ORIGINAL PAPER
Episodic forgiveness in young American adults and its pathways to distress by health, outlook, spirituality, aggression, and social support
 
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1
Faculty of Philosophy and Education, Catholic University of Eichstätt-Ingolstadt, Eichstätt, Germany
 
2
School of Human Sciences, University of Economics and Human Sciences in Warsaw, Warsaw, Poland
 
3
Department of Psychology, Luther College, Decorah, IA, United States
 
4
Faculty of Education, University of Białystok, Białystok, Poland
 
5
Faculty of Education, Cardinal Stefan Wyszyński University in Warsaw, Warsaw, Poland
 
 
Submission date: 2023-11-29
 
 
Final revision date: 2024-03-05
 
 
Acceptance date: 2024-03-07
 
 
Online publication date: 2024-04-30
 
 
Corresponding author
Sebastian Binyamin Skalski-Bednarz   

Faculty of Philosophy and Education, Catholic University of Eichstätt-Ingolstadt, Ostenstrasse 26, 85072 Eichstätt, Germany
 
 
 
KEYWORDS
TOPICS
ABSTRACT
Background:
Forgiveness is one form of emotion-focused coping, and the positive effects of such a practice on mental well-being have been confirmed by numerous meta-analyses. The biopsychosocial model assumes that feeling burdened is determined by a number of physical, psychological, and social factors, suggesting a multidimensional relationship between forgiveness and distress. In this study, we tested a model according to which various sociopsychological variables (i.e., health, outlook, spirituality, aggression, and social support) mediate the negative association between episodic forgiveness (also known as state forgiveness) and distress.

Participants and procedure:
We tested the model on a cross-sectional sample of 436 young adults from the United States (62% of whom were women) using structural equation modelling (SEM).

Results:
The results of the overall model supported our indirect effects hypotheses. An analysis of specific indirect effects revealed that variables such as health, a negative outlook, aggressiveness, and social support play a special role in adaptation to stressful life events in forgiving individuals.

Conclusions:
The relationship between episodic forgiveness and distress can be explained through complex sociopsychological mechanisms, including feelings of health, outlook, or social support, and attitudes, experiences, and behaviours related to these mechanisms can influence each other and collectively contribute to preventing or reducing perceived burden in young American adults.

 
REFERENCES (76)
1.
Akhtar, S., & Barlow, J. (2018). Forgiveness therapy for the promotion of mental well-being: a systematic review and meta-analysis. Trauma Violence Abuse, 19, 107–122. https://doi.org/10.1177/152483....
 
2.
Akhtar, S., Dolan, A., & Barlow, J. (2017). Understanding the relationship between state forgiveness and psy-chological wellbeing: a qualitative study. Journal of Religion and Health, 56, 450–463. https://doi.org/10.1007/S10943....
 
3.
Baskin, T. W., & Enright, R. D. (2004). Intervention studies on forgiveness: a meta-analysis. Journal of Coun-seling & Development, 82, 79–90. https://doi.org/10.1002/J.1556....
 
4.
Beck, A. T., Weissman, A., Lester, D., & Trexler, L. (1974). The measurement of pessimism: The Hopelessness Scale. Journal of Consulting and Clinical Psychology, 42, 861–865. https://doi.org/10.1037/H00375....
 
5.
Billing, T. K., & Steverson, P. (2013). Moderating role of type-A personality on stress-outcome relationships. Management Decision, 51, 1893–1904. https://doi.org/10.1108/MD-01-....
 
6.
Brown, R. P. (2016). Measuring individual differences in the tendency to forgive: Construct validity and links with depression. Personality and Social Psychology Bulletin, 29, 759–771. https://doi.org/10.1177/014616....
 
7.
Caetano, S. C., Silva, C. M., & Vettore, M. V. (2013). Gender differences in the association of perceived social support and social network with self-rated health status among older adults: a population-based study in Brazil. BMC Geriatrics, 13, 122. https://doi.org/10.1186/1471-2....
 
8.
Cheng, C. T., Ho, S. M. Y., Lai, Y., Zhang, Q., & Wang, G. L. (2021). Coping profiles predict long-term anxiety trajectory in breast cancer survivors. Supportive Care in Cancer, 29, 4045–4053. https://doi.org/10.1007/S00520....
 
9.
Davis, D. E., Hook, J. N., Van Tongeren, D. R., DeBlaere, C., Rice, K. G., & Worthington, E. L. (2015). Making a decision to forgive. Journal of Counseling Psychology, 62, 280–288. https://doi.org/10.1037/COU000....
 
10.
Denney, R. M., & Aten, J. D. (2020). Religious coping. In D. A. Leeming (Ed.), Encyclopedia of psychology and religion (pp. 1996–1998). Springer International Publishing. https://doi.org/10.1007/978-3-....
 
11.
DeWall, C. N., & Anderson, C. A. (2010). The general aggression model. In P. R. Shaver & M. Mikulincer (Eds.), Human aggression and violence: Causes, manifestations, and consequences (pp. 15–33). American Psycho-logical Association. https://doi.org/10.1037/12346-....
 
12.
Everson, S. A., Goldberg, D. E., Kaplan, G. A., Cohen, R. D., Pukkala, E., Tuomilehto, J., & Salonen, J. T. (1996). Hopelessness and risk of mortality and incidence of myocardial infarction and cancer. Psychosomatic Medicine, 58, 113–121. https://doi.org/10.1097/000068....
 
13.
Fehr, R., Gelfand, M. J., & Nag, M. (2010). The road to forgiveness: a meta-analytic synthesis of its situational and dispositional correlates. Psychological Bulletin, 136, 894–914. https://doi.org/10.1037/A00199....
 
14.
First, M. B. (1997). Structured clinical interview for DSM-IV axis I disorders. Biometrics Research Department, New York State Psychiatric Institute.
 
15.
Fraser, L., Burnell, M., Salter, L. C., Fourkala, E. O., Kalsi, J., Ryan, A., Gessler, S., Gidron, Y., Steptoe, A., & Menon, U. (2014). Identifying hopelessness in population research: a validation study of two brief measures of hopelessness. BMJ Open, 4, e005093. https://doi.org/10.1136/bmjope....
 
16.
Gall, T. L., & Bilodeau, C. (2020). The role of forgiveness as a coping response to intimate partner stress. Journal of Spirituality in Mental Health, 23, 319–341. https://doi.org/10.1080/193496....
 
17.
Goldman, D. B., & Wade, N. G. (2012). Comparison of forgiveness and anger-reduction group treatments: a randomized controlled trial. Psychotherapy Research, 22, 604–620. https://doi.org/10.1080/105033....
 
18.
Harris, A. H. S., Luskin, F., Norman, S. B., Standard, S., Bruning, J., Evans, S., & Thoresen, C. E. (2006). Effects of a group forgiveness intervention on forgiveness, perceived stress, and trait-anger. Journal of Clinical Psychology, 62, 715–733. https://doi.org/10.1002/JCLP.2....
 
19.
Hatala, A. R. (2013). Towards a biopsychosocial-spiritual approach in health psychology: Exploring theoreti-cal orientations and future directions. Journal of Spirituality in Mental Health,15, 256–276. https://doi.org/10.1080/193496....
 
20.
Henselmans, I., Helgeson, V. S., Seltman, H., de Vries, J., Sanderman, R., & Ranchor, A. V. (2010). Identifica-tion and prediction of distress trajectories in the first year after a breast cancer diagnosis. Health Psy-chology, 29, 160–168. https://doi.org/10.1037/A00178....
 
21.
Hook, J. N., Worthington, E. L., Utsey, S. O., Davis, D. E., Gartner, A. L., Jennings, D. J., Van Tongeren, D. R., & Dueck, A. (2012). Does forgiveness require interpersonal interactions? Individual differences in concep-tualization of forgiveness. Personality and Individual Differences, 53, 687–692. https://doi.org/10.1016/J.PAID....
 
22.
Huskinson, B. L. (2020). Consolidation, secularisation, and diminishing returns. In B. L. Huskinson (Ed.), American creationism, creation science, and intelligent design in the evangelical market (pp. 163–192). Pal-grave Macmillan. https://doi.org/10.1007/978-3-....
 
23.
Kagee, A., Roomaney, R., & Knoll, N. (2018). Psychosocial predictors of distress and depression among South African breast cancer patients. Psycho-Oncology, 27, 908–914. https://doi.org/10.1002/PON.45....
 
24.
Kessler, R. C., Andrews, G., Colpe, L. J., Hiripi, E., Mroczek, D. K., Normand, S. L. T., Walters, E. E., & Zaslavsky, A. M. (2002). Short screening scales to monitor population prevalences and trends in non-specific psycho-logical distress. Psychological Medicine, 32, 959–976. https://doi.org/10.1017/S00332....
 
25.
Kline, R. B. (2015). Principles and practice of structural equation modeling. Guilford Publications.
 
26.
Krug, E. G., Dahlberg, L. L., Mercy, J. A., Zwi, Z. A., & Lozano, R. (2002). World report on violence and health. World Health Organisation.
 
27.
Kutner, N. G., & Brogan, D. R. (1980). The decision to enter medicine: Motivations, social support, and dis-couragements for women. Psychology of Women Quarterly, 5, 341–357. https://doi.org/10.1111/j.1471....
 
28.
Lampton, C., Oliver, G. J., Worthington, E. L., & Berry, J. W. (2018). Helping Christian college students be-come more forgiving: an intervention study to promote forgiveness as part of a program to shape Chris-tian character. Journal of Psychology and Theology, 33, 278–290. https://doi.org/10.1177/009164....
 
29.
Lazarus, R. S., & Folkman, S. (1984). Stress, appraisal, and coping. Springer Publishing Company.
 
30.
Lee, E. H. (2012). Review of the psychometric evidence of the Perceived Stress Scale. Asian Nursing Research, 6, 121–127. https://doi.org/10.1016/J.ANR.....
 
31.
Lee, Y. R., & Enright, R. D. (2019). A meta-analysis of the association between forgiveness of others and physical health. Psychology & Health, 34, 626–643. https://doi.org/10.1080/088704....
 
32.
Lin, Y., Worthington, E. L., Griffin, B. J., Greer, C. L., Opare-Henaku, A., Lavelock, C. R., Hook, J. N., Ho, M. Y., & Muller, H. (2014). Efficacy of REACH Forgiveness across cultures. Journal of Clinical Psychology, 70, 781–793. https://doi.org/10.1002/JCLP.2....
 
33.
Macaskill, A. (2005). The treatment of forgiveness in counselling and therapy. Counselling Psychology Review, 20, 26–32.
 
34.
MacDougall, J. M., Dembroski, T. M., & Musante, L. (1979). The structured interview and questionnaire methods of assessing coronary-prone behavior in male and female college students. Journal of Behavioral Medicine, 2, 71–83. https://doi.org/10.1007/BF0084....
 
35.
Maier, K., Konaszewski, K., Skalski, S. B., Büssing, A., & Surzykiewicz, J. (2022). Spiritual needs, religious cop-ing and mental wellbeing: a cross-sectional study among migrants and refugees in Germany. International Journal of Environmental Research and Public Health, 19, 3415. https://doi.org/10.3390/ijerph....
 
36.
Marks, M. J., Trafimow, D., Busche, L. K., & Oates, K. N. (2013). A function of forgiveness: Exploring the rela-tionship between negative mood and forgiving. SAGE Open, 3. https://doi.org/10.1177/215824....
 
37.
Matud, M. P., Ibáñez, I., Bethencourt, J. M., Marrero, R., & Carballeira, M. (2003). Structural gender differ-ences in perceived social support. Personality and Individual Differences, 35, 1919–1929. https://doi.org/10.1016/S0191-....
 
38.
Möller-Leimkühler, A. M. (2002). Barriers to help-seeking by men: a review of sociocultural and clinical liter-ature with particular reference to depression. Journal of Affective Disorders, 71, 1–9. https://doi.org/10.1016/S0165-....
 
39.
Myers, A. M., Malott, O. W., Gray, E., Tudor-Locke, C., Ecclestone, N. A., Cousins, S. O. B., & Petrella, R. (1999). Measuring accumulated health-related benefits of exercise participation for older adults: The Vi-tality Plus Scale. The Journals of Gerontology: Series A, 54, M456–M466. https://doi.org/1093/GERONA/54....
 
40.
Oman, D., Shapiro, S. L., Thoresen, C. E., Plante, T. G., & Flinders, T. (2010). Meditation lowers stress and supports forgiveness among college students: a randomized controlled trial. Journal of American College Health, 56, 569–578. https://doi.org/10.3200/JACH.5....
 
41.
Pettus-Davis, C., Veeh, C. A., Davis, M., & Tripodi, S. (2018). Gender differences in experiences of social sup-port among men and women releasing from prison. Journal of Social and Personal Relationships, 35, 1161–1182. https://doi.org/10.1177/026540....
 
42.
Rye, M. S. (2007). The religious path toward forgiveness. Mental Health, Religion & Culture, 8, 205–215. https://doi.org/10.1080/136946....
 
43.
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, 260–277. https://doi.org/10.1007/S12144....
 
44.
Saad, M., de Medeiros, R., & Mosini, A. C. (2017). Are we ready for a true biopsychosocial-spiritual model? The many meanings of “spiritual”. Medicines, 4, 79. https://doi.org/10.3390/medici....
 
45.
Schat, A. C. H., Kelloway, E. K., & Desmarais, S. (2005). The Physical Health Questionnaire (PHQ): Construct validation of a self-report scale of somatic symptoms. Journal of Occupational Health Psychology, 10, 363–381. https://doi.org/10.1037/1076-8....
 
46.
Scheier, M. F., Carver, C. S., & Bridges, M. W. (1994). Distinguishing optimism from neuroticism (and trait anxiety, self-mastery, and self-esteem): a reevaluation of the Life Orientation Test. Journal of Personality and Social Psychology, 67, 1063–1078. https://doi.org/10.1037//0022-....
 
47.
Seybold, K. S., Hill, P. C., Neumann, J. K., & Chi, D. S. (2001). Physiological and psychological correlates of for-giveness. Journal of Psychology and Christianity, 20, 250–259.
 
48.
Skalski‐Bednarz, S. B. (2024). Effects of Christian REACH forgiveness intervention to reduce aggressiveness in adolescents with conduct disorder. Psychology in the Schools. https://doi.org/10.1002/pits.2....
 
49.
Skalski-Bednarz, S. B., Konaszewski, K., Toussaint, L. L., Büssing, A., & Surzykiewicz, J. (2022). Positive religious coping acts through perception of nature and silence in its association with well-being and life satisfac-tion among Polish Catholics. Frontiers in Public Health, 10, 4170. https://doi.org/10.3389/FPUBH.....
 
50.
Skalski-Bednarz, S. B., & Toussaint, L. L. (2024). A relational model of state of forgiveness and spirituality and their influence on well-being: a two-wave longitudinal study of women with a sexual assault history. Psy-chology of Religion and Spirituality. https://doi.org/10.1037/rel000....
 
51.
Skalski, S. (2018). Choroba jako źródło stresu. Wybrane koncepcje stresu psychologicznego i radzenia sobie ze stresem [Illness as a source of stress. Selected concepts of psychological stress and coping]. In K. Pujer (Ed.), Humanistyka i nauki społeczne. Doświadczenia, konteksty, wyzwania [Humanities and social sciences. Experiences, contexts, challenges] (pp. 11–21). Exante.
 
52.
Skalski, S. B., Konaszewski, K., Niesiobędzka, M., Gladysh, O., Toussaint, L. L., & Surzykiewicz, J. (2024). Anger toward God and well-being in Ukrainian war refugees: The serial mediating influence of faith maturity and decisional forgiveness. Journal of Beliefs & Values,45, 86–100. https://doi.org/10.1080/136176....
 
53.
Spielberger, C. D., Jacobs, G., Russell, S., & Crane, R. S. (1983). Assessment of anger: The State-Trait Anger Scale. In J. N. Butcher & C. D. Spielberger (Eds.), Advances in personality assessment (Vol. 2, pp. 161–189). Routledge.
 
54.
Storch, E. A., Roberti, J. W., Heidgerken, A. D., Storch, J. B., Lewin, A. B., Killiany, E. M., Baumeister, A. L., Bravata, E. A., & Geffken, G. R. (2004). The Duke Religion Index: a psychometric investigation. Pastoral Psychology, 53, 175–181. https://doi.org/10.1023/B:PASP....
 
55.
Stratton, S. P., Dean, J. B., Nonneman, A. J., Bode, R. A., & Worthington, E. L., Jr. (2008). Forgiveness inter-ventions as spiritual development strategies: Comparing forgiveness workshop training, expressive writ-ing about forgiveness, and retested controls. Journal of Psychology and Christianity, 27, 347–357.
 
56.
Strelan, P. (2020). The stress-and-coping model of forgiveness: Theory, research, and the potential of dyadic coping. In E. L. Worthington, Jr. & N. G. Wade (Eds.), Handbook of forgiveness (2nd ed., pp. 63–73). Routledge/Taylor & Francis Group.
 
57.
Stuckless, N., & Goranson, R. (1992). The Vengeance Scale: Development of a measure of attitudes toward revenge. Journal of Social Behavior & Personality, 7, 25–42.
 
58.
Subkoviak, M. J., Enright, R. D., Wu, C. R., Gassin, E. A., Freedman, S., Olson, L. M., & Sarinopoulos, I. (1995). Measuring interpersonal forgiveness in late adolescence and middle adulthood. Journal of Adolescence, 18, 641–655. https://doi.org/10.1006/JADO.1....
 
59.
Sulmasy, D. P. (2002). A biopsychosocial-spiritual model for the care of patients at the end of life. The Gerontologist, 42, 24–33. https://doi.org/10.1093/GERONT....
 
60.
Toussaint, L., Lee, J. A., Hyun, M. H., Shields, G. S., & Slavich, G. M. (2023). Forgiveness, rumination, and de-pression in the United States and Korea: a cross-cultural mediation study. Journal of Clinical Psychology, 79, 143–157. https://doi.org/10.1002/jclp.2....
 
61.
Toussaint, L., Shields, G. S., Dorn, G., & Slavich, G. M. (2016a). Effects of lifetime stress exposure on mental and physical health in young adulthood: How stress degrades and forgiveness protects health. Journal of Health Psychology, 21, 1004–1014. https://doi.org/10.1177/135910....
 
62.
Toussaint, L. L., Shields, G. S., & Slavich, G. M. (2016b). Forgiveness, stress, and health: a five-week dynamic parallel process study. Annals of Behavioral Medicine, 50, 727–735. https://doi.org/10.1007/S12160....
 
63.
Toussaint, L., Williams, D., Musick, M., & Everson, S. (2001). Forgiveness and health: Age differences in a U.S. probability sample. Journal of Adult Development, 8, 249–257. https://doi.org/10.1023/A:1011....
 
64.
Toussaint, L. L., Williams, D. R., Musick, M. A., & Everson-Rose, S. A. (2008). Why forgiveness may protect against depression: Hopelessness as an explanatory mechanism. Personality and Mental Health, 2, 89–103. https://doi.org/10.1002/PMH.35.
 
65.
Toussaint, L., Worthington, E. L., Cheadle, A., Marigoudar, S., Kamble, S., & Büssing, A. (2020). Efficacy of the REACH Forgiveness intervention in Indian college students. Frontiers in Psychology, 11, 671. https://doi.org/10.3389/FPSYG.....
 
66.
Underwood, L. G., & Teresi, J. A. (2002). The Daily Spiritual Experience Scale: Development, theoretical de-scription, reliability, exploratory factor analysis, and preliminary construct validity using health-related data. Annals of Behavioral Medicine, 24, 22–33. https://doi.org/10.1207/S15324....
 
67.
Worthington, E. L., J. (2006). Forgiveness and reconciliation: Theory and application. Routledge/Taylor & Francis Group.
 
68.
Worthington, E. L., Hook, J. N., Davis, D. E., & McDaniel, M. A. (2011). Religion and spirituality. Journal of Clin-ical Psychology, 67, 204–214. https://doi.org/10.1002/JCLP.2....
 
69.
Worthington, E. L. J., Hook, J. N., Utsey, S. O., Williams, J. K., & Neil, L., R. (2007). Decisional and emotional forgiveness. Paper presented at the International Positive Psychology Summit.
 
70.
Worthington, E. L., Rueger, S. Y., Davis, E. B., & Wortham, J. (2019). “Mere” Christian forgiveness: an ecumen-ical Christian conceptualization of forgiveness through the lens of stress-and-coping theory. Religions, 10, 44. https://doi.org/10.3390/REL100....
 
71.
Worthington, E. L., & Scherer, M. (2007). Forgiveness is an emotion-focused coping strategy that can reduce health risks and promote health resilience: Theory, review, and hypotheses. Psychology & Health, 19, 385–405. https://doi.org/10.1080/088704....
 
72.
Xu, Y., & Burleson, B. R. (2001). Effects of sex, culture, and support type on perceptions of spousal social support: an assessment of the “support gap” hypothesis in early marriage. Human Communication Re-search, 27, 535–566. https://doi.org/10.1093/hcr/27....
 
73.
Ye, Y., Tong, Z., Li, C., Gao, X., Sun, Y., Xu, J., Xu, Q., & Song, C. (2022). Social support as a mediator of the relationship between forgiveness and post-traumatic growth in hemodialysis patients: a structural equa-tion modeling approach. Frontiers in Psychiatry, 13, 974045. https://doi.org/10.3389/fpsyt.....
 
74.
Ysseldyk, R., Matheson, K., & Anisman, H. (2009). Forgiveness and the appraisal-coping process in response to relationship conflicts: Implications for depressive symptoms. Stress, 12, 152–166. https://doi.org/10.1080/102538....
 
75.
Zhu, H. (2015). Social support and affect balance mediate the association between forgiveness and life satis-faction. Social Indicators Research, 124, 671–681. https://doi.org/10.1007/S11205....
 
76.
Zimet, G. D., Dahlem, N. W., Zimet, S. G., & Farley, G. K. (2010). The Multidimensional Scale of Perceived So-cial Support. Journal of Personality Assessment, 52, 30–41. https://doi.org/10.1207/S15327....
 
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