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Coping Mechanisms for Psychosomatic Symptoms among Aging Roman Catholic German priests

  • Carlos I. Man-Ging
  • Eckhard Frick
  • Klaus Baumann
Original Paper
  • 49 Downloads

Abstract

To identify and investigate coping mechanisms and other factors which may impact upon the psychosomatic symptoms of aging German Roman Catholic priests. A cross-sectional study was conducted among 499 aging German Roman Catholic priests with standardized questionnaires: Brief Symptom Inventory, Coping Inventory Stressful Situations, and Religious Coping Scale. Task-Oriented Coping exhibited a significant difference between the two groups. Multiple regression analyses indicated that psychosomatic symptoms could be best predicted by means of Task-Oriented Coping mechanisms, identification with priesthood, and by a low Negative Religious Coping. The success of adaptive coping processes for older clergy may depend on how they employ strategies, strengthen their spiritual dimensions, and manage important psychosocial aspects of aging. In our sample, Depression and Somatization are explained best by Emotion-Oriented Coping. It is desirable for aging priests to be aware of protective factors like Role Identification, Task-Oriented Coping, and low Negative Religious Coping, which may be helpful in improving their psychological well-being.

Keywords

Aging priests Psychosomatic symptoms Depressive symptoms Coping mechanisms Religious coping 

Notes

Compliance with Ethical Standards

Conflict of interest

All the authors declare that they have no conflict of interest.

Human and Animal Rights

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

Informed Consent

It was obtained from all individual participants included in the study.

References

  1. Abdelsayed, L. M., Bustrum, J. M., Tisdale, T. C., Reimer, K. S., & Camp, C. A. (2013). The impact of personality on God image, religious coping, and religious motivation among Coptic Orthodox priests. Mental Health, Religion & Culture, 16(2), 155–172.  https://doi.org/10.1080/13674676.2011.652604.CrossRefGoogle Scholar
  2. Aldao, A., Nolen-Hoeksema, S., & Schweizer, S. (2010). Emotion-regulation strategies across psychopathology: A meta-analytic review. Clinical Psychology Review, 30(2), 217–237.CrossRefPubMedGoogle Scholar
  3. Alexander, J. (2001). Depressed men: An exploratory study of close relationships. Journal of Psychiatric and Mental Health Nursing, 8, 67–75.  https://doi.org/10.1111/j.1365-2850.2001.00354.x.CrossRefPubMedGoogle Scholar
  4. Ardelt, M., & Koenig, C. S. (2006). The role of religion for hospice patients and relatively healthy older adults. Research on Aging, 28(2), 184–215.  https://doi.org/10.1177/0164027505284165.CrossRefGoogle Scholar
  5. Austenfeld, J. L., & Stanton, A. L. (2004). Coping through emotional approach: A new look at emotion, coping, and health-related outcomes. Journal of Personality, 72(6), 1335–1364.  https://doi.org/10.1111/j.1467-6494.2004.00299.x.CrossRefPubMedGoogle Scholar
  6. Baltes, P. B., & Mayer, K. U. (2001). The Berlin aging study: Aging from 70 to 100. New York: Cambridge University Press.Google Scholar
  7. Baltes, B. B., Zhdanova, L. S., & Clark, M. A. (2011). Examining the relationships between personality, coping strategies, and work–family conflict. Journal of Business and Psychology, 26(4), 517–530.  https://doi.org/10.1007/s10869-010-9207-0.CrossRefGoogle Scholar
  8. Blanchard-Fields, F. (2007). Everyday problem solving and emotion an adult developmental perspective. Current Directions in Psychological Science, 16(1), 26–31.  https://doi.org/10.1111/j.1467-8721.2007.00469.x.CrossRefGoogle Scholar
  9. Bono, G., & McCullough, M. E. (2004). Religion, forgiveness, and adjustment in older adulthood. In K. W. Schaie, N. Krause, & A. Booth (Eds.), Religious influences on health and well-being in the elderly (pp. 163–186). New York: Springer.Google Scholar
  10. Boycott, N., Akhtar, A., & Schneider, J. (2015). “Work is good for me”: Views of mental health service users seeking work during the UK recession, a qualitative analysis. Journal of Mental Health, 24(2), 93–97.CrossRefPubMedGoogle Scholar
  11. Brandtstädter, J. (2009). Goal pursuit and goal adjustment: Self-regulation and intentional self-development in changing developmental contexts. Advances in Life Course Research, 14(1), 52–62.  https://doi.org/10.1016/j.alcr.2009.03.002.CrossRefGoogle Scholar
  12. Brandtstädter, J., & Rothermund, K. (2002). The life-course dynamics of goal pursuit and goal adjustment: A two-process framework. Developmental Review, 22(1), 117–150.  https://doi.org/10.1006/drev.2001.0539.CrossRefGoogle Scholar
  13. Büssing, A., Baumann, K., Jacobs, C., & Frick, E. (2017a). Spiritual dryness in Catholic priests: Internal resources as possible buffers. Psychology of Religion and Spirituality, 9(1), 46–55.CrossRefGoogle Scholar
  14. Büssing, A., Sautermeister, J., Frick, E., Baumann, K. (2017b). Reactions and strategies of german catholic priests to cope with phases of spiritual dryness. Journal of Religion and Health, 56(3), 1018–1031.  https://doi.org/10.1007/s10943-016-0333-5.CrossRefPubMedGoogle Scholar
  15. Cacioppo, J. T., Hughes, M. E., Waite, L. J., Hawkley, L. C., & Thisted, R. A. (2006). Loneliness as a specific risk factor for depressive symptoms: Cross-sectional and longitudinal analyses. Psychology and Aging, 21(1), 140.  https://doi.org/10.1037/0882-7974.21.1.140.CrossRefPubMedGoogle Scholar
  16. Campos, M., Páez, D., & Velasco, C. (2004). Afrontamiento y regulación emocional de hechos traumáticos: un estudio longitudinal sobre el 11-M. Ansiedad y Estrés, 10(2–3), 277–286.Google Scholar
  17. Carels, R. A. (2004). The association between disease severity, functional status, depression and daily quality of life in congestive heart failure patients. Quality of Life Research, 13(1), 63–72.  https://doi.org/10.1023/B:QURE.0000015301.58054.51.CrossRefPubMedGoogle Scholar
  18. Charles, S. T., & Carstensen, L. L. (2008). Unpleasant situations elicit different emotional responses in younger and older adults. Psychology and Aging, 23(3), 495–504.  https://doi.org/10.1037/a0013284.CrossRefPubMedPubMedCentralGoogle Scholar
  19. Coleman, P. G. (2011). Belief and ageing: Spiritual pathways in later life. Bristol: The Policy Press.CrossRefGoogle Scholar
  20. Derogatis, L. (2001). BSI 18, Brief Symptom Inventory 18: Administration, scoring and procedures manual. Minneapolis: NCS Pearson.Google Scholar
  21. Desbordes, G., Negi, L. T., Pace, T. W., Wallace, B. A., Raison, C. L., & Schwartz, E. L. (2012). Effects of mindful-attention and compassion meditation training on amygdala response to emotional stimuli in an ordinary, non-meditative state. Frontiers in Human Neuroscience.  https://doi.org/10.3389/fnhum.2012.00292.PubMedPubMedCentralGoogle Scholar
  22. Doolittle, B. R. (2007). Burnout and coping among parish-based clergy. Mental Health, Religion & Culture, 10(1), 31–38.  https://doi.org/10.1080/13674670600857591.CrossRefGoogle Scholar
  23. Endler, N. S., & Parker, J. D. (1990). Multidimensional assessment of coping: A critical evaluation. Journal of Personality and Social Psychology, 58(5), 844.  https://doi.org/10.1037/0022-3514.58.5.844.CrossRefPubMedGoogle Scholar
  24. Exline, J. J., Pargament, K. I., Grubbs, J. B., & Yali, A. M. (2014). The religious and spiritual struggles scale: Development and initial validation. Psychology of Religion and spirituality, 6(208–37), 222.  https://doi.org/10.1037/a0036465.Google Scholar
  25. Francis, L. J., & Rutledge, C. J. (2004). Personality and preference for rural ministry: Replication and reconsideration. Pastoral Psychology, 53(1), 43–48.  https://doi.org/10.1023/B:PASP.0000039324.77332.94.CrossRefGoogle Scholar
  26. Frick, E., Büssing, A., Baumann, K., Weig, W., & Jacobs, C. (2016). Do self-efficacy expectation and spirituality provide a buffer against stress-associated impairment of health? A comprehensive analysis of the German Pastoral Ministry Study. Journal of Religion and Health, 55(2), 448–468.CrossRefPubMedGoogle Scholar
  27. García, F., Páez, D., Cartes, G., Neira, H., & Reyes, A. (2014). Religious coping, social support and subjective severity as predictors of posttraumatic growth in people affected by the earthquake in Chile on 27/F 2010. Religions, 5, 1132–1145.CrossRefGoogle Scholar
  28. Gerber, M. M., Boals, A., & Schuettler, D. (2011). The unique contributions of positive and negative religious coping to posttraumatic growth and PTSD. Psychology of Religion and Spirituality, 3(4), 298.CrossRefGoogle Scholar
  29. Golden, G.Y. (1982). Coping with aging: Denial and avoidance in middleaged care-givers. Unpublished doctoral dissertation, University of California, Berkeley.Google Scholar
  30. Harris, J. I., Erbes, C. R., Engdahl, B. E., Ogden, H., Olson, R. H., Winskowski, A. M., et al. (2012). Religious distress and coping with stressful life events: A longitudinal study. Journal of Clinical Psychology, 68(12), 1276–1286.  https://doi.org/10.1002/jclp.21900.CrossRefPubMedGoogle Scholar
  31. Isacco, A., Sahker, E., Krinock, E., Sim, W., & Hamilton, D. (2015). How religious beliefs and practices influence the psychological health of Catholic priests. American Journal of Men’s Health.  https://doi.org/10.1177/1557988314567325.Google Scholar
  32. Kane, M. N., & Jacobs, R. J. (2015a). “My Bishop told his priests that section 8 housing was an option”: Catholic priests, aging, and retirement in the United States. Journal of Religion & Spirituality in Social Work: Social Thought, 34(3), 235–251.  https://doi.org/10.1080/15426432.2015.1036153.CrossRefGoogle Scholar
  33. Kane, M. N., & Jacobs, R. J. (2015b). Perceptions of success and failure among aging Catholic priests. Journal of Religion, Spirituality & Aging, 27(4), 288–304.  https://doi.org/10.1080/15528030.2015.1046630.CrossRefGoogle Scholar
  34. King, S. D., Fitchett, G., Murphy, P. E., Pargament, K. I., Martin, P. J., Johnson, R. H., et al. (2017). Spiritual or religious struggle in hematopoietic cell transplant survivors. Psycho-Oncology, 26(2), 270–277.CrossRefPubMedGoogle Scholar
  35. Klein, D. M., Turvey, C. L., & Pies, C. J. (2007). Relationship of coping styles with quality of life and depressive symptoms in older heart failure patients. Journal of Aging and Health, 19(1), 22–38.  https://doi.org/10.1177/0898264306296398.CrossRefPubMedGoogle Scholar
  36. Knox, S., Virginia, S. G., Thull, J., & Lombardo, J. P. (2005). Depression and contributors to vocational satisfaction in Roman Catholic secular clergy. Pastoral Psychology, 54(2), 139–155.  https://doi.org/10.1007/s11089-005-6199-1.CrossRefGoogle Scholar
  37. Lazarus, R. S., & DeLongis, A. (1983). Psychological stress and coping in aging. American Psychologist, 38(3), 245.  https://doi.org/10.1037/0003-066X.38.3.245.CrossRefPubMedGoogle Scholar
  38. Lewis, C. A., Maltby, J., & Day, L. (2005). Religious orientation, religious coping and happiness among UK adults. Personality and Individual Differences, 38(5), 1193–1202.CrossRefGoogle Scholar
  39. Lewis, C. A., Turton, D. W., & Francis, L. J. (2007). Clergy work-related psychological health, stress, and burnout: An introduction to this special issue of mental health, religion and culture. Mental Health, Religion & Culture, 10(1), 1–8.  https://doi.org/10.1080/13674670601070541.CrossRefGoogle Scholar
  40. Man-Ging, C. I., Öven Uslucan, J., Fegg, M., Frick, E., & Büssing, A. (2015). Reporting spiritual needs of older adults living in Bavarian residential and nursing homes. Mental Health, Religion & Culture, 8(10), 1–13.  https://doi.org/10.1080/13674676.2015.1100159.Google Scholar
  41. Marcks, B. A., & Woods, D. W. (2005). A comparison of thought suppression to an acceptance-based technique in the management of personal intrusive thoughts: A controlled evaluation. Behaviour Research and Therapy, 43(4), 433–445.  https://doi.org/10.1016/j.brat.2004.03.005.CrossRefPubMedGoogle Scholar
  42. Maybery, D. J., Jones-Ellis, J., Neale, J., & Arentz, A. (2006). The positive event scale: Measuring uplift frequency and intensity in an adult sample. Social Indicators Research, 78(1), 61–83.CrossRefGoogle Scholar
  43. Montesó, P., Ferre, C., Lleixa, M., Albacar, N., Aguilar, C., Sánchez, A., et al. (2012). Depression in the elderly: Study in a rural city in southern Catalonia. Journal of Psychiatric and Mental Health Nursing, 19, 426–429.  https://doi.org/10.1111/j.1365-2850.2011.01798.x.CrossRefPubMedGoogle Scholar
  44. Murberg, T. A., & Bru, E. (2001). Coping and mortality among patients with congestive heart failure. International Journal of Behavioral Medicine, 8(1), 66–79.  https://doi.org/10.1207/S15327558IJBM0801_05.CrossRefGoogle Scholar
  45. Nolen-Hoeksema, S., & Aldao, A. (2011). Gender and age differences in emotion regulation strategies and their relationship to depressive symptoms. Personality and Individual Differences, 51(6), 704–708.  https://doi.org/10.1016/j.paid.2011.06.012.CrossRefGoogle Scholar
  46. O’Brien, R. M. (2007). A caution regarding rules of thumb for variance inflation factors. Quality & Quantity, 41(5), 673–690.  https://doi.org/10.1007/s11135-006-9018-6.CrossRefGoogle Scholar
  47. Orgeta, V., & Orrell, M. (2014). Coping styles for anxiety and depressive symptoms in community-dwelling older adults. Clinical Gerontologist, 37(4), 406–417.  https://doi.org/10.1080/07317115.2014.907590.CrossRefGoogle Scholar
  48. Ouwehand, C., de Ridder, D. T., & Bensing, J. M. (2007). A review of successful aging models: Proposing proactive coping as an important additional strategy. Clinical Psychology Review, 27(8), 873–884.  https://doi.org/10.1016/j.cpr.2006.11.003.CrossRefPubMedGoogle Scholar
  49. Paez, D., Basabe, N., Valdoseda, M., Velasco, C., & Iraurgi, I. (1995). Confrontation: Inhibition, alexithymia, and health. In J. W. Pennebaker (Ed.), Emotion, disclosure, & health (pp. 195–222). Washington DC: American Psychological Association.CrossRefGoogle Scholar
  50. Páez, D., & Costa, S. D. (2014). Regulación afectiva (de emociones y estado de ánimo) en el lugar de trabajo. Revista Psicologia Organizações e Trabalho, 14(2), 190–203.Google Scholar
  51. Pargament, K. I., Ano, G. G., & Wachholtz, A. (2005). The religious dimension of coping. In R. F. Paloutzian & C. L. Park (Eds.), Handbook of the psychology of religion and spirituality (pp. 479–495). New York: The Guilford Press.Google Scholar
  52. Pargament, K. I., Desai, K. M., McConnell, K. M., Calhoun, L., & Tedeschi, R. (2006). Spirituality: A pathway to posttraumatic growth or decline. In L. Calhoun & R. Tedeschi (Eds.), Handbook of posttraumatic growth: Research and practice (pp. 121–137). New York: Psychology Press.Google Scholar
  53. Pargament, K. I., Feuille, M., & Burdzy, D. (2011). The Brief RCOPE: Current psychometric status of a short measure of religious coping. Religions, 2(1), 51–76.  https://doi.org/10.3390/rel2010051.CrossRefGoogle Scholar
  54. Pargament, K. I., Koenig, H. G., Tarakeshwar, N., & Hahn, J. (2004). Religious coping methods as predictors of psychological, physical, and spiritual outcomes among medically ill elderly patients: A two-year longitudinal study. Journal of Health Psychology, 9, 713–730.  https://doi.org/10.1177/1359105304045366.CrossRefPubMedGoogle Scholar
  55. Penley, J. A., Tomaka, J., & Wiebe, J. S. (2002). The association of coping to physical and psychological health outcomes: A meta-analytic review. Journal of Behavioral Medicine, 25(6), 551–603.CrossRefPubMedGoogle Scholar
  56. Petrie, K. J., Booth, R. J., & Pennebaker, J. W. (1998). The immunological effects of thought suppression. Journal of Personality and Social Psychology, 75(5), 1264.CrossRefPubMedGoogle Scholar
  57. Piedmont, R. L. (2009). The contribution of religiousness and spirituality to subjective wellbeing and satisfaction with life. In International handbook of education for spirituality, care and wellbeing (pp 89–105). Springer, Dordrecht.CrossRefGoogle Scholar
  58. Plante, T. G., & Aldridge, A. (2005). Psychological patterns among Roman Catholic clergy accused of sexual misconduct. Pastoral Psychology, 54(1), 73–80.  https://doi.org/10.1007/s11089-005-6184-8.CrossRefGoogle Scholar
  59. Rajandram, R. K., Jenewein, J., McGrath, C., & Zwahlen, R. A. (2011). Coping processes relevant to posttraumatic growth: An evidence-based review. Supportive Care in Cancer, 19(5), 583–589.CrossRefPubMedPubMedCentralGoogle Scholar
  60. Ryff, C. D., Singer, B. H., & Palmersheim, K. A. (2004). Social inequalities in health and well-being: The role of relational and religious protective factors How healthy are we? (pp. 90–123). Chicago: The University of Chicago Press.Google Scholar
  61. Sowa, A., Golinowska, S., Deeg, D., Principi, A., Casanova, G., Schulmann, K., et al. (2016). Predictors of religious participation of older Europeans in good and poor health. European Journal of Ageing.  https://doi.org/10.1007/s10433-016-0367-2.Google Scholar
  62. Steffens, N. K., Haslam, S. A., Schuh, S. C., Jetten, J., & van Dick, R. (2016). A meta-analytic review of social identification and health in organizational contexts. Personality and Social Psychology Review.  https://doi.org/10.1177/1088868316656701.PubMedGoogle Scholar
  63. Steiger, J. H. (1980). Tests for comparing elements of a correlation matrix. Psychological Bulletin, 87, 245–251.CrossRefGoogle Scholar
  64. Stewart-Sicking, J. A. (2012). Subjective well-being among Episcopal priests: Predictors and comparisons to non-clinical norms. Journal of Prevention & Intervention in the Community, 40(3), 180–193.  https://doi.org/10.1080/10852352.2012.680408.CrossRefGoogle Scholar
  65. Thomas, S. N., & Plante, T. G. (2015). Psychological well-being of roman Catholic and episcopal clergy applicants. Pastoral Psychology, 64(6), 875–881.  https://doi.org/10.1007/s11089-015-0655-3.CrossRefGoogle Scholar
  66. Watson, D., Wiese, D., Vaidya, J., & Tellegen, A. (1999). The two general activation systems of affect: Structural findings, evolutionary considerations, and psychobiological evidence. Journal of Personality and Social Psychology, 76(5), 820.CrossRefGoogle Scholar
  67. Windgassen, S., Goldsmith, K., Moss-Morris, R., & Chalder, T. (2016). Establishing how psychological therapies work: The importance of mediation analysis. Journal of Mental Health, 25(2), 93–99.CrossRefPubMedGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  • Carlos I. Man-Ging
    • 1
    • 2
  • Eckhard Frick
    • 3
  • Klaus Baumann
    • 4
  1. 1.Department of Palliative MedicineUniversity of MunichMunichGermany
  2. 2.Faculty of Philosophical-Theological SciencesPontifical Catholic University of EcuadorQuitoEcuador
  3. 3.Department of Psychosomatic Medicine and Psychotherapy, Spiritual Care Research Center, Medical SchoolTechnische Universität MünchenMunichGermany
  4. 4.Caritas Science and Christian Social Work, Faculty of TheologyAlbert-Ludwig UniversityFreiburgGermany

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