The Mediating Role of Secular Coping Strategies in the Relationship Between Religious Appraisals and Adjustment to Chronic Pain: The Middle Road to Damascus |
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Authors: | Stacy C Parenteau Nancy A Hamilton Wei Wu Kevin Latinis Lori B Waxenberg Mary Y Brinkmeyer |
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Institution: | (1) School of Psychological and Behavioral Sciences, University of West Florida, 11000 University Parkway, Building 41, Rm. 208, Pensacola, FL 32514, USA;(2) Department of Psychology, University of Kansas, Lawrence, KS, USA;(3) Department of Internal Medicine, University of Kansas Medical Center, Kansas City, KS, USA;(4) Department of Clinical and Health Psychology, University of Florida Health Science Center, Gainesville, FL, USA;(5) Bone and Joint Sports Medicine Institute, Naval Medical Center Portsmouth, Portsmouth, VA, USA |
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Abstract: | Despite an outgrowth in research examining associations between religiosity and health outcomes, there has been a lack of
empirical focus on the relationship between religiosity and adjustment to chronic pain. This study investigated specific secular
coping strategies that mediate the proposed relationship between religious appraisals and pain-related outcomes. Twenty-nine
chronic pain patients completed measures assessing pain-related coping strategies, pain severity, disability, depression,
positive and negative affect, trait anger and three types of religious appraisals- benevolent God appraisals, punishing God
appraisals, and demonic appraisals. A significant positive relationship was found between punishing God appraisals and depression,
with catastrophizing mediating this relationship. Demonic appraisals were significantly related to disability. Benevolent
religious appraisals were related to positive affect. Benevolent religious appraisals were significantly related to the secular
coping strategies of diverting attention, ignoring pain sensations, reinterpreting pain sensations and using coping self-statements,
but these coping strategies did not mediate the relationship between benevolent religious appraisals and positive affect.
While this study provides no evidence that religious appraisals influence pain perception, data suggest that both positive
and negative religious appraisals are related to mental health outcomes in a chronic pain population. |
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