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Spiritual Intelligence and Post-abortion Depression: A Coping Strategy

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Abstract

Loss of pregnancy is a major stressor which can cause mental disorders. In stressful conditions, spiritual intelligence can be used as a coping strategy to manage and cope with the stressor. It may also produce positive outcomes in spontaneous abortion. This study aimed to assess the relationship of spiritual intelligence with depression after spontaneous abortion. This cross-sectional descriptive-correlational study was done in 2015–2016 on 185 women with spontaneous abortion who were hospitalized in the postnatal care ward of Kowsar teaching hospital, Qazvin, Iran. Data collection was performed in two steps. In the first step, a demographic and obstetric characteristics questionnaire and the Spiritual Intelligence Self-Report Inventory were completed by participants during their hospital stay. In the second step, i.e., 7 days after spontaneous abortion, the Edinburgh Postnatal Depression Scale was completed for each participant over the phone. Variables which were found in univariate analysis to have a significant correlation with depression were entered into multiple logistic regression analysis to assess their roles in predicting depression. Most women were depressed (54%). Multiple logistic regression analysis revealed that the significant predictors of depression were women’s educational status (OR 0.419; CI 0.18–0.93), gestational age at the time of abortion (OR 1.121; CI 1.02–1.22), and the personal meaning production dimension of spiritual intelligence (OR 0.82; CI 0.73–0.91). Spiritual intelligence is significantly correlated with post-abortion depression. Developing and following strategies for promoting spiritual intelligence can alleviate depression, stress, and anxiety after spontaneous abortion and also help manage complicated pregnancies.

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References

  • Aghababaei, N., Farahani, H., & Nejad, A. R. (2010). The characteristics assessment of spiritual intelligence machinery in the short questionnaire study. Journal of Psychosciences, 9(34), 169–179.

    Google Scholar 

  • Akbarizadeh, F., Jahanpour, F., & Hajivandi, A. (2013). The relationship of general health, hardiness and spiritual intelligence relationship in iranian nurses. Iranian Journal of Psychiatry, 8(4), 165–167.

    PubMed  PubMed Central  Google Scholar 

  • Allahbakhshian, M. J. M., Parvizy, S., et al. (2010). A Survey on relationship between spiritual wellbeing and quality of life in multiple sclerosis patients. Journal of Zahedan University, 12(3), 29–33.

    Google Scholar 

  • Amram, Y. (2007). The seven dimensions of spiritual intelligence: An ecumenical, grounded theory. In 115 th annual conference of the american psychological association; San Francisco.

  • Andersen, A.-M. N., Wohlfahrt, J., Christens, P., Olsen, J., & Melbye, M. (2000). Maternal age and fetal loss: Population based register linkage study. BMJ, 320(7251), 1708–1712.

    PubMed Central  Google Scholar 

  • Becker, G., Xander, C. J., Blum, H. E., Lutterbach, J., Momm, F., Gysels, M., et al. (2007). Do religious or spiritual beliefs influence bereavement? A systematic review. Palliative Medicine, 21(3), 207–217.

    PubMed  Google Scholar 

  • Bellieni, C. V. B. G. (2013). Abortion and subsequent mental health: Review of the literature. Clinical Neuroscience, 67(5), 301–310.

    Google Scholar 

  • Bener, A., Burgut, F. T., Ghuloum, S., & Sheikh, J. (2012). A study of postpartum depression in a fast developing country: Prevalence and related factors. International Journal of Psychiatry in Medicine, 43(4), 325–337.

    PubMed  Google Scholar 

  • Benjamins, M. R. (2004). Religion and functional health among the elderly: Is there a relationship and is it constant? Journal of Aging and Health, 16(3), 355–374.

    PubMed  Google Scholar 

  • Bödecs, T. S. E., Cholnoky, P., Sándor, J., Gonda, X., Rihmer, Z., & Horváth, B. (2013). Prevalence and psychosocial background of anxiety and depression emerging during the first trimester of pregnancy: Data from a Hungarian population-based sample. Psychiatr Danub, 25(4), 352–358.

    PubMed  Google Scholar 

  • Boyce, P. M., & Todd, A. L. (1992). Increased risk of postnatal depression after emergency. Med J Australia, 157(3), 172–174.

    CAS  PubMed  Google Scholar 

  • Boyd, R. C., Le, H., & Somberg, R. (2005). Review of screening instruments for postpartum depression. Archives of Women’s Mental Health, 8(3), 141–153.

    CAS  PubMed  Google Scholar 

  • Broen, A. N., Moum, T., Bødtker, A. S., & Ekeberg, Ø. (2005). The course of mental health after miscarriage and induced abortion: A longitudinal, five-year follow-up study. BMC Medicine, 3(1), 18.

    PubMed  PubMed Central  Google Scholar 

  • Brown, Y. (1993). Perinatal loss: A framework for practice. Health Care for Women International, 14(5), 469–479.

    CAS  PubMed  Google Scholar 

  • Buzan, T. (2012). The power of spiritual intelligence: 10 ways to tap into your spiritual genius. New York: HarperCollins.

    Google Scholar 

  • Callister, L. C., & Khalaf, I. (2010). Spirituality in childbearing women. The Journal of Perinatal Education, 19(2), 16–24.

    PubMed  PubMed Central  Google Scholar 

  • Cowchock, F. S., Lasker, J. N., Toedter, L. J., Skumanich, S. A., & Koenig, H. (2010). Religious beliefs affect grieving after pregnancy loss. Journal of Religion and Health, 49(4), 485–497.

    CAS  PubMed  Google Scholar 

  • Dunn, L. L., & Shelton, M. M. (2007). Spiritual well-being, anxiety, and depression in antepartal women on bedrest. Issues in Mental Health Nursing, 28(11), 1235–1246.

    PubMed  Google Scholar 

  • Elmer, L. D., MacDonald, D. A., & Friedman, H. L. (2003). Transpersonal psychology, physical health, and mental health: Theory, research, and practice. The Humanistic Psychologist, 31(2–3), 159.

    Google Scholar 

  • Emmons, R. A. (1999). The psychology of ultimate concerns: Motivation and spirituality in personality. New York: Guilford Press.

    Google Scholar 

  • Emmons, R. A. (2000). Is spirituality an intelligence? Motivation, cognition, and the psychology of ultimate concern. The International Journal for the Psychology of Religion, 10(1), 3–26.

    Google Scholar 

  • Hosseinian, S., Ghasemzadeh, S., & Niknam, M. (2012). Prediction of quality of life in female teachers on the basis of emotional and spiritual intelligence variables. Quarterly Journal of Career & Organizational Counseling, 3(9), 42–60.

    Google Scholar 

  • Hosseinpoor, M., Younesian, A., Khosravi, A., Sabbagh, Y., & Kolahdozan, S. (2015). Relationship between general health with emotional intelligence and spiritual intelligence in students. Journal of Knowledge & Health, 10(2), 11–17.

    Google Scholar 

  • Janssen, H. J. C. M., de Graauw, K. P., & Hoogduin, K. A. (1997). A prospective study of risk factors predicting grief intensity following pregnancy loss. Archives of General Psychiatry, 54(1), 56–61.

    CAS  PubMed  Google Scholar 

  • Jesse, D. E., & Swanson, M. S. (2007). Risks and resources associated with antepartum risk for depression among rural southern women. Nursing Research, 56(6), 378–386.

    PubMed  Google Scholar 

  • Kersting, A., Kroker, K., Steinhard, J., Ludorff, K., Wesselmann, U., Ohrmann, P., et al. (2007). Complicated grief after traumatic loss: A 14-month follow up study. European Archives of Psychiatry and Clinical Neuroscience, 257(8), 437–443.

    PubMed  Google Scholar 

  • Khodabakhshi Koolaee, A., Heidari, S., Khoshkonesh, A., & Heidari, M. (2013). Relationship between spiritual intelligence and resilience to stress in preference of delivery method in pregnant women. The Iranian Journal of Obstetrics, Gynecology and Infertility, 16(58), 8–15.

    Google Scholar 

  • Khorramirad, A., Lotfi, M. M., & Bidgoli, A. S. (2010). Prevalence of postpartum depression and related factors in Qom. Pajoohandeh Journal, 15(2), 62–66.

    Google Scholar 

  • King, D. B., & DeCicco, T. L. (2009). A viable model and self-report measure of spiritual intelligence. International Journal of Transpersonal Studies, 28(1), 68–85.

    Google Scholar 

  • Klass, D., & Goss, R. (2003). The politics of grief and continuing bonds with the dead: The cases of Maoist China and Wahhabi Islam. Death Studies, 27(9), 787–811.

    PubMed  Google Scholar 

  • Klier, C. M. G. P., & Ritsher, J. B. (2002). Affective disorders in the aftermath of miscarriage: A comprehensive review. Arch Womens Ment Health, 5(4), 129–149.

    CAS  PubMed  Google Scholar 

  • Koleva, H. S. S., O’Hara, M. W., & Bowman-Reif, J. (2011). Risk factors for depressive symptoms during pregnancy. Archives of Womens Mental Health, 14(2), 99–105.

    Google Scholar 

  • Kulathilaka, S. H. R., & de Silva, V. A. (2016). Depressive disorder and grief following spontaneous abortion. BMC Psychiatry, 16(12), 100.

    PubMed  PubMed Central  Google Scholar 

  • Li, J., Johansen, C., & Olsen, J. (2003). Cancer survival in parents who lost a child: A nationwide study in Denmark. British Journal of Cancer, 88(11), 1698–1701.

    CAS  PubMed  PubMed Central  Google Scholar 

  • Lj, K. (2001). Cultural variations in the clinical presentation of depression and anxiety: Implications for diagnosis and treatment. Journal of Clinical Psychiatry, 62(13), 22–28.

    Google Scholar 

  • Lok, I. H., Yip, A. S.-K., Lee, D. T.-S., Sahota, D., & Chung, T. K.-H. (2010). A 1-year longitudinal study of psychological morbidity after miscarriage. Fertility and Sterility, 93(6), 1966–1975.

    PubMed  Google Scholar 

  • Mann, J. R., McKeown, R. E., Bacon, J., Vesselinov, R., & Bush, F. (2008). Do antenatal religious and spiritual factors impact the risk of postpartum depressive symptoms? Journal of Women’s Health, 17(5), 745–755.

    PubMed  Google Scholar 

  • Neugebauer, R. K. J., Shrout, P., Skodol, A., O’Connor, P., Geller, P. A., Stein, Z., et al. (1997). Major depressive disorder in the 6 months after miscarriage. JAMA, 277(5), 383–388.

    CAS  PubMed  Google Scholar 

  • Rahbar, N., Ghorbani, R., Moazen, S., & Setoodeh, Asl N. (2010). Association between spontaneous abortion and general health condition. The Iranian Journal of Obstetrics, Gynecology and Infertility, 13(1), 8–13.

    Google Scholar 

  • Ramandeep, K., Kapil, G., & Harkiran, K. (2017). Correlation of enhanced oxidative stress with altered thyroid profile: Probable role in spontaneous abortion. International Journal of Applied and Basic Medical Research, 7(1), 20.

    CAS  PubMed  PubMed Central  Google Scholar 

  • Ritsher, J. B. N. R. (2002). Perinatal Bereavement Grief Scale: Distinguishing grief from depression following miscarriage. Assessment, 9(1), 31–40.

    PubMed  Google Scholar 

  • Sohrabi, F. (2007). Fundamental of spiritual intelligence. Journal of Mental Health, 1(1), 30–33.

    Google Scholar 

  • Stroebe, M., Schut, H., & Stroebe, W. (2007). Health outcomes of bereavement. The Lancet, 370(9603), 1960–1973.

    Google Scholar 

  • Thearle, M. J. V. J., & Najman, J. M. (1995). Church attendance, religious affiliation, and responses to sudden infant death, neonatal death, and stillbirth. Omega (Westport), 31, 51–58.

    Google Scholar 

  • Van, P., & Meleis, A. I. (2003). Coping with grief after involuntary pregnancy loss: Perspectives of African American women. Journal of Obstetric, Gynecologic, and Neonatal Nursing: JOGNN, 32(1), 28–39.

    PubMed  Google Scholar 

  • Wachholtz, A. B., & Pargament, K. I. (2008). Migraines and meditation: Does spirituality matter? Journal of Behavioral Medicine, 31(4), 351–366.

    PubMed  Google Scholar 

  • Whitaker, C., Kavanaugh, K., & Klima, C. (2010). Perinatal grief in Latino parents. MCN The American Journal of Maternal Child Nursing, 35(6), 341–345.

    PubMed  PubMed Central  Google Scholar 

  • Wong, K. F., & Yau, S. Y. (2010). Nurses’ experiences in spirituality and spiritual care in Hong Kong. Applied Nursing Research : ANR, 23(4), 242–244.

    PubMed  Google Scholar 

  • Yang, K. (1998). Spiritual care in nursing practice. Journal of Nursing, 45(3), 77–83.

    Google Scholar 

  • Zohar, D. (2012). Spiritual intelligence: The ultimate intelligence. London: Bloomsbury Publishing.

    Google Scholar 

Download references

Acknowledgements

We would like to thank study participants and the staff and the administrators of Kowsar teaching hospital who helped us do this study. Funding was provided by Qazvin University of Medical Sciences.

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Correspondence to Hamideh Hajnasiri.

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Moafi, F., Momeni, M., Tayeba, M. et al. Spiritual Intelligence and Post-abortion Depression: A Coping Strategy. J Relig Health 60, 326–334 (2021). https://doi.org/10.1007/s10943-018-0705-0

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  • DOI: https://doi.org/10.1007/s10943-018-0705-0

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