{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T16:44:00Z","timestamp":1791564240449,"version":"4.3.4"},"reference-count":39,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2013,4,22]],"date-time":"2013-04-22T00:00:00Z","timestamp":1366588800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Bipolar Disorders"],"published-print":{"date-parts":[[2013,6]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>The aim of the present study was to investigate the relationship between religiosity and mood, quality of life, number of hospitalizations, and number of severe suicide attempts among bipolar disorder patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>In a cross\u2010sectional study of bipolar disorder outpatients (N\u00a0=\u00a0168), we assessed symptoms of mania [Young Mania Rating Scale (<jats:styled-content style=\"fixed-case\">YMRS<\/jats:styled-content>)], depression [Montgomery\u2013\u00c5sberg Depression Rating Scale (<jats:styled-content style=\"fixed-case\">MADRS<\/jats:styled-content>)], religiosity (Duke Religious Index), religious coping (Brief <jats:styled-content style=\"fixed-case\">RCOPE<\/jats:styled-content>), and quality of life [World Health Organization Quality of Life\u2013Brief Version (<jats:styled-content style=\"fixed-case\">WHOQOL<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">BREF<\/jats:styled-content>)]. Sociodemographic data, number of suicide attempts, and number of hospitalizations were obtained through an interview with the individual and analysis of the patient's medical records. Logistical and linear regressions of the association between the religious indicators and clinical variables were conducted, controlling for sociodemographic variables.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 148 (88.1%) individuals reported some type of religious affiliation. Intrinsic religiosity [odds ratio (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>)\u00a0=\u00a00.19, 95% confidence interval (<jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>): 0.06\u20130.57, p\u00a0=\u00a00.003] and positive religious coping strategies (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\u00a0=\u00a00.25, <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>: 0.09\u20130.71, p\u00a0=\u00a00.01) were associated with fewer depressive symptoms. All four domains of quality of life were directly and significantly correlated with intrinsic religiosity. Positive religious coping was correlated with higher levels of the psychological (\u03b2\u00a0=\u00a00.216, p\u00a0=\u00a00.002) and environmental (\u03b2\u00a0=\u00a00.178, p\u00a0=\u00a00.028) quality\u2010of\u2010life domains. Negative religious coping was associated with lower scores on the psychological domain of quality of life (\u03b2\u00a0=\u00a0\u22120.182, p\u00a0=\u00a00.025).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Intrinsic religiosity and positive religious coping are strongly associated with fewer depressive symptoms and improved quality of life. Negative religious coping is associated with worse quality of life. Religiosity is a relevant aspect of patients' lives and should be taken into consideration by physicians when assessing and managing bipolar disorder patients. Further longitudinal studies are needed to determine the causality and therapeutic implications of our findings.<\/jats:p><\/jats:sec>","DOI":"10.1111\/bdi.12069","type":"journal-article","created":{"date-parts":[[2013,4,22]],"date-time":"2013-04-22T07:17:23Z","timestamp":1366615043000},"page":"385-393","source":"Crossref","is-referenced-by-count":57,"title":["Religiosity, mood symptoms, and quality of life in bipolar disorder"],"prefix":"10.1111","volume":"15","author":[{"given":"Andr\u00e9","family":"Stroppa","sequence":"first","affiliation":[{"name":"Research Center in Spirituality and Health School of Medicine Federal University of Juiz de Fora Juiz de Fora Minas Gerais Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexander","family":"Moreira\u2010Almeida","sequence":"additional","affiliation":[{"name":"Research Center in Spirituality and Health School of Medicine Federal University of Juiz de Fora Juiz de Fora Minas Gerais Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2013,4,22]]},"reference":[{"key":"e_1_2_7_2_1","first-page":"155","volume-title":"Manic\u2010Depressive Illness","author":"Goodwin FK","year":"2007"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(07)61238-0"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1037\/0021-843X.108.4.558"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1192\/apt.bp.108.006403"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1037\/0021-843X.108.4.555"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.2008.08040488"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1590\/S1516-44462006005000006"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1037\/h0021212"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1093\/acprof:oso\/9780195118667.001.0001"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1097-4679(200004)56:4<519::AID-JCLP6>3.0.CO;2-1"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1037\/0033-2909.129.4.614"},{"key":"e_1_2_7_13_1","first-page":"190","article-title":"Religiosity and spirituality in bipolar disorder","volume":"36","author":"Stroppa A","year":"2009","journal-title":"Rev Psiq Clin"},{"key":"e_1_2_7_14_1","first-page":"483","article-title":"The religious life of patients with affective disorders","volume":"30","author":"Gallemore JL","year":"1969","journal-title":"Dis Nerv Syst"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0165-0327(02)00055-1"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1399-5618.2009.00772.x"},{"key":"e_1_2_7_17_1","unstructured":"American Psychiatric Association.Refer\u00eancia r\u00e1pida aos crit\u00e9rios diagn\u00f3sticos do DSM\u2010IV\u2010TR\/American Psychiatric Association. 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