Abstract
There is limited literature examining the longitudinal stability of depressive symptoms for individuals with asthma, or how religiosity/spirituality relates to depressive symptoms across time. The present study aimed to identify the stability of and the longitudinal associations between depressive symptoms and R/S across multiple developmental periods for adolesents with asthma (N = 998) within the United States. Depressive symptoms (βrange 0.33 − 0.60) and R/S (βrange 0.26 − 0.73) were stable across time, with some variability. A cross-lagged association demonstrated that use of R/S in young adulthood (Wave 3) was associated with decreased depressive symptoms in adulthood (β = -0.17, p < .001, CI − 0.25 - − 0.09, SE = 0.04). Use of R/S in adolescence (Wave 2) was predictive of increased depression in adulthood (β = 0.13, p < .001, CI 0.05 − 0.20, SE = 0.04). Results demonstrated differential relations between R/S and depressive symptoms across development, and highlight the potential importance of integrating conversations focused on R/S within healthcare settings, especially as R/S during young adulthood may buffer against or reduce depressive symptoms in adulthood.
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Data Availability
This research uses data from Add Health, a program project directed by Kathleen Mullan Harris and designed by J. Richard Udry, Peter S. Bearman, and Kathleen Mullan Harris at the University of North Carolina at Chapel Hill, and funded by grant P01-HD31921 from the Eunice Kennedy Shriver National Institute of Child Health and Human Development, with cooperative funding from 23 other federal agencies and foundations. Information on how to obtain the Add Health data files is available on the Add Health website (http://www.cpc.unc.edu/addhealth).
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All authors contributed to the study conception and design. Material preparation, data collection and analysis were performed by Nicole M. Ruppe and Ashley H. Clawson. The first draft of the manuscript was written by Nicole M. Ruppe and Ashley H. Clawson and all authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.
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This work was conducted when Nicole M. Ruppe, Ph.D. was a doctoral student within the Center for Pediatric Psychology at Oklahoma State University. Nicole is under the mentorship of Ashley H. Clawson, Ph.D. who has an expertise in research focused in pediatric asthma. This manuscript is the work of Nicole Ruppe’s Master’s Thesis Project at Oklahoma State University. This project was completed under the mentorship of Dr. Ashley Clawson.
This research uses data from Add Health, a program project directed by Kathleen Mullan Harris and designed by J. Richard Udry, Peter S. Bearman, and Kathleen Mullan Harris at the University of North Carolina at Chapel Hill, and funded by grant P01-HD31921 from the Eunice Kennedy Shriver National Institute of Child Health and Human Development, with cooperative funding from 23 other federal agencies and foundations. Information on how to obtain the Add Health data files is available on the Add Health website (http://www.cpc.unc.edu/addhealth). No direct support was received from grant P01-HD31921 for this analysis.
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Ruppe, N.M., Clawson, A.H., Nwankwo, C.N. et al. Longitudinal Associations Between Depression and Religiosity/Spirituality Among Individuals with Asthma in the United States. J Relig Health (2023). https://doi.org/10.1007/s10943-023-01903-7
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DOI: https://doi.org/10.1007/s10943-023-01903-7