Religious Beliefs and Practices Are Associated With Better Mental Health in Family Caregivers of Patients With Dementia: Findings From the REACH Study

Hebert, Randy S.; Dang, Qianyu; Schulz, Richard

doi:10.1097/01.jgp.0000247160.11769.ab

Cited by 122 publications

(96 citation statements)

References 44 publications

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“…For instance, recent evidence shows that more religious non-White caregivers have better mental health, subjective well-being, and more positive attitudes toward the caregiver role (16, 18, 20, 21). RCOPE may be especially healthy for ADRD caregivers in the context of poor care recipient functional status (22).…”

Section: Religious Coping Caregiver Stress and Healthmentioning

confidence: 99%

“…Thus, ADRD caregiver status challenges coping resources, and consequently may be a risk factor for chronic physical disorders for AAs who persevere in the caregiver role (3, 4, 30). One preventive resource for the deleterious health effects of caregiver stress may be RCOPE (16, 18). However, there is no published study examining the relationship between RCOPE and HPA axis profiles for diverse ADRD caregivers with more challenging care recipients.…”

Section: Religious Coping Caregiver Stress and Healthmentioning

confidence: 99%

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Too Much of a Good Thing?: Positive Religious Coping Predicts Worse Diurnal Salivary Cortisol Patterns for Overwhelmed African American Female Dementia Family Caregivers

Merritt

McCallum

2013

The American Journal of Geriatric Psychiatry

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Objectives Religious coping arguably prevents negative health outcomes for stressed persons. This study examined the moderating role of religious coping (positive, negative, and combined) in the connection of care recipient functional status with diurnal salivary cortisol patterns among dementia family caregivers. Methods Thirty African-American (AA) female dementia caregivers and 48 AA noncaregivers completed the Religious Coping (RCOPE) scale, Activities of Daily Living (ADL) scale and Revised Memory and Behavior Problem checklist (RMBPC) and collected five saliva samples daily (at awakening, 9am, 12pm, 5pm, and 9pm) for two straight days. Results Hierarchical regression tests with mean diurnal cortisol slope as the outcome illustrated surprisingly that higher combined and positive (but not negative) RCOPE scores were associated with increasingly flatter or worse cortisol slope scores for caregivers (but not non-caregivers). Of note, the RCOPE by RMBPC interaction was significant. Among caregivers who reported higher RMBPC scores, higher combined and positive (but not negative) RCOPE scores were unexpectedly associated with increasingly flatter cortisol slopes. Conclusions These results extend current findings by showing that being AA, a caregiver, and high in positive religious coping may predict increased daily stress responses, mainly for those with higher patient behavioral problems. Since religious coping is a central coping strategy for AA caregivers, it is vital that epidemiological assessments of religious coping in health and aging as well as tailored interventions focus on the unique reasons for this disparity.

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Section: Religious Coping Caregiver Stress and Healthmentioning

confidence: 99%

Section: Religious Coping Caregiver Stress and Healthmentioning

confidence: 99%

Too Much of a Good Thing?: Positive Religious Coping Predicts Worse Diurnal Salivary Cortisol Patterns for Overwhelmed African American Female Dementia Family Caregivers

Merritt

McCallum

2013

The American Journal of Geriatric Psychiatry

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“…For many of individuals, religious beliefs and practices give meaning to the caregiving role and surround the person with a supportive community that helps give strength to continue in that difficult and often isolating role. This has been widely documented in hundreds of qualitative and quantitative studies from around the world [12] [13], those in caregivers in particular [14]- [17]. Second, we chose female caregivers because women are more likely to be caregivers than men (70% -75% of caregivers are women) [18] [19], and women generally tend to be more religious than men for a variety of reasons [20].…”

Section: Introductionmentioning

confidence: 99%

Belief into Action Scale: A Brief but Comprehensive Measure of Religious Commitment

Koenig¹,

Nelson²,

Shaw³

et al. 2015

OJPsych

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“…The remaining 54 papers were reviewed. After examining the studies, six more papers were excluded because they did not focus on a specific psychiatric disorder, but rather on well-being [6], coping [7][8][9], spiritual healing [10], or the serotonin system [11]. Two papers on schizophrenia did not examine the association between R/S parameters and schizophrenia, so they were excluded as well [12,13].…”

Section: Methodsmentioning

confidence: 99%

Religiosity and Psychological Resilience in Psychiatric Patients: An Overview

Bonelli¹

2017

JPCPY

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Objective: The impact of religious/spiritual activities on clinical outcomes in patients with serious mental illnesses remains controversial, which was addressed in this international cross-sectional study. Method:The literature was searched using the electronic database of Pubmed. To identify the highest quality papers, we selected publications in psychiatric journals ranked in the top 25% by the ISI citation index 2010, i.e. the top 32 journals out of 126 listed, all with an impact factor of 3.6 or higher. The published original studies were then discussed and rated for the quality of their design, measures, and statistical methods. Results:1% if the studies find a positive relationship between R/S and better mental health, 18.6% find mixed (positive and negative) results, and 4.7% reported a negative association. All studies on dementia, suicide and stressrelated disorders found a positive association, as well as 79% and 67% of the papers on depression and substance abuse, respectively Conclusion: There is growing evidence today that R/S is correlated with better mental health in the areas of depression, substance abuse, and suicide; insufficient evidence in neurosis and dementia; poor evidence in bipolar disorder and schizophrenia, and no evidence in many other mental disorders.

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Religious Beliefs and Practices Are Associated With Better Mental Health in Family Caregivers of Patients With Dementia: Findings From the REACH Study

Cited by 122 publications

References 44 publications

Too Much of a Good Thing?: Positive Religious Coping Predicts Worse Diurnal Salivary Cortisol Patterns for Overwhelmed African American Female Dementia Family Caregivers

Too Much of a Good Thing?: Positive Religious Coping Predicts Worse Diurnal Salivary Cortisol Patterns for Overwhelmed African American Female Dementia Family Caregivers

Belief into Action Scale: A Brief but Comprehensive Measure of Religious Commitment

Religiosity and Psychological Resilience in Psychiatric Patients: An Overview

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