Journal of Religion and Health

, Volume 58, Issue 2, pp 444–451 | Cite as

The Effect of Religious Psychotherapy Emphasizing the Importance of Prayers on Mental Health and Pain in Cancer Patients

  • Owrang Eilami
  • Moslem Moslemirad
  • Ebrahim Naimi
  • Amin BabueiEmail author
  • Karim Rezaei
Original Paper


The religious aspect is the most important aspect of the human nature that helps the human achieve the meaning and purpose of life as well as playing a very important role in the health of patients. This study aimed to determine the effect of religious psychotherapy emphasizing the importance of prayers on mental health and pain in cancer patients. This study is a clinical trial that was conducted in 2017 in Yasuj, Iran. According to the purpose of the study, the patients were randomly assigned into two experimental and control groups. Prayers 15 and 23 of the SahifehSajjadiyeh book were read at the beginning of the treatment sessions, and the patients were asked to pay attention to the meaning of prayer. The data were analyzed using SPSS 16 software. Before implementing the intervention, the mean and standard deviation of mental health score of the patients in the experimental and control groups were equal to 16.40 (2.21) and 16.56 (1.56). But after implementing the intervention, the mean and standard deviation of mental health score were equal to 11.24 (2.93) and 16.82 (1.83) which illustrates a significant statistical increase. Implementing the supportive spiritual intervention has been tested to enhance the mental health and reduce the pain of patients in the experimental group. Regarding this improvement, it is suggested a religious intervention be implemented to increase these patients’ health in a participatory way.


Religious Mental health Pain Cancer 


Compliance with Ethical Standards

Conflict of interest

The authors declare that they have no conflict of interest.

Human and Animal Rights

This research has been approved by the Ethics Council in the study of the University of study.

Informed Consent

Informed consent was taken from the participants. The patients were randomly assigned in the spiritual intervention group and control group. Patients received no payment and could leave the study at any time during the study period.


  1. Agli, O., Bailly, N., Ferrand, C., & Martinent, G. (2018). Spirituality, quality of life, and depression in older people with dementia. Journal of Religion, Spirituality and Aging, 30(3), 268–278. Scholar
  2. Ahmadi, F., Erbil, P., Ahmadi, N., & Cetrez, Ö. A. (2018). Religion, culture and meaning-making coping: A study among cancer patients in Turkey. Journal of Religion and Health, 11(2), 141–149. Scholar
  3. Asadi, P., Fereidooni-Moghadam, M., Dashtbozorgi, B., & Masoodi, R. (2018). Relationship between care burden and religious beliefs among family caregivers of mentally ill patients. Journal of Religion and Health, 25(2), 111–118. Scholar
  4. Ayatollahi, H., MohaddeSi, H., & Hassanzadeh, G. (2013). Quality of life in breast cancer patients: Study in the Omid cancer research center–Urmia. Iranian Journal of Breast Disease, 5(4), 35–43.Google Scholar
  5. Bagheri, S. H. S., Dehghan, M., Alavi, S. H., Iranmanesh, S., & Khoshab, H. (2018a). Correction to: Burst out of the dead land by the help of spirituality: A case study of living with blindness and cancer. Journal of Religion and Health, 57(3), 1198.CrossRefGoogle Scholar
  6. Bagheri, S. H. S, Rayyani, M., Iranmanesh, S., Dehghan, M., Tirgari, B., & Hosseini, S. H. (2018b). Growth: A journey from experience to higher perception among Iranian muslim CPR survivors. Journal of Religion and Health, 20(2), 32–65. Scholar
  7. Baljani, E., Khashabi, J., Amanpour, E., & Azimi, N. (2011). Relationship between spiritual well-being, religion, and hope among patients with cancer. Journal of Hayat, 17(3), 27–37.Google Scholar
  8. Borji, M. (2017). Investigating the effect of home care on death anxiety in patients with gastrointestinal cancer. Govaresh., 22(2), 131–132.Google Scholar
  9. Borji, M., Nourmohammadi, H., Otaghi, M., Salimi, A. H., & Tarjoman, A. (2017). Positive effects of cognitive behavioral therapy on depression, anxiety and stress of family caregivers of patients with prostate cancer: A randomized clinical trial. Asian Pacific journal of cancer prevention: APJCP., 18(12), 3207.PubMedGoogle Scholar
  10. Borji, M., & Safari, S. (2018). Patients’ attitudes toward the cancer pain relief. Asian Pacific Journal of Cancer Prevention, 18(2), 321–324.Google Scholar
  11. Borji, M., Shahbazi, F., Nariman, S., Otaghi, M., & Safari, S. (2018a). Investigating the relationship between mother–child bonding and maternal mental health. Journal of Comprehensive Pediatrics, 9(1), e14014. Scholar
  12. Borji, M., Taghinejad, H., & Sedmohamadi, R. (2018b). Comparison of the effects of drawing pictures and inflating balloons on anxiety and pain caused by diphtheria–pertussis–tetanus immunization in school-aged children. Archives of Pediatric Infectious Diseases. Scholar
  13. Bronner, M. B., Nguyen, M. H., Smets, E. M., van de Ven, A. W., & van Weert, J. C. (2018). Anxiety during cancer diagnosis: Examining the influence of monitoring coping style and treatment plan. Psycho-Oncology, 27(2), 661–667.CrossRefPubMedGoogle Scholar
  14. Chaar, E. A, Hallit, S., Hajj, A., Aaraj, R., Kattan, J., Jabbour, H., et al. (2018). Evaluating the impact of spirituality on the quality of life, anxiety, and depression among patients with cancer: An observational transversal study. Supportive Care in Cancer, 26(8), 2581–2590.CrossRefGoogle Scholar
  15. Dehghan, M., Alavi, S. H., Iranmanesh, S., & Khoshab, H. (2017). Burst out of the dead land by the help of spirituality: A case study of living with blindness and cancer. Journal of Religion and Health, 56(3), 896–906.CrossRefPubMedGoogle Scholar
  16. Goldberg, D. P., & Hillier, V. F. (1979). A scaled version of the General Health Questionnaire. Psychological Medicine, 9(1), 139–145.CrossRefPubMedGoogle Scholar
  17. Hoseini, S., Nasrolahi, B., & Aghili, M. (2017). Prediction of hope of life based on spiritual well-being and psychological hardiness in women with breast cancer. Archives of Breast Cancer, 4(4), 136–140.Google Scholar
  18. Hughes, J., Cummings, M., Filshie, J., Kassab, S., Leng, G., Mackereth, P., et al. (2018). Ensuring model validity in a feasibility study of acupuncture to improve quality of life in cancer patients undergoing radiotherapy treatment. European Journal of Integrative Medicine, 21, 50–52.CrossRefGoogle Scholar
  19. 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
  20. 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
  21. Khoshnood, Z., Iranmanesh, S., Rayyani, M., & Dehghan, M. (2018a). Body-mind healing strategies in patients with cancer: A qualitative content analysis. Asian Pacific Journal of Cancer Prevention, 19(6), 1691–1696.PubMedGoogle Scholar
  22. Khoshnood, Z., Iranmanesh, S., Rayyani, M., & Dehghan, M. (2018b). Getting out or remaining in the cage of inauthentic self: The meaning of existential challenges in patients’ with cancer. Indian Journal of Palliative Care, 24(2), 131.CrossRefPubMedPubMedCentralGoogle Scholar
  23. Lai, L. C., Cummins, R. A., & Lau, A. L. (2018). Development of Personal Wellbeing Index—The validation of spirituality-religion satisfaction as a life domain. International Journal of Happiness and Development, 4(2), 93–112.CrossRefGoogle Scholar
  24. Lloyd, S., Baraghoshi, D., Tao, R., Garrido-Laguna, I., Gilcrease, G. W., Whisenant, J., et al. (2018). (OA44) Mental health disorders are more common in colorectal cancer survivors and associated with decreased overall survival. International Journal of Radiation Oncology*Biology*Physics, 101(2), E19.CrossRefGoogle Scholar
  25. Lobo, A., Pérez-Echeverría, M. J., & Artal, J. (1986). Validity of the scaled version of the General Health Questionnaire (GHQ-28) in a Spanish population. Psychological Medicine, 16(1), 135–140.CrossRefPubMedGoogle Scholar
  26. Morasei, F., & Aghajani, M. (2014). The effect of counseling with spirituality approach on hope in patients with chronic renal failure. Complementary Medicine Journal of faculty of Nursing and Midwifery, 4(2), 776–786.Google Scholar
  27. Motaghi, M., Darbandi, B., & Baghersalimi, A. (2017). Comparative effect of chamomile mouthwash and topical mouth rinse in prevention of chemotherapy-induced oral mucositis in Iranian pediatric patients with acute lymphoblastic leukemia. Iranian Journal of Blood and Cancer, 9(3), 84–88.Google Scholar
  28. Oshvandi, K., Amini, S., Moghimbeigi, A., & Sadeghian, E. (2018). The effect of spiritual care on death anxiety in hemodialysis patients with end-stage of renal disease: A randomized clinical trial. Journal of Hayat, 23(4), 332–344.Google Scholar
  29. Pouy, S., Peikani, F. A., Nourmohammadi, H., Sanei, P., Tarjoman, A., & Borji, M. (2018). Investigating the effect of mindfulness-based training on psychological status and quality of life in patients with breast cancer. Asian Pacific Journal of Cancer Prevention, 19(7), 1993–1998. Scholar
  30. Ross, L., McSherry, W., Giske, T., van Leeuwen, R., Schep-Akkerman, A., Koslander, T., et al. (2018). Nursing and midwifery students’ perceptions of spirituality, spiritual care, and spiritual care competency: A prospective, longitudinal, correlational European study. Nurse Education Today, 67, 64–71.CrossRefPubMedGoogle Scholar
  31. Safaeian, Z., Hejazi, S. S., Delavar, E., Hoseini Azizi, T., & Haresabadi, M. (2017). The relationship between caregiver burden, and depression, anxiety and stress in family caregivers of cancer patients referred to Imam Reza Hospital in Bojnurd City. Iranian Journal of Psychiatric Nursing, 5(3), 7–14.CrossRefGoogle Scholar
  32. Salimi, T., Tavangar, H., Shokripour, S., & Ashrafi, H. (2017). The effect of spiritual self-care group therapy on life expectancy in patients with coronary artery disease: An educational trial. Journal of Rafsanjan University of Medical Sciences, 15(10), 917–928.Google Scholar
  33. Sharifi Rigi, A., Marashi, S. A., & Hamid, N. (2018). The efficacy of spiritual/religious psychotherapy—emphasizing the importance of 15th and 23th prayers of SahifehSajjadiyeh—On mental health and attitude toward disease in cancer patients. Journal of Nursing and Midwifery Urmia University of Medical Sciences, 16(2), 81–91.Google Scholar
  34. Steffen, L. E., Vowles, K. E., Smith, B. W., Gan, G. N., & Edelman, M. J. (2018). Daily diary study of hope, stigma, and functioning in lung cancer patients. Health Psychology, 37(3), 218.CrossRefPubMedGoogle Scholar
  35. Yazdi, M. H., Estaji, Z., & Heydari, A. (2009). Study of the quality of life of nurses in Sabzevar hospitals in 2005–2006. Sabzevar Journal, 16(1), 50–60.Google Scholar

Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  • Owrang Eilami
    • 1
  • Moslem Moslemirad
    • 2
  • Ebrahim Naimi
    • 3
  • Amin Babuei
    • 4
    Email author
  • Karim Rezaei
    • 5
  1. 1.School of Medicine Social, Determinants of Health Research CenterYasuj University of Medical SciencesYasujIran
  2. 2.Yasuj University of Medical SciencesYasujIran
  3. 3.Department of Public Health, Faulty of HealthYasuj University of Medical ScienceYasujIran
  4. 4.Deputy of Development of ManagmentYasuj University of Medical ScienceYasujIran
  5. 5.Determinants of Health Research CenterYasuj University of Medical SciencesYasujIran

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