Psychology Commons^™

The Hispanic Mortality Paradox: A Systematic Review And Meta-Analysis Of The Longitudinal Literature, J. Ruiz, P. Steffen, Timothy B. Smith

Faculty Publications

Objectives: The current objective was to compare Hispanic mortality rates to those of other racial/ethnic groups in order to investigate the possibility of a Hispanic mortality advantage.

Methods: We conducted a systematic review and meta-analysis of the published longitudinal literature reporting Hispanic individuals’ mortality of any cause compared with that of any other racial/ethnic group.

Results: Across 58 studies (4,615,747 participants), the random effects weighted average effect size was OR = 0.825 (P < .001, 95% CI = 0.75 to 0.91), corresponding to a 17.5% lower risk of mortality among Hispanic populations compared to other racial groups. The difference in mortality risk tended to be greater among older populations and varied as a function of pre-existing health condition, with effects apparent for initially healthy samples and for those with cardiovascular diseases. The results also differed by racial group comparison: Hispanics had lower overall risk for mortality than non-Hispanic Whites and non-Hispanic Blacks, but overall higher risk for mortality than Asian Americans.

Conclusions: These findings provide evidence of a small Hispanic mortality advantage, with implications for conceptualizing and addressing racial/ethnic health disparities.

A 17-Year Longitudinal Study Of Religion And Mental Health In A Mormon Sample, Jeremy D. Bartz, P. Scott Richards, Timothy B. Smith, Lane Fischer

Faculty Publications

In 1984, 1987, and 2001, data were collected on a religiously devout group of college students (N=53) in an effort to better understand the process of religious development and the relationship between religiosity and mental health. This study analyzes those data by examining the relationship between devoutness and psychopathology over time, the correlations between intrinsic religiosity and indices of psychopathology, the stability of religious motivations over the course of adulthood, and the stability of two different religious development styles that were identified in 1984. This study found that (1) these religiously devout individuals have consistently fallen within the normal range …

Outcomes Of Religious And Spiritual Adaptations To Psychotherapy: A Meta-Analytic Review, Timothy B. Smith, Jeremy Bartz, P. Scott Richards

Faculty Publications

The use of spiritually oriented psychotherapies has increased dramatically during the past decade. This article reports a meta-analysis of 31 outcome studies of spiritual therapies conducted from 1984 to 2005 with clients suffering from a variety of psychological problems. Across the 31 studies, the random-effects weighted average effect size was 0.56. This finding provides some empirical evidence that spiritually oriented psychotherapy approaches may be beneficial to individuals with certain psychological problems (e.g., depression, anxiety, stress, eating disorders). Recommendations for future research in this domain are offered.

The Association Of Racial Attitudes And Spiritual Beliefs In Post-Apartheid South Africa, Timothy B. Smith, Christopher R. Stones, Christopher E. Peck, Anthony V. Naidoo

Faculty Publications

Previous research has investigated the complex association between religious beliefs and racism. Many studies have found that fundamentalist religious beliefs are positively associated with racial prejudice among European and European American populations. However, few studies have examined whether this association is found in other cultures or whether the association also characterizes spiritual beliefs. Data from 493 South African university students from three racial backgrounds revealed significant differences among the groups. A positive association between fundamentalism and racial prejudice was found among participants, but general spiritual beliefs were negatively associated with racist attitudes. The results emphasize the need to address contextual …

Spiritual Interventions In Psychotherapy: Evaluations By Highly Religious Clients, Jennifer S. Martinez, Timothy B. Smith, Sally H. Barlow

Faculty Publications

Spiritual and religious interventions in psychotherapy have increasingly received research attention, particularly with highly religious clients. This study examined client opinions about and experiences with religious interventions in psychotherapy. A sample of 152 clients at a counseling center of a university sponsored by the Church of Jesus Christ of Latter-day Saints (LDS) completed a survey with ratings of specific religious interventions with regards to appropriateness, helpfulness, and prevalence. Out-of-session religious interventions were considered more appropriate by clients than in-session religious interventions, but in-session interventions were rated as more helpful. Specific interventions considered both appropriate and helpful by the LDS participants …

Development And Validation Of The Theistic Spiritual Outcome Survey, P. Scott Richards, Timothy B. Smith, Marion Schowalter, Michael E. Berrett, Randy K. Hardman

Faculty Publications

We developed the Spiritual Outcome Scale (SOS) to measure the spiritual outcomes of psychotherapy from a theistic spiritual perspective. A 17-item version of the SOS was found to have adequate reliability and validity in a sample of college students. Three factors emerged from the analyses that corresponded to subscales labeled Love of God, Love of Others, and Love of Self. Correlations with measures of psychological outcomes were statistically significant. In subsequent analyses, the SOS was administered over an 8-week period to a sample of inpatient women with eating disorders and to two samples from inpatient psychological clinics in Germany. The …

The Spiritual Self: Toward A Conceptualization Of Spiritual Identity Development, Timothy B. Smith, Justin B. Poll

Faculty Publications

Both researchers and practitioners have demonstrated considerable interest in identity development, and positive personal identities have been associated with numerous positive mental health outcomes. However, major theories of identity development have neglected the salience of spiritual identity, even though the early work of William James placed this as a central component of personality. This article reviews four major theories of identity development (cognitive, psychodynamic, systems, and narrative) and suggests spiritual identity parallels to these theories. A tentative model of spiritual identity development is presented. Implications for therapy and future research concerning spiritual identity development are discussed.

Religiousness And Depression: Evidence For A Main Effect And The Moderating Influence Of Stressful Life Events, Timothy B. Smith, Michael E. Mccullough, Justin Poll

Faculty Publications

The association between religiousness and depressive symptoms was examined with meta-analytic methods across 147 independent investigations (N = 98,975). Across all studies, the correlation between religiousness and depressive symptoms was –.096, indicating that greater religiousness is mildly associated with fewer symptoms. The results were not moderated by gender, age, or ethnicity, but the religiousness–depression association was stronger in studies involving people who were undergoing stress due to recent life events. The results were also moderated by the type of measure of religiousness used in the study, with extrinsic religious orientation and negative religious coping (e.g., avoiding difficulties through religious activities, …

From The Individual To Individualism: A Critique Of The Helping Professions, Timothy B. Smith, Matthew R. Draper

Faculty Publications

Individualistic values characterize contemporary society and many popular approaches to mental health treatment. This paper critiques the individualistic values embedded in the helping professions that implicitly contradict the teachings ofJesus Christ, the surest foundation for mental health interventions. Members of AMCAP are encouraged to search out and replace problematic values that contradict gospel teachings which have been integrated into contemporary mental health practice.