In collaboration with Payame Noor University and Iranian Health Psychology

Document Type : research


1 Founder of Toronto Family Counseling services

2 Ph.D., Young Research and Elite Club, Science and research Branch, Islamic Azad University, Tehran,Iran.

3 Department of Psychology, Payame Noor University (PNU), Tehran, Iran

4 MA in Positive Islamic psychology,Isfahan Univercity of Quran and Etrat Studies

5 literature and foreign languages, humanity faculty, Payame Noor University


Objective: Spiritual therapy is recognized as an effective treatment for most psychological problems. This study aimed to investigate the effectiveness of group spiritual therapy on resilience and coping styles of families of addicts quitting drugs.
Method: The research method was quasi-experimental with a pre-test-post-test and a control group design. The statistical population included all families of addicts who were quitting in a camp in Shahreza city. The statistical sample consisted of 30 families of these addicts who were selected through a purposeful sampling method and randomly assigned into experimental and control groups. The instruments used in this study were the Connor and Davidson Resilience Scale, and the Moss and Billings Coping Styles Questionnaire. Spiritual group therapy was held in 11 sessions of 90 minutes for the experimental group. Covariance analysis was used to analyze the collected data via SPSS-21 software.
Results: The results showed that group spiritual therapy increased the resilience (p≤0.001) and problem-focused coping style (p≤0.001) of the subjects in the experimental group and decreased their emotion-focused coping style (p≤0.001).
Conclusion: The results indicated that spiritual group therapy could explain the high rate of change related to the resilience and coping styles of families of addicts under treatment.


Article Title [Persian]

اثر بخشی معنویت درمانی گروهی بر تاب آوری و سبک های مقابله ای خانواده های معتادان درحال ترک

Authors [Persian]

  • مهشید عباسی 1
  • مرضیه پهلوان 2
  • مریم علی اکبرى 3
  • مائده آقاسی 4
  • منیرسادات حسینی 5

1 Founder of Toronto Family Counseling services

2 دانشگاه ازاد اسلامی واحد کرج

3 کارشناسی ارشد روانشناسی بالینی ،گروه روانشناسی دانشگاه پیام نور تهران

4 کارشناسی ارشد روانشناسی ،دانشگاه معارف قران و عترت ،اصفهان،ایران

Abstract [Persian]

هدف: امروزه معنویت درمانی بعنوان درمانی موثر در اغلب مشکلات روانشناختی شناخته شده است. هدف از پژوهش حاضر، بررسی اثر بخشی معنویت درمانی گروهی بر میزان تاب آوری و سبک های مقابله ای خانواده های معتادان درحال ترک می باشد. روش: روش انجام این پژوهش، نیمه آزمایشی و با طرح پیش آزمون-پس آزمون با گروه کنترل است. جامعه آماری شامل کلیه خانواده های معتادان درحال ترک بستری در کمپ شهرستان شهرکرد بودند. نمونه آماری شامل 30 نفر از خانواده های معتادان در حال ترک بودند که به شیوه هدفمند از میان جامعه آماری انتخاب و به صورت تصادفی درگروه های آزمایش و کنترل قرارگرفتند. ابزارهای مورد استفاده در این پژوهش عبارت بودند از مقیاس تاب آوری کانر و دیویدسون، و پرسش نامه سبک های مقابله ای موس و بیلینگز. معنویت درمانی گروهی طی 11 جلسه 90 دقیقه ای برای گروه آزمایش برگزار شد. داده های پژوهش با استفاده از نرم افزار SPSS-21 مورد تحلیل کواریانس قرار گرفت. یافته ها: یافته ها حاکی از آن بود که معنویت درمانی گروهی باعث افزایش تاب آوری (0.001p≤)، افزایش استفاده از سبک مقابله ای مساله مدار (0.001p≤)، وکاهش استفاده از سبک مقابله ای هیجان مدار (0.001p≤)، در خانواده های معتادان درحال ترک در گروه آزمایش در مقایسه با گروه کنترل بود. نتیجه گیری: نتایج حاکی از آن است که معنویت درمانی گروهی می تواند میزان بالایی از تغییرات مربوط به تاب آوری و سبک های مقابله ای خانواده های معتادان درحال ترک را تبیین نماید.

Keywords [Persian]

  • معنویت درمانی گروهی
  • تاب آوری
  • سبک های مقابله ای
  • خانواده معتادان
  • معتادان درحال ترک
American Society of Addiction Medicine, Inc. (2019).
Abbasi, A., shamsizadeh, M., asayesh, H., rahmani, H., hoseini, S. A., talebi, M. (2013). The relationship between caregiver burden with coping strategies in Family caregivers of cancer patients. IJPN, 1 (3), 62-71. URL:
Abdollah zadeh, R., moodi, M., allahyari, A., khanjani, N. (2015). The Relationship between Spiritual Intelligence and Resiliency of Patients Suffering from Cancer in South Khorasan State. Nvj, 2 (3), 15-24. URL:
Asadollahi, F., Neshatdoost, H. T., Kalantary, M., Mehrabi, H. A., Afshar, H., Daghaghzadeh, H. (2014). Effectiveness of spiritual therapy on somatic symptoms in female patients with irritable bowel syndrome. J Res Behave Sci, 12(3), 317-327.
Azhdarifard, P., Ghazi, G., Nooranipoor, R. (2010). The impact of teaching Gnosticism and spirituality on students’ mental healt. J Mod Thoughts Educ, 5(2), 105-27. [Persian]
Bakhshi Pour Rudsari, A., Peiravi, H., Abedian, A. (2004). A study of the relationship between life satisfaction, social support and general health of students. The second national seminar on mental health of students. Tarbiat Modares University, 71-69.
Bartolo, M., De Luca, D., Serrao, M., Sinforiani, E., Zucchella, C., Sandrini, G. (2010). Caregiver burden and needs in community neurorehabilitation. Journal of rehabilitation medicine, 42(9), 81-
Billings, A.G., & Moos, R.H. (1981). The role of coping responses and social resources in attenuating the stress of life events. Journal of Behavioral Medicine, 4,139-157.
Borjali Lou, S. (2014). The effect of spiritual care education to parents on quality of life, pain perception and mental health components of children with cancer. PhD thesis in Educational Psychology. Shahid Beheshti University.
Bradley, C. J., & Dahman, B. (2013). Time away from work: employed husbands of women treated for breast cancer. J Cancer Survive, 7(2), 227-36.
Broumandzadeh, N., & Karimi Sani, P. (2015). Determining the Effectiveness of Spiritual Skills Training On General Health and Anxiety of Female High School Students in Tabriz. J Instruct Eval, 8(31), 9- 23.
Campbell-Sills, L., Cohan, S. L., & Stein, M. B. (2006). Relationship of Resilience to Personality, Coping, and Psychiatric Symptoms in Young Adults. Behavior Research and Therapy, 44, 585-599.
Caparrós, B., & Masferrer, L. (2021). Coping strategies and complicated grief in a substance use disorder sample. Front. Psychol, 11, 624065. doi: 10.3389/fpsyg.2020.624065
Chang, H. Y., Chiou, C. J., Chen, N. S. (2010). Impact of mental health and caregiver burden on family caregivers' physical health. Archives of gerontology and geriatrics, 50(3), 267-71.
Connor, K. M., & Davidson, J. R. (2003). Development of a new resilience scale: The Connor-Davidson Resilience Scale (CD-RISC). Depress Anxiety, 18 (1), 76-82.
Duggleby, W., Williams, A., Holtslander, L., Cunningham, S., & Wright, K. (2012). The chaos of caregiving and hope. Qualitative Social Work, 11(5), 459-469.
Fischer, P., Amy, L., Nilüfer, A., Dieter Frey, S., Haslam, A. (2010). The Relationship between Religious Identity and Preferred Coping Strategies: An Examination of the Relative Importance of Interpersonal and Intrapersonal Coping Muslim and Christian Faiths. Review of General Psychology, 14(4), 365-381.
Fisher, J. (2011). The Four Domains Model: Connecting Spirituality, Health and Well-Being. Religions, 2, 17-28.
Folkman, S., & Lazarus, R. S. (1985). If it changes it must be a process: study of emotion and coping during three stages of a college examination. Journal of personality and social psychology, 48(1), 150.
Fountoulakis, K. N., Siamouli, M., Magiria & S. Kaprinis, G. (2008). Late-Life depression, religiosity, cerebralvascular disease. Cognitive impairment and attitudestowards death in the elderly: Interpreting the data. Medical hypotheses, 70, 493-496.
Gage-Bouchard, E. A., Devine, K. A., Heckler, C. E. (2013). The relationship between socio-demographic characteristics, family environment, and caregiver coping in families of children with cancer. Journal of Clinical Psychology in Medical Settings, 20, 478-87.
Juhnke, G. A., & Hagedorn, W. B. (2006). Counseling Addicted Families, An Integrated Assessment and Treatment Model. Routledge, Taylor & Francis Group, LLC.
Graham, S., Furr, S., Flowers, C., & Burke, M. T. (2001). Religion and Spirituality in Coping with Stress.Counseling and Values, 46(1), 2-13.
Hamama-Raz, Y., Perry, S., Pat-Horenczyk, R., Bar-Levav, R., & Stemmer, S. M. (2012). Factors affecting participation in group intervention in patients after adjuvant treatment for early-study breast cancer. Acta Oncologica, 51(2), 208-214.
Hirsch, J. K. (2003). A examination of optimism, Pessimism and hopelessness as predictors of suicidal ideation in college students: A test of moderator model. PhD Thesis. USA: University of Wyoming.
Izadian, N., Amiri, M., Jahromi, R., & Hamidi, S. H. (2010). A study of relationship between suicidal ideas, depression, resiliency, daily stresses and mental health among Tehran university students. Proscenia- Social and Behavioral Sciences, 5, 1515-19.
Kadivar, M., Seyedfatemi, N., Shojaee Jeshvaghanee, S., Cheraghi, M. A., Haghani, H. (2015). Exploring the relationship between spiritual well-being and stress and coping strategies in the mothers of infants hospitalized in the neonatal intensive care units. Daneshvar Medicine, 22(118), 67-76.
Khatamsaz, Z., Maarefvand, M. (2014). Coping strategies of the parents of the children with cancer. Quarterly journal of social work, 3 (3), 3-9.
Kiani, J., jahanpour, F., Abbasi, F., Darvishi, S., Gholizadeh, B. (2016). Evaluation of effectiveness of spiritual therapy in mental health of cancer patients. Nursing Journal of the Vulnerable, 2 (5), 40-51. URL:
Kim, S., Esquivel, G.B. (2011). Adolescent spirituality and resilience: theory, research, and educational practices. Psychol Sch, 48(7), 755-65.
Kim, y., Given, B.A.(2012). Quality of life family caregivers of cancer survivors. Cancer,11,2556-68.
Kork, D. (2008). The role of spirituality in coping: Examining the relationships between spiritual dimensions and coping styles. Mental Health, Religion & Culture, 11(7), 643–653.
Lazarus, R. S. (1991). Emotion and adaptation. New York, NY: Oxford University Press.
Lazarus, R., & Folkman, S. (1984). Stress, Appraisal, and Coping. New York: Springer.
Mahdavi, B., Fallahi Khoshknab, M., Mohammadi, F., Hosseini, M. (2015). The effect of group spiritual care on quality of life in family caregivers of elders with Alzheimer's disease. JHPM, 4(3), 34-42. URL:
Marton, M. G., Simoni, J. M., Kerwin, J. (2002).Spirituality andpsychological adaptation among women with HIV/AIDS:Implications forcounseling. Journal of Counseling Psychology,49(2),139-
Miller, W. R., & Thoresen, C. E. (2003). Spirituality, religion, and health: An emerging research field. American Psychologist, 58(1), 24–35.
Mirzaeifar, F. (2015). The study of the effectiveness of complementary therapies using group counseling on the mental health of patients with M.S. Master Thesis. Faculty of Educational Sciences and Psychology. Al-Zahra University.
Mohammadi, M. (2005). Investigating the factors affecting resilience in people at risk of substance abuse. PhD Thesis. University of Social Welfare and Rehabilitation Sciences. Tehran.
Morasei, F., Aghajani, M. (2014). The Effect of counseling with spirituality approach on Hope in patients with chronic renal failure. Cmja, 4(2), 776-786. URL:
Moritz, S., Kelly, M., Xu, T., Towes, J., Rickhi, D. (2011). Teaching Spirituality in Depression. J Commentary Therap in Med, 19, 201-7.
Nasiri, M., Kheirkhah, F., Rahimian, B., Ahmadzadeh, B., Hasannejad, H., Mohammad Jafari, R. (2013). Stressful factors, coping mechanisms and quality of life in hemodialysis patients. Iran J Crit Care Nurs, 6(2), 119-126.
Nohi, E., Abdolkarimi, M., Rezaeian, M. (2011). Quality of Life and its Relationship with Stress and Coping Strategies in Coronary Heart Disease Patients. JRUMS, 10(2), 127-137.
Papastavrou, E., Charalambous, A., Tsangari, H. (2012). How do informal caregivers of patients with cancer cope: A descriptive study of the coping strategies employed .European Journal of Oncology Nursing, 16(3), 258-263.
Pargament, K. I. (2007). Spiritually Integrated Psychotherapy: Understanding and Addressing the Sacred. New York, Guilford.
Pottie, C. G., & Ingram, K. M. (2006). Coping responses used by parents of children with autism. Poster presented at the 114th American Psychological Association Convention, New Orleans, LA.
Richards, P. S., Hardman, R. K., & Berrett, M. (2007). Spiritual Approaches in the Treatment of Women with Eating Disorders. Washington: AmericanPsychological Association.
Sadat Hoseini, F., Hosein Chari, M. (2013). Surveying the evidence related to the validity and reliability of family resiliency scale. Journal of Counseling and Psychotherapy of Family, 3(2), 181- 206.
Sajadian, A., Hydary, L., Mokhtari Hesari, P. (2015). Common Breast Cancer Family Care Giving Problems. Ijbd, 8(2), 7-14. URL:
Samani, S., Jokar, B., Sahragard, N. (2007). Effects of Resilience on Mental Health and Life Satisfaction. IJPCP, 13(3), 290-295. URL:
Soundy, A., Benson, j., Dawes, H., Smith, B. J. (2012). Understanding Hope in individuals with multiple sclerosis. Psychotherapy, 98(4), 344-50.
Spielberger, C. D & Reheiser, E. C. (2006). Psychological defense meachanicms, motivation and the use of tobacco. Personality and Individual Differences, 41, 1033-1043.
Swinton, J., & Pattison, S. (2010). Moving beyond clarity: towards a thin, vague, and useful understanding of spirituality in nursing care. Nursing philosophy, 11(4), 226-237.
Taghizadeh, M.E., Miralaee, M. (2013). Study of the effectiveness of group spiritual therapy on resilience of women with multiple sclerosis in Isfahan. Health Psychology, 2(7), 82-102.
Wadhwa, D., Burman, D., Swami, N., Rodin, G., Lo, C., Zimmermann, C. (2013). Quality of life and mental health in caregivers of outpatients with advanced cancer. Psycho oncology, 22(2), 40310.
Walker, R., & Stephens, R. S. (2014). Protective behavioral strategies mediate problem-focused coping and alcohol use in college students. Psychol. Addict. Behav, 39, 1033–1037. doi: 10.1016/j.addbeh.2014.02.006
Wong, Y. J., Rew, L., Slaikeu, K. D. (2006). A systematic review of recent research on adolescent religiosity/spirituality and mental health. Issues Ment Health Nurs, 27(2), 161-183.
Yaghubi, M., Abdekhoda, M., & Khani, S. (2019). Effectiveness of Religious-Spiritual Group Therapy on Spiritual Health and Quality of Life in Methadone-treated Patients: A Randomized Clinical Trial. Addiction & health11(3), 156–164.
Yang, K. P., & Mao, X. Y. (2007). A study of nurses’ spiritual intelligence: A cross-sectional questionnaire survey. International journal of nursing studies, 44(6), 999-1010.
Zahed-Babelan, A., Rezaei Jamalvandi, H., Herfati Sobhani, R. (2012). An investigation of the relationship between attachment to god and resilience with meaningful life among students. Knowledge & Research in Applied Psychology, 13(3), 75-85