Differential Association of Spirituality and Religiosity with Rumination: Implications for the Treatment of Depression

David Saunders, Connie Svob, Lifang Pan, Eyal Abraham, Jonathan Posner, Myrna Weissman, Priya Wickramaratne

Research output: Contribution to journalArticlepeer-review

5 Scopus citations

Abstract

Recent studies have shown that religiosity (R) is associated with lower rates of depression, whereas spirituality (S) is associated with higher rates. Rumination has also been associated with higher rates of depression. Some have hypothesized that rumination mediates the differential association of religiosity and spirituality with depression. We empirically test this hypothesis in a longitudinal, multigenerational sample through associations between rumination and depression, R/S and depression, and R/S and rumination. Cross-sectionally, total rumination scores were predicted by spirituality (standardized β = 0.13; 95% confidence interval [CI], 0.00-0.26), with subscale (reflection, depression, and brooding) standardized betas ranging from 0.11 to 0.15 (95% CI, -0.03 to -0.29). Cross-sectionally, rumination was not predicted by religiosity. Longitudinally, and consistent with previous findings, religiosity, but not spirituality, predicted reduced depressive symptoms (standardized β = -0.3; 95% CI, -0.58 to -0.01). The association between spirituality and rumination was driven by millennials. Psychotherapies that target rumination for depression might therefore be especially effective in the millennial demographic.

Original languageEnglish
Pages (from-to)370-377
Number of pages8
JournalJournal of Nervous and Mental Disease
Volume209
Issue number5
DOIs
StatePublished - 1 May 2021
Externally publishedYes

Bibliographical note

Publisher Copyright:
© Wolters Kluwer Health, Inc. All rights reserved.

Funding

Dr J. Posner has received research support from Takeda (formerly Shire) and Aevi Genomics and consultancy fees from Innovative Science. Dr M. Weissman has in the past 3 years received funding from the Sackler Foundation and the John Templeton Foundation, and receives royalties from the Oxford University Press, Perseus Press, the American Psychiatric Association Press, and MultiHealth Systems; none of these pose conflicts of interest. This work was supported by grant funding from the John Templeton Foundation (#54679 and #61330; principal investigator [PI]: M. Weissman) and the National Institutes of Mental Health (R01MH36197; co-PIs: M. Weissman and J. Posner).

FundersFunder number
Sackler Foundation
National Institute of Mental HealthR01MH036197
John Templeton Foundation61330, 54679

    Keywords

    • Spirituality
    • cognitive-behavioral therapy
    • depression
    • millennials
    • religion
    • religiosity
    • rumination

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