Abstract
Patients with advanced renal failure often face considerable sociopsychological stress as a result of lifestyle changes due to the disease and its treatment. The aim of the present study is to examine the effect of the Holy Qur’an recitation on depressive symptoms in hemodialysis patients. In this clinical trial, 54 hemodialysis patients were randomized to either an experimental (n = 27) or a control (n = 27) group. Patients completed the Beck Depression Inventory-II (BDI-II) at baseline and at 1 month after the intervention. Participants in the experimental group listened to recitation of the Holy Qur’an, while those in the control group received no intervention. The mean BDI-II score at baseline was 33.6 (±6.7) for the experimental group and 29.3 (±9.0) for the control group; at the end of treatment, BDI-II scores in the experimental and control groups were 14.5 (±4.8) and 31.6 (±9.2), respectively. Results from the repeated-measures general linear model controlling for baseline differences indicated a significant treatment effect (F = 9.30, p = 0.004, Cohen’s d = 0.85). Holy Qur’an recitation has a significant effect on lowering depressive symptoms in hemodialysis patients. Holy Qur’an recitation is an easy-to-implement and cost-effective strategy that may be used to supplement the treatment of depression in this setting in Iran.
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Akbari, M., Darakeh, M., Mohamadi, J., & Rezaei, H. (2012). Effectiveness of Holy Quran in reducing anxiety of prisons. Teb & Tazkieh, 20(3,4), 25–31. [Persian].
Al Zaben, F., Khalifa, D. A., Sehlo, M. G., Al Shohaib, S., Shaheen, F., & Koenig, H. G. (2015). Depression in patients with chronic kidney disease on dialysis in Saudi Arabia. International Urology and Nephrology, 54(2), 713–730.
Ansari Jaberi, A., Negahban Bonabi, T., Saiadi Anari, A. R., & Aghamohamad Hasani, P. (2005). The effect of the koran reciting on the depressed patients in psychiatry department of Moradi hospital in Rafsanjan. Scientific Journal of Kurdistan University of Medical Sciences, 10(2), 42–48.
Aragon, D., Farris, C., & Byers, J. F. (2002). The effects of harp music in vascular and thoracic surgical patients. Alternative Therapies in Health and Medicine, 8(5), 52–54.
Babamohamadi, H., Sotodehasl, N., Koenig, H. G., Jahani, C., & Ghorbani, R. (2015). The effect of Holy Qur’an recitation on anxiety in hemodialysis patients: A randomized clinical trial. Journal of Religion and Health, 54(5), 1921–1930. doi:10.1007/s10943-014-9997-x.
Baraz, S., Mohammadi, E., & Boromand, B. (2005). Effect on quality of life and physical care of patients treated with maintenance hemodialysis. Hayat, 11(24–25), 51–62. [Persian].
Beck, A. T., Ward, C. H., Mendelson, M., Mock, J., & Erbaugh, J. (1961). An inventory for measuring depression. Archives of General Psychiatry, 4, 561–571.
Cengic, B., & Resic, H. (2010). Depression in hemodialysis patients. Bosnian Journal of Basic Medical Sciences, 10(Suppl 1), S73–S78.
Chan, M. F., Chan, E. A., & Mok, E. (2010). Effects of music on depression and sleep quality in elderly people: A randomized controlled trial. Complementary Therapies in Medicine, 18, 150–159. doi:10.1016/j.ctim.2010.02.004.
Chang, S. C., & Chen, C. H. (2005). Effects of music therapy on women’s physiologic measures anxiety and satisfaction during caesarean delivery. Research in Nursing & Health, 28(6), 453–461. doi:10.1002/nur.20102.
Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Hillsdale, NJ: Lawrence Erlbaum Associates.
Cukor, D., Coplan, J., Brown, C., Friedman, S., Cromwell-Smith, A., Peterson, R. A., et al. (2007). Depression and anxiety in urban hemodialysis patients. Clinical Journal of the American Society of Nephrology, 2(3), 484–490. doi:10.2215/CJN.00040107.
Cukor, D., Coplan, J., Brown, C., Peterson, R. A., & Kimmel, P. L. (2008). Course of depression and anxiety diagnosis in patients treated with hemodialysis: A 16-month follow-up. Clinical Journal of the American Society of Nephrology, 3(6), 1752–1758. doi:10.2215/CJN.01120308.
Daugirdas, J. T., & Blake, P. G. (2007). Handbook of dialysis (4th ed., pp. 455–456). Boston: Lippincott Williams & Wilkins.
Drayer, R. A. (2006). Characteristics of depression in hemodialysis patients: Symptoms, quality of life and mortality Risk. General Hospital Psychiatry, 28, 306–312.
Duarte, P. S., Miyazaki, M. C., Blay, S. L., & Sesso, R. (2009). Cognitive–behavioral group therapy is an effective treatment for major depression in hemodialysis patients. Kidney International, 76(4), 414–421.
Dumitrescu, A. L., Gârneaţă, L., & Guzun, O. (2009). Anxiety, stress, depression, oral health status and behaviours in Romanian hemodialysis patients. Romanian Journal of Internal Medicine, 47(2), 161–168.
Eryilmaz, M. M., Ozdemir, C., Yurtman, F., Cilli, A., & Karaman, T. (2005). Quality of sleep and quality of life in renal transplantation patients. Transplantation Proceedings, 32(5), 2072–2076. doi:10.1016/j.transproceed.2005.03.084.
Feroze, U., Martin, D., Reina-Patton, A., Kalantar-Zadeh, K., & Kopple, J. D. (2010). Mental health, depression, and anxiety in patients on maintenance dialysis. Iranian Journal of Kidney Diseases, 4, 173–180.
Finkelstein, F. O., & Finkelstein, S. H. (2000). Depression in chronic dialysis patients: Assessment and treatment. Nephrology, Dialysis, Transplantation, 15(12), 1911–1913. doi:10.1093/ndt/15.12.1911.
Fitzgerald, M., Culbert, T., Finkelstein, M., Green, M., Johnson, A., & Chen, S. (2007). The effect of gender and ethnicity on children’s attitudes and preferences for essential oils: A pilot study. Explore (NY), 3(4), 378–385. doi:10.1016/j.explore.2007.04.009.
Gerogianni, S. K., & Babatsikou, F. P. (2014). Psychological aspects in chronic renal failure. Health Science Journals, 8(2), 205–214.
Guétin, S., Soua, B., Voiriot, G., Picot, M. C., & Hérisson, C. (2009). The effect of music therapy on mood and anxiety–depression: An observational study in institutionalized patients with traumatic brain injury. Annals of Physical and Rehabilitation Medicine, 52(1), 30–40. doi:10.1016/j.annrmp.2008.08.009.
Hallam, S., Cross, I., & Thaut, M. (2009). The Oxford handbook of music psychology. New York: Oxford University Press.
Heidari, M., & Shahbazi, S. (2013). Effect of Quran and music on anxiety in patients during endoscopy. Knowledge & Health, 8(2), 67–70. [Persian].
Henry, L. L. (1995). Music therapy: A nursing intervention for the control of pain and anxiety in ICU: A review of the research literature. Dimensions of Critical Care Nursing, 14(6), 295–304.
Imanishi, J., Kuriyama, H., Shigemori, I., Watanabe, S., Aihara, Y., Kita, M., et al. (2009). Anxiolytic effect of aromatherapy massage in patients with breast cancer. Evidence-Based Complementary and Alternative Medicine, 6(1), 123–128. doi:10.1093/ecam/nem073.
Kamali, A. (2005). Subject interpretation of Quran. Tehran: Maaref Publication. [Persian].
Karimi, R., Shabani, F., Dehghan Nayeri, N., Zareii, K., Khalili, G., & Chehrazi, M. (2012). Effect of music therapy on physiological pain responses of blood sampling in premature infants. Hayat, 18(2), 76–86. [Persian].
Kim, K., Lee, M., & Sok, S. (2006). The effect of music therapy on anxiety and depression in patients undergoing hemodialysis. Taehan Kanho Hakhoe Chi, 36(2), 321–329.
Kimmel, P. L. (2002). Depression in patients with chronic renal disease. What we know and what we need to know. Journal of Psychosomatic Research, 53(4), 951–956. doi:10.1016/S0022-3999(02)00310-0.
Koenig, H. G. (2012). Religious vs. conventional psychotherapy for major depression in patients with chronic medical illness: Rationale, methods, and preliminary results. Depression Research and Treatment, Article ID 460419. doi:10.1155/2012/460419.
Koenig, H. G., Pearce, M. J., Nelson, B., Shaw, S. F., Robins, C. J., Daher, N., et al. (2015). Religious vs. conventional cognitive-behavioral therapy for major depression in persons with chronic medical illness. Journal of Nervous and Mental Disease, 203(4), 243–251.
Koo, J. R., Yoon, J. W., Kim, S. G., Lee, Y. K., Oh, K. H., Kim, G. H., et al. (2003). Association of depression with malnutrition in chronic hemodialysis patients. American Journal of Kidney Diseases, 41(5), 1037–1042. doi:10.1016/S0272-6386(03)00201-4.
Maarefat, M. H. (1993). The discipline and rhythm in Quran. Journal of Mirase Javidan, 3, 10–17.
Majidi, S. A. (2004). Recitation effect of Holy Quran on anxiety of patients before undergoing coronary artery angiography. Journal of Gilan University of Medical Sciences, 13(49), 61–67. [Persian].
Maratos, A., Gold, C., Wang, X., & Crawford, M. (2008). Music therapy for depression. Cochrane Database of Systematic Reviews, (1), CD004517. doi:10.1002/14651858.CD004517.pub2.
McCaffrey, R., Thomas, D. J., & Kinzelman, A. O. (2009). The effects of lavender and rosemary essential oils on test-taking anxiety among graduate nursing students. Holistic Nursing Practice, 23(2), 88–93. doi:10.1097/HNP.0b013e3181a110aa.
Mirbagher Ajorpaz, N., Shahshahani, M., & Dianati, M. (2012). The effect of music on the anxiety and some physiological indices of patients before general surgery. Behbood Journal, 15(2), 90–95. [Persian].
Moreno, J. J. (1985). Music therapy: An integrated approach. The Arts in Psychotherapy, 12(1), 17–23. doi:10.1016/0197-4556(85)90004-8.
Nanbakhsh, F., Zadeh Mohammadi, A., Jalili, N., & Ahmadnejad, E. (2009). The effect of music in reducing the pain and stress during delivery. Urmia Medical Journal, 20(3), 209–214. [Persian].
Navidian, A., Arbabi Sarjou, A., & Kikhai, A. (2006). Frequency of mental disturbances in hemodialysis patients referred to hemodialysis ward of Khatamol Anbia Hospital in Zahedan. Journal of Guilan University of Medical Sciences, 58(15), 61–67. [Persian].
Nazemian, F., Ghafari, F., & Poorghaznein, T. (2008). Evaluation of depression and anxiety in hemodialysis patients. Medical Journal of Mashhad University of Medical Sciences, 3(51), 171–176. [Persian].
Nelson, C. J., Rosenfeld, B., Breitbart, W., & Galietta, M. (2002). Spirituality, religion, and depression in the terminally ill. Psychosomatics, 43(3), 213–220. doi:10.1176/appi.psy.43.3.213.
Sapilak, B. J., Steciwko, A., & Kurpas, D. (2004). Anxiety and depressive symptoms developing at chronically hemodialysis patients in lower Silesia (Poland). American Journal of Nephrology, 24, 46–61.
Sendelbach, S., Halm, M., Doran, K., Miller, E., & Gaillard, P. (2006). Effect of music therapy on physiological outcomes for patients undergoing cardiac surgery. Journal of Cardiovascular Nursing, 21(3), 194–200.
Sheibani Tazraji, F., Pakdaman, S., Dadkhah, A., & Hasanzadeh Tavakoli, M. (2010). The effect of music therapy on depression and loneliness in old people. Iranian Journal of Ageing, 5(16), 54–60. [Persian].
Smolen, D., Topp, R., & Singer, L. (2002). The effect of self-selected music during colonoscopy on anxiety, heart rate and blood pressure. Applied Nursing Research, 15(3), 126–136. doi:10.1053/apnr.2002.34140.
Vahabi, Y. (2003). The effect of music therapy and relaxation on hospitalized CCU patients’ anxiety. IJPCP, 8(3), 75–82. [Persian].
Welch, J. L., & Austin, J. K. (2000). Stressors, coping and depression in hemodialysis. Journal of Advanced Nursing, 33, 200–207. doi:10.1111/j.1365-2648.2001.01654.x.
Yousefinejad Ostadkelayeh, A., Madadi, A., Majedzadeh, S., Shabannia, R., Sadeghian, N., Zarinara, A., et al. (2005). The effect of music therapy on chronic pain in patients with cancer. The Journal of Qazvin University of Medical Sciences, 9(1), 39–42. [Persian].
Zahiroddin, A., Hayati, M., Jadidi, M., & Samimi, S. (2005). Depression in hemodialysis patients. Journal of Ardabil University of Medical Sciences, 5(3), 256–259. [Persian].
Zamanzadeh, V., Heydarzade, M., Ashvandi, K. H., & Lak, D. S. (2007). Relationship between quality of life and social support in hemodialysis patient. Medical Journal of Tabriz University of Science, 7(29), 49–54. [Persian].
Zare, M., Ebrahimi, A. A., & Birashk, B. (2009). The effect of music therapy on reducing agitation in patients with Alzheimer’s disease in Shahryar city nursing home. Advances in Cognitive Science, 11(2), 55–62. [Persian].
Zouari, L., Elleuch, M., Feki, I., Allouch, C., Yaich, S., Ben Thabet, J., et al. (2011). Depression in chronic hemodialysis patients: About 106 cases. Tunisian Medical, 89(2), 157–162.
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This study was based on a master’s thesis in Critical Care Nursing and a research plan approved by the Nursing and Allied Health School at Semnan University of Medical Sciences. We would also like to warmly thank the patients who participated in this study, as well as Semnan University of Medical Sciences who kindly gave permission and financial support for the study.
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Babamohamadi, H., Sotodehasl, N., Koenig, H.G. et al. The Effect of Holy Qur’an Recitation on Depressive Symptoms in Hemodialysis Patients: A Randomized Clinical Trial. J Relig Health 56, 345–354 (2017). https://doi.org/10.1007/s10943-016-0281-0
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DOI: https://doi.org/10.1007/s10943-016-0281-0