Norton Maria C, Singh Archana, Skoog Ingmar, Corcoran Christopher, Tschanz Joann T, Zandi Peter P, Breitner John C S, Welsh-Bohmer Kathleen A, Steffens David C
Department of Family, Consumer and Human Development, Cache County Study on Memory Health and Aging, Utah State University, 4440 Old Main Hill, Logan, UT 84322-4440, USA.
J Gerontol B Psychol Sci Soc Sci. 2008 May;63(3):P129-37. doi: 10.1093/geronb/63.3.p129.
We examined the relation between church attendance, membership in the Church of Jesus Christ of Latter-Day Saints (LDS), and major depressive episode, in a population-based study of aging and dementia in Cache County, Utah. Participants included 2,989 nondemented individuals aged between 65 and 100 years who were interviewed initially in 1995 to 1996 and again in 1998 to 1999. LDS church members reported twice the rate of major depression that non-LDS members did (odds ratio = 2.56, 95% confidence interval = 1.07-6.08). Individuals attending church weekly or more often had a significantly lower risk for major depression. After controlling for demographic and health variables and the strongest predictor of future episodes of depression, a prior depression history, we found that church attendance more often than weekly remained a significant protectant (odds ratio = 0.51, 95% confidence interval = 0.28-0.92). Results suggest that there may be a threshold of church attendance that is necessary for a person to garner long-term protection from depression. We discuss sociological factors relevant to LDS culture.
在犹他州卡什县一项基于人口的衰老与痴呆研究中，我们考察了参加教会活动、成为耶稣基督后期圣徒教会（LDS）成员与重度抑郁发作之间的关系。参与者包括2989名年龄在65至100岁之间的非痴呆个体，他们于1995年至1996年首次接受访谈，并于1998年至1999年再次接受访谈。LDS教会成员的重度抑郁发生率是非LDS成员的两倍（优势比=2.56，95%置信区间=1.07 - 6.08）。每周或更频繁参加教会活动的个体患重度抑郁的风险显著更低。在控制了人口统计学和健康变量以及未来抑郁发作的最强预测因素——既往抑郁病史后，我们发现，参加教会活动频率超过每周一次仍是一个显著的保护因素（优势比=0.51，95%置信区间=0.28 - 0.92）。结果表明，一个人要获得长期的抑郁防护，参加教会活动可能存在一个阈值。我们讨论了与LDS文化相关的社会学因素。
