A prospective study of religion/spirituality and depressive symptoms among adolescent psychiatric patients

R. E. Dew, S. S. Daniel, D. B. Goldston, William Vaughn McCall, M. Kuchibhatla, C. Schleifer, M. F. Triplett, H. G. Koenig

Research output: Contribution to journalArticle

52 Citations (Scopus)

Abstract

Objective: Previous research has uncovered relationships between religion/spirituality and depressive disorders. Proposed mechanisms through which religion may impact depression include decreased substance use and enhanced social support. Little investigation of these topics has occurred with adolescent psychiatric patients, among whom depression, substance use, and social dysfunction are common. Method: 145 subjects, aged 12-18, from two psychiatric outpatient clinics completed the Beck Depression Inventory-II (BDI-II), the Fetzer multidimensional survey of religion/spirituality, and inventories of substance abuse and perceived social support. Measures were completed again six months later. Longitudinal and cross-sectional relationships between depression and religion were examined, controlling for substance abuse and social support. Results: Of thirteen religious/spiritual characteristics assessed, nine showed strong cross-sectional relationships to BDI-II score. When perceived social support and substance abuse were controlled for, forgiveness, negative religious support, loss of faith, and negative religious coping retained significant relationships to BDI-II. In longitudinal analyses, loss of faith predicted less improvement in depression scores over 6 months, controlling for depression at study entry. Limitations: Self-report data, clinical sample. Conclusions: Several aspects of religiousness/spirituality appear to relate cross-sectionally to depressive symptoms in adolescent psychiatric patients. Findings suggest that perceived social support and substance abuse account for some of these correlations but do not explain relationships to negative religious coping, loss of faith, or forgiveness. Endorsing a loss of faith may be a marker of poor prognosis among depressed youth.

Original languageEnglish (US)
Pages (from-to)149-157
Number of pages9
JournalJournal of Affective Disorders
Volume120
Issue number1-3
DOIs
StatePublished - Jan 1 2010
Externally publishedYes

Fingerprint

Adolescent Psychiatry
Spirituality
Religion
Prospective Studies
Depression
Social Support
Substance-Related Disorders
Forgiveness
Equipment and Supplies
Depressive Disorder
Ambulatory Care Facilities
Self Report
Psychiatry

Keywords

  • Adolescents
  • Depression
  • Religion
  • Spirituality

ASJC Scopus subject areas

  • Clinical Psychology
  • Psychiatry and Mental health

Cite this

A prospective study of religion/spirituality and depressive symptoms among adolescent psychiatric patients. / Dew, R. E.; Daniel, S. S.; Goldston, D. B.; McCall, William Vaughn; Kuchibhatla, M.; Schleifer, C.; Triplett, M. F.; Koenig, H. G.

In: Journal of Affective Disorders, Vol. 120, No. 1-3, 01.01.2010, p. 149-157.

Research output: Contribution to journalArticle

Dew, RE, Daniel, SS, Goldston, DB, McCall, WV, Kuchibhatla, M, Schleifer, C, Triplett, MF & Koenig, HG 2010, 'A prospective study of religion/spirituality and depressive symptoms among adolescent psychiatric patients', Journal of Affective Disorders, vol. 120, no. 1-3, pp. 149-157. https://doi.org/10.1016/j.jad.2009.04.029
Dew, R. E. ; Daniel, S. S. ; Goldston, D. B. ; McCall, William Vaughn ; Kuchibhatla, M. ; Schleifer, C. ; Triplett, M. F. ; Koenig, H. G. / A prospective study of religion/spirituality and depressive symptoms among adolescent psychiatric patients. In: Journal of Affective Disorders. 2010 ; Vol. 120, No. 1-3. pp. 149-157.
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