devon m. berry, rn, phd university of cincinnati · pargament’s brief rcope (14) 4. religious...
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Devon M. Berry, RN, PhDUniversity of Cincinnati
Supported by the Midwest Nursing Research Society New Investigator Seed Grant
Depression in College: How Does Religiosity Help? 2
American College Health Association, 2006; Aina & Susman, 2006; Trivedi et al.,
2006 (STAR*D Trials)
Depression in College: How Does Religiosity Help? 3
RELIGIOUSNESSRELIGIOUSNESS RELIGIOUS SERVICE RELIGIOUS SERVICE ATTENDANCEATTENDANCE
Depression in College: How Does Religiosity Help?4
Smith & Denton, 2005
Depression in College: How Does Religiosity Help?5
Cognitive vulnerability
(DIS)
Cognitive Cognitive vulnerabilityvulnerability
(DIS)(DIS)
ReligiosityReligiosityReligiosity
DepressionDepressionDepressionStressStressStress
Perceived Stress Scale (PSS)
Five Expressions (“dimensions”)1. Hoge’s Religious Motivation
Scale2. Fetzer/Pargament’s Spiritual
Meaning Scale3. Pargament’s Brief RCOPE (14)4. Religious Background &
Behavior Scale5. Beliefs about God Scale
DepressogenicInferential Style, Cognitive Style Questionnaire
Center for Epidemiologic
Studies Depression Scale
(CES-D)
Depression in College: How Does Religiosity Help?6
Depression in College: How Does Religiosity Help?7
Depression in College: How Does Religiosity Help?8
Public University
Public University
Religious UniversityReligious University
classroom & counseling center
classroom & counseling center 11 22 33 44 55 66
MonthMonth
ReligiosityDepressionStressCV
ReligiosityDepressionStressCV
Depression & StressDepression & Stress ReligiosityDepressionStressCV
ReligiosityDepressionStressCV
••Face to face recruitingFace to face recruiting••WebWeb--based survey technologybased survey technology••ProPro--rated incentive, up to $50 dollarsrated incentive, up to $50 dollars••214 items at T1, 34 items at T2214 items at T1, 34 items at T2--T5T5
Description of Sample, Description of Main Variables, Relationships of Main Variables over Time
9Depression in College: How Does Religiosity Help?
RELIGIOUS VS. PUBLICRELIGIOUS VS. PUBLIC RETENTION
Depression in College: How Does Religiosity Help?10
••78% participants completed all 6 surveys78% participants completed all 6 surveys••86% participants completed at least 5 surveys 86% participants completed at least 5 surveys
ReligiousReligious PublicPublic AllAll
T1T1 T6T6 T1T1 T6T6 T1T1 T6T6
Depression (CESDepression (CES--D)D) 13.2 (9.2)13.2 (9.2) 11.7 (10.9)11.7 (10.9) 13.6 (8.2)13.6 (8.2) 11.7 (10.9)11.7 (10.9) 13.3 (8.7)13.3 (8.7) 12.8 (10.2)12.8 (10.2)
Stress (PSS)Stress (PSS) 25.4 (8.4)25.4 (8.4) 22.4 (8.8)22.4 (8.8) 25.6 (7.0)25.6 (7.0) 24.7 (7.8)24.7 (7.8) 25.5 (7.8)25.5 (7.8) 23.5 (8.4)23.5 (8.4)
Cognitive Vulnerability Cognitive Vulnerability (CSQ)(CSQ)
3.8 (1.05)3.8 (1.05) 3.5 (.96)3.5 (.96) 3.8 (.89)3.8 (.89) 3.5 (.96)3.5 (.96) 3.8 (.99)3.8 (.99) 3.5 (.96)3.5 (.96)
Religious CopingReligious Coping 33.3 (5.6)33.3 (5.6) 32.9 (6.7)32.9 (6.7) 27.6 (7.3)27.6 (7.3) 27.9 (6.6)27.9 (6.6) 31 (6.9)31 (6.9) 30.6 (7.1)30.6 (7.1)
Religious MotivationReligious Motivation 25.8 (4.5)25.8 (4.5) 25.7 (4.2)25.7 (4.2) 14.5 (6.8)14.5 (6.8) 15.6 (6.5)15.6 (6.5) 21.2 (7.8)21.2 (7.8) 21.1 (7.3)21.1 (7.3)
Spiritual MeaningSpiritual Meaning 69.1 (11.2)69.1 (11.2) 69.4 (11.6)69.4 (11.6) 42.9 (22.9)42.9 (22.9) 45.1 (23.7)45.1 (23.7) 58.4 (21.3)58.4 (21.3) 58.5 (21.7)58.5 (21.7)
Beliefs and BackgroundBeliefs and Background 46.5 (7.0)46.5 (7.0) 46.3 (7.7)46.3 (7.7) 26.2 (12.6)26.2 (12.6) 26.1 (13.8)26.1 (13.8) 38.2 (13.9)38.2 (13.9) 37.2 (14.8)37.2 (14.8)
Beliefs about GodBeliefs about God 22.8 (2.6)22.8 (2.6) 23.0 (2.9)23.0 (2.9) 16.8 (6.7)16.8 (6.7) 17.2 (7.1)17.2 (7.1) 20.3 (5.6)20.3 (5.6) 20.4 (6.0)20.4 (6.0)
Depression in College: How Does Religiosity Help?11
All religiosity measures differ significantly between Religious and Public settings (p<.001)CES-D, likelihood of depression: <16 low, 17-22 moderate, >22 high, 1/3 to 1/4 participants >16 across T1-T6
13.2
25.4
3.81
25.8
69.1
33.3
46.5
22.8
13.6
25.6
3.8
14.5
42.9
27.6
26.2
16.813.3
14.5 3.8
21.1
58.4
31
38.2
0
10
20
30
40
50
60
70
80
Depression
Stress
Cognitive vulnerability
R. Motivation
S. Meaning
R. Coping
R. Background
Beliefs about God
Religious Public Total
Religious Religious CopingCoping
Religious Religious MotivationMotivation
Spiritual Spiritual MeaningMeaning
Beliefs and Beliefs and BackgroundBackground
Beliefs about Beliefs about GodGod
Religious Religious CopingCoping
1 .740** .780** .684** .649**
Religious Religious MotivationMotivation
.754** 1 .912** .852** .753**
Spiritual Spiritual MeaningMeaning
.768** .900** 1 .843** .854**
Beliefs and Beliefs and BackgroundBackground
.721** .862** .862** 1 .754**
Beliefs about Beliefs about GodGod
.622** .720** .827** .756** 1
Depression in College: How Does Religiosity Help?13
T1
T6** p < .01
Depression in College: How Does Religiosity Help?14
•RCOPE represents religiosity•Religiosity and cv at T1•All correlations significant (p<.05)
•RCOPE represents religiosity•Religiosity and cv at T1•All correlations significant (p<.05)
-0.35
-0.3
-0.25
-0.2
-0.15
-0.1
-0.05
0
T1 T2 T3 T4 T5 T6
Depression
R. Coping R. Motivation S. Meaning R. bg, bx Beliefs about God
••All religiosity measures at T1All religiosity measures at T1
32.9
22.3
63.5
39.9
21.9
31
20.4
56.1
36.8
20.3
0
10
20
30
40
50
60
70
R. Coping
R. Motivation
S. Meaning
R. Background
Beliefs about God
Lo Depr Hi Depr
33.7
23.7
66.1
42.3
22.2
28.7
18.3
50.6
33.1
18.1
0
10
20
30
40
50
60
70
R. Coping
R. Motivation
S. Meaning
R. Background
Beliefs about God
Lo Depr Hi Depr
0
0.1
0.2
0.3
0.4
0.5
0.6
0.7
0.8
0.9
T1 T2 T3 T4 T5 T6
Lo RCOPE
Hi RCOPE
0
0.1
0.2
0.3
0.4
0.5
0.6
T1 T2 T3 T4 T5 T6
Lo RCOPE
Hi RCOPE
Depression & CV by ReligiosityDepression & CV by Religiosity
Expected relationships between depression, stress, and cv in both groupsReligiosity appeared to function as a traitLess depressed tended to have increased levels of religiosityCorrelations between stress and depression are lower across time in those with higher levels of religious copingCorrelations between cv and depression are higher across time in those with higher levels of religious copingPsychological vs. Theological models