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Religion and Spirituality in Psychiatry

Religion and Spirituality in Psychiatry

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182 Ralph L. PiedmontTable 13.3: Partial Correlations Between the SCID-IIP Axis II PD Scales <strong>and</strong> the ASPIRES<strong>Spirituality</strong> <strong>and</strong> Religious Sentiments Scales Controll<strong>in</strong>g for FFM Personality Doma<strong>in</strong>s.SCID-IV PD ScaleASPIRES ScalePF UN CN R RCParanoid –.05 –.07 .04 –.07 .16** .03*Schizoid –.01 –.03 –.13* .03 .15** .04**Schizotypal .16** .15** .04 .08 .15** .07***Antisocial-Adult –.15** –.11* –.02 –.25*** .21*** .08***Antisocial-Youth .10 .10 –.01 .15** –.03 .03*Borderl<strong>in</strong>e –.11 –.06 .02 –.17** .26*** .06***Histrionic .01 .07 .01 –.02 .13* .01Narcissistic –.07 –.01 –.04 –.09 .16** .06***Avoidant –.14* –.12* –.10 –.09 .16** .02*Dependent –.02 –.05 .00 –.02 .07 .01Obsessive-.18*** .11* .03 .24*** .00 .06***CompulsivePassive-Aggressive .01 –.01 .00 –.03 .22*** .05***Depressive –.10 –.14* –.09 –.12 .23*** .05***ΔR 2 .14*** .12*** .07* .17*** .11***ΔR 2N = 342. p < .05; ** p < .01; *** p < .001, two-tailed. PF = Prayer Fulfillment, UN = Universality, CN = Connectedness,R = Religiosity Index, RC = Religious Crisis.Note: Correlations <strong>in</strong> bold <strong>in</strong>dicate a significant predictor <strong>in</strong> the regression analysis.Adapted from Piedmont RL, Hass<strong>in</strong>ger CJ, Rhorer J, Sherman MF, Sherman NC, Williams JEG. The relations amongspirituality <strong>and</strong> religiosity <strong>and</strong> Axis II function<strong>in</strong>g <strong>in</strong> two college samples. Res Soc Sci Stud Relig. 2007;18:53–74.reflect the unique overlap between the num<strong>in</strong>ousscales <strong>and</strong> Axis II function<strong>in</strong>g. There are fourpo<strong>in</strong>ts of <strong>in</strong>terest here. First, with the exceptionof the dependent scale, all the PD scales correlatewith at least one of the ASPIRES scales. Thenum<strong>in</strong>ous constructs relate to almost the entirespectrum of disorders. Second, the two religioussentiments scales appear to have more numerousassociations, <strong>and</strong> of higher magnitude, thanthe STS facet scales. Thus, learned religious sentimentsmay be more salient for underst<strong>and</strong><strong>in</strong>gAxis II issues than spiritual motivations. Third,two series of regression analyses were performedto obta<strong>in</strong> the amount of overlapp<strong>in</strong>g variance.The last row of Table 13.3 <strong>in</strong>dicates the amountof unique variance that each of the ASPIRESscales has <strong>in</strong> common with all of the SCID-IIPPD scales once the <strong>in</strong>fluence of personality isremoved. As can be seen, the PD scales expla<strong>in</strong>from 7 percent to 17 percent of the variance <strong>in</strong>each ASPIRES scale. These would be consideredvery large effect sizes.(49) F<strong>in</strong>ally, the last column<strong>in</strong> the table evaluates the amount of uniqueshared variance between each PD scale <strong>and</strong> thefive ASPIRES scales, controll<strong>in</strong>g for the predictiveeffects of personality. In all but two <strong>in</strong>stances(the Histrionic <strong>and</strong> Dependent PD scales), theASPIRES scales uniquely account for a significantamount of variance <strong>in</strong> each PD scale(from 2 percent to 8 percent). The magnitude ofthese effects would be considered moderate tostrong. The bolded correlations <strong>in</strong>dicate thosescales that emerged significant <strong>in</strong> the regression.It is <strong>in</strong>terest<strong>in</strong>g to note that the religioussentiments scales were the consistent predictorswhile the STS facet scales tended to drop out ofthe analyses.(50)Th e second phase of this study was to applySEM to evaluate models that varied the causalrelations between the ASPIRES scales <strong>and</strong> thePD scales. Model 1 exam<strong>in</strong>ed the causal impactof both personality <strong>and</strong> spirituality on Axis IIfunction<strong>in</strong>g. Model 2 exam<strong>in</strong>ed the causalimpact of both personality <strong>and</strong> religious sentimentson Axis II function<strong>in</strong>g. Model 3 reversedthe causal sequence <strong>and</strong> evaluated the impact of

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