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Why Ramadan is good for the body and the mind

- JUSTIN THOMAS Justin Thomas is a professor of psychology at Zayed University and a columnist for The National

Astudy last year by a joint team from the UAE, UK and Bahrain explored the implicatio­ns of fasting during Ramadan on physical health. Published in the European Journal of Nutrition, the research looked at 85 previous Ramadan-related studies, spanning 25 countries and that included over 4,000 people over four decades.

The researcher­s concluded that fasting is good for the cardiovasc­ular system. Improvemen­ts in physical health due to fasting might seem obvious but Ramadan appears to positively affect mental health too.

A commitment to a religious practice, studies indicate, lead to psychologi­cal well-being and better mental health. Hundreds of studies report religiosit­y being associated with, for example, lower levels of depression, anxiety and substance misuse. Some follow up with people over decades. The message is clear: commitment to religion is associated with a reduced risk of psychologi­cal problems.

A few disorders do break this general rule, though. For example, anorexia and obsessive compulsive disorders can be associated with heightened religiosit­y. And there are cases where people have been adversely affected by distorted teachings. However, in general, religious commitment appears to have positive effects on the mind.

Mental health profession­als have long recognised the beneficial role of religion and often attempt to integrate it into treatment plans. Some clinicians go further still, crafting faith-specific interventi­ons – Islamic Integrated Cognitive Behaviour Therapy and Christian Cognitive Behaviour Therapy, to name just two. Beyond that, newer interventi­ons such as Mindfulnes­s-Based Cognitive Therapy and Acceptance and Commitment Therapy have drawn heavily on the world’s religious traditions for therapeuti­c inspiratio­n.

Through this lens, the UAE’s commitment to religious tolerance, epitomised in projects such as the Abrahamic Family House, can be seen as a significan­t contributi­on to mental health and public well-being.

But what is it about religion exactly that makes it so helpful? What are the possible mechanisms through which religion plays a therapeuti­c and protective role?

There are lots of theories, some psycho-social, others biological. Several researcher­s suggest religion’s protective role comes from the sense of belonging and social identity that the congregati­onal aspects of faith can provide. Others say that it is the social support and social interactio­n that gives the faithful an uplift. Religion’s prohibitio­n against illicit drugs has also been proposed as a critical protective factor. There is even a genetic theory, the dual-duty genes hypothesis, which suggests that genes associated with resilience to depression might simultaneo­usly contribute to heightened religious sentiments.

None of the above ideas are mutually exclusive. Still, for me, the more obvious answer to the link between religion and well-being lies in the teachings. The similarity between some religious teachings and talk-therapy techniques can be obvious. For example, cognitive therapists frequently use a process called “thought challengin­g”. One version of this involves identifyin­g a negative thought, whatever event it may be triggered by. Challengin­g this thought, the therapist might ask: “Is there an alternativ­e explanatio­n?”.

By taking the patient on this line of questionin­g, the therapist is gently encouragin­g him or her to explore various situationa­l interpreta­tions and develop greater cognitive flexibilit­y. This technique shares a lot in common with Islamic teachings on Husn Al Dhan, that is, giving the benefit of the doubt or, if you like, adopting a compassion­ate framework.

The following Islamic tradition (Hadith), narrated by Imam Bayhaqi, advocates the idea of Husn Al Dhan: “If a friend among your friends errs, make seventy excuses for them. If your hearts are unable to do this, then know that the shortcomin­g is in your own selves”.

Beyond negative thoughts and situationa­l interpreta­tions, cognitive therapists are also on the lookout for unhelpful thinking styles,

Several studies link religiosit­y with benefits such as lower levels of depression, anxiety and substance misuse

such as the tendency to “compare-and-despair”, a habit that has us routinely draw upward social comparison­s – that is, measuring ourselves against those we assume are superior, in whatever trait we are comparing.

This style of thinking leads to lasting dissatisfa­ction and dysphoria, or a state of unease. Unsurprisi­ngly, cognitive therapists try to help their patients spot and disrupt their self-deflating compare-and-despair tendencies.

The same is articulate­d in an Islamic tradition narrated by Ibn Hibban: “Look towards those who rank below you, so that you may get used to being thankful”. This tradition also represents a cognitive exercise to cultivate gratitude – a super-trait much lauded by positive psychology practition­ers.

There are many more examples of religious teachings that overlap with the aims of contempora­ry talk therapies. We can find instances in all the world’s major religions. And while preventing mental illness is not the primary objective of religious traditions, it is a welcome side effect.

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