Spirituality in Disability and Illness

Spirituality appears with increasing frequency in the research literature, and a paradigm involving mind-body-spirit interaction is emerging. The relationship of spirituality to disability and illness is at the center of a growing body of knowledge. A comprehensive literature review supported spirituality as coping method among individuals experiencing a variety of illnesses including hypertension, pulmonary disease, diabetes, chronic renal failure, surgery, rheumatoid arthritis, multiple sclerosis, HIV/AIDS, polio and addictive illnesses. Additionally, spirituality is a resource when dealing with critical illness as well as terminal illness and end of life issues, and it is utilized by both patients, and family members. Discussion of research findings, implications for health care practice and future research is also presented.     

The Role of Religion and Spirituality in Mental and Physical Health

An increased interest in the effects of religion and spirituality on health is apparent in the psychological and medical literature. Although religion in particular was thought, in the past, to have a predominantly negative influence on health, recent research suggests this relationship is more complex. This article reviews the literature on the impact of religion and spirituality on physical and mental health, concluding that the influence is largely beneficial. Mechanisms for the positive effect of religion and spirituality are proposed.     

Is Evidence Able to Persuade Physicians to Discuss Spirituality with Patients?

Patients believe that spirituality informs health; frequently, they wish to share their beliefs with physicians. Although a large number of physicians believe it their responsibility to be aware of patient beliefs, many do not address spirituality because they do not believe it their role to do so. These physicians would perhaps feel differently if presented with evidence that associated spirituality with positive health outcomes. This national sample of family medicine residents were asked if, presented with evidence that spirituality was associated with improved outcomes, they would be more likely to initiate discussions of spirituality with patients. To varying degrees, most residents agreed that they would be more willing to initiate spirituality discussions if presented with good evidence. Geographic region of training, religious preference, and Spiritual Well-Being Scale quartile predicted both strength of agreement and whether a resident would be as responsive to spirituality oriented research as to investigations of traditional therapeutic modalities. Although residents indicated that they would be more responsive to publications on traditional medical therapies, familiarity with the spirituality literature as part of a residency educational curriculum may help break down barriers to addressing this issue with patients.     

Introducing Spirituality into Psychiatric Care

Spirituality is important to many psychiatric patients, and these patients may be moved toward recovery more effectively if their spiritual needs are addressed in treatment. This, however, is rarely given expression in the psychiatric services of teaching hospitals. In order to develop this potential area of improved care, we (1) evaluated the differential attitudes of patients and psychiatric trainees toward the value of spirituality in the recovery process, (2) established a program of group meetings conducted by psychiatric residents and staff where patients can discuss how to draw on their spirituality in coping with their problems, and (3) established related training experiences for psychiatric residents. The results and implications of these three initiatives are presented.     

Religion and the Use of Complementary and Alternative Medicine (CAM) Among Cardiac Patients

This study investigates the prevalence and predictors of using complementary and alternative medicine (CAM) among middle-aged and older patients prior to cardiac surgery. Additionally, it addresses the correlates of using 10 commonly used CAM therapies. The influence of religion on itemized CAM usage is also explored. Comprehensive data were collected from adult patients undergoing cardiac surgery through a preoperative survey 2 weeks prior to surgery, followed by a telephone interview the day before surgery. More than two-thirds of participants (80.9 %) indicated at least one CAM use. Income, religiosity, education, BMI, employment, and congestive heart failure predicted greater CAM utility. After multiple controls, major cardiac indicators were significantly positively associated with greater utility of CAM. There was also a significant positive association between religiosity and CAM use. Findings suggest considerable CAM use in this cardiac sample and certain associations among cardiac conditions, religiosity, and itemized CAM utilization. Future research is needed to investigate the potential joint therapeutic and adverse effects of drug and herbal remedies in cardiac patients.     

Understanding Spirituality in Counseling Psychology: Considerations for Research,Training, and Practice

Selective understandings of spirituality among early, contemporary, and current theorists were reviewed. The purpose is to suggest the multiple implications these varied understandings of spirituality have for practicing clinicians in the field of counseling psychology. Sources of literature were primarily drawn from published literature and classical texts. The conclusions suggest that professionals within the field may need to increase objective and subjective interpretations of spirituality in the therapeutic realm. With this awareness, it is assumed that clinical sensitivity to multiculturalism, recovery movements, and dysfunctional religious systems may be achieved and, subsequently, therapeutic competence may be increased.     

Studying the specificity of spirituality: lessons from the psychology of religion

Psychological research on spirituality need not start from scratch: the psychology of religion provides substantial knowledge and experience that can be drawn on when psychologists want to do research on spirituality. Spirituality, while certainly not identical with religion or religiosity, is a human phenomenon to which many methodological insights from the study of religion may be applied, although it is also a domain where many mistakes from the history of the psychology of religion are likely to be repeated. After presenting some thoughts on the conceptualization of spirituality, and reflecting on the type of psychology required to do research on spirituality, the paper points out some hidden agenda's in the psychologies of religion and spirituality. Focusing on and keeping in mind the specificity of spiritual conduct, the paper discusses a number of practical aspects of empirical research on spirituality.     

抑郁和焦虑对经皮冠状动脉介入治疗患者的影响及对策

越来越多的冠心病患者接受经皮冠状动脉介入治疗,但是这些患者表现出的焦虑抑郁情绪对经皮冠状动脉介入治疗（PCI）围术期的影响却少有报道。研究发现,焦虑和抑郁对心脏事件发生后的恢复有不利的影响,而接受 PCI 治疗的患者情感障碍的发生率是比较高的。主要心血管事件与这些负面影响是相关联的,研究表明密切监测这些患者的情感状态可以明显改善临床预后。     

Couple Therapy and Spirituality and Religion

Abstract

The current state of the art of the integration of couple therapy with spirituality and religion is presented. Each of three waves of this integration identified in this article have seen an increase in the literature in this area, although only a limited amount in each wave has addressed couple therapy specifically. In the first wave, from 1990–1994, articles set forth arguments for why spirituality should be integrated in therapy. During the second wave, 1995–1999, publications focused on the ways that including spirituality in therapy can enhance as well as harm the therapeutic process. In the third wave, 2000-present, attention has shifted away from whether to include spirituality to how it should be included, and the literature of this period features many practical interventions and suggested guidelines for integrating spirituality and religion into therapy and training. The article concludes with recommendations for further developing the integration of spirituality and religion into couple therapy models, research, and training.     

Incorporating Religion/Spirituality Into Treatment for Serious Mental Illness

This paper examines whether religion and spirituality (R/S) should be incorporated into treatment for patients with serious mental illness. This question merits attention, especially in light of the strong presence of R/S in the United States and, in particular, among members of ethnic minorities. While the literature is somewhat mixed, prior research supports the view that incorporating adaptive R/S elements into treatment for patients with serious mental illness is beneficial, particularly for patients who do not exhibit severe psychotic symptoms. Drawing from our experiences in developing a family-focused Culturally-Informed Therapy for Schizophrenia (CIT-S), we will also highlight the importance of addressing spiritual issues within minority populations. In the second half of this paper, we will present several case illustrations of how R/S issues were used in CIT-S to help patients make sense of adverse situations and obtain much-needed support and coping resources outside the treatment room. Findings from this study indicate that religion and spirituality can often be incorporated into treatment in a way that coalesces with patients’ values and enhances treatment gains. Future research should investigate how therapists’ own R/S values interact with those of their clients, and whether congruency in R/S values has any impact on treatment efficacy.     

The Present State of Workplace Spirituality: A Literature Review Considering Context,Theory, and Measurement/Assessment

This article seeks to review the growing body of research in the field of workplace spirituality, extending the earlier and broader literature review work of Danna and Griffin; Miller and Gorsuch; Hill and Hood; the Fetzer Institute; Moberg, Mohamed, Hassan, and Wisnieski; Day; and Lund Dean and Fornaciari. This article also seeks to advance future psychometric scale development in the burgeoning field of workplace spirituality; by suggesting a rubric for understanding the literature (manifestation, development, and adherence), and analyzing the scale validity and reliability, the authors hope to expand conceptual imagination for new scale research.

This article argues that the previous research which has begun to address important aspects of research scale development, though it has been limited in its applicability to workplace contexts, does not address diverse religious traditions and fails to understand how and the degree to which individual or collective spirituality integrates and manifests itself in the workplace. To this end, this article will codify and extend the aforementioned work by identifying the drivers for the field, exploring the connections between spirituality/religion and organizations, reviewing existing scales and instruments, discussing the literature review findings, and identifying gaps within the research, and it will resolve by suggesting specific areas for further research.     

Religion and spirituality. Linkages to physical health

Evidence is presented that bears on 9 hypotheses about the link between religion or spirituality and mortality, morbidity, disability, or recovery from illness. In healthy participants, there is a strong, consistent, prospective, and often graded reduction in risk of mortality in church/service attenders. This reduction is approximately 25% after adjustment for confounders. Religion or spirituality protects against cardiovascular disease, largely mediated by the healthy lifestyle it encourages. Evidence fails to support a link between depth of religiousness and physical health. In patients, there are consistent failures to support the hypotheses that religion or spirituality slows the progression of cancer or improves recovery from acute illness but some evidence that religion or spirituality impedes recovery from acute illness. The authors conclude that church/service attendance protects healthy people against death. More methodologically sound studies are needed.     

Reclaiming and reconnecting to our spirituality in the academy

In this paper, the author, a doctoral student, examines his past to understand why spirituality is important in his present life and why it is important to integrate spirituality within the academy for young adults. In this personal narrative, the author discusses how spirituality becomes important for him from his childhood, as he grows up in Kuwait and Bangladesh and is subjected to numerous forms of psychological violence from his family, his school and larger society. The author then examines how his spirituality is negated as he immigrates to Canada and joins the Canadian academy as a young adult student. Finally, the author discusses why it is important to incorporate spirituality within the academy for young adults.     

Spirituality in Physical Health and Aging

A variety of research has documented the association between various measures of religion/spirituality and physical health outcomes. The purpose of this paper is to review the literature on this topic. The paper also discusses the mechanisms that are thought to underlie the associations found in the literature. Further, the paper presents several avenues along which future research might proceed in order to advance our understanding of these issues. The paper concludes by making a case for the need for empirical examinations of these issues in countries other than the United States. Particular focus is paid here to religion among older adults in Japan.     

Empirical investigation of a postmodern model of spirituality within the population of Republic of Ireland

Spirituality is a phenomenon which continues to attract much interest in the Western culture. Throughout the years, it has changed in form and developed in understanding. It has become unprecedentedly broad and embraced by many people, even those who do not consider themselves to be religious. Indeed, spirituality is a subject of debate within academic and non-academic circles regarding its shape, place, function, and definition. This debate and the academic investigation reveals that as a field of study it is undergoing intense and vigorous development. However, there are a number of conceptual deficiencies which need attention, namely; identity and method. The aim of this study is to develop the concept of spirituality according to the current European population. The study applies Structural Equation Modelling (SEM) and finds current spirituality functioning as a three-dimensional model composed of transcendence, immanence, and purpose. This concept is predicted by 13 independent variables. The findings conclude that current spirituality is a person’s individual existential dimension, being subject to change through the influence of various psychological, religious and social factors. The findings of the research describe its practical implication within formational social fields such as education, counselling, and psychotherapy.     

Spiritual coaching in cancer patients: treating the spirit as well as the disease

Interest in the exploration of spirituality in medical practice has been growing recently due to some studies suggesting its role in the improvement of patient well-being and quality of life. This project examined the feasibility of providing spiritual coaching with patients in an outpatient Radiation Oncology clinic setting. The purpose of spiritual coaching was to provide patients with opportunities to explore their current spiritual lives, increase their involvement in spiritually enhancing activities, and expand their spiritual opportunities. Quality-of-life measurements focused on feelings of hopefulness and distress were used in patients undergoing radiation treatment for cancer. This study suggests that there is a potential benefit for spiritual coaching in the care of cancer patients, and future studies will be done to further el ucidate the ationship of spirituality and quality of life in this population.     

Workplace Spirituality and the Selling Organization: A Conceptual Framework and Research Propositions

The past few years have witnessed a proliferation of articles on spirituality and its relevance for business. A growing trend in spirituality research is an emphasis on spirituality in the workplace. Theoretical and empirical support is emerging on how workplace spirituality infl uences both employee and organizational outcomes. However, the sales literature has not yet integrated the dimensions of workplace spirituality into its frameworks. Therefore, drawing on existing theoretical foundations, we propose a conceptual framework that illustrates the role of workplace spirituality in selling organizations. We present relevant testable research propositions, guidelines for future research, and implications for practice.     

Understanding the Relationship Between Religiousness, Spirituality, and Underage Drinking: The Role of Positive Alcohol Expectancies

Research has consistently found that religiousness and spirituality are negatively associated with underage drinking. However, there is a paucity of research exploring the mechanisms by which these variables influence this important outcome. With 344 underage young adults (ages 18–20; 61 % women), we investigated positive alcohol expectancies as a mediator between religiousness and spirituality (measured separately) and underage alcohol use. Participants completed the Religious Commitment Inventory-10, Daily Spiritual Experiences Scale, Alcohol Expectancies Questionnaire, and Drinking Styles Questionnaire. Results indicate less positive alcohol expectancies partially mediate the relationship between both religiousness and spirituality and underage alcohol use. This suggests religiousness and spirituality’s protective influence on underage drinking is partly due to their influence on expectations about alcohol’s positive effects. Since underage drinking predicts problem drinking later in life and places one at risk for serious physical and mental health problems, it is important to identify specific points of intervention, including expectations about alcohol that rise from religious and spiritual factors.     

Exploration of Relationship Between Stress and Spirituality Characteristics of Male and Female Engineering Students: A Comprehensive Study

This observational paper endeavours to recognize the connection between spirituality and stress. Four types of indicators are utilized for the estimation of anxiety, vis-à-vis, behavioural indicators, emotional indicators, sleep indicators and personal habits. As per pre-documented theory, if spirituality is high within an individual, then his/her stress will be low and vice versa. In college, the stress of education and scoring grades influences the understudy. Information is gathered through a survey in the light of spirituality index and stress index. Findings prove that the indicators of the stress are more visible in female students. Apart from this, there has been not much substantial study in the area of stress and spirituality among college students. Hence, the main purpose of this study was to discuss the various types of stress and effects of spirituality on the engineering students belonging to the age group of 21–26 years, prioritizing the indicators of stress as per the gender of students. The entire study constituted of a sample group of 200 participants, and for the entire process, correlation analysis was used to find the relative relation between spirituality and stress among girls and boys. T test is used for rejection of the null hypothesis. The article focuses on the current issues that students have been facing in the twenty-first century. Result of the study showed that there is a negative relationship between the spirituality and stress of male and female students. Moreover, the article provides unique contribution to the literature and also offers suggestions for generating new research ideas that can be used to ameliorate the problems that plague individuals and organizations in today’s world. This is the first article which covers the spirituality and stress of the engineering student and discusses the impact on young adults, as well as highlighting certain ways to overcome stress and enhance spirituality.     

Spirituality and Well-Being in Old Age: Exploring the Dimensions of Spirituality in Relation to Late-Life Functioning

A growing body of research connects spirituality with positive late-life functioning. In this research, spirituality is often approached as a single measure in relation to well-being, neglecting its complex nature. Therefore, this study explores whether different dimensions of spirituality contribute uniquely to psychological well-being in advanced age. Results indicated that well-being was positively predicted by spirituality experienced through connectedness with the transcendent and through connectedness with others. Spirituality experienced through connectedness with nature did not predict well-being. These findings highlight the unique influence of each spirituality dimension on well-being as well as the need for a multidimensional approach.