Experience that exceeds the self.
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351 to 375 of 601Religious coping among psychotic patients: relevance to suicidality and treatment outcomes.
Religious coping is very common among individuals with psychosis, however its relevance to symptoms and treatment outcomes remains unclear. We conducted a prospective study in a clinical sample of n=47 psychiatric patients with current/past psychosis receiving partial (day) treatment at McLean Hospital. Subjects completed measures of religious involvement, religious coping and suicidality prior to treatment, and we assessed for psychosis, depression, anxiety and psychological well-being over the course of treatment. Negative religious coping (spiritual struggle) was associated with substantially greater frequency and intensity of suicidal ideation, as well as greater depression, anxiety, and less well-being prior to treatment (accounting for 9.0-46.2% of the variance in these variables). Positive religious coping was associated with significantly greater reductions in depression and anxi…
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Büssing A (2021)MEDLINE-indexed journal, not yet read by usFrontiers in psychology9 citations Wondering Awe as a Perceptive Aspect of Spirituality and Its Relation to Indicators of Wellbeing: Frequency of Perception and Underlying Triggers.
Background: Spirituality is a multidimensional construct which includes religious, existentialistic, and relational issues and has different layers such as faith as the core, related attitudes and conviction, and subsequent behaviors and practices. The perceptive aspects of spirituality such as wondering awe are of relevance for both, religious and non-religious persons. These perceptions were related to perceiving the Sacred in life, mindful awareness of nature, others and self, to compassion, meaning in life, and emotional wellbeing. As awe perceptions are foremost a matter of state, it was the aim (1) to empirically analyze the frequency of wondering awe perceptions (i.e., with respect to gender, age cohorts, religious or non-religious persons) and (2) to qualitatively analyze a range of triggers of awe perceptions. Methods: Data from 7,928 participants were analyzed with respect to t…
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Tumor Patients´ Perceived Changes of Specific Attitudes, Perceptions, and Behaviors Due to the COVID-19 Pandemic and Its Relation to Reduced Wellbeing.
Background: During the COVID-19 pandemic, the Working Group "Prevention and Integrative Oncology" (PRIO) in the German Cancer Society has initiated flash interviews and surveys. One of these stated increasing rates of fears and mental stress of tumor patients. Now we aimed to analyze whether tumor patients did perceive changes in their attitudes and behaviors related to their relationships, awareness of nature and quietness, interest in spiritual issues, or feelings of worries and isolation. A further point of interest was how these perceived changes could be predicted, either by meaning in life, spirituality as a resource to cope, perceived fears and worries, or particularly by their wellbeing.
Materials and methods: Online survey with standardized questionnaires (i.e., WHO-Five Well-being Index (WHO5), Meaning in Life Questionnaire (MLQ), Spiritual and Religious Attitudes to cope with …
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Vaillant GE (2008)MEDLINE-indexed journal, not yet read by usMens sana monographs11 citations Positive emotions, spirituality and the practice of psychiatry.
THIS PAPER PROPOSES THAT EIGHT POSITIVE EMOTIONS: awe, love (attachment), trust (faith), compassion, gratitude, forgiveness, joy and hope constitute what we mean by spirituality. These emotions have been grossly ignored by psychiatry. The two sciences that I shall employ to demonstrate this definition of spirituality will be ethology and neuroscience. They are both very new. I will argue that spirituality is not about ideas, sacred texts and theology; rather, spirituality is all about emotion and social connection. Specific religions, for all their limitations, are often the portal through which positive emotions are brought into conscious attention. Neither Freud nor psychiatric textbooks ever mention emotions like joy and gratitude. Hymns and psalms give these emotions pride of place. Our whole concept of psychotherapy might change if clinicians set about enhancing positive emotions ra…
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The multidimensional inventory of religious/spiritual wellbeing in Hungarian language: psychometric properties and initial validation.
Background: Research increasingly highlights the relationship between religiosity/spirituality, mental health and wellbeing. Our study presents the psychometric properties of the Hungarian version of the multidimensional inventory of religious/spiritual wellbeing (MI-RSWB) and examines its correlations with the spiritual wellbeing scale (SWBS) and the Brief Multidimensional Measurement of Religiosity Scale (BMMRS).
Methods: Data were collected from 490 Hungarian participants (347 female; aged 18 and older) through an online survey. The survey included the newly translated Hungarian version of MI-RSWB, SWBS, and BMMRS.
Results: Four models were tested using confirmatory factor analysis (CFA). While the 48-item version did not achieve adequate fit indicators, the 18-item abbreviated version showed acceptable fit across the tested models. The six-factor model of the Hungarian MI-RSWB demons…
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Spirituality in Coping with Pain in Cancer Patients: A Cross-Sectional Study.
Spirituality has been identified as an adaptive coping strategy and a predictor of better quality of life in cancer patients. Despite the relevance of spirituality in the health-disease process, it is noted that the assessment of the impact of spirituality in coping with pain is still incipient. The objective of this study is to assess the impact of spirituality in coping with pain in cancer patients. This quantitative cross-sectional study was carried out in a medium-sized hospital and a cancer patient support institution located in northeastern Brazil. A questionnaire with sociodemographic and clinical variables was used and the following instruments were applied: Visual Analogue Scale (VAS); Short-Form McGill Pain Questionnaire (SF-MPQ); Neuropathic Pain 4 Questions (DN4); Spiritual Wellbeing Scale (SWBS); WHOQOL Spirituality, Religiousness and Personal Beliefs (WHOQOL-SRPB). Most peo…
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Fradelos EC, Tzavella F, Koukia E, Tsaras K, Papathanasiou IV, Aroni A, Alikari V, Ralli M, Bredle J, Zyga S (2016)MEDLINE-indexed journal, not yet read by usMateria socio-medica27 citations THE TRANSLATION, VALIDATION AND CULTURAL ADAPTATION OF FUNCTIONAL ASSESSMENT OF CHRONIC ILLNESS THERAPY - SPIRITUAL WELL-BEING 12 (FACIT-SP12) SCALE IN GREEK LANGUAGE.
Background: According to World Health Organization (WHO), spirituality is an important domain of quality of life especially in terminal, life threatens chronic diseases. For many people spirituality and religion are not just very important dimensions of their existence, but also a source of support that contributes to wellbeing and coping with everyday difficulties of life.
Aim: Aim of the study was the translation of the Facit Spiritual Well Being Scale (Facit-Sp12) in Greek language and the validation of the scale for the Greek population.
Material and methods: The Facit-Sp12 questionnaire is an anonymous self-administered questionnaire that contains twelve, four point Likert scale, closed questions (0=Not at all, 1=A little bit, 2=Some-what, 3=Quite a bit, 4=Very Much). The questionnaire was translated into Greek language and then back translated in the English in order to be checked …
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Spiritual wellbeing, Attitude toward Spiritual Care and its Relationship with Spiritual Care Competence among Critical Care Nurses.
Introduction: Nurses' spiritual wellbeing and their attitude toward spirituality and competence of nurses in providing of spiritual care can affect the quality of care in nursing. The aim of this study was to evaluate spiritual wellbeing, attitude toward spiritual care and its relationship with the spiritual care competence among nurses.
Methods: This was a correlational descriptive study conducted on 109 nurses working in the Intensive Care Units of Imam Reza and Madani hospitals in 2015, Tabriz, Iran. Data collection tools were a demographic data form and three standard questionnaires including Spiritual Wellbeing Scale, Spirituality and Spiritual Results: The mean score of the spiritual wellbeing was 94.45 (14.84), the spiritual care perspective was 58.77 (8.67), and the spiritual care competence was 98.51 (15.44). The linear regression model showed 0.42 variance between the spiritual…
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Training clinicians to deliver spiritual psychotherapy for inpatient, residential, and intensive treatment (SPIRIT).
We designed and implemented a multimodal training program for clinicians in how to deliver spiritual psychotherapy for inpatient, residential, and inpatient treatment (SPIRIT), a group-based, spiritually integrated psychotherapy for acute psychiatric settings. The overall goals for this project were to facilitate competency in spiritually integrated psychotherapy among clinicians and meeting established needs for spiritual psychotherapy among patients presenting for acute psychiatric treatment. Our training program in SPIRIT includes the following elements: (a) a training manual, (b) 80-min training video, (c) brief competency exam, and (d) practice component involving the provision of SPIRIT to at least 12 groups of patients. This article provides an overview of the training program and describes its initial dissemination with a multidisciplinary cohort of 17 clinicians within the Massa…
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Pilgrimage and the Therapeutic Processes of Spiritual Reintegration in Medjugorje: A Qualitative Exploratory Study.
While much sociological literature interprets contemporary pilgrimage through fragmentation, commodification, and post-secular hybridity, this study argues that pilgrimage continues to function as a process of spiritual healing and reintegration-a space where transcendence and everyday life are dynamically reconciled. Drawing on Bauman's typology of late-modern identities-the Player, the Tourist, the Vagabond, and the Stroller-reinterpreted through the Deming cycle (Plan-Do-Study-Act) and the Thomistic framework of the cardinal virtues, the article proposes pilgrimage as a therapeutic pathway toward moral, relational, and existential wholeness. Based on qualitative fieldwork in Medjugorje (Bosnia and Herzegovina), including interviews with pilgrims (n = 20) and local residents (n = 11), one focus group, and comparative ethnographic observations in Čapljina as a control setting, the analy…
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The Spiritual Experiences of Indonesian Women With Advanced Breast Cancer: A Phenomenological Study.
Breast cancer is the most prevalent cancer among women and a leading cause of cancer-related mortality in Indonesia. Many Indonesian women diagnosed with advanced breast cancer experience physical, emotional, cultural, and spiritual challenges, yet limited research has examined how spirituality shapes their coping experiences. This qualitative study explored the lived spiritual experiences of Indonesian women with advanced breast cancer using a descriptive phenomenological approach. Seven women aged 30-55 receiving care at a palliative clinic participated in in-depth, semi-structured interviews conducted between September and December 2023. Most participants were Muslim and married. Thematic analysis generated five overarching themes: (1) Contend with Guilt from Physical and Social Changes and Cope Through Sunnah devotion, (2) Surrender to divine will and maintain commitment to family as…
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A conceptual integration model of spiritual inclusivity in the Twelve Steps.
Introduction: Twelve-Step programs such as Alcoholics Anonymous (AA) remain among the most influential and widely utilized frameworks for addiction recovery. However, their Euro-Christian language and cultural assumptions can limit accessibility for individuals from non-Christian or diverse backgrounds. This paper explores the spiritual inclusivity of the Twelve Steps by examining their philosophical parallels with multiple world traditions, including mindfulness, Buddhism, Hinduism, Islam, Judaism, and Indigenous spiritualities.
Methods: Using interpretive comparative analysis, the manuscript examines foundational Twelve-Step literature alongside scholarly sources from diverse spiritual traditions. The analysis identifies shared constructs across traditions and organizes them into comparable spiritual processes embedded within the Twelve Steps.
Results: The analysis identifies shared co…
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Spiritual Well-Being, Religious Coping and Care Burden in Relatives of Intensive Care Unit Patients: A Mixed-Method Study.
Background: Intensive care unit (ICU) admission is an extremely stressful experience that can increase the burden of care among patients' relatives.
Aim: This study aimed to examine the relationships between spiritual well-being, religious coping and burden of care among the relatives of ICU patients.
Study design: This convergent mixed methods study was conducted between February 2023 and December 2025 in the ICU of a university hospital. Quantitative data, the Spiritual Index of Well-Being Scale, the Muslim Religious Coping Scale and the Zarit Burden Interview were used. Qualitative data were collected through semi-structured interviews with 10 participants and analysed using the thematic analysis method.
Results/findings: Quantitative data were collected from a total of 313 ICU patients' relatives. Higher levels of spiritual well-being and religious coping were associated with lower b…
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Showkat H (2026)MEDLINE-indexed journal, not yet read by usJournal of religion and health Faith and Motherhood: Understanding Cultural Practices in Pregnancy and Childbirth Among Kashmiri Women.
Pregnancy and motherhood are deeply personal; however, socially constructed experiences are often shaped by faith and spiritual practices. Given this backdrop, this qualitative study explores the lived experiences of Kashmiri Muslim women regarding motherhood and spirituality during pregnancy and childbirth. Using a purposive sampling technique, twenty Kashmiri Muslim women were recruited, and data were collected through semi-structured interviews. Following Glaser and Strauss's grounded theory approach to data analysis, five key themes emerged: (a) traditional beliefs and practices, (b) belief in divine grace and spiritual strength for natural childbirth, (c) sacred embodiment: spiritual bonding with the unborn child, and (d) sacred resilience: spiritual coping and divine intercession. The findings provide an in-depth understanding of how religious beliefs and practices shape these wome…
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Malik S (2026)MEDLINE-indexed journal, not yet read by usThe American journal of orthopsychiatry Spiritual empowerment: A conceptual model of mindfulness-based healing for Muslim mothers.
Muslim mothers in Western nations encounter unique challenges, including Islamophobia, cultural stigma, social isolation, and the pressures of balancing family and societal responsibilities. Spiritually integrated mindfulness support groups can serve as a vital intervention to address these challenges, alleviate stress, and foster cultural revitalization and spiritual empowerment. This article introduces a framework integrating Islamic concepts with mindfulness and its application in the Mindfulness Meditation Fundamentals pilot program to reduce stress, promote collective healing, spiritual growth, and strengthen community bonds among Muslim mothers. Participants learned mindfulness core concepts, Islamic coping strategies and practical tools for integrating mindfulness into daily life. Grounded in Imam al-Ghazali's framework, the program emphasized muraqaba (Islamic mindfulness meditat…
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The Social Determinants of Health in Place: A Future Families and Child Well-Being Study.
Objective: Social Determinants of Health (SDH) are grouped into domains to explain collective impact on different outcomes. The purpose of this study is to examine if SDH items group together to create new domains.
Methods: A retrospective, cross-sectional study was conducted utilizing data from the Future Families and Child Wellbeing Study (FFCWS) N=4,898. Nine SDH items were assessed: neighborhood safety, walkability, personal importance of race/ethnicity, sexual orientation/gender identity, religiosity, spirituality, personal satisfaction, poverty level, and people's willingness to help others.
Analysis: Factor structure was explored and confirmed using an exploratory factor analysis (EFA; n = 2,449) and confirmatory factor analysis (CFA; n = 2,449), respectively.
Results: The final EFA used eight items, in which three factors/domains were identified: Spirituality, Social Place, and P…
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Alamgir A, Zaro A, Lawabni R, Ahmad F, Webo J, Alamgir S, Saidi M, Nwanokwale N, Baig M, Abdelwahab M, Hassan A, Taylor A (2026)MEDLINE-indexed journal, not yet read by usJournal of religion and health Religious and Spiritual Behaviors Correlated with Mental and Physical Well-Being Among American Muslims within the Twin Cities.
Previous studies have demonstrated the significant association between religiosity and spirituality (R/S) with well-being. However, little is known if a similar association exists between the religiosity and mental well-being within Muslims in U.S.-based R/S health research, who remain comparatively underrepresented relative to Judeo-Christian samples. This study assesses whether these associations hold true in this population and if they can be explained by demographic factors alone. A total of 337 participants were enrolled from Muslim community centers in the Minneapolis-St.Paul, Minnesota, metropolitan area (completion rate = 47.5%). Participants completed the Muslim Religiosity Scale (MRS) with intrinsic and behavioral subscales. They also completed physical and mental health questionnaires: Health-promoting Lifestyle Profile Questionnaire (HPLP II), General Anxiety Disorder 2 (GAD-…
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From Meaning, Spirituality, and Religion in Acute Psychiatry to Public Health: A 'Dual Motor' Model.
Spiritually integrated group therapy aims to support coping, meaning-making, and existential recovery in patients receiving psychiatric care. SPIRIT (Spiritual Psychotherapy for Inpatient, Residential and Intensive Treatment) is a structured, flexible protocol implementing this approach into intensive or residential settings. This study examines (1) the impact of SPIRIT on patients' lives and (2) their needs in terms of aftercare to determine whether and how its benefits can be sustained long term. Data were collected from multiple sources: patient evaluation forms (n = 118); in-depth interviews with patients (n = 19) and caregivers providing the therapy (n = 8); and two focus groups with both caregivers and patients. Transcripts were analyzed using qualitative content analysis. Results indicate that for most participants, the therapy positively impacted their lives through increased awa…
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Understanding Patient Priorities for Religious and Spiritual Needs During Radiation Therapy for Gynecological Malignancies.
Purpose: Addressing religion and spirituality (R/S) in the patient care setting has shown associations with health care outcomes and quality of life. Patients with gynecologic malignancies demonstrate increased distress and fear following treatment. The Faith or belief, Importance and Influence of spirituality, spiritual Community; and interventions to Address spiritual needs (FICA) Spiritual History Tool outlines 4 domains of assessment. Using the FICA Spiritual History Tool, we sought to evaluate the importance of R/S for patients with gynecologic cancer who had undergone external beam radiation therapy or brachytherapy and assess the most meaningful questions from the FICA Spiritual History Tool that best facilitate conversation.
Methods and materials: Eleven patients with gynecologic malignancy treated with external beam radiation therapy and/or brachytherapy were interviewed with th…
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Özbay A (2025)MEDLINE-indexed journal, not yet read by usJournal of religion and health Faith as Medicine: A 12-Month Longitudinal Study of Spirituality and Diabetes Self-Management in Turkish Adults.
Type 2 diabetes requires sustained lifestyle modifications that can be psychologically challenging. Spirituality may serve as an important coping resource, yet longitudinal evidence remains limited in Muslim populations where spiritual beliefs are deeply integrated into daily life and health practices. To examine longitudinal relationships between spirituality, religious coping, and diabetes self-management behaviors, quality of life, and glycemic control among Turkish adults with type 2 diabetes over 12 months, and to test theoretical pathways through which spirituality influences health outcomes. A prospective study of 240 Turkish adults with type 2 diabetes from endocrinology clinics in Istanbul and Bursa (January 2023-June 2024). Participants completed validated questionnaires measuring spirituality (FACIT-Sp), religious coping (Brief RCOPE), diabetes self-care activities (SDSCA), qu…
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Spiritual struggles drive psychological distress in psychotherapy: Replication of findings using a practice-research network.
Longitudinal evidence indicates struggles with spirituality/religion (S/R; e.g., feeling distant or abandoned by God, guilty for not attaining standards of moral perfection, judged by one's family or community) may cause distress and hinder recovery from mental health challenges. However, research has not examined temporal associations between spiritual struggles and psychological distress in spiritually integrated psychotherapies (SIPs). In total, 175 practitioners of SIPs from 38 clinics and other settings in a practice-research network assessed these outcomes with 1,404 clients over the first 6 weeks of treatment (Time 1 [Weeks 1-2], Time 2 [Weeks 3-4], and Time 3 [Weeks 5-6]). In keeping with findings from other samples (e.g., Cowden et al., 2022, 2024; Currier et al., 2015, 2018), cross-lagged panel analyses across the three time points revealed spiritual struggles predicted clients…
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Does Religiosity Reduce Mortality Risk Over the Second Half of Life Among Southern Californians? A Multidimensional Model Within a Hazard Modeling Framework.
This study explored the relationship between a multidimensional typology of religiosity and risk of mortality. Using data from middle-aged Southern California respondents in the Longitudinal Study of Generations, we performed latent class analysis to construct a typology of religiosity, which was then used to predict mortality from 1971 to 2020. We identified four religiosity classes: strongly, weakly, privately, and liberally religious. Cox proportional hazard models revealed that privately religious males had greater mortality risk than strongly religious males, even after controlling for the mediators self-rated health and psychological wellbeing. In women, risk of mortality was explained by these mediators rather than by religiosity.
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Utilization and perceptions of chaplaincy among hospitalized adults of Dharmic religions with cancer.
Background: Spiritual care provided by chaplains plays a key role in cancer care in the United States, yet little is known about chaplaincy utilization among people of Dharmic religions (Hinduism, Buddhism, Sikhism, Jainism) with cancer.
Methods: This multi-methods study reviewed the records of patients (aged 18 years and older) who were hospitalized at a dedicated cancer hospital (2015-2019) and conducted interviews with chaplains and adults of Dharmic religions (2020). Primary outcomes included measuring chaplaincy utilization (at least one chaplain visit) across different religions and identifying perceptions of chaplaincy. Secondary outcomes involved measuring unmet spiritual needs on admission, types of spiritual care needs, and variables associated with chaplaincy utilization.
Results: Of 54,828 patients, 2% were of Dharmic religions (n = 1163; 58.4% Hindu, 33.2% Buddhist, 4.8% Sik…
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Priests aging well: The role of gerotranscendence and its relationships with perceived health status, and life satisfaction among Catholic priests.
Aging in the priesthood presents unique challenges in America. Due to the declining number of priests serving the growing U.S. Catholic population, many older priests delay retirement and continue to work while dealing with various physical, mental, and emotional challenges associated with aging. The present study examined predictors of life satisfaction in aging priests, using a combination of established predictors (age, spiritual transcendence, overall health) and three novel predictors corresponding to the three domains of gerotranscendence (cosmic, coherence, solitude) set out by Tornstam (1989, 2005). Survey data collected from 201 ordained Roman Catholic senior priests (between ages 50-93) revealed high levels of life satisfaction and satisfaction that was positively correlated with age, spiritual transcendence, and self-rated health. In addition, the combination of gerotranscende…
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Religion, Faith, and Spirituality as Barriers and Facilitators to Antiretroviral Therapy Initiation Among People with HIV in Indonesia.
Indonesia is a country deeply rooted in religion, faith, and spirituality. These aspects significantly determine individuals' decision-making and behavior, including health care decisions. Given the suboptimal attainment of the HIV-cascade targets in the country, we conducted a study to explore the role of religion, faith, and spirituality on antiretroviral therapy (ART) initiation. Our study involved individual interviews with 67 participants recruited from community health centers, public hospitals, and private clinics, predominantly Muslim, including 17 untreated people with HIV (ART-naïve), 30 people with HIV on treatment (ART-experienced), and 20 HIV service providers. Findings revealed that many individuals perceived HIV as a godly punishment related to individual failure (prior risk-prone behaviors), generating shame, guilt, and stigma. Perceiving religion as punitive and unforgiv…
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