{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T14:20:34Z","timestamp":1788272434127,"version":"build-2803163510"},"reference-count":31,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2019,4,1]],"date-time":"2019-04-01T00:00:00Z","timestamp":1554076800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"}],"content-domain":{"domain":["clinicalkey.jp","clinicalkey.com","clinicalkey.es","clinicalkey.fr","clinicalkey.com.au","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Affective Disorders"],"published-print":{"date-parts":[[2019,4]]},"DOI":"10.1016\/j.jad.2019.02.012","type":"journal-article","created":{"date-parts":[[2019,2,5]],"date-time":"2019-02-05T21:30:11Z","timestamp":1549402211000},"page":"127-135","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":46,"special_numbering":"C","title":["Spiritual struggles and mental health outcomes in a spiritually integrated inpatient program"],"prefix":"10.1016","volume":"249","author":[{"given":"Joseph M.","family":"Currier","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joshua D.","family":"Foster","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4364-6816","authenticated-orcid":false,"given":"Charlotte vanOyen","family":"Witvliet","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6380-336X","authenticated-orcid":false,"given":"Alexis D.","family":"Abernethy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5416-4711","authenticated-orcid":false,"given":"Lindsey M.","family":"Root Luna","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2403-9765","authenticated-orcid":false,"given":"Sarah A.","family":"Schnitker","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1533-0059","authenticated-orcid":false,"given":"Karl","family":"VanHarn","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Janet","family":"Carter","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.jad.2019.02.012_bib0001","doi-asserted-by":"crossref","first-page":"565","DOI":"10.1037\/ort0000084","article-title":"Robust links between religious\/spiritual struggles, psychological distress, and well-being in a national sample of American adults","volume":"85","author":"Abu-Raiya","year":"2015","journal-title":"Am. J. Orthopsychiatry"},{"key":"10.1016\/j.jad.2019.02.012_bib0002","doi-asserted-by":"crossref","first-page":"129","DOI":"10.1037\/1082-989X.8.2.129","article-title":"The dominance analysis approach for comparing predictors in multiple regression","volume":"8","author":"Azen","year":"2003","journal-title":"Psychol. Methods"},{"key":"10.1016\/j.jad.2019.02.012_bib0003","doi-asserted-by":"crossref","first-page":"542","DOI":"10.1037\/0033-2909.114.3.542","article-title":"Dominance analysis: a new approach to the problem of relative importance of predictors in multiple regression","volume":"114","author":"Budescu","year":"1993","journal-title":"Psychol. Bull."},{"key":"10.1016\/j.jad.2019.02.012_bib0004","doi-asserted-by":"crossref","first-page":"57","DOI":"10.1002\/jts.21978","article-title":"Spirituality factors in the prediction of outcomes of PTSD treatment for military veterans","volume":"28","author":"Currier","year":"2015","journal-title":"J. Trauma Stress"},{"key":"10.1016\/j.jad.2019.02.012_bib0005","article-title":"Theistic relational spirituality: development, dynamics, health, and transformation","author":"Davis","year":"2018","journal-title":"Psychol. Rel. Spirit"},{"key":"10.1016\/j.jad.2019.02.012_bib0006","doi-asserted-by":"crossref","first-page":"1481","DOI":"10.1002\/1097-4679(200012)56:12<1481::AID-1>3.0.CO;2-A","article-title":"Guilt, discord, and alienation: the role of religious strain in depression and suicidality","volume":"56","author":"Exline","year":"2000","journal-title":"J. Clin. Psychol."},{"key":"10.1016\/j.jad.2019.02.012_bib0007","series-title":"APA Handbook of Psychology, Religion, and Spirituality: Vol. 1. Context, Theory, and Research","first-page":"459","article-title":"Religious and spiritual struggles","author":"Exline","year":"2013"},{"key":"10.1016\/j.jad.2019.02.012_bib0008","first-page":"208","article-title":"The religious and spiritual struggles scale: development and initial validation","volume":"6","author":"Exline","year":"2014","journal-title":"Psychol. Rel. Spirit."},{"key":"10.1016\/j.jad.2019.02.012_bib0010","doi-asserted-by":"crossref","first-page":"376","DOI":"10.1080\/13811118.2013.833149","article-title":"Religion-based emotional social support mediates the relationship between intrinsic religiosity and mental health","volume":"18","author":"Hovey","year":"2014","journal-title":"Arch Suicide Res."},{"key":"10.1016\/j.jad.2019.02.012_bib0011","doi-asserted-by":"crossref","first-page":"181","DOI":"10.1002\/cpp.572","article-title":"Evaluation of the mental health continuum-short form (MHC-SF) in Setswana-speaking South Africans","volume":"15","author":"Keyes","year":"2008","journal-title":"Clin. Psychol. Psychother."},{"key":"10.1016\/j.jad.2019.02.012_bib0012","doi-asserted-by":"crossref","first-page":"509","DOI":"10.3928\/0048-5713-20020901-06","article-title":"The PHQ-9: a new depression diagnostic and severity measure","volume":"32","author":"Kroenke","year":"2002","journal-title":"Psychiatric Ann"},{"key":"10.1016\/j.jad.2019.02.012_bib0013","doi-asserted-by":"crossref","first-page":"606","DOI":"10.1046\/j.1525-1497.2001.016009606.x","article-title":"The PHQ-9: validity of a brief depression severity measure","volume":"16","author":"Kroenke","year":"2001","journal-title":"J. Gen. Inter. Med."},{"key":"10.1016\/j.jad.2019.02.012_bib0014","doi-asserted-by":"crossref","first-page":"99","DOI":"10.1002\/jclp.20741","article-title":"Evaluating the psychometric properties of the Mental Health Continuum-Short Form (MHC-SF)","volume":"67","author":"Lamers","year":"2011","journal-title":"J Clin. Psychol."},{"key":"10.1016\/j.jad.2019.02.012_bib0015","doi-asserted-by":"crossref","first-page":"1469","DOI":"10.1002\/jclp.20325","article-title":"Examining the link between spiritual struggles and symptoms of psychopathology in a national sample","volume":"62","author":"McConnell","year":"2006","journal-title":"J. Clin. Psychol."},{"key":"10.1016\/j.jad.2019.02.012_bib0016","series-title":"Decade of Behavior. New Methods for the Analysis of Change","first-page":"139","article-title":"Latent difference score structural models for linear dynamic analyses with incomplete longitudinal data","author":"McArdle","year":"2001"},{"key":"10.1016\/j.jad.2019.02.012_bib0017","doi-asserted-by":"crossref","first-page":"128","DOI":"10.1001\/jamapsychiatry.2013.3067","article-title":"Neuroanatomical correlates of religiosity and spirituality: a study in adults at high and low familial risk for depress","volume":"71","author":"Miller","year":"2014","journal-title":"JAMA Psychiatry"},{"key":"10.1016\/j.jad.2019.02.012_bib0018","doi-asserted-by":"crossref","first-page":"127","DOI":"10.1016\/j.drugalcdep.2013.12.018","article-title":"Losing faith and finding religion: religiosity over the life course and substance use and abuse","volume":"136","author":"Moscati","year":"2014","journal-title":"Drug Alcohol Depend."},{"key":"10.1016\/j.jad.2019.02.012_bib0019","first-page":"711","article-title":"Patterns of positive and negative religious coping with major life stressors","volume":"37","author":"Pargament","year":"1998","journal-title":"J. Sc. Study Rel."},{"key":"10.1016\/j.jad.2019.02.012_bib0020","doi-asserted-by":"crossref","first-page":"713","DOI":"10.1177\/1359105304045366","article-title":"Religious coping methods as predictors of psychological, physical, and spiritual outcomes among medically ill elderly patients: a two-year longitudinal study","volume":"9","author":"Pargament","year":"2004","journal-title":"J Health Psychol."},{"key":"10.1016\/j.jad.2019.02.012_bib0021","series-title":"Judeo Christian Perspectives on Psychology: Human Nature, Motivation, and Change","first-page":"245","article-title":"Spiritual struggle: a phenomenon of interest to psychology of religion","author":"Pargament","year":"2005"},{"key":"10.1016\/j.jad.2019.02.012_bib0022","doi-asserted-by":"crossref","first-page":"59","DOI":"10.1111\/j.1468-5906.2005.00265.x","article-title":"Sacrilege: a study or sacred loss and desecration and their implications for health and well-being in a community sample","volume":"44","author":"Pargament","year":"2005","journal-title":"J. Sci. Study Rel."},{"key":"10.1016\/j.jad.2019.02.012_bib0023","series-title":"APA Handbook of Psychology, Religion, and Spirituality: Vol. 1. Context, Theory, and Research","first-page":"257","article-title":"Searching for the sacred: toward a nonreductionistic theory of spirituality","author":"Pargament","year":"2013"},{"key":"10.1016\/j.jad.2019.02.012_bib0024","doi-asserted-by":"crossref","first-page":"426","DOI":"10.1007\/s10865-011-9315-y","article-title":"Religious struggle as predictor of subsequent mental and physical well-being in advanced heart failure patients","volume":"34","author":"Park","year":"2011","journal-title":"J. Behav. Med."},{"key":"10.1016\/j.jad.2019.02.012_bib0025","series-title":"Handbook of the Psychology of Religion and Spirituality","first-page":"540","article-title":"Religion, spirituality, and mental health","author":"Park","year":"2013"},{"key":"10.1016\/j.jad.2019.02.012_bib0026","series-title":"Trauma, Meaning, and Spirituality: Translating Research into Clinical Practice","author":"Park","year":"2016"},{"key":"10.1016\/j.jad.2019.02.012_bib0028","doi-asserted-by":"crossref","DOI":"10.1037\/tra0000239","article-title":"Spiritual struggles and suicide in veterans seeking PTSD treatment","author":"Raines","year":"2017","journal-title":"Psychol. Trauma"},{"key":"10.1016\/j.jad.2019.02.012_bib0029","doi-asserted-by":"crossref","first-page":"182","DOI":"10.1016\/j.psychres.2013.03.023","article-title":"Religious coping among psychotic patients: relevance to suicidality and treatment outcomes","volume":"210","author":"Rosmarin","year":"2013","journal-title":"Psychiatry Res."},{"key":"10.1016\/j.jad.2019.02.012_bib0030","doi-asserted-by":"crossref","first-page":"653","DOI":"10.1002\/gps.4052","article-title":"Spiritual struggle and affective symptoms among geriatric mood disordered patients","volume":"29","author":"Rosmarin","year":"2014","journal-title":"Int. J. Geriatr. Psychiatry"},{"key":"10.1016\/j.jad.2019.02.012_bib0031","doi-asserted-by":"crossref","first-page":"355","DOI":"10.1037\/a0020953","article-title":"Spiritually conscious psychological care","volume":"41","author":"Saunders","year":"2010","journal-title":"Profess. Psychol."},{"key":"10.1016\/j.jad.2019.02.012_bib0032","series-title":"The Psychology of Religion and Spirituality for clinicians: Using Research in Your Practice","first-page":"331","article-title":"Religion, spirituality, and mental health","author":"Toussaint","year":"2012"},{"key":"10.1016\/j.jad.2019.02.012_bib0033","first-page":"129","article-title":"Spiritual and religious competencies for psychologists","volume":"5","author":"Vieten","year":"2013","journal-title":"Psychol. Rel. Spirit."}],"container-title":["Journal of Affective Disorders"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0165032718329914?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0165032718329914?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2019,3,27]],"date-time":"2019-03-27T22:51:49Z","timestamp":1553727109000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0165032718329914"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,4]]},"references-count":31,"alternative-id":["S0165032718329914"],"URL":"https:\/\/doi.org\/10.1016\/j.jad.2019.02.012","relation":{},"ISSN":["0165-0327"],"issn-type":[{"value":"0165-0327","type":"print"}],"subject":[],"published":{"date-parts":[[2019,4]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Spiritual struggles and mental health outcomes in a spiritually integrated inpatient program","name":"articletitle","label":"Article Title"},{"value":"Journal of Affective Disorders","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jad.2019.02.012","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2019 Elsevier B.V. All rights reserved.","name":"copyright","label":"Copyright"}]}}