Holistic conceptions of healthy personality and functioning theorize that spiritual and psychological well-being and wholeness are interconnected. In an inpatient group of clinically depressed Christian adults, this study compared the effectiveness of Christian cognitive-behavior therapy (CCBT; n = 18) to that of traditional cognitive-behavioral therapy (n = 11). There was a significant correlation between a reduction in depression and an improvement in spiritual well-being (SWB; p < .0005). Both groups demonstrated significant reductions in levels of depression (p < .0005) and improvements in SWB (p < .0005). Furthermore, there were significantly higher overall SWB scores for those in the CCBT program (p. < .01). This provides encouragement for the use of therapy that matches and utilizes religious values.
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References
1.
American Psychological Association. (1992). Ethical principles of psychologists and code of conduct. American Psychologist, 47, 1597–1611.
2.
American Psychological Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.
3.
AndersonR. S. (1990). Christians who counsel: The vocation of holistic therapy.Grand Rapids, MI: Zondervan.
4.
BassettR. L., CamplinW., HumphreyD., DorrC., BiggsS., DistaffenR., DoxtatorI., FlahertyM., HunsbergerP. J., PoageR., & ThompsonH. (1991). Measuring Christian maturity: A comparison of several scales. Journal of Psychology and Theology, 19, 84–93.
5.
BassettR. L., SadlerR. D., KobischenE. E., SkiffD. M., MerrillI. J., AtwaterB. J., & LivermoreP. W. (1981). The Shepherd Scale: Separating the sheep from the goats. Journal of Psychology and Theology, 9, 335–351.
6.
BeckA., WardC., MendelsonM., MockJ., & ErbaughJ. (1961). An inventory for measuring depression. Archives of General Psychiatry, 4, 561–571.
7.
BerginA. E. (1980). Psychotherapy and religious values. Journal of Consulting and Clinical Psychology, 48, 95–105.
8.
Bergin, 1991). Values and religious issues in psychotherapy and mental health. American Psychologist, 46, 394–403.
9.
BerginA. E., & JensenJ. P. (1990). Religiosity of psychotherapists: A national survey. Psychotherapy, 27, 3–7.
10.
BeutlerL. E. (1981). Convergence in counseling and psychotherapy: A current look. Clinical Psychology Review, 1, 79–101.
11.
CadwalladerE. H. (1991). Depression and religion: Realities, perspectives, and directions. Counseling and Values, 35, 83–92.
12.
CampbellD. T., & StanleyJ. C. (1963). Experimental and quasi-experimental designs for research.Boston: Houghton Mifflin.
13.
ChuC., & KleinH. E. (1985). Psychological and environmental variables in outcome of Black schizophrenics. Journal of the National Medical Association, 77, 793–796.
14.
CraigieF. C. (1992). Evaluation and six-year follow-up of a community-based Christian cognitive-behavioral stress management program. Journal of Psychology and Christianity, 11, 269–276.
15.
EllisonC. W. (1983). Spiritual well-being: Conceptualization and measurement. Journal of Psychology and Theology, 11, 330–340.
16.
EllisonC. W., & SmithJ. (1991). Toward an integrative measure of health and well-being. Journal of Psychology and Theology, 19, 35–48.
17.
FehringR. J., BrennanP. F., & KellerM. L. (1987). Psychological and spiritual well-being in college students. Research in Nursing and Health, 10, 391–398.
18.
FinneyJ. R., & MalonyH. N. (1985). An empirical study of contemplative prayer as an adjunct to psychotherapy. Journal of Psychology and Theology, 13, 284–290.
19.
FullertonT. J., & HunsbergerB. (1982). A unidimensional measure of Christian orthodoxy. Journal for the Scientific Study of Religion, 21, 317–326.
20.
GalanterM., RabkinR., RabkinJ., & DeutschA. (1979). The “Moonies”: A psychological study of conversion and membership in a contemporary religious sect. American Journal of Psychiatry, 136, 165–170.
21.
GartnerJ., LarsonD. B., & AllenG. D. (1991). Religious commitment and mental health: A review of the empirical literature. Journal of Psychology and Theology, 19, 6–25.
22.
GriffithE. E., MahyG. E., & YoungJ. L. (1986). Psychological benefits of spiritual Baptist “mourning,” II: An empirical assessment. American Journal of Psychiatry, 143, 226–229.
23.
HjelleL. A., & ZieglerD. J. (1981). Personality theories: Basic assumptions, research, and applications.New York: McGraw-Hill.
24.
HogeD. R. (1972). A validated intrinsic religious motivations scale. Journal for the Scientific Study of Religion, 11, 369–376.
25.
HunsbergerB. (1989). A short version of the Christian Orthodoxy Scale. Journal for the Scientific Study of Religion, 28, 360–365.
26.
JohnsonW. B. (1990). The comparative efficacy of religious and nonreligious Rational-Emotive Therapy with religious clients. Unpublished doctoral dissertation, Graduate School of Psychology, Fuller Theological Seminary, Pasadena, CA.
27.
JohnsonW. B., & RidleyC. R. (1992). Brief Christian and non-Christian rational-emotive therapy with depressed Christian clients: An exploratory study. Counseling and Values, 36, 220–229.
28.
KatkinS., ZimmermanV., RosenthalJ., & GinsburgM. (1975). Using volunteer therapists to reduce hospital readmissions. Hospital and Community Psychiatry, 26, 151–153.
29.
KellyE. W. (1995). Religion and spirituality in counseling and psychotherapy.Alexandria, VA: American Counseling Association.
30.
KoenigH. G. (1993). The relationship between Judeo-Christian religion and mental health among middle-aged and older adults. Advances, 9, 33–38.
31.
LipskerL. E., & OordtR. M. (1990). Treatment of depression in adolescents: A Christian cognitive-behavior therapy approach. Journal of Psychology and Christianity, 9, 25–33.
32.
MalonyH. N. (1988). The clinical assessment of optimal religious functioning. Review of Religious Research, 30, 3–17.
33.
MartinezF. I. (1991). Therapist-client convergence and similarity of religious values: Their effect of client improvement. Journal of Psychology and Christianity, 10, 137–143.
34.
McMinnM. R. (1991). Cognitive therapy techniques in Christian counseling.Dallas, TX: Word.
35.
McMinnM. R. (1996). Psychology, theology, and spirituality in Christian counseling.Wheaton, IL: Tyndale.
36.
McMinnM. R., & LeboldC. J. (1989). Collaborative efforts in cognitive therapy with religious clients. Journal of Psychology and Theology, 17, 101–109.
37.
MorrisP. A. (1982). The effect of pilgrimage on anxiety, depression and religious attitude. Psychological Medicine, 12, 291–294.
38.
PaloutzianR. F., & EllisonC. W. (1982). Loneliness, spiritual well-being, and the quality of life. In PeplauL. A., & PerlmanD. (Eds.), Loneliness: A sourcebook of current theory, research and therapy (pp. 224–237). New York: Wiley.
39.
PargamentK. I. (1997). The psychology of religion and spirituality? Yes and no. Psychology of Religion Newsletter, 22(3), 1–9.
40.
PecheurD. R., & EdwardsK. J. (1984). A comparison of secular and religious versions of cognitive therapy with depressed Christian college students. Journal of Psychology and Theology, 12, 45–54.
41.
PropstL. R., OstromR., WatkinsP., DeanT., & MashburnD. (1992). Comparative efficacy of religious and nonreligious cognitive-behavioral therapy for the treatment of clinical depression in religious individuals. Journal of Consulting and Clinical Psychology, 60, 94–103.
42.
RichardsP. S., & BerginA. E. (1997). A spiritual strategy for counseling and psychotherapy.Washington, DC: American Psychological Association.
43.
ShafranskeE. (Ed.). (1996). Religion and the clinical practice of psychology.Washington, DC: American Psychological Association.
44.
TanS.-Y. (1987). Cognitive-behavior therapy: A biblical approach and critique. Journal of Psychology and Theology, 15, 103–112.
45.
TanS.-Y. (1991). Lay counseling: Equipping Christians for a helping ministry.Grand Rapids, MI: Zondervan.
46.
TanS.-Y. (1992). The Holy Spirit and counseling ministries. The Christian Journal of Psychology and Counseling, 7, 8–11.
47.
TanS.-Y. (1993). Training in professional psychology: Diversity includes religion. Paper presented at the National Council of Schools of Professional Psychology Midwinter Conference on Clinical Training in Professional Psychology, La Jolla, CA.
48.
WatsonP. J., MorrisR. J., & HoodR. W.Jr. (1988). Intrinsic-ness, self-actualization, and the ideological surround. Journal of Psychology and Theology, 18, 40–53.
49.
WorthingtonE. L.Jr. (1986). Religious counseling: A review of published empirical research. Journal of Counseling and Development, 64, 421–431.
50.
WorthingtonE. L.Jr. (1991). Psychotherapy and religious values: An update. Journal of Psychology and Christianity, 10, 211–223.
51.
WorthingtonE. L.Jr., KurusuT. A., McCulloughM. E., & SandageS. J. (1996). Empirical research on religion and psychotherapeutic processes and outcomes: A 10-year review and research prospectus. Psychological Bulletin, 119, 448–487.
