Comparison of the Effectiveness of Grief Counseling and God-Oriented Spiritual Counseling on Depression Symptoms and Suicidal Ideation in People with COVID-19 Grief
Counseling in people with COVID-19 grief
Downloads
Background: Due to the COVID-19 pandemic, grief is currently a widely experienced psychological problem. Depression symptoms and suicidal ideation are associated with COVID-19 grief. Therefore, the present study was conducted to compare the effectiveness of grief counseling and God-oriented spiritual counseling on depression symptoms and suicidal ideation in people with COVID-19 grief.
Methods: The present experimental study was conducted with a pretest-posttest design, a control group, and follow-up. The study population consisted of all residents of Shahr-e-Rey, Iran, who had lost a member of their family due to COVID-19. Through purposive sampling, 51 individuals who were willing to participate in the study and met the study inclusion criteria were selected and were randomly assigned to 2 experimental groups and 1 control group (17 in each group). In the 3 stages of pretest, posttest, and follow-up, data were collected using the Beck Depression Inventory (Beck et al., 1996) and Beck Scale for Suicidal Ideation (Beck et al., 1988). The collected data were analyzed using repeated measures analysis of variance (ANOVA) in SPSS software.
Results: The results showed that both methods of intervention were effective in reducing depressive symptoms and suicidal thoughts. However, the effect of God-oriented spiritual counseling was greater than the other intervention. The study findings showed that the interaction effect of group × time for symptoms of depression (η2 = 0.343; P < 0.001; F = 12.53) and suicidal thoughts (η2 = 0.148; P < 0.001; F = 4.16) were significant at the 0.01 level.
Conclusion: In general, the present study showed that God-oriented spiritual counseling, compared to grief counseling, is more effective on the symptoms of depression and suicidal thoughts.
Downloads
Akbari, A., Ysefpoor, N., Ahangari, E., & Samari, A. A. (2017). An investigation of the effectiveness of psychotherapy based on the life quality improvement on the reduction of depression of those suffering from complicated grief. Research in Clinical Psychology and Counseling, 7(1), 21-37.
Beck, A. T., Steer, R. A., & Brown, G. (1996). Beck depression inventory–II. Psychological assessment.
Beck, A. T., Steer, R. A., & Ranieri, W. F. (1988). Scale for suicide ideation: Psychometric properties of a self‐report version. Journal of clinical psychology, 44(4), 499-505.
Boelen, P. A., Lenferink, L., & Spuij, M. (2020, November). “GriefHelp” a cognitive behavioral treatment for disturbed grief in children: Findings from a randomized controlled trial. At the 36th annual meeting of the International Society for Traumatic Stress Studies (ISTSS).
Dastani, M., Roshan, R., Janbozorgi, M., Shaeiri, M.R., Aghaei, E. (2018). Spirituality and religious approaches to depression symptoms. A Meta-analysis. Journal of Disability Studies. 9: 65-65.
D'Souza, R. F., & Rodrigo, A. (2004). Spiritually augmented cognitive behavioral therapy. Australasian Psychiatry, 12(2), 148-152.
Esfahani, M., Hashemi, Y., & Alavi, K. (2015). Psychometric assessment of beck scale for suicidal ideation (BSSI) in general population in Tehran. Medical journal of the Islamic Republic of Iran, 29, 268.
Faraji, F., Nouhi, S., Peiade-koohsar, A., & Janbozorgi, M. (2021). The Effectiveness of God-inclined Spiritually Multidimensional Psychotherapy (SMP) in Improving Symptoms of Psychological Disorders and Post-Traumatic Stress Disorder. Journal of Assessment and Research in Counseling and Psychology, 3(1), 1-16.
Ghamari Givi, H., Zahed, A., & Fathi, D. (2016). Effectiveness of group cognitive-behavioral therapy on depression among the mournful elderly. Journal of Geriatric Nursing, 2(3), 22-31.
Ghassemzadeh, H., Mojtabai, R., Karamghadiri, N., & Ebrahimkhani, N. (2005). Psychometric properties of a Persian‐language version of the Beck Depression Inventory‐Second edition: BDI‐II‐PERSIAN. Depression and anxiety, 21(4), 185-192.
Goveas, J. S., & Shear, M. K. (2020). Grief and the COVID-19 pandemic in older adults. The American Journal of Geriatric Psychiatry, 28(10), 1119-1125.
Gunnell, D., Appleby, L., Arensman, E., Hawton, K., John, A., Kapur, N., ... & Yip, P. S. (2020). Suicide risk and prevention during the COVID-19 pandemic. The Lancet Psychiatry, 7(6), 468-471.
Hajebi, A., Khadim al-Reza, N., Fathi, M., Rasoulian, M and Asadi, A. (2019). The educational content of bereavement counseling in the survivors of the deceased is caused by the disease of covid-19. Office of Mental, Social and Addiction Health, Ministry of Health, Treatment and Medical Education.
Hofmann, S. G. (2006). The importance of culture in cognitive and behavioral practice. Cognitive and behavioral practice, 13(4), 243-245.
Janbozorgi, M. (2016). Spiritually Multidimensional Psychotherapy (SMP): Activation of spiritual action and its effectiveness on psychological problems of anxious clients. Journal of Islamic Psychology, 2(3), 8-39.
Kendler, K. S., Hettema, J. M., Butera, F., Gardner, C. O., & Prescott, C. A. (2003). Life event dimensions of loss, humiliation, entrapment, and danger in the prediction of onsets of major depression and generalized anxiety. Archives of general psychiatry, 60(8), 789-796.
Koenig, H., Koenig, H. G., King, D., & Carson, V. B. (2012). Handbook of religion and health. Oup Usa.
Lee, S. A., & Neimeyer, R. A. (2022). Pandemic Grief Scale: A screening tool for dysfunctional grief due to a COVID-19 loss. Death Studies, 46(1), 14-24.
Malkinson, R. (2001). Cognitive-behavioral therapy of grief: A review and application. Research on Social Work Practice, 11(6), 671-698.
Momeni, J., & Sahab Negah, S. (2020). A review on grief process: Complication of grief during COVID-19 pandemic. Navid No, 23(Ù Û Ú ), 51-64.
Mortazavi, S. S., Assari, S., Alimohamadi, A., Rafiee, M., & Shati, M. (2020). Fear, loss, social isolation, and incomplete grief due to COVID-19: a recipe for a psychiatric pandemic. Basic and Clinical Neuroscience, 11(2), 225.
Neimeyer, R. A. (2000). Searching for the meaning of meaning: Grief therapy and the process of reconstruction. Death Studies, 24(6), 541-558.
Nequee, F., Oraki, M., Janbozorgi, M., & Alipoor, A. (2020). Comparative study of the effect of multidimensional spiritual therapy and stress inoculation training (SIT) on physiological and psychological coordination of heart rate variability (HRV) and depression in patients after coronary artery bypass graft (CABG) surgery. Iranian Journal of Cardiovascular Nursing, 9(1), 78-89.
Palmer, M., Saviet, M., & Tourish, J. (2016). Understanding and supporting grieving adolescents and young adults. Pediatric Nursing, 42(6), 275-281.
Rassouli, M., Ashrafizadeh, H., Shirinabadi Farahani, A., & Akbari, M. E. (2020). COVID-19 management in Iran as one of the most affected countries in the world: advantages and weaknesses. Frontiers in public health, 8, 510.
Rohani, M., Janbozorgi, M., Ahadi, H., & Beliad, M. R. (2018). The effectiveness of the short-term pattern of spiritually multidimensional psychotherapy (SMP) in controlling depression symptoms. Studies in Islam and Psychology, 12(22), 135-168.
Salehi, M., Amanat, M., Mohammadi, M., Salmanian, M., Rezaei, N., Saghazadeh, A., & Garakani, A. (2021). The prevalence of post-traumatic stress disorder related symptoms in Coronavirus outbreaks: A systematic review and meta-analysis. Journal of affective disorders, 282, 527-538.
Simon, N. M., Saxe, G. N., & Marmar, C. R. (2020). Mental health disorders related to COVID-19–related deaths. Jama, 324(15), 1493-1494.
Stroebe, M., & Schut, H. (2021). Bereavement in times of COVID-19: A review and theoretical framework. OMEGA-Journal of Death and Dying, 82(3), 500-522.
Stroebe, M., Schut, H., & Stroebe, W. (2007). Health outcomes of bereavement. The Lancet, 370(9603), 1960-1973.
Targhijah, S; Navanijad, Sh; Bowalhari, J and Kiamanesh, A. (2007). Comparison of the effect of group psychotherapy with cognitive approach and spiritual approach on depression in female students of Tehran universities. Counseling Research, 6(21): 11-125.
Verdery, A., Smith-Greenaway, E., Margolis, R., & Daw, J. (2020). Tracking the reach of COVID-19 kin loss with a bereavement multiplier applied to the United States. Proceedings of the National Academy of Sciences, 117, 202007476.
Wallace, C. L., Wladkowski, S. P., Gibson, A., & White, P. (2020). Grief During the COVID-19 Pandemic: Considerations for Palliative Care Providers. Journal of Pain and Symptom Management, 60(1), e70-e76.
Zhai, Y., & Du, X. (2020). Loss and grief amidst COVID-19: A path to adaptation and resilience. Brain, Behavior, and Immunity, 87, 80-81.
Copyright (c) 2022 International Journal of Body, Mind and Culture

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.