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Religion and spirituality: Linkages to physical health.
Abstract
Evidence is presented that bears on 9 hypotheses about the link between religion or spirituality and mortality, morbidity, disability, or recovery from illness. In healthy participants, there is a strong, consistent, prospective, and often graded reduction in risk of mortality in church/service attenders. This reduction is approximately 25% after adjustment for confounders. Religion or spirituality protects against cardiovascular disease, largely mediated by the healthy lifestyle it encourages. Evidence fails to support a link between depth of religiousness and physical health. In patients, there are consistent failures to support the hypotheses that religion or spirituality slows the progression of cancer or improves recovery from acute illness but some evidence that religion or spirituality impedes recovery from acute illness. The authors conclude that church/service attendance protects healthy people against death. More methodologically sound studies are needed.
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“RS have shown possible influences on many important outcomes, including lower mortality (Powell et al., 2003).”
From Advancing our understanding of religion and spirituality in the context of behavioral medicine (2017) · cites this paper as Powell et al., 2003
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“In systematic reviews of RS and cancer mortality or progression, there are consistent failures to support the hypotheses that RS slows cancer progression, and inadequate evidence to support the hypothesis that RS protects against cancer mortality (Powell et al., 2003).”
From Advancing our understanding of religion and spirituality in the context of behavioral medicine (2017) · cites this paper as Powell et al., 2003
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- Enstrom, 1980, Cancer mortality among Mormons in California during 1968-1975., Journal of the National Cancer Institute, 65, 1073
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Cited by
Sorted by citations
Religion, Spirituality, and Health: The Research and Clinical Implications
Koenig, H. G. (2012) · ISRN Psychiatry · doi:10.5402/2012/278730 · Cited by 2,423
Hill, P. C., & Pargament, K. I. (2003) · American Psychologist · doi:10.1037/0003-066x.58.1.64 · Cited by 1,948
Spirituality, religion, and health: An emerging research field.
Miller, W. R., & Thoresen, C. E. (2003) · American Psychologist · doi:10.1037/0003-066x.58.1.24 · Cited by 1,437
Self-citationReligion, self-regulation, and self-control: Associations, explanations, and implications.
McCullough, M. E., & Willoughby, B. L. B. (2009) · Psychological Bulletin · doi:10.1037/a0014213 · Cited by 1,275
Religion as a Meaning‐Making Framework in Coping with Life Stress
Park, C. L. (2005) · Journal of Social Issues · doi:10.1111/j.1540-4560.2005.00428.x · Cited by 1,097
Metadata
- Authors
- Powell, L. H., Shahabi, L., & Thoresen, C. E.
- Affiliations
- Rush University Medical Center (US)
- University of Miami (US)
- Stanford University (US)
- ORCID
- Powell, Lynda H.
- Venue
- American Psychologist
- Published
- 2003-01
- Volume
- 58
- Issue
- 1
- Pages
- 36-52
- ISSN
- 0003-066X (ISSN-L)
- 1935-990X
- OpenAlex
- W2081669352
- Cited by
- 1,093
- References
- 116
- Citations by year
- 2026: 11 · 2025: 24 · 2024: 25 · 2023: 31 · 2022: 27 · 2021: 43 · 2020: 32 · 2019: 44 · 2018: 37 · 2017: 47 · 2016: 43 · 2015: 63 · 2014: 56 · 2013: 66 · 2012: 90
- FWCI
- 5.93
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- American Psychologist (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Health › Religion, Spirituality, and Psychology
- Social Sciences › Sociology and Political Science › Religion and Society Interactions
- Social Sciences › Business, Management and Accounting › Organizational Behavior and Human Resource Management › Workplace Spirituality and Leadership
- Keywords
- religion, spirituality, physical health, mortality, church attendance, cardiovascular disease, healthy lifestyle, religiosity, tumor progression, morbidity, disability
- MeSH terms
- Cardiovascular Diseases, Cross-Sectional Studies, Death, Health Status, Humans, Morbidity, Mortality, Neoplasms, Religion and Medicine, Risk Factors, Confounding Factors, Epidemiologic, Disease Progression, Spirituality
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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