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Occupational Distress and Health among a Sample of Christian Clergy

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Abstract

To examine the association between occupational distress, physical and mental health, and health behaviors among clergy, a convenience sample of full-time Christian clergy (N = 221) completed a questionnaire that included the Clergy Occupational Distress Index (CODI) as well as demographic, occupational, health, and behavioral variables. Descriptive statistics and regression analyses were used to analyze the data. Higher scores on the CODI were associated with high blood pressure, diabetes, chronic stress disorder, depression, anxiety, more hours spent sitting per day, and more hours worked per week. Although years in ministry was not associated with scores on the CODI, a covariate in the model (age) did exhibit an inverse relationship with scores on the CODI. The present study provides support for the potential of occupational distress to negatively influence the health of full-time Christian clergy, especially those who are younger. Further research is needed to examine the temporal relationships among occupational distress, health, and health behaviors among full-time clergy. © 2018, Springer Science+Business Media, LLC, part of Springer Nature.
Occupational Distress and Health among a Sample
of Christian Clergy
Benjamin L. Webb
1
&Kirstie Chase
1
Published online: 6 October 2018
#Springer Science+Business Media, LLC, part of Springer Nature 2018
Abstract
To examine the association between occupational distress, physical and mental health, and
health behaviors among clergy, a convenience sample of full-time Christian clergy (N=221)
completed a questionnaire that included the Clergy Occupational Distress Index (CODI) as
well as demographic, occupational, health, and behavioral variables. Descriptive statistics and
regression analyses were used to analyze the data. Higher scores on the CODI were associated
with high blood pressure, diabetes, chronic stress disorder, depression, anxiety, more hours
spent sitting per day, and more hours worked per week. Although years in ministry was not
associated with scores on the CODI, a covariate in the model (age) did exhibit an inverse
relationship with scores on the CODI. The present study provides support for the potential of
occupational distress to negatively influence the health of full-time Christian clergy, especially
those who are younger. Further research is needed to examine the temporal relationships
among occupational distress, health, and health behaviors among full-time clergy.
Keywords Clergy.Health .Stress .Occupational distress
Data from the U.S. Department of Labor ( 2017) indicate there are approximately 244,200
clergy employed in the United States. Among their many duties, clergy prepare and deliver
sermons, lead worship services, officiate weddings and funerals, visit sick and homebound
congregants, and provide counseling to congregants on a myriad of issues. It is clear that
clergy are integral to the operation of faith-based organizations (FBOs). The need to fulfill so
many duties within FBOs could lead to immense psychosocial stress for clergy.
Psychosocial stress can be defined as a perceived, nonphysical threat to an individual that
results in a disruption to homeostasis (i.e., stable conditions in the body) (Selye 2013). This
disruption is widely known as the stress response. The stress response is beneficial in preparing
the body to deal with a real or perceived threat, but a stress response that persists and/or
Pastoral Psychology (2019) 68:331343
https://doi.org/10.1007/s11089-018-0844-y
*Benjamin L. Webb
benjweb@siue.edu
1
Department of Applied Health, Southern Illinois University Edwardsville, Vadalabene Center, Suite
2616, Campus Box 1126, Edwardsville, IL 62026, USA
Content courtesy of Springer Nature, terms of use apply. Rights reserved.
... I graze constantly as well as having meetings over meals" (Webb et al., 2016, p. 268). Due to this, clergy populations have a high obesity rate and often are sedentary during a large portion of each day (Webb & Chase, 2019;Wells, 2013). Additionally, clergy populations may face health-related issues such as high blood pressure, high cholesterol, and heart disease (Webb & Chase, 2019). ...
... Due to this, clergy populations have a high obesity rate and often are sedentary during a large portion of each day (Webb & Chase, 2019;Wells, 2013). Additionally, clergy populations may face health-related issues such as high blood pressure, high cholesterol, and heart disease (Webb & Chase, 2019). ...
... As with many other helping professions-e.g., emergency medical dispatchers , social workers (Marshall & Barnett, 1993), physicians (Rabin et al., 2005)occupational distress has been shown to impact both the physical and mental well-being of clergy members, as observed in their increased risk for diabetes, high blood pressure, anxiety, and depression (Webb & Chase, 2019). Demands on clergy members are high and are imposed by the clergy themselves and the congregation members. ...
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In the United States, clergy members are at higher risk for mental health distress than the general population. To support early intervention, understanding factors associated with depression status is vital. This study seeks to examine factors associated with mild and moderate depression using the patient health questionnaire depression scale (PHQ) in Christian clergy members from the United States (N = 186). Using logistic regression procedures and Ferguson’s (Professional Psychology: Research and Practice, 40(5), 532–538, 2009) criteria for practical significance, younger age (Exp(B) = 0.956, 95% C·I = 0.072–0.016, p = 0.002), history of family therapy (Exp(B) = 0.119, 95% C·I = 0.986–0.008, p = 0.049), and psychiatric medications (Exp(B) = 3.050, 95% C·I = 1.407–6.611, p = 0.005) increased the odds of clergy members being classified in the mild depression group. Additionally, logistic regression procedures indicated that younger age (B = −0.045, Exp(B) = 0.96, 95% C·I = 0.92–0.97, p = 0.03), previous individual therapy (B = 1.66, Exp(B) = 5.28, 95% C·I = 1.36–20.44, p = 0.02), suburban (B = 1.66, Exp(B) = 5.28, 95% C·I = 1.36–20.44, p = 0.02), and rural status (B = 2.36, Exp(B) = 10.63, 95% C·I = 1.99–56.92, p = 0.006) increased the odds of being classified in the moderate depression group. Implications are discussed for researchers, clergy members, and faith tradition leaders.
... The search of electronic databases was conducted on November 30th, 2022, and found 1,868 unique citations. Of these studies, 24 were flagged for further screening. Of these, 12 were excluded (four because obesity was not reported, four because they were from F I G U R E 1 PRIMSA flow diagram for study selection. ...
... We extracted data from 12 articles. 4,5,7,11,12,23,24,[26][27][28][29][30] In Figure 1, the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) flowchart is shown. ...
... 54 although these groups were also captured in the seven multidenominational studies. 6,9,23,24,31,35,69 In Figure 2, we present the results of the pooled meta-analysis. The estimated prevalence of clergy obesity was 34.8% (95% CI: 32.5-37.2). ...
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Objective This systematic review aims to summarize the current body of evidence concerning the prevalence of obesity among clergy (i.e., the officially designated leaders of a religious group) in the United States. Method From November 2022 to February 2023, five databases, one data repository, and gray matter were searched for articles and data sources. The search was restricted to articles published or raw data collected from 2001 to 2021. Study quality was assessed with a template, and heterogeneity was assessed using the statistic. The protocol for this review was registered with PROSPERO (CRD42022376592). Results Forty‐seven studies of clergy obesity involving 35,064 individuals were eligible. The pooled prevalence estimate of obesity across studies was 34.8% (95% confidence interval [CI]: 32.5–37.2). Obesity prevalence was found to be increasing over time and to vary considerably between clergy from different religious traditions. Compared to national estimates, from 2005 onwards, obesity prevalence was higher than in the US adult population.
... p = .60) on occupational distress using the Clergy Occupational Distress Index (CODI; Webb & Chase, 2019). Essentially, according to this literature (Webb & Chase, 2019), as clergy age they are less likely to develop occupational distress. ...
... on occupational distress using the Clergy Occupational Distress Index (CODI; Webb & Chase, 2019). Essentially, according to this literature (Webb & Chase, 2019), as clergy age they are less likely to develop occupational distress. ...
... Other research indicates that 500-1000 metabolic equivalents (METs) minutes per week are another measurement suggested for healthy adults (Jeong et al., 2019). Priests have self-reported high levels of physical activity in recent research (M = 959 MET minutes/week, IQR = 345-2206; Webb & Chase, 2019). With the known association between engagement in regular MVPA and mental health variables (which could include occupational distress), physical activity participation could be a useful lifestyle factor to explore further within the Catholic clergy demographic. ...
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With ever-increasing demands placed upon active priests in the United States, insight into protecting their mental health may help strengthen vocational resilience for individual priests. The purpose of this study was to examine the association of individual variables, workplace characteristics, and physical activity participation with occupational distress levels among Catholic priests. A 22-question survey consisting of a demographic questionnaire, the Clergy Occupational Distress Index, and the International Physical Activity Questionnaire was employed to collect individual variables, workplace characteristics, physical activity participation, and occupational distress levels of Catholic priests from the Eastern seaboard of the United States. Regression analyses showed that the number of years ordained (β = −.24, p < .01) and number of priests residing together (β = −.11, p = .05) were negatively associated with occupational distress levels. Collectively, these demographic, workplace, and physical activity variables accounted for about 10% of the variances in priest participant occupational distress scores. Findings suggest that novice priests may be more susceptible to occupational distress than veteran priests and that those living in multi-priest households tend to show lower levels of occupational distress. (Arch)dioceses may find the results of the current study useful for planning housing situations for priests or to better help novice priests meet the demands of their vocation.
... Rights reserved. struggle with their own health issues, such as obesity, chronic disease (Holleman & Eagle, 2023;Lindholm et al., 2016;Proeschold-Bell & LeGrand, 2010;Webb & Chase, 2019), and poor mental health (Adams et al., 2017;Brown et al., 2017;Proeschold-Bell et al., 2013). ...
... It also has been used with other populations (Hozak et al., 2016;Moffor et al., 2015). In this study of the CFS-CS with clergy, phase 1 indicated the survey had good content validity as Research on clergy health has been evolving, in part due to concerns related to obesity and chronic disease prevalence (Holleman & Eagle, 2023;Proeschold-Bell & LeGrand, 2010;Terry & Cunningham, 2020) as well as mental health outcomes, including burnout (Adams et al., 2017;Barna Group, 2022;Holleman & Eagle, 2023;Webb & Chase, 2019). Despite these concerns, little research has focused on developing theorybased tools to aid those in the field of clergy health to better understand clergy beliefs and attitudes about caring for self. ...
... While additional studies are needed to continue moving forward in this area of research, this study established the CFS-CS, Clergy as a valid and reliable tool for assessing caring for self among clergy. Given the poor health outcomes clergy currently face (Barna Group, 2022;Brown et al., 2017;Holleman & Eagle, 2023;Proeschold-Bell & LeGrand, 2010Webb & Chase, 2019), tools such as the CFS-CS, Clergy are needed to advance clergy health initiatives. As a theory-based tool, the CFS-CS, Clergy can assist researchers in understanding clergy beliefs and attitudes about caring for themselves. ...
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... Research regarding the mental health of Christian spiritual leaders has increased in recent years, mostly among Protestant denominations (Harmon et al., 2023). However, clergy are underrepresented in overall wellness research (Chiarlitti & Kolen, 2020;Terry & Cunningham, 2020) despite oft-cited occupational and behavioral risks associated with their Vocation (Webb & Chase, 2019). Additionally, research on physical activity habits and well-being of Catholic priests is limited and often outdated. ...
... This instrument includes seven items designed to measure weekly engagement in moderate-to-vigorous physical activity (MVPA) and light physical activity with the addition of estimated measures of weekly sitting time. The IPAQ-SF has been deemed valid and reliable for various adult populations (Cleland et al., 2018) and has recently been utilized by researchers interested in the physical activity and sedentary lifestyle habits of protestant and non-denominational Christian clergy (Webb & Chase, 2019). ...
... These rates of depression are also substantially lower than Knox et al. (2002) study which found that 20% of (arch)diocesan priests surveyed were within the threshold of depressive symptoms. This lower proportion might have resulted from differences in measures of depression and study sample sizes, as Shaw et al. (2021) Regarding proportion of severe anxiety, Catholic priests in the current study reported lower rates (7.2%) than those of predominantly Protestant clergy (12.7%) in recently reported research (Webb & Chase, 2019). Knox et al. (2002) found that 15% and 20% of strictly Catholic priests participating in their research met the criteria for state and trait anxiety respectively, although they used a different measure with a lower cutoff score on severity of anxiety. ...
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The purpose of this observational study was to examine (a) the proportion of Catholic priests in the United States that have anxiety/depression and meet the Canadian 24-Hour of Movement Guidelines, and (b) the association of meeting these guidelines with the likelihood of anxiety and depression. A sample of (arch)diocesan priests (n = 335) completed demographic and behavior survey, International Physical Activity Questionnaire (IPAQ-SF), and Hospital Anxiety and Depression Scale (HADS). Results indicated that 21.1% of priests surveyed met all three movement guidelines (physical activity, sleep, and screentime) and 7.8% met none. Priests who reported excessive recreational screentime (≥ 3 h/day) were more likely to have anxiety (OR = 3.17) and depression (OR = 2.91), and who were physically inactive (< 150 min/week) were more likely to have depression (OR = 8.89). Data from this study addresses a gap in the literature regarding Catholic priests, movement behavior, and mental wellbeing.
... The age group of our sample reported the highest level of job burnout in a previous pastor survey (Faithlife & Church Communications, 2021). Other studies have also shown that being a pastor is a demanding job with over 50 h per week work time (Faithlife & Church Communications, 2021;Krejcir, 2016) and high occupational stress (Lee & Iverson-Gilbert, 2003;Webb & Chase, 2018). In addition to the high job stress and burnout, 58% of pastors have reported not having anyone they would consider a close friend (Krejcir, 2016). ...
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