ASEAN Journal of Community Engagement


Depression is a mental health problem that affects the elderly. As meeting the spiritual needs of depressed older people is important, a spiritual approach nursing intervention must be applied to reduce the level of depression in this population. This study proposed an integrated spiritual nursing approach through music therapy, dhikr, and deep breathing to improve depression levels among the elderly living in Cisalak Pasar, Depok City, in 2019. The research method used was a case study of an evidence-based practice using the Geriatric Depression Scale. The study sample consisted of 106 elderly, who were recruited by purposive sampling. The average depression scores among the elderly were 4.79 and 2.48 before and after the intervention, respectively, indicating that the mean depression score decreased by 2.31. The independent t-test results obtained a p-value < 0.05, demonstrating the positive influence of the proposed spiritual approach nursing intervention on the level of depression among the subjects. A spiritual approach nursing intervention program through music therapy, dhikr, and deep breathing reduced the level of depression in the elderly. Thus, such an approach can be used as an intervention option in dealing with depression problems in the elderly.


Bahtiar, B., Sahar, J., & Wiarsih, W. (2020). Meaning of life among elderly individuals with chronic diseases living with family : A qualitative study. Makara Journal of Health Research, 24(1), 35–40. https://doi.org/10.7454/msk.v24i1.1161

Ballew, S., Hannum, S., Gaines, J., Marx, K., & Parrish, J. (2012). The Role of Spiritual Experiences and Activities in the Relationship Between Chronic Illness and Psychological Well-Being. Journal of Religion and Health, 51(4), 1386–1396. https://doi.org/10.1007/s10943-011-9498-0

Barlow, M., Liu, S., & Wrosch, C. (2015). Chronic Illness and Loneliness in Older Adulthood: The Role of Self-Protective Control Strategies Chronic Illness and Loneliness in Older Adulthood: The Role of Self-Protective Control Strategies. Health Psychology, 34(8), 870–879. https://doi.org/10.1037/hea0000182

Bastaman, H. D. (2007). Logoterapi : Psikologi Untuk Menemukan Makna Hidup dan Meraih Hidup Bermakna. Jakarta: Rajagrafindo Persada.

Braam, A., Schaap-jonker, H., Horst, M., Steunenberg, B., Beekman, A., Tilburg, W. Van, & Deeg, D. (2013). Twelve-Year History of Late-Life Depression and Subsequent Feelings to God. The American Journal of Geriatric Psychiatry, 1–11.


Eliopoulos, C. (2010). Invitation to Holistic Health : A Guide to Living a Balanced Life (2nd ed.). London: Jones and Bartlett Publishers.

Görges, F., Oehler, C., von Hirschhausen, E., Hegerl, U., & Rummel-Kluge, C. (2018). GET.HAPPY - Acceptance of an internet-based self-management positive psychology intervention for adult primary care patients with mild and moderate depression or dysthymia: A pilot study. Internet Interventions, 12, 26–35. https://doi.org/10.1016/j.invent.2018.03.001

Grodensky, C., Golin, C., Mamo, M., Dennis, A., Abernethy, M., & Patterson, K. (2015). ‘“ I Should Know Better ”’: The Roles of Relationships, Spirituality, Disclosure, Stigma, and Shame for Older Women Living With HIV Seeking Support in the South. Journal of the Association of Nurses in AIDS Care, 26(1), 12–23. https://doi.org/10.1016/j.jana.2014.01.005

Hamid, A. Y. (2000). Buku Pedoman Askep Jiwa-1 Keperawatan Jiwa Teori dan Tindakan Keperawatan. Jakarta: Departemen Kesehatan Republik Indonesia.

Ilmi, A. A. (2014). Perbedaan Pengaruh Intervensi Spiritual Care: Murattal dan Musik Terhadap Status Depresi Lansia. Universitas Indonesia. Retrieved from


Jansen-Niemeijer, A. J., Visse, M., Van Leeuwen, R., Leget, C., & Cusveller, B. (2017). The Role of Spirituality in Lifestyle Changing Among Patients with Chronic Cardiovascular Diseases : A Literature Review of Qualitative Studies. Journal of Religion and Health, 56, 1460–1477. https://doi.org/10.1007/s10943-017-0384-2

Kim, Y., Seidlitz, L., Ro, Y., Evinger, J. S., & Duberstein, P. R. (2004). Spirituality and affect : a function of changes in religious affiliation. Personality and Individual Difference, 37, 861–870. https://doi.org/10.1016/j.paid.2004.05.011

Kumala, O. D., Kusprayogi, Y., & Nashori, F. (2017). Efektivitas Pelatihan Dzikir Dalam Meningkatkan Ketenangan Jiwa Pada Lansia Penderita Hipertensi. Psympathic: Jurnal Ilmiah Psikologi, 4(1), 55. https://doi.org/10.15575/psy.v4i1.1260

Lee, Chan, M. F., & Mok, E. (2010). Effectiveness of music intervention on the quality of life of older people. Journal of Advanced Nursing, 66(12), 2677–2687.


Linardakis, M., Papadaki, A., Smpokos, E., Sarri, K., & Vozikaki, M. (2015). Are religiosity and prayer use related with multiple behavioural risk factors for chronic diseases in European adults aged 50 þ years ? Public Health, 129(5), 436–443.


McCaffrey, R., & Freeman, E. (2003). Effect of music on chronic osteoarthritis pain in older people. Journal of Advanced Nursing, 44(5), 517–524. https://doi.org/10.1046/j.0309-2402.2003.02835.x

Miller, C. A. (2012). Nursing for wellness in older adults (6th Editio). Philadelphia: Lippincott Williams & Wilkins.

Ministry of Health. (2017). Analisis Lansia di Indonesia.

https://www.kemkes.go.id/download.php?file=download/pusdatin/lain-lain/Analisis Lansia Indonesia 2017.pdf

Nabolsi, M. M., & Carson, A. M. (2011). Spirituality, illness and personal responsibility : the experience of Jordanian Muslim men with coronary artery disease. Scandinavian Journal of Caring Sciences, 25, 716–724. https://doi.org/10.1111/j.1471-6712.2011.00882.x

Nida, F. L. K. (2014). Zikir Sebagai Psikoterapi Dalam Gangguan Kecemasan Bagi Lansia. Jurnal Bimbingan Konseling Islam, 5(1), 133–150.


Onieva-zafra, D., Hernández-Garcia, L., Gonzalez-del-valle, M., Parra-Fernández, M., & Fernandez-martinez, E. (2018). Music Intervention With Reminiscence Therapy and Reality Orientation for Elderly People With Alzheimer Disease Living in a A Pilot Study. Holistic Nursing Practice, 32(1), 43–50.


Park, J.-I., Park, T. W., Yang, J.-C., & Chung, S.-K. (2016). Factors associated with depression among elderly Koreans: the role of chronic illness, subjective health status, and cognitive impairment. Psychogeriatrics : The Official Journal of the Japanese Psychogeriatric Society, 16(1), 62–69. https://doi.org/10.1111/psyg.12160

Ronneberg, C. R., Miller, E. A., Dugan, E., & Porell, F. (2016). The Protective Effects of Religiosity on Depression : A 2-Year Prospective Study. The Gerontologist, 56(3), 421–431. https://doi.org/10.1093/geront/gnu073

Serafim, S. D., da Ponte, F. D. R., Lima, F. M., Martins, D. S., Rosa, A. R., & Kunz, M. (2019). Effects of deep breathing in patients with bipolar disorder. Perspectives in Psychiatric Care, 55(1), 119–125. https://doi.org/10.1111/ppc.12325

Umamah, F., & Fabiyanti, A. (2018). Pengaruh Terapi Musik Dzikir Terhadap Tingkat Depresi pada Lansia di RT 3 RW 2 Rumah Dinas TNI-AL Pulungan. Journal of Health Sciences, 11(2), 188–195. https://doi.org/10.33086/jhs.v11i2.112

Wallace, M. (2008). Essentials of Gerontological Nursing. New York: Springer Publishing Company.

Wang, J. J., Lin, Y. H., & Hsieh, L. Y. (2011). Effects of gerotranscendence support group on gerotranscendence perspective, depression, and life satisfaction of institutionalized elders. Aging and Mental Health, 15(5), 580–586.


Warner, C. B., Roberts, A. R., Jeanblanc, A. B., & Adams, K. B. (2019). Coping Resources, Loneliness, and Depressive Symptoms of Older Women With Chronic Illness. Journal of Applied Gerontology, 38(3), 295–322. https://doi.org/10.1177/0733464816687218

West Java Province Statistical Bureau. (2017). Profil Lansia Provinsi Jawa Barat.


Westerdahl, E., Wittrin, A., Kånåhols, M., Gunnarsson, M., & Nilsagård, Y. (2016). Deep breathing exercises with positive expiratory pressure in patients with multiple sclerosis–a randomized controlled trial. Clinical Respiratory Journal, 10(6), 698–706.


WHO. (2017). Elderly population. Retrieved from


Zhao, K., Bai, Z. G., Bo, A., & Chi, I. (2016). A systematic review and meta-analysis of music therapy for the older adults with depression. International Journal of Geriatric Psychiatry, 31(11), 1188–1198. https://doi.org/10.1002/gps.4494



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