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Published in: Journal of Religion and Health 3/2016

01-06-2016 | Original Paper

Religion, Purpose in Life, Social Support, and Psychological Distress in Chinese University Students

Authors: Zhizhong Wang, Harold G. Koenig, Hui Ma, Saad Al Shohaib

Published in: Journal of Religion and Health | Issue 3/2016

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Abstract

We examined the relationship between religious involvement and psychological distress and explored the mediating effects of social support and purpose in life in university students in western, mid-western, and eastern China. Cross-sectional survey of a representative sample of 1812 university students was conducted. The Purpose in Life scale, Duke Social Support Index, and Religious Commitment Inventory-10 were administered, along with Kessler’s Psychological Distress Scale. Structural equation modeling was used to test two models of the mediation hypothesis, examining direct, indirect, and total effects. Model 1 (with direction of effect hypothesized from religiosity to psychological distress) indicated that religious involvement had a direct effect on increasing psychological distress (β = 0.23, p < .01) with minor mediated effects. However, Model 2 (with direction of effect hypothesized from psychological distress to religiosity) indicated strong indirect protective effects of religiosity on psychological distress through purpose in life and social support (β = −.40, p < .01). The findings are consistent with the hypothesis that psychological distress increases religious involvement, which then increases purpose in life and social support that then lead to lower psychological distress.
Literature
go back to reference Balbuena, L., Baetz, M., & Bowen, R. (2013). Religious attendance, spirituality, and major depression in Canada: A 14-year follow-up study. Canadian Journal of Psychiatry, 58(4), 225–232.PubMed Balbuena, L., Baetz, M., & Bowen, R. (2013). Religious attendance, spirituality, and major depression in Canada: A 14-year follow-up study. Canadian Journal of Psychiatry, 58(4), 225–232.PubMed
go back to reference Butcher, J. N., Dahlstrom, W. G., Graham, J. R., Tellegen, A., & Kaemmer, B. (1989). The Minnesota multiphasic personality inventory-2 (MMPI-2) manual for administration and scoring. Minneapolis, MN: University of Minneapolis Press. Butcher, J. N., Dahlstrom, W. G., Graham, J. R., Tellegen, A., & Kaemmer, B. (1989). The Minnesota multiphasic personality inventory-2 (MMPI-2) manual for administration and scoring. Minneapolis, MN: University of Minneapolis Press.
go back to reference Chiang, H. (2014). Psychiatry and Chinese history. London: Pickering & Chatto Ltd. Chiang, H. (2014). Psychiatry and Chinese history. London: Pickering & Chatto Ltd.
go back to reference Durden, E. D., Hill, T. D., & Angel, R. J. (2007). Social demands, social supports, and psychological distress among low-income women. Journal of Social and Personal Relationships, 24(3), 343–361. doi:10.1177/0265407507077226.CrossRef Durden, E. D., Hill, T. D., & Angel, R. J. (2007). Social demands, social supports, and psychological distress among low-income women. Journal of Social and Personal Relationships, 24(3), 343–361. doi:10.​1177/​0265407507077226​.CrossRef
go back to reference Feng, X., Yang, X., Yang, Z., Peng, F., Zhang, X., & Koenig, H. G. (2016). Religion and psychological well-being in Chinese college students: Does meaningfulness matter? Journal of Religion and Health (in submission). Feng, X., Yang, X., Yang, Z., Peng, F., Zhang, X., & Koenig, H. G. (2016). Religion and psychological well-being in Chinese college students: Does meaningfulness matter? Journal of Religion and Health (in submission).
go back to reference Holroyd, E. (2002). Health-seeking behaviors and social change: The experience of the Hong Kong Chinese elderly. Qualitative Health Research, 12(6), 731–750.CrossRefPubMed Holroyd, E. (2002). Health-seeking behaviors and social change: The experience of the Hong Kong Chinese elderly. Qualitative Health Research, 12(6), 731–750.CrossRefPubMed
go back to reference Hu, L. T., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling-A Multidisciplinary Journal, 6(1), 1–55. doi:10.1080/10705519909540118.CrossRef Hu, L. T., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling-A Multidisciplinary Journal, 6(1), 1–55. doi:10.​1080/​1070551990954011​8.CrossRef
go back to reference Huang, B., Appel, H. B., Ai, A. L., & Lin, C. J. (2012). Religious involvement effects on mental health in Chinese Americans. Asian Culture and History, 4(1), 2. Huang, B., Appel, H. B., Ai, A. L., & Lin, C. J. (2012). Religious involvement effects on mental health in Chinese Americans. Asian Culture and History, 4(1), 2.
go back to reference Ivtzan, I., Chan, C. P., Gardner, H. E., & Prashar, K. (2013). Linking religion and spirituality with psychological well-being: Examining self-actualisation, meaning in life, and personal growth initiative. Journal of Religion and Health, 52(3), 915–929. doi:10.1007/s10943-011-9540-2.CrossRefPubMed Ivtzan, I., Chan, C. P., Gardner, H. E., & Prashar, K. (2013). Linking religion and spirituality with psychological well-being: Examining self-actualisation, meaning in life, and personal growth initiative. Journal of Religion and Health, 52(3), 915–929. doi:10.​1007/​s10943-011-9540-2.CrossRefPubMed
go back to reference Kessler, R. C., Andrews, G., Colpe, L. J., Hiripi, E., Mroczek, D. K., Normand, S. L., et al. (2002). Short screening scales to monitor population prevalences and trends in non-specific psychological distress. Psychological Medicine, 32(6), 959–976. doi:10.1017/S0033291702006074.CrossRefPubMed Kessler, R. C., Andrews, G., Colpe, L. J., Hiripi, E., Mroczek, D. K., Normand, S. L., et al. (2002). Short screening scales to monitor population prevalences and trends in non-specific psychological distress. Psychological Medicine, 32(6), 959–976. doi:10.​1017/​S003329170200607​4.CrossRefPubMed
go back to reference Kidwai, R., Mancha, B. E., Brown, Q. L., & Eaton, W. W. (2014). The effect of spirituality and religious attendance on the relationship between psychological distress and negative life events. Social Psychiatry and Psychiatric Epidemiology, 49(3), 487–497. doi:10.1007/s00127-013-0723-x.CrossRefPubMedPubMedCentral Kidwai, R., Mancha, B. E., Brown, Q. L., & Eaton, W. W. (2014). The effect of spirituality and religious attendance on the relationship between psychological distress and negative life events. Social Psychiatry and Psychiatric Epidemiology, 49(3), 487–497. doi:10.​1007/​s00127-013-0723-x.CrossRefPubMedPubMedCentral
go back to reference Koenig, H. G. (2012). Religion and mental health. In K. D. Koenig, G. Harold, & B. Carson Verna (Eds.), Handbook of religion and health (2nd ed.). New York: Oxford University Press. Koenig, H. G. (2012). Religion and mental health. In K. D. Koenig, G. Harold, & B. Carson Verna (Eds.), Handbook of religion and health (2nd ed.). New York: Oxford University Press.
go back to reference Koenig, H. G., Hays, J. C., George, L. K., Blazer, D. G., Larson, D. B., & Landerman, L. R. (1997). Modeling the cross-sectional relationships between religion, physical health, social support, and depressive symptoms. The American Journal of Geriatric Psychiatry, 5(2), 131–144.CrossRefPubMed Koenig, H. G., Hays, J. C., George, L. K., Blazer, D. G., Larson, D. B., & Landerman, L. R. (1997). Modeling the cross-sectional relationships between religion, physical health, social support, and depressive symptoms. The American Journal of Geriatric Psychiatry, 5(2), 131–144.CrossRefPubMed
go back to reference Koenig, H. G., Westlund, R. E., George, L. K., Hughes, D. C., Blazer, D. G., & Hybels, C. (1993). Abbreviating the Duke Social Support Index for use in chronically ill elderly individuals. Psychosomatics, 34, 61–69.CrossRefPubMed Koenig, H. G., Westlund, R. E., George, L. K., Hughes, D. C., Blazer, D. G., & Hybels, C. (1993). Abbreviating the Duke Social Support Index for use in chronically ill elderly individuals. Psychosomatics, 34, 61–69.CrossRefPubMed
go back to reference Kovess-Masfety, V., Dezetter, A., de Graaf, R., Haro, J. M., Bruffaerts, R., Briffault, X., et al. (2010). Religious advisors’ role in mental health care in the European Study of the Epidemiology of Mental Disorders survey. Social Psychiatry and Psychiatric Epidemiology, 45(10), 989–998. doi:10.1007/s00127-009-0143-0.CrossRefPubMed Kovess-Masfety, V., Dezetter, A., de Graaf, R., Haro, J. M., Bruffaerts, R., Briffault, X., et al. (2010). Religious advisors’ role in mental health care in the European Study of the Epidemiology of Mental Disorders survey. Social Psychiatry and Psychiatric Epidemiology, 45(10), 989–998. doi:10.​1007/​s00127-009-0143-0.CrossRefPubMed
go back to reference Krause, N., Ingersoll-Dayton, B., Liang, J., & Sugisawa, H. (1999). Religion, social support, and health among the Japanese elderly. Journal of Health and Social Behavior, 40(4), 405–421.CrossRefPubMed Krause, N., Ingersoll-Dayton, B., Liang, J., & Sugisawa, H. (1999). Religion, social support, and health among the Japanese elderly. Journal of Health and Social Behavior, 40(4), 405–421.CrossRefPubMed
go back to reference Law, B. M. (2012). Psychometric properties of the existence subscale of the purpose in life questionnaire for Chinese adolescents in Hong Kong. The Scientific World Journal. doi:10.1100/2012/685741 Law, B. M. (2012). Psychometric properties of the existence subscale of the purpose in life questionnaire for Chinese adolescents in Hong Kong. The Scientific World Journal. doi:10.​1100/​2012/​685741
go back to reference Liang, L. (2012). Multiple variations: Perspectives on the Religious Psychology of Buddhist and Christian Converts in the People’s Republic of China. Pastoral Psychology, 61(5), 865–877. doi:10.1007/s11089-012-0462-z.CrossRef Liang, L. (2012). Multiple variations: Perspectives on the Religious Psychology of Buddhist and Christian Converts in the People’s Republic of China. Pastoral Psychology, 61(5), 865–877. doi:10.​1007/​s11089-012-0462-z.CrossRef
go back to reference Luo, Y. (2004). On modern social value of psychological regulation: Function of religion. Journal of South-Central University for Nationalities (Humanities and Social Sciences), 24(5), 53–55. Luo, Y. (2004). On modern social value of psychological regulation: Function of religion. Journal of South-Central University for Nationalities (Humanities and Social Sciences), 24(5), 53–55.
go back to reference O’Connor, D. B., Cobb, J., & O’Connor, R. C. (2003). Religiosity, stress and psychological distress: No evidence for an association among undergraduate students. Personality and Individual Differences, 34(2), 211–217.CrossRef O’Connor, D. B., Cobb, J., & O’Connor, R. C. (2003). Religiosity, stress and psychological distress: No evidence for an association among undergraduate students. Personality and Individual Differences, 34(2), 211–217.CrossRef
go back to reference Phillips, M. R., Zhang, J., Shi, Q., Song, Z., Ding, Z., Pang, S., & Wang, Z. (2009). Prevalence, treatment, and associated disability of mental disorders in four provinces in China during 2001–05: An epidemiological survey. Lancet, 373(9680), 2041–2053. doi:10.1016/S0140-6736(09)60660-7.CrossRefPubMed Phillips, M. R., Zhang, J., Shi, Q., Song, Z., Ding, Z., Pang, S., & Wang, Z. (2009). Prevalence, treatment, and associated disability of mental disorders in four provinces in China during 2001–05: An epidemiological survey. Lancet, 373(9680), 2041–2053. doi:10.​1016/​S0140-6736(09)60660-7.CrossRefPubMed
go back to reference Schulenberg, S. E., Schnetzer, L. W., & Buchanan, E. M. (2011). The purpose in life test-short form: Development and psychometric support. Journal of Happiness Studies, 12(5), 861–876.CrossRef Schulenberg, S. E., Schnetzer, L. W., & Buchanan, E. M. (2011). The purpose in life test-short form: Development and psychometric support. Journal of Happiness Studies, 12(5), 861–876.CrossRef
go back to reference Shek, D. T. (1992). Meaning in life and psychological well-being: An empirical study using the Chinese version of the Purpose in Life questionnaire. The Journal of genetic psychology, 153(2), 185.CrossRefPubMed Shek, D. T. (1992). Meaning in life and psychological well-being: An empirical study using the Chinese version of the Purpose in Life questionnaire. The Journal of genetic psychology, 153(2), 185.CrossRefPubMed
go back to reference Shoesmith, E. (2002). Structural equation modeling with AMOS: Basic concepts, applications, and programming (Vol. 51, pp. 408–409). St. Luke: Royal Statistical Society. Shoesmith, E. (2002). Structural equation modeling with AMOS: Basic concepts, applications, and programming (Vol. 51, pp. 408–409). St. Luke: Royal Statistical Society.
go back to reference Stark, R., & Liu, E. Y. (2011). The religious awakening in China. Review of Religious Research, 52, 282–289. Stark, R., & Liu, E. Y. (2011). The religious awakening in China. Review of Religious Research, 52, 282–289.
go back to reference Tabak, M. A., & Mickelson, K. D. (2009). Religious service attendance and distress: The moderating role of stressful life events and race/ethnicity. Sociology of Religion, 70(1), 49–64. doi:10.1093/socrel/srp001.CrossRef Tabak, M. A., & Mickelson, K. D. (2009). Religious service attendance and distress: The moderating role of stressful life events and race/ethnicity. Sociology of Religion, 70(1), 49–64. doi:10.​1093/​socrel/​srp001.CrossRef
go back to reference Vail, K. E., Arndt, J., & Abdollahi, A. (2012). Exploring the existential function of religion and supernatural agent beliefs among Christians, Muslims, atheists, and agnostics. Personality and Social Psychology Bulletin, 38(10), 1288–1300. doi:10.1177/0146167212449361.CrossRefPubMed Vail, K. E., Arndt, J., & Abdollahi, A. (2012). Exploring the existential function of religion and supernatural agent beliefs among Christians, Muslims, atheists, and agnostics. Personality and Social Psychology Bulletin, 38(10), 1288–1300. doi:10.​1177/​0146167212449361​.CrossRefPubMed
go back to reference Wei, D., & Liu, E. Y. (2013). Religious involvement and depression: evidence for curvilinear and stress-moderating effects among young women in rural China. Journal for the Scientific Study of Religion, 52(2), 349–367. doi:10.1111/jssr.12031.CrossRef Wei, D., & Liu, E. Y. (2013). Religious involvement and depression: evidence for curvilinear and stress-moderating effects among young women in rural China. Journal for the Scientific Study of Religion, 52(2), 349–367. doi:10.​1111/​jssr.​12031.CrossRef
go back to reference Worthington, E. L, Jr, Wade, N. G., Hight, T. L., Ripley, J. S., McCullough, M. E., Berry, J. W., et al. (2003). The Religious Commitment Inventory–10: Development, refinement, and validation of a brief scale for research and counseling. Journal of Counseling Psychology, 50(1), 84–96. doi:10.1037/0022-0167.50.1.84.CrossRef Worthington, E. L, Jr, Wade, N. G., Hight, T. L., Ripley, J. S., McCullough, M. E., Berry, J. W., et al. (2003). The Religious Commitment Inventory–10: Development, refinement, and validation of a brief scale for research and counseling. Journal of Counseling Psychology, 50(1), 84–96. doi:10.​1037/​0022-0167.​50.​1.​84.CrossRef
go back to reference Yeung, A. S., & Kam, R. (2005). Illness beliefs of depressed Asian Americans in primary care. In A. M. Georgiopoulos & J. F. Rosenbaum (Eds.), Perspectives in cross-cultural psychiatry (pp. 21–36). New York: Lippincott Williams & Wilkins. Yeung, A. S., & Kam, R. (2005). Illness beliefs of depressed Asian Americans in primary care. In A. M. Georgiopoulos & J. F. Rosenbaum (Eds.), Perspectives in cross-cultural psychiatry (pp. 21–36). New York: Lippincott Williams & Wilkins.
Metadata
Title
Religion, Purpose in Life, Social Support, and Psychological Distress in Chinese University Students
Authors
Zhizhong Wang
Harold G. Koenig
Hui Ma
Saad Al Shohaib
Publication date
01-06-2016
Publisher
Springer US
Published in
Journal of Religion and Health / Issue 3/2016
Print ISSN: 0022-4197
Electronic ISSN: 1573-6571
DOI
https://doi.org/10.1007/s10943-016-0184-0

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