Objective: Two hypotheses were tested: (1) In a sample of adult men, p
ast experience of child abuse (sexual, physical, or emotional) will be
related to higher levels of reported alienation from religion and God
as shown in lower rates of current religious behavior, higher frequen
cy of spiritual ''injury,'' and lower stability of religious behavior
and experiences; (2) More ''severe'' forms of abuse will be associated
with higher indicators of alienation. Method: Data were collected fro
m 1,207 male veterans, 527 (43.7%) of whom reported bring abused as a
child. Each subject completed the Spiritual Issues Assessment, a large
survey which includes data about: (1) KASL Religiosity Index; (2) The
Spiritual Injury Scale; and (3) Religious items from the Westberg Per
sonal Health Inventory. Results: A history of sexual abuse was related
to significantly greater spiritual injury and lower stability of spir
itual behaviors and experiences, but not to overall rate of current re
ligious behavior. Surprisingly, abuse was related to increased frequen
cy of prayer and of ''spiritual experience.'' Multivariate analyses in
dicate that the effect size is relatively small and the type of abuse
was less important than the presence of any form of abuse. Conclusions
: The findings suggest that the impact of childhood abuse is more comp
lex than initially hypothesized. While abuse seems to be related to co
ntinuing spiritual injury and distress, it is also related to higher l
evels of some spiritual activities and experiences which are usually a
ssociated with positive spirituality. (C) 1998 Elsevier Science Ltd.