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<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Psychol.</journal-id>
<journal-title>Frontiers in Psychology</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Psychol.</abbrev-journal-title>
<issn pub-type="epub">1664-1078</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/fpsyg.2018.00330</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Psychology</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Openness to Changing Religious Views Is Related to Radial Diffusivity in the Genu of the Corpus Callosum in an Initial Study of Healthy Young Adults</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name><surname>Xu</surname> <given-names>Jiansong</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="author-notes" rid="fn002"><sup>&#x2020;</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/80585/overview"/>
</contrib>
<contrib contrib-type="author">
<name><surname>McClintock</surname> <given-names>Clayton H.</given-names></name>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
<xref ref-type="author-notes" rid="fn002"><sup>&#x2020;</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/122307/overview"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Balodis</surname> <given-names>Iris M.</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="aff" rid="aff3"><sup>3</sup></xref>
</contrib>
<contrib contrib-type="author">
<name><surname>Miller</surname> <given-names>Lisa</given-names></name>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
<xref ref-type="author-notes" rid="fn003"><sup>&#x2021;</sup></xref>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name><surname>Potenza</surname> <given-names>Marc N.</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="aff" rid="aff4"><sup>4</sup></xref>
<xref ref-type="aff" rid="aff5"><sup>5</sup></xref>
<xref ref-type="aff" rid="aff6"><sup>6</sup></xref>
<xref ref-type="author-notes" rid="fn001"><sup>&#x002A;</sup></xref>
<xref ref-type="author-notes" rid="fn003"><sup>&#x2021;</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/9038/overview"/>
</contrib>
</contrib-group>
<aff id="aff1"><sup>1</sup><institution>Department of Psychiatry, Yale School of Medicine, Yale University</institution>, <addr-line>New Haven, CT</addr-line>, <country>United States</country></aff>
<aff id="aff2"><sup>2</sup><institution>Spirituality Mind Body Institute, Department of Counseling and Clinical Psychology, Teachers College, Columbia University</institution>, <addr-line>New York City, NY</addr-line>, <country>United States</country></aff>
<aff id="aff3"><sup>3</sup><institution>Peter Boris Centre for Addictions Research, Department of Psychiatry and Behavioural Neurosciences, Michael G. DeGroote School of Medicine, McMaster University</institution>, <addr-line>Hamilton, ON</addr-line>, <country>Canada</country></aff>
<aff id="aff4"><sup>4</sup><institution>Child Study Center, Yale School of Medicine, Yale University</institution>, <addr-line>New Haven, CT</addr-line>, <country>United States</country></aff>
<aff id="aff5"><sup>5</sup><institution>Department of Neurobiology, Yale School of Medicine, Yale University</institution>, <addr-line>New Haven, CT</addr-line>, <country>United States</country></aff>
<aff id="aff6"><sup>6</sup><institution>Connecticut Mental Health Center</institution>, <addr-line>New Haven, CT</addr-line>, <country>United States</country></aff>
<author-notes>
<fn fn-type="edited-by"><p>Edited by: Arnaud Delorme, UMR5549 Centre de Recherche Cerveau et Cognition (CerCo), France</p></fn>
<fn fn-type="edited-by"><p>Reviewed by: Chien-Te Wu, National Taiwan University, Taiwan; James Danckert, University of Waterloo, Canada</p></fn>
<fn fn-type="corresp" id="fn001"><p>&#x002A;Correspondence: Marc N. Potenza, <email>marc.potenza@yale.edu</email></p></fn>
<fn fn-type="other" id="fn002"><p><sup>&#x2020;</sup>These authors have contributed equally to this work as first authors.</p></fn>
<fn fn-type="other" id="fn003"><p><sup>&#x2021;</sup>These authors have contributed equally to this work as last authors.</p></fn>
<fn fn-type="other" id="fn004"><p>This article was submitted to Perception Science, a section of the journal Frontiers in Psychology</p></fn>
</author-notes>
<pub-date pub-type="epub">
<day>27</day>
<month>03</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="collection">
<year>2018</year>
</pub-date>
<volume>9</volume>
<elocation-id>330</elocation-id>
<history>
<date date-type="received">
<day>09</day>
<month>10</month>
<year>2017</year>
</date>
<date date-type="accepted">
<day>27</day>
<month>02</month>
<year>2018</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#x00A9; 2018 Xu, McClintock, Balodis, Miller and Potenza.</copyright-statement>
<copyright-year>2018</copyright-year>
<copyright-holder>Xu, McClintock, Balodis, Miller and Potenza</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/"><p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p></license>
</permissions>
<abstract>
<p>A quest orientation to religion is characterized by a search for answers to complex existential questions, a perception of religious doubt as positive, and an openness to change one&#x2019;s religious views as one grows and changes. This orientation is inversely related to fundamentalism, authoritarianism, and prejudice and directly related to cognitive complexity, openness to experience, and prosociality. To date, the neural correlates of religious quest have not been investigated. This study assessed the relationships between measures linked to white-matter integrity and quest religious orientation among 24 healthy participants using diffusion tensor imaging (DTI) and the quest scale. A tract-based spatial statistical analysis whole-brain-corrected initially employing an accepted threshold (<italic>p</italic><sub>TFCE</sub> &#x003C; 0.05) and then applying a Bonferroni correction (<italic>p</italic><sub>TFCE</sub> &#x003C; 0.0042) identified a region of the genu of the corpus callosum as showing radial diffusivity measures being related to openness to change religious beliefs. When not employing a Bonferroni correction (<italic>p</italic><sub>TFCE</sub> &#x003C; 0.05), the openness-to-change subscale of the quest scale negatively correlated with radial diffusivity and mean diffusivity measures in extensive white-matter regions in both hemispheres that include the corpus callosum body, genu, and splenium, superior longitudinal fasciculus, forceps minor, external capsule, and inferior fronto-occipital fasciculus. No relationships were found with the other subscales. These findings suggest that a greater openness to change one&#x2019;s religious views is associated with better white-matter integrity specifically in the genu of the corpus callosum and likely in a more extensive set of white-matter structures interconnecting widespread cortical and subcortical regions in the brain across hemispheres. They, furthermore, suggest structural similarities that may link this tendency to associated positive psychological traits, including creative cognition and post-traumatic growth.</p>
</abstract>
<kwd-group>
<kwd>neuroimaging</kwd>
<kwd>diffusion tensor imaging</kwd>
<kwd>white matter</kwd>
<kwd>religion</kwd>
<kwd>spirituality</kwd>
</kwd-group>
<contract-num rid="cn001">R01DA039136</contract-num>
<contract-sponsor id="cn001">National Institutes of Health<named-content content-type="fundref-id">10.13039/100000002</named-content></contract-sponsor>
<counts>
<fig-count count="4"/>
<table-count count="0"/>
<equation-count count="0"/>
<ref-count count="68"/>
<page-count count="8"/>
<word-count count="0"/>
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</front>
<body>
<sec><title>Introduction</title>
<p>Proposed as a third fundamental approach to religion along with Gordon Allport&#x2019;s intrinsic and extrinsic religiosity, quest orientation refers to a form of religiosity that embraces honesty, doubt, and openness in the face of existential questions and complex life circumstances (<xref ref-type="bibr" rid="B12">Batson and Schoenrade, 1991</xref>). A multidimensional construct, religious quest as captured by the quest scale includes the following domains: (1) a search for answers to complex existential questions, (2) a perception of religious doubt as positive, and (3) an openness to change one&#x2019;s religious views as one grows and changes. Despite the centrality of this orientation to religion and its association with a number of positive psychological traits, which include prosociality, openness to experience, and post-traumatic growth (<xref ref-type="bibr" rid="B15">Calhoun et al., 2000</xref>; <xref ref-type="bibr" rid="B9">Batson et al., 2001</xref>; <xref ref-type="bibr" rid="B54">Simpson et al., 2010</xref>), little is known about the neural structures that support this type of religiosity. Here, using diffusion tensor imaging (DTI) measures, we studied how white-matter structures related to aspects of religious quest.</p>
<p>Religious quest is inversely related to aspects of close-mindedness that include fundamentalism and authoritarianism (<xref ref-type="bibr" rid="B3">Altemeyer and Hunsberger, 1992</xref>; <xref ref-type="bibr" rid="B33">Hunsberger, 1995</xref>; <xref ref-type="bibr" rid="B25">Duck and Hunsberger, 1999</xref>), which, in turn, may predict prejudice toward those outside one&#x2019;s own identity group (<xref ref-type="bibr" rid="B3">Altemeyer and Hunsberger, 1992</xref>; <xref ref-type="bibr" rid="B14">Brandt and Van Tongeren, 2015</xref>). In contrast, studies suggest that quest orientation is related to less prejudice and greater post-conventional reasoning (<xref ref-type="bibr" rid="B11">Batson et al., 1993</xref>; <xref ref-type="bibr" rid="B21">Cottone et al., 2007</xref>). Moreover, individuals high in religious quest tend to display empathetic and prosocial behavior (<xref ref-type="bibr" rid="B11">Batson et al., 1993</xref>, <xref ref-type="bibr" rid="B9">2001</xref>). Quest religious orientation is also associated with the personality trait of openness to experience (<xref ref-type="bibr" rid="B54">Simpson et al., 2010</xref>). Those with this orientation tend to have both greater cognitive complexity and preference for cognitive consistency (<xref ref-type="bibr" rid="B10">Batson and Raynor-Prince, 1983</xref>; <xref ref-type="bibr" rid="B8">Barrett et al., 2005</xref>). Additionally, in the aftermath of traumatic life events, the degree of post-traumatic growth has been found to directly correlate with the quest domain of openness to change religious views (<xref ref-type="bibr" rid="B15">Calhoun et al., 2000</xref>).</p>
<p>Though the neural correlates of quest religious tendencies have not been directly investigated, brain imaging studies on potentially similar features, particularly the construct of openness to experience, serve to provide some relevant context. As measured by the Revised NEO Personality Inventory (NEO PI-R; <xref ref-type="bibr" rid="B19">Costa and McCrae, 1992a</xref>,<xref ref-type="bibr" rid="B20">b</xref>), openness has been observed to positively correlate with activity in the dorsolateral prefrontal cortex (dlPFC) during cognitive tasks and in the orbitofrontal cortex (OFC) during the resting state (<xref ref-type="bibr" rid="B24">DeYoung et al., 2005</xref>; <xref ref-type="bibr" rid="B61">Sutin et al., 2009</xref>). Openness is also associated with measures suggestive of better white-matter integrity in both hemispheres of the dlPFC, as well as the superior longitudinal fasciculus (SLF), corona radiata (CR), anterior cingulum, forceps minor, corpus callosum body, and regions adjacent to the middle frontal gyrus (MFG) and inferior frontal gyrus (IFG) (<xref ref-type="bibr" rid="B68">Xu and Potenza, 2012</xref>). These white-matter regions interconnect many cortical and subcortical regions in the brain. Additionally, the capacity for cognitive flexibility is associated with dlPFC activity and prefrontal measures related to white-matter integrity (<xref ref-type="bibr" rid="B6">Badre and Wagner, 2006</xref>; <xref ref-type="bibr" rid="B45">Nyhus and Barcel&#x00F3;, 2009</xref>). Taken together, these findings suggest that connections bilaterally in the prefrontal cortex (PFC), the corpus callosum, and other cortical and subcortical brain regions may serve as a neural feature underlying religious quest.</p>
<p>Diffusion tensor imaging (DTI) measures water diffusion in multiple directions (<xref ref-type="bibr" rid="B4">Assaf and Pasternak, 2008</xref>). It can be used to generate fractional anisotropy (FA) values by calculating the normalized standard deviation of axial (&#x03BB;<sub>1</sub>) and radial diffusivities (&#x03BB;<italic><sub>T</sub></italic>) to index the degree to which the water diffusion deviates from isotropic diffusion in white matter, and mean diffusivity (MD) by averaging &#x03BB;<sub>1</sub> and &#x03BB;<sub>T</sub> to index the overall diffusivity (<xref ref-type="bibr" rid="B4">Assaf and Pasternak, 2008</xref>; <xref ref-type="bibr" rid="B43">Neil, 2008</xref>). FA correlates positively with the ratio of &#x03BB;<sub>1</sub> and &#x03BB;<sub>T</sub>, while MD correlates positively with the sum of &#x03BB;<sub>1</sub> and &#x03BB;<sub>T</sub>. Therefore, FA and MD are sensitive to different patterns of changes in &#x03BB;<sub>1</sub> and &#x03BB;<sub>T</sub>. For example, an increase in both &#x03BB;<sub>1</sub> and &#x03BB;<sub>T</sub> may significantly increase MD without significantly changing FA, and a decrease in &#x03BB;<sub>1</sub> along with an increase in &#x03BB;<sub>T</sub> may significantly decrease FA without significantly changing MD. Therefore, both FA and MD are often used as indexes of white-matter integrity, and a decreased FA and/or an increased MD value in the white matter is usually interpreted as reflecting poorer white-matter integrity (<xref ref-type="bibr" rid="B1">Alexander et al., 2007</xref>).</p>
<p>This study aimed to investigate in a preliminary fashion the relationships between measures related to white-matter integrity and aspects of quest orientation to religion. Based on findings of openness on the NEO being related to measures associated with better white-matter integrity and the possibility that openness on the NEO and related to the construct of openness to change on the quest scale, we hypothesized that scores on the openness-to-change subscale specifically would be positively correlated with measures related to better white-matter integrity in prefrontal areas, corpus callosum, and other regions that interconnect widespread cortical and subcortical regions across both hemispheres. We explored correlations with the two other subscales of the quest scale as we believe that this would represent a negative control condition that would provide discriminant validity for potential findings related to openness to change religious views.</p>
</sec>
<sec id="s1" sec-type="materials|methods">
<title>Materials and Methods</title>
<sec><title>Participants</title>
<p>Individuals were recruited by media ads and provided written informed consent to participate in the protocol that was approved by the Yale Human Investigations Committee. Participants were screened using the Structured Clinical Interview (SCID) for Axis I Psychiatric Disorders (<xref ref-type="bibr" rid="B27">First et al., 1995</xref>, <xref ref-type="bibr" rid="B26">1997</xref>) and provided urine samples to assess recent use of cocaine, opioids, stimulants, marijuana, and benzodiazepines. Handedness was assessed by asking participants which hand they usually use, and left-handed individuals were excluded. Participants were excluded if any metabolites of these substances were positive in their urine samples. Other exclusionary criteria included pregnancy, current psychiatric diagnoses, or unstable medical conditions. We acquired both DTI and self-reported data relating to aspects of religious quest from 24 English-speaking young adults (9 females), with a mean age of 22.2 years [range: 18&#x2013;27, standard deviation (SD) = 2.3]. Mean education was 15.0 years (SD = 1.7). Two individuals were of Hispanic ethnicity. Races included white (<italic>n</italic> = 15), black (<italic>n</italic> = 4), Asian (<italic>n</italic> = 3), and other (<italic>n</italic> = 2). One participant was married, while all others were single.</p>
</sec>
<sec><title>Quest Scale</title>
<p>The quest scale (<xref ref-type="bibr" rid="B12">Batson and Schoenrade, 1991</xref>) is a 12-item measure that assesses perceptions of religion as a quest, conceptualized by the authors as &#x201C;openly facing complex existential questions&#x2026; and resisting clear-cut, pat answers&#x201D; (<xref ref-type="bibr" rid="B12">Batson and Schoenrade, 1991</xref>, p. 430). Each item is rated on a nine-point scale ranging from 1 (strongly disagree) to 9 (strongly agree). The scale has been found to have three domains, with scores for which each range from 4 to 36 and the domains relating to: (1) Readiness to Face Existential Questions without Reducing their Complexity (e.g., &#x201C;I have been driven to ask religious questions out of a growing awareness of the tensions in my world and in my relation to my world&#x201D;); (2) Self-Criticism and Perception of Religious Doubt as Positive (e.g., &#x201C;For me, doubting is an important part of what it means to be religious&#x201D;); and, (3) Openness to Change (e.g., &#x201C;As I grow and change, I expect my religion also to grow and change&#x201D;). Reliability for the quest scale is satisfactory, with alpha coefficients ranging from 0.75 to 0.81, and the mean total score in previous samples of young adults ranged from 59.4 to 60.5 (<xref ref-type="bibr" rid="B12">Batson and Schoenrade, 1991</xref>).</p>
</sec>
<sec><title>Scanning Procedures</title>
<p>DTI data were acquired with a 3.0T Siemens Trio scanner at the Yale Magnetic Resonance Research Center. Diffusion sensitizing gradients were applied along 32 directions using <italic>b</italic> values of 0 (<italic>b</italic><sub>0</sub> image) and 1000 s/mm<sup>2</sup> (TR = 7400, TE = 115, matrix = 128 &#x00D7; 128, FOV = 256 mm &#x00D7; 256 mm). Forty contiguous slices parallel to the AC-PC line were acquired, and each slice was 3.0 mm thick (<xref ref-type="bibr" rid="B67">Xu et al., 2010</xref>). Two repetitions were acquired for averaging. A high-resolution T1 image was routinely acquired and examined by a neuroradiologist to identify any structural anomalies.</p>
</sec>
<sec><title>Image Processing</title>
<p>The procedure for DTI processing was described previously (<xref ref-type="bibr" rid="B67">Xu et al., 2010</xref>). FMRIB&#x2019;s Diffusion Toolbox (FDT) and Tract-Based Spatial Statistics (<xref ref-type="bibr" rid="B56">Smith, 2004</xref>; <xref ref-type="bibr" rid="B57">Smith et al., 2006</xref>, <xref ref-type="bibr" rid="B55">2007</xref>) from FMRIB&#x2019;s Software Library (FSL v5.0<sup><xref ref-type="fn" rid="fn01">1</xref></sup>; <xref ref-type="bibr" rid="B58">Smith et al., 2004</xref>; <xref ref-type="bibr" rid="B66">Woolrich et al., 2009</xref>) were used for image analyses. A set of mean images was created by aligning and averaging the two image sets from each subject and were used to construct the diffusion tensor using FDT. FDT typically generates maps of FA, &#x03BB;<sub>1</sub>, MD, &#x03BB;<sub>2</sub>, and &#x03BB;<sub>3</sub>. The map of the perpendicular eigenvalue (&#x03BB;<sub>T</sub>) was generated by averaging the maps of &#x03BB;<sub>2</sub> and &#x03BB;<sub>3</sub>.</p>
<p>TBSS was used to register the FA map of each subject into Montreal Neurological Institute (MNI) template space. A mean FA map was created by averaging registered FA images from all subjects, and a mean FA skeleton was created by thinning the mean FA image (<xref ref-type="bibr" rid="B56">Smith, 2004</xref>; <xref ref-type="bibr" rid="B57">Smith et al., 2006</xref>, <xref ref-type="bibr" rid="B55">2007</xref>). The aligned FA data of each participant were projected onto the mean skeleton by searching the area around the skeleton in the direction perpendicular to each tract, finding the highest local FA value, and assigning this value to the skeleton. The transformation matrices created for FA map registration were used to register &#x03BB;<sub>1</sub>, &#x03BB;<sub>T</sub>, and MD maps. Skeletons for &#x03BB;<sub>1</sub>, &#x03BB;<sub>T</sub>, and MD were generated using the same procedures for creating the FA skeleton.</p>
<p>The relationships between diffusion indices and quest subscale scores were assessed using whole-brain general linear regression models, created using GLM_setup in FSL. Whole-brain voxel-wise statistical testing was conducted using the &#x201C;randomize&#x201D; program with 5000 permutations. The &#x201C;randomize&#x201D; program uses permutation-based, non-parametric inferences to perform voxel-wise cross-subject statistics (<xref ref-type="bibr" rid="B44">Nichols and Holmes, 2002</xref>). Statistical thresholds for all image analyses were cluster <italic>p</italic> &#x003C; 0.05 after family-wise-error (FWE) corrected for multiple comparisons using FSL&#x2019;s threshold-free-cluster-enhancement (TFCE) algorithm. JHU ICBM-DTI-81 White-Matter Labels and JHU White-Matter Tractography Atlas provided by FSLVIEW (3.1) were used to identify the anatomical location of significant clusters in the brain (<xref ref-type="bibr" rid="B42">Mori et al., 2008</xref>, <xref ref-type="bibr" rid="B41">2009</xref>). The function &#x201C;fslmeants&#x201D; from FSL was used to extract means of FA, &#x03BB;<sub>1</sub>, &#x03BB;<sub>T</sub>, and MD from each significant cluster surviving correction for multiple comparisons during whole-brain analysis. These means were used to demonstrate the relationships between DTI parameters and quest subscale scores using scatter plots, and no further statistical analyses were performed on these measures. A correction for multiple corrections beyond those used in DTI studies for whole-brain analyses (e.g., a Bonferroni correction for multiple comparisons involving three subscale measures and four DTI measures) was not employed.</p>
</sec>
</sec>
<sec><title>Results</title>
<p><bold>Figure <xref ref-type="fig" rid="F1">1</xref></bold> shows the mean scores for the three subscales of the quest scale, with the openness-to-change scores being particularly relevant to the study hypothesis and subsequent figures. When applying a Bonferroni correction for 12 comparisons (3 subscales by 4 DTI parameters; <italic>P</italic> &#x003C; 0.0042), a genual region of the corpus callosum was identified in the correlation between openness-to-change scores and &#x03BB;<sub>T</sub> values (<bold>Figure <xref ref-type="fig" rid="F2">2</xref></bold>). When not applying a Bonferroni correction, scores on openness to change negatively correlated with &#x03BB;<sub>T</sub> and MD values in extensive white-matter regions in both hemispheres (<bold>Figures <xref ref-type="fig" rid="F3">3</xref>, <xref ref-type="fig" rid="F4">4</xref></bold>). Regions showing significant negative correlations between scores on openness to change and &#x03BB;<sub>T</sub> values included the corpus callosum body, genu, and splenium, cingulum, SLF, anterior and superior CR, inferior fronto-occipital fasciculus, forceps minor, forceps major, external capsule, anterior limb of internal capsule, uncinate fasciculus, and sagittal stratum. Some, but not all, of these regions also showed significant negative correlations between scores on the openness-to-change subscale and MD. The implicated regions included the corpus callosum body, genu, and splenium, SLF, forceps minor, external capsule, and inferior fronto-occipital fasciculus. These significant correlations appeared driven by the &#x03BB;<sub>T</sub> values, because MD values represent the mean &#x03BB;<sub>T</sub> and &#x03BB;<sub>1</sub> values, and &#x03BB;<sub>1</sub> values did not show significant correlations with scores on the openness-to-change subscale. Scores on the openness-to-change subscale did not show significant correlations with FA values. Scores on the readiness-to-face-existential-questions and perception-of-religious-doubt-as-positive subscales did not show significant correlations with any DTI parameters.</p>
<fig id="F1" position="float">
<label>FIGURE 1</label>
<caption><p>The bar graph shows the group mean scores on the three subscales of the quest scale. Error bars indicate standard errors (SEs) of the mean. &#x201C;Ready&#x201D; &#x2013; Readiness to Face Existential Questions without Reducing their Complexity; &#x201C;Doubt&#x201D; &#x2013; Self-Criticism and Perception of Religious Doubt as Positive; &#x201C;Open&#x201D; &#x2013; Openness to Change Religious Beliefs.</p></caption>
<graphic xlink:href="fpsyg-09-00330-g001.tif"/>
</fig>
<fig id="F2" position="float">
<label>FIGURE 2</label>
<caption><p>Displayed are findings from correlations of the quest openness-to-change subscale scores and perpendicular diffusion (&#x03BB;<sub>T</sub>) values thresholded at <italic>p</italic>-value corrected using threshold-free cluster enhancement (<italic>p</italic>TFCE) at &#x003C;0.0042. Significant voxels at a cluster threshold for whole-brain significance (<italic>k</italic> = 221) are shown in red. Green represents the center of white-matter tracts, as defined using the FMRIB58_FA_skeleton mask. L, left.</p></caption>
<graphic xlink:href="fpsyg-09-00330-g002.tif"/>
</fig>
<fig id="F3" position="float">
<label>FIGURE 3</label>
<caption><p>Correlations between scores on the openness-to-change measure and &#x03BB;<sub>T</sub> values. Red-yellow color on the Montreal Neurological Institute (MNI) T1 template indicates brain regions exhibiting significant correlations between scores of openness to change religious beliefs and &#x03BB;<sub>T</sub> values. For illustration, scatter-plots demonstrate correlations between scores of openness to change religious beliefs (Openness; <italic>y</italic>-axis) and mean &#x03BB;<sub>T</sub> values averaged across all clusters identified as significant in the whole-brain analysis. The number at the left bottom of each brain image indicates the <italic>z</italic> coordinate in the MNI space. L, left.</p></caption>
<graphic xlink:href="fpsyg-09-00330-g003.tif"/>
</fig>
<fig id="F4" position="float">
<label>FIGURE 4</label>
<caption><p>Correlations between scores on the openness-to-change measure and MD values. Red-yellow color on the Montreal Neurological Institute (MNI) T1 template indicates brain regions exhibiting significant correlations between scores of openness to change religious beliefs and MD values. For illustration, scatter-plots demonstrate correlations between scores of openness to change religious beliefs (Openness; <italic>y</italic>-axis) and mean MD values averaged across all clusters identified as significant in the whole-brain analysis. Number at the left bottom of each brain image indicates the <italic>z</italic> coordinate in the MNI space. L, left.</p></caption>
<graphic xlink:href="fpsyg-09-00330-g004.tif"/>
</fig>
</sec>
<sec><title>Discussion</title>
<p>To our knowledge, this study represents the first to investigate relationships between measures related to white-matter integrity and quest religious orientation. Our <italic>a priori</italic> hypothesis was partially supported as &#x03BB;<sub>T</sub> values correlated with openness-to-change scores and not with readiness-to-face-existential-questions or perception-of-religious-doubt-as-positive subscale scores. This finding was observed when correcting for whole-brain voxel-based tract-based spatial statistical analyses and when further applying a Bonferroni correction for 12 analyses involving 4 DTI and 3 quest subscale measures. When not applying a Bonferroni correction, &#x03BB;<sub>T</sub> and MD values in extensive regions of white matter were related to openness-to-change scores and not with readiness-to-face-existential-questions or perception-of-religious-doubt-as-positive subscale scores. Specifically, greater openness-to-change scores were related inversely to &#x03BB;<sub>T</sub> bilaterally in the corpus callosum body, genu, and splenium, cingulum, SLF, anterior and superior CR, inferior fronto-occipital fasciculus, forceps minor, forceps major, external capsule, anterior limb of internal capsule, uncinate fasciculus, and sagittal stratum. MD values in some but not all of these regions were also inversely to openness-to-change scores. Given that our <italic>a priori</italic> hypotheses were based on prior findings in a similar yet different area and concerns that stringent Bonferroni corrections may be &#x2018;deleterious to sound statistical inference&#x2019; (<xref ref-type="bibr" rid="B47">Perneger, 1998</xref>, p. 1236), we will focus the discussion on non-Bonferroni-corrected findings while noting that the findings implicating the genu of the corpus callosum are the most statistically robust.</p>
<p>Despite the above-described correlations between the openness-to-change scores and &#x03BB;<sub>T</sub> and MD values, the former were not related to either &#x03BB;1 or FA values. As diffusion-weighted MRI may be considered as indirect assessments of white-matter integrity, findings from these and other tensor-derived indices should be interpreted with caution. However, increases in both &#x03BB;1 and FA have been linked to axonal loss, whereas increases in both MD and &#x03BB;<sub>T</sub> have been associated with demyelination (<xref ref-type="bibr" rid="B60">Song et al., 2002</xref>; <xref ref-type="bibr" rid="B36">Jones et al., 2013</xref>). The finding of significant negative correlations between &#x03BB;<sub>T</sub> and MD values and scores on openness to change suggests that better white-matter integrity in specific regions relates to a greater openness to change religious views. Different processes in the brain may influence &#x03BB;<sub>1</sub> and &#x03BB;<sub>T</sub> differently. Axonal degeneration has been associated with changes in &#x03BB;<sub>1</sub> value (<xref ref-type="bibr" rid="B18">Concha et al., 2006</xref>; <xref ref-type="bibr" rid="B53">Sidaros et al., 2008</xref>), while demyelination has been associated with increased &#x03BB;<sub>T</sub> values (<xref ref-type="bibr" rid="B60">Song et al., 2002</xref>). However, the current study investigated young adults who are unlikely to have experienced significant axonal degeneration or demyelination; thus, the findings are likely to reflect individual differences with respect to &#x03BB;<sub>T</sub>, possibly relating to degrees of myelination. This line of reasoning suggests that greater openness to change religious beliefs may be related to better myelination of multiple white-matter tracts, and this may relate to better communication among brain regions connected by these tracts (<xref ref-type="bibr" rid="B5">Au Duong et al., 2005</xref>; <xref ref-type="bibr" rid="B29">Greicius et al., 2009</xref>). Future studies using different approaches (e.g., investigating how functional connectivity at rest or during cognitive and emotional processing relates to openness to change religious beliefs) are warranted in order to examine how openness to change religious beliefs may relate to other aspects of brain structure and function.</p>
<p>The corpus callosum body and forceps minor interconnect middle and superior frontal regions and motor, sensory, and auditory cortices, and are critical to interhemispheric communication (<xref ref-type="bibr" rid="B23">de Lacoste et al., 1985</xref>; <xref ref-type="bibr" rid="B51">Schulte et al., 2005</xref>; <xref ref-type="bibr" rid="B64">Voineskos et al., 2010</xref>). The SLF interconnects the PFC and the parietal cortex, is important for communication between these brain regions and contributes importantly to executive control, cognitive process, and emotional modulation (<xref ref-type="bibr" rid="B2">Alexander et al., 1986</xref>; <xref ref-type="bibr" rid="B17">Clark et al., 2009</xref>; <xref ref-type="bibr" rid="B52">Sexton et al., 2009</xref>). The inferior fronto-occipital fasciculus connects inferior and lateral margins of the occipital lobe to the lateral PFC and contributes importantly to the processing of visual and spatial information (<xref ref-type="bibr" rid="B16">Catani et al., 2002</xref>; <xref ref-type="bibr" rid="B50">Schmahmann et al., 2008</xref>). The present finding of correlations between measures of openness to change religious views and measures suggestive of better white-matter integrity in the corpus callosum, SLF, forceps minor, external capsule, and inferior fronto-occipital fasciculus is consistent with the notion that a greater openness to change religious views is associated with more efficient integration of information among extensive brain regions with wide-ranging functions in both hemispheres.</p>
<p>Changing and adapting one&#x2019;s religious views as one grows and changes may be considered a creative process, as it involves integrating multiple domains of knowledge and employing divergent forms of thinking. Thus, it is worthwhile to consider whether these findings converge with previous brain research on creativity. <xref ref-type="bibr" rid="B62">Takeuchi et al. (2010)</xref> found that creativity correlated with measures linked to white-matter integrity in widespread bilateral regions which overlap with the current findings in the frontal lobe and corpus callosum body, as well as white-matter regions adjacent to the striatum, temporo-parietal junction, and inferior parietal lobe. In addition, creativity has been associated with greater interhemispheric and intrahemispheric EEG (electroencephalogram) findings (<xref ref-type="bibr" rid="B34">Jau&#x0161;ovec, 2000</xref>), right prefrontal cortex activation (<xref ref-type="bibr" rid="B32">Howard-Jones et al., 2005</xref>), and corpus callosum volume (<xref ref-type="bibr" rid="B40">Moore et al., 2009</xref>).</p>
<p>The findings suggestive of greater interhemispheric communication observed in the current data are noteworthy, as research suggests that the left and right hemispheres each possess particular specializations and encode information differently (<xref ref-type="bibr" rid="B39">McGlone, 1984</xref>; <xref ref-type="bibr" rid="B7">Barrett et al., 1998</xref>; <xref ref-type="bibr" rid="B38">Kosslyn et al., 1998</xref>; <xref ref-type="bibr" rid="B30">Heilman et al., 2000</xref>). Thus, increased interconnection between the two hemispheres may facilitate a variety of cognitive strategies to be used when negotiating and reconciling one&#x2019;s religious views with other sources of knowledge and experience. Similarly, extensive white-matter connections throughout the brain may allow for the integration of knowledge previously encoded in disparate and/or isolated neural networks (<xref ref-type="bibr" rid="B31">Heilman et al., 2003</xref>). The current results are consistent with the notion that creativity involves efficient integration of information in the brain and facility with diverse cognitive functions (<xref ref-type="bibr" rid="B62">Takeuchi et al., 2010</xref>). It should be noted, however, that a previous DTI investigation on personality and creativity found negative correlations between FA values and both creativity and openness to experience in inferior frontal white matter (<xref ref-type="bibr" rid="B37">Jung et al., 2010</xref>), suggesting that these two tendencies may be related to poorer white-matter integrity. Further investigation could uncover nuances in relationships between creativity and white-matter integrity.</p>
<p>Research has furthermore suggested that post-traumatic growth directly correlates with both creative cognitive capacities and openness to change religious views (<xref ref-type="bibr" rid="B15">Calhoun et al., 2000</xref>; <xref ref-type="bibr" rid="B48">Peterson et al., 2008</xref>). Traumatic life events often upend people&#x2019;s sense of self and view of the world (<xref ref-type="bibr" rid="B15">Calhoun et al., 2000</xref>). In addition, greater levels of religiosity have been reported following traumatic and stressful life events (<xref ref-type="bibr" rid="B46">Park et al., 1996</xref>). Thus, the capacity to embrace new religious perspectives may contribute to the capacity for resilience and for experiencing positive change in the aftermath of difficult life circumstances. Consistent with this notion, previous studies have linked reduced white-matter integrity with post-traumatic stress symptoms and greater white-matter integrity with increased resilience (<xref ref-type="bibr" rid="B28">Frodl et al., 2012</xref>; <xref ref-type="bibr" rid="B22">Daniels et al., 2013</xref>; <xref ref-type="bibr" rid="B49">Sanjuan et al., 2013</xref>; <xref ref-type="bibr" rid="B63">van der Werff et al., 2017</xref>).</p>
<p>The current study has several limitations. It identified correlations between measures related to white-matter integrity and aspects of religious quest, but the cross-sectional nature limits insight into causality. The study also relied on a relatively small sample of young adults. Thus, future studies should examine larger samples to investigate the extent to which the findings replicate and more diverse groups, including but not limited to older individuals. Additionally, possible gender-related differences should be examined. Ideally, future studies should also acquire a larger number of diffusion directions. While the different scalar indices used in this study each summarize different properties of the diffusion tensor and it has been recommended to use multiple indices in studies (<xref ref-type="bibr" rid="B36">Jones et al., 2013</xref>; <xref ref-type="bibr" rid="B59">Soares et al., 2013</xref>), they are not wholly independent. However, a Bonferroni correction for multiple corrections identified a region of the genu of the corpus callosum as most robustly related to &#x03BB;<sub>T</sub> values. In non-Bonferroni-corrected findings thresholded at <italic>p</italic><sub>TFCE</sub> &#x003C; 0.05, the specificity of the findings to the subscale assessing openness to change religious views is in line with our <italic>a priori</italic> hypotheses based on our prior study of openness more broadly defined (<xref ref-type="bibr" rid="B68">Xu and Potenza, 2012</xref>). Additionally, the specificity of the relationship between openness to change religious views and both MD and &#x03BB;<sub>T</sub> and not &#x03BB;<sub>1</sub> or FA suggests a role for myelination in these relationships (<xref ref-type="bibr" rid="B60">Song et al., 2002</xref>; <xref ref-type="bibr" rid="B36">Jones et al., 2013</xref>), and this possibility should be examined in future studies. Furthermore, values of &#x03BB;<sub>1</sub> and &#x03BB;<sub>T</sub> are affected by crossing fibers, changes in fiber directions induced by local pathology (<xref ref-type="bibr" rid="B65">Wheeler-Kingshott and Cercignani, 2009</xref>; <xref ref-type="bibr" rid="B35">Jbabdi et al., 2010</xref>), and local neuropil packing density (<xref ref-type="bibr" rid="B13">Beaulieu, 2002</xref>). For these reasons, findings from the current study should be considered preliminary and reflective of measures that have been associated with white-matter integrity but may arise from multiple etiologies. Thus, interpretation is limited, and questions should be examined by other approaches.</p>
</sec>
<sec><title>Conclusion</title>
<p>The current findings suggest that greater openness to changing religious views is related to better white-matter integrity in multiple tracts, including those connecting extensive brain regions between the two hemispheres. The widespread structural connections suggest neural pathways by which the capacity to embrace new religious perspectives as one grows and changes may occur. Furthermore, the results suggest brain structural features that may link openness to changing religious views to other potentially associated positive psychological tendencies, including those related to creative cognition and post-traumatic growth. Future studies should investigate these currently speculative possibilities, especially in larger and more diverse samples.</p>
</sec>
<sec><title>Ethics Statement</title>
<p>This study was carried out in accordance with the recommendations of Yale Human Investigations Committee with written informed consent from all subjects. All subjects gave written informed consent in accordance with the Declaration of Helsinki. The protocol was approved by the Yale Human Investigations Committee.</p>
</sec>
<sec><title>Author Contributions</title>
<p>LM and MP designed the study. IB acquired the data, and JX analyzed the data. CM and JX wrote the manuscript, while LM and MP revised the manuscript. All authors reviewed and approved the final manuscript.</p>
</sec>
<sec><title>Conflict of Interest Statement</title>
<p>No funding agencies had input into the content of this manuscript, and none of the authors have any relevant conflicts of interests. MP has: consulted for Ironwood, Lundbeck, Shire, INSYS, RiverMend Health, Opiant/Lightlake Therapeutics, and Jazz Pharmaceuticals; received research support (to Yale) from Pfizer, Mohegan Sun Casino, and the National Center for Responsible Gaming; participated in surveys, mailings or telephone consultations related to addictions, impulse-control disorders or other health topics; consulted for and/or advised to gambling and legal entities on issues related to impulse-control/addictive disorders; provided clinical care in a problem gambling services program; performed grant reviews for the National Institutes of Health and other agencies; edited journals and journal sections; given academic lectures in grand rounds, CME events, and other clinical or scientific venues; and generated books or book chapters for publishers of mental health texts. The other authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
</body>
<back>
<fn-group>
<fn fn-type="financial-disclosure">
<p><bold>Funding.</bold> This work was supported in part by R01DA039136 from the National Institutes of Health, the Connecticut Mental Health Center, The National Center on Addiction and Substance Abuse, and a Centers of Excellence in Gambling Research Award from the National Center for Responsible Gaming.</p>
</fn>
</fn-group>
<ack>
<p>We are grateful for the assistance that Sarah Yip, Chaim Kind, Candice Dwyer, and Trevor Friedman provided for this study.</p>
</ack>
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