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Am J Psychiatry 1997; 154:322-329
Copyright © 1997 by American Psychiatric Association
Religion, psychopathology, and substance use and abuse; a multimeasure, genetic-epidemiologic study
KS Kendler, CO Gardner and CA Prescott
Virginia Institute for Psychiatric and Behavioral Genetics, Medical College of Virginia/Virginia Commonwealth University, Richmond, USA.
OBJECTIVE: The authors sought to 1) understand the sources of familial
resemblance for religiosity, 2) clarify the relationship between
religiosity and current psychiatric symptoms, current substance use,
lifetime psychiatric disorders, and lifetime substance dependence, and 3)
explore the stress-buffering properties of religiosity. METHOD: Data were
obtained by personal interview of 1,902 twins from female-female pairs in
the population-based Virginia Twin Registry. Measures included 1) 10 items
reflecting a range of religious behavior and beliefs, 2) a scale of
institutional conservatism of current religious affiliation, 3) previous
history of stressful life events, 4) current psychiatric symptoms and
substance use, and 5) lifetime psychiatric disorders and substance
dependence. Statistical methods used included factor analyses, Cox and
linear regression, and twin modeling. RESULTS: Personal devotion and
personal and institutional conservatism were all strongly familial, and
model fitting suggested that this familial resemblance was due largely to
the effect of environmental factors. None of the dimensions of religiosity
was strongly associated with lifetime psychopathology or current symptoms,
but low levels of depressive symptoms were related to high levels of
personal devotion. By contrast, personal devotion and personal and
institutional conservatism were significantly and inversely associated with
current levels of drinking and smoking as well as lifetime risk for
alcoholism and nicotine dependence. Personal devotion, but not personal or
institutional conservatism, buffered the depressogenic effects of stressful
life events. CONCLUSIONS: The dimensions of religiosity are not strongly
related to risk for psychiatric symptoms and disorders. However,
religiosity may be one of the more important familial- environmental
factors that affect the risk for substance use and dependence. Religious
devotion but not conservatism assists in coping with stress.
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