Department of Health Behavior and Health Education, University of Michigan School of Public Health, Ann Arbor, MI, USA.
Am J Geriatr Psychiatry. 2012 Feb;20(2):188-92. doi: 10.1097/JGP.0b013e31822ccd51.
: To examine the associations of dimensions of religiousness with the presence and severity of depression in older adults.
: Cross-sectional analysis of clinical and interview data.
: Private university-affiliated medical center in the Southeastern United States.
: Four hundred seventy-six psychiatric patients with a current episode of unipolar major depression, and 167 nondepressed comparison subjects, ages 58 years or older (mean = 70 years, SD = 7).
: Diagnostic Interview Schedule, Montgomery-Åsberg Depression Rating Scale, and Duke Depression Evaluation Schedule were used in the study.
: Presence of depression was related to less frequent worship attendance, more frequent private religious practice, and moderate subjective religiosity. Among the depressed group, less severe depression was related to more frequent worship attendance, less religiousness, and having had a born-again experience. These results were only partially explained by effects of social support and stress buffering.
: Religion is related to depression diagnosis and severity via multiple pathways.
探讨宗教信仰的不同维度与老年人抑郁的存在和严重程度的关系。
横断面分析临床和访谈数据。
美国东南部一所私立大学附属医院。
476 名有单相重性抑郁发作的精神科患者和 167 名无抑郁的对照组，年龄在 58 岁或以上（平均年龄=70 岁，标准差=7）。
研究中使用了诊断性访谈表、蒙哥马利-阿斯伯格抑郁评定量表和杜克抑郁评估量表。
抑郁的存在与礼拜出席频率较低、私人宗教实践频率较高和中等程度的主观宗教信仰有关。在抑郁组中，抑郁程度较轻与礼拜出席频率较高、宗教信仰较少以及有重生经历有关。这些结果仅部分解释了社会支持和压力缓冲的影响。
宗教信仰与抑郁的诊断和严重程度通过多种途径相关。
