TY - JOUR
T1 - Dimensions of Religiosity and PTSD Symptom Clusters in US Veterans and Active Duty Military
AU - Koenig, Harold G.
AU - Youssef, Nagy A.
AU - Ames, Donna
AU - Oliver, Rev John P.
AU - Volk, Fred
AU - Teng, Ellen J.
AU - Hill, Terrence D.
N1 - Funding Information:
Funding This work was funded by a grant received from the Augusta Biomedical Research Institute (Nagy Youssef), Augusta, GA, and by departmental funds from the Department of Counselor Education and Family Studies, School of Behavioral Sciences, Liberty University, Lynchburg, Virginia, and from the Center for Aging & Development, Duke University Medical Center, Durham, NC.
Funding Information:
A special thanks to Kerry Haynes, D.Min., BCC, at the South Texas Veterans Healthcare System, 4318 Woodcock Dr #120, San Antonio, TX 78229, who collected the data from that site. This material is the result of work supported with resources and the use of facilities at the VA Greater Los Angeles Healthcare System (Los Angeles, CA), Charlie Norwood VA Medical Center (Augusta, GA), South Texas Veterans Healthcare System (San Antonio, TX), Michael E. DeBakey VA Medical Center (Houston, TX), and Durham Veterans Affairs Health Care System (Durham, NC).
Publisher Copyright:
© 2019, Springer Science+Business Media, LLC, part of Springer Nature.
PY - 2019/6/15
Y1 - 2019/6/15
N2 - We examined multiple dimensions of religiosity and their relationship to the four DSM-5 PTSD symptom clusters among US Veterans and Active Duty Military (ADM), hypothesizing that religiosity would be most strongly inversely related to negative cognitions/emotions (Criterion D symptoms) and less strongly to neurobiologically based symptom clusters (B, C, and E). This cross-sectional multisite study involved 591 Veterans and ADM from across the southern USA. Inclusion criteria were having served in a combat theater and the presence of PTSD symptoms. Measures of religious beliefs/practices, social involvement, and PTSD symptoms were administered, and bivariate and multivariate analyses were conducted in the overall sample, and in exploratory analyses, in the sample stratified by race (White, Black, and Hispanic). In the overall sample, multivariate analyses revealed that the only PTSD symptom cluster inversely related to religiosity was Criterion D, and only to organizational (b = − 0.08, P = 0.028) and cognitive/intrinsic religiosity (b = − 0.06, P = 0.049), relationships that were fully explained by social factors. Religious struggles, in contrast, were positively related to all four symptom clusters. Inverse relationships with Criterion D symptoms were particularly strong in Blacks, in whom inverse relationships were also present with Criterion E symptoms. In contrast, only positive relationships with PTSD symptom clusters were found in Hispanics, and no relationships (except for religious struggles) were present in Whites. As hypothesized, the inverse relationship between religious involvement and PTSD symptoms in Veterans and ADM was strongest (though modest) for Criterion D negative cognitions/emotions, especially in Blacks.
AB - We examined multiple dimensions of religiosity and their relationship to the four DSM-5 PTSD symptom clusters among US Veterans and Active Duty Military (ADM), hypothesizing that religiosity would be most strongly inversely related to negative cognitions/emotions (Criterion D symptoms) and less strongly to neurobiologically based symptom clusters (B, C, and E). This cross-sectional multisite study involved 591 Veterans and ADM from across the southern USA. Inclusion criteria were having served in a combat theater and the presence of PTSD symptoms. Measures of religious beliefs/practices, social involvement, and PTSD symptoms were administered, and bivariate and multivariate analyses were conducted in the overall sample, and in exploratory analyses, in the sample stratified by race (White, Black, and Hispanic). In the overall sample, multivariate analyses revealed that the only PTSD symptom cluster inversely related to religiosity was Criterion D, and only to organizational (b = − 0.08, P = 0.028) and cognitive/intrinsic religiosity (b = − 0.06, P = 0.049), relationships that were fully explained by social factors. Religious struggles, in contrast, were positively related to all four symptom clusters. Inverse relationships with Criterion D symptoms were particularly strong in Blacks, in whom inverse relationships were also present with Criterion E symptoms. In contrast, only positive relationships with PTSD symptom clusters were found in Hispanics, and no relationships (except for religious struggles) were present in Whites. As hypothesized, the inverse relationship between religious involvement and PTSD symptoms in Veterans and ADM was strongest (though modest) for Criterion D negative cognitions/emotions, especially in Blacks.
KW - Active Duty Military
KW - Post-traumatic stress disorder
KW - Religiosity
KW - Symptom clusters
KW - Veterans
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U2 - 10.1007/s10943-019-00817-7
DO - 10.1007/s10943-019-00817-7
M3 - Article
C2 - 30989450
AN - SCOPUS:85064646204
SN - 0022-4197
VL - 58
SP - 805
EP - 822
JO - Journal of Religion and Health
JF - Journal of Religion and Health
IS - 3
ER -