Investigating the Relationship between Religious Beliefs with Care Burden, Stress, Anxiety, and Depression in Caregivers of Patients with Spinal Cord Injuries

  • Masoud Hatefi
  • Aliakbar Vaisi-Raygani
  • Milad Borji
  • Asma TarjomanEmail author
Original Paper


Spinal cord injury (SCI) is one of the most severe diseases associated with the central nervous system of the individuals, which can lead to disability in the patient. The aim of the present study was to determine the relationship between religious beliefs with CG, depression, anxiety and stress (DAS) in caregivers of patients with SCI in the city of Ilam, Iran. This is a descriptive-analytic article, and the study population were caregivers of patients with SCI. A sample size of 150 patients was selected according to previous studies. The questionnaires used for data collection included Religious Coping Questionnaire (RC), Caregiver Questionnaire (CG), and Depression, Anxiety and Stress Scale-21 (DASS-21) Items. In this study, caregivers of patients with SCI were included in the study using convenience sampling method in Ilam city. The researchers identified patient caregivers who met the inclusion criteria. The research objectives were described for caregivers, and the questioners were initiated if caregivers were willing to participate in the study. Literate caregivers completed questionnaires through interviews, and trained questioners completed for illiterate caregivers in the same way (interviewing). Data were analyzed using spss 16 statistical software, and descriptive and analytical methods were used for statistical analysis. According to the findings, the mean (SD) of RC is 18.41 (2.73), negative RC is 7.05 (2.06), positive RC is 11.36 (1.89), stress is 10.78 (6.27), anxiety is 10.12 (5.58), depression is 10.50 (3.08), and CG is 78.16 (27.09). There is a significant relationship between RC levels with stress (P = 0.000, F = 40.565), anxiety (P = 0.000, F = 45.300), and CG (P = 0.000, F = 37.332), but there was no relationship between the RC level with depression status (P = 0.42, F = 0.634). Considering that religion can affect the level of CG, stress, and anxiety of the caregivers of the patients, it is suggested to provide necessary conditions to improve the health status of caregivers of patients with SCI by improving the religion status in patients and performing appropriate interventions in this regard.


Religious beliefs Care burden Stress Anxiety Depression 


Compliance with Ethical Standards

Conflict of interest

The authors declare that they have no conflict of interest.

Research Involving Human Participants and/or Animals

The present study is a research project approved by Research Committee of Kermanshah University of Medical Sciences (Grant No. 3008118). For this reason, the researchers appreciated this department. They also appreciated the elderly participating in this study.

Informed Consent

It was explained to patients that the questionnaires would be unnamed, and their information would be analyzed in its entirety.


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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  • Masoud Hatefi
    • 1
  • Aliakbar Vaisi-Raygani
    • 2
  • Milad Borji
    • 2
  • Asma Tarjoman
    • 3
    Email author
  1. 1.Department of Neurosurgery, Faculty of MedicineIlam University of Medical SciencesIlamIslamic Republic of Iran
  2. 2.Department of Nursing, Faculty of Nursing and MidwiferyKermanshah University of Medical ScienceKermanshahIslamic Republic of Iran
  3. 3.Student Research CommitteeKermanshah University of Medical SciencesKermanshahIslamic Republic of Iran

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