Does religious coping and spirituality have a moderating role on depression and anxiety in patients with spinal cord injury? A study from Iran

Abstract

Objectives:We evaluate the level of anxiety and depression among patients with spinal cord injury (SCI) in relation with their religious coping and spiritual health. Setting: Brain and Spinal Cord Injury Repair Research Center, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran. Methods: A sample of patients with SCI participated in this cross-sectional study. They completed a sociodemographic questionnaire, the Hospital Anxiety and Depression Scale, the Brief Religious Coping Questionnaire and the Spiritual Well-being Scale. Then, the association between anxiety, depression and independent variables was examined. Results: In all, 213 patients with SCI were studied. Of these, 64 (30%) have had anxiety and 32 (15%) have had depression. Multiple logistic regression analyses revealed that gender (odds ratio (OR) for female = 3.34, 95% confidence interval (CI) = 1.31-8.51, P = 0.011), employment (OR for unemployed = 5.71, 95% CI = 1.17-27.78, P = 0.031), negative religious coping (OR = 1.15, 95% CI = 1.04-1.28, P = 0.006) and existential spiritual well-being (OR = 0.93, 95% CI = 0.89-0.97, P = 0.003) were significant contributing factors to anxiety (Table 3), whereas negative religious coping (OR = 1.21, 95% CI = 1.06-1.37, P = 0.004) and existential spiritual well-being (OR = 0.90, 95% CI = 0.84-0.96, P = 0.001) were significant contributing factors to depression. Conclusion: The findings indicated that depression and anxiety are two psychologically important side effects after SCI. The findings also indicated that religion and spiritual well-being have a moderating role on occurrence of depression and anxiety.

Anxiety prevalence following spinal cord injury: a meta-analysis

“…The full-texts of these studies were subsequently examined by both authors. 1,8,[21][22][23][24][25][26][27][28][29][30][31][32][33][34][35][36][37][38][39][40] The reference lists of these studies and published SCI review papers 2,10,11,41 were additionally examined. Although this process did not lead to the discovery of any new studies, it helped ensure that all relevant papers were identified.…”

The Relationship between Religious Coping Strategies and Happiness with Meaning in Life in Blind People

“…Coping and adaptation is a continuing, dynamic, progressive and protective process that helps the living organism becomes compatible with constant changes of their life and environment. Adaptation mechanisms and coping styles determines the range of health and mental illness that leads to evaluation of the situation, security, flexibility, support and grow identity (Bay et al, 2008;Rahnama et al, 2015).…”

“…Religious coping strategy is another kind of coping strategies that individual uses them in their everyday interactions. Religious coping strategy is a way that human beings use rituals and religious beliefs to cope with life's difficulties and pressures (Rahnama et al, 2015).…”

The relationship between anxiety, depression and religious coping strategies and erectile dysfunction in Iranian patients with spinal cord injury

“…Previous research has shown that religiousness as an individual coping strategy can have a significant influence on the rehabilitation process and the re-establishment of overall quality of life in patients with SCI. 28,29 This may also be true for their sexual quality of life and erectile function, although this specific aspect has received little attention in previous research.…”