Forgiveness and Mental Health Variables among Psychotherapy Outpatients

Justyna Mróz, Kinga Kaleta

Abstract


High cost of mental health problems to societies requires searching for factors that may have salutary effect on psychological health. Forgiveness might be one of such variables. Although empirical studies of forgiveness and mental health have been increasingly undertaken, there is a deficiency in examining the connections in clinical samples. The aim of the present research was to explore the relationships between multidimensional disposition to forgive and mental health variables, such as positive and negative affect and satisfaction with life, among outpatient psychotherapy participants in comparison to untreated individuals. The study included 137 respondents,68 of whom were outpatients and 69 the controls. The Heartland Forgiveness Scale, the Positive and Negative Affect Schedule and the Satisfaction with Life Scale were used. The results showed no differences in forgiveness between the treatment and control group but revealed poorer mental health (lower positive affect and satisfaction with life, and higher negative affect) in outpatients. In the outpatients sample, positive associations between forgiveness and affect and life satisfaction were significantly stronger than in the controls. The findings suggest that treated individuals have more to gain through forgiveness than untreated ones.


Keywords


forgiveness; mental health; positive affect; negative affect; satisfaction with life; psychotherapy

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References


Acevedo, B.P., Aron, A., Fisher, H.E., Brown, L.L. (2012). Neural correlates of marital satisfaction and well-being: reward, empathy, and affect. Clinical Neuropsychiatry, 9(1), 20-31.

Allemand, M., Hill, P.L., Ghaemmaghami, P., Martin, M. (2012). Forgivingness and subjective well-being in adulthood: The moderating role of future time perspective. Journal of Research in Personality, 46(1), 32-39.

Allemand, M., Job, V., Christen, S., Keller, M. (2008). Forgivingness and action orientation. Personality and Individual Differences, 45(8), 762-766.

Berry, J.W., Worthington, E.L., O'Connor, L.E., Parrott, L., Wade, N.G. (2005). Forgivingness, vengeful rumination, and affective traits. Journal of Personality, 73(1), 183-226. doi:10.1111/j.1467-6494.2004.00308.x

Berry, J.W., Worthington, E.L., Jr, Parrott, L., O’Connor, L.E., Wade, N.G. (2001). Dispositional forgivingness: Development and construct validity of the Transgression Narrative Test of Forgivingness (TNTF). Personality and Social Psychology Bulletin, 27, 1277–1290.

Brown, R.P. (2003). Measuring individual differences in the tendency to forgive: Construct validity and links with depression. Personality and Social Psychology Bulletin, 29, 759–771.

Brzozowski, P. (2010). Skala uczuć pozytywnych i negatywnych SUPIN. Polska adaptacja PANAS Davida Watsona i Lee Anny Clark. Podręcznik., Warszawa: Pracownia Testów Psychologicznych. Warszawa: PTP.

Burnette, J.L., Davis, D.E., Green, J.D., Worthington, E.L., Bradfield, E. (2009). Insecure attachment and depressive symptoms: The mediating role of rumination, empathy, and forgiveness. Personality and Individual Differences, 46(3), 276-280.

Daig, I., Herschbach, P., Lehmann, A., Knoll, N., Decker, O. (2009). Gender and age differences in domain-specific life satisfaction and the impact of depressive and anxiety symptoms: A general population survey from Germany. Quality of Life Research, 18(6), 669-678. https://doi.org/10.1007/s11136-009-9481-3

Davis, D.E., Worthington Jr, E.L., Hook, J.N., Hill, P.C. (2013). Research on religion/spirituality and forgiveness: A meta-analytic review. Psychology of Religion and Spirituality, 5, 233. https://doi.org/10.1037/a0033637

da Silva, P.F.R., Blay, S. L. (2010). Prevalence and characteristics of outpatient psychotherapy use: a systematic review. The Journal of nervous and mental disease, 198(11), 783-789. doi: 10.1097/NMD.0b013e3181f97e1f

Diener, E., Emmons, R.A., Larsen, R.J., Griffin, S. (1985). The satisfaction with life scale. Journal of Personality Assessment, 49, 71–75.

Eaton, J., Struthers, C.W., Santelli, A. G. (2006). Dispositional and state forgiveness: The role of self-esteem, need for structure, and narcissism. Personality and Individual Differences, 41(2), 371-380.

Enright, R.D. (1996). Counseling within the forgiveness triad: On forgiving, receiving forgiveness, and self-forgiveness. Counseling and Values, 40, 107–126.

Enright, R.D., Eastin, D.L., Golden, S., Sarinopoulos, I., Freedman, S. (1991). Interpersonal forgiveness within the helping professions: An attempt to resolve differences of opinion. Counseling and Values, 36(2), 84-103.

Fayyaz, F., Besharat, M.A., 2011. Comparison of forgiveness in clinical depressed, non-clinical depressed and normal people. Procedia Soc. Behav. Sci. 30, 89-93. https://doi.org/10.1016/j.sbspro.2011.10.018.

Feibelman, J.L., Turner, L.A. (2015). Relationships between eating disorder symptomology and forgiveness among college students. Current Psychology, 34(1), 121-129.

Fincham, F.D., Beach, S.R., Davila, J. (2004). Forgiveness and conflict resolution in marriage. Journal of Family Psychology, 18, 72–81. http://doi.org/10.1037/0893-3200.18.1.72

Frisch, M.B., Cornell, J., Villanueva, M., Retzlaff, P.J. (1992). Clinical validation of the Quality of Life Inventory. A measure of life satisfaction for use in treatment planning and outcome assessment. Psychological Assessment, 4(1), 92–101. https://doi.org/10.1037/1040-3590.4.1.92

Fujita, F., Diener, E., Sandvik, E. (1991). Gender differences in negative affect and well-being: the case for emotional intensity. Journal of Personality and Social Psychology, 61, 427-434. doi: 10.1037//0022-3514.61.3.427

Green, M., Decourville, N., Sadava, S. (2012). Positive Affect, Negative Affect, Stress, and Social Support as Mediators of the Forgiveness-Health Relationship. Journal of Social Psychology, 152(3), 288–307.

Harris, A.H.S., Thoresen, C.E. (2005). Forgiveness, unforgiveness, health, and disease. In: E.L. Worthington Jr. (Ed.), Handbook of Forgiveness (pp. 321–334). New York: Routledge.

Henning, E.R., Turk, C.L., Mennin, D.S., Fresco, D.M., Heimberg, R.G. (2007). Impairment and quality of life in individuals with generalized anxiety disorder. Depression and Anxiety, 24, 342–349. doi.org/10.1002/da.20249

Hirsch, J.K., Webb, J.R., Jeglic, E.L. (2011). Forgiveness, depression, and suicidal behavior among a diverse sample of college students. Journal of Clinical Psychology, 67(9), 896-906.

Hobfoll, S.E. (1989). Conservation of resources: A new attempt at conceptualizing stress. American Psychologist, 44, 513–524.

Hobfoll, S.E. (2002). Social and psychological resources and adaptation. Review of General Psychology, 6, 307–324.

Hunt, C., Slade, T., Andrews, G. (2004). Generalized anxiety disorder and major depressive disorder comorbidity in the National Survey of Mental Health and Well‐Being. Depression and Anxiety, 20(1), 23-31. doi.org/10.1002/da.20019

Juczyński, Z. (2001). Narzędzia pomiaru w promocji i psychologii zdrowia. Warsaw: PTP.

Kaleta, K., Mróz, J. (2018). Forgiveness and life satisfaction across different age groups in adults. Personality and Individual Differences, 120, 17-23. doi:10.1016/j.paid.2017.08.008

Kaleta, K., Mróz, J., Guzewicz, M. (2016). Polska adaptacja Skali Przebaczenia; Heartland Forgiveness Scale. Przegląd Psychologiczny, 59, 401-416.

Labrum, T., Solomon, P.L. (2016). Factors associated with family violence by persons with psychiatric disorders. Psychiatry Research, 244, 171-178. doi.org/10.1016/j.psychres.2016.07.026i

Lawler, K.A., Younger, J.W., Piferi, R.L., Billington, E., Jobe, R., Edmondson, K., Jones, W.H. (2003). A change of heart: Cardiovascular correlates of forgiveness in response to interpersonal conflict. Journal of Behavioral Medicine, 26(5), 373-393.

Lawler-Row, K.A., Piferi, R.L. (2006). The forgiving personality: Describing a life well lived? Personality and Individual Differences, 41, 1009–1020.

Macaskill, A. (2012). Differentiating Dispositional Self-Forgiveness from Other-Forgiveness: Associations with Mental Health and Life Satisfaction. Journal of Social and Clinical Psychology, 31(1), 28-50. doi.org/10.1521/jscp.2012.31.1.28

Maltby, J., Day, L., Barber, L. (2005). Forgiveness and happiness, the differing contexts of forgiveness using the distinction between hedonic and eudaimonic happiness. Journal of Happiness Studies, 6, 1–13.

McCullough, M.E., Bono, G., Root, L.M. (2007). Rumination, affect, and forgiveness: Three longitudinal studies. Journal of Personality and Social Psychology, 92, 490-505.

McCullough, M.E., Worthington Jr, E.L., Rachal, K.C. (1997). Interpersonal forgiving in close relationships. Journal of Personality and Social Psychology, 73(2), 321-336. doi.org/ 10.1037/0022-3514.73.2.321.

Messay, B., Dixon, L.J., Rye, M.S. (2012). The relationship between Quest religious orientation, forgiveness, and mental health. Mental Health, Religion & Culture, 15(3), 315-333.

Miller, A.J., Worthington, E.L. Jr., McDaniel, M. A. (2008). Gender and forgiveness: A meta--analytic review and research agenda. Journal of Social and Clinical Psychology, 27, 843-876. doi.org/ 10.1521/jscp.2008.27.8.843

Olfson, M., Marcus, S.C. (2010). National trends in outpatient psychotherapy. American Journal of Psychiatry, 167(12), 1456-1463. doi.org/10.1176/appi.ajp.2010.10040570

Orcutt, H.K., Pickett, S.M., Pope, E.B. (2005). Experiential avoidance and forgiveness as mediators in the relation between traumatic interpersonal events and posttraumatic stress disorder symptoms. Journal of Social and Clinical Psychology, 24(7), 1003-1029.

Nolen-Hoeksema, S. (2000). The role of rumination in depressive disorders and mixed anxiety/depressive symptoms. Journal of Abnormal Psychology, 109(3), 504.

Paleari, F.G., Regalia, C., Fincham, F.D. (2009). Measuring offence-specific forgiveness in marriage: the Marital Offence-Specific Forgiveness Scale (MOFS). Psychological Assessment, 21, 194-209. doi.org/10.1037/a0016068

Rye, M.S., Loiacono, D.M., Folck, C.D., Olszewski, B.T., Heim, T.A., Madia, B.P. (2001). Evaluation of the psychometric properties of two forgiveness scales. Current Psychology, 20(3), 260-277.

Rye, M.S., Pargament, K.I. (2002). Forgiveness and romantic relationships in college: Can it heal the wounded heart?. Journal of Clinical Psychology, 58, 419-441. doi:10.1002/jclp.1153

Riek, B.M., Mania, E.W. (2012). The antecedents and consequences of interpersonal forgiveness: A meta‐analytic review. Personal Relationships, 19(2), 304-325.

Roberts, R.C. (1995). Forgivingness. American Philosophical Quarterly, 32, 289-306.

Sakiz, H., Sariçam, H. (2015). Self-compassion and forgiveness: The protective approach against rejection sensitivity. The International Journal of Human and Behavioral Science, 1(2), 10-21.

Sandage, S.J., Jankowski, P.J. (2010). Forgiveness, spiritual instability, mental health symptoms, and well-being: Mediator effects of differentiation of self. Psychology of Religion and Spirituality, 2(3), 168–180. doi.org/10.1037/a0019124

Sastre, M., Vinsonneau, G., Neto, F., Girard, M., Mullet, E. (2003). Forgivingness and satisfaction with life. Journal of Happiness Studies, 4, 323–335.

Stoia-Caraballo, R., Rye, M.S., Pan, W., Kirschman, K.J.B., Lutz-Zois, C., Lyons, A.M. (2008). Negative affect and anger rumination as mediators between forgiveness and sleep quality. Journal of behavioral medicine, 31(6), 478-488.

Thompson, L.Y., Shahen, P.E. (2003). Forgiveness in the workplace. In: R.A. Giacalone, C.L. Jurkiewicz (Eds.), Handbook of Workplace Spirituality and Organizational Performance (pp. 405-420). New York–London: Me Sharpe.

Thompson, L.Y., Snyder, C.R., Hoffman, L., Michael S.T., Rasmussen, H.N., Billings, L.S., Heinze, L., Neufeld, J.E., Shorey, H.S., Roberts, J.C., Roberts, D.E. (2005). Dispositional forgiveness of self, others, and situations. Journal of Personality 73, 313-359. doi: 10.1111/j.1467-6494.2005.00311.x

Thompson, N.J., Fiorillo, D., Rothbaum, B.O., Ressler, K.J., Michopoulos, V. (2018). Coping strategies as mediators in relation to resilience and posttraumatic stress disorder. Journal of Affective Disorders, 225, 153-159. doi.org/10.1016/j.jad.2017.08.049

Toussaint, L., Friedman, P. (2009). Forgiveness, gratitude, and well-being: The mediating role of affect and beliefs. Journal of Happiness Studies, 10(6), 635.

Toussaint, L., Webb, J.R. (2005). Theoretical and empirical connections between forgiveness, mental health and well being. In: E.L. Worthington (Ed.), Handbook of Forgiveness (pp. 349–362). New York: Routledge.

Tse, W.S., Yip, T.H.J. (2009). Relationship among dispositional forgiveness of others, interpersonal adjustment and psychological well-being: Implication for interpersonal theory of depression. Personality and Individual Differences, 46(3), 365-368.

Wade, N.G., Worthington Jr, E.L. (2005). In Search of a Common Core: A Content Analysis of Interventions to Promote Forgiveness. Psychotherapy: Theory, Research, Practice, Training, 42, 160.

Wade, N.G., Worthington Jr, E.L. (2003). Overcoming interpersonal offenses: Is forgiveness the only way to deal with unforgiveness?. Journal of Counseling & Development, 81(3), 343-353.

Watson, D., Clark, L.A., Carey, G. (1988). Positive and negative affectivity and their relation to anxiety and depressive disorders. Journal of abnormal psychology, 97, 346-353.

Webb, J.R., Robinson, E.A.R., Brower, K.J. (2011). Mental health, not social support, mediates the forgiveness-alcohol outcome relationship. Psychology of Addictive Behaviors, 25(3), 462-473.

Weinberg, M. (2013). The bidirectional dyadic association between tendency to forgive, Self‐Esteem, social support, and PTSD symptoms among Terror‐Attack survivors and their spouses. Journal of Traumatic Stress, 26(6), 744-752.

Worthington Jr., E.L. (2019). Understanding Forgiveness of Other People: Definitions, Theories, and Processes. In: E.L. Worthington Jr., N.G. Wade, (Eds.) Handbook of Forgiveness (pp. 11-21). New York: Routledge.

Worthington Jr., E.L., Berry, J. W., Parrott, L. III. (2001). Unforgiveness, forgiveness, religion, and health. In: T.G. Plante, A.C. Sherman (Eds.), Faith and Health: Psychological Perspectives (pp. 107-138). New York: Guilford Press.

Worthington Jr, E.L., Jennings, D.J., Diblasio, F.A. (2010). Interventions to promote forgiveness in couple and family context: Conceptualization, review, and analysis. Journal of Psychology and Theology, 38(4), 231-245.

Worthington Jr., E.L., Jr., Wade, N.G. (1999). The social psychology of unforgiveness and forgiveness and implications for clinical practice. Journal of Social and Clinical Psychology, 18, 385–418.

van Oyen Witvliet, C. (2005). Unforgiveness, forgiveness, and justice: Scientific findings on feelings and physiology. In: E.L. Worthington Jr. (Ed.), Handbook of Forgiveness (pp. 305-319). New York: Routledge.

Vessey, J.T., Howard, K.I. (1993). Who seeks psychotherapy? Psychotherapy: Theory, Research, Practice, Training, 30(4), 546–553. doi.org/10.1037/0033-3204.30.4.546




DOI: http://dx.doi.org/10.17951/j.2020.33.3.145-159
Date of publication: 2020-10-31 02:04:10
Date of submission: 2020-04-24 12:41:51


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