In Doubt and Disbelief: How Mrdjenovich 2018 Misunderstands the (Non)Religion-Health Relationship.

The article, "Religiously/Spiritually Involved, but in Doubt or Disbelief-Why? Healthy?" (Mrdjenovich in J Relig Health. https://doi.org/10.1007/s10943-018-0711-2 , 2018) addressed why subsets of Nones would engage in religious activities. While the subject matter of Mrdjenovich's work is important and understudied, several problematic conclusions about the nonreligion-health field were drawn. We provide constructive criticisms of Mrdjenovich's methodologies, conclusions, and characterizations of the nonreligion-health field, and offer several solutions to the problems identified.

Big Gods: Extended prosociality or group binding?

Big Gods are described as having a "prosocial" effect. However, this conflates parochialism (group cohesion) with cooperation extended to strangers or out-group members. An examination of the cited experimental studies indicates that religion is actually associated with increased within-group parochialism, rather than extended or universal prosociality, and that the same general mechanisms underlie both religious and secular effects.

Does religious belief promote prosociality? A critical examination.

Numerous authors have suggested that religious belief has a positive association, possibly causal, with prosocial behavior. This article critiques evidence regarding this "religious prosociality" hypothesis from several areas of the literature. The extant literature on religious prosociality is reviewed including domains of charity, volunteering, morality, personality, and well-being. The experimental and quasi-experimental literature regarding controlled prosocial interactions (e.g., sharing and generosity) is reviewed and contrasted with results from naturalistic studies. Conceptual problems in the interpretation of this literature include separating the effects of stereotypes and ingroup biases from impression formation as well as controlling for self-report biases in the measurement of religious prosociality. Many effects attributed to religious processes can be explained in terms of general nonreligious psychological effects. Methodological problems that limit the interpretation of religious prosociality studies include the use of inappropriate comparison groups and the presence of criterion contamination in measures yielding misleading conclusions. Specifically, it is common practice to compare high levels of religiosity with "low religiosity" (e.g., the absence of denominational membership, lack of church attendance, or the low importance of religion), which conflates indifferent or uncommitted believers with the completely nonreligious. Finally, aspects of religious stereotype endorsement and ingroup bias can contribute to nonprosocial effects. These factors necessitate a revision of the religious prosociality hypothesis and suggest that future research should incorporate more stringent controls in order to reach less ambiguous conclusions.

The complex and elusive nature of religious prosociality: reply to Myers (2012) and Saroglou (2012).

This reply explores issues raised in comments by Myers (2012) and Saroglou (2012) on Galen (2012) regarding whether religiosity has any influence on prosociality. Areas of contention include (a) the distinction between religious belief and other influences, mainly the socialization effects of group behavior; (b) whether behavior largely restricted to the ingroup is genuine prosociality; (c) methodological issues such as the validity of self-report and peer-reported data and effects of social desirability; (d) the often paradoxical relationships with different forms of religiosity; and (e) potential curvilinear effects. Recent work regarding these issues is highlighted, and future directions that may productively resolve these debates are suggested.

Religiosity, alcohol expectancies, drinking motives and their interaction in the prediction of drinking among college students.

OBJECTIVE: Several different mechanisms have been proposed to account for the consistent but moderate inverse relationship between religiosity and drinking, ranging from the direct proscriptions against alcohol in various faiths to social learning based on parental upbringing. Alcohol expectancies and drinking motives may be more proximal cognitive mechanisms that influence this relationship. METHOD: The present study, using 265 college undergraduates, gathered self-report data using the Comprehensive Effects of Alcohol questionnaire, the Drinking Motives Questionnaire-Revised and the Religious Orientation Scale-Revised. RESULTS: Of religiosity measures, intrinsic religiosity most closely related to quantity of alcohol consumption. Participants in conservative religious denominations had higher negative expectancies and lower drinking motives. Several positive and negative expectancies as well as drinking motives partially mediated the relationship between intrinsic religiosity and alcohol consumption. CONCLUSIONS: These results suggest that individuals' religious beliefs have influences on their alcohol consumption through several separate mechanisms. Religiosity may have direct effects that reduce drinking, as well as indirect effects via expectancies and motivations to drink. Negative expectancies, in particular, may serve as a buffer to promote abstinence and to reduce drinking in individuals with greater religiosity.

The predictive validity of the university of rhode island change assessment questionnaire in a heroin-addicted polysubstance abuse sample.

The purpose of this investigation was to examine the predictive utility of the stages-of-change scales of the University of Rhode Island Change Assessment (URICA; E. A. McConnaughy, J. O. Prochaska, & W. F. Velicer, 1983) questionnaire in a heroin-addicted polysubstance-abusing treatment sample. Ninety-six participants completed the URICA at the beginning of a 29-week treatment period that required thrice-weekly urine drug screens. Multivariate multiple regression analysis indicated that after controlling for demographic variables, substance abuse severity, and treatment assignment, the stages-of- change scales added significant variance to the prediction of heroin- and cocaine-free urine samples. The Maintenance scale was positively related to cocaine-free urines and length in treatment. The implications of these findings for treatment and for measuring readiness among individuals using multiple substances while taking maintenance medications are discussed.

Predicting completion of outpatient opioid detoxification with clonidine.

Completion rates for outpatient opioid detoxification with clonidine generally range from 20-40%, but few studies have examined the correlates of successful completion. Of 29 consecutive patients, we compared those who completed detoxification with clonidine (n=12) to those who did not (n=17). Patients who completed treatment were significantly (p< 0.05) more likely to depend on opioids other than heroin, have private health insurance, and report low levels of subjective withdrawal symptoms. Patients with two or three of these characteristics were about seven times more likely to complete treatment than patients with none or one. Although it may not detoxify most opioid-dependent patients, clonidine will likely play a continued role in selected patients when a non-narcotic agent is desirable. The study findings may help target patients who could benefit the most from outpatient clonidine detoxification.

A classification of substance-dependent men on temperament and severity variables.

This study examined the validity of classifying substance abusers based on temperament and dependence severity, and expanded the scope of typology differences to proximal determinants of use (e.g., expectancies, motives). Patients were interviewed about substance use, depression, and family history of alcohol and drug abuse. Self-report instruments measuring temperament, expectancies, and motives were completed. Participants were 147 male veterans admitted to inpatient substance abuse treatment at a U.S. Department of Veterans Affairs medical center. Cluster analysis identified four types of users with two high substance problem severity and two low substance problem severity groups. Two, high problem severity, early onset groups differed only on the cluster variable of negative affectivity (NA), but showed differences on antisocial personality characteristics, hypochondriasis, and coping motives for alcohol. The two low problem severity groups were distinguished by age of onset and positive affectivity (PA). The late onset, low PA group had a higher incidence of depression, a greater tendency to use substances in solitary contexts, and lower enhancement motives for alcohol compared to the early onset, high PA cluster. The four-cluster solution yielded more distinctions on external criteria than the two-cluster solution. Such temperament variation within both high and low severity substance abusers may be important for treatment planning.

Temperament Style and Substance Abuse Characteristics.

The relationship of temperament to different patterns and types of alcohol abuse has received much attention over the last decade in order to provide clues to matching patients optimally to treatment strategies. The purpose of this study was to examine the relationship of temperament with a number of relevant substance abuse characteristics in a substance abusing population. One hundred forty-five male veterans were interviewed on their lifetime use of substances and on their psychiatric symptoms, problems associated with use, context, and family history of substance abuse. Subjects filled out the TPQ and the MPQ, which were subjected to factor analysis and revealed four factors: (1) Negative Affectivity/Impulsivity, (2) Positive Affectivity/Sociability, (3) Persistence/Achievement, and (4) Constraint. There was partial support for the hypotheses. Impulsivity was negatively correlated with age of onset and positively correlated with substance-related problems and a family history of substance abuse. Subjects with a history of depression scored significantly lower on the Positive Affectivity/Sociability factor than those who had not experienced a significant depression. Individuals who used alone scored lower on this factor than those who used in social contexts. The temperament factors of Persistence/Achievement and Constraint were, for the most part, unrelated to substance abuse.