The Relationship between Lutheran Pastors’ Well-Being and Depression and the Professional Support Available to Them: A Quantitative Study in the Hungarian Lutheran Church
DOI:
https://doi.org/10.5708/EJMH.20.2025.0041Keywords:
clergy, professional support, well-being, depression, LutheranAbstract
Introduction: Several studies confirm the unfavorable physical and mental health status of church pastors. These findings have often been linked to the level of social support they receive.
Aims: The purpose of this study is to provide insights into the relationship between the mental health of Hungarian Lutheran pastors and the availability of professional support. We examined which form of support shows the strongest association with their well-being and depression.
Methods: The quantitative research was conducted in 2022 in the Hungarian Lutheran Church. 54.0% of pastors (N = 148) completed the survey. Mental health status was measured using the WHO-5 Well-Being Index (WBI-5) and the 9-item Beck Depression Inventory (BDI). Three kinds of professional support were measured in the questionnaire: supervision, spiritual direction, and peer group support.
Results: The results clearly indicate a significant association between increasing levels of support utilized by pastors and improved well-being [χ² (3, N = 139) = 28.75, p < .001]. In the binary logistic regression analysis, the odds of being classified in the non-normal category of the BDI decreased by approximately 60.0% if pastors had a supervisor or spiritual director [χ² (3, N = 132) = 15.33, p = .002, Nagelkerke R2 = 15.1%].
Conclusions: Our results suggest that professional support has a stronger association with pastors’ mental health status than any sociodemographic characteristics. The authors conclude that it is important to establish professional support systems for clergy to strengthen their ministry within the Hungarian Lutheran Church.
References
Adams, C., & Bloom, M. (2017). Flourishing in ministry: Wellbeing at work in helping professions. Journal of Psychology and Christianity, 36(3), 254–259.
Ahmad, Z. S., Thoburn, J. W., Perry, K. L., McBrearty, M., Olson, S., & Gunn, G. (2015). Prevalence rates of online sexual addiction among Christian clergy. Sexual Addiction and Compulsivity: The Journal of Treatment and Prevention, 22(4), 344–356.
https://doi.org/10.1080/10720162.2015.1082079
Baugess, D. W. (2002). The relationship between mentoring, peer support and burnout in a population of Protestant clergy [Doctoral dissertation, Marywood University]. ProQuest Dissertations & Theses Global.
Bland, S. H., Krogh, V., Winkelstein, W., & Trevisan, M. (1991). Social network and blood pressure: A population study. Psychosomatic Medicine, 53(6), 598–607.
https://doi.org/10.1097/00006842-199111000-00002
Brannagan, T. M. (1998). The relationship between mentoring and ministry satisfaction among early career interdenominational faith missionaries [Doctoral dissertation, Talbot School of Theology, Biola University].
https://www.elibrary.ru/item.asp?id=5548274
Brewster, C. E. (2012). The fate of the rural Anglican clergy: Caring for more churches and experiencing higher levels of stress. In A. Francis-Vincent (Ed.), Religious identity and national heritage. Empirical studies in theology: Vol. 21 (pp. 149–169). Brill.
https://doi.org/10.1163/9789004228788_009
Brown-Bennett, A. L. (2017). How do religious leaders experience the psychological distress of their congregation? [Unpublished doctoral dissertation]. City, Universtiy of London.
Bujang, M. A., Sa’at, N., Bakar, T. M. I. T. A., & Joo, L. C. (2018). Sample size guidelines for logistic regression from observational studies with large population: Emphasis on the accuracy between statistics and parameters based on real life clinical data. The Malaysian Journal of Medical Sciences: MJMS 25(4), 122–130.
https://doi.org/10.21315/mjms2018.25.4.12
Buunk, B. P., Doosje, B. J., Jans, L. G. J. M., & Hopstaken, L. E. M. (1993). Perceived reciprocity, social support, and stress at work: The role of exchange and communal orientation. Journal of Personality and Social Psychology, 65(4), 801–811.
https://doi.org/10.1037/0022-3514.65.4.801
Büssing, A., Günther, A., Baumann, K., Frick, E., & Jacobs, C. (2013). Spiritual dryness as a measure of a specific spiritual crisis in Catholic priests: Associations with symptoms of burnout and distress. Evidence-based Complementary and Alternative Medicine, 2013(1), 1–10.
https://doi.org/10.1155/2013/246797
Clarke, M., Spurr, S., & Walker, K. (2022). The well-being and resilience of Canadian Christian clergy. Pastoral Psychology, 71(5), 597–613.
https://doi.org/10.1007/s11089-022-01023-1
Chan, K. K. W., & Chen, M. (2019). Experience of stress and burnout among pastors in China. Journal of Pastoral Care & Counseling, 73(4), 232–237. https://doi.org/10.1177/1542305019886533
DeJoy, D. M., Wilson, M. G., Goetzel, R. Z., Ozminkowski, R. J., Wang, S., Baker, K., Bowen, H. M., & Tully, K. J. (2008). Development of the Environmental Assessment Tool (EAT) to measure organizational physical and social support for worksite obesity prevention programs. Journal of Occupational and Environmental Medicine, 50(2), 126–137.
https://doi.org/10.1097/jom.0b013e318161b42a
Doolittle, B. R. (2007). Burnout and coping among parish-based clergy. Mental Health, Religion & Culture, 10(1), 31–38.
https://doi.org/10.1080/13674670600857591
Doolittle, B. R. (2008). The impact of behaviors upon burnout among parish-based clergy. Journal of Religion & Health, 49(1), 88–95.
https://doi.org/10.1007/s10943-008-9217-7
Dyson, T. (2011). The role of the demographic transition in the process of urbanization. Population and Development Review, 37(1), 34–54.
https://doi.org/10.1111/j.1728-4457.2011.00377.x
Eagle, D. E., Hybels, C. F., & Proeschold‐Bell, R. J. (2018). Perceived social support, received social support, and depression among clergy. Journal of Social and Personal Relationships, 36(7), 2055–2073.
https://doi.org/10.1177/0265407518776134
Edwards, L., Bretherton, R., Gresswell, D. M., & Sabin‐Farrell, R. (2020). The relationship between social support, spiritual well-being, and depression in Christian clergy: A systematic literature review. Mental Health, Religion & Culture, 23(10), 857–873.
https://doi.org/10.1080/13674676.2020.1838459
Ellison, C. G., Roalson, L. A., Guillory, J. M., Flannelly, K. J., & Marcum, J. P. (2009). Religious resources, spiritual struggles, and mental health in a nationwide sample of PCUSA clergy. Pastoral Psychology, 59(3), 287–304.
https://doi.org/10.1007/s11089-009-0239-1
Faucett, J. M., Corwyn, R. F., & Poling, T. H. (2012). Clergy role stress: Interactive effects of role ambiguity and role conflict on intrinsic job satisfaction. Pastoral Psychology, 62(3), 291–304.
https://doi.org/10.1007/s11089-012-0490-8
Francis, L. J., Robbins, M., & Wulff, K. (2013). Assessing the effectiveness of support strategies in reducing professional burnout among clergy serving in the Presbyterian Church (USA). Practical Theology, 6(3), 319–331.
https://doi.org/10.1179/1756073X13Z.00000000021
Francis, L. J., Laycock, P., & Brewster, C. E. (2015). The burdens of rural ministry: Identifying and exploring the correlates of five causes of stress among rural Anglican clergy serving in multi-parish benefices. In A. Village & R. W. Jr. Hood (Eds.), Research in the Social Scientific Study of Religion: Vol. 26 (pp. 218–236). Brill.
https://doi.org/10.1163/9789004299436_015
Gubi, P. M., Bubbers, S., Gardner, D., Mullally, W. J., & Mwenisongole, T. A. (2023). An evaluation of supervisees’ perceptions of the benefits and limitations of pastoral/reflective supervision among Christian clergy in the UK. Mental Health, Religion & Culture, 26(3), 226–237.
https://doi.org/10.1080/13674676.2023.2231365
Harandi, T. F., Taghinasab, M. M., & Nayeri, T. D. (2017). The correlation of social support with mental health: A meta-analysis. Electronic Physician, 9(9), 5212–5222.
https://doi.org/10.19082/5212
Heffner, K. L., Waring, M. E., Roberts, M. B., Eaton, C. B., & Gramling, R. (2011). Social isolation, C-reactive protein, and coronary heart disease mortality among community-dwelling adults. Social Science & Medicine, 72(9), 1482–1488.
https://doi.org/10.1016/j.socscimed.2011.03.016
Hill, E. W., & Raimondi, N. M. (2003). Understanding boundary-related stress in clergy families. Marriage and Family Review, 35(1–2), 147–166.
https://doi.org/10.1300/j002v35n01_09
Hill, E. W., & McWey, L. M. (2004). Understanding stress and quality of life for clergy and clergy spouses. Stress and Health, 20(5), 261–277.
https://doi.org/10.1002/smi.1031
Hoge, D. R., & Wenger, J. E. (2005). Pastors in transition: Why clergy leave local church ministry. Wm. B. Eerdmans Publishing.
Járay, M., & Siba, B. (2024). The eagle’s nest effect in the pastoral career. Studia Universitatis Babeș-Bolyai Theologia Reformata Transylvanica, 69(1), 351–373.
https://doi.org/10.24193/subbtref.69.1.19
Kapus, K., Nyulas, R., Nemeskéri, Z., Zádori, I., Muity, G., Kiss, J., Fehér, A., Fejes, É., Tibold, A., & Fehér, G. (2021). Prevalence and risk factors of internet addiction among Hungarian high school students. International Journal of Environmental Research and Public Health, 18(13), Article 6989.
https://doi.org/10.3390/ijerph18136989
KINCS. (2022). A magyarok testi és lelki egészségét leíró főbbmutatók a Hungarostudy felmérések adatai alapján (2006, 2013, 2021). [Main indicators describing the physical and mental health of Hungarians based on Hungarostudy survey data (2006, 2013, 2021)].
https://www.koppmariaintezet.hu/docs/A_magyarok_testi_es_lelki_egeszseget_leiro_fobb_mutatok_a_Hungarostudy_felmeresek_adatai_alapjan_(2006,%202013,%202021).pdf
Kopp, M., Skrabski, Á., & Czakó, L. (1997). Összehasonlító mentálhigiénés vizsgálatokhoz ajánlott módszertan. [Recommended methodology for comparative mental health assessments]. Végeken, 1(2), 4–24.
La Placa, V., McNaught, A., & Knight, A. (2013). Discourse on wellbeing in research and practice. International Journal of Wellbeing, 3(1), 116–125.
https://doi.org/10.5502/ijw.v3i1.7
Lakey, B., & Cronin, A. (2008). Low social support and major depression: Research, theory and methodological issues. In K. S. Dobson & D. J. A. Dozois (Eds.), Risk factors in depression (pp. 385–408). Elsevier.
https://doi.org/10.1016/B978-0-08-045078-0.00017-4
Manister, N. N., & Gigliotti, E. (2016). Emotional eating mediates the relationship between role stress and obesity in clergy. Nursing Science Quarterly, 29(2), 136–145.
https://doi.org/10.1177/0894318416630089
Marler, P. L., Roberts, D. B., Maykus, J., Bowers, J., Dill, L., Harewood, B. K., Hester, R., Kirton-Robbins, S., Labarre, M., Van Harten, L. & Walker-Jones, K. (2013). So much better: How thousands of pastors help each other thrive. Chalice Press.
Mazzarella, C. R. (2010). Clergy stress and coping: Spiritual maturity, marital satisfaction, social support, and burnout among Evangelical Protestant pastors [Doctoral dissertation, Wheaton College].
McMinn, M. R., Lish, R. A., Trice, P. D., Root, A. M., Gilbert, N. B., & Yap, A. (2005). Care for pastors: Learning from clergy and their spouses. Pastoral Psychology, 53(6), 563–581.
https://doi.org/10.1007/s11089-005-4821-y
Miles, A., & Proeschold-Bell, R. J. (2013). Overcoming the challenges of pastoral work? Peer support groups and psychological distress among United Methodist Church clergy. Sociology of Religion, 74(2), 199–226.
https://doi.org/10.1093/socrel/srs055
Morris, M. L., & Blanton, P. W. (1994). The influence of work-related stressors on clergy husbands and their wives. Family Relations, 43(2), 189–195.
https://doi.org/10.2307/585322
Morrow, E., Call, M. E., Ransco, M., Hofmann, K. M., & Locke, A. (2021). Sustaining workforce well-being: A model for supporting system resilience during the covid-19 pandemic. Global Advances in Health and Medicine, 10.
https://doi.org/10.1177/2164956121991816
Muskett, J. A., & Village, A. (2016). Action learning sets and social capital: Ameliorating the burden of clergy isolation in one rural diocese. Action Learning: Research and Practice, 13(3), 219–234.
https://doi.org/10.1080/14767333.2016.1211091
Oswald, R. M. (2005). How to build a support system for your ministry. Wipf and Stock Publishers.
Pietkiewicz, I. J., & Bachryj, D. (2016). Help-seeking attitudes and coping strategies among Roman Catholic secular clergy. Psychology of Religion and Spirituality, 8(1), 13–24.
https://doi.org/10.1037/rel0000019
Proeschold‐Bell, R. J., & LeGrand, S. (2010). Physical health functioning among United Methodist clergy. Journal of Religion & Health, 51(3), 734–742.
https://doi.org/10.1007/s10943-010-9372-5
Proeschold‐Bell, R. J., Eisenberg, A., Adams, C. J., Smith, B. W., LeGrand, S., & Wilk, A. R. (2015). The glory of God is a human being fully alive: Predictors of positive versus negative mental health among clergy. Journal for the Scientific Study of Religion, 54(4), 702–721.
https://doi.org/10.1111/jssr.12234
Rózsa, S., Szádóczky, E., & Füredi, J. (2001). A Beck depresszió kérdőív rövidített változatának jellemzői hazai mintán [Psychometric properties of the Hungarian version of the shortened Beck Depression Inventory]. Psychiatria Hungarica, 16(4), 384–402.
Sacco, W. P., & Yanover, T. (2006). Diabetes and depression: The role of social support and medical symptoms. Journal of Behavioral Medicine, 29(6), 523–531.
https://doi.org/10.1007/s10865-006-9072-5
Shehan, C. L., Wiggins, M. I., & Cody‐Rydzewski, S. (2007). Responding to and retreating from the call: Career salience, work satisfaction, and depression among clergywomen. Pastoral Psychology, 55(5), 637–643.
https://doi.org/10.1007/s11089-006-0064-8
Staehr, J. K. (1998). The use of well-being measures in primary health care-The DepCare project. World Health Organization.
https://pesquisa.bvsalud.org/portal/resource/pt/who-349766
Staley, R. C. (2012). An investigation of the strategies employed by clergy and their spouses to prevent and cope with interpersonal isolation [Doctoral dissertation, George Fox University] Digital Commons George Foy University.
https://digitalcommons.georgefox.edu/psyd/127
Stuart-White, B., Vaughan-Wilson, J., Eatock, J., Muskett, J. A., & Village, A. (2018). Isolation among rural clergy: Exploring experiences and solutions in one diocese. Rural Theology, 16(2), 65–79.
https://doi.org/10.1080/14704994.2018.1519916
Susánszky, É., Konkolÿ Thege, B., Stauder, A., & Kopp, M. (2006). A WHO Jól-lét Kérdőív rövidített (WBI-5) magyar változatának validálása a Hungarostudy 2002 országos lakossági egészségfelmérés alapján. [Validation of the shortened (WBI-5) Hungarian version of the WHO Well-Being Questionnaire based on the Hungarostudy 2002 national population health survey.] Mentálhigiéné és Pszichoszomatika, 7(3), 247–255.
https://doi.org/10.1556/mental.7.2006.3.8
Tay, L., Tan, K., Diener, E., & Gonzalez, E. M. (2012). Social relations, health behaviors, and health outcomes: A survey and synthesis. Applied Psychology: Health and Well-Being, 5(1), 28–78.
https://doi.org/10.1111/aphw.12000
Topp, C. W., Østergaard, S. D., Søndergaard, S., & Bech, P. (2015). The WHO-5 Well-Being Index: A systematic review of the literature. Psychotherapy and Psychosomatics, 84(3), 167–176.
https://doi.org/10.1159/000376585
Turton, D. W., & Francis, L. J. (2007). The relationship between attitude toward prayer and professional burnout among Anglican parochial clergy in England: Are praying clergy healthier clergy? Mental Health, Religion & Culture, 10(1), 61–74.
https://doi.org/10.1080/13674670601012246
Weems, J., & Arnold, J. E. (2009). Clergy health a review of literature. Lewis Center for Church Leadership, Wesley Theological Seminary.
Whitlock, L. G. (2002). Spiritual direction in the Reformed tradition. Journal of Psychology and Theology, 30(4), 314–322.
https://doi.org/10.1177/009164710203000406
