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The relationship between spiritual health and depression and anxiety among COVID-19 patients: a cross-sectional study

Year: 2025

Type: article

Abstract: The COVID-19 pandemic has significantly affected mental health worldwide, particularly among patients with the disease. Spiritual health may influence psychological resilience and adaptation. This study examined the relationship between spiritual health, depression, and anxiety in hospitalized COVID-19 patients in [Masked for Review]. A cross-sectional study was conducted on 200 patients admitted to Amiralmomenin Hospital, [Masked for Review], using convenience sampling between June and December 2022. Data were collected using a demographic questionnaire, the Ellison & Paloutzian Spiritual Health Questionnaire, the COVID-19 Anxiety Scale (CDAS), and the Beck Depression Inventory. Data were analyzed using SPSS version 25, applying descriptive and inferential statistical methods. More than half of the participants reported minimal levels of depression and COVID-19–related anxiety. Depression was significantly and positively correlated with mental anxiety (r s = 0.250, p < 0.001) and physical anxiety (r s = 0.292, p < 0.001). Religious well-being showed a statistically significant positive correlation with physical anxiety (r s = 0.143, p = 0.043), while no significant correlations were observed between religious or existential well-being and depression. Existential well-being was significantly correlated with religious well-being (r s = 0.401, p < 0.001). No significant differences in depression, anxiety, or spiritual health scores were observed according to sex or marital status. Depression was associated with COVID-19–related anxiety, while spiritual health showed no significant link with depression. These findings highlight the importance of addressing mental health in hospitalized COVID-19 patients.

Source: International Journal of Africa Nursing Sciences

DOI: 10.1016/j.ijans.2025.100941

Authors: Razieh Mokhtari, Kamel Abdi, Mohamad Golitaleb, Ali Safdari

Institutions: Arak University of Medical Sciences, Komar University of Science and Technology, Tehran University of Medical Sciences, Semnan University of Medical Sciences

Language: English

Topic: Religion, Spirituality, and Psychology

Subfield: Health

Field: Social Sciences

Domain: Social Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $2,130