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Lefevor GT, Etengoff C, Davis EB, Skidmore SJ, Rodriguez EM, McGraw JS, Rostosky SS. Religion/Spirituality, Stress, and Resilience Among Sexual and Gender Minorities: The Religious/Spiritual Stress and Resilience Model. PERSPECTIVES ON PSYCHOLOGICAL SCIENCE 2023; 18:1537-1561. [PMID: 37369080 DOI: 10.1177/17456916231179137] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/29/2023]
Abstract
Although many sexual and gender minorities (SGMs) consider themselves religious or spiritual, the impact of this religiousness or spirituality (RS) on their health is poorly understood. We introduce the religious/spiritual stress and resilience model (RSSR) to provide a robust framework for understanding the variegated ways that RS influences the health of SGMs. The RSSR bridges existing theorizing on minority stress, structural stigma, and RS-health pathways to articulate the circumstances under which SGMs likely experience RS as health promoting or health damaging. The RSSR makes five key propositions: (a) Minority stress and resilience processes influence health; (b) RS influences general resilience processes; (c) RS influences minority-specific stress and resilience processes; (d) these relationships are moderated by a number of variables uniquely relevant to RS among SGMs, such as congregational stances on same-sex sexual behavior and gender expression or an individual's degree of SGM and RS identity integration; and (e) relationships between minority stress and resilience, RS, and health are bidirectional. In this manuscript, we describe the empirical basis for each of the five propositions focusing on research examining the relationship between RS and health among SGMs. We conclude by describing how the RSSR may inform future research on RS and health among SGMs.
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Affiliation(s)
| | | | - Edward B Davis
- School of Psychology, Counseling, and Family Therapy, Wheaton College
| | | | - Eric M Rodriguez
- Social Science Department, New York City College of Technology, City University of New York
| | - James S McGraw
- Department of Psychology, Bowling Green State University
| | - Sharon S Rostosky
- Department of Educational, School, and Counseling Psychology, University of Kentucky
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Aggarwal S, Wright J, Morgan A, Patton G, Reavley N. Religiosity and spirituality in the prevention and management of depression and anxiety in young people: a systematic review and meta-analysis. BMC Psychiatry 2023; 23:729. [PMID: 37817143 PMCID: PMC10563335 DOI: 10.1186/s12888-023-05091-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/25/2023] [Accepted: 08/08/2023] [Indexed: 10/12/2023] Open
Abstract
Historically, religion has had a central role in shaping the psychosocial and moral development of young people. While religiosity and spirituality have been linked to positive mental health outcomes in adults, their role during the developmental context of adolescence, and the mechanisms through which such beliefs might operate, is less well understood. Moreover, there is some evidence that negative aspects of religiosity are associated with poor mental health outcomes. Guided by lived experience consultants, we undertook a systematic review and quality appraisal of 45 longitudinal studies and 29 intervention studies identified from three electronic databases (Medline, PsycINFO and Scopus) exploring the role of religiosity and spiritual involvement (formal and informal) in prevention and management of depression and anxiety in young people aged 10 to 24 years. Most studies were from high-income countries and of low to moderate quality. Meta-analysis of high-quality longitudinal studies (assessed using Joanna Briggs Institute critical appraisal tools, n = 25) showed a trend towards association of negative religious coping (i.e., feeling abandoned by or blaming God) with greater depressive symptoms over time (Pearson's r = 0.09, 95% confidence interval (CI) -0.009, 0.188) whereas spiritual wellbeing was protective against depression (Pearson's r = -0.153, CI -0.187, -0.118). Personal importance of religion was not associated with depressive symptoms overall (Pearson's r = -0.024, CI-0.053, 0.004). Interventions that involved religious and spiritual practices for depression and anxiety in young people were mostly effective, although the study quality was typically low and the heterogeneity in study designs did not allow for a meta-analysis. The lived experience consultants described spirituality and religious involvement as central to their way of life and greatly valued feeling watched over during difficult times. While we require more evidence from low- and middle-income countries, in younger adolescents and for anxiety disorders, the review provides insight into how spirituality and religious involvement could be harnessed to design novel psychological interventions for depression and anxiety in young people.Review RegistrationThe systematic review was funded by Wellcome Trust Mental Health Priority Area 'Active Ingredients' 2021 commission and registered with PROSPERO 2021 (CRD42021281912).
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Affiliation(s)
- Shilpa Aggarwal
- Public Health Foundation of India, Gurgaon, Haryana, India.
- Centre for Adolescent Health, Murdoch Children's Research Institute, 50 Flemington Road, Melbourne, VIC, 3052, Australia.
- Deakin University, Geelong, Australia.
| | - Judith Wright
- Centre for Mental Health, Melbourne School of Population and Global Health, University of Melbourne, Victoria, Australia
| | - Amy Morgan
- Centre for Mental Health, Melbourne School of Population and Global Health, University of Melbourne, Victoria, Australia
| | - George Patton
- Department of Paediatrics, University of Melbourne, Melbourne, VIC, Australia
| | - Nicola Reavley
- Centre for Mental Health, Melbourne School of Population and Global Health, University of Melbourne, Victoria, Australia
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The Importance of Identity Style for the Level of Religiosity in Different Developmental Periods. RELIGIONS 2022. [DOI: 10.3390/rel13020157] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/27/2023]
Abstract
Identity is built in the context of an individual’s professed values, moral principles, and often, religiosity. Adolescence and emerging and early adulthood are times of intensive identity construction and of changes in religious attitudes. Therefore, the aim of this study was to characterise people across these three developmental periods in terms of the level of their identity and religiosity, and to examine whether particular identity styles allow for the prediction of the overall level of religiosity. For this purpose, the whole sample of N = 1017 individuals and particularly from adolescence (n = 307), emerging adulthood (n = 410), and early adulthood (n = 302) were studied. The results showed a lower level of the informational style and a higher level of the diffuse-avoidant style in adolescence as compared with the two older groups, who did not differ from each other. The overall level of religiosity did not significantly differentiate the developmental groups; however, it was explained by identity formation styles in different ways at particular developmental stages. Results of moderation analyses suggest that the informational style has positive effect only in adolescence; the normative style has positive effects in each age group but is strongest in early adulthood, and the diffuse-avoidant style presents negative effect in adolescence.
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Kreski NT, Chen Q, Olfson M, Cerdá M, Hasin D, Martins SS, Keyes KM. Explaining US Adolescent Depressive Symptom Trends Through Declines in Religious Beliefs and Service Attendance. JOURNAL OF RELIGION AND HEALTH 2022; 61:300-326. [PMID: 34417680 PMCID: PMC8840960 DOI: 10.1007/s10943-021-01390-8] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 08/02/2021] [Indexed: 06/13/2023]
Abstract
Over the past decade, US adolescents' depressive symptoms have increased, and changing religious beliefs and service attendance may be contributing factors. We examined the contribution of religious factors to depressive symptoms among 417,540 US adolescents (grades: 8, 10, 12), years:1991-2019, in survey-weighted logistic regressions. Among adolescents who felt religion was personally important, those who never attended services had 2.23 times higher odds of reporting depressive symptoms compared to peers attending weekly. Among adolescents who did not feel that religion was important, the pattern was reversed. Among adolescents, concordance between importance of religion and religious service attendance may lower risk of depressive symptoms. Overall, we estimate that depressive symptom trends would be 28.2% lower if religious factors had remained at 1991 levels.
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Affiliation(s)
- Noah T Kreski
- Department of Epidemiology, Mailman School of Public Health, Columbia University, 722 W 168th Street, Room 733, New York, NY, 10032, USA.
| | - Qixuan Chen
- Department of Biostatistics, Mailman School of Public Health, Columbia University, New York, NY, USA
| | - Mark Olfson
- Department of Epidemiology, Mailman School of Public Health, Columbia University, 722 W 168th Street, Room 733, New York, NY, 10032, USA
- Department of Psychiatry, New York State Psychiatric Institute, Vagelos College of Physicians and Surgeons, Columbia University Irving Medical Center, New York, NY, USA
| | - Magdalena Cerdá
- Department of Population Health, New York University School of Medicine, New York, NY, USA
| | - Deborah Hasin
- Department of Epidemiology, Mailman School of Public Health, Columbia University, 722 W 168th Street, Room 733, New York, NY, 10032, USA
- Department of Psychiatry, New York State Psychiatric Institute, Vagelos College of Physicians and Surgeons, Columbia University Irving Medical Center, New York, NY, USA
| | - Silvia S Martins
- Department of Epidemiology, Mailman School of Public Health, Columbia University, 722 W 168th Street, Room 733, New York, NY, 10032, USA
| | - Katherine M Keyes
- Department of Epidemiology, Mailman School of Public Health, Columbia University, 722 W 168th Street, Room 733, New York, NY, 10032, USA
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Dew RE, Kollins SH, Koenig HG. ADHD, Religiosity, and Psychiatric Comorbidity in Adolescence and Adulthood. J Atten Disord 2022; 26:307-318. [PMID: 33334235 DOI: 10.1177/1087054720972803] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
Abstract
OBJECTIVE Religiosity has been repeatedly proposed as protective in the development of depression, sociopathy and addictions. ADHD frequently co-occurs with these same conditions. Although ADHD symptoms may affect religious practice, religiosity in ADHD remains unexplored. METHOD Analyses examined data from >8000 subjects aged 12 to 34 in four waves of the Add Health Study. Relationships of religious variables with childhood ADHD symptoms were statistically evaluated. Observed correlations of ADHD symptoms to depression, delinquency, and substance use were tested for mediation and moderation by religiosity. RESULTS ADHD symptoms correlated with lower levels of all religious variables at nearly all waves. In some analyses at Wave IV, prayer and attendance interacted with ADHD to predict worsened psychopathology. CONCLUSION ADHD symptoms predicted lower engagement in religious life. In adulthood, some aspects of religiosity interacted with ADHD symptoms to predict worse outcomes. Further research should explore whether lower religiosity partially explains prevalent comorbidities in ADHD.
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Affiliation(s)
| | | | - Harold G Koenig
- Duke University, Durham, NC, USA.,King Abdulaziz University, Jeddah, Saudi Arabia
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Perlis RH, Ognyanova K, Quintana A, Green J, Santillana M, Lin J, Druckman J, Lazer D, Simonson MD, Baum MA, Chwe H. Gender-specificity of resilience in major depressive disorder. Depress Anxiety 2021; 38:1026-1033. [PMID: 34370885 PMCID: PMC9544406 DOI: 10.1002/da.23203] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/23/2021] [Revised: 07/02/2021] [Accepted: 07/12/2021] [Indexed: 11/11/2022] Open
Abstract
INTRODUCTION The major stressors associated with the COVID-19 pandemic provide an opportunity to understand the extent to which protective factors against depression may exhibit gender-specificity. METHOD This study examined responses from multiple waves of a 50 states non-probability internet survey conducted between May 2020 and January 2021. Participants completed the PHQ-9 as a measure of depression, as well as items characterizing social supports. We used logistic regression models with population reweighting to examine association between absence of even mild depressive symptoms and sociodemographic features and social supports, with interaction terms and stratification used to investigate sex-specificity. RESULTS Among 73,917 survey respondents, 31,199 (42.2%) reported absence of mild or greater depression-11,011/23,682 males (46.5%) and 20,188/50,235 (40.2%) females. In a regression model, features associated with greater likelihood of depression-resistance included at least weekly attendance of religious services (odds ratio [OR]: 1.10, 95% confidence interval [CI]: 1.04-1.16) and greater trust in others (OR: 1.04 for a 2-unit increase, 95% CI: 1.02-1.06), along with level of social support measured as number of social ties available who could provide care (OR: 1.05, 95% CI: 1.02-1.07), talk to them (OR: 1.10, 95% CI: 1.07-1.12), and help with employment (OR: 1.06, 95% CI: 1.04-1.08). The first two features showed significant interaction with gender (p < .0001), with markedly greater protective effects among women. CONCLUSION Aspects of social support are associated with diminished risk of major depressive symptoms, with greater effects of religious service attendance and trust in others observed among women than men.
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Affiliation(s)
- Roy H. Perlis
- Center for Quantitative HealthMassachusetts General HospitalBostonMassachusettsUSA
- Department of PsychiatryHarvard Medical SchoolBostonMassachusettsUSA
| | | | - Alexi Quintana
- Network Science InstituteNortheastern UniversityBostonMassachusettsUSA
| | - Jon Green
- Network Science InstituteNortheastern UniversityBostonMassachusettsUSA
| | - Mauricio Santillana
- Computational Health Informatics ProgramBoston Children's HospitalBostonMassachusettsUSA
- Department of PediatricsHarvard Medical SchoolBostonMassachusettsUSA
- Department of EpidemiologHarvard T.H. Chan School of Public HealthBostonMassachusettsUSA
| | - Jennifer Lin
- Department of Political ScienceNorthwestern UniversityEvanstonIllinoisUSA
| | - James Druckman
- Department of Political Science and Institute for Policy ResearchNorthwestern UniversityEvanstonIllinoisUSA
| | - David Lazer
- Network Science InstituteNortheastern UniversityBostonMassachusettsUSA
| | | | - Matthew A. Baum
- John F. Kennedy School of GovernmentHarvard UniversityCambridgeMassachusettsUSA
| | - Hanyu Chwe
- Network Science InstituteNortheastern UniversityBostonMassachusettsUSA
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