Spiritual Activity as an Effort to Cope with Depression during the COVID-19 Pandemic in Indonesia


  • Tri Wurisastuti Department of Epidemiology, Faculty of Public Health, Universitas Indonesia, Depok, West Java, Indonesia and National Research and Innovation Agency
  • Helda Helda Department of Epidemiology, Faculty of Public Health, Universitas Indonesia, Depok, West Java, Indonesia




Spiritual Activity, Depression, Pandemic, , COVID-19, Indonesia


Spiritual activity is used to be associated with better mental health, particularly in the face of stress. At the beginning of the COVID-19 pandemic, numerous new regulations, including quarantine, restrictions on mobility, and physical distancing, triggered stress throughout society. The objective of the study is to explore the relationship of spiritual activities at each level of depression in Indonesia in the early stages of the COVID-19 pandemic (2-4 May 2020). The cross-sectional research was administered online in 34 provinces in Indonesia, involving 2189 respondents aged 15 years old and over and social media users. The researchers employed a structured questionnaire to examine demographic characteristics and coping activities and measured depressive symptoms using the Patient Health Questionnaire (PHQ-9). Multivariate results presented that the spiritual activities are able to decrease the risk of depression at every depression level (mild, moderate, and severe) after being controlled by gender and marital status. The values for each level, which are mild, moderate, and severe, were OR=0.332 (95% CI 0.19-0.60; p-value=0.000), OR=0.198 (95% CI 0.09-0.43; p-value=0.000), and OR=0.234 (95% CI 0.08-0.64; p-value=0.005), respectively. Good spiritual activities during an infectious disease outbreak are efficient to support some individuals in reducing the risk of depression, particularly in Indonesia.


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Askari , M., Mohammadi , H., Radmehr , H., & Jahangir, A. H. (2018). The effect of spiritual–religious psychotherapy on enhancing quality of life and reducing symptoms of anxiety and depression among the elderly . Journal of Pizhūhish Dar dīn Va Salāmat (i.E., Research on Religion & Health), 4(2), 29-41. https://doi.org/10.22037/jrrh.v4i2.15595

Chirico, F. (2021). Spirituality to cope with COVID-19 pandemic, climate change and future global challenges. J Health Soc Sci, 6(2), 151-158.

Davis, E. B., McElroy-Heltzel, S. E., Lemke, A. W., Cowden, R. G., VanderWeele, T. J., Worthington Jr, E. L., ... & Aten, J. D. (2021). Psychological and spiritual outcomes during the COVID-19 pandemic: A prospective longitudinal study of adults with chronic disease. Health Psychology, 40(6), 347-356. https://doi.org/10.1037/hea0001079 DOI: https://doi.org/10.1037/hea0001079

Giannone, D. A., & Kaplin, D. (2020). How does spiritual intelligence relate to mental health in a western sample?. Journal of Humanistic Psychology, 60(3), 400-417. https://doi.org/10.1177/0022167817741041 DOI: https://doi.org/10.1177/0022167817741041

González-Sanguino, C., Ausín, B., Castellanos, M. Á., Saiz, J., López-Gómez, A., Ugidos, C., & Muñoz, M. (2020). Mental health consequences during the initial stage of the 2020 Coronavirus pandemic (COVID-19) in Spain. Brain, behavior, and immunity, 87, 172-176. https://doi.org/10.1016/j.bbi.2020.05.040. DOI: https://doi.org/10.1016/j.bbi.2020.05.040

Kroenke, K., & Spitzer, R. L. (2002). The PHQ-9: A new depression diagnostic and severity measure. Psychiatric Annals, 32(9), 509–515. https://doi.org/10.3928/0048-5713-20020901-06. DOI: https://doi.org/10.3928/0048-5713-20020901-06

Leung, C. H. and Pong, H. K. (2021). Cross-sectional study of the relationship between the spiritual wellbeing and psychological health among university students. PLoS ONE, 16(4), 1–19. https://doi.org/10.1371/journal.pone.0249702 DOI: https://doi.org/10.1371/journal.pone.0249702

Mahwati, Y. (2017). The Relationship between Spirituality and Depression Among the Elderly in Indonesia. Makara Journal of Health Research, 21(1), 13–19. https://doi/org/10.7454/msk.v21i1.6206. DOI: https://doi.org/10.7454/msk.v21i1.6206

McClintock, C. H., Anderson, M., Svob, C., Wickramaratne, P., Neugebauer, R., Miller, L., & Weissman, M. M. (2019). Multidimensional understanding of religiosity/spirituality: relationship to major depression and familial risk. Psychological medicine, 49(14), 2379-2388. https://doi.org/10.1017/S0033291718003276 DOI: https://doi.org/10.1017/S0033291718003276

Rentala, S., Lau, B. H. P., & Chan, C. L. (2017). Association between spirituality and depression among depressive disorder patients in India. Journal of spirituality in mental health, 19(4), 318-330. https://doi.org/10.1080/19349637.2017.1286962 DOI: https://doi.org/10.1080/19349637.2017.1286962

Roming, S., & Howard, K. (2019). Coping with stress in college: an examination of spirituality, social support, and quality of life. Mental Health, Religion & Culture, 22(8), 832-843.https://doi.org/10.1080/13674676.2019.1674794 DOI: https://doi.org/10.1080/13674676.2019.1674794

Rose, A. H., Rose, J. R., Miller, R. B., & Dyer, W. J. (2018). Exploring hope as a mediator between religiosity and depression in adolescents. Journal of Religion & Spirituality in Social Work: Social Thought, 37(3), 239-253. https://doi.org/10.1080/15426432.2018.1488646 DOI: https://doi.org/10.1080/15426432.2018.1488646

Sanaeinasab, H., Saffari, M., Sheykh-Oliya, Z., Khalaji, K., Laluie, A., Al Zaben, F., & Koenig, H. G. (2021). A spiritual intervention to reduce stress, anxiety and depression in pregnant women: Randomized controlled trial. Health Care for Women International, 42(12), 1340-1357. https://doi.org/10.1080/07399332.2020.1836643 DOI: https://doi.org/10.1080/07399332.2020.1836643

Shamblaw, A. L., Rumas, R. L., & Best, M. W. (2021). Coping during the COVID-19 pandemic: Relations with mental health and quality of life. Canadian Psychology/Psychologie canadienne, 62(1), 92-100. https://doi.org/10.1037/cap0000263 DOI: https://doi.org/10.1037/cap0000263

Talib, M. A., & Abdollahi, A. (2017). Spirituality moderates hopelessness, depression, and suicidal behavior among Malaysian adolescents. Journal of religion and health, 56(3), 784-795. https://doi.org/10.1007/s10943-015-0133-3. DOI: https://doi.org/10.1007/s10943-015-0133-3

Thomas, J., & Barbato, M. (2020). Positive religious coping and mental health among Christians and Muslims in response to the COVID-19 pandemic. Religions, 11(10), 498. https://doi.org/10.3390/rel11100498 DOI: https://doi.org/10.3390/rel11100498

Vitorino, L. M., Lucchetti, G., Leão, F. C., Vallada, H., & Peres, M. F. P. (2018). The association between spirituality and religiousness and mental health. Scientific reports, 8(1), 1-9. https://doi.org/10.1038/s41598-018-35380-w DOI: https://doi.org/10.1038/s41598-018-35380-w

Vittengl, J. R. (2018). A lonely search?: Risk for depression when spirituality exceeds religiosity. The Journal of nervous and mental disease, 206(5), 386-389. http://doi.org/10.1097/NMD.0000000000000815 DOI: https://doi.org/10.1097/NMD.0000000000000815

You, S., Yoo, J. E., & Koh, Y. (2019). Religious practices and mental health outcomes among Korean adults. Personality and Individual Differences, 142, 7-12. https://doi.org/10.1016/j.paid.2019.01.026 DOI: https://doi.org/10.1016/j.paid.2019.01.026

Zarrouq, B., Abbas, N., Hilaly, J. E., Asri, A. E., Abbouyi, S., Omari, M., ... & Ragala, M. E. (2021). An investigation of the association between religious coping, fatigue, anxiety and depressive symptoms during the COVID-19 pandemic in Morocco: a web-based cross-sectional survey. BMC psychiatry, 21(1), 1-13. https://doi.org/10.1186/s12888-021-03271-6 DOI: https://doi.org/10.1186/s12888-021-03271-6




How to Cite

Wurisastuti, T., & Helda , H. . (2022). Spiritual Activity as an Effort to Cope with Depression during the COVID-19 Pandemic in Indonesia. JURNAL INFO KESEHATAN, 20(1), 49–59. https://doi.org/10.31965/infokes.Vol20.Iss1.679
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