Religion has been shown to have a positive impact on well-being and to play an important role in coping with stressful life events. However, the buffering effect of religiosity on mental health, after a particularly stressful life event such as sexual assault, has not been studied. In this study we examined the buffering effect of religion on mental health and depression for women who report experiencing sexual assault while in the military.
Method:
The sample includes a nationally representative sample of 3,543 women veterans who use VA ambulatory care. Two dimensions of religiosity were used: organizational (frequency of religious service attendance) and subjective (the extent religious beliefs are a source of strength/comfort). Mental health was measured by the mental component summary (MCS) from the SF36 and depressive symptoms were measured by the Center for Epidemiologic Studies-Depression (CES-D) scale.
Results:
Women veterans who reported experiencing sexual assault while in the military had lower mental health scores and higher levels of depression. Linear regression analysis indicated that these negative impacts diminished with increased frequency of religious service attendance, supporting the buffering effect of organizational religiosity on mental health and depression. Although the buffering effect of subjective religiosity was not evident, subjective religiosity was shown to be positively associated with better mental health in both groups of women with and without sexual assault experience in the military.
Conclusions:
Frequent religious service attendance buffers the negative impacts of sexual assault on mental health and depression of women veterans. The potential of integrating religiosity in designing interventions is discussed.
KoenigHG. Research on religion and mental health in later life: A review and commentary. Journal of Geriatric Psychiatry1990; 23(1): 23–53.
2.
MatthewsDAMcCulloughMELarsonDBKoenigHGSwyersJPMilanoMG. Religious commitment and health status: A review of the research and implications for family medicine. Archives of Family Medicine1998; 7(2): 118–124.
3.
LevinJSChattersLM. Religion, health, and psychological well-being in older adults. Journal of Aging and Health1998; 10(4): 504–531.
4.
HixsonKAGruchowHWMorganDW. The relation between religiosity, selected health behaviors, and blood pressure among adult females. Preventive Medicine1998; 27(4): 545–552.
5.
KoenigHGGeorgeLKHaysJCLarsonDBCohenHJBlazerDG. The relationship between religious activities and blood pressure in older adults. International Journal of Psychiatry in Medicine1998; 28(2): 189–213.
6.
OmanDReedD. Religion and mortality among the community-dwelling elderly. American Journal of Public Health1998; 88(10): 1469–1475.
7.
MusickMAKoenigHGHaysJCCohenHJ. Religious activity and depression among community-dwelling elderly persons with cancer: The moderating effect of race. Journal of Gerontology B Psychological Science and Social Science1998; 53(4): S218–227.
8.
BourjollyJN. Differences in religiousness among black and white women with breast cancer. Social Work Health Care1998; 28(1): 21–39.
9.
BurtonLA. The spiritual dimension of palliative care. Seminars of Oncology Nursing1998; 14(2): 121–128.
10.
FeherSMalyRC. Coping with breast cancer in later life: The role of religious faith. Psychooncology1999; 8(5): 408–416.
11.
CourtenayBCMerriamSBReevesPM. Faith development in the lives of HIV-positive adults. Journal of Religion and Health1999; 38(3): 203–218.
12.
SavageLSCanodyC. Life with a left ventricular assist device: The patient's perspective. American Journal of Critical Care1999; 8(5): 340–343.
13.
KoenigHGWeinerDKPetersonBLMeadierKGKeefeFJ. Religious coping in the nursing home: A biopsychosocial model. International Journal of Psychiatry in Medicine1997; 27(4): 365–376.
14.
ChangBHNoonanAETennstedtSL. The role of religion/spirituality in coping with caregiving for disabled elders. Gerontologist1998; 38(4): 463–470.
15.
StrawbridgeWJShemaSJCohenRDRobertsREKaplanGA. Religiosity buffers effects of some stressors on depression but exacerbates others. Journal of Gerontology B Psychological Science and Social Science1998; 53(3): S118–126.
16.
SkinnerKKressinNFrayneSHankinCMillerRSullivanL. The prevalence of military sexual assault among female Veterans' Administration outpatients. Journal of Interpersonal Violence2000; 15(3): 289–304.
17.
FrayneSSkinnerKSullivanLTrippTHankinCKressinNMillerD. Medical profile of women VA outpatients who report sexual assault while in the military. Journal of Women's Health1999.
18.
HankinCSkinnerKSullivanLMillerDFrayneSTrippT. Mental disorders and treatment among women VA outpatients who report sexual assault while in the military. Journal of Traumatic Stress1999; 12(4): 601–612.
19.
GoldingJ. Sexual assault history and physical health in randomly selected Los Angeles women. Health Psychology1994; 13: 130–138.
20.
KossMKossPWoodruffW. Deleterious effects of criminal victimization on women's health and medical utilization. Archives of Internal Medicine1991; 15(2): 342–347.
21.
FellitiV. Long term medical consequences of incest, rape, and molestation. Southern Medical Journal1991; 84: 328–331.
22.
MullenPERomans-ClarksonSWaltonVHerbisonP. Impact of sexual and physical abuse on women's mental health. Lancet1988: 841–845.
23.
WalkerEKatonWRoy-ByrnePJamelkaPRussoJ. Histories of sexual victimization in patients with irritable bowel syndrome or inflammatory bowel disease. American Journal of Psychiatry1993; 150: 1502–1506.
24.
DrossmanDLesermanJNachmanGLiZGluckHToomeyTMitchellC. Sexual and physical abuse in women with functional or organic gastrointestinal disorders. Annals of Internal Medicine1990; 113: 828–833.
25.
KossMPWoodruffWJKossPG. Criminal victimization among primary care medical patients: Prevalence, incidence, and physician usage. Behavioral Sciences and the Law1990; 9: 85–96.
26.
BurnamMSteinJGoldingJSiegelJSorensonSForsytheATellesC. Sexual assault and mental disorders in a community population. Journal of Consulting and Clinical Psychology1988; 56: 843–850.
27.
KilpatrickDSaundersBEAmick-McMullanABestCL. Victim and crime factors associated with the development of crime-related post-traumatic stress disorder. Behavior Therapy1989; 20: 199–214.
28.
WinfieldIGeorgeLKSwartzMBlazerDG. Sexual assault and psychiatric disorders among a community sample of women. American Journal of Psychiatry1990; 147: 335–341.
29.
NorrisJFeldman-SummersS. Factors related to the psychological impact of rape on the victim. Journal of Abnormal Psychology1981; 90: 562–567.
30.
FrankEAndersonBP. Psychiatric disorders in rape victims: Past history and current symptomatology. Comprehensive Psychiatry1987; 28: 77–82.
31.
BriereJRuntzM. Post sexual abuse trauma. In: PowellGJ, editor. Lasting effects of child sexual abuse. Newbury Park, CA: Sage Publications, 1988.
32.
SkinnerKMFureyJ. The focus on women veterans who use Veterans Administration health care: The VA Women's Health Project. Military Medicine1998; 163(11): 761–766.
33.
McHorneyCWareARogersJERaczekWRachelAL. The validity and relative precision of MOS short-form and long-form health status scales and Dartmouth Coop Charts: Results from the medical outcomes study. Medical Care, 1992; 30: MS253–MS265.
34.
KohutFJBerkmanLFEvansDAHuntley-CornoniJ. Two shorter forms of the CES-D Depression Symptoms Index. Journal of Aging and Health1993; 5: 179–193.
35.
EllisonCGGeorgeLK. Religious involvement, social ties, and social support in a southeastern community. Journal for the Scientific Study of Religion1994; 33(1): 46–61.
36.
TaylorJRChattersLM. Church members as a source of informal social support. Review of Religious Research1988; 30: 193–203.
37.
SiegelJMKuykendallDH. Loss, widowhood, and psychological distress among the elderly. Journal of Consulting and Clinical Psychology1990; 58(5): 519–524.
38.
WilliamsDRLarsonDBBucklerREHeckmannRCPyleCM. Religion and psychological distress in a community sample. Social Science and Medicine1991; 32(11): 1257–1262.
39.
PropstLROstromRWatkinsPDeanTMashburnD. Comparative efficacy of religious and nonreligious cognitive-behavioral therapy for the treatment of clinical depression in religious individuals. Journal of Consulting and Clinical Psychology1992; 60: 94–103.
40.
AzhartMAVarmaSDharapAS. Religious psychotherapy in anxiety disorder patients. Acta Psychiatrica Scandinavica1994; 90: 1–3.
41.
BakerDC. The effect of pastoral care for the treatment of geriatric depression. The Gerontologist1999; 39(Special issue 1):433.
42.
KoenigHG. Religion and hope for the disabled elder. In: LevinJS, editor. Religion in aging and health: Theoretical foundations and methodological frontiers. Thousand Oaks, CA: Sage, 1994.
