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Religious service attendance and spiritual well-being are differentially associated with risk of major depression

  • J. Maselko (a1), S. E. Gilman (a2) and S. Buka (a3)
Abstract
Background

The complex relationships between religiosity, spirituality and the risk of DSM-IV depression are not well understood.

Method

We investigated the independent influence of religious service attendance and two dimensions of spiritual well-being (religious and existential) on the lifetime risk of major depression. Data came from the New England Family Study (NEFS) cohort (n=918, mean age=39 years). Depression according to DSM-IV criteria was ascertained using structured diagnostic interviews. Odds ratios (ORs) for the associations between high, medium and low tertiles of spiritual well-being and for religious service attendance and the lifetime risk of depression were estimated using multiple logistic regression.

Results

Religious service attendance was associated with 30% lower odds of depression. In addition, individuals in the top tertile of existential well-being had a 70% lower odds of depression compared to individuals in the bottom tertile. Contrary to our original hypotheses, however, higher levels of religious well-being were associated with 1.5 times higher odds of depression.

Conclusions

Religious and existential well-being may be differentially associated with likelihood of depression. Given the complex interactions between religiosity and spirituality dimensions in relation to risk of major depression, the reliance on a single domain measure of religiosity or spirituality (e.g. religious service attendance) in research or clinical settings is discouraged.

Copyright
Corresponding author
*Address for correspondence: J. Maselko, Sc.D., Temple University, 1700 N. Broad St, Rm 304, Philadelphia, PA 19130, USA. (Email: maselko@temple.edu)
References
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Berger, P (1967). The Sacred Canopy. Elements of a Sociological Theory of Religion. Anchor Books: New York.
Bowlby, J (1969). Attachment and Loss. Vol. 1: Attachment. Basic Books: New York.
Bowlby, J (1973). Attachment and Loss. Vol. 2: Separation, Anxiety, and Anger. Basic Books: New York.
Bowlby, J (1980). Attachment and Loss. Vol. 3: Loss, Separation, and Depression. Basic Books: New York.
Braam, AW, Hein, E, Deeg, DJH, Twisk, JWR, Beekman, ATF, Van Tilburg, W (2004). Religious involvement and 6-year course of depressive symptoms in older Dutch citizens: results from the Longitudinal Aging Study Amsterdam. Journal of Aging and Health 16, 467489.
Broman, S (1987). Retardation in Young Children: A Developmental Study of Cognitive Deficit. Erlbaum Associates: Hillsdale, NJ.
Broman, S, Nichols, P, Kennedy, W (1975). Preschool IQ: Prenatal and Early Developmental Correlates. Erlbaum Associates: Hillsdale, NJ.
Compton, MT, Furman, AC (2005). Inverse correlations between symptom scores and spiritual well-being among African American patients with first-episode schizophrenia spectrum disorders. Journal of Nervous and Mental Disease 193, 346349.
Edmondson, KA, Lawler, KA, Jobe, RL, Younger, JW, Piferi, RL, Jones, WH (2005). Spirituality predicts health and cardiovascular responses to stress in young adult women. Journal of Religion and Health 44, 161171.
Ellison, C (1983). Spiritual well-being: conceptualization and measurement. Journal of Psychology and Theology 11, 330340.
Ellison, CG, George, LK (1994). Religious involvement, social ties, and social support in a southeastern community. Journal for the Scientific Study of Religion 33, 4661.
Fernsler, JI, Klemm, P, Miller, MA (1999). Spiritual well-being and demands of illness in people with colorectal cancer. Cancer Nursing 22, 134140.
George, LK, Ellison, C, Larson, D (2002). Explaining the relationships between religious involvement and health. Psychological Inquiry 13, 190200.
Gilman, SE, Martin, L, Abrams, D, Kawachi, I, Kubzansky, L, Loucks, EB, Rende, R, Rudd, R, Buka, S (2008). Educational attainment and cigarette smoking: a causal association? International Journal of Epidemiology 37, 615624.
Glass, TA, De Leon, CFM, Bassuk, SS, Berkman, LF (2006). Social engagement and depressive symptoms in late life: longitudinal findings. Journal of Aging and Health 18, 604628.
Granqvist, P, Hagekull, B (1999). Religiousness and perceived childhood attachment: profiling socialized correspondence and emotional compensation. Journal for the Scientific Study of Religion 38, 254273.
Harrison, MO, Koenig, HG, Hays, JC, Eme-Akwari, AG, Pargament, KI (2001). The epidemiology of religious coping: a review of recent literature. International Review of Psychiatry 13, 8693.
Hazan, C, Shaver, P (1987). Romantic love conceptualized as an attachment process. Journal of Personality and Social Psychology 59, 511524.
Kendler, KS, Liu, X-Q, Gardner, CO, McCullough, ME, Larson, D, Prescott, CA (2003). Dimensions of religiosity and their relationship to lifetime psychiatric and substance use disorders. American Journal of Psychiatry 160, 496503.
Kirkpatrick, L (1992). An attachment-theoretical approach to the psychology of religion. International Journal for the Psychology of Religion 2, 328.
Kirkpatrick, L (1997). A longitudinal study of changes in religious belief and behavior as a function of individual differences in adult attachment style. Journal for the Scientific Study of Religion 36, 207217.
Koenig, HG, George, LK, Peterson, BL (1998). Religiosity and remission of depression in medically ill older patients. American Journal of Psychiatry 155, 536542.
Koenig, HG, Larson, DB (2001). Religion and mental health: evidence for an association. International Review of Psychiatry 13, 6778.
McCoubrie, R, Davies, A (2006). Is there a correlation between spirituality and anxiety and depression in patients with advanced cancer? Supportive Care in Cancer 14, 379385.
Niswander, K, Gordon, M (1972). The Women and their Pregnancies: The Collaborative Perinatal Study of the National Institute of Neurological Diseases and Stroke. National Institute of Health: Washington, DC.
Paloutzian, R, Ellison, C (1982). Loneliness, spiritual well-being and quality of life. In Loneliness: A Sourcebook of Current Theory, Research and Therapy (ed. Peplau, L. and Perlman, D.), pp. 224237. Wiley Interscience: New York.
Pargament, KL (1997). The Psychology of Religion and Coping. Theory, Research, Practice. Guilford Press: New York.
Pargament, KL (2004). Religious coping methods as predictors of psychological, physical and spiritual outcomes among medically ill elderly patients: a two-year longitudinal study. Journal of Health Psychology 9, 713730.
Pollner, M (1989). Divine relations, social relations, and well-being. Journal of Health and Social Behavior 30, 92104.
Roberts, JE, Gotlib, IH, Kassel, JD (1996). Adult attachment security and symptoms of depression: the mediating roles of dysfunctional attitudes and low self-esteem. Journal of Personality and Social Psychology 70, 310320.
Smith, TB, McCullough, ME, Poll, J (2003). Religiousness and depression: evidence for a main effect and the moderating influence of stressful life events. Psychological Bulletin 129, 614636.
Strawbridge, WJ, Shema, SJ, Cohen, RD, Kaplan, GA (2001). Religious attendance increases survival by improving and maintaining good health behaviors, mental health, and social relationships. Annals of Behavioral Medicine 23, 6874.
Tsuang, MT, Williams, WM, Simpson, JC, Lyons, MJ (2002). Pilot study of spirituality and mental health in twins. American Journal of Psychiatry 159, 486488.
Whiffen, VE, Kallos-Lilly, AV, Macdonald, BJ (2001). Depression and attachment in couples. Cognitive Therapy and Research 25, 577590.
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Psychological Medicine
  • ISSN: 0033-2917
  • EISSN: 1469-8978
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