The relationship between religious involvement and clinical status of patients with bipolar disorder
Cruz M, Pincus HA, Welsh DE, Greenwald D, Lasky E, Kilbourne AM. The relationship between religious involvement and clinical status of patients with bipolar disorder. Bipolar Disord 2010: 12: 68–76. © 2010 The Authors. Journal compilation © 2010 John Wiley & Sons A/S. Objective: Religion and sp...
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| Published in: | Bipolar disorders Vol. 12; no. 1; pp. 68 - 76 |
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| Abstract | Cruz M, Pincus HA, Welsh DE, Greenwald D, Lasky E, Kilbourne AM. The relationship between religious involvement and clinical status of patients with bipolar disorder.
Bipolar Disord 2010: 12: 68–76. © 2010 The Authors.
Journal compilation © 2010 John Wiley & Sons A/S.
Objective: Religion and spirituality are important coping strategies in depression but have been rarely studied within the context of bipolar disorder. The present study assessed the association between different forms of religious involvement and the clinical status of individuals treated for bipolar disorder.
Methods: A cross‐sectional observation study of follow‐up data from a large cohort study of patients receiving care for bipolar disorder (n = 334) at an urban Veterans Affairs mental health clinic was conducted. Bivariate and multivariate analyses were performed to assess the association between public (frequency of church attendance), private (frequency of prayer/meditation), as well as subjective forms (influence of beliefs on life) of religious involvement and mixed, manic, depressed, and euthymic states when demographic, anxiety, alcohol abuse, and health indicators were controlled.
Results: Multivariate analyses found significant associations between higher rates of prayer/meditation and participants in a mixed state [odds ratio (OR) = 1.29; 95% confidence interval (CI) = 1.10–1.52, chi square = 9.42, df = 14, p < 0.05], as well as lower rates of prayer/meditation and participants who were euthymic (OR = 0.84; 95% CI = 0.72–0.99, chi square = 4.60, df = 14, p < 0.05). Depression and mania were not associated with religious involvement.
Conclusions: Compared to patients with bipolar disorder in depressed, manic, or euthymic states, patients in mixed states have more active private religious lives. Providers should assess the religious activities of individuals with bipolar disorder in mixed states and how they may complement/deter ongoing treatment. Future longitudinal studies linking bipolar states, religious activities, and treatment‐seeking behaviors are needed. |
|---|---|
| AbstractList | Cruz M, Pincus HA, Welsh DE, Greenwald D, Lasky E, Kilbourne AM. The relationship between religious involvement and clinical status of patients with bipolar disorder.
Bipolar Disord 2010: 12: 68-76. [copy ] 2010 The Authors.
Journal compilation [copy ] 2010 John Wiley & Sons A-S.Objective: Religion and spirituality are important coping strategies in depression but have been rarely studied within the context of bipolar disorder. The present study assessed the association between different forms of religious involvement and the clinical status of individuals treated for bipolar disorder.Methods: A cross-sectional observation study of follow-up data from a large cohort study of patients receiving care for bipolar disorder (n = 334) at an urban Veterans Affairs mental health clinic was conducted. Bivariate and multivariate analyses were performed to assess the association between public (frequency of church attendance), private (frequency of prayer-meditation), as well as subjective forms (influence of beliefs on life) of religious involvement and mixed, manic, depressed, and euthymic states when demographic, anxiety, alcohol abuse, and health indicators were controlled.Results: Multivariate analyses found significant associations between higher rates of prayer-meditation and participants in a mixed state [odds ratio (OR) = 1.29; 95% confidence interval (CI) = 1.10-1.52, chi square = 9.42, df = 14, p < 0.05], as well as lower rates of prayer-meditation and participants who were euthymic (OR = 0.84; 95% CI = 0.72-0.99, chi square = 4.60, df = 14, p < 0.05). Depression and mania were not associated with religious involvement.Conclusions: Compared to patients with bipolar disorder in depressed, manic, or euthymic states, patients in mixed states have more active private religious lives. Providers should assess the religious activities of individuals with bipolar disorder in mixed states and how they may complement-deter ongoing treatment. Future longitudinal studies linking bipolar states, religious activities, and treatment-seeking behaviors are needed. Cruz M, Pincus HA, Welsh DE, Greenwald D, Lasky E, Kilbourne AM. The relationship between religious involvement and clinical status of patients with bipolar disorder. Bipolar Disord 2010: 12: 68–76. © 2010 The Authors. Journal compilation © 2010 John Wiley & Sons A/S. Objective: Religion and spirituality are important coping strategies in depression but have been rarely studied within the context of bipolar disorder. The present study assessed the association between different forms of religious involvement and the clinical status of individuals treated for bipolar disorder. Methods: A cross‐sectional observation study of follow‐up data from a large cohort study of patients receiving care for bipolar disorder (n = 334) at an urban Veterans Affairs mental health clinic was conducted. Bivariate and multivariate analyses were performed to assess the association between public (frequency of church attendance), private (frequency of prayer/meditation), as well as subjective forms (influence of beliefs on life) of religious involvement and mixed, manic, depressed, and euthymic states when demographic, anxiety, alcohol abuse, and health indicators were controlled. Results: Multivariate analyses found significant associations between higher rates of prayer/meditation and participants in a mixed state [odds ratio (OR) = 1.29; 95% confidence interval (CI) = 1.10–1.52, chi square = 9.42, df = 14, p < 0.05], as well as lower rates of prayer/meditation and participants who were euthymic (OR = 0.84; 95% CI = 0.72–0.99, chi square = 4.60, df = 14, p < 0.05). Depression and mania were not associated with religious involvement. Conclusions: Compared to patients with bipolar disorder in depressed, manic, or euthymic states, patients in mixed states have more active private religious lives. Providers should assess the religious activities of individuals with bipolar disorder in mixed states and how they may complement/deter ongoing treatment. Future longitudinal studies linking bipolar states, religious activities, and treatment‐seeking behaviors are needed. OBJECTIVEReligion and spirituality are important coping strategies in depression but have been rarely studied within the context of bipolar disorder. The present study assessed the association between different forms of religious involvement and the clinical status of individuals treated for bipolar disorder. METHODSA cross-sectional observation study of follow-up data from a large cohort study of patients receiving care for bipolar disorder (n = 334) at an urban Veterans Affairs mental health clinic was conducted. Bivariate and multivariate analyses were performed to assess the association between public (frequency of church attendance), private (frequency of prayer/meditation), as well as subjective forms (influence of beliefs on life) of religious involvement and mixed, manic, depressed, and euthymic states when demographic, anxiety, alcohol abuse, and health indicators were controlled. RESULTSMultivariate analyses found significant associations between higher rates of prayer/meditation and participants in a mixed state [odds ratio (OR) = 1.29; 95% confidence interval (CI) = 1.10-1.52, chi square = 9.42, df = 14, p < 0.05], as well as lower rates of prayer/meditation and participants who were euthymic (OR = 0.84; 95% CI = 0.72-0.99, chi square = 4.60, df = 14, p < 0.05). Depression and mania were not associated with religious involvement. CONCLUSIONSCompared to patients with bipolar disorder in depressed, manic, or euthymic states, patients in mixed states have more active private religious lives. Providers should assess the religious activities of individuals with bipolar disorder in mixed states and how they may complement/deter ongoing treatment. Future longitudinal studies linking bipolar states, religious activities, and treatment-seeking behaviors are needed. Cruz M, Pincus HA, Welsh DE, Greenwald D, Lasky E, Kilbourne AM. The relationship between religious involvement and clinical status of patients with bipolar disorder. Bipolar Disord 2010: 12: 68–76. © 2010 The Authors. Journal compilation © 2010 John Wiley & Sons A/S. Objective: Religion and spirituality are important coping strategies in depression but have been rarely studied within the context of bipolar disorder. The present study assessed the association between different forms of religious involvement and the clinical status of individuals treated for bipolar disorder. Methods: A cross‐sectional observation study of follow‐up data from a large cohort study of patients receiving care for bipolar disorder (n = 334) at an urban Veterans Affairs mental health clinic was conducted. Bivariate and multivariate analyses were performed to assess the association between public (frequency of church attendance), private (frequency of prayer/meditation), as well as subjective forms (influence of beliefs on life) of religious involvement and mixed, manic, depressed, and euthymic states when demographic, anxiety, alcohol abuse, and health indicators were controlled. Results: Multivariate analyses found significant associations between higher rates of prayer/meditation and participants in a mixed state [odds ratio (OR) = 1.29; 95% confidence interval (CI) = 1.10–1.52, chi square = 9.42, df = 14, p < 0.05], as well as lower rates of prayer/meditation and participants who were euthymic (OR = 0.84; 95% CI = 0.72–0.99, chi square = 4.60, df = 14, p < 0.05). Depression and mania were not associated with religious involvement. Conclusions: Compared to patients with bipolar disorder in depressed, manic, or euthymic states, patients in mixed states have more active private religious lives. Providers should assess the religious activities of individuals with bipolar disorder in mixed states and how they may complement/deter ongoing treatment. Future longitudinal studies linking bipolar states, religious activities, and treatment‐seeking behaviors are needed. Religion and spirituality are important coping strategies in depression but have been rarely studied within the context of bipolar disorder. The present study assessed the association between different forms of religious involvement and the clinical status of individuals treated for bipolar disorder. A cross-sectional observation study of follow-up data from a large cohort study of patients receiving care for bipolar disorder (n = 334) at an urban Veterans Affairs mental health clinic was conducted. Bivariate and multivariate analyses were performed to assess the association between public (frequency of church attendance), private (frequency of prayer/meditation), as well as subjective forms (influence of beliefs on life) of religious involvement and mixed, manic, depressed, and euthymic states when demographic, anxiety, alcohol abuse, and health indicators were controlled. Multivariate analyses found significant associations between higher rates of prayer/meditation and participants in a mixed state [odds ratio (OR) = 1.29; 95% confidence interval (CI) = 1.10-1.52, chi square = 9.42, df = 14, p < 0.05], as well as lower rates of prayer/meditation and participants who were euthymic (OR = 0.84; 95% CI = 0.72-0.99, chi square = 4.60, df = 14, p < 0.05). Depression and mania were not associated with religious involvement. Compared to patients with bipolar disorder in depressed, manic, or euthymic states, patients in mixed states have more active private religious lives. Providers should assess the religious activities of individuals with bipolar disorder in mixed states and how they may complement/deter ongoing treatment. Future longitudinal studies linking bipolar states, religious activities, and treatment-seeking behaviors are needed. |
| Author | Kilbourne, Amy M Greenwald, Devra Cruz, Mario Lasky, Elaine Welsh, Deborah E Pincus, Harold Alan |
| AuthorAffiliation | a Advanced Center for Intervention and Services, Research for Late-life Mood and Anxiety Disorders, Western Psychiatric Institute and Clinic, Pittsburgh, PA b Department of Psychiatry, Irving Institute for Clinical and Translational Research, Columbia University College of Physicians and Surgeons, NewYork-Presbyterian Hospital, New York, NY e VA Pittsburgh Center for Health Equity Research and Promotion, Pittsburgh, PA d VA Ann Arbor National Serious Mental Illness Treatment Research and Evaluation Center, Ann Arbor, MI c RAND Corporation, Pittsburgh, PA f Department of Psychiatry, University of Michigan, Ann Arbor, MI, USA |
| AuthorAffiliation_xml | – name: e VA Pittsburgh Center for Health Equity Research and Promotion, Pittsburgh, PA – name: d VA Ann Arbor National Serious Mental Illness Treatment Research and Evaluation Center, Ann Arbor, MI – name: c RAND Corporation, Pittsburgh, PA – name: b Department of Psychiatry, Irving Institute for Clinical and Translational Research, Columbia University College of Physicians and Surgeons, NewYork-Presbyterian Hospital, New York, NY – name: f Department of Psychiatry, University of Michigan, Ann Arbor, MI, USA – name: a Advanced Center for Intervention and Services, Research for Late-life Mood and Anxiety Disorders, Western Psychiatric Institute and Clinic, Pittsburgh, PA |
| Author_xml | – sequence: 1 givenname: Mario surname: Cruz fullname: Cruz, Mario organization: Advanced Center for Intervention and Services, Research for Late-life Mood and Anxiety Disorders, Western Psychiatric Institute and Clinic, Pittsburgh, PA – sequence: 2 givenname: Harold Alan surname: Pincus fullname: Pincus, Harold Alan organization: Department of Psychiatry, Irving Institute for Clinical and Translational Research, Columbia University College of Physicians and Surgeons, NewYork-Presbyterian Hospital, New York, NY – sequence: 3 givenname: Deborah E surname: Welsh fullname: Welsh, Deborah E organization: VA Ann Arbor National Serious Mental Illness Treatment Research and Evaluation Center, Ann Arbor, MI – sequence: 4 givenname: Devra surname: Greenwald fullname: Greenwald, Devra organization: VA Pittsburgh Center for Health Equity Research and Promotion, Pittsburgh, PA – sequence: 5 givenname: Elaine surname: Lasky fullname: Lasky, Elaine organization: VA Pittsburgh Center for Health Equity Research and Promotion, Pittsburgh, PA – sequence: 6 givenname: Amy M surname: Kilbourne fullname: Kilbourne, Amy M organization: VA Ann Arbor National Serious Mental Illness Treatment Research and Evaluation Center, Ann Arbor, MI |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/20148868$$D View this record in MEDLINE/PubMed |
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| Snippet | Cruz M, Pincus HA, Welsh DE, Greenwald D, Lasky E, Kilbourne AM. The relationship between religious involvement and clinical status of patients with bipolar... Religion and spirituality are important coping strategies in depression but have been rarely studied within the context of bipolar disorder. The present study... OBJECTIVEReligion and spirituality are important coping strategies in depression but have been rarely studied within the context of bipolar disorder. The... |
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| SubjectTerms | Adult Aged Analysis of Variance bipolar disorder Bipolar Disorder - physiopathology Bipolar Disorder - psychology Cohort Studies Cross-Sectional Studies Female Hospitals, Veterans Humans Male Middle Aged Psychiatric Status Rating Scales Religion Religion and Medicine Retrospective Studies Young Adult |
| Title | The relationship between religious involvement and clinical status of patients with bipolar disorder |
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