Journal of Religion and Health

, Volume 56, Issue 6, pp 2317–2329 | Cite as

Association of Islamic Prayer with Psychological Stability in Bosnian War Veterans

  • Izet Pajević
  • Osman Sinanović
  • Mevludin Hasanović
Original Paper


To compare the outcomes among war veterans who pray/do not pray and who were not suffering mental disorders after the Bosnia–Herzegovina war (1992–95). The sample consists of 100 healthy Bosnian war veterans divided in two equal groups—one, a highly religious group inside which were individuals who perform five obligatory prayers every day, and another group of individuals who do not practice any daily prayer. We used Minnesota Multiphase Personal Inventory (MMPI), Profile Index of Emotions (PIE) and Life Style Questionnaire (LSQ). War veterans who prayed had significantly higher levels for: incorporation, self-protection, and for reactive formation; but significantly lower levels for regression, compensation, transfer, no-controlling, oppositional and aggressiveness than their peers who did not pray. Practicing religion (regular performing daily prayers) is associated with reduction of tendencies towards the tendency for risk, impulsiveness, and aggression. It is also associated with successful overcoming of emotional conflicts in war veterans who practiced religion than their peers who did not practice religion.


Religious involvement Salah Islamic daily prayer War veterans PTSD Mental health stability Bosnia and Herzegovina 


Compliance with Ethical Standards

Conflict of interest

The authors declare that they have no potential conflict of interest.


  1. Al-Barzinjy, N., Rasool, M. T., & Al-Dabbagh, T. Q. (2009). Islamic praying and osteoarthritis changes of weight bearing joints. Duhok Medical, 3(1), 33–44.Google Scholar
  2. Aljukić, N., Hasanović, M., & Pajević, I. (2013). Severity of trauma experiences, cognitive impairs depressiveness and anxiety of war veterans who suffer from PTSD. European Psychiatry, Abstracts of the 21th European Congress of Psychiatry. doi: 10.1016/S0924-9338(13)77002-0.Google Scholar
  3. Al-Rawi, S., & Fetters, M. D. (2012). Traditional Arabic and Islamic medicine: A conceptual model for clinicians and researchers. Global Journal of Health Science, 4(3), 164–169.PubMedCentralGoogle Scholar
  4. Avdibegović, E., Bećirović, E., Selimbasić, Z., Hasanović, M., & Sinanović, O. (2007). Cerebral cortical atrophy and silent brain infarcts in psychiatric patients. Psychiatria Danubin, 19(1–2), 49–55.Google Scholar
  5. Avdibegović, E., Hasanović, M., Selimbašić, Z., Pajević, I., & Sinanović, O. (2008). Mental health care of psychotraumatized. Persons in post-war Bosnia and Herzegovina-exepriences from Tuzla Canton. Psychiatria Danubina, 20(4), 474–484.PubMedGoogle Scholar
  6. Baškovec-Milinković, A., Bele-Potočnik, Ž., & Hruševar, B. (1979). Priručnik za upotrebu PIE-Profil indeks emocija. Ljubljana: Centar za psihodijagnostička sredstva.Google Scholar
  7. Biro, M., & Berger, J. (1981). Priručnik za primenu I interpretaciju MMPI. Beograd: Savez društava psihologa Srbije.Google Scholar
  8. Chida, Y., Schrempft, S., & Steptoe, A. (2016). A novel religious/spiritual group psychotherapy reduces depressive symptoms in a randomized clinical trial. Journal of Religion and Health, 55(5), 1495–1506. doi: 10.1007/s10943-015-0113-7.CrossRefPubMedGoogle Scholar
  9. Chishti, A. G. M. (1985). The book of sufi healing. New York: Inner Traditions International, Limited.Google Scholar
  10. Dy-Liaco, G. S., Kennedy, M. C., Parker, D. J., & Piedmont, R. L. (2005). Spiritual transcendence as an unmediated causal predictor of psychological growth and worldwide among Filipinos. Resources of Social Science Studies Religion, 16, 261–286.Google Scholar
  11. Ernst, E., Pittler, M. H., Wider, B., & Boddy, K. (2007). Mind–body therapies: Are the trial data getting stronger? Alternative Therapies in Health and Medicine, 13(5), 62–64.PubMedGoogle Scholar
  12. Flannelly, K. J., Galek, K., Ellison, C. G., & Koenig, H. G. (2010). Beliefs about God, psychiatric symptoms, and evolutionary psychiatry. Journal of Religion and Health, 49(2), 246–261. doi: 10.1007/s10943-009-9244-z.CrossRefPubMedGoogle Scholar
  13. Gillum, R. F., & Ingram, D. D. (2006). Frequency of attendance at religious services, hypertension, and blood pressure: The Third National Health and Nutrition Examination Survey. Psychosomatic Medicine, 68, 382–385. doi: 10.1097/01.psy.0000221253.90559.CrossRefPubMedGoogle Scholar
  14. Hasanović, M. (2009). Kvalitet života u veterana rata u Bosni i Hercegovini sa posttraumatskim stresnim poremećajem. Doktorska teza, Medicinski fakultet Univerziteta u Tuzli, Tuzla. doi: 10.13140/RG.2.2.25742.36160.
  15. Hasanović, M. (2011). Psychological consequences of war-traumatized children and adolescents in Bosnia and Herzegovina. Acta Medica Academica, 40(1), 45–66.CrossRefGoogle Scholar
  16. Hasanović, M. (2012). Posttraumatic stress disorder in Bosnian internally displaced and refugee adolescents from three different regions after the 1992–1995 war in Bosnia and Herzegovina. Paediatrics Today, 8(1), 22–31. doi: 10.5457/p2005-114.34.Google Scholar
  17. Hasanović, M., & Pajević, I. (2010). Religious moral beliefs as mental health protective factor of war veterans suffering from PTSD, depressiveness, anxiety, tobacco and alcohol abuse in comorbidity. Psychiatria Danubina, 22(2), 203–210.PubMedGoogle Scholar
  18. Hasanović, M., & Pajević, I. (2012). Religious moral believes and quality of life amongst war veterans in Bosnia and Herzegovina negatively associated with severity of trauma experiences and anxiety. European Psychiatry, Abstracts of the 20th European Congress of Psychiatry. doi: 10.1016/S0924-9338(12)74297-9.Google Scholar
  19. Hasanović, M., & Pajević, I. (2013). Religious moral beliefs inversely related to trauma experiences severity and depression severity among war veterans in Bosnia and Herzegovina. Journal of Religion and Health, 52(3), 730–739. doi: 10.1007/s10943-012-9643-4.CrossRefPubMedGoogle Scholar
  20. Hasanović, M., & Pajević, I. (2015). Religious moral beliefs inversely related to trauma experiences severity and presented posttraumatic stress disorder among Bosnia and Herzegovina War Veterans. Journal of Religion and Health, 54(4), 1403–1415. doi: 10.1007/s10943-014-9954-8.CrossRefPubMedGoogle Scholar
  21. Hasanović, M., Sinanović, O., Pajević, I., & Agius, M. (2011). The spiritual approach to group psychotherapy treatment of psychotraumatized persons in post-war Bosnia and Herzegovina. Religions, 2(3), 330–344.CrossRefGoogle Scholar
  22. Hasanović, M., Sinanović, O., Pajević, I., Avdibegović, E., & Sutović, A. (2006). Post-war mental health promotion in Bosnia–Herzegovina. Psychiatria Danubina, 18(1–2), 74–78.PubMedGoogle Scholar
  23. Kleber, R., & Brom, D. (1992). Coping with trauma: Theory, prevention and treatment. Amsterdam: Swets and Ceitlinger.Google Scholar
  24. Koenig, H. G. (Ed.). (1998). Handbook of religion and mental health. San Diego: Academic Press.Google Scholar
  25. Koenig, H. G. (2007). Religion and depression in older medical inpatients. The American Journal of Geriatric Psychiatry, 15, 282–291.CrossRefPubMedGoogle Scholar
  26. Koenig, H. G. (2009). Research on religion, spirituality, and mental health: A review. The Canadian Journal of Psychiatry, 54(5), 283–291.CrossRefPubMedGoogle Scholar
  27. Koenig, H. G., Cohen, H. J. A. Y., Gerge, L. K., Hays, J. C., Larson, D. B., & Blazer, D. G. (1997). Attendance at religious services, interleukin-6, and other biological parameters of immune function in older adults. International Journal of Psychiatry in Medicine, 27, 233–250.CrossRefPubMedGoogle Scholar
  28. Koenig, H. G., King, D. E., & Carson, W. B. (2012). Handbook of religion and health (2nd ed.). New York, NY: Oxford University Press.Google Scholar
  29. Kravić, N., Pajević, I., & Hasanović, M. (2013). Surviving genocide in Srebrenica during the early childhood and adolescent personality. Croatian Medical Journal, 54(1), 55–64.CrossRefPubMedPubMedCentralGoogle Scholar
  30. Lamovac, T., Bele Potočnik, Ž., & Boben, D. (1990). Upitnik životnog stila i odbrambeni mehanizmi, Informacije. Ljubljana: Centar za psihodijagnostička sredstva.Google Scholar
  31. Larson, D. B., & Larson, S. (1994). The forgotten factor in physical and mental health: What does the research show? Rockville, MD: National Institute for Healthcare Research.Google Scholar
  32. Lutgendorf, S. K., Russell, D., Ullrich, P., & Harris, T. B. (2004). Religious participation, interleukin-6, and mortality in older adults. Health Psychology, 23, 465–475. doi: 10.1037/0278-6133.23.5.465.CrossRefPubMedGoogle Scholar
  33. McKee, D. D., & Chappel, J. N. (1992). Spirituality and medical practice. Journal of Family Practice, 35(2), 205–208.Google Scholar
  34. Newberg, A., d’Aquilli, E., & Rause, V. (2002). Why won’t God go away: Brain science and the biology of belief?. New York: Ballantine Books.Google Scholar
  35. Newberg, A., Pourdelnad, M., Alavi, A., & d’Aquilli, E. E. (2003). Cerebral blood flow during meditative prayer: Preliminary findings and methodological issues. Perceptual and Motor Skills, 97, 625–630.CrossRefPubMedGoogle Scholar
  36. Pajević, I. (1998). Islamski način života kao faktor psihičke stabilnosti. Magistarski rad: Medicinski fakultet Univerziteta u Tuzli.Google Scholar
  37. Pajević, I., & Hasanović, M. (2009). Spirituality and religiosity in the treatment of mentally disordered persons in Bosnia and Herzegovina. European Psychiatry, Abstract book of 17th EPA Congress—Lisbon, Portugal, January 2009, 24(1), S924. doi: 10.1016/S0924-9338(09)71157-5.Google Scholar
  38. Pajević, I., Hasanović, M., & Delić, A. (2007). The influence of religious moral beliefs on adolescents’ mental stability. Psychiatria Danubina, 19(3), 173–183.PubMedGoogle Scholar
  39. Pajević, I., Sinanović, O., & Hasanović, M. (2005). Religiosity and mental health. Psychiatria Danubina, 17(1–2), 84–89.PubMedGoogle Scholar
  40. Pavlović, S. (1998). Psihički poremećaji vojnika u ratu. Magistarski rad: Medicinski fakultet Univerziteta u Tuzli.Google Scholar
  41. Pavlović, S., Hasanović, M., Kravić-Prelić, N., & Pajević, I. (2013). Alcoholic beverages abuse of war veterans during and after the Bosnia–Herzegovina 1992–1995 war. European Psychiatry, Abstracts of the 21th European Congress of Psychiatry. doi: 10.1016/S0924-9338(13)77027-5.Google Scholar
  42. Piedmont, R. L. (2006). Spirituality as a robust empirical predictor of psychosocial outcomes: As a cross-cultural analysis. In R. Estes (Ed.), Advancing quality of life in a turbulent World (pp. 117–134). New York: Springer.CrossRefGoogle Scholar
  43. Piedmont, R. L. (2009). Personality, spirituality, religiousness, and the personality disodreds: Predictive relations and treatment implications. In P. Huguelet & H. Koenig (Eds.), Religion and spirituality in psychiatry. New York: Cambridge University Press.Google Scholar
  44. Plutchik, R., Kellerman, H., & Conte, H. R. (1979). The structural theory of ego defense and emotions. In C. E. Izard (Ed.), Emotions in personality and psychopatology (pp. 229–257). New York: Plenum Press.Google Scholar
  45. Reza, M. F., Urakami, Y., & Mano, Y. (2002). Evaluation of a new physical exercise taken from Salah (prayer) as a short-duration and frequent physical activity in the rehabilitation of geriatric and disabled patients. Annals of Saudi Medicine, 22(3–4), 177–180.CrossRefPubMedGoogle Scholar
  46. Saniotis, A. (2015). Understanding mind/body medicine from Muslim Religious practices of Salah and Dhikr. Journal of Religion and Health. doi: 10.1007/s10943-014-9992-2.PubMedGoogle Scholar
  47. Strawbridge, W. J., Shema, S. J., Cohen, R. D., & Kaplan, G. A. (2001). Religious attendance increases survival by improving and maintaining good health behaviors, mental health, and social relationships. Annals of Behavioral Medicine, 23, 68–74. doi: 10.1207/S15324796ABM23011.CrossRefPubMedGoogle Scholar
  48. Verghese, A., John, J. K., Rajkumar, S., Richard, J., Sethi, B. B., & Trivedi, J. K. (1989). Factors associated with the course and outcome of schizophrenia in India. Results of a 2-year multicentre follow-up study. British Journal of Psychiatry, 154, 499–503.CrossRefPubMedGoogle Scholar
  49. Wahbeh, H., Elsas, S. M., & Oken, B. S. (2008). Mind–body interventions: Applications in neurology. Neurology, 70(24), 2321–2328.CrossRefPubMedPubMedCentralGoogle Scholar
  50. Wahbeh, H., HaywoodA, Kaufman K., Harling, N., & Zwickey, H. (2009). Mind–body medicine and immune system outcomes: A systematic review. The Open Complementary Medicine Journal, 1, 25–34.CrossRefPubMedPubMedCentralGoogle Scholar
  51. Wilson, J. P., & Moran, T. A. (1997). Assessing psychological trauma and post traumatic stress disorder (PTSD) in the context of spirituality. In J. P. Wilson & T. Keane (Eds.), A handbook for clinical, medical, and legal practitioners. New York: Guilford Press.Google Scholar
  52. Yeager, D. M., Glei, D. A., Au, M., Hu-Sheng, L., Sloan, R. P., & Weinstein, M. (2006). Religious involvement and health outcomes among older persons in Taiwan. Social Science and Medicine, 63, 2228–2241. doi: 10.1016/j.socscimed.2006.05.007.CrossRefPubMedGoogle Scholar
  53. Yücel, S. (2010). Prayer and healing: With addendum of 25 remedies for the sick by Said Nursi. New Jersey: Tughra Books.Google Scholar

Copyright information

© Springer Science+Business Media, LLC 2017

Authors and Affiliations

  • Izet Pajević
    • 1
    • 3
  • Osman Sinanović
    • 2
    • 3
  • Mevludin Hasanović
    • 1
    • 3
  1. 1.Department for PsychiatryUniversity Clinical CentreTuzlaBosnia and Herzegovina
  2. 2.Department for NeurologyUniversity Clinical CentreTuzlaBosnia and Herzegovina
  3. 3.School of MedicineUniversity of TuzlaTuzlaBosnia and Herzegovina

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