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Religious involvement and depressive symptoms in primary care elders

Published online by Cambridge University Press:  14 May 2007

D. A. KING ,
J. M. LYNESS ,
P. R. DUBERSTEIN ,
H. HE ,
X. M. TU  and
D. B. SEABURN
D. A. KING*
Affiliation:
Department of Psychiatry, University of Rochester Medical Center, Rochester, New York, USA
J. M. LYNESS
Affiliation:
Department of Psychiatry, University of Rochester Medical Center, Rochester, New York, USA
P. R. DUBERSTEIN
Affiliation:
Department of Psychiatry, University of Rochester Medical Center, Rochester, New York, USA
H. HE
Affiliation:
Department of Biostatistics and Computational Biology, University of Rochester Medical Center, Rochester, New York, USA
X. M. TU
Affiliation:
Department of Psychiatry, University of Rochester Medical Center, Rochester, New York, USA Department of Biostatistics and Computational Biology, University of Rochester Medical Center, Rochester, New York, USA
D. B. SEABURN
Affiliation:
Department of Psychiatry, University of Rochester Medical Center, Rochester, New York, USA
*
*Address for correspondence: Deborah A. King, Ph.D., Department of Psychiatry, 300 Crittenden Blvd, Rochester, NY 14642, USA. (Email: [email protected])
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Abstract

Background

Multiple lines of evidence indicate relationships between religious involvement and depression, although the specific nature of the relationships is yet to be clarified. Moreover, there appear to be no well controlled longitudinal studies to date examining this issue in primary care elders.

Method

The authors assessed the linear and non-linear relationships between three commonly identified types of religious involvement and observer-rated depressive symptoms in 709 primary care elders assessed at baseline and 1-year follow-up.

Results

Cross-sectional analyses revealed a curvilinear, U-shaped association between depressive symptoms and organizational religious activity, an inverse linear relationship of depressive symptoms with private religious involvement, and a positive relationship of depressive symptoms with intrinsic religiosity. Longitudinal analyses revealed a U-shaped association between depressive symptoms and private religious involvement, such that those reporting moderate levels of private religiosity at baseline evidenced lower levels of depressive symptoms at 1-year follow-up than those reporting either high or low levels of private religious activity.

Conclusions

The relationships between religious involvement and depression in primary care elders are complex and dependent on the type of religiosity measured. The authors found the strongest evidence for an association of non-organizational, private religious involvement and the severity of depressive symptoms, although further study is warranted using carefully controlled longitudinal designs that test for both linear and curvilinear relationships.

Type
Original Article
Information
Psychological Medicine , Volume 37 , Issue 12 , December 2007 , pp. 1807 - 1815
Copyright
Copyright © Cambridge University Press 2007

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References

REFERENCES

Abernethy, A. D., Chang, T., Seidlitz, L., Evinger, J. S. & Duberstein, P. R. (2002). Religious coping and depression among spouses of people with lung cancer. Psychosomatics 43, 456–463.CrossRefGoogle ScholarPubMed
Ainlay, S. C. & Smith, D. R. (1984). Aging and religious participation. Journal of Gerontology 39, 357–363.Google Scholar
Allport, G. W. & Ross, J. M. (1967). Personal religious orientation and prejudice. Journal of Personality and Social Psychology 5, 432–443.Google Scholar
Baetz, M., Griffin, R., Bowen, R., Koenig, H. G., Marcoux, E. (2004). The association between spiritual and religious involvement and depressive symptoms in a Canadian population. Journal of Nervous and Mental Disease 192, 818–822.CrossRefGoogle Scholar
Barnett, P. A. & Gotlib, I. H. (1988). Psychosocial functioning and depression: distinguishing among antecedents, concomitants, and consequences. Psychological Bulletin 104, 97–126.CrossRefGoogle ScholarPubMed
Blazer, D. G. (2003). Depression in late life: review and commentary. Journal of Gerontology: Medical Sciences 58A, 249–265.Google Scholar
Blazer, D. G., Hybels, C. F. & Pieper, C. F. (2001). The association of depression and mortality in elderly persons: a case for multiple, independent pathways. Journal of Gerontology: Biological and Medical Sciences 56, M505–509.Google Scholar
Braam, A. W., Beekman, A. T., Deeg, D. J., Smit, J. H. & van Tilburg, W. (1997). Religiosity as a protective or prognostic factor of depression in later life: results from a community survey in The Netherlands. Acta Psychiatrica Scandinavia 96, 199–205.CrossRefGoogle ScholarPubMed
Braam, A. W., Hein, E., Deeg, D. J., Twisk, J. W., Beekman, A. T. & van Tilburg, W. (2004). Religious involvement and 6-year course of depressive symptoms in older Dutch citizens: results from the Longitudinal Aging Study. Journal of Aging and Health 16, 467–489.CrossRefGoogle ScholarPubMed
Charney, D. S., Reynolds, C. F. III, Lewis, L., Lebowitz, B. D., Sunderland, T., Alexopoulos, G. S. et al. (2003). Depression and bipolar alliance consensus statement on the unmet needs in diagnosis and treatment of mood disorders in late life. Archives of General Psychiatry 60, 664–672.Google Scholar
Das, A., Poole, W. K. & Bada, H. S. (2004). A repeated measures approach for simultaneous modeling of multiple neurobehavioral outcomes in newborns exposed to cocaine in utero. American Journal of Epidemiology 159, 891–899.CrossRefGoogle ScholarPubMed
Hanley, J. A., Negassa, A., Edwardes, M. D. & Forrester, J. E. (2003). Statistical analysis of correlated data using generalized estimating equations: an orientation. American Journal of Epidemiology 157, 364–375.CrossRefGoogle Scholar
Hoge, D. R. (1972). A validated intrinsic religious motivation scale. Journal of the Scientific Study of Religion 11, 369–376.CrossRefGoogle Scholar
Idler, E. L. & Kasl, S. V. (1992). Religion, disability, depression, and the timing of death. American Journal of Sociology 97, 1052–1079.CrossRefGoogle Scholar
Jorm, A. F., Christensen, H., Henderson, A. S., Jacomb, P. A., Korten, A. E. & Rodgers, B. (2000). Predicting anxiety and depression from personality: is there a synergistic effect of neuroticism and extraversion? Journal of Abnormal Psychology 109, 145–149.CrossRefGoogle Scholar
Koenig, H. G., George, L. K. & Peterson, B. L. (1998). Religiosity and remission of depression in medically ill older patients. American Journal of Psychiatry 155, 536–542.Google Scholar
Koenig, H. G., George, L. K. & Titus, P. (2004). Religion, spirituality, and health in medically ill hospitalized older patients. Journal of the American Geriatrics Society 52, 554–562.CrossRefGoogle ScholarPubMed
Koenig, H. G., Hays, J. C., George, L. K., Blazer, D. G., Larson, D. B. & Landerman, L. R. (1997 a). Modeling the cross-sectional relationships between religion, physical health, social support, and depressive symptoms. American Journal of Geriatric Psychiatry 5, 131–144.CrossRefGoogle ScholarPubMed
Koenig, H. G., McCullough, M. E. & Larson, D. B. (2001). Handbook of Religion and Health. Oxford University Press: New York.Google Scholar
Koenig, H. G., Pargament, K. I. & Nielsen, J. (1998). Religious coping and health status in medically ill hospitalized older adults. Journal of Nervous and Mental Disease 186, 513–521.Google Scholar
Koenig, H., Parkerson, G. R. & Meador, K. G. (1997 b). Religion index for psychiatric research. American Journal of Psychiatry 154, 885–886.Google Scholar
Landerman, R., George, L. K., Campbell, R. T. & Blazer, D. G. (1989). Alternative models of the stress-buffering hypothesis. American Journal of Community Psychology 17, 625–642.CrossRefGoogle ScholarPubMed
Liang, K. Y. & Zeger, S. L. (1986). Longitudinal data analysis using generalized linear models. Biometrika 73, 13–22.Google Scholar
Linn, B. S., Linn, M. W. & Gurel, L. (1968). Cumulative Illness Rating Scale. Journal of the American Geriatrics Society 16, 622–626.CrossRefGoogle ScholarPubMed
Lyness, J. M., Caine, E. D., King, D. A., Conwell, Y., Duberstein, P. R. & Cox, C. (2002). Depressive disorders and symptoms in older primary care patients: one-year outcomes. American Journal of Geriatric Psychiatry 10, 275–282.CrossRefGoogle ScholarPubMed
Lyness, J. M., Caine, E. D., King, D. A., Cox, C. & Yoediono, Z. (1999). Psychiatric disorders in older primary-care patients. Journal of General Internal Medicine 14, 249–254.CrossRefGoogle ScholarPubMed
Lyness, J. M., Heo, M., Datto, C. J., Ten Have, T. R., Katz, I. R., Drayer, R., Reynolds, C. F. III, Alexopoulos, G. S. & Bruce, M. L. (2006). Outcomes of minor and subsyndromal depression among elderly patients in primary care settings. Annals of Internal Medicine 144, 496–504.Google Scholar
Monroe, S. M. & Simons, A. D. (1991). Diathesis-stress theories in the context of life stress research: implications for the depressive disorders. Psychological Bulletin 110, 406–425.Google Scholar
Murray, C. J. & Lopez, A. D. (1996). The Global Burden of Disease: A Comprehensive Assessment of Mortality and Disability from Diseases, Injuries, and Risk Factors in 1990 and Projected to 2020. Harvard University Press: Cambridge, MA.Google Scholar
National Institute of Mental Health Genetics Workgroup (1998). Genetics and Mental Disorders (NIH Publication No. 98-4268). National Institute of Mental Health: Rockville, MD.Google Scholar
Pargament, K. I. (1997). The Psychology of Religion and Coping: Theory, Research, Practice. Guilford Press: New York.Google Scholar
Pargament, K. I., Koenig, H. G. & Perez, L. M. (2000). The many methods of religious coping: development and initial validation of the RCOPE. Journal of Clinical Psychology 56, 519–543.3.0.CO;2-1>CrossRefGoogle ScholarPubMed
Piccinelli, M. & Wilkinson, G. (2000). Gender differences in depression. British Journal of Psychiatry 177, 486–492.Google Scholar
Radloff, L. S. (1977). The CES-D scale: a self-report depression scale for research in the general population. Applied Psychological Measurement 1, 385–401.CrossRefGoogle Scholar
Ross, C. E. & Sastry, J. (1999). The sense of personal control: social-structural causes and emotional consequences. In Handbook of the Sociology of Mental Health (ed. Axneshensel, S. S. and Phelan, J. C.), pp. 369–394. Kluwer Academic/Plenum: New York.Google Scholar
Rubin, D. B. (1976). Inference and missing data. Biometrika 63, 581–592.CrossRefGoogle Scholar
Sanders, M. L., Lyness, J. M., Eberly, S., King, D. A. & Caine, E. D. (2006). Cerebrovascular risk factors, cognition, and depression in older primary care patients. American Journal of Geriatric Psychiatry 14, 145–152.CrossRefGoogle ScholarPubMed
Schnittker, J. (2001). When is faith enough? The effects of religious involvement on depression. Journal for the Scientific Study of Religion 40, 393–411.Google Scholar
Schulberg, H. C., Mulsant, B., Schulz, R., Rollman, B. L., Houck, P. R. & Reynolds, C. F. III (1998). Characteristics and course of major depression in older primary care patients. International Journal of Psychiatry and Medicine 28, 421–436.CrossRefGoogle ScholarPubMed
Schumaker, J. F. (1992). Mental health consequences of irreligion. In Religion and Mental Health (ed. Schumaker, J. F.), pp. 54–69. Oxford University Press: New York.Google Scholar
Seaburn, D. B., Lyness, J. M., Eberly, S. & King, D. A. (2005). Depression, perceived family criticism, and functional status among older, primary-care patients. American Journal of Geriatric Psychiatry 13, 766–772.CrossRefGoogle ScholarPubMed
Shaver, P., Lenauer, M. & Sadd, S. (1980). Religiousness, conversion, and subjective well-being: the ‘healthy-minded’ religion of modern American women. American Journal of Psychiatry 137, 1563–1568.Google Scholar
Sheikh, J. L. & Yesavage, J. A. (1986). Geriatric Depression Scale (GDS): recent evidence and development of a shorter scale. Clinical Gerontologist 5, 165–173.Google Scholar
Smith, T. B., McCullough, M. E. & Poll, J. (2003). Religiousness and depression: evidence for a main effect and the moderating influence of stressful life events. Psychological Bulletin 129, 614–636.CrossRefGoogle ScholarPubMed
Spitzer, R. L., Gibbon, M. & Williams, J. B. W. (1994). Structured Clinical Interview for Axis I DSM-IV Disorders. Biometrics Research Department: New York.Google Scholar
Strawbridge, W. J., Shema, S. J., Cohen, R. D. & Kaplan, G. A. (1998). Religiosity buffers effects of some stressors on depression but exacerbates others. Journal of Gerontology B: Psychological and Social Sciences 53, S118–S126.CrossRefGoogle ScholarPubMed
Unutzer, J., Patrick, D. L., Diehr, P., Simon, G., Grembowski, D. & Katon, W. (2000). Quality adjusted life years in older adults with depressive symptoms and chronic medical disorders. International Psychogeriatrics 12, 15–33.CrossRefGoogle ScholarPubMed
Williams, J. B. W. (1988). A structured interview guide for the Hamilton Depression Rating Scale. Archives of General Psychiatry 45, 742–747.CrossRefGoogle ScholarPubMed
U.S. Department of Health and Human Services, Office of Civil Rights (2003). Summary of the HIPAA Privacy Rule (http://www.hhs.gov/ocr/privacysummary.pdf). Accessed 18 April 2007.Google Scholar
U.S. Department of Health and Human Services, Substance Abuse and Mental Health Services Administration (1996). Mental Health: A Report by the Surgeon General (http://www.surgeongeneral.gov/library/mentalhealth/home.html). Accessed 21 May 2005.Google Scholar