Tehran University of Medical Sciences Iranian Journal of Psychiatry 1735-4587 21 2 2026 02 24 156 163 EN Taner Adıgüzel Department of Child Health and Diseases, Faculty of Medicine, Yalova University, Yalova, Türkiye. Mehmet Bahçekapılı Department of Religious Education, Faculty of Theology, Yalova University, Yalova, Türkiye. 2025 12 10 2026 02 03 Objective: To determine levels of positive/negative religious coping and psychological resilience among mothers of children admitted to a pediatric intensive care unit (PICU) and to examine their associations with sociodemographic characteristics and perceived psychosocial support needs. Method: This descriptive, cross-sectional study was conducted between June and December 2025 in a pediatric intensive care unit; 100 mothers were recruited via face-to-face interviews. Data were collected using a sociodemographic form, the Brief RCOPE (positive/negative subscales), and the Brief Resilience Scale. Results: Scores for Positive religious coping were high (mean = 3.20 ± 0.60), negative religious coping was low (mean = 1.55 ± 0.50), and resilience scores were moderate (mean = 19.35 ± 5.18). Mothers who reported needing psychosocial support had higher positive and negative religious coping scores but lower resilience. Negative religious coping was negatively associated with resilience (r = −0.246, P = 0.014), whereas positive religious coping was not. Conclusion: The findings suggest that, in addition to psychosocial support, targeted spiritual care may be particularly important for mothers showing elevated negative religious coping during their child’s PICU hospitalization. https://ijps.tums.ac.ir/index.php/ijps/article/view/4509 https://ijps.tums.ac.ir/index.php/ijps/article/download/4509/1327