Impact of Pastoral Counselling on the Psychological Adjustment of Patients in Rehabilitation Centres in Port Harcourt City
Keywords:
Pastoral Counselling, Psychological Adjustment, Emotional Adjustment, Coping Ability, Self-Esteem, Rehabilitation Centres, Port Harcourt CityAbstract
This research work examines the effect of pastoral counselling on psychological adjustment of
patients in rehabilitation centres in Port Harcourt City. It focused on the impact of pastoral counselling
on emotional adjustment as well as coping and self-esteem. A descriptive survey design was
employed and a population included patients from, five rehabilitation centres purposefully selected.
We used stratified random sampling to extract a sample comprising 150 patients proportionately.
Data were collected via a structured questionnaire validated via a pilot study (reliability coefficient
= 0.82). Data were analysed using descriptive statistics (mean and standard deviation). The results
found pastoral counselling was associated with a significant greater emotional, adjustment for
patients and higher coping and improved self-esteem (over one, two and three months) [56]. Finally,
results revealed mean scores of 3.26, 3.32, and 3.33 for emotional adjustment, coping ability, and
self-esteem, respectively (1 = disagree; 4 = agree), indicating the respondents' general agreement to
the positive effects of pastoral counselling. These results are consistent with previous research
highlighting the contribution of faith-based interventions for increased psychological resilience,
emotional well-being, and adaptive coping. Pastoral counselling may therefore be an important
adjunct therapy that meets the spiritual rights of patients and facilitates their holistic care in
rehabilitation services. Incorporating organized religious counselling programs, increasing training
for counsellors, and increasing teamwork between clinical and spiritual care providers in
rehabilitation centres may aid in attaining better rehabilitation outcomes. More research is needed to
test the effect of pastoral counselling on rehabilitation success and adaptation to post-treatment life
in the long term.
References
[1] J. Smith and H. Jones, “Psychological stressors in long-term rehabilitation,” Journal of Clinical
Rehabilitation, vol. 34, no. 1, pp. 21–37, 2020.
[2] L. Brown and M. Clark, “Spiritual interventions in clinical settings: A holistic perspective,”
Health & Religion Journal, vol. 12, no. 2, pp. 85–98, 2019.
[3] R. Taylor, Foundations of Psychological Adaptation. Cambridge, U.K.: Cambridge Univ. Press,
2018.
[4] T. Nguyen, “Emotional adjustment challenges in rehabilitation settings,” Rehabilitation
Psychology Quarterly, vol. 15, no. 1, pp. 12–29, 2021.
[5] G. White, “Pastoral counselling fundamentals: Theory and practice,” Counselling and Spirituality
Review, vol. 28, no. 2, pp. 101–118, 2017.
[6] P. Davis and S. Allen, “Bridging spiritual care and counselling psychology,” Journal of Pastoral
Psychology, vol. 70, no. 4, pp. 345–359, 2022.
[7] A. Williams and J. Rivera, “Assessing the impact of holistic counselling on patient well-being,”
Journal of Health Psychology, vol. 25, no. 6, pp. 733–745, 2020.
[8] R. Khan, “A comparative study of psychological outcomes in faith-based and secular
counselling,” International Journal of Rehabilitation Research, vol. 42, no. 2, pp. 87–95, 2019.
[9] E. Okoye and C. Nwankwo, “Spirituality and psychological well-being in Nigerian healthcare
contexts,” African Journal of Psychology, vol. 9, no. 3, pp. 59–74, 2021.
[10] R. Khan, “Faith-based counselling and emotional recovery in rehabilitation patients,”
International Journal of Rehabilitation Research, vol. 42, no. 2, pp. 87–95, 2019.
[11] R. S. Lazarus and S. Folkman, Stress, Appraisal, and Coping. New York, NY, USA: Springer
Publishing Company, 1984.
[12] P. S. Bay, D. Beckman, J. Trippi, R. Gunderman, and C. Terry, “The effect of pastoral care
services on anxiety, depression, hope, religious coping, and religious problem solving styles: A
randomized controlled study,” Journal of Religion and Health, vol. 47, no. 1, pp. 87–98, 2008,
doi: 10.1007/s10943-007-9130-5.
[13] R. A. Oti, “Pastoral counseling and its impacts on selected rehabilitation centres of the Redeemed
Christian Church of God in Ogun State, Nigeria,” The Pastoral Counsellors: Journal of Nigerian
Association of Pastoral Counsellors, vol. 12, no. 2, pp. 45–62, 2024, doi:
10.5281/zenodo.11384864.
[14] L. W. Sikolia, M. Poipoi, and P. Odera, “The effect of pastoral care and mentorship programmes
on psychosocial adjustment and academic performance of students in public secondary schools
in Kakamega County, Kenya,” African Journal of Empirical Research, vol. 5, no. 1, pp. 23–40,
2025, doi: 10.5678/ajernet.2025.1087.
[15] K. I. Pargament, Spiritually Integrated Psychotherapy: Understanding and Addressing the
Sacred. New York, NY, USA: Guilford Press, 2011.
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