Laila Putniņa, Ingrīda Trups-Kalne, Inese Lietaviete


Studies to date have linked religious struggle to poorer health outcomes. The present study aims to investigate the relationship between religious struggle, emotions, emotion regulation skills, and self-rated physical health and to search for possible mediating variables explaining this relationship. The study examined the mediating role of negative emotions and emotion regulation skills in the association of religious struggle with health outcomes in a sample of Latvian Christians. The study involved 306 participants aged between 16 and 74, belonging to different Christian denominations. Instruments used for data collection include the Religious and Spiritual Struggle (RSS) Scale, Emotion Regulation Skills Questionnaire (ERSQ), and The Physical Health Questionnaire (PHQ). The results of the study demonstrated an association between religious struggle and poorer health outcomes and confirmed the mediating role of negative emotions and emotion regulation skills in these relationships. Emotion regulation skills are associated with a higher frequency of positive emotions and better health outcomes. The findings from this study could help in designing more effective interventions for individuals experiencing religious struggle in crisis situations.



emotion, emotion regulation, religious struggle, self-rated health

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Bentzen, S. J. (2020). In Crisis, We Pray: Religiosity and the COVID-19 Pandemic. Covid Economics. Vetted and real-time papers, 20, 52-108. DOI: 10.1016/j.jebo.2021.10.014

Choo, P., & Bauer, M. (2005). Positive Emotion and Health: Going Beyond the Negative. Health Psychology, 24(4), 422-429. DOI:10.1037/0278-6133.24.4.422

Corsini, K. C. (2009). Examining The Relationship Between Religious Coping Strategies, Attachment Beliefs and Emotion Regulation in a Mixed Sample of College Students Attending an Evangelical University in Central Virginia. [A Disseratition, Liberty University]. Retrieved from

Cummings, P. J., & Pargament, I. K. (2010). Medicine for the Sipirt: Religious Coping in Individuals with Medical Conditions. Religions, 1, 28-53. DOI:10.3390/rel1010028

Damen, A., Exline J., Pargament, K., Yao, Y., Chochinov, H., Emanuel, L., Handzo, G., Wilkie, J. D., & Fitchett, G. (2021). Prevalence, Predictors and Correlates of Religious and Spiritual Struggles in Palliative Cancer Patients. Journal of Pain and Symptom Management, 62(3), 139-147. DOI: 10.1016/j.jpainsymman.2021.04.024

Doehring, C. (2019). Using spiritual care to alleviate religious, spiritual, and moral struggles arising form acute health crises. Ethic, Medicine and Public Health, 9, 68-74. DOI: 10.1016/j.jemep.2019.05.003

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 (3), 208-222. DOI: 10.1037/a0036465

Fletcher, J., & Kumar, S. (2014). Religion and risku health behaviors among U.S adolescents and adults. Journal of Economic Behavior & Organization, 104, 123-140. DOI: 10.1016/j.jebo.2014.03.018

Gary, R. (Ed). (2007). APA Dictionary of Psychology. American Psychological Association.

Malinakova, K., Tavel, P., Meier, Z., Dijk, J. P., & Reikneveld, A. S. (2020). Religiosity and Mental health: A Contribution to Understanding the Heterogeneity of Research Findings. International Journal of Environmental Research and Public Health, 17(2), 494-505. DOI: 10.3390/ijerph17020494

Moreira-Almeida, A., Neto, L. F., & Koenig, H. G. (2006). Religiousness and mental health: a review. Brazilian Journal of Psychiatry, 28 (3) 242-250. Retrieved from

Ngo, L. H., Austin, A. M., Sillon, S. T., Kent, B. V., Kanaya, A. M., Shields, A. E., & Libermann, T. A. (2021). Plasma protein expression profiles, cardiovascular disease, and religious struggles among South Asians in th MASALA study. Scientific Reports, 11(1), 1-17. DOI:10.1038/s41598-020-79429-1

Oemig Dworsky, K. C., Pargament, I. K., Wong, S., & Exline, J. J. (2016).Suppressing spiritual struggles: The role of experimential avoidance in mental health. Journal of Contextual Behavioral Science, 5(4), 258-265. DOI: 10.1016/j.jcbs.2016.10.002

Paiča, I., Mārtinsone, K., & Taube, M. (2020). Emociju regulācijas grūtības pacientiem ar depresiju. Rēzeknes Tehnoloģiju akadēmija, 7, 145-154. DOI: 10.17770/sie2020vol7.4850

Papaleontiou-Louca, E. (2021). Effects of Religion and Faith on Mental Health. New Ideas in Psychology, 60, 1-8. DOI:10.1016/j.newideapsych.2020.100833

Pargament, K., & Exline, J. J. (2020). Religious and spiritual struggles. American Psychological Association. Retrieved from

Sherman, A. L., Pearce, P. B., Bledsoe, B. S., & Gibbons, A. J. (2017). Spiritual struggles and compassiona: the positive side of moral concerns. Religion & Culture, 20(10), 1068-1073. DOI: 10.1080/13674676.2018.1443323

Szczesniak, M., Kroplewski, Z., & Szalachowski, R. (2020). The Mediating Effect of Coping Strategies on Religious/Spiritual Struggles and Life Satisfaction. Religions, 11(4), 195.

Tobin, E. T., & Slatcher, R. B. (2016) Religious participation predicts diurnal cortisol profiles 10 years later via lower levels of religious struggle. Health Psychology, 35(12), 1356-1363. Retrieved from

Trevino, M. K., Pargament, I. K., Krause, N., Ironson, G., & Hill, P. Stressful events and religious/spiritual struggle: Moderating effects of the general orienting system. Psychology of Religion and Spirituality, 11(3), 2014-224. DOI: 10.1037/rel0000149

Uchino, N. B., & Rook, S. K. (2020). Emotions, relationships, health and illness into old age. Maturitas, 139, 42-48. DOI: 10.1016/j.maturitas.2020.05.014

Zarzycka, B., & PuchalskaWasyl, M. (2020). Can Religious and Spiritual Struggle Enchance Well-Being? Exploring the Mediating effects of Iternal Dialogues. Journal of Religion & Health, 59(4), 1897-1912. DOI: 10.1007/s10943-018-00755-w

Zimmer, Z., Rojo, F., Ofsredal, B. M., Chiu, C., Saito, Y., & Jagger, C. (2018). Religiosity and health: A global comparative study. Social Science & Medicine – Population Health, 7, 1-9. DOI: 10.1016/j.ssmph.2018.11.006



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