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Religiosity and resilience in persons at high risk for major depression

Published online by Cambridge University Press:  17 August 2011

S. Kasen ,
P. Wickramaratne ,
M. J. Gameroff  and
M. M. Weissman
S. Kasen*
Affiliation:
Department of Psychiatry, College of Physicians and Surgeons, Columbia University, New York, NY, USA Division of Epidemiology, New York State Psychiatric Institute, New York, NY, USA
P. Wickramaratne
Affiliation:
Department of Psychiatry, College of Physicians and Surgeons, Columbia University, New York, NY, USA Division of Epidemiology, New York State Psychiatric Institute, New York, NY, USA Department of Epidemiology, Joseph L. Mailman School of Public Health, Columbia University, New York, NY, USA Department of Biostatistics, Joseph L. Mailman School of Public Health, Columbia University, New York, NY, USA
M. J. Gameroff
Affiliation:
Department of Psychiatry, College of Physicians and Surgeons, Columbia University, New York, NY, USA Division of Epidemiology, New York State Psychiatric Institute, New York, NY, USA Department of Epidemiology, Joseph L. Mailman School of Public Health, Columbia University, New York, NY, USA
M. M. Weissman
Affiliation:
Department of Psychiatry, College of Physicians and Surgeons, Columbia University, New York, NY, USA Division of Epidemiology, New York State Psychiatric Institute, New York, NY, USA Department of Epidemiology, Joseph L. Mailman School of Public Health, Columbia University, New York, NY, USA
*
*Address for correspondence: S. Kasen, Ph.D., 100 Haven Avenue, Tower 3, Suite 31F, New York, NY 10032, USA. (Email: sk57@columbia.edu)
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Abstract

Background

Few studies have examined religiosity as a protective factor using a longitudinal design to predict resilience in persons at high risk for major depressive disorder (MDD).

Method

High-risk offspring selected for having a depressed parent and control offspring of non-depressed parents were evaluated for psychiatric disorders in childhood/adolescence and at 10-year and 20-year follow-ups. Religious/spiritual importance, services attendance and negative life events (NLEs) were assessed at the 10-year follow-up. Models tested differences in relationships between religiosity/spirituality and subsequent disorders among offspring based on parent depression status, history of prior MDD and level of NLE exposure. Resilience was defined as lower odds for disorders with greater religiosity/spirituality in higher-risk versus lower-risk offspring.

Results

Increased attendance was associated with significantly reduced odds for mood disorder (by 43%) and any psychiatric disorder (by 53%) in all offspring; however, odds were significantly lower in offspring of non-depressed parents than in offspring of depressed parents. In analyses confined to offspring of depressed parents, those with high and those with average/low NLE exposure were compared: increased attendance was associated with significantly reduced odds for MDD, mood disorder and any psychiatric disorder (by 76, 69 and 64% respectively) and increased importance was associated with significantly reduced odds for mood disorder (by 74%) only in offspring of depressed parents with high NLE exposure. Moreover, those associations differed significantly between offspring of depressed parents with high NLE exposure and offspring of depressed parents with average/low NLE exposure.

Conclusions

Greater religiosity may contribute to development of resilience in certain high-risk individuals.

Keywords

High-risklongitudinalmajor depressionreligiosityresilience
Type
Original Articles
Information
Psychological Medicine , Volume 42 , Issue 3 , March 2012 , pp. 509 - 519
Copyright
Copyright © Cambridge University Press 2011

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References

Aldwin, C (1994). Stress, Coping, and Development: An Integrative Perspective. Guilford Press: New York.Google Scholar
Beardslee, WR, Keller, MB, Klerman, GL (1985). Children of parents with affective disorder. International Journal of Family Psychiatry 6, 283–299.Google Scholar
Brown, GW (1989). Life events and measurement. In Life Events and Illness (ed. Brown, G. W. and Harris, T. O.), pp. 3–45. Guilford Press: New York.Google Scholar
Daud, A, af Klinteberg, B, Rydelius, P-A (2008). Resilience and vulnerability among refugee children of traumatized and non-traumatized parents. Child and Adolescent Psychiatry and Mental Health 2:7. Published online: 28 March 2008. doi:10.1186/1753-2000-2-7.CrossRefGoogle ScholarPubMed
D'Onofrio, BM, Eaves, LJ, Murrelle, L, Maes, HH, Spilka, B (1999). Understanding biological and social influences on religious affiliation, attitudes, and behaviors: a behavior genetic perspective. Journal of Personality 67, 953–984.CrossRefGoogle ScholarPubMed
Downey, G, Coyne, JC (1990). Children of depressed parents: an integrative review. Psychological Bulletin 108, 50–76.CrossRefGoogle ScholarPubMed
Ellison, CG, Flannelly, KJ (2009). Religious involvement and risk of major depression in a prospective nationwide study of African American adults. Journal of Nervous and Mental Disease 197, 568–573.CrossRefGoogle Scholar
Garmezy, N, Masten, AS, Tellegen, A (1984). The study of stress and competence in children: a building block for developmental psychopathology. Child Development 55, 107–111.CrossRefGoogle Scholar
George, LK, Larson, DB, Koenig, HG, McCullough, ME (2000). Spirituality and health: what we know, what we need to know. Journal of Social and Clinical Psychology 19, 102–116.CrossRefGoogle Scholar
Grotberg, E (1999). Tapping Your Inner Strength: How to Find the Resilience to Deal with Anything. New Harbinger, Inc.: Oakland, CA.Google Scholar
Hammen, C, Brennan, PA, Keenan-Miller, D, Herr, RA (2008). Early onset recurrent subtype of adolescent depression: clinical and psychosocial correlates. Journal of Child Psychology and Psychiatry 49, 433–440.CrossRefGoogle ScholarPubMed
Hammen, C, Burge, D, Adrian, C (1991). Timing of mother and child depression in a longitudinal study of children at risk. Journal of Consulting and Clinical Psychology 59, 341–345.CrossRefGoogle Scholar
Hammen, C, Burge, D, Burney, E, Adrian, C (1990). Longitudinal study of diagnoses in children of women with unipolar and bipolar affective disorder. Archives of General Psychiatry 47, 1112–1117.CrossRefGoogle ScholarPubMed
Harrington, R, Fudge, H, Rutter, M, Pickles, A, Hill, J (1990). Adult outcomes of childhood and adolescent depression: I. Psychiatric status. Archives of General Psychiatry 47, 465–473.CrossRefGoogle ScholarPubMed
Hazel, NA, Hammen, C, Brennan, PA, Najman, J (2008). Early childhood adversity and adolescent depression: the mediating role of continued stress. Psychological Medicine 38, 581–589.CrossRefGoogle ScholarPubMed
Ingram, RE, Luxton, DD (2005). Vulnerability-stress models. In Development of Psychopathology: A Vulnerability-Stress Perspective(ed. Hankin, B. L. and Abela, J. R. Z.), pp. 32–46. Sage Publications: Thousand Oaks, CA.CrossRefGoogle Scholar
Kandel, DB, Davies, M (1986). Adult sequelae of adolescent depressive symptoms. Archives of General Psychiatry 43, 255–262.CrossRefGoogle ScholarPubMed
Kasen, S, Chen, H, Sneed, JR, Cohen, P (2010). Earlier stress exposure and subsequent major depression in aging women. International Journal of Geriatric Psychiatry 25, 91–99.CrossRefGoogle ScholarPubMed
Kasen, S, Cohen, P, Skodol, AE, Johnson, JG, Smailes, E, Brook, JS (2001). Childhood depression and adult personality disorder: alternative pathways of continuity. Archives of General Psychiatry 58, 231–236.CrossRefGoogle ScholarPubMed
Kaufman, J, Birmaher, B, Brent, D, Rao, U, Flynn, C, Moreci, P, Williamson, D, Ryan, N (1997). The schedule for affective disorders and schizophrenia for school-age children – present and lifetime version (K-SADS-PL): initial reliability and validity data. Journal of the American Academy of Child and Adolescent Psychiatry 36, 980–988.CrossRefGoogle ScholarPubMed
Kendler, K (1995). Is seeking treatment for depression predicted by a history of depression in relatives? Implications for family studies of affective disorder. Psychological Medicine 25, 807–814.CrossRefGoogle ScholarPubMed
Kendler, KS, Gardner, CO, Prescott, CA (1997). Religion, psychopathology, and substance use and abuse: a multimeasure, genetic-epidemiologic study. American Journal of Psychiatry 154, 322–329.Google ScholarPubMed
Kendler, KS, Gardner, CO, Prescott, CA (1999 a). Clarifying the relationship between religiosity and psychiatric illness: the impact of covariates and the specificity of buffering effects. Twin Research 2, 137–144.CrossRefGoogle ScholarPubMed
Kendler, KS, Karkowski, LM, Prescott, CA (1999 b). Causal relationship between stressful life events and the onset of major depression. American Journal of Psychiatry 156, 837–841.CrossRefGoogle ScholarPubMed
Kendler, KS, Liu, X-Q, Gardner, CO, McCullough, ME, Larson, D, Prescott, CA (2003). Dimensions of religiosity and their relationship to lifetime psychiatric and substance use disorders. American Journal of Psychiatry 160, 496–503.CrossRefGoogle ScholarPubMed
Kendler, KS, Myers, J (2009). A developmental twin study of church attendance and alcohol and nicotine consumption: a model for analyzing the changing impact of genes and environment. American Journal of Psychiatry 166, 1150–1155.CrossRefGoogle Scholar
Kendler, KS, Thornton, LM, Gardner, CO (2000). Stressful life events and previous episodes in the etiology of major depression in women: an evaluation of the ‘kindling’ hypothesis. American Journal of Psychiatry 157, 1243–1251.CrossRefGoogle ScholarPubMed
Kessler, RC (1997). The effects of stressful life events on depression. Annual Review of Psychology 48, 191–214.CrossRefGoogle ScholarPubMed
Kessler, RC, Avenevoli, S, Merikangas, KR (2001). Mood disorders in children and adolescents: an epidemiological perspective. Biological Psychiatry 49, 1002–1014.CrossRefGoogle Scholar
Koenig, HG (1992). Religion and mental health in later life. In Religion and Mental Health (ed. Schumaker, J.), pp. 177–188. Oxford University Press: New York.CrossRefGoogle Scholar
Koenig, HG, George, LK, Peterson, BL (1998). Religiosity and remission of depression in medically ill older patients. American Journal of Psychiatry 155, 536–542.CrossRefGoogle ScholarPubMed
Koenig, HG, McCullough, ME, Larson, DB (2001). Handbook of Religion and Health. Oxford University Press: New York.CrossRefGoogle Scholar
Krause, N (2009). Religious involvement, gratitude, and change in depressive symptoms over time. International Journal for the Psychology of Religion 19, 155–172.CrossRefGoogle ScholarPubMed
Leckman, JF, Sholomskas, D, Thompson, D, Belanger, A, Weissman, MM (1982). Best estimate of lifetime psychiatric diagnosis: a methodological study. Archives of General Psychiatry 39, 879–883.CrossRefGoogle ScholarPubMed
Liang, KY, Zeger, SL (1986). Longitudinal data analyses using generalized linear models. Biometrika 73, 13–22.CrossRefGoogle Scholar
Luthar, SS (2006). Resilience in development: a synthesis of research across five decades. In Developmental Psychopathology: Risk, Disorder, and Adaptation (ed. Cicchetti, D. and Cohen, D. J.), pp. 740–795. Wiley: New York.Google Scholar
Luthar, SS, Cicchetti, D (2000). The construct of resilience: implications for interventions and social policies. Development and Psychopathology 12, 857–885.CrossRefGoogle ScholarPubMed
Luthar, SS, Cicchetti, D, Becker, B (2000). The construct of resilience: a critical evaluation and guidelines for future work. Child Development 71, 543–562.CrossRefGoogle ScholarPubMed
Mannuzza, S, Fyer, AJ, Klein, DF, Endicott, J (1986). Schedule for Affective Disorders and Schizophrenia – Lifetime Version modified for the study of anxiety disorders (SADS-LA): rationale and conceptual development. Journal of Psychiatric Research 20, 317–325.CrossRefGoogle Scholar
Maselko, J, Gilman, SE, Buka, S (2009). Religious service attendance and spiritual well-being are differentially associated with risk for major depression. Psychological Medicine 39, 1009–1017.CrossRefGoogle ScholarPubMed
Masten, A, Best, K, Garmezy, N (1990). Resilience and development: contributions from the study of children who overcome adversity. Development and Psychopathology 2, 425–444.CrossRefGoogle Scholar
Maton, K (1989). The stress-buffering role of spiritual support: cross-sectional and prospective investigations. Journal for the Scientific Study of Religion 28, 310–323.CrossRefGoogle Scholar
McCullough, ME, Larson, DB (1998). Future directions in research. In Handbook of Religion and Mental Health (ed. Koenig, H. G.), pp. 95–107. Academic Press: San Diego, CA.CrossRefGoogle Scholar
McCullough, ME, Larson, DB (1999). Religion and depression: a review of the literature. Twin Research 2, 126–136.CrossRefGoogle ScholarPubMed
Miller, L, Warner, V, Wickramaratne, P, Weissman, M (1997). Religiosity and depression: ten-year follow-up of depressed mothers and offspring. Journal of the American Academy of Child and Adolescent Psychiatry 36, 1416–1425.CrossRefGoogle ScholarPubMed
Miller, L, Wickramaratne, P, Gameroff, MJ, Sage, M, Tenke, C, Warner, V, Weissman, MM (in press). Religiosity and major depressive disorder in adults at high risk: a ten-year prospective study. American Journal of Psychiatry.Google Scholar
Monroe, SM, Simons, AD (1991). Diathesis-stress theories in the context of life stress research: implications for the depressive disorders. Psychological Bulletin 110, 406–425.CrossRefGoogle ScholarPubMed
Ní Raghallaigh, M, Gilligan, R (2010). Active survival in the lives of unaccompanied minors: coping strategies, resilience, and the relevance of religion. Child and Family Social Work 15, 226–237.CrossRefGoogle Scholar
Orvaschel, H, Puig-Antich, J, Chambers, W, Tabrizi, MA, Johnson, R (1982). Retrospective assessment of prepubertal major depression with the Kiddie-SADS-E. Journal of the American Academy of Child Psychiatry 21, 392–397.CrossRefGoogle ScholarPubMed
Orvaschel, H, Walsh-Allis, G, Ye, W (1988). Psychopathology in children of parents with recurrent depression. Journal of Abnormal Child Psychology 16, 17–28.CrossRefGoogle ScholarPubMed
Pargament, KI (1997). The Psychology of Religion and Coping. Guilford Press: New York.Google Scholar
Regier, DA, Kaelber, CT, Rae, DS, Farmer, ME, Knauper, B, Kessler, RC, Norquist, GS (1998). Limitations of diagnostic criteria and assessment instruments for mental disorders. Implications for research and policy. Archives of General Psychiatry 55, 109–115.CrossRefGoogle ScholarPubMed
Robinson, KM, Kaye, J (1994). The relationship between spiritual perspective, social support, and depression in caregiving and noncaregiving wives. Scholarly Inquiry for Nursing Practice: An International Journal 8, 375–389.Google ScholarPubMed
Rutter, M (1999). Resilience concepts and findings: implications for family therapy. Journal of Family Therapy 21, 119–144.CrossRefGoogle Scholar
Rutter, M (2000). Resilience reconsidered: conceptual considerations, empirical findings, and policy implications. In Handbook of Early Childhood Intervention, 2nd edn ( ed. Shonkoff, J. P. and Meisels, S. J.), pp. 651–682. Cambridge University Press: New York.CrossRefGoogle Scholar
Smith, TB, McCullough, ME, Poll, J (2003). Religiousness and depression: evidence for a main effect and the moderating influence of stressful life events. Psychological Bulletin 129, 614–636.CrossRefGoogle ScholarPubMed
Strawbridge, WJ, Shema, SJ, Cohen, RD, Roberts, RE, Kaplan, GA (1998). Religiosity buffers effects of some stress on depression but exacerbates others. Journals of Gerontology, Series B: Psychological Sciences and Social Sciences 53B, S118–S126.CrossRefGoogle Scholar
Tennant, C (2002). Life events, stress and depression: a review of recent findings. Australian and New Zealand Journal of Psychiatry 36, 173–182.CrossRefGoogle ScholarPubMed
Thearle, MJ, Vance, JC, Najman, JM, Embelton, G, Foster, WJ (1995). Church attendance, religious affiliation and parental responses to sudden infant death, neonatal death and stillbirth. OMEGA: Journal of Death and Dying 31, 51–58.CrossRefGoogle Scholar
Tsuang, MT, Williams, WM, Simpson, JC, Lyons, MJ (2002). Pilot study of spirituality and mental health in twins. American Journal of Psychiatry 159, 486–488.CrossRefGoogle ScholarPubMed
Vance, T, Maes, HH, Kendler, KS (2010). Genetic and environmental influences on multiple dimensions of religiosity. Journal of Nervous and Mental Disease 198, 755–761.CrossRefGoogle ScholarPubMed
Warner, V, Weissman, MM, Mufson, L, Wickramaratne, P (1999). Grandparents, parents, and grandchildren at high risk for depression: a three-generation study. Journal of the Academy of Child and Adolescent Psychiatry 38, 289–296.CrossRefGoogle ScholarPubMed
Weissman, MM, Gammon, GD, John, K, Merikangas, KR, Warner, V, Prusoff, BR, Sholomskas, D (1987). Children of depressed parents: increased psychopathology and early onset of major depression. Archives of General Psychiatry 44, 847–853.CrossRefGoogle ScholarPubMed
Weissman, MM, Warner, V, Wickramaratne, P, Moreau, D, Olfson, M (1997). Offspring of depressed parents: 10 years later. Archives of General Psychiatry 54, 932–940.CrossRefGoogle ScholarPubMed
Weissman, MM, Wickramaratne, P, Nomura, Y, Warner, V, Pilowski, D, Verdeli, H (2006). Offspring of depressed parents: 20 years later. American Journal of Psychiatry 163, 1001–1008.CrossRefGoogle ScholarPubMed
Werner, EE, Smith, RS (1992). Overcoming the Odds: High Risk Children from Birth to Adulthood. Cornell University Press: New York.CrossRefGoogle Scholar
Wickramaratne, PJ, Weissman, MM (1998). Onset of psychopathology in offspring by developmental phase and parental depression. Journal of the American Academy of Child and Adolescent Psychiatry 37, 933–942.CrossRefGoogle ScholarPubMed