Stress and Hope at the Margins

Qualitative Research on Depression and Religious Coping among Low-Income Mothers

in Archive for the Psychology of Religion
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For many people across the world, experiences of depression include features that extend beyond the biopsychiatric model, which predominates in research on the relationship between religious and spiritual coping and depressive symptoms. How does attending to these diverse experiences of depression challenge our understanding of the dynamic between religiosity and depression? This paper presents thirteen qualitative interviews among economically marginalized mothers in the metro-Boston area. Analyzing these narratives presents a complex picture of the way chronic situational stress lies beneath their experiences of depression. From this expanded view of depressive experiences, we analyze the religious coping strategies of social support and meaning making to reveal the holistic, yet often ambiguous, ways these mothers engaged religious and spiritual resources to forge hope amidst chronic stress.

Stress and Hope at the Margins

Qualitative Research on Depression and Religious Coping among Low-Income Mothers

in Archive for the Psychology of Religion



AdebimpeV. R. (1981). Overview: White norms and psychiatric diagnosis of Black patients. The American Journal of Psychiatry138(3) 279-285.

AflakseirA. & MahdiyarM. (2016). The role of religious coping strategies in predicting depression among a sample of women with fertility problems in Shiraz. Journal of Reproduction & Infertility17(2) 117-122.

AlarcónR. D.OquendoM. A. & WainbergM. L. (2014). Depression in a Latino man in New York. American Journal of Psychiatry171(5) 506-508.

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders: DSM-5. Washington, DC: American Psychiatric Association.

BeckA. T.SteerR. A. & BrownG. K. (1996). Manual for the Beck Depression Inventory-II. San Antonio, TX: Psychological Corporation.

BelleD. & DoucetJ. (2003). Poverty, inequality, and discrimination as sources of depression among u.s. women. Psychology of Women Quarterly27(2) 101-113.

BlazerD. G.HybelsC. F.SimonsickE. M. & HanlonJ. T. (2000). Marked differences in antidepressant use by race in an elderly community sample: 1986-1996. American Journal of Psychiatry157(7) 1089-1094.

BrownC.SchulbergH. C. & MadoniaM. J. (1996). Clinical presentations of major depression by African Americans and Whites in primary medical care practice. Journal of Affective Disorders41(3) 181-191.

CallahanC. M. & WolinskyF. D. (1994). The effect of gender and race on the measurement properties of the ces-d in older adults. Medical Care32(4) 341-356.

CapperisS.EllenI. G. & KarfunkelB. (2015May 28). Renting in America’s largest cities. Retrieved August 29 2016 from

CarpenterT. P.LaneyT. & MezulisA. (2012). Religious coping, stress, and depressive symptoms among adolescents: A prospective study. Psychology of Religion and Spirituality4(1) 19-30.

CarverC. S. (1997). You want to measure coping but your protocol’s too long: Consider the brief cope. International Journal of Behavioral Medicine4(1) 92.

CharmazK. (2014). Constructing grounded theory (2nd ed.). Washington, DC: SAGE.

ChattersL. M.TaylorR. J.WoodwardA. T. & NicklettE. J. (2015). Social support from church and family members and depressive symptoms among older African Americans. The American Journal of Geriatric Psychiatry23(6) 559-567.

CohenA. B. & JohnsonK. A. (2017). The relation between religion and well-being. Applied Research in Quality of Life12(3) 533-547.

ColemanM. A. (2008). Making a way out of no way: A womanist theology. Minneapolis, MN: Fortress Press.

CooperD. L. A.BrownC.VuH. T.FordD. E. & PoweN. R. (2001). How important is intrinsic spirituality in depression care? Journal of General Internal Medicine16(9) 634-638.

CrawfordA. E. B. (2002). Hope in the holler: A womanist theology. Westminster: John Knox Press.

FeinbergE.SteinR.Diaz-LinhartY.EgbertL.BeardsleeW.HegelM. T. & SilversteinM. (2012). Adaptation of problem-solving treatment for prevention of depression among low-income, culturally diverse mothers. Family & Community Health35(1) 57-67.

FreireP. (1998). Pedagogy of freedom: Ethics democracy and civic courage (P. Clarke Trans.). Lanham, MD: Rowman & Littlefield.

GalloJ. J.BognerH. R.MoralesK. H. & FordD. E. (2005). Patient ethnicity and the identification and active management of depression in late life. Archives of Internal Medicine165(17) 1962-1968.

GayC. L.KottorpA.LerdalA. & LeeK. A. (2016). Psychometric limitations of the Center for Epidemiologic Studies-Depression Scale for assessing depressive symptoms among adults with hiv/aids: A Rasch analysis>. Depression Research and Treatment 2016. e2824595.

GrohC. J. (2007). Poverty, mental health, and women: Implications for psychiatric nurses in primary care settings. Journal of the American Psychiatric Nurses Association13(5) 267-274.

GutiérrezG. (2012). A hermeneutic of hope. The Center for Latin American Studies Vanderbilt University—Occasional Paper 13. Retrieved from

HolmesB. A. (2004). Joy unspeakable: Contemplative practices of the Black church. Minneapolis: Fortress Press.

HoltC. L.WangM. Q.ClarkE. M.WilliamsB. R. & SchulzE. (2013). Religious involvement and physical and emotional functioning among African Americans: The mediating role of religious support. Psychology & Health28(3) 267-283.

HwangW. C. & MyersH. F. (2013). The Explanatory Model of Illness Catalogue: Ethnic differences in women’s illness beliefs and help-seeking for depression. Journal of Cultural Diversity20(2) 57.

JosephS. & LinleyP. A. (2005). Positive adjustment to threatening events: An organismic valuing theory of growth through adversity. Review of General Psychology9(3) 262.

KaraszA. (2005). Cultural differences in conceptual models of depression. Social Science & Medicine (1982)60(7) 1625-1635.

KaraszA.GarciaN. & FerriL. (2009). Conceptual models of depression in primary care patients: A comparative study. Journal of Cross-Cultural Psychology40(6) 1041-1059.

KelleyR. D. G. (1998). Yo’ mama’s disfunktional !: Fighting the culture wars in urban America. Boston: Beacon Press.

KimU.YangK.-S. & HwangK.-K.. (Eds). (2006). Indigenous and cultural psychology: Understanding people in context. New York, NY: Springer.

KingM. L. Jr. (1986). Love, law, and civil disobedience. In J. M. Washington (Ed.) A testament of hope: The essential writings and speeches of Martin Luther King Jr. (pp. 43-53). New York, NY: HarperOne.

KleinmanA. (1988). Rethinking psychiatry: From cultural category to personal experience. New York: Free Press.

KleinmanA. & GoodB. (1985). Culture and depression: Studies in the anthropology and cross-cultural psychiatry of affect and disorder. Berkeley: University of California Press.

KoenigH. G. (2007). Spirituality and depression: A look at the evidence. Southern Medical Journal100(7) 737-740.

KrauseN. (2012). Parental religious socialization practices, connectedness with others, and depressive symptoms in late life. The International Journal for the Psychology of Religion22(2) 135-154.

KrauseN. (2016a). Assessing supportive social exchanges inside and outside religious institutions: Exploring variations among Whites, Hispanics, and Blacks. Social Indicators Research128(1) 131-146.

KrauseN. (2016b). Feelings of belonging in a congregation: A social—psychological assessment. Mental Health Religion & Culture19(2) 164-177.

KrauseN. & HaywardR. D. (2012). Negative interaction with fellow church members and depressive symptoms among older Mexican Americans. Archive for the Psychology of Religion34(2) 149-171.

KrauseN.PargamentK. I.HillP. C. & IronsonG. (2016). Humility, stressful life events, and psychological well-being: Findings from the landmark spirituality and health survey. The Journal of Positive Psychology11(5) 499-510.

LairdL. D.CurtisC. E. & MorganJ. R. (2017). Finding spirits in spirituality: What are we measuring in spirituality and health research? Journal of Religion and Health56(1) 1-20.

LecrubierY.SheehanD. V.WeillerE.AmorimP.BonoraI.SheehanK. H.DunbarG. C. (1997). The Mini International Neuropsychiatric Interview (mini). A short diagnostic structured interview: Reliability and validity according to the cidi. European Psychiatry12(5) 224-231.

LiS.OkerekeO. I.ChangS.-C.KawachiI. & VanderWeeleT. J. (2016). Religious service attendance and lower depression among women—A prospective cohort study. Annals of Behavioral Medicine50(6) 876-884.

LöweB.KroenkeK. & GräfeK. (2005). Detecting and monitoring depression with a two-item questionnaire (phq-2). Journal of Psychosomatic Research58(2) 163-171.

Massachusetts Head Start Association. (2017). Frequently asked questions. Retrieved from

MillerL.WickramaratneP.GameroffM. J.SageM.TenkeC. E. & WeissmanM. M. (2012). Religiosity and major depression in adults at high risk: A ten-year prospective study. The American Journal of Psychiatry169(1) 89-94.

MitchemS. Y. (2007). African American folk healing. New York: New York University Press.

MuñozA. P.KimM.ChangM.JacksonR. O.HamiltonD. & DarityW. A.Jr. (2015). The color of wealth in Boston. Federal Reserve Bank of Boston Duke University and The New School. Retrieved from

National Women’s Law Center. (2017). How the wage gape hurts women and families. Retrieved from

PaineD. R. & SandageS. J. (2017). Religious involvement and depression: The mediating effect of relational spirituality. Journal of Religion and Health56(1) 269-283.

PargamentK.FeuilleM. & BurdzyD. (2011). The brief rcope: Current psychometric status of a short measure of religious coping. Religions2(4) 51-76.

PargamentK. I.KoenigH. G. & PerezL. M. (2000). The many methods of religious coping: Development and initial validation of the rcope. Journal of Clinical Psychology56(4) 519-543.<519::AID-JCLP6>3.0.CO;2-1.

ParkC. L. (2005). Religion as a meaning-making framework in coping with life stress. Journal of Social Issues61(4) 707-729.

ParkC. L. (2010). Making sense of the meaning literature: An integrative review of meaning making and its effects on adjustment to stressful life events. Psychological Bulletin136(2) 257-301.

ParkC. L. (2013). The meaning making model: A framework for understanding meaning, spirituality, and stress-related growth in health psychology. The European Health Psychologist15(2) 40-47.

ParkC. L. & SlatteryJ. M. (2013). Religion, spirituality, and mental health. In R. F. Paloutzian & C. L. Park (Eds.) Handbook of the psychology of religion and spirituality (2nd ed. pp. 540-559). New York: The Guilford Press.

PayneA. J.JosephS. & TudwayJ. (2007). Assimilation and accommodation processes following traumatic experiences. Journal of Loss and Trauma12(1) 75-91.

Pew Research Center. (2016). On views of race and inequality, Blacks and Whites are worlds apart. Retrieved from

qsr International. (2014). NVivo qualitative data analysis software for Mac (Version 10). QSR International Pty Ltd.

RadloffL. S. (1977). The ces-d Scale: A self-report depression scale for research in the general population. Applied Psychological Measurement1(3) 385-401.

RiessmanC. K. (1993). Narrative analysis. Newbury Park, CA: SAGE Publications, Inc.

RomeroL. L. (2010). “Can’t thrive by yourself you know?” How poor people of color experience thriving in an urban community (Doctoral dissertation). Columbia University New York. Retrieved from

Sadule-RiosN.TappenR.WilliamsC. L. & RosselliM. (2014). Older Hispanics’ explanatory model of depression. Archives of Psychiatric Nursing28(4) 242-249.

SchettinoJ. R.OlmosN. T.MyersH. F.JosephN. T.PolandR. E. & LesserI. M. (2011). Religiosity and treatment response to antidepressant medication: A prospective multi-site clinical trial. Mental Health Religion & Culture14(8) 805-818.

SummerfieldD. (2012). Afterword: Against global mental health. Transcultural Psychiatry49(3) 519.

SummerfieldD. (2013). “Global mental health” is an oxymoron and medical imperialism. BMJ346f3509-f3509.

TaylorR. J.ChattersL. M. & LevinJ. (2003). Religion in the lives of African Americans: Social psychological and health perspectives. Thousand Oaks: SAGE Publications, Inc.

VargasS. M.CabassaL. J.NicasioA.De La CruzA. A.JacksonE.RosarioM.Lewis-FernándezR. (2015). Toward a cultural adaptation of pharmacotherapy: Latino views of depression and antidepressant therapy. Transcultural Psychiatry52(2) 244-273.

WittinkM. N.JooJ. H.LewisL. M. & BargF. K. (2009). Losing faith and using faith: Older African Americans discuss spirituality, religious activities, and depression. Journal of General Internal Medicine24(3) 402-407.

YapiciA. & BilicanF. I. (2014). Depression severity and hopelessness among Turkish university students according to various aspects of religiosity. Archive for the Psychology of Religion36(1) 53-69.

ZouJ.HuangY.MaldonadoL.KasenS.CohenP. & ChenH. (2013). The efficacy of religious service attendance in reducing depressive symptoms. Social Psychiatry and Psychiatric Epidemiology49(6) 911-918.


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