Nejati-Zarnaqi Bayram, Ghaffari Mohtasham, Sohrabizadeh Sanaz, Khorasani-Zavareh Davoud, Sabour Siamak, Mohammadi Reza
Department of Health Management and Economics, School of Medicine, Aja University of Medical Sciences, Tehran, Iran.
Department of Public Health, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
J Relig Health. 2025 Aug 7. doi: 10.1007/s10943-025-02400-9.
The global increase in natural disasters has profoundly impacted the spiritual health of those affected. Inadequate attention to this dimension of health during disaster recovery can lead to long-term adverse effects. This study aimed to evaluate the impact of a mosque-based spiritual rehabilitation intervention on the spiritual health of individuals affected by flooding. A randomized controlled field trial was conducted with 100 married men, aged 22-70 years, in a rural community in Golestan, Iran. Participants were allocated into intervention and control groups through convenience sampling and simple randomization. The intervention consisted of six group sessions facilitated by the researcher, a village health worker, and the Imam of the village mosque in flood-affected areas. The spiritual health of the participants was assessed using a standardized questionnaire tailored for the Iranian context, administered before and after the intervention. The paired t-test showed a significant improvement in the spiritual health of the intervention group, with an increase of 24.9 units (P < 0.001). Multivariate linear regression, adjusted for age and education level, confirmed a significant positive effect of the intervention on spiritual health scores among the flood-affected men (β = 28.3; P < 0.001). These findings underscore the importance of integrating spiritual rehabilitation programs into all phases of disaster management. Such programs should be led by spiritual counselors with expertise in the religious beliefs and values of the affected community. In the preparedness phase, disaster managers and health policymakers should establish guidelines and provide necessary training to ensure the effective implementation of spiritual rehabilitation interventions.
全球自然灾害的增加对受灾者的精神健康产生了深远影响。在灾难恢复过程中，对这一健康维度的关注不足可能会导致长期的不良影响。本研究旨在评估基于清真寺的精神康复干预对受洪水影响个体精神健康的影响。在伊朗戈勒斯坦省的一个农村社区，对100名年龄在22至70岁之间的已婚男性进行了一项随机对照现场试验。通过便利抽样和简单随机化将参与者分为干预组和对照组。干预由研究人员、一名乡村卫生工作者以及受灾地区乡村清真寺的伊玛目主持的六次小组会议组成。使用针对伊朗背景量身定制的标准化问卷在干预前后对参与者的精神健康进行评估。配对t检验显示干预组的精神健康有显著改善，增加了24.9个单位（P < 0.001）。在对年龄和教育水平进行调整的多元线性回归分析中，证实了该干预对受洪水影响男性的精神健康得分有显著的积极影响（β = 28.3；P < 0.001）。这些发现强调了将精神康复项目纳入灾难管理各个阶段的重要性。此类项目应由在受灾社区的宗教信仰和价值观方面具有专业知识的精神顾问牵头。在备灾阶段，灾难管理者和卫生政策制定者应制定指导方针并提供必要的培训，以确保精神康复干预措施的有效实施。
