IMPLICAÇÃO DO ISOLAMENTO SOCIAL NA SAÚDE MENTAL DURANTE A PANDEMIA DE COVID-19: UM OLHAR SOBRE SEU ENFRENTAMENTO RELIGIOSO E ESPIRITUAL


IMPLICACIÓN DEL AISLAMIENTO SOCIAL EN LA SALUD MENTAL DURANTE LA PANDEMIA DE COVID-19: UNA MIRADA A SU AFRONTAMIENTO RELIGIOSO Y ESPIRITUAL


IMPLICATION OF SOCIAL ISOLATION ON MENTAL HEALTH DURING THE COVID-19 PANDEMIC: A LOOK AT ITS RELIGIOUS AND SPIRITUAL COPING


Amna GOHAR1 Alonso Bezerra de CARVALHO2 Carlos da Fonseca BRANDÃO3


RESUMO: A China foi o centro da Covid-19, que rapidamente se espalhou por todo o mundo. O rápido surto de Covid-19 nos países asiáticos afetou gravemente a vida psicológica e social das pessoas, situação que tornou o enfrentamento espiritual e religioso uma abordagem eficaz para o relaxamento mental. O objetivo principal deste artigo é observar como a questão foi abordada nos países asiáticos. Para tanto, foram selecionados diferentes estudos publicados em fontes digitais. É evidente nos textos que a Covid-19 teve um grande impacto na vida das pessoas. A maioria delas passou a sofrer de ansiedade, depressão, medo, estresse, solidão durante o isolamento, afetando a sua vida individual y social. O ponto positivo encontrado foi a espiritualidade teria contribuído para que as pessoas tivessem um relaxamento mental nas situações mais críticas da pandemia, reduzindo a ansiedade e a depressão e enfrentando as situações com mais fé e esperança no Criador.


PALAVRAS-CHAVE: Religiosidade. Espiritualidade. Psicologia humana. Vida social. Covid-19.


RESUMEN: China fue el centro de la Covid-19, que se extendió rápidamente por todo el mundo. El rápido surto de Covid-19 en los países asiáticos ha afectado gravemente la vida psicológica y social de las personas, una situación que ha hecho del afrontamiento espiritual y religioso un enfoque eficaz para la relajación mental. El objetivo principal de este artículo es observar cómo se abordó el tema en los países asiáticos. Por ello, seleccionamos diferentes estudios publicados en fuentes digitales. Es evidente por los textos que el Covid-19 tuvo un gran impacto en la vida de las personas. La mayoría de ellas comenzó a sufrir



1 Universidade Estadual Paulista (UNESP), Marília – SP – Brasil. Doutoranda do Programa de Pós-Graduação em Educação. ORCID: https://orcid.org/0000-0002-9356-3560. E-mail: amna.gohar@unesp.br

2 Universidade Estadual Paulista (UNESP), Marília – SP – Brasil. Professor do Departamento de Didática e do Programa de Pós-Graduação em Educação. Doutorado em educação (USP). ORCID: https://orcid.org/0000- 0001-5106-2517. E-mail: alonso.carvalho@unesp.br

3 Universidade Estadual Paulista (UNESP), Marília – SP – Brasil. Professor do Departamento de Estudos Linguísticos, Literários e Educacionais e do Programa de Pós-Graduação em Educação. Doutor em educação (UNESP). ORCID: https://orcid.org/0000-0003-2254-0692. E-mail: carlos.brandao@unesp.br



ansiedad, depresión, miedo, estrés, soledad durante el aislamiento, afectando su vida individual y social. El punto positivo encontrado fue que la espiritualidad pasó a contribuir para que las personas tuvieran una relajación mental en las situaciones más críticas de la pandemia, reduciendo la ansiedad y la depresión y afrontando situaciones con más fe y esperanza en el Creador.


PALABRAS CLAVE: Religiosidad. Espiritualidad. Psicología humana. Vida social. Covid- 19.


ABSTRACT: China was the center of Covid-19 which rapidly spread out all over the world. The rapid outbreak of Covid-19 in Asian countries has severely affected psychological and social life of people. Which also has a great influence on religion and faith. Spiritual and religious copping is an effective approach for mental relaxation and belief on the creator specifically during the Covid-19 outbreak. The main purpose of this study is observing the situation of Asian countries existing literature on human psychology and social life further it also explores religious and spiritual coping during Covid-19. Different studies were retrieved from online sources. In which the published articles were classified according to three themes such as human psychology, religious and spiritual coping and social life during Covid-19. It is evident from the literature that covid-19 has a great influence on human psychology. Majority people suffered from anxiety and depression in these tough days of life. Also, most of the people suffered from fear, depression, stress, loneliness during lockdown which effects their social life. The positive point was found that religion and spirituality helping people to reduce their stress and create positivity in their life. Spirituality helps out people in mental relaxation at times of crisis and epidemic situations while religious copings and strong believe on creator reduce anxiety and depression.


KEYWORDS: Religiosity. Spirituality. Human psychology. Social life. Covid-19.


Introdução


No século 20, a população global enfrentou a situação mais pandêmica da Covid-19. O vírus invisível acabou com a vida de muitas pessoas em todos os países. A doença imprevisível explodiu sem nenhum tratamento de recuperação e nenhum medicamento. Em que globalmente até 178.118.597 casos confirmados de Covid-19 foram registrados, a taxa de mortalidade é de 3.864.180 e 103.552.567 pessoas se recuperaram com sucesso e agora 2.412.226.768 doses de vacina foram administradas. Atualmente, na Ásia, foram registrados

54.583.340 casos de coronavírus, dos quais os casos ativos são 1.856.413, enquanto 769.514 morreram e 51.957.413 foram recuperados da doença (WORLD HEALTH ORGANIZATION, 2021). A taxa de mortalidade de pacientes com Covid-19 é publicada diariamente numa tendência crescente que afeta o indivíduo psicologicamente e emocionalmente. Tem um impacto decisivo na psicologia humana em todas as idades (CHEW et al., 2020). Da mesma forma, o surto de Covid-19 aumenta o nível de estresse,



ansiedade, depressão, medo pela saúde e pelos entes queridos (WANG et al., 2020). Nesse cenário, a espiritualidade e a religião podem ser boas curadoras nas sociedades. Podem ajudar as pessoas, em tempos de crise e luto, a criar positividade nas emoções e no bem-estar das pessoas (ÖZVEREN; KIRCA, 2019). Por meio do enfrentamento religioso e espiritual, o indivíduo pode remover seu estresse e criar um relaxamento mental de forma pacífica.

Na esfera psicológica, é evidente que o transtorno de estresse traumático, a solidão e a raiva estão aumentando diariamente após a quarentena (BROOKS et al., 2020). Diferentes tipos de estresse foram enfrentados pelas pessoas durante condições críticas, como medo da doença, morte, ambiguidade, perda da vida social, prisão, evidências escassas, instrução contraditória, perda de atividades sociais, descontinuação da natureza, solidão, desespero, baixa autoestima, perda financeira e entraves ao abastecimento de alimentos e água (BROOKS et al., 2020). A pandemia de Covid-19 tem consequências importantes na saúde física e mental de cada indivíduo. Essas consequências psiquiátricas têm efeitos de curto e longo prazo que causarão depressão, ansiedade, fadiga, insônia e estresse pós-traumático (ROGERS et al., 2020).

Distância social e isolamento são considerados medidas de segurança para reduzir a disseminação da covid-19, por meio da qual o governo pode minimizar o risco à saúde (USHER; BHULLAR; JACKSON, 2020). Embora o distanciamento social tenha considerado as melhores medidas de segurança para reduzir as consequências para a saúde, por outro lado, ele causou muitos problemas, como perda de emprego, falta de tratamento médico e falhas na saúde mental (ROGERS et al., 2020). O aumento do estresse durante o isolamento social cria tempos difíceis para o profissional médico (BANERJEE, 2020). Principalmente as pessoas se tornam suscetíveis a pensamentos negativos, ansiedade e medo que também aumentam em casos e mortes. A única melhor estratégia na situação atual para reduzir o estresse mental é a tecnologia digital, por meio da qual o indivíduo tem acesso ao contato com a família, às aulas online, aos locais de trabalho virtuais e ao uso de crenças religiosas e espirituais (KOENIG, 2020).

A religião tem um impacto positivo na saúde mental dos indivíduos que têm uma crença forte. No Islã, a espiritualidade pode ser definida como um tema central que contém crenças (em Allah e Seus profetas, o dia do julgamento etc.), conhecimento e ações da vida diária. Da mesma forma, no Islã as pessoas estão seguindo o conjunto de rituais e códigos de conduta se esforçando para se tornarem mais próximos a Allah e encontrar o propósito de enviar a este mundo. Portanto, o enfrentamento religioso positivo está positivamente correlacionado com a satisfação com a vida e o afeto positivo, enquanto o enfrentamento

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religioso negativo está positivamente correlacionado com o afeto negativo (HABIB; HUSSAIN; HABIB, 2020). O Profeta () disse, " Se você ouvir sobre o surto de peste e doença em uma terra, não entre nela; Considerando que se a praga estourar em um lugar onde você está vivendo, não saia desse lugar” (Narrado por Saud-Sahih al-Bukhari, 5728). Aisha disse “Eu perguntei ao Profeta () sobre a praga. Ele me disse que era uma punição enviada por Allah a quem ele desejava, e Allah fez dela uma fonte de misericórdia para os crentes, pois se alguém no tempo de uma epidemia de praga permanece em seu país esperando pacientemente pela Recompensa de Allah e acreditando que nada acontecerá com ele exceto o que Allah escreveu para ele, ele receberá a recompensa de um mártir" (Sahih al- Bukhari, 3474). Em outro lugar, o Santo profeta (PECE) disse: “A limpeza é a metade do emaan e o emaan leva o homem para o céu”. Abu Malik at-Ash'ari relatou: Profeta Muhammad () disse: “A limpeza é a metade da fé que leva o homem ao céu ”(Sahih Muslim, 223). Os muçulmanos têm uma fé forte em Allah e aqueles que têm uma fé forte sempre respondem sensatamente a todos os caminhos da vida. Eles são sempre encorajados a se esforçarem por tratamento médico (Profeta Muhammad (PECE). De acordo com o Profeta Muhammad (PECE) “Allah não criou nenhuma doença sem indicar um remédio para ela, com exceção de uma doença que é a velhice” (Narrado por Usamah ibn Sharik: Sunan Abi Dawud, 3855).

Os muçulmanos têm maneiras ótimas de se prevenirem de doenças virais, seguindo as regras e regulamentos do Islã. Tal como a ablução (wudhu'), um ritual islâmico que é realizado antes de cada oração, cinco vezes por dia. No qual uma pessoa lava sua boca, nariz, orelhas, rosto, cabelo, mãos, tornozelos, antebraços e pés, cada três vezes. Por outro lado, devido à pandemia, o Islam enfrentou impactos negativos sobre a prática religiosa de maneiras notáveis, o que inclui o cancelamento de peregrinações, Tablighi jamaat ijtemah (reunião) e festivais e celebrações proibidos envolvendo interações de grupo. De alguma forma, isso prejudica as pessoas mental e socialmente.


Tabela 1 – Convivência religiosa da Covid-19 no Islã


Medidas de segurança e consequências

Enfrentamento religioso no Islã

Referência

Isolamento social Quando você ouvir falar sobre a peste, não saia daquela terra e não entre em uma terra onde uma praga está estourando.

Higiene facial e manual Abolição 5 vezes ao dia

para oração.

De acordo com o Profeta (PBUH)

(Narrado por Saud-Sahih al-Bukhari, 5728).


(Narrado por Anas bin Malik Sunan Ibn Majah,

                                                                                               O Mensageiro de Allah 509)                                     




Covid-19


Evite saudações durante as reuniões

costumava fazer ablução para cada oração.

O Profeta () mandou uma mensagem a ele: ‘Volte, pois aceitamos seu juramento de fidelidade’


Amr E seu pai disseram em Sunan Ibn Majah 3544

Sem tratamento Allah não criou uma doença sem indicar um remédio para ela, com exceção de uma doença, a saber, a velhice.

De acordo com o Prophet (PBUH)

(Narrado por Usamah ibn Sharik- Sunan Abi Dawud 3855).


Fonte: Elaborado pelos autores


Este artigo de revisão arrasta o enfrentamento positivo da religiosidade e espiritualidade em relação à psique humana e à vida social durante a pandemia. Além disso, o artigo analisa os resultados do isolamento/bloqueio social da psique humana. Este artigo compreende a revisão de artigos online relacionados de países asiáticos que medem aleatoriamente as variáveis acima no contexto da Covid-19. 19 artigos foram selecionados para revisão no total. Conclui-se que a espiritualidade auxilia as pessoas em relaxamento mental em momentos de crise, situações epidêmicas e enfrentamentos religiosos que reduzem a saúde mental.


Análise metodológica e temática dos artigos selecionados


O total de 19 artigos de países asiáticos foram incluídos aleatoriamente nesta revisão. O pesquisador coleta artigos relevantes para revisão, dando prioridade aos estudos religiosos e espirituais disponíveis online e resumindo brevemente os temas salientes. Três grandes temas foram identificados nas 19 publicações e foram usados para organizar a revisão: enfrentamento religioso e espiritual, impacto de Covid-19 na psique humana, impacto de COVID-19 na vida social. O presente artigo explora o impacto do bloqueio na saúde física e mental do indivíduo e também expressa as consequências que afetam a saúde individual de diferentes maneiras.



Figura 1 – Covid-19



Human physical and mental health

Saúde física e mental humana

Distância social afeta a vida social

Lockdown e quarentena

Enfretamento religioso e espiritual

Impactos psicológicos no humano

Fonte: Elaborado pelos autores


Resultados


Literatura abordando o impacto de covid-19 na psicologia humana


No total, seis artigos de pesquisa eram estudos de diferentes países asiáticos, a fim de examinar o impacto psicológico na vida humana durante a covid-19. Pesquisas revisadas mostraram que covid-19 tem um impacto psicológico significativo na psique geral e também na psique humana da equipe médica de maneiras notáveis. Observa-se também que o sexo feminino apresenta um alto nível de ansiedade do que o masculino (CUI et al., 2020; ALKHAMEES et al., 2020; TEE et al., 2020; SALMAN et al., 2020; GROVER et al., 2020;

THOMAS et al., 2020). Seus resultados estão resumidos na Tabela 2 abaixo.


Tabela 2 – Influência de Covid-19 na psicologia humana


País ou região População de Pesquisa

Instrumento de pesquisa

Metodologia de Pesquisa

Resultados Referência

China Equipe

médica (enfermeiras)


Arábia Saudita População geral

a Escala de Ansiedade de Autoavaliação, Escala de Estresse Percebido-14 e Questionário de estilo de enfrentamento simples. impacto psicológico e estado de saúde mental usando a Escala de

Impacto de

Levantamento transversal


pesquisa de base online

A correlação de Pearson mostrou uma correlação positiva da ansiedade com o escore de estresse (r=0,443, P<

0,001) e estresse (r=-0,503, P<

0,001).

os resultados mostraram que quase um quarto da população geral da amostra experimentou

Cui, et al., 2020


Alkhamees

et al., 2020




Filipinas População geral


Paquistão Trabalhadores de saúde

Eventos Revisada (IES- R) e a Escala de Depressão, Ansiedade e Estresse

(DASS-21).

Escalas de Depressão, Ansiedade e Estresse (DASS-21) e as

avaliações da Escala de Impacto de Eventos Revisada (IES- R).

Escala de ansiedade generalizada (GAD-7),

questionário de saúde do

paciente (PHQ- 9) e Brief- COPE


inquéritos online


baseado na internet, transversal

impacto psicológico moderado a grave.


Os resultados mostraram que um quarto dos entrevistados relatou ansiedade moderada a grave e um sexto relatou depressão moderada a grave e impacto psicológico.

As mulheres apresentaram pontuações de ansiedade (p = 0,003) e

depressão (p = 0,001)

significativamente maiores do que os homens.


Tee et al., 2020


Salman et al., 2020

Índia Público geral escala de estresse percebido, Questionário de Saúde do Paciente-9, Transtorno de Ansiedade Generalizada-7, Escala de Bem- Estar Mental de Warwick- Edinburgh

Pesquisa online 40,5% dos

participantes apresentavam ansiedade ou depressão. Nível moderado de

estresse foi relatado por cerca de três quartos (74,1%) dos

participantes e 71,7% relataram baixo bem-estar.

Grover et al., 2020

Emirados Árabes Unidos

Residentes de adultos

Itens PHQ-8, GAD-7

itens, Breve RECO PE-14

itens

Pesquisa online Covid-19 tem

impacto na saúde mental individual e causa transtornos psicológicos

Thomas et al., 2020

Fonte: Elaborado pelos autores


Enfrentamento religioso e espiritual durante a pandemia de Covid-19


No total, oito artigos de pesquisa eram estudos de diferentes países asiáticos, a fim de examinar o enfrentamento religioso e espiritual durante a pandemia de covid-19. A literatura relacionada mostra que a religião tem um papel importante na redução do estresse e da




ansiedade. A religião e a espiritualidade são consideradas formas de curar o indivíduo em situações difíceis. Eles desempenham um papel significativo para se manterem positivos nos dias de hoje e motivam as pessoas para a positividade. De acordo com esses estudos religiosos e espirituais, os muçulmanos permanecem mais positivos devido à orientação religiosa (MAHMOOD et al., 2021; CHOW et al., 2021; JÚNIOR et al., 2020; RABABA et el., 2020; THOMAS; BARBATO, 2020; TABIK et al., 2020; MAHAMID; BDIER, 2021;

DURMUŞ; DURAR, 2021). Seus resultados estão resumidos na Tabela 3 abaixo.


Tabela 3 – Enfrentamento religioso e espiritual durante a pandemia de Covid-19


País ou região

População de Pesquisa

Instrumento de pesquisa

Metodologia de Pesquisa

Resultados Referência

Paquistão Muçulmanos Pesquisa online Pesquisa

transversal

Religião e

espiritualidade são consideradas curadoras importantes para reduzir a ansiedade

Mahmood et al., 2021

Malásia Profissionais de saúde médica

(Brief RCOPE M) e (HADS M)

Estudo transversal

O enfrentamento religioso positivo é vital para reduzir a ansiedade e a depressão.

Chow et al., 2021

China Geral Revisão A revisão mostra que a espiritualidade é uma forma comum de as pessoas lidarem com doenças e estresse

Júnior et al., 2020

Jordânia Adultos mais

velhos

Breve escala de enfrentamento religioso árabe.

Estudo descritivo A ansiedade da morte

está inversamente correlacionada com enfrentamentos religiosos e bem-estar espiritual.

Rababa et el., 2020

Emirados Árabes Unidos

Muçulmanos e cristãos

Questionário Pesquisa online Os muçulmanos (N =

339) relataram níveis significativamente mais altos de enfrentamento religioso positivo em comparação com seus colegas cristãos (N = 204).

Thomas

e Barbato, (2020)

Irã Muçulmanos entrevista fenomenológica semiestruturada


Palestina Adultos O enfrentamento

religioso positivo foi avaliado pelo IPRC, Escala de Depressão

Estudo qualitativo


Estudo transversal

O enfrentamento espiritual/religioso está fortemente relacionado à saúde mental e ao bem- estar.

Os resultados revelaram que o enfrentamento religioso positivo foi

Tabik et al., 2020


Mahamid, e Bdier, 2021



(CES-D-10), Escala

de Estresse Percebido (PSS)


Turquia 65 anos Escala de Bem-Estar

Espiritual (FACIT- Sp) e Escala de Fobia de Coronavírus (C19P-S)

Fonte: Elaborado pelos autores


Impacto da Covid-19 na vida social


Projeto transversal e correlacional

positivamente relacionado à qualidade de vida e à ausência de estresse. Correlação de nível moderado entre bem- estar espiritual e medo de coronavírus em indivíduos


Durmuş e Durar, 2021


No total, cinco artigos de pesquisa eram estudos de diferentes países asiáticos para examinar o impacto de covid-19 na vida social durante a pandemia de covid-19. A literatura relacionada mostra que o bloqueio e o isolamento são as principais razões para aumentar o estresse e a ansiedade. Devido ao isolamento, muitas pessoas sofriam de ansiedade. Tem um grande impacto na vida social e nas habilidades mentais dos alunos. Quarentena doméstica e solidão aumentam o nível de depressão em jovens. Além disso, as habilidades sociais dos alunos foram afetadas devido a menos comunicação e nenhuma interação. A maioria dos alunos ficou reprimida em suas casas pelo isolamento e solidão. Isso também afeta suas atividades educacionais e estudos de maneiras notáveis. Bloqueio e quarentena foram considerados solução temporária para covid-19, que tem um efeito permanente na psique humana (ALFAWAZ et al., 2020; BHAT et al., 2020; CHATURVEDI et al., 2020; GAN et al., 2020; KILINÇEL et al., 2020). Seus resultados estão resumidos na Tabela 4 abaixo.


Tabela 4 – Impacto da Covid-19 na vida social


País ou região

População de Pesquisa

Instrumento de pesquisa

Metodologia de Pesquisa

Resultados Referência

Arábia Saudita

Estudantes Questionário Pesquisa transversal online

A maioria dos entrevistados relata sofrimentos de ansiedade, depressão e insônia durante o

confinamento.

Alfawaz et al., 2020

Paquistão Pessoas em

geral

Questionário Pesquisa online O lockdown é uma

solução temporária para a Covid que causa problemas

sociais e

psicológicos

Bhat et al., 2020

Índia Estudantes Questionário Pesquisa online A falta de interação

social afeta o aprendizado e as habilidades sociais.

Chaturvedi et al., 2020

China Pessoas em Questionário Online A quarentena Gan et al.,



geral aumenta o estresse

entre as pessoas

Turquia Adolescentes Questionário Transversal Quarentena

domiciliar durante a pandemia causa ansiedade e solidão nos jovens

2020


Kılınçel et al., (2020)

Fonte: Elaborado pelos autores


Conclusão


No século 20, a pandemia cria um impacto negativo na saúde física e mental das pessoas em todo o mundo. Foi muito difícil para todas as pessoas do mundo porque a doença invisível se espalhou por todos os cantos em poucos meses. Causa grande impacto psicológico na vida social humana, na saúde física e mental. Ele tem um impacto psicológico substancial na equipe médica geral e profissional. A pandemia foi o principal motivo de alto nível de estresse, ansiedade, medo, trauma e depressão entre os alunos e todos os trabalhadores. Para lidar com o estresse e a ansiedade, todos precisam do apoio dos outros e se ajudam adotando mecanismos de enfrentamento. O distanciamento social e a quarentena de Covid-19 aumentam a depressão e os problemas de saúde mental na população mundial. É visível que o isolamento social e a quarentena têm efeito sobre a saúde mental. Que sofrimentos de ansiedade, depressão e insônia são relatados pela maioria dos participantes durante o confinamento. Os seres humanos são seres sociais, reduzir as interações sociais pode criar problemas de saúde mental. Enquanto outros fatores, como interação social, mudanças rotineiras e perdas econômicas são reduzidas, o que leva a um impacto psicológico e emocional e, por fim, diminui a autoestima. Há uma ligação entre uma melhor saúde mental e enfrentamentos religiosos ao enfrentar situações estressantes. Onde enfrentamento por meio da religião estavam inversamente relacionados com um histórico de doença psicológica. O enfrentamento positivo da religião ajuda o indivíduo a lidar com a ansiedade e sentimentos ansiosos. Enfrentamentos religiosos e confiança em Deus estão fortemente correlacionados com menos estresse e vice-versa. Enfrentamentos religiosos e espirituais estão relacionados às consequências para a saúde mental e preveem uma remissão mais rápida dos problemas de saúde mental. Por esse motivo, deve ser uma peça para uso em clínicos, para psicoterapia ou tratamento de clientes. Pode ajudar a acelerar a resolução, especificamente em tempos de pandemia ou perigos. Pode aumentar o acesso à terapia para muitos indivíduos que consideram religiosos/espirituais importantes em suas vidas.



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Como referenciar este artigo


GOHAR, A.; CARVALHO, A. B.; BRANDÃO, C. F. Implicação do isolamento social na saúde mental durante a pandemia de Covid-19: um olhar sobre seu enfrentamento religioso e espiritual. Revista on line de Política e Gestão Educacional, Araraquara, v. 25, n. esp. 4, p. 2080-2093, dez. 2021. e-ISSN:1519-9029. DOI:

https://doi.org/10.22633/rpge.v25iesp.4.15941


Submetido em: 20/08/2021

Revisões requeridas em: 12/10/2021 Aprovado em: 15/11/2021 Publicado em: 08/12/2021





IMPLICATION OF SOCIAL ISOLATION ON MENTAL HEALTH DURING THE COVID-19 PANDEMIC: A LOOK AT ITS RELIGIOUS AND SPIRITUAL COPING


IMPLICAÇÃO DO ISOLAMENTO SOCIAL NA SAÚDE MENTAL DURANTE A PANDEMIA DE COVID-19: UM OLHAR SOBRE SEU ENFRENTAMENTO RELIGIOSO E ESPIRITUAL


IMPLICACIÓN DEL AISLAMIENTO SOCIAL EN LA SALUD MENTAL DURANTE LA PANDEMIA DE COVID-19: UNA MIRADA A SU AFRONTAMIENTO RELIGIOSO Y ESPIRITUAL


Amna GOHAR1 Alonso Bezerra de CARVALHO2 Carlos da Fonseca BRANDÃO3


ABSTRACT: China was the center of Covid-19 which rapidly spread out all over the world. The rapid outbreak of Covid-19 in Asian countries has severely affected psychological and social life of people. Which also has a great influence on religion and faith. Spiritual and religious copping is an effective approach for mental relaxation and belief on the creator specifically during the Covid-19 outbreak. The main purpose of this study is observing the situation of Asian countries existing literature on human psychology and social life further it also explores religious and spiritual coping during Covid-19. Different studies were retrieved from online sources. In which the published articles were classified according to three themes such as human psychology, religious and spiritual coping and social life during Covid-19. It is evident from the literature that covid-19 has a great influence on human psychology. Majority people suffered from anxiety and depression in these tough days of life. Also, most of the people suffered from fear, depression, stress, loneliness during lockdown which effects their social life. The positive point was found that religion and spirituality helping people to reduce their stress and create positivity in their life. Spirituality helps out people in mental relaxation at times of crisis and epidemic situations while religious copings and strong believe on creator reduce anxiety and depression.


KEYWORDS: Religiosity. Spirituality. Human psychology. Social life. Covid-19.


RESUMO: A China foi o centro da Covid-19, que rapidamente se espalhou por todo o mundo. O rápido surto de Covid-19 nos países asiáticos afetou gravemente a vida psicológica e social das pessoas, situação que tornou o enfrentamento espiritual e religioso uma abordagem eficaz para o relaxamento mental. O objetivo principal deste artigo é observar


1 São Paulo State University (UNESP), Marília – SP – Brazil. Doctoral student in the Postgraduate Program in Education. ORCID: https://orcid.org/0000-0002-9356-3560. E-mail: amna.gohar@unesp.br

2 São Paulo State University (UNESP), Marília – SP – Brazil. Professor of the Department of Didactics and the Postgraduate Program in Education. Doctorate in Education (USP). ORCID: https://orcid.org/0000-0001-5106- 2517. E-mail: alonso.carvalho@unesp.br

3 São Paulo State University (UNESP), Marília – SP – Brazil. Professor of the Department of Linguistic, Literary and Educational Studies and the Postgraduate Program in Education. Doctorate in Education (UNESP). ORCID: https://orcid.org/0000-0003-2254-0692. E-mail: carlos.brandao@unesp.br



como a questão foi abordada nos países asiáticos. Para tanto, foram selecionados diferentes estudos publicados em fontes digitais. É evidente nos textos que a Covid-19 teve um grande impacto na vida das pessoas. A maioria delas passou a sofrer de ansiedade, depressão, medo, estresse, solidão durante o isolamento, afetando a sua vida individual y social. O ponto positivo encontrado foi a espiritualidade teria contribuído para que as pessoas tivessem um relaxamento mental nas situações mais críticas da pandemia, reduzindo a ansiedade e a depressão e enfrentando as situações com mais fé e esperança no Criador.


PALAVRAS-CHAVE: Religiosidade. Espiritualidade. Psicologia humana. Vida social.

Covid-19.


RESUMEN: China fue el centro de la Covid-19, que se extendió rápidamente por todo el mundo. El rápido surto de Covid-19 en los países asiáticos ha afectado gravemente la vida psicológica y social de las personas, una situación que ha hecho del afrontamiento espiritual y religioso un enfoque eficaz para la relajación mental. El objetivo principal de este artículo es observar cómo se abordó el tema en los países asiáticos. Por ello, seleccionamos diferentes estudios publicados en fuentes digitales. Es evidente por los textos que el Covid-19 tuvo un gran impacto en la vida de las personas. La mayoría de ellas comenzó a sufrir ansiedad, depresión, miedo, estrés, soledad durante el aislamiento, afectando su vida individual y social. El punto positivo encontrado fue que la espiritualidad pasó a contribuir para que las personas tuvieran una relajación mental en las situaciones más críticas de la pandemia, reduciendo la ansiedad y la depresión y afrontando situaciones con más fe y esperanza en el Creador.


PALABRAS CLAVE: Religiosidad. Espiritualidad. Psicología humana. Vida social. Covid- 19.


Introduction


In the 20th century the global population faced the most pandemic situation of Covid-

19. The invisible virus ended life of many people around all the countries. The unpredictable disease has blowout having no recovery treatment and any medicine. In which globally up to 178,118,597 confirmed cases of Covid-19 have been recorded, the death ratio is 3,864,180 and 103,552,567 people recovered successfully and now 2,412,226,768 vaccine doses have been administered. Currently in Asia total 54,583,340 coronavirus cases were recorded in which active cases are 1,856,413 whereas 769,514 was died and 51,957,413 are recovered from the disease (WORLD HEALTH ORGANIZATION, 2021). The death ratio of Covid-19 patients is published on daily basis in increasing trend that effects individual psychologically and emotionally. It has a decisive impact on human psychology at all ages (CHEW et al., 2020). Similarly, Covid-19 outbreak increase the level of stress, anxiety, depression, fear about health and loved ones (WANG et al., 2020). In this scenario spirituality and religion




can be a good healer in societies. It can help people in time of crisis and bereavement to create positivity in emotions and wellbeing of people (ÖZVEREN; KIRCA, 2019). Through religious and spiritual coping individual can remove their stress and create mental relaxation peacefully.

In the psychological sphere, it is evident that traumatic stress disorder, loneliness and anger are increasing on daily basis after quarantine (BROOKS et al., 2020). Different types of Stress were faced by people during critical condition such as fear of disease, death, ambiguity, loss of social life, imprisonment, scarce evidence, contradictory instruction, loss of social activities, discontinuation from nature, aloneness, despair, low self-esteem, financial loss and hindrances to supplies of food and water (BROOKS et al., 2020). Covid-19 pandemic has major consequences on individual physical and mental health. These psychiatric consequences have short- and long-term effects which will cause depression, anxiety, fatigue, insomnia and post-traumatic stress (ROGERS et al., 2020).

Social distance and isolation are considered safety measures to reduce covid-19 outspread through which government can minimize health risk (USHER; BHULLAR; JACKSON, 2020). While social distancing has considered best safety measures to reduce health consequences on the other hand it has caused many issues such as job loss, lack of medical treatment and failing in mental health (ROGERS et al., 2020). Increasing stress during social isolation creates tough time for professional medical (BANERJEE, 2020). Mostly people become susceptible to negative thoughts, anxiety and fear that also increase in cases and deaths. The only best strategy in the current situation to reduce mental stress is digital technology through which an individual has access to contact family, attend online classes, virtual workplaces and the use of religious and spiritual beliefs (KOENIG, 2020).

Religion has a positive impact on mental health of individuals who have a strong belief. In Islam spirituality can be defined as a core theme which contains beliefs (In Allah and His prophets, the day of judgment, etc.), knowledge and doings of daily livings. Similarly, in Islam people are following the set of rituals and codes of conduct striving to become closer to Allah and to find purpose of sending in this world. So positive religious coping is positively correlated with life satisfaction and positive affect while negative religious coping is positively correlated with negative affect (HABIB; HUSSAIN; HABIB, 2020). The Prophet () said, "If you hear about the outbreak of plague and disease in a land, do not enter it; whereas if the plague breaks out in a place where you are living, do not leave that place” (Narrated by Saud-Sahih al-Bukhari, 5728). Aisha said “I asked Prophet () about the plague. He told me that it was a Punishment sent by Allah on whom he wished, and



Allah made it a source of mercy for the believers, for if one in the time of an epidemic plague stays in his country patiently hoping for Allah's Reward and believing that nothing will befall him except what Allah has written for him, he will get the reward of a martyr" (Sahih al- Bukhari, 3474). In another place the Holy prophet (PBUH) said, “Cleanliness is half of the emaan and emaan leads a man to heaven”. Abu Malik at-Ash'ari reported: Prophet Muhammad () said: “Cleanliness is half of faith that leads a man to heaven” (Sahih Muslim, 223). Muslims has a strong faith on Allah and those who have a strong faith they always respond sensibly to all trails of life. They are always encouraged to strive for medical treatment (Prophet Muhammad (PBUH). According to Prophet Muhammad (PBUH) “Allah has not created any disease without appointing a remedy for it, with the exception of one disease that is old age” (Narrated Usamah ibn Sharik: Sunan Abi Dawud, 3855).

Muslims has optimal ways to prevent their selves from viral diseases by following rules and regulation of Islam. Such as ablution (wudhu’) an Islamic ritual that is performed before every prayer, five times a day. In which a person washes his mouth, nose, ears, face, hair, hands, ankles, forearms, and feet, each thrice. On the other hand, due to pandemic Muslim faced negative impacts upon religious practice in remarkable ways, which includes cancelling pilgrimages, Tablighi jamaat ijtemah (gathering) and disallowed festivals and celebrations involving group interactions. Somehow it suffers people mentally and socially.


Table 1 – Covid-19 religious coping in Islam


Safety measures and consequences

Religious coping in Islam

Reference



Social isolation

When you heard about

According to Prophet


plugue don’t go out from

(PBUH)


that land and don’t enter

(Narrated by Saud-Sahih


in a land where a plauge

al-Bukhari, 5728).


is breakout.


Face and hand Hygene

Abolution 5 times a day

(Narrated by Anas bin


for prayer.

Malik Sunan Ibn Majah,


The Messenger of Allah

509)


used to perform ablution



for every prayer.


Avoid Greetings while

The Prophet () sent

Amr and his father said

meetings

word to him: ‘Go back,

that in Sunan Ibn Majah


for we have accepted

3544


your oath of allegiance


No treatment

Allah has not made a

According to Prophet


disease without

(PBUH)


appointing a remedy for

(Narrated Usamah ibn


it, with the exception of

Sharik- Sunan Abi


one disease, namely old

Dawud 3855).


age.


Covid-19






Source: Prepared by the authors


This review paper drags out the positive coping of religiosity and spirituality in relation to human psyche and social life during pandemic. Further the paper analyzes the results of social isolation/lockdown on humans’ psyche. This paper comprises the review of related online articles from Asian countries randomly which measuring the above variables in the context of Covid-19. 19 articles were selected for review in total. It is concluded that spirituality helps out people in mental relaxation at times of crisis, epidemic situations and religious copings reduce mental health.


Methodological and thematic analysis of selected articles


The total 19 articles from Asian countries randomly were included in this review. Researcher collect relevant articles for review, giving priority to the religious and spiritual studies available online and briefly summarizing the salient themes. Three broad themes were identified across the 19 publications, and were used to organize the review: religious and spiritual coping, impact of Covid-19 on human psyche, impact of COVID-19 on social life. The current article explores the impact of lockdown on individual mental and physical health it also expresses the consequences that effect individual health in different ways.



Human physical and mental health

Figure 1 – Covid-19



Source: Prepared by the authors


Results


Literature addressing impact of covid-19 on Human psychology


In total six research articles were studies from different Asian countries in order to examined the psychological impact on human life during covid-19. Reviewed researches

RPGE– Revista on line de Política e Gestão Educacional, Araraquara, v. 25, n. esp. 4, p. 2073-2085, Dec. 2021. e-ISSN: 1519-9029



showed that covid-19 has a significant psychological impact on general and also on medical staff human psyche in remarkable ways. It is also noted that female has a high level of anxiety than male. (CUI et al., 2020; ALKHAMEES et al., 2020; TEE et al., 2020; SALMAN et al., 2020; GROVER et al., 2020; THOMAS et al., 2020). Their results are summarized in the Table below (Table 2).


Table 2 – Covid-19 influence on Human psychology


Country or region Research

Population

Research Instrument

Research Methodology

Results Reference

China Medical staff (Nurses)


Saudi Arabia General population

the Self-Rating Anxiety Scale, Perceived Stress Scale-14 and Simple Coping Style Questionnaire.


psychological impact and

mental health status using the Impact of Event Scale-Revised (IES-R), and the Depression, Anxiety, and

Stress Scale (DASS-21).

Cross sectional survey


online-based survey

Pearson correlation showed a positive correlation of the anxiety with stress score (r=0.443, P<

0.001) and stress (r=- 0.503, P< 0.001).

results showed that nearly one- fourth of the sampled general population experienced moderate to severe psychological impact.

Cui, et al., 2020


Alkhamees et al., 2020

Philippines General

population

Depression, Anxiety and Stress Scales (DASS-21) and

the Impact of Events Scale- Revised (IES-R) ratings.

online surveys Results showed

one-fourth of respondents reported moderate-to- severe anxiety and one-sixth reported moderate-to- severe depression and psychological impact.

Tee et al., 2020

Pakistan Health

workers

Generalized anxiety scale (GAD-7), patient health questionnaire (PHQ-9) and Brief-COPE

web-based, cross-sectional

Females had significantly higher anxiety (p = 0.003) and depression (p = 0.001) scores than males.

Salman et al., 2020

India General

Public

perceived stress scale, Patient

Online survey 40.5% of the

participants had

Grover et al., 2020




United Arab Emirates


Adults’

residents

Health Questionnaire-9, Generalized Anxiety Disorder-7, Warwick- Edinburgh Mental Well- being Scale


PHQ-8

items, GAD-

7items, Brief RECO PE-14

items

either anxiety or depression. Moderate level of stress was reported by about three- fourth (74.1%) of the

participants and 71.7% reported poor well- being.

Online survey Covid-19 has

impact on individual mental health that cause psychological disorders


Thomas et al., 2020

Source: Prepared by the authors


Religious and spiritual coping during Covid-19 pandemic


In total eight research articles were studies from different Asian countries in order to examined the religious and spiritual coping during covid-19 pandemic. Related literature show that religion has an important role in reducing stress and anxiety. Religion and spirituality are considered the way to heal individual in difficult situations. They play significant role to remain positive in these days and motivates people towards positivity. According to these religious and spiritual studies Muslims remain more positive due to religious guidance. (MAHMOOD et al., 2021; CHOW et al., 2021; JÚNIOR et al., 2020; RABABA et el., 2020; THOMAS; BARBATO, 2020; TABIK et al., 2020; MAHAMID;

BDIER, 2021; DURMUŞ; DURAR, 2021). Their results are summarized in the Table below (Table 3).


Table 3 – Religious and spiritual coping during Covid-19 pandemic


Country or region

Research Population

Research Instrument

Research Methodology

Results


Reference

Pakistan

Muslims

Online survey

Cross-Sectional survey

Religion spirituality

considered significant

and


healer to

Mahmood et al., 2021


Malaysia Medical

health workers


(Brief RCOPE M) and (HADS M)


Cross-sectional study

reduce anxiety Positive religious coping is vital in reducing anxiety and depression.


Chow et al., 2021

China


General

Review Review shows that Spirituality is a common way that

Júnior et al., 2020



Jorden Older adults Brief Arab

Religious Coping scale

Arabic scale of death anxiety.

people cope with illnesses and stress

Descriptive study Death anxiety is

inversely correlated with religious copings and spiritual well- being.


Rababa et el., 2020

United Arab Emirates

Muslims and Christians

Questionnaire Online survey Muslims (N = 339)

reported significantly higher levels of positive religious coping compared to their Christian counterparts (N = 204).

Thomas

and Barbato, (2020)

Iran Muslims semi-structured

phenomenological interview

Qualitative study Spiritual/religious

copings are strongly correlated with mental health and well-being.

Tabik et al., 2020

Palestine Adults Positive religious

coping was assessed by the IPRC,

Depression Scale (CES-D-10),

Perceived Stress Scale (PSS)

Turkey 65 years old Spiritual Well-being

Scale (FACIT-Sp)

and Coronavirus Phobia Scale (C19P- S)

Source: Prepared by the authors


Covid-19 impact on social life

Cross sectional study


Cross-sectional and correlational design

Results revealed that positive religious coping was positively related to quality of life and lack of stress


Moderate level correlation between spiritual well-being and coronavirus fear in individuals

Mahamid, and Bdier, 2021


Durmuş and

Durar, 2021


In total five research articles were studies from different Asian countries in order to examined the impact of covid-19 on social life during covid-19 pandemic. Related literature show that lockdown and isolation are the main reason of increasing stress and anxiety. Due to isolation a lot of people suffered from anxiety. It has a great impact on students’ social life and mental abilities. Home quarantine and loneliness increase level of depression in young people. Also, social skills of students were affected due to less communication and no interaction. Majority of students were suppressed in their home in isolation and loneliness. That also effect their educational activities and studies in notable ways. Lockdown and quarantine were considered temporary solution for covid-19 which has a permanent effect on human psyche (ALFAWAZ et al., 2020; BHAT et al., 2020; CHATURVEDI et al., 2020; GAN et al., 2020; KILINÇEL et al., 2020). Their results are summarized in the Table below (Table 4).




Table 4 – Covid-19 impact on social life


Country or region

Research Population

Research Instrument

Research Methodology

Results


Reference

Saudi

Students

Questionnaire

Cross

Most

of the

Alfawaz et

Arabia

sectional online


Survey

respondents reports sufferings from anxiety, depression and

al., 2020


Pakistan General people

insomnia during lockdown.

Questionnaire Online survey Lockdown is a

temporary solution for Covid that cause social and

psychological problems


Bhat et al., 2020

India Students Questionnaire Online survey Lack of social

interaction effects learning and social skills.

Chaturvedi et al., 2020

China General people

Questionnaire Online Quarantine increases stress among

Gan et al., 2020

Turkey adolescents Questionnaire Cross sectional home‐quarantine

during pandemic causes anxiety and loneliness in young people

Kılınçel et

al., (2020)

Source: Prepared by the authors


Conclusion


In the 20th century pandemic creates a negative impact on physical and mental health of the people throughout world. It was very hard for every individual in the world because the invisible disease spread-out all over the world in few months. It causes great psychological impact of on human social life, physical and mental health. It has a substantial psychological impact on general and professional medical staff human psyche in notable ways. Pandemic was the main reason of high level of stress, anxiety, fear, trauma and depression among students and all workers. To handle stress and anxiety everyone has required support from others and helped themselves by adopting coping mechanisms. Social distancing and quarantine Covid-19 increase depression and mental health problems in world population. It is sightseeing that social isolation and quarantine has effect on mental health. That sufferings of anxiety, depression and insomnia are reported by majority of the participants during lockdown. Human beings are social beings, reduce social interactions can create mental health problems. While other factors such as social interaction, routine changes and economic losses are reduced which led to psychological and emotional impact, and ultimately decrease self-




worth. There is a link between better mental health and religious copings when facing with stressful situations. Where religious copings were inversely related with a history of psychological illness. Positive coping of religion helps an individual to deal with anxiety and anxious feelings. Religious copings and trust in God, strongly correlated with less stress and vice versa. Religious and Spiritual copings are related to mental health consequences and predicts a faster remission from mental health problems. For that reason, it must be a part to use in clinicians for psychotherapy or treating clients. It may help to speed the resolution, specifically in time of pandemic or hazards. It might increase access to therapy for many individuals who consider Religious/spiritual important in their lives.


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ALKHAMEES, A. A. et al. The psychological impact of COVID-19 pandemic on the general population of Saudi Arabia. Comprehensive psychiatry, v. 102, 2021. DOI: https://doi.org/10.1016/j.comppsych.2020.152192


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Como referenciar este artigo


GOHAR, A.; CARVALHO, A. B.; BRANDÃO, C. Fonseca Implication of social isolation on mental health during the Covid-19 pandemic: a look at its religious and spiritual coping. Revista on line de Política e Gestão Educacional, Araraquara, v. 25, n. esp. 4, p. 2073- 2085, Dec. 2021. e-ISSN:1519-9029. DOI: https://doi.org/10.22633/rpge.v25iesp.4.15941


Submitted: 20/08/2021 Required revisions: 12/10/2021 Approved: 15/11/2021 Published: 08/12/2021