Religiosity and major depression in adults at high risk: a ten-year prospective study.

Religiosity and major depression in adults at high risk: a ten-year prospective study.
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DOI:
10.1176/appi.ajp.2011.10121823
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发表时间:
2012-01
期刊:
The American journal of psychiatry
影响因子:
--
通讯作者:
Weissman MM
Weissman MM
中科院分区:
其他
文献类型:
--
作者:
Miller L;Wickramaratne P;Gameroff MJ;Sage M;Tenke CE;Weissman MM

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此前,作者在一项对有和没有抑郁症病史的成年人的研究中发现,宗教或精神信仰的个人重要性与患严重抑郁症的风险较低有关。在这里,作者使用一项为期10年的前瞻性纵向设计,在原始样本的成年后代中检验了宗教或精神信仰的个人重要性与严重抑郁症的关联。参与者是114名抑郁和非抑郁父母的成年子女,纵向跟踪调查。该分析涵盖了从10年到20年的后续评估期间。用情感障碍量表和精神分裂症终生版进行诊断评估。宗教信仰衡量标准包括个人对宗教或灵性的重要性、参加宗教仪式的频率和教派(所有参与者都是天主教徒或新教徒)。在Logistic回归分析中,20年的严重抑郁被用作结果测量,10年时的三个宗教变量被用作预测因素。与其他参与者相比,在10岁时报告宗教或灵性对他们非常重要的后代在10岁至20岁之间经历严重抑郁症的风险约为四分之一。宗教参加人数和教派对这一结果没有显著的预测作用。这种影响在父母抑郁的高风险子女中最为明显;在这一群体中,那些报告高度重视宗教或灵性的人在10岁到20岁之间经历严重抑郁的风险大约是没有宗教或灵性重要性的人的十分之一。这种保护作用主要是针对抑郁症的复发而不是发作。对宗教或灵性重要性的高度自我评价可能会对抑郁症的复发起到保护作用,特别是在有父母抑郁病史的成年人中。
Previously the authors found that personal importance of religion or spirituality was associated with a lower risk for major depression in a study of adults with and without a history of depression. Here the authors examine the association of personal importance of religion or spirituality with major depression in the adult offspring of the original sample using a 10-year prospective longitudinal design. Participants were 114 adult offspring of depressed and nondepressed parents, followed longitudinally. The analysis covers the period from the 10-year to the 20-year follow-up assessments. Diagnosis was assessed with the Schedule for Affective Disorders and Schizophrenia–Lifetime Version. Religiosity measures included personal importance of religion or spirituality, frequency of attendance at religious services, and denomination (all participants were Catholic or Protestant). In a logistic regression analysis, major depression at 20 years was used as the outcome measure and the three religiosity variables at 10 years as predictors. Offspring who reported at year 10 that religion or spirituality was highly important to them had about one-fourth the risk of experiencing major depression between years 10 and 20 compared with other participants. Religious attendance and denomination did not significantly predict this outcome. The effect was most pronounced among offspring at high risk for depression by virtue of having a depressed parent; in this group, those who reported a high importance of religion or spirituality had about one-tenth the risk of experiencing major depression between years 10 and 20 compared with those who did not. The protective effect was found primarily against recurrence rather than onset of depression. A high self-report rating of the importance of religion or spirituality may have a protective effect against recurrence of depression, particularly in adults with a history of parental depression.
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