Religious Service Attendance and Major Depression: A Case of Reverse Causality?
Religious Service Attendance and Major Depression: A Case of Reverse Causality?
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DOI：
10.1093/aje/kwr349
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发表时间：
2012-03-15
影响因子：
5
通讯作者：
Meador, Keith
中科院分区：
文献类型：
--
作者：
Maselko, Joanna;Hayward, R. David;Meador, Keith
尽管先前的研究发现，参加宗教服务和抑郁症之间存在保护性关联，但这种关联在多大程度上是由抑郁症患者退出宗教活动所驱动的尚不清楚。作者研究了早期重度抑郁发作（MDE）是否预示着随后的宗教服务出席率下降。数据来自国家围产期合作项目出生队列的3项随访研究（末次随访时平均年龄= 37岁; n = 2，097; 1959-2001）。广义估计方程法被用来计算早期MDE诊断（18岁之前）的影响，从儿童到成年的宗教服务出席率的变化的可能性。27%的研究参与者符合终生MDE的标准（n = 567），其中31%的人在18岁之前首次发病。早期MDE发作的女性在第一次成人随访波时停止参加宗教服务的可能性是成人发作MDE或无终身MDE的女性的1.42倍（95%置信区间：1.19，1.70）。在男性中没有观察到显著的相关性。这些发现表明，女性在抑郁症发作后更有可能停止参加宗教服务。对宗教活动的选择可能是之前观察到的成年期宗教服务参加率与精神病理学之间负相关的一个重要因素。
Although previous studies have found a protective association between attendance at religious services and depression, the extent to which this association is driven by depressed persons' dropping out of religious activities is not clear. The authors examined whether early onset of a major depressive episode (MDE) predicted a subsequent decrease in religious service attendance. Data came from 3 follow-up studies of the National Collaborative Perinatal Project birth cohort (mean age = 37 years at last follow-up; n = 2,097; 1959-2001). The generalized estimating equations method was used to calculate the impact of an early MDE diagnosis (before age 18 years) on the likelihood of change in level of religious service attendance from childhood to adulthood. Twenty-seven percent of study participants met the criteria for lifetime MDE (n = 567), of whom 31% had their first onset prior to age 18 years. Women with early MDE onset were 1.42 times more likely (95% confidence interval: 1.19, 1.70) than women with adult-onset MDE or no lifetime MDE to stop attending religious services by the time of the first adult follow-up wave. No significant associations were observed among men. These findings suggest that women are more likely to stop attending religious services after onset of depression. Selection out of religious activities could be a significant contributor to previously observed inverse correlations between religious service attendance and psychopathology during adulthood.