Religious involvement and depression in older Dutch citizens

  • A. W. Braam
  • A. T. F. Beekman
  • T. G. van Tilburg
  • D. J. H. Deeg
  • W. van Tilburg
Original Paper


It has been suggested that religiosity helps prevent depression in older people. This study examines the association between religious involvement and depression in older Dutch citizens and focuses on models of the mechanism in which religious involvement has an impact on other factors related to depression. The subjects were 2,817 older adults aged 55–85 years living in the community who participated in the Longitudinal Aging Study Amsterdam. Depressive symptoms were assessed using the Center for Epidemiologic Studies Depression Scale (CES-D). Religious involvement was assessed using items on frequency of church attendance and strength of church affiliation. Further data were collected on physical health, size of social network, social suppoor, sense of mastery and selfesteem. As in North American studies, religious involvement appeared to be inversely associated with depression, both on symptom and syndrome levels. Controlling for sociodemographics, physical impairment and network support did not substantially affect this association, particularly among subjects aged 75–85 years. The inverse association between religious involvement and depression was not selectively more pronounced among older people with physical impairments. However, the association appeared to be most specific for subjects with a small social network and those with a low sense of mastery.


Depressive Symptom Social Network Physical Health Depression Scale Inverse Association 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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  1. Becker JW, Vink R (1994) Secularization in the Netherlands, 1966–1991 (in Dutch). Social and Cultural Studies, 19, Sociaal Cultureel Planbureau, Rijswijk, The NetherlandsGoogle Scholar
  2. Beekman ATF, Deeg DJH, Limbeek J van, Braam AW, Vries MZ de, Tilburg W van (1996) Criterion validity of the Center for Epidemiologic Studies Depression Scale (CES-D): results from a community-based sample of older subjects in the Netherlands. Psychol Med (in press).Google Scholar
  3. Bergin AE (1983) Religiosity and mental health: a critical reevaluation and meta-analysis. Profess Psychol 14: 170–184Google Scholar
  4. Berkman LF, Berkman CS, Kasl S (1986) Depressive symptoms in relation to physical health and functioning in the elderly. Am J Epidemiol 124: 372–388Google Scholar
  5. Braam AW, Beekman ATF, Deeg DJH, van Tilburg W (1994) Religiosity and depressive symptoms among elderly persons; a study among elder inhabitants of Sassenheim (in Dutch). Tijdschr Psychiatr 36: 509–519Google Scholar
  6. Brown GW, Harris TO (1978) Social origins of depression. Tavistock, LondonGoogle Scholar
  7. Chatters LM, Levin JS, Taylor RJ (1992) Antecedents and dimensions of religious involvement among older black adults. J Gerontol Soc Sci 47: 269–278Google Scholar
  8. Cochran M, Larner M, Riley D, Gunnarson L, Henderson CR (1990) Extending families: the social networks of parents and their children. Cambridge University Press, CambridgeGoogle Scholar
  9. Cohen S, Wills TA (1985) Stress, social support and the buffering hypothesis. Psychol Bull 98: 310–357Google Scholar
  10. Courtenay BC, Poon LW, Martin P, Clayton GM, Johnson MA (1992) Religiosity and adaptation in the oldest old. Int J Aging Hum Dev 34: 47–56Google Scholar
  11. Crossley D (1995) Religious experience within mental illness, opening the door on research. Br J Psychiatry 166: 284–286Google Scholar
  12. Deeg DJH, Westendorp-de Serière M (eds) (1994) Autonomy and well-being in the aging population. I. Report from the Longitudinal Aging Study Amsterdam 1992–1993. VU-Publishers, AmsterdamGoogle Scholar
  13. Durkheim E, ([1897] 1951) Suicide. Free Press, New YorkGoogle Scholar
  14. Ellison CG (1995) Race, religious involvement and depressive symptomatology in a southeastern U.S. community. Soc Sci Med 40: 1561–1572Google Scholar
  15. Freud S ([1927] 1962) The future of an illusion. In: Standard Edition, vol 21. Hogarth Press, London, pp 3–5cGoogle Scholar
  16. Idler EL (1987) Religious involvement and the health of the elderly: some hypotheses and an initial test. Soc Forces 66: 226–238Google Scholar
  17. Idler EL, Kasl SV (1992) Religion, disability depression, and the timing of death. Am J Sociol 97: 1052–1079Google Scholar
  18. Jung CG (1931) Die Lebenswende. In: Seelenprobleme der Gegenwart, Vorträge und Aufsätze; Psychologische Abhandlungen, Vol III. Rascher Verlag, Zürich LeipzigGoogle Scholar
  19. Knipscheer CPM, Jong Gierveld J de, Tilburg TG van, Dykstra PA (1995) Living arangements and social networks of older adults. VU University Press, AmsterdamGoogle Scholar
  20. Koenig HG, Cohen HJ, Blazer DG, Pieper C, Meador KG, Shelp F, Goli V, Dipasquale B (1992) Religious coping and depression among elderly, hospitalized medically ill men. Am J Psychiatry 149: 1693–1700Google Scholar
  21. Krause N (1992) Stress, religiosity, and psychological well-being among older blacks. J Aging Health 4: 412–439Google Scholar
  22. Krause N, Tran TV (1989) Stress and religious involvement among older blacks. J Gerontol Soc Sci 44: 4–13Google Scholar
  23. Kroll J, Sheehan W (1989) Religious beliefs and practices among 52 psychiatric inpatients in Minnesota. Am J Psychiatry 146: 67–72Google Scholar
  24. Larson DB, Patison EM, Blazer DG, Omran AR, Kaplan BE (1986) Research on religious variables in four major psychiatric journals. Am J Psychiatry 143: 329–334Google Scholar
  25. Levin JS (1994) Religion and Health: is there an association, is it valid, and is it causal? Soc Sci Med 38: 1475–1482Google Scholar
  26. Markides KS, Levin JS, Ray LA (1987) Religion, aging, and life satisfaction: an eight year, three-wave longitudinal study. Gerontologist 27: 660–665Google Scholar
  27. Neeleman J, Persaud R (1995) Why do psychiatrists neglect religion? Br J Med Psychol 68: 169–178Google Scholar
  28. Netherlands Central Bureau of Statistics (1989) Health interview questionnaire. Heerlen, The NetherlandsGoogle Scholar
  29. Pearlin LI, Schooler C (1978) The structure of coping. J Health Soc Behav 19: 2–21Google Scholar
  30. Petersen LR, Roy A (1985) Religiosity, anxiety, and meaning and purpose: religion's consequences for psychological well-being. Rev Relig Res 27: 49–62Google Scholar
  31. Pressman P, Lyons JS, Larson DB, Strain JJ (1990) Religious belief, depression and ambulation status in elderly women with broken hips. Am J Psychiatry 147: 758–760Google Scholar
  32. Radloff LS (1977) The CES-D scale: a self-report depression scale for research in the general population. Appl Psychol Meas 1: 385–401Google Scholar
  33. Rosenberg M (1965) Society and the adolescent self-image. Princeton University Press, PrincetonGoogle Scholar
  34. Smit JH, Vries MZ de (1994) Procedures and results of the field work. In: Deeg DJH, Westendorp-de Serière M (eds) Autonomy and well-being in the aging population. I. Report from the Longitudinal Aging Study Amsterdam 1992–1993. VU University Press, Amsterdam, pp 7–13Google Scholar
  35. Sonsbeek JLA van (1988) Methodological and substantial aspects of the OECD indicator of chronic functional limitations. Maandbericht Gezondheid (Central Bureau Statistics) Heerlen, The Netherlands 88: 4–17Google Scholar
  36. Stark R, Bainbridge WS (1985) The future of a religion. University of California Press, BerkeleyGoogle Scholar
  37. Tilburg TG van (1994) Social network size and support. In: Deeg DJH, Westendorp-de Serière M (eds) Autonomy and well-being in the aging population. I. Report from the Longitudinal Aging Study Amsterdam 1992–1993. VU University Press, Amsterdam, pp 79–88, VU University Press, AmsterdamGoogle Scholar
  38. Tornstam L (1994) Gerotranscendence—a theoretical and empirical exploration. In: Thomas LE, Eisenhandler SA (eds) Aging and the religious dimension. Greenwood Publishing Group, Westport, pp 203–225Google Scholar
  39. Wheaton B (1985) Models for the stress-buffering function of coping resources. J Health Soc Behav 26: 352–364Google Scholar

Copyright information

© Springer-Verlag 1997

Authors and Affiliations

  • A. W. Braam
    • 1
  • A. T. F. Beekman
    • 1
  • T. G. van Tilburg
    • 1
  • D. J. H. Deeg
    • 1
  • W. van Tilburg
    • 1
  1. 1.Department of Psychiatry and Department of Sociology and Social GerontologyVrije UniversiteitAmsterdamThe Netherlands

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