A recent study that I published in the American Journal of Preventive Medicine showed how three churches in New York City identified people at risk for depression. In the study, 122 people completed an anonymous survey. The survey asked 9 questions about whether a person experienced sad or depressed mood, inability to enjoy pleasurable activities, difficulty falling asleep, feelings of guilt or worthlessness, fatigue, difficulty concentrating, appetite changes, and thoughts of death / suicide in the previous two weeks. The survey was scored from 0 (no symptoms) to 27 (severe symptoms). People who scored 10 or higher on the survey were classified as having a “positive depression screen.”
MUST READ: Black Mental Health: 3 Myths That Hurt Us
Our results showed that people who attend church are stressed. We found that 1 out of 5 people had a positive depression screen, which is double the rate found in community samples. Importantly, we found that more men (22.5%) screened positive compared to women (17.7%). Our ability to identify a high percentage of depressed men suggests that churches are important entry points for engaging men in mental health treatment.
Faith communities are at a crossroads, and a movement is growing to create caring congregations in every church in the U.S. Rick and Kay Warren recently hosted a conference titled “The Gathering on Mental Health and the Church .”Over 3,000 people attended this conference in which faith leaders, policy leaders, scientists, and mental health professionals disseminated information and resources.
Building on this conference, I believe that caring congregations respond to their parishioners with the following messages:
1. Depression is a common, disabling illness for which there is effective treatment
2. Depression is not due to weakness, sin, or lack of faith
3. Coping strategies to reduce stress include faith practices (i.e., prayer), regular exercise, a healthy diet, talk therapy, and medications as needed.
What can you do next? If you are suffering from stress and depression, visit www.nami.org or www.psychologytoday.com for resources and providers in your area. As community members, you can speak with your church leaders or employer about the importance of promoting mental health. Pastors can speak about mental health from the pulpit and have workshops at your church. I would love to hear your other thoughts and suggestions!
If you — or someone you know — need help, please call 1-800-273-8255 for theNational Suicide Prevention Lifeline. If you are outside of the U.S., please visit the International Association for Suicide Prevention for a database of international resources.
Dr. Sidney Hankerson is an Assistant Professor of Clinical Psychiatry at Columbia University, College of Physicians and Surgeons. Follow him and his research on Twitter @SidneyHankerson