ETUDE RECHERCHE Religiosity and prevalence of suicide, psychiatric disorders and psychotic symptoms in the French general population Running title: Religiosity and psychiatric disorders

Religiosity and prevalence of suicide, psychiatric disorders and psychotic symptoms in the French general population Running title: Religiosity and psychiatric disorders

Maria Alice Brito ^{1, 2} Ali Amad ³ Benjamin Rolland ⁴ Pierre Geoffroy ^{1, 5} Hugo Peyre ^{6, 1} Jean-Luc Roelandt ⁷ Imane Benradia ⁷ Pierre Thomas ³ Guillaume Vaiva ³ Franck Schürhoff ^{8, 9} Baptiste Pignon ^{2, 9, 8}

1 UP - Université de Paris

2 Pôle de Psychiatrie [Hôpital Henri Mondor]

3 LilNCog (ex-JPARC) - Lille Neurosciences & Cognition - U 1172

4 CRNL - Centre de recherche en neurosciences de Lyon

5 CHRU Lille - Centre Hospitalier Régional Universitaire [Lille]

6 Hôpital Robert Debré

7 EPSM - Etablissements Public de Santé [Lille-Métropole]

8 IMRB - Institut Mondor de Recherche Biomédicale

9 UPEC Médecine - Université Paris-Est Créteil Val-de-Marne - Faculté de médecine

Abstract : We aimed to examine the association between religious beliefs and observance and the prevalence of psychiatric disorders, psychotic symptoms and history of suicide attempts in the French general population. The cross-sectional survey interviewed 38,694 subjects between 1999 and 2003, using the MINI. Current religious beliefs and observance were identified by means of two questions: “are you a believer?” and “are you religiously observant?”. We studied the association between religiosity and psychiatric outcomes using a multivariable logistic regression model adjusted for sociodemographic characteristics, including migrant status. Religious beliefs were positively associated with psychotic symptoms and disorders [OR = 1.37, 95% CI (1.30–1.45) and OR = 1.38, 95% CI (1.20–1.58)], unipolar depressive disorder [OR = 1.15, 95% CI (1.06–1.23)] and generalized anxiety disorder [OR = 1.13, 95% CI (1.06–1.21)], but negatively associated with bipolar disorder [OR = 0.83, 95% CI (0.69–0.98)], alcohol use disorders [OR = 0.69, 95% CI (0.62–0.77)], substance use disorders [OR = 0.60, 95% CI (0.52–0.69)] and suicide attempts [OR = 0.90, 95% CI (0.82–0.99)]. Religious observance was positively associated with psychotic symptoms and disorders [OR = 1.38, 95% CI (1.20–1.58) and OR = 1.25, 95% CI (1.07–1.45)], but negatively associated with social anxiety disorder [OR = 0.87, 95% CI (0.76–0.99)], alcohol use disorders [OR = 0.60, 95% CI (0.51–0.70)], substance use disorders [OR = 0.48, 95% CI (0.38–0.60)] and suicide attempts [OR = 0.80, 95% CI (0.70–0.90)]. Among believers, religious observance was not associated with psychotic outcomes. Religiosity appears to be a complex and bidirectional determinant of psychiatric symptoms and disorders. In this respect, religiosity should be more thoroughly assessed in epidemiological psychiatric studies, as well as in clinical practice.

Keywords :
Type de document :
Article dans une revue
Domaine :
Sciences du Vivant [q-bio] / Médecine humaine et pathologie / Psychiatrie et santé mentale
Sciences du Vivant [q-bio] / Santé publique et épidémiologie

Soumis le : lundi 22 février 2021
Source https://hal.archives-ouvertes.fr/hal-03148739