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.
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Abbasi, A., Asayesh, H., Rahmani, H., Shariati, A., Hosseini, S., & Rouhi, G. (2011). The burden on caregivers from hemodialysis patients and related factors. Journal of Research Development in Nursing & Midwifery,8(1), 26–33.
Ardeshirzadeh, M. (2004). Comparative study of psychological burden in caregivers of chronic schizophrenic and bipolar patients; coping approaches. Research Based Final Theses, University of Welfare and Rehabilitation Sciences.
Asghari, A., Saed, F., & Dibajnia, P. (2008). Psychometric properties of the Depression Anxiety Stress Scales-21 (DASS-21) in a non-clinical Iranian sample. International Journal of Psychology,2(2), 82–102.
Backx, A. P. M., Spooren, A. I. F., Bongers-Janssen, H. M. H., & Bouwsema, H. (2018). Quality of life, burden and satisfaction with care in caregivers of patients with a spinal cord injury during and after rehabilitation. Spinal Cord,56, 890–899.
Bhattacharjee, M., Vairale, J., Gawali, K., & Dalal, P. M. (2012). Factors affecting burden on caregivers of stroke survivors: Population-based study in Mumbai (India). Annals of Indian Academy of Neurology,15(2), 113.
Caga, J., Hsieh, S., Highton-Williamson, E., Zoing, M. C., Ramsey, E., Devenney, E., et al. (2018). The burden of apathy for caregivers of patients with amyotrophic lateral sclerosis. Amyotrophic Lateral Sclerosis and Frontotemporal Degeneration,19(7–8), 599–605.
Chiao, C. Y., Wu, H. S., & Hsiao, C. Y. (2015). Caregiver burden for informal caregivers of patients with dementia: A systematic review. International Nursing Review,62(3), 340–350.
Conti, A., Clari, M., Garrino, L., Maitan, P., Scivoletto, G., Cavallaro, L., et al. (2019). Adaptation and validation of the Caregiver Burden Inventory in Spinal Cord Injuries (CBI-SCI). Spinal Cord,57(1), 75.
Corallo, F., Bonanno, L., Formica, C., Corallo, F., De Salvo, S., Lo Buono, V., Marino, S. (2019). Religious coping in caregiver of patients with acquired brain injuries. Journal of Religion and Health,. https://doi.org/10.1007/s10943-019-00840-8.
Craig, A., Tran, Y., & Middleton, J. (2009). Psychological morbidity and spinal cord injury: A systematic review. Spinal Cord,47(2), 108.
Cruz, M., Pincus, H. A., Welsh, D. E., Greenwald, D., Lasky, E., & Kilbourne, A. M. (2010). The relationship between religious involvement and clinical status of patients with bipolar disorder. Bipolar Disorders,12(1), 68–76.
Darvishi, A., Otaghi, M., & Mami, S. (2019). The effectiveness of spiritual therapy on spiritual well-being, self-esteem and self-efficacy in patients on hemodialysis. Journal of Religion and Health,. https://doi.org/10.1007/s10943-018-00750-1.
Dehghan, A., & Memarian, R. (2013). Abundance of stress, anxiety and depression in multiple sclerosis patients. Alborz University Medical Journal,2(2), 82–88. [Research].
Dreer, L. E., Elliott, T. R., Shewchuk, R., Berry, J. W., & Rivera, P. (2007). Family caregivers of persons with spinal cord injury: Predicting caregivers at risk for probable depression. Rehabilitation Psychology,52(3), 351.
Ebrahimzadeh, M. H., Shojaee, B. S., Golhasani-Keshtan, F., Moharari, F., Kachooei, A. R., & Fattahi, A. S. (2014). Depression, anxiety and quality of life in caregiver spouses of veterans with chronic spinal cord injury. Iranian Journal of Psychiatry,9(3), 133.
Fakuori, E., Pilehvarzadeh, M., Shamsi, A., & Ghaderi, M. (2015). The relationship between religious beliefs and self-esteem in students. Zanko Journal of Medical Sciences, 16(49), 50–60.
Francis, B., Gill, J. S., Yit Han, N., Petrus, C. F., Azhar, F. L., Ahmad Sabki, Z., et al. (2019). Religious coping, religiosity, depression and anxiety among medical students in a multi-religious setting. International Journal of Environmental Research and Public Health,16(2), 259.
Gajraj-Singh, P. (2011). Psychological impact and the burden of caregiving for persons with spinal cord injury (SCI) living in the community in Fiji. Spinal Cord,49(8), 928.
Goyaghaj, N. S., Khoshknab, M. F., Khankeh, H. R., Ali, M., & Hoseini, P. R. (2015). Effect the exercise program on neuropathic pain intensity in patients with paraplegia. Spinal Cord Injury,4, 52–59.
Graupensperger, S., Sweet, S. N., & Evans, M. B. (2018). Multimorbidity of overweight and obesity alongside anxiety and depressive disorders in individuals with spinal cord injury. The Journal of Spinal Cord Medicine. https://doi.org/10.1080/10790268.2018.1507801.
Hatefi, M., Abdi, A., Tarjoman, A., & Borji, M. (2019). Prevalence of depression and pain among patients with spinal cord injury in Iran: A systematic review and meta-analysis. Trauma Monthly, 24(3), e87503. https://doi.org/10.5812/traumamon.87503.
Herrera, A. P., Lee, J. W., Nanyonjo, R. D., Laufman, L. E., & Torres-Vigil, I. (2009). Religious coping and caregiver well-being in Mexican-American families. Aging and Mental Health,13(1), 84–91.
Hojjati, H., Sarbani, A., & Alimmohammadzadeh, K. (2017). The Relationship between daily spiritual experiences and perceived stress in the spouses of war veterans with post-traumatic stress. Journal of Military Medicine, 19(2), 135–142.
International Health Conference. (2002). Constitution of the World Health Organization. 1946. Bulletin of the World Health Organization,80(12), 983.
Jadidi, A., Farahaninia, M., Janmohammadi, S., & Haghani, H. (2011). The relationship between spiritual well-being and quality of life among elderly people residing in Kahrizak senior house. Iran Journal of Nursing,24(72), 48–56. [Research].
Khoshtinat, V. (2015). Survy of religious coping style in PNU students with an emphasis on spiritual elevation. Medical Ethics Journal,9(30), 135–156.
Ma, H.-P., Lu, H.-J., Xiong, X.-Y., Yao, J.-Y., & Yang, Z. (2014). The investigation of care burden and coping style in caregivers of spinal cord injury patients. International Journal of Nursing Sciences,1(2), 185–190.
Maldonado Bouchard, S., & Hook, M. A. (2014). Psychological stress as a modulator of functional recovery following spinal cord injury. Frontiers in Neurology,5, 44.
Miri, M. R., Salehiniya, H., Tiyuri, A., Bahlgerdi, M., & Taghizadeh, A. A. (2015). Relationship between religious orientation and mental health in older people. Medical History Journal,6(21), 83–102.
Mohammadi, H., Mortazavi, M. A., Mousavi, M. R., Javanmard, Q., & Monfaredi, A. (2016). Determination of the relationship between Religious commitment and mental health among engineering students of Bonab University. Journal of Research on Religion & Health,2(2), 44–53.
Mollaei, F., Borhani, F., Abbaszadeh, A., & Khabazkhoob, M. (2019). Correlation between spiritual well-being and burden of care in family caregivers of cancer patients. Journal of Hayat,24, 296–309.
Moradi-Joo, M., Babazadeh, T., Honarvar, Z., Mohabat-Bahar, S., Rahmati-Najarkolaei, F., & Haghighi, M. (2017). The relationship between spiritual health and public health aspects among patients with breast cancer. Journal of Research on Religion & Health,3(3), 80–91.
Ng, F., Trauer, T., Dodd, S., Callaly, T., Campbell, S., & Berk, M. (2007). The validity of the 21-item version of the Depression Anxiety Stress Scales as a routine clinical outcome measure. Acta Neuropsychiatrica,19(5), 304–310.
Novak, M., & Guest, C. (1989). Caregiver response to Alzheimer’s disease. The International Journal of Aging and Human Development,28(1), 67–79.
O’brien, B., Shrestha, S., Stanley, M. A., Pargament, K. I., Cummings, J., Kunik, M. E., et al. (2019). Positive and negative religious coping as predictors of distress among minority older adults. International Journal of Geriatric Psychiatry,34(1), 54–59.
Pargament, K. I., Koenig, H. G., & Perez, L. M. (2000). The many methods of religious coping: Development and initial validation of the RCOPE. Journal of Clinical Psychology,56(4), 519–543.
Pinquart, M., & Sörensen, S. (2006). Gender differences in caregiver stressors, social resources, and health: An updated meta-analysis. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences,61(1), P33–P45.
Rajabi, M., Bastami, M., Shahvaroughi Farahani, N., Tavanaie, A., Ghanbari, B., & Alasti, H. (2018). Religious coping as a predictor of the burden of care in the caregivers of end-stage cancer patients. Iran Journal of Nursing,31(114), 1–11.
Sakakibara, B. M., Miller, W. C., Orenczuk, S. G., & Wolfe, D. L. (2009). A systematic review of depression and anxiety measures used with individuals with spinal cord injury. Spinal Cord,47(12), 841.
Salehi, M., & Motaghi, M. (2018). The effect of continuous care model on care burden and coping behavior of diabetic older adults’ caregivers in Poldokhtar City. Indian Journal of Forensic Medicine and Toxicology,12(2), 204–209.
Salmani, N., Ashketorab, T., & Hasanvand, S. (2014). The burden of caregiver and related factors of oncology. Advances in Nursing & Midwifery,24(84), 11–18.
Samani, S., & Joukar, B. (2007). A study on the reliability and validity of the short form of the depression anxiety stress scale (DASS-21). Journal of Social Sciences and Humanities of Shiraz University, 26(3), 65–77.
Savic, G., DeVivo, M., Frankel, H., Jamous, M., Soni, B., & Charlifue, S. (2017). Causes of death after traumatic spinal cord injury—a 70-year British study. Spinal Cord,55(10), 891.
Schulz, R., & Sherwood, P. R. (2008). Physical and mental health effects of family caregiving. Journal of Social Work Education,44(sup3), 105–113.
Scivoletto, G., Petrelli, A., Di Lucente, L., & Castellano, V. (1997). Psychological investigation of spinal cord injury patients. Spinal Cord,35(8), 516.
Shahabizadeh, F. (2012). The role of intermediary religious confrontation in the styles of attachment towards God and mental health of parents with children having special disabilities. Exceptional Education,2(110), 7–20.
Shahrbabaki, P. M., Nouhi, E., Kazemi, M., & Ahmadi, F. (2016). Family support as a reliable resource for coping in patients with heart failure. Acta Medica Mediterranea,32, 873–878.
Shahrbabaki, P. M., Nouhi, E., Kazemi, M., & Ahmadi, F. (2017). Spirituality: A panacea for patients coping with heart failure. International Journal of Community Based Nursing and Midwifery,5(1), 38.
Shamsaei, F., Yaghmaei, S., Sadeghian, E., & Tapak, L. (2018). Survey of stress, anxiety and depression in Undergraduate Nursing Students of Hamadan University of Medical Sciences. Journal of Nursing Education,6(3), 26–31. [Research].
Soltanian, A. (2013). Survey of risk factors for development of pressure ulcers in patients with brain—Spinal injuries at home. Scientific Journal of Hamadan Nursing & Midwifery Faculty,21(2), 47–57.
Taghavi Larijani, T., Sharifi, N., Mehran, A., & Nazari, S. (2006). Level of coping with stressors in parents of epileptic children. Journal of Hayat,12(2), 63–71.
Tavan, H., Sayehmiri, K., Taghinejad, H., & Mousavi, S. M. (2015). Factor analysis of spiritual health on the Islam viewpoint. Iranian Journal of Public Health,44(11), 1572–1573.
Tramonti, F., Bonfiglio, L., Bongioanni, P., Belviso, C., Fanciullacci, C., Rossi, B., et al. (2019). Caregiver burden and family functioning in different neurological diseases. Psychology, Health & Medicine,24(1), 27–34.
Tzanos, I. A., Mavrogenis, A., Gioti, K., Papaggeloppoulos, P., & Panagiotopoulos, E. (2018). Depressive mood in individuals with spinal cord injury (SCI) living in Greece. Spinal Cord,56, 833–889.
Vazifehdoust, M., Hojaati, H., & Farhangi, H. (2019). The effect of Ghalbe salim spiritual care on anxiety in adolescent with cancer. International Journal of Adolescent Medicine and Health (IJAMH), 32(3), 10–15.
Vitorino, L. M., Marins, L. S., Lucchetti, A. L. G., Santos, A. E. O., Cruz, J. P., Cortez, P. J. O., et al. (2018). Spiritual/religious coping and depressive symptoms in informal caregivers of hospitalized older adults. Geriatric Nursing,39(1), 48–53.
Williams, A. M., Gee, C. M., Voss, C., & West, C. R. (2019). Cardiac consequences of spinal cord injury: Systematic review and meta-analysis. Heart,105(3), 217–225.
Yadollahpour, M. H., Jorsaraei, G. A., & Khafri, S. (2015). Studying religious belief among the medical students & obstetric staffs of Babol University of Medical Sciences. Islam and Health Journal,2(1), 13–18.
Zare, H., & Alipor, A. (2012). The efficacy of stress inculation training (SIT) on resilience, anxiety, depression and stress among spinal cord injury (SCI) patients. Journal of Jahrom University of Medical Sciences,10(2), 15–25.
Zürcher, C., Tough, H., Fekete, C., & SwiSCI Study Group. (2019). Mental health in individuals with spinal cord injury: The role of socioeconomic conditions and social relationships. PLoS ONE,14(2), e0206069.
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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.
It was explained to patients that the questionnaires would be unnamed, and their information would be analyzed in its entirety.
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Hatefi, M., Vaisi-Raygani, A., Borji, M. et al. Investigating the Relationship between Religious Beliefs with Care Burden, Stress, Anxiety, and Depression in Caregivers of Patients with Spinal Cord Injuries. J Relig Health 59, 1754–1765 (2020). https://doi.org/10.1007/s10943-019-00853-3
- Religious beliefs
- Care burden