Prediction of the Dimensions of Mental Health Based on Spiritual Health and Emotion Regulation Strategies during the Pandemic of Coronavirus in Iran

Document Type : Original Article


Department of Psychology, Faculty of Humanities, University of Zanjan, Zanjan, Iran



Introduction: This study is aimed to predict the dimensions of mental health based on spiritual health and emotion regulation strategies during the pandemic of coronavirus in Iran.
Method: The research method was descriptive-correlational, and the statistical population included the people of Zanjan city, from which 300 people were selected as the study sample by using the convenience sampling method. Demographic questionnaires, Goldberg General Health (GHQ), Paloutzian and Ellison Spiritual Health, and Garnfsky and Craig Cognitive Emotion Regulation were used to collect data. Pearson correlation coefficient and multiple regression method with SPSS-26 software were used to analyze the data.
Results: The results showed that spiritual health, adaptive and maladaptive strategies of emotion regulation predict 34%, 19%, and 43% of mental health changes, respectively.
Conclusion: According to findings, it is required to pay attention to the spiritual dimension and also teaching the use of appropriate emotion strategies regulation in stressful situations to promote the mental health of different people of societies.


  1. Farnoosh G, Alishiri G, Hosseini Zijoud SR, Dorostkar R, Jalali Farahani A. Understanding the severe acute respiratory syndrome coronavirus 2 (Sars-Cov-2) and coronavirus disease (Covid-19) based on available evidence-a narrative review. Journal of Military Medicine. 2020;22(1):1-11. doi:10.30491/JMM.22.1.1

    1. Remuzzi A, Remuzzi G. Covid-19 and Italy: what next? The lancet. 2020;395(10231):1225-8. doi:10.1016/S0140-6736(20)30627-9
    2. Zangrillo A, Beretta L, Silvani P, Colombo S, Scandroglio AM, Dell’Acqua A, Fominskiy E, Landoni G, Monti G, Azzolini ML, et al. Fast reshaping of intensive care unit facilities in a large metropolitan hospital in Milan, Italy: Facing the COVID-19 pandemic emergency. Critical Care and Resuscitation. 2020;22(2),391–94. doi:10.51893/2020.2.pov1 
    3. Li S, Wang Y, Xue J, Zhao N, Zhu T. The impact of Covid-19 epidemic declaration on psychological consequences: a study on active Weibo users. International Journal of Environmental Research and Public Health. 2020;17(6):2032. doi:10.3390/ijerph17062032
    4. Bao Y, Sun Y, Meng S, Shi J, Lu L. 2019-nCoV epidemic: address mental health care to empower society. The Lancet. 2020;395(10224):e37-e8.doi:10.1016/S0140-6736(20)30309-3   
    5. Chen Q, Liang M, Li Y, Guo J, Fei D, Wang L, et al. Mental health care for medical staff in China during the Covid-19 outbreak. The Lancet Psychiatry. 2020;7(4):e15-e6. doi:10.1016/S2215-0366(20)30078-X
    6. Liu S, Yang L, Zhang C, Xiang YT, Liu Z, Hu S, Zhang B. Online mental health services in China during the Covid-19 outbreak. The Lancet Psychiatry. 2020;7(4):e17-e8. doi:10.1016/S2215-0366(20)30077-8
    7. Yang L, Wu D, Hou Y, Wang X, Dai N, Wang G, Yang Q, Zhao W, Lou Zh, Ji Y, & Ruan L. Analysis of psychological state and clinical psychological intervention model of patients with Covid-19. medRxiv. 2020.03.22.20040899. doi:10.1101/2020.03.22.20040899
    8. Organization WH. The World Health Report 2001: Mental health: new understanding, new hope. 2001.
    9. Sadeghi MR, Bagherzadeh Ladari R, Haghshenas M. A study of religious attitude and mental health in students of Mazandaran University of Medical Sciences. Journal of Mazandaran University of Medical Sciences. 2010;20(75):71-5.
    10. Reamon CV. The Training Needs of Community Service Providers of an Intensive Mental Health Program in Virginia’s Public School Settings. Doctorate in Social Work (DSW) Dissertations. 2018. 105.
    11. Abbasi M, Shamsi GE, Movahedi H, Saffari S. Spiritual care at the end of life (Systematic review). 2015.
    12. Abbasi M, Azizi F, Gooshki ES, Rad MN, Lakeh MA. Conceptual Definition and Operationalization of Spiritual Health: A Methodological Study. Journal of Medical Ethics. 2016;6(20):11-44.
    13. Maaref M, Asadi F. The factors of achieving spiritual health from the perspective of the quran and the hadith. Insight and islamic training. 2017; 14(41):9-40.
    14. Nodoushan RJ, Alimoradi H, Nazari M. Spiritual health and stress in pregnant women during the Covid-19 pandemic. SN comprehensive clinical medicine. 2020;2(12):2528-34. doi:10.1007/s42399-020-00582-9
    15. Organization WH. Promoting mental health: concepts, emerging evidence, practice: a report of the World Health Organization, Department of Mental Health and Substance Abuse in collaboration with the Victorian Health Promotion Foundation and the University of Melbourne. 2005.
    16. Asadzandi M, Abolghasemi H, Javadi M, Sarhangi F. A Comparative Assessment of the Spiritual Health Behaviors of the Iranian Muslim in the Covid-19 Pandemic with Religious Evidence. Journal of Military Medicine. 2020;22(8):864-72. doi:10.30491/JMM.22.8.864
    17. Muñoz-García A, Aviles-Herrera MJ. Effects of academic dishonesty on dimensions of spiritual well-being and satisfaction: a comparative study of secondary school and university students. Assessment & Evaluation in Higher Education. 2014;39(3):349-63. doi:10.1080/02602938.2013.832729
    18. Dastgheib Z, Gharlipour Z, Ghobadi Dashdebi K, Hoseini F, & Vafaee R. Association of between mental health and spiritual health among students in Shiraz University. Advances in Nursing & Midwifery. 2015; 24(84), 53-59. URL:
    19. Martínez BB, Custódio RP. Relationship between mental health and spiritual wellbeing among hemodialysis patients: a correlation study. Sao Paulo medical journal. 2014;132:23-7. doi: 10.1590/1516-3180.2014.1321606
    20. Naghibi SA, Ashari S, Rostami F, Hosseini SH. Evaluation of the relationship between spiritual health and mental health in patients undergoing methadone maintenance treatment. Journal of health research in community. 2015;1(3):61-9. URL:
    21. Yousefi F, Rafiee S, Tairi F. The relationship between spiritual health and mental health in students of Kurdistan University of Medical Sciences. Shenakht Journal of Psychology and Psychiatry. 2019;6(4):100-109. doi:10.29252/shenakht.6.4.100
    22. Abbasian F, Mirmohammadkhani M, Ghahremanfard F, Ghods E. Self-esteem and spiritual health in cancer patients under chemotherapy in Semnan University of Medical Sciences in 2014. Health, Spirituality and Medical Ethics. 2016;3(4):29-37.
    23. Assarroudi A, Jalilvand M, Oudi D, Akaberi A. The relationship between spiritual well-being and life satisfaction in the nursing staff of Mashhad Hasheminezhad Hospital (2011). Modern Care Journal. 2012;9(2):156-162.
    24. Behrouian M, Ramezani T, Dehghan M, Sabahi A, Zarandi BE. The effect of the emotion regulation training on the resilience of caregivers of patients with schizophrenia: a parallel randomized controlled trial. BMC psychology. 2021;9(1):1-8. doi: 10.1186/s40359-021-00542-5
    25. Milner K, Crawford P, Edgley A, Hare-Duke L, Slade M. The experiences of spirituality among adults with mental health difficulties: a qualitative systematic review. Epidemiology and psychiatric sciences. 2020;29:e34. doi:10.1017/S2045796019000234
    26. Omidvari S. Spiritual health, its nature and the instruments used. Iranian Journal of Psychiatry and Clinical Psychology. 2010; 16(3):274-279.
    27. Rahimi N, Asadolahi Z, Afsharipour A. A study on the relationship between spiritual health and level of anxiety in the students of nursing and midwifery faculty. Journal of Religion and Health. 2017;4(2):56-64. doi:10.29252/ijn.30.106.78
    28. Safayi RI, Karimi L, Shomoossi N, Ahmadi TM. The relationship between spiritual well-being and mental health of university students. Journal Of Sabzevar University Of Medical Sciences. 2011 17(4); 274 – 280.
    29. Ziapour A, Ghaderi A, Vafapoor H, Yazdani V, Saeidi S, Zangeneh A. Relationship between the Subscales of Mental Health and Spiritual Health in Staff of Kermanshah University of Medical Sciences in 2016. Journal of Research on Religion & Health. 2018;4(3):34-44.
    30. Gresham D, Gullone E. Emotion regulation strategy use in children and adolescents: The explanatory roles of personality and attachment. Personality and individual differences. 2012;52(5):616-621. doi:10.1016/j.paid.2011.12.016
    31. Yeh K-H, Bedford O, Wu C-W, Wang S-Y, Yen N-S. Suppression benefits boys in Taiwan: The relation between gender, emotional regulation strategy, and mental health. Frontiers in psychology. 2017;8:135. doi:10.3389/fpsyg.2017.00135
    32. Gross JJ. Handbook of emotion regulation: Guilford publications; 2013.
    33. Saxena P, Dubey A, Pandey R. Role of Emotion Regulation Difficulties in Predicting Mental Health and Well-being. SIS Journal of Projective Psychology & Mental Health. 2011; 18(2), 147–155.
    34. Besharat MA, Nia ME, Farahani H. Anger and major depressive disorder: The mediating role of emotion regulation and anger rumination. Asian journal of psychiatry. 2013;6(1):35-41. doi:10.1016/j.ajp.2012.07.013
    35. Kortte KB, Gilbert M, Gorman P, Wegener ST. Positive psychological variables in the prediction of life satisfaction after spinal cord injury. Rehabilitation Psychology. 2010;55(1):40. doi:10.1037/a0018624
    36. Üngür G, Karagözo─člu C. The relationship between emotional intelligence, social physique anxiety and life satisfaction in physical education and sports students. International Journal of Humanities and Social Science. 2013;3(13):115-119.
    37. Yousefi J. The Relationship between Emotional Regulation and Positive and Negative Emotions with Psychological Well-being of Students. Journal of Neyshabur University of Medical Sciences. 2015;3(6):66-74.
    38. Aali S, Khoshkhui M, Rafizadeh-Ardabili G. Role of Cognitive Emotion Regulation Strategies on Mental Health and Quality of Life in Allergic Patients. International Journal of Behavioral Sciences. 2021;14(4):211-216. doi: 10.30491/ijbs.2020.220682.1211
    39. Berking M, Wupperman P. Emotion regulation and mental health: recent findings, current challenges, and future directions. Current opinion in psychiatry. 2012;25(2):128-134. doi: 10.1097/YCO.0b013e3283503669
    40. Fayand J, Akbari M, Moradi O, Karimi K. The Effectiveness of Emotional Self-Regulatory Model on Improving the Quality of Life in Multiple Sclerosis Patients. Journal of Health And Care. 2019;20(4):301-311.
    41. Hasirchaman E, Shakerinia I, Sadeghi A. RelationShip between Communication Skills, Responsibility and Emotional Regulation with Mental Health at the Empeloee of Melli Bank. Career and Organizational Counseling. 2018; 10(34): 23-43.
    42. Ojiaku CM, Iorfa S, Mefoh PC, Ezeuzo O, Odinko IC. COVID-19-Induced Anxiety and Covid-19 Precautionary Measures as Predictors of Mental Wellbeing of Nigerians. International Journal of Behavioral Sciences. 2020;14(3):149-54. 10.30491/ijbs.2020.239210.1342
    43. Sobhi N, Gharamaleki, Porzoor P, Aghajani S, Narimani M. Effectiveness of Emotion Regulation Training on Reduction of Anxiety, Stress and Depression Symptoms among University Students. Journal of Health Education and Health Promotion. 2015;3(1):5-13.
    44. Goldberg DP. The detection of psychiatric illness by questionnaire. Maudsley monograph. Oxford University Press. 1972.
    45. Goldberg DP. User's guide to the General Health Questionnaire. Windsor. 1988.
    46. Taghavi S. Validity and reliability of the general health questionnaire (GHQ-28) in college students of shiraz university. Journal of psychology. 2002;5(4):381-398.
    47. Paloutzian RF, Ellison CW. Loneliness, spiritual well-being and the quality of life. Loneliness: A sourcebook of current theory, research and therapy. New York: John Wiley & Sons. 1982:224-237.
    48. Paloutzian R, Ellison C. Spiritual well-being scale. Measures of religiosity. 1982: 382-5. therapy on stress, and psychological well-being in infertile women. Iranina Journal of Obstetrics Gynecology and Infertility. 2012;15(2):49-56.
    49. Ghasemi Jobaneh R, Zahrakar K, Hamdami M, Karimi K. Role of spiritual health and mindfulness in psychological capital of students of university of guilan. Research in medical education. 2016;8(2):27-36. doi:10.18869/acadpub.rme.8.2.27
    50. Bamdad M, Fallahi Khoshknab M, Dalvandi A, Khodayi Ardakani MR. Impact of Spiritual Care on Spiritual Health of hospitalized Amphetamin Dependents. Journal of Nursing Education. 2013;1(3):10-18.
    51. Garnefski N, Kraaij V. Cognitive emotion regulation questionnaire–development of a short 18-item version (CERQ-short). Personality and individual differences. 2006;41(6):1045-1053. doi:10.1016/j.paid.2006.04.010
    52. Besharat MA. Cognitive Emotion Regulation Questionnaire: Instruction and Scoring. University of Tehran 2016;13(50):221-223.