Relationship between religiosity and depression of older persons in Bangladesh

doi:10.15406/mojgg.2017.02.00065

MOJ

eISSN: 2574-8130

Gerontology & Geriatrics

Review Article Volume 2 Issue 5

Relationship between religiosity and depression of older persons in Bangladesh

Mohammad Abbas Uddin

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Nursing Department, District Hospital, Bangladesh

Correspondence: Mohammad Abbas Uddin, Nursing Department, District Hospital, Lakshmipur, Bangladesh

Received: October 26, 2017 | Published: December 5, 2017

Citation: Uddin MA. Relationship between religiosity and depression of older persons in Bangladesh. MOJ Gerontol Ger. 2017;2(5):108-110. DOI: 10.15406/mojgg.2017.02.00065

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Abstract

Older persons are vulnerable to the effects of various psychological problems. The most frequent problem among older persons is depression, which may negatively affect their lives. Religiosity is also a common feature of older persons. The purpose of this study is to investigate the relationships between older persons’ depression and religiosity in two southern districts in Bangladesh. Data were collected from 280 older persons using the Geriatric Depression Scale (GDS-10) and Strength of Religious Faith Scale (SRFS). Descriptive and correlational statistics were used to analyze depression and religiosity data. Results show that religiosity is significantly and positively related to depression. The identification of intervention programs for the screening of depression, with a view to reducing depression’s consequences via the promotion of religiosity, is recommended.

Keywords: Depression; Older Persons; Religiosity

Abbreviations

M: Mean; SD: Standard Deviation; TK: Bangladeshi Currency; GDS: Geriatric Depression Scale; SRFS: Strength of Religious Faith Scale

Introduction

Depression is defined as changes in cognition and mood and loss of interests. Older persons are vulnerable to the effects of depression, which include various physical and social problems. These include problems carrying out activities of daily living¹ decreased physical, cognitive and social functioning; and greater self-neglect.² Generally, depressive symptoms can exacerbate health outcomes.³ In Bangladesh, older persons (those aged 60 or above) had a 2.79 times higher risk of depression than middle-aged persons (those aged 40-59).⁴

Older persons show a greater preference for religious activities than younger people. Religiosity is defined as perceptions of religious beliefs, worship, and prayer.⁵ Religious involvement appears to minimize unsafe behaviors, act as a buffer against stress, provide social support, and help people to find meaning in life.⁶ Religiosity can provide a positive and hopeful attitude about life and illness, as well as a sense of meaning and purpose in life. As a result, religiosity affects health behaviors and social and family relationships and is linked to a greater capacity to cope with illness and disability.⁷ Religiosity has been associated with lower occurrence of mental problems⁸ and fewer depressive symptoms.⁹ Religiosity has a beneficial impact on depression.¹⁰ Thus, religiosity may be an influential factor on older persons’ depression. It has been previously demonstrated that religious engagement did not differ between depressive and non-depressive subgroups.¹¹ However, that study investigated Catholic older persons. Differences in religious beliefs and religiosity may lead to different results for Islamic older persons. The purpose of this study was to investigate relationships between depression and religiosity among Islam believers. The results may foster greater understanding of Muslim religiosity and the role it may play in support of depressive older persons.

Data and methods

The study data were collected between September 2015 and January 2016 from 280 older persons living in villages in two southern districts of Bangladesh. Participants were selected by specific inclusion criteria. They had to be aged between 60 to 75 years, free from cognitive impairment, and free from severe chronic illness. Data were collected via a demographic data form, the GDS-10,¹² and the SRFS.⁵ The GDS-10 consists of ten items:

Feeling satisfied with life
Reduction of activities
Feeling empty
Being afraid of bad things
Feeling happy
Feeling helpless
Memory problems
Feeling full of energy
Feeling hopeless and
Judgment

Each item’s score was either 0 (no depression) or 1 (depression). The potential total scores ranged from 0 to 10. A total score between 0 and 4 is considered to indicate no depression and a score of 5 or more considered to indicate depression.¹³ The SRFS consists of three domains: religious belief, worship, and prayer. These were assessed with an eleven-item scale. First, participants were asked to rate their level of agreement with eight reasons that religion might be important to them. The items were:

It helps me to cope with life events.
It answers many questions about the meaning of my life.
It teaches me how to deal with life.
It provides practice for dealing with life’s challenges and events.
It helps others.
It helps me deal with bad things.
It gives me guidance and peace of mind.
It helps me make serious decisions.

Secondly, participants were asked to rate their level of agreement with three possible purposes of prayer:

Satisfaction
Happiness
Reducing stress

Each item was assessed on a five-point Likert, ranging from 1 (strongly disagree) to 5 (strongly agree). Total scores ranged between 11 and 55, with higher scores reflecting higher levels of strength of religious faith. In this study, the reliability of the GDS-10 and SRFS were determined by Cronbach’s Alpha Coefficient, and the values found were .78 and 97. These were considered satisfactory.

Secondary data were analyzed using a statistical program (SPSS 13.0). Descriptive statistics, including frequency, percentage, mean and standard deviation, were used to analyze demographic, depression and religiosity data. Spearman’s Rho was used to identify the relationship between depression and religiosity.

Results

The majority (85.4%) of older persons were between 60 and 70 years old. 50.4% were male and 49.60% were female. The majority (80.0%) were married, and 55.0% were illiterate. 53.2% of the sample lived in a nuclear type of family, and most (71.8%) reported their family’s monthly income as between 300 and 6,000 Taka (80 Taka = 1$) (Tables 1-4).

Characteristics	Categories	Frequency (%)
Age (M = 65.81, SD = 4.37)	60 - 70 years	239 (85.4)
Age (M = 65.81, SD = 4.37)	71 - 75 years	41 (14.6)
Gender	Male	141 (50.4)
Gender	Female	139 (49.6)
Marital status	Married	224 (80.0)
Marital status	Widow	56 (20.0)
Education level	Illiteracy	154 (55.0)
Education level	Literate	126 (45.0)
Employment status	Employed	232 (82.9)
Employment status	Unemployed	48 (17.1)
Type of family	Nuclear	149 (53.2)
Type of family	Extended	131 (46.8)
Family monthly income [1 USD = 80 Taka]	300 – 6,000 Taka	201 (71.8)
Family monthly income [1 USD = 80 Taka]	6,001 – 20,000Taka	79 (28.2)

Table 1 Demographic characteristics of older persons (n = 280).

Variable	Categories	Frequency (%)
Depression	No depression	44(15.7)
Depression	Having depression	236(84.3)

Table 2 Depression of older persons (n=280).
The majority (84.3%) of older persons reported having depression. Only 15.7% of the older persons reported no depression.

Variable	Mean (M)	Standard Deviation (SD)	Level
Religiosity	52.51	3.49	High

Table 3 Religiosity of older persons (n=280).

Variable	Depression
Religiosity	.41**

Table 4 Relationship between religiosity and depression of older persons (n=280).
**p < .01
Older persons’ religiosity was significantly and positively related to their depression (r = .40, p < .01).

Discussion

Almost all participants reported having depression and a high level of religiosity. Religiosity was significantly and positively related to depression. As older persons’ depression increased, their religiosity increased. One explanation is that older persons face various physical and mental and social problems due to declining physical strength, the effects of diseases, and inadequate social support. As a result, they may lead a stressful life which may cause depression. All participants were Muslim. They could practice their religiosity freely at their villages’ religious institutes. 55.00% of participants were illiterate and unable to read their religious book, the Quran, which is written in Arabic. Therefore, they depended on religious leaders. It is hypothesized that older persons may sometimes have received inadequate information from these leaders. However, older persons also used their religiosity to alleviate depression. This study’s results are consistent with another study.¹¹ It found that depressive people increase their religiosity to achieve better health expectations. In addition, dimensions of religiosity, such as organizational religiosity, have previously been significantly associated with depressive symptoms.¹⁴ However, those studies investigated non-Muslims and measured religiosity with different instruments.

Conclusion

Almost all participants reported having depression and a high level of religiosity. Religiosity was significantly and positively related to depression. These results may be useful for clinicians and health care providers and may support them in the development of strategies for assessing and preventing older persons’ depression and promoting the use of religiosity in the southern districts of Bangladesh. They may also be relevant to other settings, particularly Muslims in developing countries.

Ethical Considerations

Permission was obtained from the proper district level health authority, the study participants, and SRFS developer

Acknowledgements

The author was pleased to district level health authority for data collection permission. The author also pleased to the study participants for their kind support.