Weaver Addie, Himle Joseph, Elliott Mark, Hahn Jessica, Bybee Deborah
School of Social Work, University of Michigan, 1080 S. University, Ann Arbor, MI, USA.
Department of Psychiatry, University of Michigan, Ann Arbor, MI, USA.
J Relig Health. 2019 Oct;58(5):1661-1671. doi: 10.1007/s10943-019-00807-9.
This study examines rural residents' depressive symptoms, helps seeking preferences and perceptions of a church-based group depression intervention, informing feasibility of adapting evidence-based treatment for delivery in rural churches. A cross-sectional survey was administered to 100 members of 2 churches in a rural Midwestern community; 63 congregants responded. Depression was assessed via the Patient Health Questionnaire-9. Descriptive analyses were performed, and 12.9% of respondents screened positive for depression. Another 25% reported mild symptomatology. Respondents preferred informal help seeking, although reported more openness to formal providers to address others' depression. Results suggest receptivity to church-based treatment. Almost two-third of respondents reported they would consider attending a church-based group depression intervention, 80% would recommend it to a friend in need, and 60% indicated it would benefit their community. Delivering evidence-based depression treatment within church settings may provide a viable option for increasing access to care in this rural community.
本研究调查了农村居民的抑郁症状、寻求帮助的偏好以及对基于教会的团体抑郁干预的看法，为在农村教会中采用循证治疗的可行性提供依据。对中西部农村社区两所教会的100名成员进行了横断面调查；63名教徒做出了回应。通过患者健康问卷-9评估抑郁情况。进行了描述性分析，12.9%的受访者抑郁筛查呈阳性。另有25%报告有轻微症状。受访者更喜欢寻求非正式帮助，不过在寻求正式医疗服务提供者帮助他人解决抑郁问题方面表现出更高的开放性。结果表明对基于教会的治疗有接受度。近三分之二的受访者表示他们会考虑参加基于教会的团体抑郁干预，80%会向有需要的朋友推荐，60%表示这将使他们的社区受益。在教会环境中提供循证抑郁治疗可能为增加这个农村社区的医疗服务可及性提供一个可行的选择。
