Religious involvement and depression in older Dutch citizens

Religious involvement and depression in older Dutch citizens
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DOI:
10.1007/bf00789041
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发表时间:
1997-07-01
影响因子:
4.4
通讯作者:
vanTilburg, W
vanTilburg, W
中科院分区:
医学2区
文献类型:
--
作者:
Braam, AW;Beekman, ATF;vanTilburg, W

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有人认为,虔诚的宗教信仰有助于防止老年人抑郁。这项研究考察了荷兰老年公民中宗教参与与抑郁之间的联系,并重点研究了宗教参与对其他与抑郁相关的因素产生影响的机制模型。受试者是2817名55-85岁的老年人,他们参加了阿姆斯特丹的纵向老龄化研究。用流行病学研究中心抑郁量表(CES-D)评估抑郁症状。宗教参与的评估项目包括参加教堂的频率和教会隶属关系的强度,进一步收集了身体健康、社会网络规模、社会支持、掌握感和自尊等数据。与北美的研究一样,宗教参与似乎与抑郁呈负相关,无论是在症状还是症状水平上。控制社会人口学、身体损伤和网络支持对这种联系没有实质性影响,特别是在75-85岁的受试者中。宗教参与和抑郁之间的反向关联在有身体障碍的老年人中并不选择性地更加明显。然而,这种联系似乎在社交网络规模较小的受试者和缺乏主控感的受试者中最为具体。
It has been suggested that religiosity helps prevent depression in older people. This study examines the association between religious involvement and depression in older Dutch citizens and focuses on models of the mechanism in which religious involvement has an impact on other factors related to depression. The subjects were 2,817 older adults aged 55-85 years living in the community who participated in the Longitudinal Aging Study Amsterdam. Depressive symptoms were assessed using the Center for Epidemiologic Studies Depression Scale (CES-D). Religious involvement was assessed using items on frequency of church attendance and strength of church affiliation, Further data were collected on physical health, size of social network, social support, sense of mastery and self-esteem. As in North American studies, religious involvement appeared to be inversely associated with depression, both on symptom and syndrome levels. Controlling for sociodemographics, physical impairment and network support did not substantially affect this association, particularly among subjects aged 75-85 years. The inverse association between religious involvement and depression was not selectively more pronounced among older people with physical impairments. However, the association appeared to be most specific for subjects with a small social network and those with a low sense of mastery.