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

Published

Journal Article

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.

Full Text

Duke Authors

Cited Authors

  • Stroppa, A; Colugnati, FA; Koenig, HG; Moreira-Almeida, A

Published Date

  • July 2018

Published In

Volume / Issue

  • 40 / 3

Start / End Page

  • 238 - 243

PubMed ID

  • 29451588

Pubmed Central ID

  • 29451588

Electronic International Standard Serial Number (EISSN)

  • 1809-452X

International Standard Serial Number (ISSN)

  • 1516-4446

Digital Object Identifier (DOI)

  • 10.1590/1516-4446-2017-2365

Language

  • eng