Examining the Effect of Spiritual Health on Hope and Coping Strategies among Patients with Multiple Sclerosis (Ms)

Authors

  • Mahboobeh Askari Department of Clinical Psychology, Azad University of Marvdasht, Marvdasht, Iran.
  • Mohadeseh Norouzi Department of Clinical Psychology, Kashan University of Medical Sciences, Kashan, Iran.
  • Hamed Radmehr Faculty of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
  • Hossein Mohammadi Students Research Committee, Center for the Study of Religion and Health, Department and Faculty of Medical School, Shahid Beheshti University of Medical Sciences,Tehran, Iran.

Keywords:

Coping strategies, Hope Spiritual, health

Abstract

For downloading the full-text of this article please click here.

Background and Objective: Spiritual dimension plays an essential role in human health, thus attracting great interest in teaching spirituality. Spiritual health has a positive impact on the health, longevity and recovery from physical illnesses. Given that, the aim of this study was to evaluate the effect of mental health education on hope as well as coping strategies of patients with Multiple Sclerosis.

Method: This study was a clinical trial whose population were members of the ‘community support for MS patients’ in Tehran . After calculating the sample size, sampling was conducted in two stages: first, 100 members of the community in support of the MS patients were selected. Second, 30 of them were randomly assigned to two groups, namely experimental (n = 15) and control (n = 15) groups. Spiritual health group teaching for 8 sessions of 90 minutes was held by a trained clinical psychologist. Privacy as a fundamental principle in the treatment of patients was also considered by keeping the personal information confidential. Data collection tools included Miller Hope Scale (MHS) and Lazarus and Folkman’s Coping Strategies Questionnaire (CSQ). Pre-test and post-test results were analyzed using covariance. In this study, all the ethical issues were considered; moreover, the authors declare no conflict of interest.

Results: The results demonstrated that the teaching made a significant difference between the experimental and control group. After controlling for pre-test scores, a significant difference between the mean scores of hope (p = <. 000) and coping strategies (emotion-focused and problem-focused) was found between the groups on post-test (p = <. 000).

Conclusion:According to the findings, Spiritual health education can raise hope and foster effective coping strategies (problem-focused) in people who suffer from MS.

For downloading the full-text of this article please click here.

References

Goldenberg MM. Multiple sclerosis review. Pharmacy and Therapeutics. 2012;37(3):175-84.

Renoux C, Vukusic S, Mikaeloff Y, Edan G, Clanet M, Dubois B, et al. Natural history of multiple sclerosis with childhood onset. New England Journal of Medicine. 2013;356(25):2603-13.

Kern S, Schrempf W, Schneider H, Schultheiss T, Reichmann H, Ziemssen T. Neurological disability, psychological distress, and health-related quality of life in MS patients within the first three years after diagnosis. Multiple sclerosis.2009;15(6):752-8.

Ghafari S, Ahmadi F, Nabavi M, Memarian R. Effects of applying progressive muscle relaxation technique on depression, anxiety and stress of multiple sclerosis patients in Iran National MS Society; 2008. 32(1): 45-53.(Full Text in Persian)

Gum A, Snyder CR. Coping with terminal illness: The role of hopeful thinking. Journal of palliative medicine. 2002;5(6):883-94.

Morgante L. Hope in multiple sclerosis: a nursing perspective. International Journal of MS Care. 2000; 2(2): 9-15.

Madan S, Pakenham KI. The stress-buffering effects of hope on adjustment to multiple sclerosis. International journal of behavioral medicine. 2014; 21(6): 877-90.

De Ridder DTD, Van Heck GL, Endler NS, Parker JDA. Coping Inventory for stressful situations; Dutch manual. Lisse: Swets test publishers; 2004.

McCabe MP, McKern S, McDonald E. Coping and psychological adjustment among people with multiple sclerosis. Journal of psychosomatic research. 2004; 56(3): 355-61.

van der Hiele K, van Gorp DAM, Benedict RHB, Jongen PJ, Arnoldus EPJ, Beenakker EAC, et al. Coping strategies in relation to negative work events and accommodations in employed multiple sclerosis patients. Multiple Sclerosis Journal–Experimental, Translational and Clinical. 2016;2:2055217316680638.

Pakenham KI, Stewart CA, Rogers A. The role of coping in adjustment to multiple sclerosis-related adaptive demands. Psychology, Health & Medicine. 1997;2(3):197-211.

Hart S, Fonareva I, Merluzzi N, Mohr DC. Treatment for depression and its relationship to improvement in quality of life and psychological well-being in multiple sclerosis patients. Quality of Life Research. 2005;14(3):695-703.

Elkins DN, Hedstrom LJ, Hughes LL, Leaf JA, Saunders C. Toward a humanistic-phenomenological spirituality definition, description, and measurement. Journal of humanistic Psychology. 1988;28(4):5-18.

Thomas LE, Eisenhandler SA. Aging and the religious dimension: ABC-CLIO; 1994.

Smith TB, McCullough ME, Poll J. Religiousness and depression: evidence for a main effect and the moderating influence of stressful life events. Psychological bulletin. 2003;129(4):614.

Tuck I, McCain NL, Elswick Jr RK. Spirituality and psychosocial factors in persons living with HIV. Journal of advanced nursing. 2001;33(6):776-83.

Fernsler JI, Klemm P, Miller MA. Spiritual well-being and demands of illness in people with colorectal cancer. Cancer Nursing. 1999;22(2):134-40.

Kamian S, Taghdisi MH, Azam K, Estebsari F. Evaluating Effectiveness of Spiritual Health Education on Increasing Hope among Breast Cancer Patients. Iranian Journal of Health Education and Health Promotion. 2014;2(3):208-14.

Huguelet P, Koenig HG. Religion and spirituality in psychiatry: Cambridge University Press; 2009.

Zinnbauer BJ, Pargament KI, Cole B, Rye MS,

Butter EM, Belavich TG, et al. Religion and spirituality: Unfuzzying the fuzzy. Journal for the scientific study of religion. 1997:549-64.

Bahrainian SA, Mohammadi H, Mortazavi MA. The relationship between trusting God and mental health in medical students of Shahid Beheshti University of Tehran. Journal of Reaserch on Religion & Health. 2015;1(4):12-20.(Full Text in Persian)

Ellison CG, Taylor RJ. Turning to prayer: Social and situational antecedents of religious coping among African Americans. Review of Religious Research. 1996:111-31.

Abdi N, Lari MA. Standardization of Three Hope Scales, as Possible Measures at the End of Life, in Iranian Population. Iranian Journal of Cancer Prevention. 2011;4(2):71-7.(Full Text in Persian)

Bierman A. Does religion buffer the effects of discrimination on mental health? Differing effects by race. Journal for the Scientific Study of Religion. 2006;45(4):551-65.

Dezutter J, Soenens B, Hutsebaut D. Religiosity and mental health: A further exploration of the relative importance of religious behaviors vs. religious attitudes. Personality and individual differences. 2006;40(4):807-18.

Vaillant G, Templeton J, Ardelt M, Meyer SE. The natural history of male mental health: Health and religious involvement. Social Science & Medicine. 2008;22(6):221-31.

Agha-yousefi A, Choubsaz F, Shaghaghi F, Motiei G. The effect of coping techniques training on coping strategies of infertile women in Kermanshah. Journal of Kermanshah University of Medical Sciences (J Kermanshah Univ Med Sci). 2012;16(2):155-64.(Full Text in Persian)

Baldacchino D, Draper P. Spiritual coping strategies: a review of the nursing research literature. Journal of advanced nursing. 2001;34(6):833-41.

Siegel K, Schrimshaw EW. The perceived benefits of religious and spiritual coping among older adults living with HIV/AIDS. Journal for the scientific study of religion. 2002;41(1):91-102.

Piazza D, Holcombe J, Foote A, Paul P, Love S, Daffin P. Hope, social support and self-esteem of patients with spinal cord injuries. Journal of Neuroscience Nursing. 1991;23(4):224-30.

Marcotte J. Spirituality and life satisfaction of people with multiple sclerosis [M.S.]. Ann Arbor: California State University, Long Beach; 2011.

Sung MS, Kim CN. A correlation study on spiritual wellbeing, hope and perceived health status of the elderly. Journal of Korean Community Nursing.

;10(1):53-69.

Kim Y, Seidlitz L. Spirituality moderates the effect of stress on emotional and physical adjustment. Personality and Individual differences. 2002; 32(8): 1377- 90.

Knox D, Langehough SO, Walters C, Rowley M. Religiosity and spirituality among college students. College Student Journal. 1998.

Maltby J, Lewis CA, Day L. Religious orientation and psychological well‐being: The role of the frequency of personal prayer. British Journal of Health Psychology. 1999;4(4):363-78.

Maton KI. The stress-buffering role of spiritual support: Cross-sectional and prospective investigations. Journal for the scientific study of religion. 1989:310-23.

Camic P, Knight S. Clinical handbook of health psychology: A practical guide to effective interventions: Hogrefe Publishing; 2004.

Arzouman JM, Dudas S, Ferrans CE, Holm K, editors. Quality of life of patients with sarcoma postchemotherapy;1991.

Levin JS, Taylor RJ. Panel analyses of religious involvement and well-being in African Americans: Contemporaneous vs. longitudinal effects. Journal for the Scientific Study of Religion. 1998:695-709.

Poloma MM, Pendleton BF. Religious domains and general well-being. Social Indicators Research. 1990;22(3):255-76.

Hall BA. Patterns of spirituality in persons with advanced HIV disease. Research in Nursing & Health. 1998;21(2):143-53.

Published

2017-06-20

Issue

Section

Original Article