God image and happiness in chronic pain patients: the mediating role of disease interpretation.

OBJECTIVE: The present study explored the role of the emotional experience of God (i.e., positive and negative God images) in the happiness of chronic pain (CP) patients. Framed in the transactional model of stress, we tested a model in which God images would influence happiness partially through its influence on disease interpretation as a mediating mechanism. We expected God images to have both a direct and an indirect (through the interpretation of disease) effect on happiness. DESIGN: A cross-sectional questionnaire design was adopted in order to measure demographics, pain condition, God images, disease interpretation, and happiness. One hundred thirty-six CP patients, all members of a national patients' association, completed the questionnaires. RESULTS: Correlational analyses showed meaningful associations among God images, disease interpretation, and happiness. Path analyses from a structural equation modeling approach indicated that positive God images seemed to influence happiness, both directly and indirectly through the pathway of positive interpretation of the disease. Ancillary analyses showed that the negative influence of angry God images on happiness disappeared after controlling for pain severity. CONCLUSION: The results indicated that one's emotional experience of God has an influence on happiness in CP patients, both directly and indirectly through the pathway of positive disease interpretation. These findings can be framed within the transactional theory of stress and can stimulate further pain research investigating the possible effects of religion in the adaptation to CP.

Life satisfaction in chronic pain patients: the stress-buffering role of the centrality of religion.

Chronic pain (CP) is a stressful condition that severely impacts individuals' lives. Researchers have begun to explore the role of religion for CP patients, but the literature is scarce, especially for West European populations. Drawing from the transactional theory of stress, this study examined the associations between the religious meaning system and the life satisfaction for a group of CP patients who were members of a Flemish patients' association. To take into account the religious landscape of West European countries, the centrality of one's religious meaning system, rather than religious content, was the focus. Results from the questionnaires completed by 207 patients suggest that the centrality of a meaning system is an important factor in the promotion of life satisfaction for this group, above and beyond the influence of several control variables. Furthermore, the centrality of the religious meaning system moderated or buffered the detrimental influence of pain severity on life satisfaction.

Exploring the link between religious attitudes and subjective well-being in chronic pain patients.

OBJECTIVE: The aim of the present study was to explore the relations between religious attitudes and subjective well-being in a sample of chronic pain (CP) patients and to investigate whether these associations would differ from those obtained with healthy controls. METHOD: A total of 155 CP patients (72% women) and 166 healthy controls (72% women) completed questionnaires on pain, religious attitudes, and subjective well-being. The religious attitudes focused both on religiosity as such (Inclusion vs Exclusion of Transcendence) as on the cognitive approach of religious contents (Symbolic vs Literal). RESULTS: Mean-level analyses showed significant differences between the CP and control samples on subjective well-being and Literal Exclusion. Mediation analyses found a direct influence of sample (CP vs control) on subjective well-being as well as an indirect effect via Literal Exclusion. Correlation analyses revealed that Literal Exclusion correlated negatively with well-being in both samples, whereas Literal Inclusion did not. The differential variable between the two samples was the symbolic approach of religion (Symbolic Inclusion and Exclusion), which was significantly associated with higher levels of well-being only in the CP sample. CONCLUSION: A literal approach toward religion in combination with a rejection of religion (Literal Exclusion) was, in general-both for CP patients as for healthy controls-associated with lower levels of well-being. In CP patients (but not in healthy controls), a symbolic approach toward religion (regardless of Inclusion or Exclusion of religion) was significantly associated with higher levels of subjective well-being.

The role of religion in death attitudes: distinguishing between religious belief and style of processing religious contents.

Although it is widely assumed that religiosity plays an important role in individuals' attitudes about death, research to date has failed to reveal consistent associations between religiosity and death attitudes. Drawing from D. M. Wulff's (1991) multidimensional model of religiosity, the authors examined associations between religious attitudes as measured by the Post-Critical Belief Scale and death attitudes as assessed by the Death Attitude Profile--Revised. In total, 471 Dutch-speaking Belgian adults completed both questionnaires. Hierarchical multiple regression analyses were used to asses the unique contribution of the religious attitudes in the prediction of the death attitudes. First, results show that religious people are more likely to endorse an approach acceptance attitude toward death, indicating that religiosity as such is related to belief in an afterlife. Second, people holding a literal attitude toward religion report more death anxiety, indicating that the processing of religious contents is related to defensiveness toward death. Finally, the specific combination of the two dimensions seems important in the prediction of a neutral acceptance attitude. The relevance of our findings for future research on religiosity and death attitudes is discussed.