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Cited by 89Religion, Spirituality, and PsychologyBipolar Disorder and TreatmentMaternal Mental Health During Pregnancy and Postpartum

Religiosity, depression, and quality of life in bipolar disorder: a two-year prospective study

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Stroppa, André, Colugnati, Fernando A., Koenig, Harold G., Moreira-Almeida, Alexander·2018·Revista Brasileira de Psiquiatria
DOI 10.1590/1516-4446-2017-2365PMC PMC6899393
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Abstract

OBJECTIVE: Few quantitative studies have examined the effect of religious involvement on the course of bipolar disorder (BD). We investigated the effects of religious activity and coping behaviors on the course of depression, mania, and quality of life (QoL) in patients with BD. METHODS: Two-year longitudinal study of 168 outpatients with BD. Linear regression was used to examine associations between religious predictors and outcome variables (manic symptoms, depression, QoL), controlling for sociodemographic variables. RESULTS: Among the 158 patients reassessed after 2 years, positive religious coping at T1 predicted better QoL across all four domains: physical (β = 10.2, 95%CI 4.2 to 16.1), mental (β = 13.4, 95%CI 7.1 to 19.7), social (β = 10.5, 95%CI 3.6 to 17.33), and environmental (β = 11.1, 95%CI 6.2 to 16.1) at T2. Negative religious coping at T1 predicted worse mental (β = -28.1, 95%CI -52.06 to -4.2) and environmental (β = -20.4, 95%CI -39.3 to -1.6) QoL. Intrinsic religiosity at T1 predicted better environmental QoL (β = 9.56, 95%CI 2.76 to 16.36) at T2. Negative religious coping at T1 predicted manic symptoms (β = 4.1) at T2. CONCLUSION: Religiosity/spirituality (R/S) may influence the QoL of patients with BD over time, even among euthymic patients. Targeting R/S (especially positive and negative religious coping) in psychosocial interventions may enhance the quality of recovery in patients with BD.

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  • Prospective high-quality studies have confirmed the predominantly positive effect of R/S across different psychiatric conditions, including depressive disorders and bipolar disorders.

    “Prospective high-quality studies have confirmed the predominantly positive effect of R/S across different psychiatric conditions, including depressive disorders8 and bipolar disorders,9”

    From Brazilian Psychiatric Association guidelines on the integration of spirituality into mental health clinical practice: Part 1. Spiritual history and differential diagnosis (2023) · cites this paper as [9]

    The Discussion reports that positive religious coping predicted better quality of life over two years in patients with bipolar disorder. But negative religious coping predicted worse quality of life, R/S did not predict later depression levels, and the authors caution against causal inference from this observational study. Thus the study supports a beneficial association for one aspect of R/S, not a confirmed, predominantly positive effect of R/S overall in bipolar disorder. (LLM, conf=0.88)

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  1. [26]American Psychiatric Association Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision (DSM-IV-TR). Arlington American Psychiatric Publishing 2000
  2. [27]American Psychiatric Association Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV). Arlington American Psychiatric Publishing 1994

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Authors
Stroppa, A., Colugnati, F. A., Koenig, H. G., & Moreira-Almeida, A.
Affiliations
  • Universidade Federal de Juiz de Fora (BR)
  • Duke University (US)
  • Universidade Federal de Juiz de Fora, Brazil
ORCID
Venue
Revista Brasileira de Psiquiatria
Publisher
EDITORA SCIENTIFIC
Published
2018-02-15
Volume
40
Issue
3
Pages
238-243
ISSN
  • 1516-4446 (ISSN-L)
  • 1809-452X
DOI
10.1590/1516-4446-2017-2365
PMC
PMC6899393
OpenAlex
W2790462092
Cited by
89
References
41
Citations by year
2026: 2 · 2025: 2 · 2024: 8 · 2023: 49 · 2022: 4 · 2021: 10 · 2020: 6 · 2019: 5 · 2018: 2
FWCI
6.16
Type
journal article
Language
en
Open access
Licence
cc-by-nc
Locations
  • Brazilian Journal of Psychiatry (publishedVersion, cc-by-nc)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by-nc)
  • PubMed Central (publishedVersion, cc-by-nc)
  • PubMed (publishedVersion)
  • Americanae (AECID Library) (publishedVersion, other-oa)
  • LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Científicas) (publishedVersion, other-oa)
  • Americanae (AECID Library) (submittedVersion, cc-by-nc)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
  • LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Científicas) (submittedVersion, other-oa)
Topics
  • Social Sciences › Health › Religion, Spirituality, and Psychology
  • Health Sciences › Medicine › Psychiatry and Mental health › Bipolar Disorder and Treatment
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
Keywords
bipolar disorder, religiosity, spirituality, religious coping, quality of life, depression, manic symptoms, intrinsic religiosity, clinical course, psychosocial interventions
MeSH terms
Adaptation, Psychological, Adult, Bipolar Disorder, Depression, Female, Follow-Up Studies, Humans, Longitudinal Studies, Male, Middle Aged, Prospective Studies, Quality of Life, Surveys and Questionnaires, Religion and Psychology, Socioeconomic Factors, Spirituality

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