Psychospiritual Profiles Differentiate Dietary and Lifestyle Behaviors
Abstract
1. Introduction
Current Study
2. Materials and Methods
2.1. Participants
2.2. Procedure
2.3. Measures
2.3.1. Perceived Stress
2.3.2. Depressive Symptoms
2.3.3. Coping Self-Efficacy
2.3.4. Daily Spiritual Experiences
2.3.5. Religious/Spiritual Meaning, Values, and Beliefs
2.3.6. Religiousness and Spirituality
2.3.7. Gratitude
2.3.8. Forgiveness
2.3.9. Dietary and Lifestyle Behaviors
2.4. Statistical Analysis
3. Results
4. Discussion
4.1. Practical Implications
4.2. Limitations
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
Abbreviations
| ANCOVA | Analysis of Covariance |
| ANOVA | Analysis of Variance |
| AIC | Akaike Information Criterion |
| BIC | Bayesian Information Criterion |
| BMI | Body Mass Index |
| BMMRS | Brief Multidimensional Measure of Religiousness/Spirituality |
| CES-D-10 | 10-item Center for Epidemiologic Studies Depression Scale |
| DSES | Daily Spiritual Experience Scale |
| GED | General Educational Development |
| GQ-6 | Gratitude Questionnaire–Six Item Form |
| HSD | Honestly Significant Difference |
| HSRB | Human Subjects Review Board |
| LPA | Latent Profile Analysis |
| PSS-10 | 10-item Perceived Stress Scale |
| R/S | Religious/Spiritual |
| SABIC | Sample-Adjusted Bayesian Information Criterion |
| SD | Standard Deviation |
| SE | Standard Error |
| TTF | Tendency to Forgive Scale |
Appendix A. Dietary and Health Behavior Items Adapted from the Personal Wellness Profile (Parklawn Federal Occupational Health Unit, 2000)
- How often do you eat breakfast (more than just a roll and a cup of coffee)? (from 1 = Eat breakfast every day to 4 = Seldom or never eat breakfast)
- How often do you eat snack foods between meals (e.g., chips, pastries, soft drinks, candy, ice cream, cookies)? (from 1 = Three or more times per day to 4 = Seldom or never eat snack foods)
- How often do you eat fast food meals (e.g., hamburgers, tacos, fried chicken, hot dogs, French fries, milkshakes)? (from 1 = Four or more times per week to 4 = Seldom or never)
- Indicate the kinds of foods you usually eat. (from 1 = Nearly always eat high-fat foods to 5 = Eat only low-fat foods)
- Indicate the kinds of breads and grains you usually eat. (from 1 = Nearly always eat refined grain products to 5 = Eat only whole-grain products)
- Indicate the kinds of protein foods you usually eat. (from 1 = Nearly always eat animal-based proteins to 5 = Eat only plant-based proteins)
- How often do you eat dark leafy green vegetables (e.g., spinach, kale, broccoli)? (from 1 = Five or more times per week to 5 = Seldom or never)
- How many servings of grains do you typically consume per day? (from 0 = 0 servings to 5 = 5 or more servings)
- How many servings of vegetables do you typically consume per day? (from 0 = 0 servings to 5 = 5 or more servings)
- How many servings of fruit do you typically consume per day? (from 0 = 0 servings to 5 = 5 or more servings)
- How many servings of dairy products do you typically consume per day? (from 0 = 0 servings to 5 = 5 or more servings)
- How many servings of protein foods do you typically consume per day? (from 0 = 0 servings to 5 = 5 or more servings)
- How many servings of sweets and desserts do you typically consume per day? (from 0 = 0 servings to 5 = 5 or more servings)
- How many servings of fats (e.g., butter, oil, margarine, dressings) do you typically consume per day? (from 0 = 0 servings to 5 = 5 or more servings)
- How often do you add salt to your food or consume salty foods (e.g., chips, pickles, soy sauce)? (from 1 = Seldom or never to 4 = Nearly every meal)
- How many 8-ounce glasses of water do you usually drink each day? (from 1 = One or less to 8 = Eight or more)
- Compared to your weight 10 years ago, how much do you weigh now? (from 1 = 10 pounds more to 4 = Weigh less now)
- Do you take a calcium supplement regularly? (from 1 = Yes to 2 = No)
- Do you diet often (at least 1–2 times per year)? (from 1 = Yes to 2 = No)
- How many caffeinated drinks do you usually consume per day (e.g., coffee, tea, cola)? (from 0 = None to 6 = Six or more per day)
- How many alcoholic drinks do you usually consume in a typical week? (one drink = one beer, one glass of wine, one shot of liquor, or one mixed drink) (from 1 = Seldom or never to 5 = 21 or more drinks per week)
- Which of the following best describes your smoking status? (from 1 = Never smoked to 5 = Currently smoke more than 10 cigarettes per day)
Appendix B
| # | M (SD) | Skewness | Kurtosis | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 1 | 2.47 (0.64) | 0.33 | 0.09 | — | |||||||
| 2 | 1.56 (0.49) | 1.59 | 3.19 | 0.67 *** | — | ||||||
| 3 | 7.83 (1.70) | −0.4 | 0.03 | −0.54 *** | −0.51 *** | — | |||||
| 4 | 3.88 (1.23) | −0.25 | −0.64 | −0.19 *** | −0.14 ** | 0.30 *** | — | ||||
| 5 | 3.18 (0.61) | −0.85 | 1.1 | −0.14 ** | −0.13 ** | 0.29 *** | 0.70 *** | — | |||
| 6 | 2.80 (0.79) | −0.02 | −0.75 | −0.13 ** | −0.10 * | 0.23 *** | 0.77 *** | 0.61 *** | — | ||
| 7 | 6.15 (0.79) | −1.09 | 1.01 | −0.25 *** | −0.28 *** | 0.39 *** | 0.44 *** | 0.45 *** | 0.36 *** | — | |
| 8 | 4.16 (1.19) | −0.06 | −0.3 | −0.37 *** | −0.27 *** | 0.39 *** | 0.17 *** | 0.16 *** | 0.15 ** | 0.18 *** | — |
| 9 | 2.93 (0.26) | −0.04 | −0.13 | −0.16 *** | −0.11 * | 0.16 *** | 0.01 | 0.03 | 0.03 | 0.16 *** | 0.17 *** |
Appendix C
| Variable | Profile Membership F(3, 385) | Profile Membership p | Age F(1, 385) | Partial η2 Profile | Age p | Partial η2 Age |
|---|---|---|---|---|---|---|
| Breakfast-skipping frequency | 3.07 | 0.028 | 0.02 | 0.72 | 0.398 | <0.01 |
| Low frequency of snack food consumption between meals | 2.38 | 0.069 | 0.02 | 0.01 | 0.940 | <0.01 |
| Low frequency of fast-food consumption | 4.04 | 0.008 | 0.03 | 0.08 | 0.776 | <0.01 |
| Low-fat food consumption | 2.29 | 0.078 | 0.02 | 1.52 | 0.219 | <0.01 |
| Whole-grain consumption | 2.09 | 0.102 | 0.02 | 1.8 | 0.180 | <0.01 |
| Plant-based protein consumption | 0.66 | 0.576 | 0.01 | 2.71 | 0.100 | 0.01 |
| Low frequency of leafy green vegetable intake | 4.95 | 0.002 | 0.04 | 12.12 | <0.001 | 0.03 |
| Daily grain servings | 1.75 | 0.156 | 0.01 | 18.18 | <0.001 | 0.05 |
| Daily vegetable servings | 1.51 | 0.211 | 0.01 | 1.37 | 0.242 | <0.01 |
| Daily fruit servings | 2.01 | 0.111 | 0.02 | 0.78 | 0.376 | <0.01 |
| Daily dairy servings | 0.66 | 0.577 | 0.01 | 17.82 | <0.001 | 0.04 |
| Daily protein servings | 0.18 | 0.91 | <0.01 | 3.77 | 0.053 | 0.01 |
| Daily sweets and dessert servings | 4.13 | 0.007 | 0.03 | 5.56 | 0.019 | 0.01 |
| Daily fat servings | 1.13 | 0.336 | 0.01 | 0.41 | 0.521 | <0.01 |
| Frequency of salt addition or salty food consumption | 4.85 | 0.003 | 0.04 | 2.29 | 0.131 | 0.01 |
| Daily water intake (glasses) | 1.48 | 0.219 | 0.01 | 2.54 | 0.112 | 0.01 |
| Current weight relative to 10 years ago (lower weight) | 0.33 | 0.804 | <0.01 | 0.08 | 0.775 | <0.01 |
| Calcium supplementation (no use) | 5.28 | 0.001 | 0.04 | 24.02 | <0.001 | 0.06 |
| Absence of dieting behavior | 2.3 | 0.077 | 0.02 | 0.13 | 0.718 | <0.01 |
| Daily caffeine intake | 2.29 | 0.078 | 0.02 | 12.43 | <0.001 | 0.03 |
| Alcohol consumption | 1.59 | 0.19 | 0.01 | 0.5 | 0.479 | <0.01 |
| Smoking behavior | 2.25 | 0.082 | 0.02 | 0.35 | 0.556 | <0.01 |
| BMI | 0.698 | 0.553 | 0.01 | 5.059 | 0.025 | 0.01 |
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| Variable | n | % |
|---|---|---|
| Sex | ||
| Female | 419 | 80.3 |
| Male | 103 | 19.7 |
| Ethnicity | ||
| White/non-Hispanic | 518 | 99.2 |
| Black/African American | 1 | 0.2 |
| Asian/Hispanic/Other | 3 | 0.6 |
| Marital status | ||
| Married | 414 | 79.3 |
| Widowed | 7 | 1.3 |
| Divorced | 44 | 8.5 |
| Separated | 2 | 0.4 |
| Never married | 55 | 10.5 |
| Education | ||
| No schooling completed | 4 | 0.8 |
| High school diploma/GED | 94 | 17.9 |
| Some college, no degree | 114 | 21.9 |
| Associate degree | 181 | 34.6 |
| Bachelor’s degree | 66 | 12.7 |
| Master’s degree | 40 | 7.7 |
| Professional degree | 3 | 0.6 |
| Doctorate degree | 20 | 3.8 |
| Classes | LogLik | AIC | BIC | SABIC | Entropy |
|---|---|---|---|---|---|
| 1 | −5291 | 10,614 | 10,682 | 10,632 | 1 |
| 2 | −4899 | 9849 | 9955 | 9876 | 0.829 |
| 3 | −4752 | 9572 | 9717 | 9609 | 0.838 |
| 4 | −4651 | 9387 | 9570 | 9434 | 0.852 |
| 5 | −4625 | 9385 | 9607 | 9443 | 0.845 |
| 6 | −4608 | 9392 | 9653 | 9460 | 0.832 |
| 7 | −4595 | 9404 | 9704 | 9482 | 0.821 |
| Variable | Class 1 (Moderate) M (SE) (n = 195) | Class 2 (Flourishing) M (SE) (n = 199) | Class 3 (Vulnerable) M (SE) (n = 70) | Class 4 (Maladaptive) M (SE) (n = 58) | F(3, 518) | p | Partial η2 | Post Hoc |
|---|---|---|---|---|---|---|---|---|
| Perceived stress | 2.38 (0.06) | 2.18 (0.06) | 3.36 (0.15) | 3.00 (0.24) | 115.7 | <0.001 | 0.40 | 3 > 4 > 1 > 2 |
| Depressive symptoms | 1.44 (0.04) | 1.33 (0.03) | 2.44 (0.07) | 1.96 (0.06) | 102.6 | <0.001 | 0.37 | 3 > 4 > 1 ≈ 2 |
| Coping self-efficacy | 7.77 (0.14) | 8.74 (0.14) | 6.20 (0.34) | 6.18 (0.62) | 78.9 | <0.001 | 0.31 | 2 > 1 > 3 ≈ 4 |
| Daily spiritual experiences | 3.18 (0.23) | 4.92 (0.09) | 4.16 (0.29) | 2.10 (0.24) | 333.4 | <0.001 | 0.66 | 2 > 3 > 1 > 4 |
| R/S meaning/values/beliefs | 2.95 (0.10) | 3.62 (0.04) | 3.31 (0.13) | 2.17 (0.25) | 160.5 | <0.001 | 0.48 | 2 > 3 > 1 > 4 |
| Religiousness and spirituality | 2.33 (0.11) | 3.42 (0.08) | 2.99 (0.18) | 1.90 (0.16) | 195.6 | <0.001 | 0.53 | 2 > 3 > 1 > 4 |
| Gratitude | 6.03 (0.10) | 6.56 (0.04) | 5.98 (0.18) | 5.08 (0.30) | 61.4 | <0.001 | 0.26 | 2 > 1 ≈ 3 > 4 |
| Forgiveness | 4.15 (0.10) | 4.53 (0.09) | 3.53 (0.24) | 3.45 (0.23) | 18.4 | <0.001 | 0.10 | 2 > 1 > 3 ≈ 4 |
| Variable | Class 1 (Moderate) M (SD) (n = 195) | Class 2 (Flourishing) M (SD) (n = 199) | Class 3 (Vulnerable) M (SD) (n = 70) | Class 4 (Maladaptive) M (SD) (n = 58) | F(3, 518) | p | Partial η2 | Post Hoc |
|---|---|---|---|---|---|---|---|---|
| Breakfast-skipping frequency | 2.22 (1.16) | 2.05 (1.19) | 2.33 (1.23) | 2.73 (1.18) | 4.48 | 0.005 | 0.03 | 4 > 2; 4 > 1 |
| Low frequency of snack food consumption between meals | 2.64 (0.82) | 2.70 (0.82) | 2.38 (0.96) | 2.52 (0.77) | 2.14 | 0.098 | 0.01 | ns |
| Low frequency of fast-food consumption | 3.03 (0.72) | 3.16 (0.74) | 2.98 (0.62) | 2.69 (0.85) | 4.58 | 0.004 | 0.03 | 1 > 4; 2 > 4 |
| Low-fat food consumption | 3.34 (0.71) | 3.46 (0.77) | 3.23 (0.89) | 3.15 (0.88) | 2.63 | 0.052 | 0.02 | ns |
| Whole-grain consumption | 3.15 (1.00) | 3.36 (0.98) | 3.05 (1.02) | 3.00 (1.13) | 2.92 | 0.036 | 0.02 | 2 > 4 |
| Plant-based protein consumption | 2.03 (0.81) | 2.12 (0.83) | 2.03 (0.99) | 2.06 (1.10) | 0.49 | 0.688 | <0.01 | ns |
| Low frequency of leafy green vegetable intake | 2.51 (1.12) | 2.30 (1.04) | 2.72 (1.12) | 2.79 (1.20) | 4.12 | 0.008 | 0.02 | 3 > 2; 4 > 2 |
| Daily grain servings | 2.71 (1.02) | 2.58 (0.89) | 2.81 (1.02) | 2.66 (0.78) | 1.13 | 0.338 | 0.01 | ns |
| Daily vegetable servings | 2.91 (0.92) | 3.09 (1.05) | 2.83 (0.79) | 2.71 (0.90) | 2.93 | 0.035 | 0.02 | 2 > 4 |
| Daily fruit servings | 2.76 (0.91) | 2.93 (1.07) | 2.77 (1.06) | 2.63 (1.04) | 1.58 | 0.197 | 0.01 | ns |
| Daily dairy servings | 3.39 (1.10) | 3.30 (1.12) | 3.52 (1.23) | 3.06 (1.25) | 1.39 | 0.247 | 0.01 | ns |
| Daily protein servings | 3.15 (1.00) | 2.97 (0.89) | 3.10 (0.92) | 3.02 (1.21) | 1.31 | 0.275 | 0.01 | ns |
| Daily sweets and dessert servings | 2.66 (1.09) | 2.37 (0.90) | 2.95 (1.27) | 2.71 (1.01) | 5.85 | <0.001 | 0.03 | 3 > 2; 1 > 2 |
| Daily fat servings | 2.58 (0.88) | 2.45 (0.81) | 2.70 (1.00) | 2.44 (0.99) | 1.70 | 0.171 | 0.01 | ns |
| Frequency of salt addition or salty food consumption | 1.98 (0.90) | 1.76 (0.77) | 1.97 (0.82) | 2.15 (0.85) | 4.31 | 0.006 | 0.02 | 1 > 2; 4 > 2 |
| Daily water intake (glasses) | 4.23 (2.20) | 4.29 (2.23) | 3.95 (2.30) | 4.04 (2.45) | 0.42 | 0.736 | <0.01 | ns |
| Current weight relative to 10 years ago (lower weight) | 2.17 (0.94) | 2.24 (1.04) | 2.12 (0.85) | 2.25 (0.98) | 0.38 | 0.765 | <0.01 | ns |
| Calcium supplementation (no use) | 1.76 (0.43) | 1.61 (0.49) | 1.70 (0.46) | 1.83 (0.38) | 5.59 | 0.001 | 0.03 | 1 > 2; 4 > 2 |
| Absence of dieting behavior | 1.73 (0.45) | 1.71 (0.45) | 1.60 (0.49) | 1.65 (0.48) | 1.38 | 0.251 | 0.01 | ns |
| Daily caffeine intake | 2.81 (1.43) | 2.93 (1.53) | 3.35 (1.76) | 2.83 (1.46) | 1.62 | 0.187 | 0.01 | ns |
| Alcohol consumption | 1.63 (0.70) | 1.55 (0.73) | 1.45 (0.68) | 1.79 (1.05) | 1.85 | 0.140 | 0.01 | ns |
| Smoking behavior | 1.46 (0.94) | 1.44 (0.92) | 1.38 (0.87) | 1.85 (1.30) | 1.63 | 0.186 | 0.01 | ns |
| Age | 36.42 (12.56) | 44.77 (12.90) | 36.45 (11.58) | 35.98 (13.28) | 18.11 | <0.001 | 0.09 | 2 > 1, 3, 4 |
| Body mass index (BMI) | 27.24 (5.82) | 27.31 (5.80) | 27.43 (6.26) | 27.26 (5.33) | 0.02 | 0.997 | <0.01 | ns |
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Skalski-Bednarz, S.B.; Toussaint, L.L.; Piegza, M.; Bidzan-Wiącek, M.; Bidzan, M. Psychospiritual Profiles Differentiate Dietary and Lifestyle Behaviors. Nutrients 2026, 18, 2007. https://doi.org/10.3390/nu18122007
Skalski-Bednarz SB, Toussaint LL, Piegza M, Bidzan-Wiącek M, Bidzan M. Psychospiritual Profiles Differentiate Dietary and Lifestyle Behaviors. Nutrients. 2026; 18(12):2007. https://doi.org/10.3390/nu18122007
Chicago/Turabian StyleSkalski-Bednarz, Sebastian Binyamin, Loren L. Toussaint, Magdalena Piegza, Monika Bidzan-Wiącek, and Mariola Bidzan. 2026. "Psychospiritual Profiles Differentiate Dietary and Lifestyle Behaviors" Nutrients 18, no. 12: 2007. https://doi.org/10.3390/nu18122007
APA StyleSkalski-Bednarz, S. B., Toussaint, L. L., Piegza, M., Bidzan-Wiącek, M., & Bidzan, M. (2026). Psychospiritual Profiles Differentiate Dietary and Lifestyle Behaviors. Nutrients, 18(12), 2007. https://doi.org/10.3390/nu18122007

