Skip to main content

Advertisement

Log in

Spirituality, a Path to Peace: The Experiences of Parents Who Have Children with Phenylketonuria

  • Original Paper
  • Published:
Journal of Religion and Health Aims and scope Submit manuscript

Abstract

Having a child with phenylketonuria is extremely stressful for the parents. These parents always look for solutions for negative effects of their child’s disease. Parents’ strategies are affected by various background factors and vary according to parents’ culture, religion, education, etc. The present study was aimed at assessing the effect of spirituality on the life of parents with a PKU child, and the effect of child disease on the parents’ spirituality. The study was conducted in Kerman, Iran, in 2018; 21 participants (14 mothers, 6 fathers with PKU children, and one nurse) were selected using purposive sampling. A semi-structured in-depth interview was conducted with the selected participants. The transcribed interviews were analyzed using conventional qualitative content analysis. One main theme and two categories emerged from the analyzed data. The main theme of the supportive role of spirituality consists of two categories: spiritual growth and grabbing to the string of spirituality. The first levels of spiritual growth include Modeling and considering Imams’ lives, the increase in trust in God, the increase in mental and spiritual tolerance, and being close to God. The levels of Achieving spirituality include the remembrance of God, Thanking God, and giving donations. According to the results of this study, providing spiritual care by the nurses for the patient and their family is important. Nurses should pay attention to this subject because the patients and their family can achieve more relaxation and increased tolerance and higher satisfaction.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Ashley, P. (2007). Toward an understanding and definition of wilderness spirituality. Australian Geographer, 38(1), 53–69.

    Google Scholar 

  • Askay, S. W., & Magyar-Russell, G. (2009). Post-traumatic growth and spirituality in burn recovery. International Review of Psychiatry, 21(6), 570–579.

    Google Scholar 

  • Barton, B., Smit, E., Frain, J., & Loggins, C. (2010). Advance center in underserved populations. Seminars in Oncology Nursing, 26(3), 157–167.

    Google Scholar 

  • Bremer, A., Dahlberg, K., & Sandman, L. (2009). To survive out-of-hospital cardiac arrest: A search for meaning and coherence. Qualitative Health Research, 19(3), 323–338.

    PubMed  Google Scholar 

  • Courts, N. F., Newton, A. N., & McNeal, L. J. (2005). Husbands and wives living with multiple sclerosis. Journal of Neuroscience Nursing, 37(1), 20–27.

    Google Scholar 

  • D’Aloia, T. (2017). What is it like to survive near-death? An interpretative phenomenological study of the experience of surviving sudden cardiac arrest. Middlesex University.

  • Delgado, C. (2007). Sense of coherence, spirituality, stress and quality of life in chronic illness. Journal of Nursing Scholarship, 39(3), 229–234.

    PubMed  Google Scholar 

  • Elo, S., Kääriäinen, M., Kanste, O., Pölkki, T., Utriainen, K., & Kyngäs, H. (2014). Qualitative content analysis. SAGE Open, 4(1), 2158244014522633.

    Google Scholar 

  • Estes, A., Munson, J., Dawson, G., Koehler, E., Zhou, X.-H., & Abbott, R. (2009). Parenting stress and psychological functioning among mothers of preschool children with autism and developmental delay. Autism, 13(4), 375–387.

    PubMed  Google Scholar 

  • Fidika, A., Salewski, C., & Goldbeck, L. (2013). Quality of life among parents of children with phenylketonuria (PKU). Health and Quality of Life Outcomes, 11(1), 54.

    PubMed  PubMed Central  Google Scholar 

  • Giovannini, M., Verduci, E., Salvatici, E., Paci, S., & Riva, E. (2012). Phenylketonuria: Nutritional advances and challenges. Nutrition & Metabolism, 9(1), 1.

    Google Scholar 

  • Graneheim, U. H., & Lundman, B. (2004). Qualitative content analysis in nursing research: Concepts, procedures and measures to achieve trustworthiness. Nurse Education Today, 24(2), 105–112.

    CAS  PubMed  Google Scholar 

  • Gunduz, M., Arslan, N., Unal, O., Cakar, S., Kuyum, P., & Bulbul, S. F. (2015). Depression and anxiety among parents of phenylketonuria children. Neurosciences, 20(4), 350.

    PubMed  PubMed Central  Google Scholar 

  • Harandy, T. F., Ghofranipour, F., Montazeri, A., Anoosheh, M., Bazargan, M., Mohammadi, E., et al. (2009). Muslim breast cancer survivor spirituality: coping strategy or health seeking behavior hindrance? Health Care for Women International, 31(1), 88–98.

    Google Scholar 

  • Hart, S., Hoyt, M., Diefenbach, M., Anderson, D., Kilbourn, K., & Craft, L. (2012). Meta-analysis of efficacy of interventions for elevated depressive symptoms in adults diagnosed with cancer. Journal of the National Cancer Institute, 104(13), 990–1004.

    PubMed  PubMed Central  Google Scholar 

  • Irannejad, F., Dehghan, M., & Mehdipour Rabori, R. (2018). Stress and quality of life in parents of children with phenylketonuria. Journal of Child and Adolescent Psychiatric Nursing, 31(2–3), 48–52.

    PubMed  Google Scholar 

  • Jim, H. S., Pustejovsky, J. E., Park, C. L., Danhauer, S. C., Sherman, A. C., Fitchett, G., et al. (2015). Religion, spirituality, and physical health in cancer patients: A meta-analysis. Cancer, 121(21), 3760–3768.

    PubMed  PubMed Central  Google Scholar 

  • Joulaee, A., Joolaee, S., Kadivar, M., & Hajibabaee, F. (2012). Living with breast cancer: Iranian women’s lived experiences. International Nursing Review, 59(3), 362–368.

    CAS  PubMed  Google Scholar 

  • Khayatzadeh, M. (2009). A comparative study about quality of life in mothers of children with cerebral palsy, mental retardation and mothers of normal children.

  • Lee, M., Park, S., Lee, E., Ro, J., Kang, H., & Shin, K. (2011). Social support and depressive mood 1 year after diagnosis of breast cancer compared with the general female population: a prospective cohort study. Supportive Care in Cancer, 19, 1379–1392.

    PubMed  Google Scholar 

  • Mashayekhi Dolatabadi, M., & Mohammadi, M. (2014). Resilience and spiritual intelligence predictors of as academic self-efficacy in urban and rural students. Journal of school psychology, 3(2), 205–225.

    Google Scholar 

  • Mayya, S., & Roff, R. (2013). Students perceptions educational environment: A comparison of a academic achievement and under achievers at kasturba medical college, India. 1du – Health (Abingdon), 4(87), 012–057.

    Google Scholar 

  • Medford, E., Hare, D. J., Carpenter, K., Rust, S., Jones, S., & Wittkowski, A. (2017). Treatment adherence and psychological wellbeing in maternal carers of children with Phenylketonuria (PKU). JIMD Reports, 37, 107–114.

    PubMed  PubMed Central  Google Scholar 

  • Mehdipour-Rabori, R., & Nematollahi, M. (2014). The effect of recommended Azkar on anxiety, stress, and depression in families of patients undergoing open heart surgery. Iranian Journal of Nursing and Midwifery Research, 19(3), 238.

    PubMed  PubMed Central  Google Scholar 

  • Mehrabi, E., Hajian, S., Simbar, M., Houshyari, M., & Zayeri, F. (2015). Post-traumatic growth: a qualitative analysis of experiences regarding positive psychological changes among Iranian women with breast cancer. Electronic Physician, 7(5), 1239–1246.

    PubMed  PubMed Central  Google Scholar 

  • Mirzaei, T., Nematollahi, M., Sabzevari, S., Dehghan, S., & Soleymanpour, M. J. (2015). Short term effects of Islamic Zikr on anxiety, stress, and depression in mothers of children with congenital heart disease. British Journal of Medicine and Medical Research, 10(4), 1–5.

    Google Scholar 

  • Mok, E., Wong, F., & Wong, D. (2010). The meaning of spirituality and spiritual care among the Hong Kong Chinese terminally ill. Journal of Advanced Nursing, 66(2), 360–370.

    PubMed  Google Scholar 

  • Moody, R. A. (2001). Life after life. Rider.

  • Myerson, D., Grant, K., Carter, J., & Kilmer, R. (2011). Posttraumatic growth among children and adolescents: A systematic review. Clinical Psychology Review, 31, 949–964.

    Google Scholar 

  • Nasrabadi, A. N., Taghavi-Larigani, T., Mahmodi, M., & Taghlili, F. (2002). Comparison of the effect of Benson relaxation methods and frequency Azkar recommended on the Status Anxiety Patients before abdominal surgery. Hayat Journal, 23, 29–37.

    Google Scholar 

  • Nikfarid, L., Rassouli, M., Borimnejad, L., Alavimajd, H. (2018). Religious coping in iranian mothers of children with cancer: A qualitative content analysis. Journal of Pediatric Oncology Nursing, 35(3), 188–198.

    PubMed  Google Scholar 

  • Occhipinti, S., Chambers, S. K., Lepore, S., Aitken, J., & Dunn, J. (2015). A longitudinal study of post-traumatic growth and psychological distress in colorectal cancer survivors. PLoS ONE, 10(9), e0139119. https://doi.org/10.1371/journal.pone.0139119.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Park, C. L., & Gutierrez, I. A. (2013). Global and situational meanings in the context of trauma: Relations with psychological well-being. Counselling Psychology Quarterly, 26(1), 8–25.

    Google Scholar 

  • Reyhani, T., Sekhatpour, Z., Heydarzade, M., Mousavi, S., & Mazloom, S. R. (2014). The effect of self-care education on tolerance spiritual distress in mothers of premature infants admitted to the Neonatal Intensive Care Unit. The Iranian Journal of Obstetrics, Gynecology and Infertility, 17(97), 18–28.

    Google Scholar 

  • Rosmarin, D., Pargament, K., & Mahoney, A. (2009). The role of religiousness in anxiety, depression, and happiness in a Jewish community sample: A preliminary investigation. Mental Health, Religion and Culture, 12, 97–113.

    Google Scholar 

  • Royse, D., & Badger, K. (2017). Near-death experiences, posttraumatic growth, and life satisfaction among burn survivors. Social Work in Health Care, 56(3), 155–168.

    PubMed  Google Scholar 

  • Seyed Bagheri, S. H., Dehghan, M., Alavi, S. H., Iranmanesh, S., & Khoshab, H. (2016). 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, 55(4), 1–11.

    Google Scholar 

  • Seyedamini, B. (2011). Fears, needs and nursing support of mothers during their Child’s Hospitalization. Iran Journal of Nursing (20085923), 24(72).

  • Smith, S., & Cook, S. (2004). Are reports of posttraumatic growth positively biased? Journal of Traumatic Stress, 17(4), 353–358.

    PubMed  Google Scholar 

  • Streisand, R., & Tercyak, K. P. (2004). Parenting chronically III children the scope and impact of pediatric parenting stress. In Handbook of parenting: Theory and research for practice, 181.

  • Taheri, H. (2005). The role of religion in mental health. Islamic Jurisprudence Research, 1(3), 5–21.

    Google Scholar 

  • Thiele, A., Weigel, J., Ziesch, B., Rohde, C., Mütze, U., Ceglarek, U., Beblo, S. (2012). Nutritional changes and micronutrient supply in patients with phenylketonuria under therapy with tetrahydrobiopterin (BH4). In JIMD reports-case and research reports, 2012/6, pp. 31–40.

  • Thomas, D. S., Shakman, L. M. W., Saraswathy, K., & Arulappan, J. (2017). Parenting a child with metabolic diseases: Impact on health related quality of life of parents. Diabetes & Metabolic Syndrome: Clinical Research & Reviews, 11(1), 25–29.

    Google Scholar 

  • Thyme, K. E., Wiberg, B., Lundman, B., & Graneheim, U. H. (2013). Qualitative content analysis in art psychotherapy research: Concepts, procedures, and measures to reveal the latent meaning in pictures and the words attached to the pictures. The Arts in Psychotherapy, 40(1), 101–107.

    Google Scholar 

  • Tuck, I. (2012). A critical review of a spirituality intervention. Western Journal of Nursing Research, 34(6), 712–735.

    PubMed  Google Scholar 

  • Vaismoradi, M., Turunen, H., & Bondas, T. (2013). Content analysis and thematic analysis: Implications for conducting a qualitative descriptive study. Nursing & Health Sciences, 15(3), 398–405.

    Google Scholar 

  • Wysocki, T., & Gavin, L. (2005). Paternal involvement in the management of pediatric chronic diseases: Associations with adherence, quality of life, and health status. Journal of Pediatric Psychology, 31(5), 501–511.

    PubMed  Google Scholar 

  • Zeligman, M., Varney, M., Grad, R. I., & Huffstead, M. (2018). Posttraumatic growth in individuals with chronic illness: The role of social support and meaning making. Journal of Counseling & Development, 96(1), 53–63.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Roghayeh Mehdipour-Rabori.

Ethics declarations

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical Approval

Ethical considerations were conducted before the beginning of the study; all participants completed written informed consent forms and were assured that their information would remain confidential. This study was approved by the ethical committee of Kerman University of Medical Sciences (IR.KMU.REC.1397.326). Study purposes, the confidentiality of data, and recording of interviews clarified to the participants before interviews, and their verbal agreements were obtained.

Informed Consent

Informed consent was obtained from all individual participants included in the study.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Roghayeh Medipour-Rabori has a Ph.D in nursing. She works in Kerman University of Medical Sciences. She has worked on Phenylketonuria.

Stress and quality of life in parents of children with phenylketonuria was written by her and her coworker.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Nematollahi, M., Mehdipour-Rabori, R. & Bagheryan, B. Spirituality, a Path to Peace: The Experiences of Parents Who Have Children with Phenylketonuria. J Relig Health 60, 374–388 (2021). https://doi.org/10.1007/s10943-019-00903-w

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10943-019-00903-w

Keywords

Navigation