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Religiousness and spirituality influence alcohol use in adolescents
Analysis shows forgiveness as significant protective factor
April 30, 2007
Studies indicate that religiousness is associated with lower levels of substance use among adolescents, but little is known about adolescents' spiritual experiences, beliefs and practices, whether these are distinct from religious factors, and how they relate to the decision to use alcohol and drugs. Researchers at Children's Hospital Boston and their colleagues report that of the many aspects of religiousness and spirituality, practice and belief in forgiveness was the only factor associated with a significantly lower risk of alcohol use during adolescence.
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John Knight, MD
The study, led by John R. Knight, MD, director of the Center for Adolescent Substance Abuse Research (CeASAR) at Children's Hospital Boston and associate professor at Harvard Medical School, evaluated 305 12 to 18-year-old patients coming for routine medical care at three primary care medical clinics in Boston, serving inner city and suburban youth from a wide range of social, racial and ethnic backgrounds. Participants completed a modified Brief Multidimensional Measure of Religiousness/Spirituality, the Spiritual Connectedness Scale, and a Timeline Followback calendar that recorded the past 90 days' use of alcohol.

"Better understanding of religious and spiritual associations will lead to more effective substance use prevention and treatment approaches for adolescents," says Knight. "We found that forgiveness had a more significant effect than any other religious or spiritual construct, including belief, religious affiliation and religious practices."

Forgiveness was indicated by how often participants practiced the following statements because of their spiritual or religious beliefs: "I have forgiven myself for things that I have done wrong," "I have forgiven those who hurt me," and "I know that God forgives me." Past studies have suggested that forgiveness -- a tenet of many of the world's religions -- improves health outcomes in patients with traumatic brain injury, cancer, Post Traumatic Stress Disorder and other conditions, and that it is important to recovery among adult substance abusers.

The findings are published in a special section on spirituality and alcoholism in the April 2007 issue of the Southern Medical Journal. Knight and Gordon Hugenberger, PhD, adjunct professor of Old Testament at Gordon-Conwell Theological Seminary in South Hamilton, Mass. and senior minister at Park Street Church in Boston, authored an accompanying editorial titled "On Forgiveness," which appears in the same issue of the journal.

This study was supported by grants from the National Institute on Alcohol Abuse and Alcoholism, The Fetzer Institute, the Maternal and Child Health Bureau and the Novotny/Swahnberg Fund at the Boston Foundation. Knight and colleagues plan to apply for additional funding to further research the relationships between religiousness/spirituality and substance abuse among adolescents.

Contact:
Rachel Pugh or Jamie Newton
617-355-6420
rachel.pugh@childrens.harvard.edu
james.newton@childrens.harvard.edu

Children's Hospital Boston is home to the world's largest research enterprise based at a pediatric medical center, where its discoveries have benefited both children and adults since 1869. More than 500 scientists, including eight members of the National Academy of Sciences, 11 members of the Institute of Medicine and 10 members of the Howard Hughes Medical Institute comprise Children's research community. Founded as a 20-bed hospital for children, Children's Hospital Boston today is a 347-bed comprehensive center for pediatric and adolescent health care grounded in the values of excellence in patient care and sensitivity to the complex needs and diversity of children and families. Children's also is the primary pediatric teaching affiliate of Harvard Medical School. For more information about the hospital and its research visit: www.childrenshospital.org/newsroom.

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Additional Resources
John Knight, MD
Research profile: John Knight, MD
Adolescent Substance Abuse Program (ASAP)
Center for Adolescent Substance Abuse Research (CeASAR)
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