Abstract
This study examines the relationship between religious involvement and 12-month and lifetime DSM-IV major depressive disorder (MDD) within a nationally representative sample of Black Caribbean adults. MDD was assessed using the DSM-IV World Mental Health Composite International Diagnostic Interview (WMH-CIDI). Religious involvement included measures of religious coping, organizational and nonorganizational involvement, and subjective religiosity. Study findings indicate that religious involvement is associated with 12-month and lifetime prevalence of MDD. Multivariate relationships between religious involvement and MDD indicate lower prevalence of 12-month and lifetime MDD among persons who use religious coping and characterize themselves as being religious (for lifetime prevalence only); persons who frequently listen to religious radio programs report higher lifetime MDD. Lower rates of 12-month and lifetime MDD are noted for persons who attend religious services at least once a week (as compared to both higher and lower levels of attendance), indicating a curvilinear relationship. The findings are discussed in relation to previous research on religion and mental health concerns, conceptual models of the role of religion in mental health (e.g., prevention, resource mobilization) that specify multiple and often divergent pathways and mechanisms of religious effects on health outcomes, and the role of religion among Caribbean Blacks.
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References
National Center for Health Statistics. Health, United States, 2009: with special feature on medical technology. Hyattsville: National Center for Health Statistics; 2010.
Centers for disease control and prevention: suicide rates among persons ages 65 years and older, by race/ethnicity and sex, United States, 2002-2006: national suicide statistics at a glance. http://www.cdc.gov/violenceprevention/suicide/statistics/rates05.html. Updated September 30, 2009. Accessed March 4, 2011.
Williams DR, Haile R, González HM, Neighbors H, Baser R, Jackson JS. The mental health of Black Caribbean immigrants: results from the national survey of American Life. Am J Public Health. 2007;97:52–9.
National Center for Health Statistics: Deaths: leading causes for 2006. National Vital Statistics Reports 2010; 58:1-20. http://www.cdc.gov/nchs/data/nvsr/nvsr58/nvsr58_14.pdf. Accessed 28 June 2011.
Williams DR, Gonzalez HM, Neighbors H, et al. Prevalence and distribution of major depressive disorder in African Americans, Caribbean Blacks, and non-Hispanic Whites: results from the National Survey of American Life. Arch Gen Psychiatry. 2007;64:305–15.
Logan JR, Deane G: Black Diversity of Metropolitan America. Albany, NY: University at Albany, Lewis Mumford Center for Comparative Urban and Regional Research.
Chatters LM, Taylor RJ, Lincoln KD, Jackson JS. Religious coping among African Americans, Caribbean Blacks, and non-Hispanic Whites. J Community Psychol. 2008;36:371–86.
Chatters LM, Taylor RJ, Bullard KM, Jackson JS. Race and ethnic differences in religious involvement: African Americans, Caribbean Blacks and Non-Hispanic Whites. Ethn Racial Stud. 2009;32:1143–63.
Taylor RJ, Chatters LM, Jackson JS. Religious and spiritual involvement among older African Americans, Caribbean Blacks and non-Hispanic Whites: findings from the National Survey of American Life. J Gerontol B Psychol Sci Soc Sci. 2007;62:S238–50.
Bashi V. Survival of the knitted: immigrant social networks in a stratified world. Stanford: Stanford University Press; 2007.
Warner RS, Wittner JG. Gatherings in Diaspora: Religious Communities and the New Immigration. Philadelphia: Temple University Press; 1998.
Waters MC. Black identities: West Indian immigrant dreams and American realities. New York: Russell Sage Foundation; 1999.
George, LK: Social factors, depression and aging: In: Binstock RH, George LK, eds. Handbook of Aging and the Social Sciences (7th ed.). New York: Academic Press; 2011:149-162.
Koenig HG, McCullough ME, Larson DB. Handbook of religion and health. 1st ed. New York: Oxford University Press; 2001.
Koenig HG, George LK, Peterson BL. Religiosity and remission of depression in medically ill older patients. Am J Psychiatry. 1998;155:536–42.
Taylor RJ, Chatters LM, Levin J. Religion in the lives of African Americans: social, psychological, and health perspectives. Thousand Oaks: Sage; 2004.
Ellison CG, Flannelly KJ. Religious involvement and risk of major depression in a prospective nationwide study of African American Adults. J Nerv Ment Dis. 2009;197:568–73.
Chatters LM, Bullard KM, Taylor RJ, Woodward AT, Neighbors HW, Jackson JS. Religious participation and DSM-IV disorders among older African Americans: findings from the National Survey of American Life (NSAL). Am J Geriatr Psychiatry. 2008;16:957–65.
Taylor RJ, Chatters LM, Joe S. Religious involvement and suicidal behavior among African Americans and Black Caribbeans. J Nerv Ment Dis. 2011;199:478–86.
American Association for Public Opinion Research. Standard definitions: final dispositions of case codes and outcome rates for surveys (4th edition). Lenexa: AAPOR; 2006.
Jackson JS, Torres M, Caldwell CH, et al. The National Survey of American Life: a study of racial, ethnic and cultural influences on mental disorders and mental health. Int J Methods Psychiatr Res. 2004;13:196–207.
World Health Organization. the prevalence, severity, and unmet need for treatment of mental disorders in the world health organization world mental health surveys. JAMA. 2004;291:2581–90.
Kessler RC, Ustun TB. The world mental health (WMH) survey initiative version of the world health organization (WHO) composite international diagnostic interview (CIDI). Int J Methods Psychiatr Res. 2004;13:93–121.
O’Brien RM. A caution regarding rules of thumb for variance inflation factors. Qual Quant. 2007;41:673–90.
Sternthal MJ, Williams DR, Musick MA, Buck AC. Depression, anxiety and religious life: a search for mediators. J Health Soc Behav. 2010;51:343–59.
Rasic D, Robinson JA, Bolton J, Bienvenu OJ, Sareen J. Longitudinal relationships of religious worship attendance and spirituality with major depression, anxiety disorders, and suicidal ideation and attempts: findings from the Baltimore epidemiologic catchment area study. J Psychiatr Res. 2011;45:848–54.
Ellison CG: Religion, the life stress paradigm, and the study of depression: In: Levin JS, ed. Religion in Aging and Health: Theoretical Foundations and Methodological Frontiers. Thousand Oaks, CA: Sage; 1994:78–121.
Ellison CG, Taylor RJ. Turning to prayer: social and situational antecedents of religious coping among African Americans. Rev Relig Res. 1996;38:111–31.
Ellison CG, Levin JS. The religion-health connection: evidence, theory, and future directions. Health Educ Behav. 1998;25:700–20.
Ellison CG. Race, religious involvement, and depressive symptomatology in a southeastern US community. Soc Sci Med. 1995;40:1561–72.
Ai A, Dunkle R, Peterson C, Bolling SF. The role of private prayer in psychosocial recovery among midlife and aged patients following cardiac surgery. Gerontologist. 1998;38:591–601.
Bediako SM, Lattimer L, Haywood C Jr, Ratanawongsa N, Lanzkron S, Beach MC. Religious coping and hospital admissions among adults with sickle cell disease. J Behav Med. 2011;34:120–7.
Acknowledgments
The data collection on which this study is based was supported by the National Institute of Mental Health (NIMH; U01-MH57716) with supplemental support from the Office of Behavioral and Social Science Research at the National Institutes of Health (NIH) and the University of Michigan. The preparation of this manuscript was supported by grants from the National Institute on Institute of Mental Health to Drs. Chatters and Taylor (R01-MH082807), R01-MH084963 to Dr. Chatters, and from the National Aging for Dr. Taylor (P30-AG15281).
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There is no conflict of interest with any of the authors with this manuscript.
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Taylor, R.J., Chatters, L.M. & Nguyen, A.W. Religious Participation and DSM IV Major Depressive Disorder Among Black Caribbeans in the United States. J Immigrant Minority Health 15, 903–909 (2013). https://doi.org/10.1007/s10903-012-9693-4
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DOI: https://doi.org/10.1007/s10903-012-9693-4