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The Effect of Spiritual Self-care Training on Stress and Anger Experienced by Mothers of Children with Type 1 Diabetes

Author(s):
Elham KeikhaElham Keikha1, Mozhgan RahnamaMozhgan RahnamaMozhgan Rahnama ORCID1, Abdolghani AbdollahimohammadAbdolghani AbdollahimohammadAbdolghani Abdollahimohammad ORCID1, Mahin NaderifarMahin NaderifarMahin Naderifar ORCID1, Hossein ShahdadiHossein ShahdadiHossein Shahdadi ORCID1,*
1Nursing and Midwifery School, Zabol University of Medical Sciences, Zabol, Iran

Modern Care Journal:Vol. 22, issue 3; e157720
Published online:Jun 11, 2025
Article type:Research Article
Received:Nov 05, 2024
Accepted:Jun 01, 2025
How to Cite:Keikha E, Rahnama M, Abdollahimohammad A, Naderifar M, Shahdadi H. The Effect of Spiritual Self-care Training on Stress and Anger Experienced by Mothers of Children with Type 1 Diabetes.Mod Care J.2025;22(3):e157720.https://doi.org/10.5812/mcj-157720.

Abstract

Background:

Mothers of children with type 1 diabetes often experience significant stress and anger. Spirituality is a promising source of support and an important dimension of self-care.

Objectives:

To determine the effect of spirituality-based self-care on the stress and anger of mothers of children with type 1 diabetes.

Methods:

A clinical trial was conducted in 2024 at the Diabetes Center of Imam Reza (AS) Specialized Clinic in Zabol, Iran. Seventy mothers were randomly assigned to experimental (n = 35) and control (n = 35) groups. Data collection tools included a demographic questionnaire, the Parenting Stress Index, and the Spielberger Anger Expression Scale. The experimental group received a spirituality-based self-care training package over six sessions, while the control group received routine care. Stress and anger levels were measured before the intervention and three months afterward. Data were analyzed using chi-Square, or Fisher's Exact test, and independent t-tests via IBM SPSS version 23.

Results:

There was no significant difference in pre-test stress scores between groups (P = 0.220). Post-intervention stress scores also showed no significant difference (102.25 ± 6.22 vs. 99.25 ± 8.77; P = 0.104). Pre-test anger scores were not significantly different (P = 0.880); however, post-intervention anger scores differed significantly between groups (121.28 ± 5.97 vs. 134.20 ± 7.05; P < 0.001).

Conclusions:

Spirituality-based self-care interventions can effectively reduce anger in mothers of children with type 1 diabetes. Integrating such training into nursing practice is recommended. However, this intervention alone was insufficient to reduce stress, indicating the need for additional support strategies.

1. Background

Type 1 diabetes is prevalent among children and adolescents, affecting approximately 1.7 per 1,000 individuals under 20 globally, with an annual incidence increase of 2% to 5% (1). Over 60% of cases occur in Asia (2). In Iran, prevalence ranges from 1.5% to 1.8% in men and 7.4% to 10% in women, with approximately 1 in every 1,000 Iranian adolescents affected (3). Children with diabetes face significant risks, including hypoglycemia, hyperglycemia, hospitalization, seizures, coma, and death (4), as well as macrovascular complications (e.g., heart attack, stroke, peripheral vascular disease) and microvascular complications (e.g., retinopathy, nephropathy, neuropathy) (5). Consequently, a diabetes diagnosis in children is highly stressful for parents (6). Stress, a physiological or psychological response to internal or external stressors (7), can disrupt adaptive parent-child interactions (8). Elevated parental stress levels are often associated with inflexible, threatening, and aggressive parenting behaviors (9). Anger is another emotional response experienced by parents of children with diabetes (10). As a transient emotion and inherent aspect of human personality (9), anger significantly influences human communication. Parental anger can hinder parent-child interactions, negatively impacting the child's development (11). Mothers play a vital role in meeting their children's needs, especially during chronic illnesses (12), and their emotional state directly influences both the quality and quantity of child care (13). Therefore, managing maternal stress and anger is essential.

In Iran, cultural and religious beliefs are deeply rooted (14). Spirituality assists individuals in coping with the intense emotions associated with a child's diabetes diagnosis, often through trust in God and the development of spiritual connections (10, 15). Spiritual health — defined as a form of transcendent communication with a higher power (16, 17) — is linked to enhanced quality of life, greater life satisfaction, and healthier living. Spiritual self-care, as an adaptive coping strategy, involves practices that reduce stress and promote well-being (18, 19). Given the limited number of studies on the impact of spiritual self-care on stress and anger among mothers of children with type 1 diabetes, this study is warranted.

2. Objectives

This study aims to determine the effect of spiritual self-care training on the stress and anger experienced by mothers of children with type 1 diabetes.

3. Methods

3.1. Study Design

A randomized clinical trial (pre-test-post-test design) with a control group was conducted (IRCT20230426058000N1).

3.2. Participants

The study population comprised mothers of children with type 1 diabetes who attended the Diabetes Center at Imam Reza (AS) Specialized Clinic in Zabol, Iran, in 2024. Inclusion criteria were: Being a native resident (urban or rural), over 18 years old, Persian-speaking and literate, without neurological or mental disorders or known chronic diseases, having a child under 14 with type 1 diabetes for more than six months who cannot independently manage their care, not caring for another patient in the family, and not having faced a new stressful event in the past two months. Exclusion criteria included absence from more than one training session, unwillingness to continue participation, and the death of the participant or their diabetic child.

A minimum sample size of 35 participants per group was estimated with 99% confidence and a 15% dropout probability, based on Yazarloo et al.'s study (20). Seventy mothers meeting the inclusion criteria were randomly allocated to intervention (n = 35) and control (n = 35) groups using a lottery method (Figure 1).

CONSORT flow diagram
Figure 1.

CONSORT flow diagram

3.3. Scale

Data collection tools included:

1. A demographic questionnaire covering age, education level, number of children, occupation, spouse's occupation, economic status, place of residence, religion, child's diabetes background, and participation in entertainment and religious activities.

2. The short form of the Parenting Stress Index, developed by Abidin in 1983, consisting of 36 items across three subscales: Parental disturbance, dysfunctional parent-child interaction, and child-related problems. Responses are rated on a 5-point Likert scale, with scores ranging from 36 to 180. Validity and reliability have been confirmed (4).

3. The Spielberger Anger Expression Scale, comprising 57 items divided into three sections: State anger, trait anger (with subscales of angry mood and angry reaction), and anger control (with subscales of external anger occurrence, internal anger occurrence, external anger control, and internal anger control). Scoring is based on a 4-point Likert scale, with total scores ranging from 57 to 228. Validity and reliability have been confirmed (21).

3.4. Intervention

The intervention group, in addition to routine care, participated in six 60-minute spirituality-based self-care training sessions (1, 5, 7, 11, 12, 15, 16, 18,20-25) conducted every other day by the researcher (a graduate student) and a professor with a doctorate in theology and Islamic studies. At the end of the sixth session, participants received an educational package containing a booklet and an educational CD (Table 1). The control group received only routine care. During the three-month follow-up, the intervention group received weekly phone calls from the researcher for support and to answer questions. To uphold ethical considerations, the control group was provided with the training package after data collection.

Table 1.Educational Content of the Intervention Group's Training Sessions
SessionContent
FirstIntroduction to the work process and goals of the study; Understanding to establish mutual trust and communication between the researcher and the mothers. Distribution and collection of questionnaires to both the experiment and control groups; Question and Answer about their major problems, and exchange experiences
SecondFamiliarization with spiritual self-care methods, focusing on topics such as trust, patience, altruism, and the afterlife
ThirdFamiliarization with the concepts of spirituality, spiritual methods, and their effects
FourthIntroduction to spiritual methods such as writing memories, talking, reading books, and listening to music
FifthIntroduction to physical methods such as walking and yoga
SixthCompletion of questionnaires three months after the intervention by both the experimental and control groups

Educational Content of the Intervention Group's Training Sessions

3.5. Data Analysis

Data were analyzed using IBM SPSS version 23. The Shapiro-Wilk test assessed the normality of quantitative data. Chi-Square or Fisher's Exact test analyzed categorical data, while independent t-tests compared quantitative data. Levene's test assessed the homogeneity of variances.

4. Results

Table 2 shows 70 mothers participated in the study. The average age of mothers in the experimental and control groups was 34.71 and 36.61 years, respectively (P = 0.353). The average duration of the child's diabetes differed significantly between the experimental and control groups (2.63 vs. 3.77 years; P = 0.015). No significant differences were observed between groups regarding the number of children (P = 0.649) or other demographic variables, except for education level (P = 0.013). The Shapiro-Wilk test confirmed the normal distribution of stress and anger scores in both groups before and after the intervention (P > 0.05).

Table 2.Demographic Characteristics of the Mothers of Diabetic Children in the Experiment and Control Groups a
VariablesExperiment (n = 35)Control (n = 35)Z-ScoreP-Value
Residence0.230.652 b
City19 (54.28)21 (60)
Rural 16 (45.72)14 (40)
Religion0.280.597 b
Shiaa26 (74.28)24 (68.57)
Sunny9 (25.72)11 (31.43)
Education level8.750.013 b
Primary7 (20)7 (20)
Diploma25 (71.42)15 (42.85)
Higher education3 (8.58)13 (37.15)
Job0.0680.0794 b
Employee10 (28.57)11 (31.43)
Housewife25 (71.43)24 (68.57)
Spouse job0.340.555 b
Unemployed2 (5.72)1 (2.86)
Worker10 (28.57)9 (25.72)
Employee8 (22.86)6 (17.14)
Free15 (42.85)19 (54.28)
Economic status3.290.224 c
Weak3 (8.57)3 (8.57)
Medium28 (80)22 (62.85)
Strong4 (11.43)10 (28.57)
Religious activities4.010.127 c
Low22 (62.9)29 (82.86)
Medium12 (34.3)5 (14.28)
High1 (2.86)1 (2.86)
Entertainment activities1.21 c
Low32 (91.43)32 (91.43)
Medium2 (5.71)3 (8.57)
High1 (2.86)0

Demographic Characteristics of the Mothers of Diabetic Children in the Experiment and Control Groups a

Table 3 shows no significant difference in pre-test stress scores between groups (P = 0.220). Post-intervention stress scores also showed no significant difference (102.25 ± 6.22 vs. 99.25 ± 8.77; P = 0.104). Independent t-tests revealed no significant difference in total stress scores post-intervention (P = 0.104). However, there was a significant difference in the subscale of the characteristics of the problematic child before (P < 0.001) and after the intervention (P = 0.006).

Table 3.Mean and Standard Deviation of Before and After Parental Stress and Its Dimension in Two Groups of Experiment and Control
VariablesExperimentControlt-score95% CI DifferenceP-Value a
Parental distress
Before38.71 ± 3.4437.60 ± 3.52-1.33-2.77,0.540.185
After24.42 ± 3.2727.65 ± 3.860.05-2.87,3.040.954
Parent-child dysfunction interaction
Before39.80 ± 3.6739.65 ± 3.67-0.16-1.89,1.610.871
After32.80 ± 3.4032.31 ± 3.90-0.55-2.23,1.260.581
Characteristics of a problematic child
Before24.42 ± 3.2727.65 ± 3.863.771.51,4.93< 0.001
After31.45 ± 3.8928.88 ± 3.68-2.86-440,-0.790.006
Total stress score
Before102.94 ± 6.940104.91 ± 6.90-1.23-1.20,5.140.220
After102.25 ± 6.2299.25 ± 8.77-1.64-6.62,0.630.104

Mean and Standard Deviation of Before and After Parental Stress and Its Dimension in Two Groups of Experiment and Control

Table 4 shows that pre-test anger scores were not significantly different (P = 0.880); however, post-intervention anger scores differed significantly between groups (121.28 ± 5.97 vs. 134.20 ± 7.05; P < 0.001). Significant differences were also observed in all anger subscales (P < 0.05), except for external anger control (P = 0.361).

Table 4.Mean and Standard Deviation of Before and After Anger and Its Dimension in Experiment and Control
VariablesIntervention (95% CI)Control (95% CI)t-Score95% CI DifferenceP-Value a
Angry feeling
Before9.31 ± 3.2510.02 ± 3.360.90-0.86,2.290.37
After8.11 ± 1.7111.45 ± 1.738.102.52,4.16< 0.001
Angry mood
Before10.31 ± 5.489.94 ± 2.66-0.36-2.42,1.680.720
After7.74 ± 1.5210.22 ± 1.945.961.65,3.31< 0.001
Angry reaction
Before19.51 ± 1.7319.17 ± 1.59-0.85-1.13,0.450.394
After15.11 ± 2.2016.82 ± 2.123.310.68,2.740.001
Verbal anger
Before11.97 ± 4.0611.88 ± 3.40-0.09-1.87,1.700.924
After6.80 ± 1.369.02 ± 1.506.481.54,2.91< 0.001
Physical anger
Before9.11 ± 3.099.05 ± 3.43-0.07-1.61,1.50.942
After7.31 ± 1.529.91 ± 1.866.361.78,3.41< 0.001
Expressing inner anger
Before21.54 ± 2.8221.05 ± 2.87-0.71-1.84,0.870.478
After16.20 ± 2.2618.51 ± 3.243.270.89,3.730.02
Expressing external anger
Before19.82 ± 2.7520.77 ± 3.471.25-0.55,2.430.213
After15.28 ± 2.2318.62 ± 2.635.742.18,4.50< 0.001
Inner anger control
Before 20.25 ± 2.5919.88 ± 1.82-0.69-1.44,0.690.491
After 24.94 ± 3.1120.34 ± 2.55-6.75-5.94,-3.24< 0.001
External anger control
Before 19.57 ± 2.2919.17 ± 3.12-0.6-1.70,0.900.543
After 19.77 ± 2.2819.25 ± 2.39-0.91-1.63,0.600.361
Total anger score
Before 141.42 ± 11.08140.97 ± 14.02-0.15-6.48,5.570.880
After 121.28 ± 5.97134.20 ± 7.058.269.79,16.03< 0.001

Mean and Standard Deviation of Before and After Anger and Its Dimension in Experiment and Control

5. Discussion

This study aimed to examine the effect of spiritual self-care training on stress and anger among mothers of children with type 1 diabetes. The findings revealed that these mothers experienced elevated levels of anger, which is a common psychological reaction to the chronic illness of a child. Such emotional responses are frequently observed among family members of children with diabetes (22). Given that mothers typically assume primary responsibility for diabetes management — including insulin administration, blood glucose monitoring, and dietary regulation — these caregiving duties impose substantial psychological burdens, including stress, anxiety, and anger (2, 7, 8, 23, 26).

The results indicated that spiritual self-care training significantly reduced anger levels in the intervention group. This effect may be attributed to the role of spirituality in fostering inner peace and emotional regulation. Previous studies have also identified spirituality and religious coping as effective strategies for managing psychological distress in families of children with chronic or life-threatening conditions (6, 27). Furthermore, spirituality has been associated with enhanced hope and self-transcendence in mothers of premature infants, highlighting its potential as a tool for emotional resilience and adaptation (28).

Conversely, spiritual self-care did not significantly impact stress levels among participants in this study. While some literature suggests that spiritual health can alleviate psychological disorders — such as stress, anxiety, and fear — in mothers of children with intellectual disabilities (29-31), mothers of premature infants (25), and those with children hospitalized in intensive care units (32), our findings differ. These inconsistencies may be due to variations in study design, cultural context, sample characteristics, or the content and delivery of interventions. It appears that spiritual self-care, as implemented in this study, may not sufficiently address the multifactorial nature of maternal stress, suggesting a need for integrated interventions that combine spiritual, psychological, and practical support.

A key limitation of this study was the potential influence of uncontrolled external sources of spiritual education — such as religious broadcasts, community sermons, or informal media content — which may have affected participants’ spiritual engagement independently of the intervention.

5.1. Conclusions

Spiritual self-care training was effective in reducing anger among mothers of children with type 1 diabetes in this Iranian sample. These findings support the integration of spirituality-based educational programs into the healthcare system and nursing practice. However, the intervention alone was insufficient to reduce stress levels, indicating that additional or alternative support mechanisms are necessary. Future research should explore comprehensive, multimodal approaches to address the complex emotional needs of this population.

Acknowledgments

Footnotes

References

  • 1.
    Aldubayee M, Mohamud S, Almadani KA, Alabbad AA, Alotaibi AG, Alkhodair AA, et al. Parental levels of stress managing a child diagnosed with type 1 diabetes in Riyadh: a cross sectional study. BMC Psychiatry. 2020;20(1):5. [PubMed ID: 31900132]. [PubMed Central ID: PMC6942352]. https://doi.org/10.1186/s12888-019-2414-y.
  • 2.
    Asaad M, Forde R, AlFares A, Bin Abbas B, Sturt J. Experiences and needs of Saudi mothers when a child or adolescent is diagnosed with type 1 diabetes mellitus: a qualitative study. Int J Qual Stud Health Well-being. 2022;17(1):2107151. [PubMed ID: 35924381]. [PubMed Central ID: PMC9359183]. https://doi.org/10.1080/17482631.2022.2107151.
  • 3.
    Talakoub S, Nasiri M. Affective responses of the parents after diagnosis of type 1 diabetes in children. Iran J Nurs Midwifery Res. 2012;17(2 Suppl 1):S96-S100. [PubMed ID: 23833609]. [PubMed Central ID: PMC3696973].
  • 4.
    Bayati B, Afrooz G, Baghdassarians A, Ghasemzadeh S, Rajab A. [The relationship between parent anxiety, mental wellbeing and life quality in mothers of children with type 1 diabetes]. Iran J Fam Psychol. 2021;4(1):29-40. FA.
  • 5.
    Valipour eskandarkolaii E, Hekmatipour N, Hojjati H. [The Effect of Spiritual Self-Care Training on the Sleep Quality of Adolescents with Diabetes]. J Diabetes Nurs. 2023;11(2):2174-89. FA.
  • 6.
    Moghadam YH, Zeinaly Z, Alhani F. How mothers of a child with type 1 diabetes cope with the burden of care: a qualitative study. BMC Endocr Disord. 2022;22(1):129. [PubMed ID: 35562744]. [PubMed Central ID: PMC9107259]. https://doi.org/10.1186/s12902-022-01045-z.
  • 7.
    Bassi G, Mancinelli E, Di Riso D, Salcuni S. Parental Stress, Anxiety and Depression Symptoms Associated with Self-Efficacy in Paediatric Type 1 Diabetes: A Literature Review. Int J Environ Res Public Health. 2020;18(1). [PubMed ID: 33379307]. [PubMed Central ID: PMC7795592]. https://doi.org/10.3390/ijerph18010152.
  • 8.
    Van Gampelaere C, Luyckx K, Goethals ER, van der Straaten S, Laridaen J, Casteels K, et al. Parental stress, anxiety and trait mindfulness: associations with parent-child mealtime interactions in children with type 1 diabetes. J Behav Med. 2020;43(3):448-59. [PubMed ID: 32124139]. https://doi.org/10.1007/s10865-020-00144-3.
  • 9.
    Narimani M, Taghizadeh Hir S, Khoshsorour S. [The Comparison of parental stress and anger self-regulation skills between parents of children with attention deficit hyperactivity disorder and autism]. Rooyesh-e-Ravanshenasi J. 2021;10(1):87-96. FA.
  • 10.
    Abolhassani S, Babaee S, Eghbali M. Mothers' experience of having children with diabetes. Iran J Nurs Midwifery Res. 2013;18(4):304-9. [PubMed ID: 24403927]. [PubMed Central ID: PMC3872866].
  • 11.
    Shokoohi-Yekta M, Parand A, Zamani N. Anger management instruction for mothers: a cognitive behavioural approach. Procedia-Soc Behav Sci. 2010;5:1371-5. https://doi.org/10.1016/j.sbspro.2010.07.290.
  • 12.
    Borjalilu S, Shahidi S, Mazaheri MA, Emami AH. Spiritual Care Training for Mothers of Children with Cancer: Effects on Quality of Care and Mental Health of Caregivers. Asian Pac J Cancer Prev. 2016;17(2):545-52. [PubMed ID: 26925641]. https://doi.org/10.7314/apjcp.2016.17.2.545.
  • 13.
    Sohrabi R, Amir Ali Akbari S, Ahmadi doulabi M, Nasiri M. Relationship of Mothers’ Spiritual, Social, and Mental Health and Self-efficacy with Child Development: A Path Analysis. J Pediatr Perspectives. 2020;8(9):12117-29. https://doi.org/10.22038/ijp.2020.49573.3966.
  • 14.
    Shahbazi H, Ghofranipour F, Amiri P, Rajab A. Factors Affecting Self-Care Performance in Adolescents with Type I Diabetes According to the PEN-3 Cultural Model. Int J Endocrinol Metab. 2018;16(4). e62582. [PubMed ID: 30464772]. [PubMed Central ID: PMC6216475]. https://doi.org/10.5812/ijem.62582.
  • 15.
    Catlin EA, Guillemin JH, Thiel MM, Hammond S, Wang ML, O'Donnell J. Spiritual and religious components of patient care in the neonatal intensive care unit: sacred themes in a secular setting. J Perinatol. 2001;21(7):426-30. [PubMed ID: 11894509]. https://doi.org/10.1038/sj.jp.7210600.
  • 16.
    Fallahi S, Shirinabadi Farahani A, Rasouli M, Sefidkar R, Khanali L. The Effect of Spiritual Care on Adjustment of Adolescents with Type 1 Diabetes. J Pediatr Perspectives. 2019;7(4):9225-35. https://doi.org/10.22038/ijp.2018.35278.3097.
  • 17.
    Khezri E, Bagheri-Saveh MI, Kalhor MM, Rahnama M, Roshani D, Salehi K. Nursing care based on the Support-Based Spiritual Care Model increases hope among women with breast cancer in Iran. Support Care Cancer. 2022;30(1):423-9. [PubMed ID: 34302544]. https://doi.org/10.1007/s00520-021-06413-4.
  • 18.
    Shahdadi H, Mahmoudirad G. The emergence of spiritual self-care in parents with disabled children. Int J Children's Spirituality. 2022;27(3-4):176-94. https://doi.org/10.1080/1364436x.2022.2093169.
  • 19.
    Rahmanian M, Hojat M, Fatemi NS, Mehran A, Parvizy S. The predictive role of spiritual intelligence in self-management in adolescents with type 1 diabetes. J Educ Health Promot. 2018;7:69. [PubMed ID: 29922698]. [PubMed Central ID: PMC5963205]. https://doi.org/10.4103/jehp.jehp_182_17.
  • 20.
    Yazarloo M, Hojjati H, Gharebagh ZA. The effect of spiritual self-care education on stress of mothers of premature infants admitted to NICU of hospitals affiliated to golestan university of medical sciences (2019). Pakistan J Med Health Sci. 2020;14(3):1615-9.
  • 21.
    Koliai SS, Rezakhani S. [Increase hope and anger management of mothers with children with cancer through life skills training]. Contemporary Psychol. 2019;14(2):83-90. FA.
  • 22.
    Theofilou P, Vlastos DD. The Psychological Burden of Families with Diabetic Children: A Literature Review Focusing on Quality of Life and Stress. Children (Basel). 2023;10(6). [PubMed ID: 37371169]. [PubMed Central ID: PMC10296993]. https://doi.org/10.3390/children10060937.
  • 23.
    Hassouneh O, Nsour M, Al-Oran HM. Parental Stress among Parents of Children with Type 1 Diabetes Mellitus: A Review. Malaysian J Med Health Sci. 2020;16(2).
  • 24.
    Bussing A, Wassermann U, Christian Hvidt N, Langler A, Thiel M. Spiritual needs of mothers with sick new born or premature infants-A cross sectional survey among German mothers. Women Birth. 2018;31(2):e89-98. [PubMed ID: 28844865]. https://doi.org/10.1016/j.wombi.2017.08.002.
  • 25.
    Hashemzadeh S, Akhoundzadeh G, Mozaffari A. The Effect of Spiritual Self-care Training on the Suffering of Mothers of Newborns Admitted to the Intensive Care Unit of Sari Hospitals. Complementary Med J. 2020;10(3):284-95. https://doi.org/10.32598/cmja.10.3.1021.1.
  • 26.
    Uhm JY, Kim MS. Predicting Quality of Life among Mothers in an Online Health Community for Children with Type 1 Diabetes. Children (Basel). 2020;7(11). [PubMed ID: 33218148]. [PubMed Central ID: PMC7698800]. https://doi.org/10.3390/children7110235.
  • 27.
    kalhor N, khodabakhshi-koolaee A. Explanation of Spiritual Experiences of Mothers of Cancer Children: A Descriptive Phenomenological Study. J Qual Res Health Sci. 2020;9(3):200-10. https://doi.org/10.22062/jqr.2020.91514.
  • 28.
    Afaghi Roveshty M, Shirinabadi Farahani A, Memaryan N, Rassouli M. Effect of Spiritual Care on Hope and Self-Transcendence of Mothers of Premature Neonates Hospitalized in the Neonatal Intensive Care Unit. Iran J Neonatol. 2020;11(4):106-13. https://doi.org/10.22038/ijn.2020.42178.1700.
  • 29.
    Omidi A, Mohammadi N, Nazari SZ, Tapak L. [Investigating Correlation Between Spiritual Health and Public Health Among Mothers of Mentally Disabled Children]. Avicenna J Nurs Midwifery Care. 2019;27(4):242-9. FA. https://doi.org/10.30699/ajnmc.27.4.242.
  • 30.
    Mohammadchenari B, Marashian FS, Talebzadeh Shoushtari M. Relationship of Spiritual Well-being, Social Health, and Parent-Child Interaction with Health-Related Quality of Life in Parents of Children with Specific Learning Disorders. Jundishapur J Health Sci. 2022;14(3). https://doi.org/10.5812/jjhs-123422.
  • 31.
    Dindar M, Rahnama M, Afshari M, Moghadam MP. The Effects of Spiritual Self-Care Training on Caregiving Strain in Mothers of Mentally Retarded Children. J Clin Diagn Res. 2016;10(12):QC01-5. [PubMed ID: 28208939]. [PubMed Central ID: PMC5296512]. https://doi.org/10.7860/JCDR/2016/23844.8948.
  • 32.
    Vadaei S, Abo-s-haghi MS, Sarkoohi Z, Safizadeh F, Mousavi SM. effect of spiritual care on stress and spiritual health of mothers of neonates hospitalized in NICU. Int J Health Sci. 2022;6:10907-17. https://doi.org/10.53730/ijhs.v6nS4.11146.
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