The DOI matches its Crossref record; 54 of the 54 references it cites were found in a registry or an index.
A prospective study of religion/spirituality and depressive symptoms among adolescent psychiatric patients
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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“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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Handbook of Religion and Health
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Self-citationReligious coping and psychological adjustment to stress: A meta-analysis
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“It is also known that substance use relates to depression (Conway et al., 2006; Currie et al., 2005; Goldstein et al., 2007).”
BackgroundTARGET ARTICLE: Explaining the Relationships Between Religious Involvement and Health
George, L. K., Ellison, C. G., & Larson, D. B. (2002) · Psychological Inquiry · doi:10.1207/s15327965pli1303_04 · Cited by 847
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Religiosity and remission of depression in medically ill older patients
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Self-citationImmigrant Generation, Assimilation, and Adolescent Psychological Well-Being
Tillman, K. H. (2001) · Social Forces · doi:10.1353/sof.2001.0010 · Cited by 510
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Handbook of Religion and Health
Koenig, H. G., VanderWeele, T. J., & Peteet, J. R. (2023) · doi:10.1093/oso/9780190088859.001.0001 · Cited by 1,160
Self-citationRueger, S. Y., Malecki, C. K., Pyun, Y., Aycock, C., & Coyle, S. (2016) · Psychological Bulletin · doi:10.1037/bul0000058 · Cited by 946
Religious and spiritual struggles.
(2012) · American Psychological Association eBooks · doi:10.1037/14045-025 · Cited by 567
Mental disorders, religion and spirituality 1990 to 2010: a systematic evidence-based review
Bonelli, R. M., & Koenig, H. G. (2013) · Journal of Religion and Health · doi:10.1007/s10943-013-9691-4 · Cited by 516
Self-citationDoes Spirituality or Religion Positively Affect Mental Health? Meta-analysis of Longitudinal Studies
Garssen, B., Visser, A., & Pool, G. (2021) · The International Journal for the Psychology of Religion · doi:10.1080/10508619.2020.1729570 · Cited by 418
Metadata
- 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.
- Venue
- Journal of Affective Disorders
- Publisher
- Elsevier BV
- Published
- 2010-01
- Volume
- 120
- Issue
- 1-3
- Pages
- 149-157
- ISSN
- 0165-0327 (ISSN-L)
- 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
- Locations
- Journal of Affective Disorders (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Health › Religion, Spirituality, and Psychology
- Health Sciences › Medicine › Psychiatry and Mental health › 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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