Petitionary personal prayer as a coping strategy in irritable bowel syndrome – a correlational questionnaire study

Sammanfattning: Background: Irritable Bowel Syndrome (IBS) is a common disorder in which the main symptoms are abdominal pain or discomfort combined with diarrhoea and/or constipation. Personal petitionary prayer – asking God for help and support when facing problems in life – is among the most common forms of prayer and can be viewed as a coping strategy when managing health problems. Previous research on the effects of personal petitionary prayer has showed conflicting findings and there are indications that prayer can be associated with more problems when facing stressful somatic problems such as chronic pain in Swedish settings rather than the opposite and expected benefits from praying. The present master-thesis was informed by the coping theory by Lazarus and Folkman (1984) and a theoretical perspective of prayer as a religious coping strategy. Aims: The aim was to investigate associations between personal petitionary prayer as a coping strategy and IBS symptoms, quality of life and anxiety. A second aim was to investigate if use of prayer would change 10 weeks later and if IBS symptoms at baseline could predict prayer assessed 10 weeks later.   Methods: The data in this master-thesis were collected in association with a treatment trial on internet-delivered cognitive behaviour therapy for IBS (Ljótsson et al., 2010). Data were derived from all 85 self-selected participants who had been included in the treatment trial. The three-item self-report measure of prayer which is  part of  the Coping Strategies Questionnaire for pain was used. I also included data on self-report measures of IBS symptoms and IBS-related quality of life and anxiety, and finally a measure of symptoms of depression. The sample included were mainly women (85%), with some form of higher education (64%) and finally fairly young (Mean age 34.6 years). Data on prayer have not been published before. 10 week follow-up data were available for 37 participants.  Results: Statistically significant cross-sectional correlations were found between the prayer scale score and IBS-related quality of life (r =-.44, p<.01) and with gastrointestinal symptom-specific anxiety (r=.42, p<.01), which indicates that more use of prayer is associated with  lower quality of life and more anxiety symptoms. Regression analyses entering prayer in competition with the other variables as predictors showed that prayer was more consistently associated with IBS-related quality of life which also predicted prayer. Use of prayer did not change over the 10-week period and prayer at 10 weeks could not be predicted. Interpretation: In line with some previous research personal petitionary prayer can be associated with more rather than less problems with health. It is important to note that personal prayer is one form of prayer and that long term effects may show different results. Finally, the role of religious affiliation and cultural aspects need to be considered in future research.