key: cord-0973373-q4lksa2k authors: Jacobi, Christopher Justin; Cowden, Richard G.; Vaidyanathan, Brandon title: Associations of Changes in Religiosity With Flourishing During the COVID-19 Pandemic: A Study of Faith Communities in the United States date: 2022-04-05 journal: Front Psychol DOI: 10.3389/fpsyg.2022.805785 sha: 6663da216616d4322e369c941f6e042ff96dd859 doc_id: 973373 cord_uid: q4lksa2k This study explored the extent to which perceived changes in religiosity from before to during the COVID-19 pandemic are associated with flourishing. Participants from a diverse set of faith communities in two United States metropolitan regions (N = 1,480) completed an online survey between October and December 2020. The survey included items capturing perceived changes in four dimensions of religiosity (i.e., importance of religion, frequency of prayer, frequency of religious service attendance, and sense of connectedness to one’s faith community) and a multidimensional measure of flourishing. Based on multilevel regressions, results indicated that self-reported decreases in each dimension of religiosity were associated with lower overall flourishing. This pattern of findings was largely similar for the domains of flourishing, with some variation in the strength of associations that emerged. An increase in frequency of religious service attendance was associated with lower overall flourishing and lower scores on selected domains of flourishing (e.g., mental and physical health), indicating possible evidence of religious coping. Faith communities might have to find ways of supporting members during the challenging COVID-19 period to prevent long-term declines in flourishing. Considerable research finds positive associations between religiosity and various dimensions of wellbeing, including physical health, mental health, life satisfaction, and happiness (Lim and Putnam, 2010; Koenig et al., 2012; VanderWeele, 2017a) . The COVID-19 pandemic, however, has necessitated restrictions on religious services and activities. Given the concerns of a global mental health crisis due to the pandemic (Pfefferbaum and North, 2020) , it is essential to examine the extent to which the pandemic has brought about changes in religious practices that might impact various dimensions of human flourishing. Several dimensions of religiosity are relevant to human flourishing. Public religious practice (i.e., religious service attendance) is strongly associated with reduced mortality (Chida et al., 2009) , better mental health (Ellison et al., 2009; Li et al., 2016; VanderWeele et al., 2016) , better social relationships (Wilcox and Wolfinger, 2016) , life satisfaction (Myers, 2008) , as well as virtuous and prosocial behavior (Putnam and Campbell, 2012) . Private religious practices, such as prayer and meditation, are found to be associated with greater self-esteem (Krause, 2004; You et al., 2019) , sustained decreases in depression and anxiety (Boelens et al., 2012) , and long-term decreases in pain (Beiranvand et al., 2014) . Religious salience, or the importance of religion in one's life, has also been found to be positively related to mental health (Stroope et al., 2019; Hodge, 2020; Milstein et al., 2020) . Finally, research emphasizes the importance of religious social support in shaping various aspects of wellbeing, especially among older adults who feel connected to a community in which they experience spiritual and emotional support (Krause et al., 2001; Krause and Hayward, 2014) . Some studies find negative relationships between the above dimensions of religion and mental health, which may be due to multivalency in different dimensions of religion and the inability to ascertain causal direction in cross-sectional studies (Schieman et al., 2013) . Research also suggests that the protective function of religion for wellbeing during adversity may vary based on the nature of the stressor. For example, some studies (e.g., Strawbridge et al., 1997; Bradshaw and Ellison, 2010) have found that religious service attendance may buffer the negative effects of some stressors (e.g., financial hardship) on mental health but not others (e.g., marital conflict). The COVID-19 pandemic is an especially powerful stressor and provides a unique opportunity to assess religion's relationship with various indicators of wellbeing. Using cross-sectional data collected from congregants of various religious traditions during the COVID-19 pandemic, this study hypothesizes that decreases in (a) the importance of religion in daily life, (b) frequency of prayer, (c) frequency of religious service attendance, and (d) sense of connectedness to one's faith community will be associated with lower levels of flourishing. Between October and December 2020, an online survey was conducted in 12 diverse urban and suburban congregations in Washington DC, Maryland, Virginia, and Texas. Participating congregations included four Catholic, one Evangelical, three Jewish, two African American Baptist, one Mormon, and one Hindu community. Faith community leaders emailed an online link to the survey to their membership lists. A participation incentive of $1,000 and a report of the main findings were given to each community. This purposive sample of congregations was selected to reflect a diversity of sizes, localities, and traditions, but it is not statistically representative of the denominations or their localities. Despite the limitations of the sample, it is fitting to study the impacts of the COVID-19 pandemic on religiosity and flourishing in a highly religious context. The four variables for perceived changes in dimensions of religiosity were based on items in response to the question "Overall, how have the following changed (if at all) since the COVID-19 pandemic started?": (a) "How important your religious faith is to you in your everyday life, " (b) "How often you pray or meditate, " (c) "How often you attend religious services, " and (d) "The sense of connection or closeness you feel toward your local faith community." Survey respondents were asked to select one of the following response categories for each of the four dimensions of religiosity: "decreased since the pandemic, " "same as before the pandemic, " and "increased since the pandemic." Participants completed the Flourishing Index (VanderWeele, 2017b). The measure contains 10 items that are evenly distributed across five domains: (1) life satisfaction and happiness (e.g., "Overall, how satisfied are you with life as a whole these days?"), (2) mental and physical health (e.g., "How would you rate your overall mental health?"), (3) meaning and purpose (e.g., "Overall, to what extent do you feel the things you do in your life are worthwhile?"), (4) character and virtue (e.g., "I always act to promote good in all circumstances, even in difficult and challenging situations"), and (5) close social relationships (e.g., "I am content with my friendships and relationships"). The two statements/questions for each domain are averaged for domain-specific scores that range from 0 to 10, with high scores implying greater wellbeing. An overall flourishing score is also calculated by averaging participants' responses to all 10 items. In this study, estimated internal consistency reliability for overall flourishing was α = 0.90. Multivariate analyses control for age (continuous), gender (0: female, 1: male), race (1: White American, 2: Hispanic, 3: Black American, 4: Asian American, 5: other), marital status (0: unmarried, 1: married or in partnership), education (0: less than a college degree, 1: college degree or higher), income (continuous) and political party (1: Republican, 2: Independent, 3: Democrat). We also include a measure of religious service attendance before the COVID-19 pandemic ("Aside from weddings, funerals, and religious holidays, about how often did you normally attend religious services at your faith community before the COVID-19 pandemic started?"). Response options include 1: a few times a year or less, 2: once a month or less, 3: 2-3 times a month, 4: once a week, 5: several times a week. Descriptive statistics of the sample characteristics are presented in Table 1 . A series of linear multilevel regression models were estimated, regressing flourishing and its five domains (six outcomes in total) on each of the change in religiosity measures (four predictors in total). A total of 24 models were estimated. The multilevel modeling approach in which individuals (level 1) are nested in congregations (level 2) makes it possible to statistically account for the clustering of individual respondents in the 12 congregations. The number of respondents per congregation ranged from 28 to 148 (M = 82). Statistical analyses were conducted in Stata 16.1. Missing data imputations were run via machine learning techniques using the missForest package in R (see Supplementary Material). The analysis was replicated using complete cases, the results of which were comparable to those produced after imputation (see Mental Health in Congregations Study (2020), Washington, D.C., United States. Analytic sample after missing data imputation (N = 1,480). Percentages and means are unweighted. a The Flourishing Index and its domains are standardized in the linear multilevel regression models. b The percentages for the middle categories of "same as before the pandemic" are not shown but can be deduced when subtracting from 100. We focus our interpretation on the analysis involving the imputed data. Results of the multilevel regression analyses are reported in Table 2 . Decreases and increases in religiosity are always compared to the reference group of no changes during the COVID-19 pandemic. Of the four dimensions of religiosity, a decrease in the importance of religion evidenced the strongest negative associations with overall flourishing and each of its domains. Decreases in the importance of religion (β = −1.11, p < 0.001), frequency of prayer (β = −0.60, p < 0.001), frequency of religious service attendance (β = −0.22, p < 0.001), and sense of connectedness to one's faith community (β = −0.44, p < 0.001) were each robustly associated with lower overall flourishing. The strengths of the associations of changes in religiosity with the five domains of flourishing generally followed a similar pattern as the associations for overall flourishing. Decreases in both importance of religion (βs = −1.08 to −0.79, ps ≤ 0.001) and frequency of prayer (βs = −0.57 to −0.36, ps ≤ 0.01) were robustly associated with lower flourishing on all five domains. Robust associations were also found for both a decrease in the frequency of religious service attendance (βs = -0.22 to -0.17, ps ≤ 0.01) and for a decrease in sense of connectedness to one's faith community (βs = -0.50 to -0.32, ps ≤ 0.001) with life satisfaction and happiness, mental and physical health, meaning and purpose, and close social relationships. A decrease in sense of connectedness to one's faith community was modestly associated with the character and virtue domain (β = −0.13, p = 0.03), but there was little evidence of an association between a decrease in frequency of religious service attendance and the character and virtue domain (β = −0.06, p = 0.26). There was also modest evidence indicating that an increase in frequency of religious service attendance was associated with lower overall flourishing (β = −0.20, p = 0.01). There was little evidence to suggest that increases in religious importance (β = −0.01, p = 0.89), frequency of prayer (β = −0.08, p = 0.13), and sense of connectedness to one's faith community (β = −0.08, p = 0.23) were associated with overall flourishing. For the domains of flourishing, modest associations were found between an increase in frequency of religious service attendance and lower mental and physical health and close social relationships (βs = −0.23 to −0.18, ps ≤ 0.03). Similarly, an increase in prayer was modestly associated with lower scores on the domains of life satisfaction and happiness and mental and physical health (βs = −0.12, ps ≤ 0.04). None of the other associations between increases in the dimensions of religiosity and the flourishing domains reached statistical significance (βs = −0.15 to.06, ps > 0.053). In support of this study's hypotheses, self-reported declines in religious importance, frequency of prayer, religious β = standardized regression coefficients, CI = confidence interval. Each criterion variable was regressed on perceived change in each dimension of religiosity in separate models. Linear multilevel (ordinary least) squares regressions were used to estimate associations of perceived changes in each dimension of religiosity with flourishing and each of its domains. All models adjusted for gender, age, marital status, education, household income, political party identification, and frequency of religious service attendance before the COVID-19 pandemic. Based on missing data imputations, all models have a constant sample size of 1,480 (Mental Health in Congregations Study, 2020, Washington, D.C., United States). *p < 0.05 before but not after Bonferroni correction, ***p < 0.05 after Bonferroni correction (the p-value cut-off for Bonferroni correction was 0.05/24 = 0.002 for each outcome). service attendance, and closeness to one's faith community from before to during the COVID-19 pandemic were each associated with lower levels of flourishing. A similar pattern of findings was identified for the domains of flourishing. The largest associations emerged for religious importance, whereas the smallest were found for in-person religious service attendance. Taken together, these findings align with the growing body of literature on the implications of the COVID-19 pandemic for religious/spiritual life (e.g., Cowden et al., 2021b; Davis et al., 2021) and empirical evidence that suggests religious/spiritual life plays an important role in contributing to the wellbeing of many people (e.g., Chen et al., 2020) . The consistently negative associations between the dimensions of religiosity and the domain of close social relationships speak to the impact that the COVID-19 pandemic has had on religious communities (VanderWeele, 2020) , and point to the challenges of maintaining cohesive religious communities during a public health crisis. Despite widespread online religious services and opportunities to participate in virtual religious activities organized by faith-based communities (Counted et al., 2020) , our findings suggest that parishioners may have found it challenging to sustain their flourishing if their sense of connectedness with other faith community members was disrupted during the COVID-19 pandemic. Contrary to our predictions, we found modest evidence suggesting that an increase in in-person religious service attendance was associated with lower flourishing (and both the domains of mental and physical health and close social relationships). Similarly, an increase in prayer was modestly associated with both lower life satisfaction and happiness and mental and physical health. These findings could be explained by the stress mobilization hypothesis (Pargament, 1997) , which refers to the notion that stressors can precipitate religious/spiritual coping responses (e.g., seeking comfort from God through prayer). Those who reported an increase in religiosity may have been seeking religious/spiritual resources that could provide them with some relief from the distress they were experiencing during the early part of the COVID-19 pandemic (Cowden et al., 2021a; Counted et al., 2022) . There are several limitations that should be considered when interpreting the findings of this study. First, our use of crosssectional data means that we cannot rule out the possibility of reverse causation. Although we retrospectively assessed perceived changes in dimensions of religiosity since the beginning of the COVID-19 pandemic, it is possible that participants' religiosity could have been influenced by their current levels of flourishing. Longitudinal studies are needed to acquire more robust evidence linking religiosity with flourishing within the context of the COVID-19 pandemic. Second, change in religiosity was assessed using a crude set of items that may not have sufficiently captured changes in religious participation, behavior, or experience. Third, participants were conveniently sampled members of selected religious congregations in the United States. This study's results may not generalize to the broader population of individuals who belong to religious communities. This study has demonstrated that decreases in dimensions of religiosity during the COVID-19 pandemic are associated with lower flourishing, with particularly strong associations found for perceived declines in the importance of religion and frequency of prayer. Congregants who reported an increase in religiosity might benefit from spiritual or mental health support if they turned to religion because of stressors experienced during the public health crisis. In the wake of the COVID-19 pandemic, religious organizations will need to find ways of supporting the religious/spiritual lives of parishioners which would involve both personal aspects (e.g., maintaining meaningful prayer practices) and social aspects (e.g., maintaining connections among members). Future research could build on the findings of this study by examining the ways in which pandemicrelated adversity might have led to increases in certain dimensions of religiosity. The raw data supporting the conclusions of this article will be made available by the authors, without undue reservation. The studies involving human participants were reviewed and approved by the Institutional Review Board of the Catholic University of America (protocol number 18-082). The patients/participants provided their written informed consent to participate in this study. CJ contributed to the conceptualization of the manuscript, data management and statistical analyses, as well as writing. RC made contributions with regards to conceptualizing the manuscript, providing analytic support, writing, and revisions. BV contributed funding acquisition, data collection, and writing. All authors contributed to the article and approved the submitted version. 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