The Effectiveness of Religious Cognitive Behavioral Therapy Compared to Classical Cognitive Behavioral Therapy on Depression, Self-image and God-image of Depressed Patients

Document Type : Original Article

Authors

1 PhD student in Psychology, Semnan University, Semnan, Iran

2 PhD Student in Health Psychology, University of Justice, Tehran, Iran

3 Assistant Professor, Department of Psychology, Shahab Danesh University, Qom, Iran

4 Assistant Professor, Department of Education, Shahid Beheshti University of Medical Sciences, Tehran, Iran

5 PhD student, Department of Quran and Psychology, Mustafa Al-Alamiya University, ‌ Qom, Iran

Abstract

Introduction: The purpose of present study was to investigate the effectiveness of religious cognitive behavioral therapy compared with classical cognitive behavioral therapy in reducing depression and improving of selfimage and Godimage in patients with depression.
Method: The method of present study was a randomized trial with pre-test-post-test. In this study, 30 people participated. 15 people received classical cognitive behavioral therapy and 15 people received religious cognitive behavioral therapy individually. The data collection tool included a semi-structured interview based on DSM (SCID-I), Glock and Stark's religion inventory (1970), Beck's Depression inventory (1996), Beck's self-concept inventory (1978) and Lawrence's Godimage inventory (1997), which participants at the beginning and end of Treatment responded. Each protocol included ten sessions. Data were analyzed using covariance analysis in SPSS 22 software.
Results: The findings of the study showed that religious cognitive behavioral therapy significantly more than classical cognitive therapy increased Godimage(P <0/001). The findings also showed that although two religious and classical treatments significantly reduced depression and improved selfimage and it's components, their effectiveness did not differ significantly.
Conclusion: It is suggested that depression therapists use religious cognitive-behavioral therapy for religious patients to improve Godimage in clients. In future studies, cognitive behavioral therapy with an Islamic approach is strengthened in components and techniques to increase its effectiveness in reducing depression and improving selfimage.

Keywords


  1. Hawes MT, Szenczy AK, Klein DN, Hajcak G, Nelson BD. Increases in depression and anxiety symptoms in adolescents and young adults during the COVID-19 pandemic. Psychological Medicine. 2021:1-9.
  2. Carvalho IG, Bertolli EdS, Paiva L, Rossi LA, Dantas RAS, Pompeo DA. Anxiety, depression, resilience and self-esteem in individuals with cardiovascular diseases. Revista latino-americana de enfermagem. 2016;24.
  3. Bueno-Notivol J, Gracia-García P, Olaya B, Lasheras I, López-Antón R, Santabárbara J. Prevalence of depression during the COVID-19 outbreak: A meta-analysis of community-based studies. International journal of clinical and health psychology. 2021;21(1):100196.
  4. Bektas DK, Demir S. Anxiety, depression levels and quality of life in patients with gastrointestinal cancer in Turkey. Asian Pacific Journal of Cancer Prevention. 2016;17(2):723-31.
  5. Li Y, Liang F, Xu Q, Gu S, Wang Y, Li Y, et al. Social support, attachment closeness, and self-esteem affect depression in international students in China. Frontiers in Psychology. 2021;12:399.
  6. Momeni F, Shayegan Manesh Z, Aghajani T. The Effectiveness of Acceptance and Commitment-Based Therapy (ACT) on Self-Imagination and Depression in People with Binge Eating Disorder. medical journal of mashhad university of medical sciences. 2021;63(6):-.
  7. Moosavian E. Theoretical overview of the role of core shame in anaclitic and introjective depression etiology. Rooyesh-e-Ravanshenasi Journal(RRJ). 2020;9(6):213-22.
  8. Abu-Raiya H, Pargament KI. Religious coping among diverse religions: Commonalities and divergences. Psychology of Religion and Spirituality. 2015;7(1):24.
  9. Exline JJ, Pargament KI, Grubbs JB, Yali AM. The Religious and Spiritual Struggles Scale: Development and initial validation. Psychology of Religion and Spirituality. 2014;6(3):208.
  10. Blanc J, Rahill GJ, Laconi S, Mouchenik Y. Religious beliefs, PTSD, depression and resilience in survivors of the 2010 Haiti earthquake. Journal of affective disorders. 2016;190:697-703.
  11. Tung ES, Ruffing EG, Paine DR, Jankowski PJ, Sandage SJ. Attachment to God as mediator of the relationship between God Representations and mental health. Journal of Spirituality in Mental Health. 2018;20(2):95-113.
  12. Asgari P, Roushani K, Mohri AM. The Relationship between religious belief, optimism and spiritual well being among college students of Islamic Azad University. 2009:27-39(Full Text in Persian).
  13. Downing J, Sinisi C, Foster R. The Effects of Self-Esteem, God Image, and Gender on Coping Methods. Psi Chi Journal of Psychological Research. 2021;26(1).
  14. Park CL. The Meaning of Beliefs in Communicating with God and the Deceased for Individuals' Well-being. Human Interaction with the Divine, the Sacred, and the Deceased. 2021:234-44.
  15. Jafarnia V, Badeleh M, Seifi H, Hasani J, Madanifar M. The effect of group cognitive behavioral therapy on depression and life expectancy in patients with hepatitis B. Journal of Fundamentals of Mental Health. 2016;18(5):272-8.
  16. Segal ZV, Dobson KS. Cognitive models of depression: Report from a consensus development conference. Psychological Inquiry. 1992;3(3):219-24.
  17. Sabki ZA, Sa’ari CZ, Muhsin SBS, Kheng GL, Sulaiman AH, Koenig HG. Islamic Integrated Cognitive Behavior Therapy: A Shari’ah-Compliant Intervention for Muslims with Depression. Malaysian Journal of Psychiatry. 2019;28(1):29-38(Full Text in Persian).
  18. Beck AT. Cognitive models of depression. Clinical advances in cognitive psychotherapy: Theory and application. 2002;14(1):29-61.
  19. Serfaty M, King M, Nazareth I, Moorey S, Aspden T, Mannix K, et al. Effectiveness of cognitive–behavioural therapy for depression in advanced cancer: CanTalk randomised controlled trial. The British Journal of Psychiatry. 2020;216(4):213-21.
  20. Luo C, Sanger N, Singhal N, Pattrick K, Shams I, Shahid H, et al. A comparison of electronically-delivered and face to face cognitive behavioural therapies in depressive disorders: A systematic review and meta-analysis. EClinicalMedicine. 2020;24:100442.
  21. Hamid N. The effectiveness of positive mental imagery of recovery and cognitive behavioral therapy based on religious beliefs on anxiety and life quality in women with breast cancer. learning. 2020;1(51):001-9.
  22. Grill KB, Wang J, Cheng YI, Lyon ME. The role of religiousness and spirituality in health-related quality of life of persons living with HIV: A latent class analysis. Psychology of Religion and Spirituality. 2020.
  23. Teo DCL, Duchonova K, Kariman S, Ng J. Religion, Spirituality, Belief Systems and Suicide. Suicide by Self-Immolation: Springer; 2021. p. 183-200.
  24. Koenig HG, Pearce MJ, Nelson B, Shaw SF, Robins CJ, Daher NS, et al. Religious vs. conventional cognitive behavioral therapy for major depression in persons with chronic medical illness: A pilot randomized trial. The Journal of nervous and mental disease. 2015;203(4):243-51.
  25. mojahed a. Comparison of Islamic oriented and classical cognitive behavioral therapy on mental health of martyrs’ and veterans’ wives. Journal of Fundamentals of Mental Health. 2009;11(44):91-282.
  26. Khoshbooii R, Hassan SA, Deylami N, Muhamad R, Engku Kamarudin EM, Alareqe NA. Effects of Group and Individual Culturally Adapted Cognitive Behavioral Therapy on Depression and Sexual Satisfaction among Perimenopausal Women. International Journal of Environmental Research and Public Health. 2021;18(14):7711.
  27. Pourkord M, Mirdrikvand F, Karami A. Predicting resilience in students based on happiness, attachment style, and religious attitude. Health, Spirituality and Medical Ethics. 2020;7(2):27-34.
  28. Azhar MZ, Varma SL. Religious psychotherapy in depressive patients. Psychotherapy and psychosomatics. 1995;63(3-4):165-8.
  29. Azhar MZ, Varma SL, Dharap AS. Religious psychotherapy in anxiety disorder patients. Acta Psychiatrica Scandinavica. 1994;90(1):1-3.
  30. Akbari balootbangan A, Talepasand S, Rezaei A, Rahimian boogar I. The Effectiveness of a Cognitive-Behavioral Approach to Assertiveness Training on the Self-Esteem and School Self-Concept of Adolescent Boy Victims of Bullying. Community Health Journal. 2018;12(4):47-59.
  31. Malekiha M, Yoosefinik A. Effectiveness Of Spiritual Therapy On Hope And Self-Concept In Women With Multiple Sclerosis Disease. Scientific Research Quarterly of Woman and Culture. 2020;11(42):85-96.
  32. Johnson PT, Cheshire M, Wood FG, Dunn LL, Ewell PJ. Daily spiritual experiences of nurse educators and relationship to depression and health. Journal of Christian Nursing. 2016;33(3):179-83.
  33. Williams V. Exploring Religion and Spirituality in Psychological Therapy: School of Psychology; 2017.
  34. First MB, Gibbon M. The Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-I) and the Structured Clinical Interview for DSM-IV Axis II Disorders (SCID-II). 2004.
  35. Sharifi V, Asadi SM, Mohammadi MR, Amini H, Kaviani H, Semnani Y, et al. Reliability and Feasibility of The Persian Version of The Structured Diagnostic Interview for DSM-IV (SCID). Advances in Cognitive Sciences. 2004;6(1):10-22.
  36. Amini H, Sharifi V, Asaadi S.M, Mohammadi M.R, Kaviani H, Semnani Y, et al. Validity of the Iranian version of the Structured Clinical Interview forDSM-IV (SCID-I) in the diagnosis of psychiatric disorders. Health Monitor Journal of the Iranian Institute for Health Sciences Research. 2008;7(1):0-.
  37. Glock CY, Stark R. Religion and society in tension: a publi. from the research program in the Sociology of Religion Survey Research Center, Univ. of Calif., Berkeley. 1970.
  38. Sirajzadeh SH. Religious Attitudes and Behaviors of Tehran Adolescents and Its Implications for the Theory of Secularization. Quarterly Journal of Research Index. 1999;3:105-18.
  39. sion inventory (BDI-II): Pearson; 1996.
  40. Fata L, Birashk B, ATEF VM, Dabson K. Meaning assignment structures/schema, emotional states and cognitive processing of emotional information: comparing two conceptual frameworks. 2005.
  41. Beck AT, Steer RA, Epstein N. Self‐Concept dimensions OF clinically depressed and anxious outpatients. Journal of Clinical Psychology. 1992;48(4):423-32.
  42. Mohammadi B. Investigating the relationship between self-concept and depression: Trabiat Modares University (Full text in persian); 1992.
  43. Lawrence RT. Measuring the image of God: The God image inventory and the God image scales. Journal of Psychology and theology. 1997;25(2):214-26.
  44. Feizabadi S, Khosravi Z. Comparison of the concept of God and life satisfaction in divorcing and non-divorcing couples in Kashan. New educational approaches. 2009;4(2):1-12.
  45. GHaribi Asl A, Sodan M, Atari Y. The Effectiveness of Cognitive-Behavioral Group Counseling on Self-Concept and Depression in Women with Breast Cancer. Jundishapur Scientific Medical Journal. 2016;15(3):333-45.
  46. Eskandari M, Bahmani B, Hassani F, Asgari A. Effectiveness of Cognitive-Existential Group Therapy on Mental Health and Images of God in Parents of Children with Cancer. Clinical Psychology and Personality. 2015;13(1):3-14.
  47. Propst LR, Ostrom R, Watkins P, Dean T, Mashburn D. Comparative efficacy of religious and nonreligious cognitive-behavioral therapy for the treatment of clinical depression in religious individuals. Journal of consulting and clinical psychology. 1992;60(1):94.
  48. yosefi n. Effect of Religious-based Cognitive Therapy and Logotherapy on Reducing the Depression, Anxiety, and Aggression Symptoms in University Students. Counseling Culture and Psycotherapy. 2012;3(10):137-58.
  49. Masjedi-Arani A, Yoosefee S, Hejazi S, Jahangirzade M, Jamshidi M-a, Heidari M, et al. effectiveness of an Islamic approach to Hope therapy on Hope, depression, and anxiety in comparison with conventional Hope therapy in patients with coronary heart disease. Journal of Advances in Medical and Biomedical Research. 2020;28(127):82-9.
  50. Sabry WM, Vohra A. Role of Islam in the management of psychiatric disorders. Indian journal of psychiatry. 2013;55(Suppl 2):205-24(Full Text in Persian).
  51. Ahmadi M, Zaree K, Leily AK, Hoseini ASS. Efficacy of a written prayer technique on the anxiety of mothers of children with cancer. Palliative & supportive care. 2019:1-6(Full Text in Persian).
  52. Asghar H, UzmaMasroor SGD. Development of Cognitive Behaviour Therapy with Islamic Concepts for Treatment of Depression and Anxiety. 2021.
  53. Subhas N, Mukhtar F, Munawar K. Adapting cognitive-behavioral therapy for a Malaysian muslim. Medical Journal of the Islamic Republic of Iran. 2021;35:28.