Community Health Journal

Community Health Journal

Designing and Validating an Islamic Culture-Based Spirituality Therapy Package and Its Effectiveness on Identity Formation in Adolescents Diagnosed with Conduct Disorder

Document Type : Original Article

Authors
M Mokhtaree 1
Z Zeinaddiny Meymand 2
M kamyabi 3
N Hajipour Abaie 3
1 PhD Student,Dept. of Psychology and Educational Sciences, Kerman Branch, Islamic Azad University, Kerman, Iran.
2 Associate Prof ,Dept. of Psychology and Educational Sciences, Kerman Branch, Islamic Azad University, Kerman, Iran.
3 Assistant Prof ,Dept. of Psychology and Educational Sciences, Kerman Branch, Islamic Azad University, Kerman, Iran.
10.22123/chj.2025.514905.2178
Abstract
Introduction: Conduct disorder (CD) is characterized by aggressive behaviors and social problems, and if not appropriately treated, it can disrupt identity formation. The present study was conducted in 2022 with the aim of designing and validating an Islamic spirituality therapy (ST) package and assessing its effectiveness on the identity formation of adolescents with CD.
Materials and Methods: In this content analysis and educational trial study, the symptoms of CD were matched with the ten components of ST from Kirkpatrick theory. Relevant verses from the Quran and hadiths were extracted from credible sources corresponding to the ten components of ST. Fourteen specialists in psychology, Quranic sciences, ethics, hadith, and religious studies matched these Quranic verses and hadiths with the components of ST. An educational package was prepared and subsequently validated by experts. The effectiveness of the educational package was then evaluated using a pretest-posttest and follow-up design with a control group on 16 adolescents aged 14-18 with CD in Rafsanjan. For the assessment of identity formation, Ahmad’s Identity Crisis Questionnaire was utilized. The experimental group underwent 13 weekly counseling sessions based on the educational package. The control group didn’t receive any intervention. The data were analyzed using two-way analysis of variance with repeated measures.
Results: The content validity ratio and content validity index of the educational package were above acceptable thresholds. The mean identity crisis scores of the intervention group significantly decreased after receiving the training (p=0.011).
Conclusion: Islamic ST can effectively have a positive impact on dimensions of identity. This study affirms the importance of culturally-oriented ST in psychological care. Therefore, counselors and psychologists can utilize Islamic ST in their sessions, especially with adolescents.
Keywords
Conduct disorder
Islam
Spirituality therapy
Content analysis
  1. Rezaei F, Monaei M, Golvarz A, Vkili S.Kaplan & Sadocks Synopsis of Psychiatry. (Translation). Boland R, Verduin ML, Ruiz P.12ed nd. Tehran: Arjmand Publisher; 2025.[Persian]
  2. Hammud G, Avital-Magen A, Schusheim G, Barzuza I, Engel-Yeger B. How Self-Regulation and Executive Functions Deficits Affect Quality of Life of Children/Adolescents with Emotional Regulation Disorders. Children (Basel) 2023;10(10).
  3. Branje S, de Moor EL, Spitzer J, Becht AI. Dynamics of Identity Development in Adolescence: A Decade in Review. JRA 2021;31(4):908-27.
  4. Mitchell LL, Lodi-Smith J, Baranski EN, Whitbourne SK. Implications of identity resolution in emerging adulthood for intimacy, generativity, and integrity across the adult lifespan. Psychology and Aging 2021;36(5):545-56.
  5. Chatlos JC. Adolescent identity formation versus spiritual transformation. Zygon® 2023;58(1):156-82.
  6. van Beeck MTA. Antisocial Personality Traits and Identity Development in a Sample of Dutch Adolescents (Dissertation). Netherland: Tilburg University; 2019.
  7. Branje S. Adolescent identity development in context. Current Opinion in Psychology 2022;45:101286.
  8. Gajalakshmi G, Meenakshi S. Understanding the psycho-social problems of vulnerable adolescent girls and effect of intervention through life skill training. JEHP 2023;12(1):429.
  9. Samiei L, Shojaa Nahand H, Hosseinpour M, Samiei S, Samiei R. Effectiveness of Group Spirituality Therapy on Psychological Well-Being and Self-Compassion of Substance Dependent People Undergoing Maintenance Treatment. JNIP 2024;20(24):1-13.[Persian]
  10. Janbozorgi M. God- Oriented Spiritual Psychotherapy: A multidimensional approach (Protocol Validation). JCPS 2022;13(49):37-54.
  11. Sanagoei zadeh M. Identification of religious family therapy model with Islamic-Iranian approach. Counseling Culture and Psycotherapy 2023;14(53):1-34.[Persian]
  12. Chi-Kin Lee J. Children’s spirituality, life and values education: cultural, spiritual and educational perspectives. International Journal of Children's Spirituality 2020;25(1):1-8.
  13. Mirzaee R, Dalir Safari Akhgar S. The crisis of spirituality in the contemporary world. The Knowledge Studies in The Islamic University 2018;22(1):93-112. [Persian]
  14. Blomhof R. The Impact of religion/rpirituality on mental health with a focus on depression (Thesis for: Doctor in Philosophy in Guidance & Counseling Psychology). Georgetown: Texila American University; 2022.
  15. Kirkpatrick LA. Attachment and religious representations and behavior. In Handbook of attachment: Theory, research, and clinical applications.3nd ed. NewYork: Guilford Press:1999.
  16. Lawshe C. A Quantitative Approach To Content Validity. Personnel psychology 1975;28(7):563-75.
  17. Roebianto A, Savitri I, Sriyanto A, Syaiful I, Mubarokah L. Content validity: Definition and procedure of content validation in psychological research. TPM - Testing 2023;30(1):5-18.
  18. Mohammadi MR, Salmanian M, Ghobari-Bonab B, Bolhari J. Spiritual Psychotherapy for Adolescents with Conduct Disorder: Designing and Piloting a Therapeutic Package. Iran J Psychiatry 2017;12(4):258-64.
  19. Ahmadi A. Introduction to Counseling and Guidance. 1st ed. Isfahan: University of Isfahan; 1994. [Persian].
  20. Ameri F, Amooi N. The Role of Family Functioning in the Extent of Experienced Identity Crisis and Differentiation Levels of Adolescents. QJFR 2016;13(1):77-92.[Persian]
  21. McHugh ML. Interrater reliability: the kappa statistic. Biochemia Medica (Zagreb) 2012;22(3):276-82.
  22. Cohen J. Statistical power analysis for the behavioral sciences. 2nd ed. Hillsdale, NJ: Lawrence Erlbaum Associates; 1988.
  23. Agustina S, Wan Mohd Saman WS, Sahifuddin N. Quranic Bibliotherapy: An Islamic Psychospiritual Approach To Healing. International Journal of Education, Psychology and Counseling 2024;9:538-46.
  24. Akbari Dehaghi A, Dolatshahi B, Taremian F, A. P, Ansari H. Acceptance and Commitment Therapy with Islamic Aspects as A Treatment for Scrupulosity in A Case Study. Journal of Organizational Behavior Research 2022;7(2):95-108.
  25. Haris R. The Pyscho-Spiritual Therapy On Mental Illness; An Islamic Approach. ProGCJ 2022;2(2):34-40.
  26. Satkin M, Sotodehasl N, Mehrinejad SA, Asadzadeh H. Design, compilation and validation of educational package of marital enrichment based on Islamic teachings. NPWJM 2021;9(32):40-53.[Persian]
  27. Rashidzade A. The Effectiveness of Teaching Planning Based on Spirituality and Islamic Teachings on Anxiety and Academic Resiliency of Students. AIIE 2020;5(1):34-7. [Persian]
  28. Mancini CJ, Quilliam V, Camilleri C, Sammut S. Spirituality and negative religious coping, but not positive religious coping, differentially mediate the relationship between scrupulosity and mental health: A cross-sectional study. JAD 2023;14:100680.
  29. Fitchett G, Rybarczyk BD, DeMarco GA, Nicholas JJ. The role of religion in medical rehabilitation outcomes: A longitudinal study. Rehabilitation Psychology 1999;44(4):333-53.
  30. Molayi zarandi H, Dortaj F. The Effect of Spirituality Therapy on the Attitude to Drug Abuse. Journal of Analitical-Cognitive Psycholoy 2019;10(36):79-90.[Persian]
  31. Kajbaf MB, Ghasemiannejad Jahromi A, Ahmadi Forushani SH. 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 2015;16(4):4-13.
  32. Joseph C M, George S. Perceived parental attachment and identity processing style among adolescents.  In book: Health and well-being in a multi sectoral perspective: Recent trends challenges and opportunities. 1st ed. India: Bloomsbury Publishing India Pvt. Ltd; 2019. p. 1-15
Community Health Journal
Volume 18, Issue 4
Spring 2025
Pages 76-88