Skip to main content

Advertisement

Log in

The Effect of Religion Intervention on Life Satisfaction and Depression in Elderly with Heart Failure

  • Original Paper
  • Published:
Journal of Religion and Health Aims and scope Submit manuscript

Abstract

The elderly suffering from heart failure is facing with some problems such as lowering of life satisfaction and depression. Regarding a lack of information in this issue, the current study was conducted to determine the effect of religion intervention on life satisfaction and depression in the elderly with heart failure, in Ilam-Iran. In a clinical trial study conducted on the elderly with heart failure disease in Ilam-Iran, the patients were randomly allocated into two experimental (46) and control (47) groups. The used instruments were a demographic checklist, life satisfaction questionnaire of LSI-Z and Beck depression inventory. The intervention done for test group was a religion-spiritual program designed based on the Richards and Bergin model, and according to Islam and Shia regulations and conducted during six sessions, each 30–45 min. The tools were completed before and after intervention. Gathered data were entered into SPSS software and analyzed by descriptive (mean and standard deviation) and inferential (independent t test and ANOVA) statistics. The results showed that there was no significant difference between the mean (SD) of life satisfaction in the experimental group [5.47 (3.37)] and control [5.85 (3.92)] before the intervention (P = 0.62) but after the intervention. The mean (SD) of life satisfaction of the test group [8.08 (4.36)] was higher than that of the control group [5.55 (3.96)] (P = 0.006). Also, no significant difference between the mean (SD) of depression in the experimental group [47.80 (10.48)] and control [49.87 (11.40)] before the intervention (P = 0.62) but after the intervention. The mean (SD) of depression of the test group [28.28 (14.78)] was lower than that of the control group [50.44 (14.02)] (P = 0.006). Regarding the positive effect of religion-spiritual program in depression and life satisfaction of the elderly with heart failure, it is suggested this program will be educated to these patients by health-care workers.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Abbasi, M., Mirderikvand, F., Adavi, H., & Hojati, M. (2018). The relationship between personality traits (neuroticism and extraversion) and self-efficacy with aging depression. Iranian Journal of Ageing, 12(4), 458–466.

    Google Scholar 

  • Annema, C., Luttik, M.-L., & Jaarsma, T. (2009). Reasons for readmission in heart failure: Perspectives of patients, caregivers, cardiologists, and heart failure nurses. Heart and Lung: The Journal of Acute and Critical Care, 38(5), 427–434.

    Article  PubMed  Google Scholar 

  • Askari, M. A., Mohammadi, H., Radmehr, H., & Jahangir, A. H. (2018). The effect of spiritual–religious psychotherapy on enhancing quality of life and reducing symptoms of anxiety and depression among the elderly. Journal of Research on Religion and Health, 4(2), 29–41.

    Google Scholar 

  • Babamohamadi, H., Sotodehasl, N., Koenig, H. G., Al Zaben, F., Jahani, C., & Ghorbani, R. (2017). The effect of Holy Qur’an recitation on depressive symptoms in hemodialysis patients: A randomized clinical trial. Journal of Religion and Health, 56(1), 345–354.

    Article  PubMed  Google Scholar 

  • Bader, F., Atallah, B., Brennan, L. F., Rimawi, R. H., & Khalil, M. E. (2017). Heart failure in the elderly: Ten peculiar management considerations. Heart Failure Reviews, 22(2), 219–228.

    Article  PubMed  Google Scholar 

  • Bahrem, M., Alikhani, M., Jalali, A., Mahboubi, M., & Farnia, V. (2017). Mental health of patients with heart disease: Analysis of alexithymia and family social support. Biomedical Research, 8–12 (Special issue).

  • Beck, A. T., Steer, R. A., & Brown, G. K. (1996). Beck depression inventory-II. San Antonio, 78(2), 490–498.

    Google Scholar 

  • Carneiro, É. M., Barbosa, L. P., Marson, J. M., Junior, J. A. T., Martins, C. J. P., Modesto, D., et al. (2017). Effectiveness of Spiritist “passe”(Spiritual healing) for anxiety levels, depression, pain, muscle tension, well-being, and physiological parameters in cardiovascular inpatients: A randomized controlled trial. Complementary Therapies in Medicine, 30, 73–78.

    Article  PubMed  Google Scholar 

  • Coburn, K. D., Marcantonio, S., Lazansky, R., Keller, M., & Davis, N. (2012). Effect of a community-based nursing intervention on mortality in chronically ill older adults: A randomized controlled trial. PLoS Medicine, 9(7), e1001265.

    Article  PubMed  PubMed Central  Google Scholar 

  • Curi, V. S., Haas, A. N., Alves-Vilaça, J., & Fernandes, H. M. (2018). Effects of 16-weeks of Pilates on functional autonomy and life satisfaction among elderly women. Journal of Bodywork and Movement Therapies., 22(2), 424–429.

    Article  PubMed  Google Scholar 

  • Danielsen, R., Thorgeirsson, G., Einarsson, H., Ólafsson, Ö., Aspelund, T., Harris, T. B., et al. (2017). Prevalence of heart failure in the elderly and future projections: The AGES-Reykjavík study. Scandinavian Cardiovascular Journal, 51(4), 183–189.

    Article  PubMed  Google Scholar 

  • Dunlay, S. M., & Roger, V. L. (2014). Understanding the epidemic of heart failure: Past, present, and future. Current Heart Failure Reports, 11(4), 404–415.

    Article  PubMed  PubMed Central  Google Scholar 

  • Duque, S., Freitas, P., Silvestre, J., Fernandes, L., Pinto, M., Sousa, A., et al. (2011). Prognostic factors of elderly patients admitted in a medical intermediate care unit. European Geriatric Medicine, 2(6), 327–331.

    Article  Google Scholar 

  • Ebrahimi, K., Salarilak, S., & Khadem, Vatan K. (2017). Determine the burden of myocardial infarction. Tehran University Medical Journal TUMS Publications, 75(3), 208–218.

    Google Scholar 

  • Elham, H., Hazrati, M., Momennasab, M., & Sareh, K. (2015). The effect of need-based spiritual/religious intervention on spiritual well-being and anxiety of elderly people. Holistic Nursing Practice, 29(3), 136–143.

    Article  PubMed  Google Scholar 

  • Erichsen, N.-B., & Büssing, A. (2013). Spiritual needs of elderly living in residential/nursing homes. Evidence-Based Complementary and Alternative Medicine. https://doi.org/10.1155/2013/913247.

    Article  PubMed  PubMed Central  Google Scholar 

  • Gioffrè-Florio, M., Murabito, L., Visalli, C., Pergolizzi, F., & Famà, F. (2018). Trauma in elderly patients: A study of prevalence, comorbidities and gender differences. Il Giornale di Chirurgia, 39(1), 35.

    Article  PubMed  PubMed Central  Google Scholar 

  • Goli, M., Maddah, S. B., Dalvandi, A., Hosseini, M., Rahgozar, M., & Arfa, N. M. (2017). The relationship between successful aging and spiritual health of the elderly. Journal of Nursing Education, 4(5), 16–21.

    Google Scholar 

  • Gonçalves, J. P., Lucchetti, G., Menezes, P., & Vallada, H. (2015). Religious and spiritual interventions in mental health care: A systematic review and meta-analysis of randomized controlled clinical trials. Psychological Medicine, 45(14), 2937–2949.

    Article  PubMed  PubMed Central  Google Scholar 

  • Goodarzi, A., Jalali, A., Almasi, A., Naderipour, A., Kalhori, R. P., & Khodadadi, A. (2015). Study of survival rate after cardiopulmonary resuscitation (CPR) in hospitals of Kermanshah in 2013. Global Journal of Health Science, 7(1), 52.

    Google Scholar 

  • Hsiao, S. M., Gau, M. L., Ingleton, C., Ryan, T., & Shih, F. J. (2011). An exploration of spiritual needs of Taiwanese patients with advanced cancer during the therapeutic processes. Journal of Clinical Nursing, 20(7–8), 950–959.

    Article  PubMed  Google Scholar 

  • Huang, Y., & Wu, L. (2012). Correlates of life satisfaction among older people in China: An examination of two cultural variables. Aging and Mental Health, 16(8), 1028–1038.

    Article  PubMed  Google Scholar 

  • Iranmehr, A., & Kadkani, H. (2017). The effectiveness of religious-cognitive training based on quran verses on reducing Pensionersâ anxiety and hopelessness. Journal of Religion and Health, 5(1), 32–39.

    Google Scholar 

  • Jamison, D. T., & Mosley, W. H. (1991). Disease control priorities in developing countries: Health policy responses to epidemiological change. American Journal of Public Health, 81(1), 15–22.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Kashfi, S. M., Asadi, A., Tabatabaee, S. H., Yazdankhah, M., Jeihooni, A. K., Rakhshani, T., et al. (2017). Elder Abuse in Shiraz, Iran. Iranian Journal of Psychiatry and Behavioral Sciences, 11(2), e4667.

    Article  Google Scholar 

  • Kavoosian, N., Hosseinzadeh, K., Jaliseh, H. K., & Karboro, A. (2018). The relationship between spiritual health and loneliness among the elderly in Karaj-2016. Journal of Research on Religion and Health, 4(2), 7–15.

    Google Scholar 

  • Kazemi, M., Heidari, S., Azimpoor, A., Babaloo, T., & Baljani, E. (2018). The impact of spiritual counseling in life satisfaction of patients with cancer. Scientific Journal of Hamadan Nursing and Midwifery Faculty. http://nmj.umsha.ac.ir/article-1-1795-en.html.

  • Khaki, S., Khesali, Z., Farajzadeh, M., Dalvand, S., Moslemi, B., & Ghanei, Gheshlagh R. (2017). The relationship of depression and death anxiety to the quality of life among the elderly population. Journal of Hayat, 23(2), 152–161.

    Google Scholar 

  • Khezri Moghadam, N., Vahidi, S., & Ashormahani, M. (2018). Efficiency of cognitive-existential group therapy on life expectancy and depression of elderly residing in nursing home. Iranian Journal of Ageing, 13(1), 62–73.

    Google Scholar 

  • Kim, S. H. (Ed.). (2014). The effects of spiritual interventions in patients with cancer: A meta-analysis. Oncology nursing forum. Pittsburgh: Oncology Nursing Society.

    Google Scholar 

  • Koolhaas, C. M., Dhana, K., Van Rooij, F., Schoufour, J., Hofman, A., & Franco, O. (2018). Physical activity types and health-related quality of life among middle-aged and elderly adults: The Rotterdam study. The Journal of Nutrition, Health and Aging, 22(2), 246–253.

    Article  CAS  PubMed  Google Scholar 

  • Mangolian Shahrbabaki, P., Nouhi, E., Kazemi, M., & Ahmadi, F. (2017). The sliding context of health: The challenges faced by patients with heart failure from the perspective of patients, healthcare providers and family members. Journal of Clinical Nursing, 26(21–22), 3597–3609.

    Article  PubMed  Google Scholar 

  • Matud, M. P., Bethencourt, J. M., & Ibáñez, I. (2014). Relevance of gender roles in life satisfaction in adult people. Personality and Individual Differences, 70, 206–211.

    Article  Google Scholar 

  • Mehrpoya, A., Jalali, R., Jalali, A., & Namdari, M. (2018). Patient experiences of living with coronary stent. Journal of Vascular Nursing. https://doi.org/10.1016/j.jvn.2018.07.002.

    Article  PubMed  Google Scholar 

  • Mirzaie, M., & Darabi, S. (2017). Population aging in Iran and rising health care costs. Iranian Journal of Ageing, 12(2), 156–169.

    Google Scholar 

  • Moeini, M., Sharifi, S., & Kajbaf, M. B. (2016). Effect of Islam-based religious program on spiritual wellbeing in elderly with hypertension. Iranian journal of nursing and midwifery research., 21(6), 566.

    Article  PubMed  PubMed Central  Google Scholar 

  • Naghi, J. J., Philip, K. J., Phan, A., Cleenewerck, L., & Schwarz, E. R. (2012). The effects of spirituality and religion on outcomes in patients with chronic heart failure. Journal of Religion and Health, 51(4), 1124–1136.

    Article  PubMed  Google Scholar 

  • Navidian, A., Moradgholi, M., Kykhaee, A., & Saeedinegad, F. (2015). Relationship between attachment styles and self-care behaviors in patients with heart failure. Journal of Hayat, 21(2), 6–17.

    Google Scholar 

  • Norton, M. C., Singh, A., Skoog, I., Corcoran, C., Tschanz, J. T., Zandi, P. P., et al. (2008). Church attendance and new episodes of major depression in a community study of older adults: The Cache County Study. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 63(3), P129–P137.

    Article  Google Scholar 

  • Oh, P.-J., & Kim, Y.-H. (2012). Meta-analysis of spiritual intervention studies on biological, psychological, and spiritual outcomes. Journal of Korean Academy of Nursing, 42(6), 833–842.

    Article  PubMed  Google Scholar 

  • Patra, P., Alikari, V., Fradelos, E. C., Sachlas, A., Kourakos, M., Rojas Gil, A. P., et al. (2017). Assessment of depression in elderly. Is perceived social support related? A nursing home study. Advances in Experimental Medicine and Biology, 987, 139–150.

    Article  PubMed  Google Scholar 

  • Peters-Klimm, F., Campbell, S., Hermann, K., Kunz, C. U., Müller-Tasch, T., & Szecsenyi, J. (2010). Case management for patients with chronic systolic heart failure in primary care: The HICMan exploratory randomised controlled trial. Trials, 11(1), 56.

    Article  PubMed  PubMed Central  Google Scholar 

  • Richards, P. S., & Bergin, A. E. (2005). A spiritual strategy for counseling and psychotherapy. American Psychological Association. ISBN 1-59147-254-7.

  • Rutledge, T., Reis, V. A., Linke, S. E., Greenberg, B. H., & Mills, P. J. (2006). Depression in heart failure: A meta-analytic review of prevalence, intervention effects, and associations with clinical outcomes. Journal of the American College of Cardiology, 48(8), 1527–1537.

    Article  PubMed  Google Scholar 

  • 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.

    Article  Google Scholar 

  • Saydshohadai, M., Heshmat, S., Seidfatemi, N., Haghani, H., & Mehrdad, N. (2013). The spiritual health of seniors living in sanitarium and home residents. Iran Journal of Nursing, 26(81), 11–20.

    Google Scholar 

  • Sepahvand, E., Jalai, R., Mirzaei, M., & Jahromi, M. K. (2015). Association between short sleep and body mass index, hypertension among acute coronary syndrome patients in coronary care unit. Global Journal of Health Science, 7(3), 134.

    Google Scholar 

  • Shahrbabaki, P. M., Nouhi, E., Kazemi, M., & Ahmadi, F. (2016). Defective support network: A major obstacle to coping for patients with heart failure: A qualitative study. Global Health Action, 9(1), 30767.

    Article  PubMed  Google Scholar 

  • Sharajabad, F. A., Charandabi, S. M.-A., & Mirghafourvand, M. (2017). Life satisfaction and its relationship with spiritual well-being and religious practice in Iranian adolescent girls. International Journal of Adolescent Medicine and Health. https://doi.org/10.1515/ijamh-2017-0077.

    Article  PubMed  Google Scholar 

  • Sytsma, T. T., Schmelkin, L. A., Jenkins, S. M., Lovejoy, L. A., Lapid, M. I., & Piderman, K. M. (2018). “Keep the faith”: Spirituality as a contributor to resiliency in five elderly people. Journal of Religion, Spirituality and Aging, 30(4), 314–324. https://doi.org/10.1080/15528030.2018.1441095

    Article  Google Scholar 

  • Tajbakhsh, F., Hosseini, M., Fallahi-Khoshknab, M., Rokofian, A., Rahgozar, M., & Mary, Davidson P. (2018). The effect of spiritual care on depression in patients following coronary artery bypass surgery: A randomized controlled trial. Religions, 9(5), 159. https://doi.org/10.3390/rel9050159

    Article  Google Scholar 

  • Tajbakhsh, F., Hosseini, M. A., & Rahgozar, M. (2016). The effect of religious-spiritual care on stress post surgery coronary artery bypass graft patients. Iranian Journal of Rehabilitation Research in Nursing, 2(4), 57–65. http://ijrn.ir/article-1-236-fa.html.

    Article  Google Scholar 

  • Tajbakhsh, F., Hosseini, M., Sadeghi Ghahroudi, M., Fallahi Khoshkenab, M., Rokofian, A., & Rahgozar, M. (2014). The effect of religious-spiritual care on anxiety post surgery coronary artery bypass graft patients. Iranian Journal of Rehabilitation Research in Nursing (IJRN), 1(1), 51–61.

    Google Scholar 

  • Thanakwang, K., Soonthorndhada, K., & Mongkolprasoet, J. (2012). Perspectives on healthy aging among Thai elderly: A qualitative study. Nursing and Health Sciences, 14(4), 472–479.

    Article  PubMed  Google Scholar 

  • Tully, P. J., & Higgins, R. (2014). Depression screening, assessment, and treatment for patients with coronary heart disease: A review for psychologists. Australian Psychologist, 49(6), 337–344.

    Article  Google Scholar 

  • Weber, S. R., & Pargament, K. I. (2014). The role of religion and spirituality in mental health. Current Opinion in Psychiatry, 27(5), 358–363.

    Article  PubMed  Google Scholar 

  • Wicke, F. S., Güthlin, C., Mergenthal, K., Gensichen, J., Löffler, C., Bickel, H., et al. (2014). Depressive mood mediates the influence of social support on health-related quality of life in elderly, multimorbid patients. BMC Family Practice, 15(1), 62.

    Article  PubMed  PubMed Central  Google Scholar 

  • Wood, V., Wylie, M. L., & Sheafor, B. (1969). An analysis of a short self-report measure of life satisfaction: Correlation with rater judgments. Journal of Gerontology, 24(4), 465–469.

    Article  CAS  PubMed  Google Scholar 

  • Wu, L. F., & Koo, M. (2016). Randomized controlled trial of a six-week spiritual reminiscence intervention on hope, life satisfaction, and spiritual well-being in elderly with mild and moderate dementia. International Journal of Geriatric Psychiatry, 31(2), 120–127.

    Article  PubMed  Google Scholar 

  • Ziapour, A., Khatony, A., Jafari, F., & Kianipour, N. (2017). Prediction of the dimensions of the spiritual well-being of students at Kermanshah university of medical sciences, Iran: The roles of demographic variables. Journal of Clinical and Diagnostic Research: JCDR, 11(7), VC05.

    PubMed  Google Scholar 

Download references

Funding

This article was approved by the Student research committee of Kermanshah University of Medical Sciences with the Project Code 3007145. Therefore, the researchers are grateful to the center.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Milad Borji.

Ethics declarations

Conflict of interest

The authors declare that they have no conflict of interest.

Research Involving Human Participants and/or Animals

Research involves humans.

Informed Consent

Assign the patients randomly in the spiritual intervention group and control group. All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Declaration of Helsinki and its later amendments or comparable ethical standards.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Abdi, A., Soufinia, A., Borji, M. et al. The Effect of Religion Intervention on Life Satisfaction and Depression in Elderly with Heart Failure. J Relig Health 58, 823–832 (2019). https://doi.org/10.1007/s10943-018-0727-7

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10943-018-0727-7

Keywords

Navigation