Effectiveness of Religious-Spiritual Group Therapy on Spiritual Health and Quality of Life in Methadone-treated Patients: A Randomized Clinical Trial

Document Type : Original Article

Authors

1 Spiritual Health Research Center, Qom University of Medical Sciences, Qom, Iran

2 Tavallodi Dobareh Substance Abuse Treatment Center, Qom, Iran

3 Neuroscience Research Center, Qom University of Medical Sciences, Qom, Iran

Abstract

Background: Spirituality is one of the most important factors that can contribute to the recovery of substance
use disorder (SUD). The objective of this study is to evaluate the efficacy of the religious-spiritual group
therapy on the spiritual health and the quality of life in methadone-treated patients.
Methods: This study was carried out in Qom City, Iran, in 2018. 72 methadone-treated patients were
randomly selected and assigned in two groups: the experimental group (which received religious-spiritual
therapy) and control group (which received no treatment). At the beginning of the study (pre-test), eight
weeks after the start of the study (post-test), and three months after the start of the study (follow-up test), all
participants completed the World Health Organization Quality of Life-BREF (WHOQOL-BREF)
questionnaire and the Spiritual Well-Being Scale (SWBS). Participants in the experimental group received 8
sessions (90 minutes for each session) of spiritual and religious training, while the control group received no
religious-spiritual intervention; it just was trained with general information on addiction. Data were analyzed
using SPSS software and descriptive and inferential statistics methods.
Findings: The results of repeated measures analysis of variance (ANOVA) showed that there was no
significant difference between the intervention and control groups in the pretest, but religious-spiritual
training significantly increased spiritual health and the patients' quality of life (P < 0.001).
Conclusion: Religious-spiritual education can improve the quality of life and spiritual well-being in
methadone-treated patients. The findings suggest that religious -spiritual education can be considered as an
inexpensive, accessible, useful, and effective treatment for SUD treatment


Keywords


1. Seivewright NA, Greenwood J. What is important in
drug misuse treatment? Lancet 1996; 347(8998):
373-6.
2. Gordek H, Folsom R, Virag TG. 2010 national
survey on drug use and health sampling error report.
Rockville, MA: Substance Abuse and Mental Health
Services Administration; 2013.
3. Levy S. Youth and the opioid epidemic. Pediatrics
2019; 143(2): e20182752.
4. Alaghemandan H, Ghaffari DM, Khorasani E,
Namazi E, Maniyan MH, Barati M. Personality traits
and their relationship to demographic features in
addicts referring to a drug rehabilitation center in the
city of Isfahan, Iran. Iran J Public Health 2015;
44(4): 551-60.
5. Blume AW. Treating drug problems. 1 st ed.
Hoboken, NJ: Wiley; 2005.
6. Allen TM, Lo CC. Religiosity, spirituality, and
substance abuse. J Drug Issues 2010; 40(2): 433-59.
7. Frenk J, Chen L, Bhutta ZA, Cohen J, Crisp N,
Evans T, et al. Health professionals for a new
century: Transforming education to strengthen health
systems in an interdependent world. Lancet 2010;
376(9756): 1923-58.
8. Hammond A. Substance misuse and serious mental
illness: Spiritual care. Nurs Stand 2003; 18(2): 33-8.
9. Wright SG. Reflections on spirituality and health.
Hoboken, NJ: Wiley; 2005.
10. Kim Y, Seidlitz L. Spirituality moderates the effect
of stress on emotional and physical adjustment. Pers
Individ Dif 2002; 32(8): 1377-90.
11. Dabbghi P. Investigation the role of religious and
spirituality in health. Journal of Paramedicine
Faculty 2009; 4(1): 1-4. [In Persian].
12. Rector TS, Kubo SH, Cohn JN. Validity of the
Minnesota Living with Heart Failure questionnaire
as a measure of therapeutic response to enalapril or
placebo. Am J Cardiol 1993; 71(12): 1106-7.
13. Krausz M, Verthein U, Degkwitz P. Psychiatric
comorbidity in opiate addicts. Eur Addict Res 1999;
5(2): 55-62.
14. Feelemyer JP, Jarlais DCD, Arasteh K, Phillips BW,
Hagan H. Changes in quality of life (WHOQOLBREF) and addiction severity index (ASI) among
participants in opioid substitution treatment (OST) in
low and middle income countries: An international
systematic review. Drug Alcohol Depend 2014; 134:
251-8.
15. Karow A, Reimer J, Schafer I, Krausz M, Haasen C,
Verthein U. Quality of life under maintenance
treatment with heroin versus methadone in patients
with opioid dependence. Drug Alcohol Depend
2010; 112(3): 209-15.
16. Sugarman DE, Nich C, Carroll KM. Coping strategy
use following computerized cognitive-behavioral
therapy for substance use disorders. Psychol Addict
Behav 2010; 24(4): 689-95.
17. Momeni F, Moshtagh N, Pourshahbaz A.
Effectiveness of cognitive-behavioral group therapy
on improving quality of life in opiate addicts under
methadone maintenance treatment. Research on
Addiction 2013; 7(27): 79-92. [In Persian].
18. Heinz A, Epstein DH, Preston KL.
Spiritual/Religious experiences and in-treatment
outcome in an inner-city program for heroin and
cocaine dependence. J Psychoactive Drugs 2007;
39(1): 41-9.
19. Salmabadi M, Faroogh SM, Farshad MR, Zolfaghari
S. Comparing the spiritual health and quality of life
in addicted and non-addicted patients in the city of
Birjand, Iran. Int J High Risk Behav Addict 2016;
5(1): e23208.
20. Garoussi C, Bahari F. Addiction: Counselling and
treatment (Guide for behaviour change among
addicts. Tehran, Iran: Danjeh Publications; 2009. p.
12-28. [In Persian].
21. Longshore D, Anglin MD, Conner BT. Are
religiosity and spirituality useful constructs in drug
treatment research? J Behav Health Serv Res 2009;
36(2): 177-88.
22. Mesbah M, Marandi SA. Islamic approach to
spiritual health. Tehran, Iran: Hoghooghi
Publications; 2014. [In Persian].
23. West W. Psychotherapy and spirituality. Trans.
Shahidi S, Shiafkan S. Tehran, Iran: Roshd
Publications; 2004. [In Persian].
24. Karimnejad F, Maktabi G, Vatankhah M, Firoozy A.
Comparison between agreeableness trait of
personality and spiritual health of the addicts living
in community treatment centers (TC) and under
methadone treatment addicts in Ahvaz, Iran.
Hormozgan Med J 2014; 18(1): 81-90. [In Persian].
25. Mohammadi MR, Akbari AA, Hatami N, Mokri A,
Kaviani H, Salmanian M, et al. Effectiveness of
grouped spiritual psychotherapy on patients with
opium using disorder. Hakim Health Sys Res 2011;
14(3): 144-50. [In Persian].
26. Ellison CW. Spiritual well-being: conceptualization
and measurement. J Psychol Theol 1983; 11(4):
330-40.
27. Genia V. Evaluation of the Spiritual Well-Being
Scale in a sample of college students. Int J Psychol
Relig 2001; 11(1): 25-33.
28. Seyed Fatemi N, Rezaei M, Givari A, Hosseini F.
Spirituality and Addiction Yaghubi et al.
Addict Health, Summer 2019; Vol 11, No 3 163
http://ahj.kmu.ac.ir, 06 July
Prayer and spiritual well-being in cancer patients.
Payesh Health Monit 2015; 5(4): 295-304.
[In Persian]
29. World Health Organization, Division of Mental
Health. WHOQOL-BREF: Introduction,
administration, scoring and generic version
of the assessment: Field trial version, December
1996. Geneva, Switzerland: World Health
Organization; 1996.
30. Nejat S, Montazeri A, Holakouie Naieni K,
Mohammad K, Majdzadeh S. The World Health
Organization quality of Life (WHOQOL-BREF)
questionnaire: Translation and validation study of the
Iranian version. J Sch Public Health Inst Public
Health Res 2006; 4(4): 1-12. [In Persian].
31. Ravaei F, Hosseinian S, Tabatabaei S. Effectiveness
of cognitive behavioral and spiritual trainings on
improving mental health of HIV positive drug
addicts. Arch Clin Infect Dis 2012; 8(1): 23-6.
32. Bamdad M, Fallahi Khoshknab M, Dalvandi A,
Khodayi Ardakani MR. Impact of spiritual care on
spiritual health of hospitalized amphetamin
dependents. Iranian Journal of Psychiatric Nursing
2013; 1(3): 10-8. [In Persian].
33. Moscati A, Mezuk B. Losing faith and finding
religion: Religiosity over the life course and
substance use and abuse. Drug Alcohol Depend
2014; 136: 127-34.
34. Arevalo S, Prado G, Amaro H. Spirituality, sense of
coherence, and coping responses in women receiving
treatment for alcohol and drug addiction. Eval
Program Plann 2008; 31(1): 113-23.
35. Nikmanesh Z, Honakzehi F. Examining Perceived
social support, positive affection, and spirituality, as
resilience factors, among boys of drug-dependent
fathers. Shiraz E Med J 2016; 17(2): e42200.
36. Maddahifard R, Rahimi M, Kazemi Zarif AR, Fattah
Moghaddam L. The effect of spiritual group therapy
on resilience and conflict of women with marital
conflict. J Appl Environ Biol Sci 2015; 5(9S): 326-34.