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Cited by 159Religion, Spirituality, and PsychologyMental Health Treatment and AccessReligion and Society Interactions

A prospective study of religion/spirituality and depressive symptoms among adolescent psychiatric patients

Dew, R.E., Daniel, S.S., Goldston, D.B., McCall, W.V., Kuchibhatla, M., Schleifer, C., Triplett, M.F., Koenig, H.G.·2010·Journal of Affective Disorders
DOI 10.1016/j.jad.2009.04.029
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Abstract

Objective Previous research has uncovered relationships between religion/spirituality and depressive disorders. Proposed mechanisms through which religion may impact depression include decreased substance use and enhanced social support. Little investigation of these topics has occurred with adolescent psychiatric patients, among whom depression, substance use, and social dysfunction are common.Method 145 subjects, aged 12-18, from two psychiatric outpatient clinics completed the Beck Depression Inventory-II (BDI-II), the Fetzer multidimensional survey of religion/spirituality, and inventories of substance abuse and perceived social support. Measures were completed again six months later. Longitudinal and cross-sectional relationships between depression and religion were examined, controlling for substance abuse and social support.Results Of thirteen religious/spiritual characteristics assessed, nine showed strong cross-sectional relationships to BDI-II score. When perceived social support and substance abuse were controlled for, forgiveness, negative religious support, loss of faith, and negative religious coping retained significant relationships to BDI-II. In longitudinal analyses, loss of faith predicted less improvement in depression scores over 6 months, controlling for depression at study entry.Limitations Self-report data, clinical sample.Conclusions Several aspects of religiousness/spirituality appear to relate cross-sectionally to depressive symptoms in adolescent psychiatric patients. Findings suggest that perceived social support and substance abuse account for some of these correlations but do not explain relationships to negative religious coping, loss of faith, or forgiveness. Endorsing a loss of faith may be a marker of poor prognosis among depressed youth.

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  • Loss of faith remained an important predictor of depressive symptoms after 6 months in adolescents, controlling for initial depression, perceived social support, and substance use.

    “Dew et al. (2010) controlled for initial depression, perceived social support and substance use in 145 adolescents, 12–18 years of age, and found that loss of faith remained an important predictor of depressive symptoms after 6 months.”

    From A hope intervention for adolescents: a randomized controlled trial delivered by paraprofessionals (2025) · cites this paper as Dew et al., 2010

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Authors
Dew, R. E., Daniel, S. S., Goldston, D. B., McCall, W. V., Kuchibhatla, M., Schleifer, C., Triplett, M. F., & Koenig, H. G.
Affiliations
  • Duke University (US)
  • University of North Carolina at Greensboro (US)
  • Duke Medical Center (US)
  • Wake Forest University Health Sciences (US)
  • Wake Forest University (US)
Corresponding author
Dew, R.E.
ORCID
Venue
Journal of Affective Disorders
Publisher
Elsevier BV
Published
2010-01
Volume
120
Issue
1-3
Pages
149-157
ISSN
0165-0327 (ISSN-L)
DOI
10.1016/j.jad.2009.04.029
OpenAlex
W2086029595
Cited by
159
References
54
Citations by year
2026: 2 · 2025: 5 · 2024: 6 · 2023: 47 · 2022: 5 · 2021: 7 · 2020: 7 · 2019: 5 · 2018: 9 · 2017: 10 · 2016: 10 · 2015: 10 · 2014: 10 · 2013: 5 · 2012: 13
FWCI
7.26
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Journal of Affective Disorders (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Social Sciences › Health › Religion, Spirituality, and Psychology
  • Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
  • Social Sciences › Sociology and Political Science › Religion and Society Interactions
Keywords
religion, spirituality, depressive symptoms, adolescents, adolescent psychiatric patients, substance use, social support, forgiveness, loss of faith, negative religious coping, depression prognosis
MeSH terms
Adaptation, Psychological, Adolescent, Ambulatory Care, Mental Disorders, Child, Cross-Sectional Studies, Depressive Disorder, Female, Humans, Male, Prospective Studies, Religion, Severity of Illness Index, Social Support, Spirituality

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