This research aims to investigate the effectiveness of treatment based on death thoughts on quality of life, life expectancy, and depression in prisoners.

Document Type : Original Article

Authors

• alireza attareani ¹
• bahramali ghanbari ²
• mahmood azadi ³

¹ PhD student, Consulting Department, Bojnord Branch, Islamic Azad University, Bojnord, Iran.

² Professor, Department of Psychology,Faculty of Educational Sciences and Psychology, Ferdowsi University of Mashhad. Mashhad. Iran.

³ Department of Psychology, Hekmat Razavi Institute of Higher Education, Mashhad. Iran

10.22067/tpccp.2024.83254.1517

Abstract

Abstract

Purpose: This research aims to investigate the effectiveness of treatment based on death thoughts on quality of life, life expectancy, and depression in prisoners.

Method: The research method is quasi-experimental, using a pre-test-post-test design with a control group. The statistical population studied in this research was male prisoners in counseling unit 3 of the central prison of Mashhad (825 people). Among them, 24 people who met the entry criteria were selected as the research sample and randomly assigned (12 people in the experimental group and 12 people in the control group) and at the end of the intervention, 24 people were analyzed. To collect data, the quality of life questionnaire (short form of World Health Organization, 1998), the Beck depression questionnaire (1996), and Schneider's life expectancy scale (1991) were used as research tools. Both experimental and control groups completed the mentioned questionnaires as a pre-test and then the experimental group was treated with the provided intervention model for 15 sessions, but the control group did not receive the intervention model during the research period. Then both groups completed the research questionnaires as a post-test and finally, the research data were analyzed using univariate covariance analysis and multivariate variance analysis and using SPSS-21 software.

Findings: It showed that death thoughts lead to improved quality of life, increased life expectancy and reduced depression in prisoners.

Keywords

• Keywords: quality of life "
• depression "
• life expectancy "
• "
• death thoughts

Main Subjects

• Anxiety

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References

Abdel-khalek, A. M. (2010). Quality of life, subjective well-being, and religiosity in muslim college students. Journal of Quality of Life Research, 19, 1133–1143. https://doi.org/10.1007/s11136-010-9676-

Ahmadbayi, M., Mahdavi Azadboni, R., & Ghasemitoosi, M. E. (2020). Metaphysical study of death thinking and its consequences in the viewpoint of allamah tabatabai and heidegger. Journal of Ontological Researches, 17(9), 99-122. https://doi.org/10.22061/orj.2020.1404 (In Persian)

Akbarzadeh, F., Dehbashi, M., & Shanazari, J. (2014). A comparative study and analysis of death and its relationship with the meaning of life in rumi and heidegger. Comparative Theology, 5(11), 1-20. https://doi.org/20.1001.1.20089651.1393.5.11.1.8 (In Persian)

Alipour, I., & Ghorbanighomi, A. (2020). The leap of theological-philosophical thought in the shadow of the corona crisis; an overview of the meaning of life and death thinking. Qabasat, 25(96), 181-210. https://qabasat.iict.ac.ir/article_45863_en.html (In Persian)

Almostadi, D. A. (2012). The relationship between death depression and death anxiety among cancer patients in saudi arabia University of South Florida]. https://digitalcommons.usf.edu/etd/3947/

Amirbeigi, M., Mansoori, J., & Gharibi, H. (2019). Effect of conscious and unconscious death thought on goal orientations [Research]. Rooyesh-e-Ravanshenasi Journal(RRJ), 7(10), 335-346. http://frooyesh.ir/article-1-716-fa.html

BadiaNia, F., & Bashardoust, S. (2022). The effect of death anxiety pattern based on emotional empathy mediated by s spirituality in middle-aged people. 22(4), 101-111 https://doi.org/10.30486.2019.1876659.2008 (In Persdian)

Bahrami, N., Moradi, M., Soleiman, M. A., Kalantari, Z., & Hosseini, F. (2013). Death anxiety and its relationship with quality of life in women with cancer. IRAN JOURNAL OF NURSING (IJN), 26(82), 51-61. http://ijn.iums.ac.ir/article-1-1562-en.html (In Persian)

Barnett, M. D., Anderson, E. A., & Marsden, A. D. (2018). Is death anxiety more closely linked with optimism or pessimism among older adults? Archives of Gerontology and Geriatrics, 77, 169-173. https://doi.org/10.1016/j.archger.2018.05.003

Beck, A. T., Steer, R. A., Ball, R., & Ranieri, W. (1996). Comparison of beck depression inventories–ia and –ii in psychiatric outpatients. Journal of Personality Assessment, 67(3), 588-597. https://doi.org/10.1207/s15327752jpa6703_13

Berger, A. M., Portenoy, R. K., & Weissman, D. E. (1998). Supportive oncology. Principle & practice. Lippincott Williams & Wilkins. https://books.google.com/books?hl=fa&lr=&id=LngD6RFXY_AC&oi=fnd&pg=PR14&dq=+Supportive+Oncology.+Principle+%26+Practice.&ots=TNeIC6Vt21&sig=RVbjkT1KvumtBHhPObzClWWAY_0#v=onepage&q=Supportive%20Oncology.%20Principle%20%26%20Practice.&f=false

Bethel, H. C. (1990). Use of guided imagery in christian psychotherapy in treating minor depression in adults University of Massachusetts Amherst]. https://scholarworks.umass.edu/cgi/viewcontent.cgi?article=2164&context=dissertations_1

Bozo, O., Tunca, A., & Simsek, Y. (2009). The effect of death anxiety and age on health promoting behaviors: A terror-management theory perspective. J Psychol, 143(4), 89-377. https://doi.org/10.3200/JRLP.143.4.377-389

Chew, C. E. (2006). The effect of dialectical behavioral therapy on moderately depressed adults: A multiple baseline design University of Denver]. https://www.proquest.com/openview/925e2594973505b66708ab5edf80c284/1?pq-origsite=gscholar&cbl=18750&diss=y

Debarnot, U., Abichou, K., Kalenzaga, S., Sperduti, M., & Piolino, P. (2015). Variable motor imagery training induces sleep memory consolidation and transfer improvements. Neurobiology of learning and memory, 119, 85-92. https://doi.org/10.1016/j.nlm.2014.12.010

Diedrich, A., Grant, M., Hofmann, S. J., Hiller, W., & Berking, B. (2014). Self-compassion as an emotion regulation strategy in major depressive disorder. Behavior Research and Therapy, 58, 43-51. https://doi.org/10.1016/j.brat.2014.05.006

Farrar, S., Stopa, L., & Turner, H. (2015). Self-imagery in individuals with high body dissatisfaction: The effect of positive and negative self-imagery on aspects of the self-concept. Journal of Behaviore Therapy and Experimental Psychiatry, 46, 8-13. https://doi.org10.1016/j.jbtep.2014.07.011

Fitri, R. A., Asih, S. R., & Takwin, B. (2020). Social curiosity as a way to overcome death anxiety: Perspective of terror management theory. Heliyon, 6(3), e03556. https://www.cell.com/heliyon/pdf/S2405-8440(20)30401-1.pdf

Gholamnejad, S., Bahar, A., & Fazl Ali, M. (2023). Effectiveness of mindfulness-based cognitive therapy on life expectancy, fear of death and glycemic control in diabetic patients with depression [Research(Original)]. Journal of Mazandaran University of Medical Sciences, 32(216), 105-114. http://jmums.mazums.ac.ir/article-1-16824-en.html (In Persian)

Ghorbanpur, N. (2013). Investigating the effectiveness of spiritual-religious group therapy on the quality of life and resilience of families of psychotic patients Ferdowsi University of Mashhad ]. https://ganj.irandoc.ac.ir/#/articles/ab67d7e7a83a97e24443111351a7e56f

Goldney, R. D., Phillips, P. J., Fisher, L. J., & Wilson, D. H. (2004). Diabetes, depression, and quality of life. Diabetes care, 27(5), 1166-1070. https://doi.org/10.2337/diacare.27.5.1066

Goranson, A., Ritter, R. S., Waytz, A., Norton, M. I., & Gray, K. (2017). Dying is unexpectedly positive. Psychol. Sci, 28(7), 988-999. https://doi.org/10.1177/0956797617701186

Haghdoost, M., Sarajkhorrami, N., & Makvandi, B. (2022). The effectiveness of mindfulness based on stress managment on death anxiety, disaster of imagination, acceptance and severity of pain in prostat cancer patients [Research]. Journal of Ilam University of Medical Sciences, 29(6), 48-58. http://dx.doi.org/10.52547/sjimu.29.6.48 (In Persian)

Hasani, Z., Hoseini, S. M., & Akbarnejad, M. (2021). The fundamentals of thinking about death in the teachings of the quran and hadith. Pazhouhesh Dnih, 20(42), 73-105. http://pdmag.ir/article-1-1315-fa.pdf (In Persian)

Iranzadeh, N., & Arsh Akmal, S. (2021). The representation of the tenet of death thinking in relation to hope and hopelessness in malakut. Literary Text Research, 25(88), 8-32. https://doi.org/10.22054/ltr.2020.44782.2764 2251-7138

Jaarsma, T., Johansson, P., Ågren, S., & Strömberg, A. (2010). Quality of life and symptoms of depression in advanced heartfailure patients and their partners. Current Opinion in Supportive and Palliative Care, 4(4), 233-237. https://doi.org/10.1097/SPC.0b013e328340744d

JavadiAmoli, A. (2009). Afterlife in quran. (6th ed ed.). NashrEsra. https://www.gisoom.com/book/11388245/ (In Persian)

Jimenes, S. (2009). Suffering. Encyclopedia of positive psychology; shane j. Lopez (ed.). Blackwell Publishing Ltd. https://books.google.com/books?id=KEEcMQAACAAJ&source=gbs_book_other_versions

Kajbaf, M., GhasemiannejadJahromi, A., & AhmadiForushani, S. (2015). The effectiveness of spiritual and existential group therapy on the rates of depression, death anxiety and afterlife belief among students: A study based on the reports of people with death experience. knowledge & research in applied psychology, 16(4), 4-13. https://jsr-p.isfahan.iau.ir/article_533985_cd0a4701197c3e62ca77133c5ebc17eb.pdf (In Persian)

Kaplan, H., & Zadok, B. (2003). Summary of psychiatry (7 ed., Vol. 2). Nusratulla. https://www.gisoom.com/book/1431768/ (In Persian)

Karami, E., Karami, J., & Jebraeili, H. (2022). The relationship between social curiosity and spiritual health with death anxiety in nurses [Research]. Journal of Nursing Education, 10(1), 28-36. https://doi.org/10.22034/ijpn.10.1.28 (In Persian)

Kermani, Z., khodapanahi, M., & Heldari, M. (2011). Psychometrics features of the snyder hope scale. Journal of Applied Psychology, 5(3), 7-23. .https://www.sid.ir/paper/151686/en (In Persian)

Khedri, G. (2020). A critical explanation of the relationship between thinking about death and the meaning of life in kierkegaard’s philosophy. Philosophy of Religion, 17(2), 235-258. https://doi.org/10.22059/JPHT.2019.288307.1005693 (In Persian)

Lane, D., Carroll, D., Ring, C., Beevers, D., & Lip, G. (2000). Effects of depression and anxiety on mortality and quality-of-life 4 months after myocardial infarction. J Psychosom Res, 49(4), 229-238. https://doi.org/10.1016/S0022-3999(00)00170-7

May, R. (1981). The meaning of anxiety. W. W. Norton & Company Inc. https://psycnet.apa.org/record/2005-05008-000

McCabe, S., Kenneth, E., & Arndt, J. (2018). The impact of death awareness on sizes of self-representational objects. British Journal of Social Psychology, 57(1), 174-188. https://doi.org/10.1111/bjso.12227

Moghdisi, R., HassanAbadi, H., & GolParor, M. (2016). Compilation of a treatment package of analytical dreaming and comparing its effectiveness with analytical visualization of psychological journeys based on solving the problem of death on depression, death anxiety, sleep quality, resilience, quality of lif Islamic Azad University, Khorasan Branch]. https://www.sid.ir/paper/404497/fa

Nejat, S., Montazeri, A., HolakouieNaieni, K., & Mohammad, K. (2006). The world health organization quality of life (whoqol-bref) questionnaire: Translation and validation study of the iranian version. sjsph, 4(4), 1-12. https://sjsph.tums.ac.ir/browse.php?a_code=A-10-25-187&slc_lang=en&sid=1 (In Persian)

Pyszczynski, T., Solomon, S., & Greenberg, J. (2015). Thirty years of terror management theory: From genesis to revelation. In Advances in Experimental Social Psychology, 52(4), 1–70. https://doi.org/10.1016/bs.aesp.2015.03.001

Pyszczyvski, T., Greenberg, J., & Solomon, S. (2000). A dualprocess model of defense against conscious and unconscious death-related thoughts: An extension of terrormanagement theory. Psychol Rev, 106, 835-845. https://doi.org/10.1037/0033-295X.106.4.835

Ramezani, F., Leil Abadi, L., & Emamipour, S. (2023). Comparing the effectiveness of “mindfulness therapy based on stress reduction” and “narrative therapy” on death anxiety in the elderly [Research]. Journal of Health Promotion Management, 12(4), 28-39. https://doi.org/10.22034/jhpm.12.4.28 (In Persian)

Sawant, N. S., Vanjari, N. A., Khopkar, U., & Adulkar, S. (2015). A study of depression and quality of life in patients of lichen planus. The Scientific World Journal,, Article ID 817481. https://doi.org/10.1155/2015/817481

Scharf, R. (2023). Psychotherapy and counseling theories book (M. Firoozbakht, Trans.). Rasa cultural publications. https://www.adinehbook.com/gp/product/9643175065 (In Persian)

Segal, Z. V., Williams, J. M. G., & Teasdale, J. D. (2002). Mindfulness-based cognitive therapy for depression: A new approach to preventing relapse. Guilford press. https://psycnet.apa.org/record/2001-05895-000

Sin, N. L., Dellaporta, M. D., & Lyubomirsky, S. (2011). Tailoring positive psychology interventions to treat depressed individuals (Donald ed.). Rutledge. https://uplift-psych.sites.olt.ubc.ca/files/2022/01/Sin-Della-Porta-Lyubomirsky-2011-Tailoring-postive-psychology-interventions-to-depressed-individuals.pdf

Smith, D., Wright, C., & Cantwell, C. (2012). Beating the bunker: The effect of pettlep imagery on golf bunker shot performance. Research Quarterly for Exercise and Sport, 79(3), 385-391. https://doi.org/10.1080/02701367.2008.10599502

Snyder, C. R., Harris, C., Anderson, J. R., Holleran, S. A., Irving, L. M., Sigmon, S. T., Yoshinobu, L., Gibb, J., Langelle, C., & Harney, P. (1991). The will and the ways: Development and validation of an individual-differences measure of hope. Journal personality social psychology, 60(4), 570-585. https://doi.org/10.1037/0022-3514.60.4.570

Stoffer, E. S. (2000). The effect of discussion and self focushng on interpersonal problemsolving among dysphoric and nondysphoric individuals University of Galgary Canada]. Canada. https://prism.ucalgary.ca/server/api/core/bitstreams/160beef3-4018-41ab-8962-73e0d657cd71/content

Tillich, P. (2005). The courage to be (M. Farhadpoor, Trans.). Scientific and Cultural Publishing Company. https://dehlinks.ir/fa/book/sellbook/book/39461/ (In Persian)

Tol, A., Tavassoli, E., Shariferad, G. R., & Shojaezadeh, D. (2011). The relation between health-promoting lifestyle and quality of life in undergraduate students at school of health, isfahan university of medical sciences. Health System Research, 7(4), 442-448. https://sid.ir/paper/592934/en (In Persian)

Watersong, A. (2011). Surplus reality: The magic ingredient in psychodrama. Australian and Aotearoa New Zealand Psychodrama Association Journal(20), 18-28. https://search.informit.org/doi/10.3316/informit.727942529883448

Yalom, E. (2011). Confronting death and other existential issues in psychotherapy, https://discovered.ed.ac.uk/

Yetzer, A. M., & Pyszczynski, T. (2019). Chapter 18 - terror management theory and psychological disorder: Ineffective anxiety-buffer functioning as a transdiagnostic vulnerability factor for psychopathology. In C. Routledge & M. Vess (Eds.), In handbook of terror management theory (pp. 417-447). Academic Press. https://doi.org/10.1016/B978-0-12-811844-3.00018-4

Zamaniyan, S., Bolhari, J., Naziri, G., Akrami, M., & Hosseini, S. (2016). Effectiveness of spiritual group therapy on quality of life and spiritual well-being among patients with breast cancer. Iran J Med Sci, 41(2), 140-144. https://doi.org/10.1016/B978-0-12-811844-3.00018-4 (In Persian)

Zandi, M., Alavian, S., Memarian, R., & KazemNejad, A. (2004). Assessment of the effect of self care program on quality of life in patients with cirrhosis referred to tehran hepatitis center in 2003. RJMS, 11(41), 411-421. http://rjms.iums.ac.ir/article-1-29-en.html (In Persian)

Zandi, S., Rahimi, A., & Mousavinasl, M. (2021). Consequences of death awareness in adolescents' lives: A qualitative study. Counseling Research And Development, 19(76), 209-233. http://irancounseling.ir/journal/article-1-1441-en.html (In Persian)