacred object. So, it is not surprising that devout faith is associated with lower levels of eating disorders. The individual looks to a higher power for solutions to their problems.

 

It is not known what the causal connections might be. It is possible that the kinds of people who are sincerely religious are also the kinds of people who are resistant to eating disorders rather than spirituality being the cause of lower rates of eating disorders. But the results are promising and suggest that devout engagement in religion and spirituality may be of assistance in resisting the development of an eating disorder.

 

So, lower disordered eating with genuine religion and spirituality

 

“Most women in our culture, then, are disordered when it comes to issues of self-worth, self-entitlement, self-nourishment, and comfort with their own bodies; eating disorders, far from being ‘bizarre’ and anomalous, are utterly continuous with a dominant element of the experience of being female in this culture.” – Susan Bordo

 

CMCS – Center for Mindfulness and Contemplative Studies

 

Improve Psychological Well Being with Spirituality

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“Enlightened leadership is spiritual if we understand spirituality not as some kind of religious dogma or ideology but as the domain of awareness where we experience values like truth, goodness, beauty, love and compassion, and also intuition, creativity, insight and focused attention.” – Deepak Chopra
Psychological well-being is sometimes thought of as a lack of mental illness. But, it is more than just a lack of something. It is a positive set of characteristics that lead to happy, well-adjusted life. These include the ability to be aware of and accept one’s strengths and weaknesses, to have goals that give meaning to life, to truly believe that your potential capabilities are going to be realized, to have close and valuable relations with others, the ability to effectively manage life issues especially daily issues, and the ability to follow personal principles even when opposed to society. These are also all characteristics that the great psychologist Abraham Maslow labelled self-actualization.

 

These are lofty goals that only few truly accomplish completely. But, we can strive to improve at each. Religion and spirituality encourage such personal growth. Indeed, spirituality appears to be associated with more positive attitudes toward physical and psychological difficulties and toward the end of life (see http://contemplative-studies.org/wp/index.php/category/spirituality/religiosity/). In today’s Research News article “Predicting Dimensions of Psychological Well Being Based on Religious Orientations and Spirituality: An Investigation into a Causal Model”

https://www.facebook.com/ContemplativeStudiesCenter/photos/a.628903887133541.1073741828.627681673922429/1116883255002266/?type=3&theater

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4434429/

Khashab and colleagues investigated the relationship of spirituality with psychological well-being in college students.

 

They found significant positive relationships between spirituality overall and the dimensions of psychological well-being including self-acceptance, relations with others, autonomy, goal-directed life, personal growth, and dominance on environment. In addition spirituality was associated with internal, external, and questioning religious orientations which were, in turn, associated with the dimensions of psychological well-being.

 

Hence, the study found clear, strong, and significant relationships between spirituality, religious orientation, and psychological well-being. But, the results do not establish a causal connection. It cannot be concluded that spirituality caused psychological well-being, or that psychological well-being psychological well-being spirituality, or some third factor such as religious orientation was responsible for both. But, nevertheless, the findings are suggestive of a clear relationship, at least for college students.

 

How might spirituality promote psychological well-being. Obviously, it provides goals and meaning to life. In addition, virtually all spiritual practices and religious belief systems promote acceptance of one’s strengths and weaknesses, the need to maintain a principled life, having harmonious relationships with others. So, at least some forms of spirituality can directly provide teachings that lead directly to psychological well-being. When this occurs within a religious context there is the added benefit of a like-minded community that can provide social support and help during difficult times.

 

So, improve psychological well-being with spirituality

 

“There is one thing that, when cultivated and regularly practiced, leads to deep spiritual intention, to peace, to mindfulness and clear comprehension, to vision and knowledge, to a happy life here and now, and to the culmination of wisdom and awakening. And what is that one thing? It is mindfulness centred on the body” – Buddha

 

CMCS – Center for Mindfulness and Contemplative Studies