Human Flourishing Program, Harvard University, Cambridge, MA, USA.
Department of Epidemiology, Harvard T. H. Chan School of Public Health, Boston, MA, USA.
Int J Psychol. 2024 Oct;59(5):701-716. doi: 10.1002/ijop.13135. Epub 2024 May 2.
This prospective study examined the primary, secondary and complex conceptual models of religious/spiritual struggles with 18 indicators of whole person functioning across five domains: psychological well-being, psychological distress, social well-being, physical well-being and character. We used three waves of longitudinal data (Wave 1: August/September 2021, Wave 2: October/November 2021, Wave 3: February 2022) from Colombian university students (N = 2878, M = 20.88 ± 4.05 years). Adjusting for covariates assessed in Wave 1, our primary analysis applied the analytic templates for outcome-wide and lagged exposure-wide designs to estimate two sets of lagged linear regression models. Religious/spiritual struggles in Wave 2 were associated with a small-to-medium-sized decline in subsequent functioning on 17/18 indicators in Wave 3, and worse functioning on 16/18 indicators in Wave 2 was associated with very small-to-medium-sized increases in subsequent religious/spiritual struggles in Wave 3. The results provided evidence in favour of the complex conceptual model for 16/18 indicators of whole person functioning. Our findings extend existing evidence on the reciprocal association between religious/spiritual struggles and individual functioning to a wide range of indicators, reinforcing the need for practitioners to consider the dynamic interplay between religious/spiritual struggles and individual functioning as they work with younger populations.
本前瞻性研究考察了宗教/精神挣扎的主要、次要和复杂概念模型,涉及五个领域的 18 个整体人功能指标:心理幸福感、心理困扰、社会幸福感、身体健康和品格。我们使用了来自哥伦比亚大学生的三波纵向数据(第 1 波:2021 年 8 月/9 月,第 2 波:2021 年 10 月/11 月,第 3 波:2022 年 2 月)(N=2878,M=20.88±4.05 岁)。在调整第 1 波评估的协变量后,我们的主要分析应用了结果广泛和滞后暴露广泛设计的分析模板,以估计两组滞后线性回归模型。第 2 波的宗教/精神挣扎与第 3 波后续功能的小到中等程度下降相关,而第 2 波的 16/18 个指标的功能较差与第 3 波后续宗教/精神挣扎的小到中等程度增加相关。研究结果为 16/18 个整体人功能指标的复杂概念模型提供了证据支持。我们的发现扩展了现有关于宗教/精神挣扎与个体功能之间相互关系的证据范围,涉及广泛的指标,这强化了从业者在与年轻人群体合作时需要考虑宗教/精神挣扎与个体功能之间的动态相互作用的必要性。