Copyright (c) 2026 Mohammad Jawad Mirzaee

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
The Protective Role of Spirituality, Mindfulness, and Hope in Depression: A Cross-Sectional Study Among Afghan University Students
Corresponding Author(s) : Mohammad Jawad Mirzaee
Journal of Social Sciences and Humanities,
Vol. 3 No. 1 (2026): January
Abstract
Depression is highly prevalent among university students worldwide, yet evidence from Afghanistan is limited. This study examined the protective roles of spirituality, mindfulness, and hope against depression among 450 undergraduate and master’s students from four universities in Kabul during the 2025 academic year. The sample was predominantly young adults, with 43.1% aged 18–22 years and 32.7% aged 23–27 years. Most participants were enrolled in bachelor’s programs (71.8%). Participants completed standardized questionnaires assessing depression, spiritual well-being, mindfulness, and hope. Results showed that higher levels of spirituality and mindfulness were associated with lower depression, whereas hope did not significantly relate to depression. Spirituality emerged as the strongest protective factor. Overall, the model explained 5% of the variance in depression, suggesting that additional contextual factors may also play a role. These findings highlight the importance of culturally embedded psychological resources in supporting mental health in fragile and conflict-affected environments. The study underscores the value of integrating spiritual well-being and mindfulness-based strategies into mental health promotion programs in Afghan higher education. Although causal conclusions cannot be drawn due to the cross-sectional design, these results provide a foundation for future longitudinal research and the development of culturally sensitive interventions aimed at reducing depression among young adults in Afghanistan.
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- Alemi, Q., Panter-Brick, C., & Oriya, S. (2020). Hope in the face of despair: A qualitative study of Afghan youth. Journal of Adolescent Health, 66(3), 378. https://doi.org/10.1016/j.jadohealth.2019.12.001 DOI: https://doi.org/10.1016/j.jadohealth.2019.12.001
- Baer, R. A., Smith, G. T., Hopkins, J., Krietemeyer, J., & Toney, L. (2006). Using Self-Report Assessment Methods to Explore Facets of Mindfulness. Assessment, 13(1), 27–45. https://doi.org/10.1177/1073191105283504 DOI: https://doi.org/10.1177/1073191105283504
- Beck, A. T., Steer, R. A., & Brown, G. K. (1996). No Title:Manual for the Beck Depression Inventory-II. DOI: https://doi.org/10.1037/t00742-000
- Bernal, G., & Sáez‐Santiago, E. (2006). Culturally centered psychosocial interventions. Journal of Community Psychology, 34(2), 121–132. https://doi.org/10.1002/jcop.20096 DOI: https://doi.org/10.1002/jcop.20096
- Brislin, R. W. (1970). Back-Translation for Cross-Cultural Research. Journal of Cross-Cultural Psychology, 1(3), 185–216. https://doi.org/10.1177/135910457000100301 DOI: https://doi.org/10.1177/135910457000100301
- Cohen, J. (1992). A power primer. Psychological Bulletin, 112(1), 155–159. https://doi.org/10.1037/0033-2909.112.1.155 DOI: https://doi.org/10.1037/0033-2909.112.1.155
- Exline, J. J. (Ed.). (2013). Religious and spiritual struggles. In APA handbook of psychology, religion, and spirituality (Vol 1): Context, theory, and research. (pp. 459–475). American Psychological Association. https://doi.org/10.1037/14045-025 DOI: https://doi.org/10.1037/14045-025
- Gallagher, M. W., & Lopez, S. J. (2009). Positive expectancies and mental health: Identifying the unique contributions of hope and optimism. The Journal of Positive Psychology, 4(6), 548–556. https://doi.org/10.1080/17439760903157166 DOI: https://doi.org/10.1080/17439760903157166
- GBD. (2022). Global, regional, and national burden of 12 mental disorders in 204 countries and territories, 1990–2019: a systematic analysis for the Global Burden of Disease Study 2019. The Lancet Psychiatry, 9(2), 137–150. https://doi.org/10.1016/S2215-0366(21)00395-3 DOI: https://doi.org/10.1016/S2215-0366(21)00395-3
- Ghassemzadeh, H., Mojtabai, R., Karamghadiri, N., & Ebrahimkhani, N. (2005). Psychometric properties of a Persian-language version of the Beck Depression Inventory - Second edition: BDI-II-PERSIAN. Depression and Anxiety, 21(4), 185–192. https://doi.org/10.1002/da.20070 DOI: https://doi.org/10.1002/da.20070
- Henrich, J., Heine, S. J., & Norenzayan, A. (2010). The weirdest people in the world? Behavioral and Brain Sciences, 33(2–3), 61–83. https://doi.org/10.1017/S0140525X0999152X DOI: https://doi.org/10.1017/S0140525X0999152X
- Hofmann, S. G., Sawyer, A. T., Witt, A. A., & Oh, D. (2010). The effect of mindfulness-based therapy on anxiety and depression: A meta-analytic review. Journal of Consulting and Clinical Psychology, 78(2), 169–183. https://doi.org/10.1037/a0018555 DOI: https://doi.org/10.1037/a0018555
- Khanjani, S., Foroughi, A.-A., Bazani, M., Rafiee, S., Tamannaeifar, S., & Habibi, M. (2022). Psychometric properties of Persian version of five facets of mindfulness questionnaire. Journal of Research in Medical Sciences, 27(1), 29. https://doi.org/10.4103/jrms.JRMS_10_20 DOI: https://doi.org/10.4103/jrms.JRMS_10_20
- Kirmayer, L. J., & Swartz, L. (2014). Culture and global mental health. In M. J. Patel, Vikram; Minas, Harry; Cohen, Alex; Prince (Ed.), Global Mental Health: Principles and Practice (pp. 41–62). Oxford University Press. DOI: https://doi.org/10.1093/med/9780199920181.003.0003
- Koenig, H. G. (2018). Religion and mental health: Research and clinical applications. Academic Press. https://doi.org/10.1007/s10608-016-9800-1
- Kohrt, B. A., Ottman, K., Panter-Brick, C., Konner, M., & Patel, V. (2020). Why we heal: The evolution of psychological healing and implications for global mental health. Clinical Psychology Review, 82, 101920. https://doi.org/10.1016/j.cpr.2020.101920 DOI: https://doi.org/10.1016/j.cpr.2020.101920
- Kuyken, W., Warren, F. C., Taylor, R. S., Whalley, B., Crane, C., Bondolfi, G., Hayes, R., Huijbers, M., Ma, H., Schweizer, S., Segal, Z., Speckens, A., Teasdale, J. D., Van Heeringen, K., Williams, M., Byford, S., Byng, R., & Dalgleish, T. (2016). Efficacy of Mindfulness-Based Cognitive Therapy in Prevention of Depressive Relapse. JAMA Psychiatry, 73(6), 565. https://doi.org/10.1001/jamapsychiatry.2016.0076 DOI: https://doi.org/10.1001/jamapsychiatry.2016.0076
- Miles, E., McCarthy, M., Dehecq, A., Kneib, M., Fugger, S., & Pellicciotti, F. (2021). Health and sustainability of glaciers in High Mountain Asia. Nature Communications, 12(1), 2868. https://doi.org/10.1038/s41467-021-23073-4 DOI: https://doi.org/10.1038/s41467-021-23073-4
- Miller, K. E., & Rasmussen, A. (2017). The mental health of civilians displaced by armed conflict: an ecological model of refugee distress. Epidemiology and Psychiatric Sciences, 26(2), 129–138. https://doi.org/10.1017/S2045796016000172 DOI: https://doi.org/10.1017/S2045796016000172
- Paloutzian, R. F., & Ellison, C. W. (1982). Loneliness, spiritual well-being and the quality of life. In L. A. Peplau & D. Perlman (Eds.), Loneliness: A sourcebook of current theory, research and therapy. Wiley.
- Punamäki, R.-L., Qouta, S., & El-Sarraj, E. (2001). Resiliency factors predicting psychological adjustment after political violence among Palestinian children. International Journal of Behavioral Development, 25(3), 256–267. https://doi.org/10.1080/01650250042000294 DOI: https://doi.org/10.1080/01650250042000294
- Rayan, A., Baker, O., & Fawaz, M. (2020). The Psychometric Properties of Attitudes Toward Seeking Professional Psychological Help Scale-Short Form in Jordanian University Students. Journal of Muslim Mental Health, 14(1). https://doi.org/10.3998/jmmh.10381607.0014.102 DOI: https://doi.org/10.3998/jmmh.10381607.0014.102
- Satici, B., Saricali, M., Satici, S. A., & Griffiths, M. D. (2022). Intolerance of Uncertainty and Mental Wellbeing: Serial Mediation by Rumination and Fear of COVID-19. International Journal of Mental Health and Addiction, 20(5), 2731–2742. https://doi.org/10.1007/s11469-020-00305-0 DOI: https://doi.org/10.1007/s11469-020-00305-0
- Scholte, W. F. (2004). Mental Health Symptoms Following War and Repression in Eastern Afghanistan. JAMA, 292(5), 585. https://doi.org/10.1001/jama.292.5.585 DOI: https://doi.org/10.1001/jama.292.5.585
- Schutte, N. S., & Malouff, J. M. (2019). The Impact of Signature Character Strengths Interventions: A Meta-analysis. Journal of Happiness Studies, 20(4), 1179–1196. https://doi.org/10.1007/s10902-018-9990-2 DOI: https://doi.org/10.1007/s10902-018-9990-2
- Seligman, M. E. P., & Csikszentmihalyi, M. (2000). Positive psychology: An introduction. American Psychologist, 55(1), 5–14. https://doi.org/10.1037/0003-066X.55.1.5 DOI: https://doi.org/10.1037//0003-066X.55.1.5
- Snyder, C. R. (2002). TARGET ARTICLE: Hope Theory: Rainbows in the Mind. Psychological Inquiry, 13(4), 249–275. https://doi.org/10.1207/S15327965PLI1304_01 DOI: https://doi.org/10.1207/S15327965PLI1304_01
- 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 of Personality and Social Psychology, 60(4), 570–585. https://doi.org/10.1037/0022-3514.60.4.570 DOI: https://doi.org/10.1037/0022-3514.60.4.570
- The World Factbook: Afghanistan. (2013). Central Intelligence Agency. https://www.cia.gov/the-world-factbook/countries/afghanistan/
- UNHCR. (2023). Afghanistan Situation Global Appeal. https://reporting.unhcr.org/afghanistan-situation-global-appeal-2023
- Ventevogel, P. (2018). Interventions for Mental Health and Psychosocial Support in Complex Humanitarian Emergencies: Moving Towards Consensus in Policy and Action? In Mental Health of Refugee and Conflict-Affected Populations (pp. 155–180). Springer International Publishing. https://doi.org/10.1007/978-3-319-97046-2_8 DOI: https://doi.org/10.1007/978-3-319-97046-2_8
- World Health Organization. (2021). Depression. World Health Organization. https://www.who.int/news-room/fact-sheets/detail/depression
- World Medical Association. (2013). JAMA, 310(20), 2191. https://doi.org/10.1001/jama.2013.281053 DOI: https://doi.org/10.1001/jama.2013.281053
References
Alemi, Q., Panter-Brick, C., & Oriya, S. (2020). Hope in the face of despair: A qualitative study of Afghan youth. Journal of Adolescent Health, 66(3), 378. https://doi.org/10.1016/j.jadohealth.2019.12.001 DOI: https://doi.org/10.1016/j.jadohealth.2019.12.001
Baer, R. A., Smith, G. T., Hopkins, J., Krietemeyer, J., & Toney, L. (2006). Using Self-Report Assessment Methods to Explore Facets of Mindfulness. Assessment, 13(1), 27–45. https://doi.org/10.1177/1073191105283504 DOI: https://doi.org/10.1177/1073191105283504
Beck, A. T., Steer, R. A., & Brown, G. K. (1996). No Title:Manual for the Beck Depression Inventory-II. DOI: https://doi.org/10.1037/t00742-000
Bernal, G., & Sáez‐Santiago, E. (2006). Culturally centered psychosocial interventions. Journal of Community Psychology, 34(2), 121–132. https://doi.org/10.1002/jcop.20096 DOI: https://doi.org/10.1002/jcop.20096
Brislin, R. W. (1970). Back-Translation for Cross-Cultural Research. Journal of Cross-Cultural Psychology, 1(3), 185–216. https://doi.org/10.1177/135910457000100301 DOI: https://doi.org/10.1177/135910457000100301
Cohen, J. (1992). A power primer. Psychological Bulletin, 112(1), 155–159. https://doi.org/10.1037/0033-2909.112.1.155 DOI: https://doi.org/10.1037/0033-2909.112.1.155
Exline, J. J. (Ed.). (2013). Religious and spiritual struggles. In APA handbook of psychology, religion, and spirituality (Vol 1): Context, theory, and research. (pp. 459–475). American Psychological Association. https://doi.org/10.1037/14045-025 DOI: https://doi.org/10.1037/14045-025
Gallagher, M. W., & Lopez, S. J. (2009). Positive expectancies and mental health: Identifying the unique contributions of hope and optimism. The Journal of Positive Psychology, 4(6), 548–556. https://doi.org/10.1080/17439760903157166 DOI: https://doi.org/10.1080/17439760903157166
GBD. (2022). Global, regional, and national burden of 12 mental disorders in 204 countries and territories, 1990–2019: a systematic analysis for the Global Burden of Disease Study 2019. The Lancet Psychiatry, 9(2), 137–150. https://doi.org/10.1016/S2215-0366(21)00395-3 DOI: https://doi.org/10.1016/S2215-0366(21)00395-3
Ghassemzadeh, H., Mojtabai, R., Karamghadiri, N., & Ebrahimkhani, N. (2005). Psychometric properties of a Persian-language version of the Beck Depression Inventory - Second edition: BDI-II-PERSIAN. Depression and Anxiety, 21(4), 185–192. https://doi.org/10.1002/da.20070 DOI: https://doi.org/10.1002/da.20070
Henrich, J., Heine, S. J., & Norenzayan, A. (2010). The weirdest people in the world? Behavioral and Brain Sciences, 33(2–3), 61–83. https://doi.org/10.1017/S0140525X0999152X DOI: https://doi.org/10.1017/S0140525X0999152X
Hofmann, S. G., Sawyer, A. T., Witt, A. A., & Oh, D. (2010). The effect of mindfulness-based therapy on anxiety and depression: A meta-analytic review. Journal of Consulting and Clinical Psychology, 78(2), 169–183. https://doi.org/10.1037/a0018555 DOI: https://doi.org/10.1037/a0018555
Khanjani, S., Foroughi, A.-A., Bazani, M., Rafiee, S., Tamannaeifar, S., & Habibi, M. (2022). Psychometric properties of Persian version of five facets of mindfulness questionnaire. Journal of Research in Medical Sciences, 27(1), 29. https://doi.org/10.4103/jrms.JRMS_10_20 DOI: https://doi.org/10.4103/jrms.JRMS_10_20
Kirmayer, L. J., & Swartz, L. (2014). Culture and global mental health. In M. J. Patel, Vikram; Minas, Harry; Cohen, Alex; Prince (Ed.), Global Mental Health: Principles and Practice (pp. 41–62). Oxford University Press. DOI: https://doi.org/10.1093/med/9780199920181.003.0003
Koenig, H. G. (2018). Religion and mental health: Research and clinical applications. Academic Press. https://doi.org/10.1007/s10608-016-9800-1
Kohrt, B. A., Ottman, K., Panter-Brick, C., Konner, M., & Patel, V. (2020). Why we heal: The evolution of psychological healing and implications for global mental health. Clinical Psychology Review, 82, 101920. https://doi.org/10.1016/j.cpr.2020.101920 DOI: https://doi.org/10.1016/j.cpr.2020.101920
Kuyken, W., Warren, F. C., Taylor, R. S., Whalley, B., Crane, C., Bondolfi, G., Hayes, R., Huijbers, M., Ma, H., Schweizer, S., Segal, Z., Speckens, A., Teasdale, J. D., Van Heeringen, K., Williams, M., Byford, S., Byng, R., & Dalgleish, T. (2016). Efficacy of Mindfulness-Based Cognitive Therapy in Prevention of Depressive Relapse. JAMA Psychiatry, 73(6), 565. https://doi.org/10.1001/jamapsychiatry.2016.0076 DOI: https://doi.org/10.1001/jamapsychiatry.2016.0076
Miles, E., McCarthy, M., Dehecq, A., Kneib, M., Fugger, S., & Pellicciotti, F. (2021). Health and sustainability of glaciers in High Mountain Asia. Nature Communications, 12(1), 2868. https://doi.org/10.1038/s41467-021-23073-4 DOI: https://doi.org/10.1038/s41467-021-23073-4
Miller, K. E., & Rasmussen, A. (2017). The mental health of civilians displaced by armed conflict: an ecological model of refugee distress. Epidemiology and Psychiatric Sciences, 26(2), 129–138. https://doi.org/10.1017/S2045796016000172 DOI: https://doi.org/10.1017/S2045796016000172
Paloutzian, R. F., & Ellison, C. W. (1982). Loneliness, spiritual well-being and the quality of life. In L. A. Peplau & D. Perlman (Eds.), Loneliness: A sourcebook of current theory, research and therapy. Wiley.
Punamäki, R.-L., Qouta, S., & El-Sarraj, E. (2001). Resiliency factors predicting psychological adjustment after political violence among Palestinian children. International Journal of Behavioral Development, 25(3), 256–267. https://doi.org/10.1080/01650250042000294 DOI: https://doi.org/10.1080/01650250042000294
Rayan, A., Baker, O., & Fawaz, M. (2020). The Psychometric Properties of Attitudes Toward Seeking Professional Psychological Help Scale-Short Form in Jordanian University Students. Journal of Muslim Mental Health, 14(1). https://doi.org/10.3998/jmmh.10381607.0014.102 DOI: https://doi.org/10.3998/jmmh.10381607.0014.102
Satici, B., Saricali, M., Satici, S. A., & Griffiths, M. D. (2022). Intolerance of Uncertainty and Mental Wellbeing: Serial Mediation by Rumination and Fear of COVID-19. International Journal of Mental Health and Addiction, 20(5), 2731–2742. https://doi.org/10.1007/s11469-020-00305-0 DOI: https://doi.org/10.1007/s11469-020-00305-0
Scholte, W. F. (2004). Mental Health Symptoms Following War and Repression in Eastern Afghanistan. JAMA, 292(5), 585. https://doi.org/10.1001/jama.292.5.585 DOI: https://doi.org/10.1001/jama.292.5.585
Schutte, N. S., & Malouff, J. M. (2019). The Impact of Signature Character Strengths Interventions: A Meta-analysis. Journal of Happiness Studies, 20(4), 1179–1196. https://doi.org/10.1007/s10902-018-9990-2 DOI: https://doi.org/10.1007/s10902-018-9990-2
Seligman, M. E. P., & Csikszentmihalyi, M. (2000). Positive psychology: An introduction. American Psychologist, 55(1), 5–14. https://doi.org/10.1037/0003-066X.55.1.5 DOI: https://doi.org/10.1037//0003-066X.55.1.5
Snyder, C. R. (2002). TARGET ARTICLE: Hope Theory: Rainbows in the Mind. Psychological Inquiry, 13(4), 249–275. https://doi.org/10.1207/S15327965PLI1304_01 DOI: https://doi.org/10.1207/S15327965PLI1304_01
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 of Personality and Social Psychology, 60(4), 570–585. https://doi.org/10.1037/0022-3514.60.4.570 DOI: https://doi.org/10.1037/0022-3514.60.4.570
The World Factbook: Afghanistan. (2013). Central Intelligence Agency. https://www.cia.gov/the-world-factbook/countries/afghanistan/
UNHCR. (2023). Afghanistan Situation Global Appeal. https://reporting.unhcr.org/afghanistan-situation-global-appeal-2023
Ventevogel, P. (2018). Interventions for Mental Health and Psychosocial Support in Complex Humanitarian Emergencies: Moving Towards Consensus in Policy and Action? In Mental Health of Refugee and Conflict-Affected Populations (pp. 155–180). Springer International Publishing. https://doi.org/10.1007/978-3-319-97046-2_8 DOI: https://doi.org/10.1007/978-3-319-97046-2_8
World Health Organization. (2021). Depression. World Health Organization. https://www.who.int/news-room/fact-sheets/detail/depression
World Medical Association. (2013). JAMA, 310(20), 2191. https://doi.org/10.1001/jama.2013.281053 DOI: https://doi.org/10.1001/jama.2013.281053
Accepted 2026-01-26
Published 2026-01-31