Reliability and Validity of the Brief Multidimensional Measure of Religiousness/Spirituality Among Adolescents

Background Developed for use in health research, the Brief Multidimensional Measure of Religiousness/Spirituality (BMMRS) consists of brief measures of a broad range of religiousness and spirituality (R/S) dimensions. It has established psychometric properties among adults, but little is known about its appropriateness for use with adolescents. Purpose We assessed the psychometric properties of the BMMRS among adolescents. Method We recruited a racially diverse (85% non-White) sample of 305 adolescents aged 12–18 years (median 16 yrs, IQR 14–17) from 3 urban medical clinics; 93 completed a retest 1 week later. We assessed internal consistency and test–retest reliability. We assessed construct validity by examining how well the measures discriminated groups expected to differ based on self-reported religious preference, and how they related to a hypothesized correlate, depressive symptoms. Religious preference was categorized into “No religion/Atheist” (11%), “Don’t know/Confused” (9%), or “Named a religion” (80%). Results Responses to multi-item measures were generally internally consistent (alpha ≥0.70 for 12/16 measures) and stable over 1 week (intraclass correlation coefficients ≥0.70 for 14/16). Forgiveness, Negative R/S Coping, and Commitment items showed lower internal cohesiveness. Scores on most measures were higher (p < 0.05) among those who “Named a religion” compared to the “No religion/Atheist” group. Forgiveness, Commitment, and Anticipated Support from members of one’s congregation were inversely correlated with depressive symptoms, while BMMRS measures assessing negative R/S experiences (Negative R/S Coping, Negative Interactions with others in congregation, Loss in Faith) were positively correlated with depressive symptoms. Conclusions These findings suggest that most BMMRS measures are reliable and valid for use among adolescents.

Future Expectations Among Adolescents: A Latent Class Analysis

Future expectations have been important predictors of adolescent development and behavior. Its measurement, however, has largely focused on single dimensions and misses potentially important components. This analysis investigates whether an empirically-driven, multidimensional approach to conceptualizing future expectations can substantively contribute to our understanding of adolescent risk behavior. We use data from the National Longitudinal Survey of Youth 1997 to derive subpopulations of adolescents based on their future expectations with latent class analysis. Multinomial regression then determines which covariates from Bronfenbrenner's ecological systems theory are associated with class membership. After modeling these covariates, we examine whether future expectations is associated with delinquency, substance use, and sexual experience. Our analysis suggests the emergence of four distinct classes labeled the Student Expectations, Student/Drinking Expectations, Victim Expectations, and Drinking/Arrest Expectations classes according to their indicator profiles. These classes differ with respect to covariates associated with membership; furthermore, they are all statistically and differentially associated with at least one adolescent risk behavior. This analysis demonstrates the additional benefit derived from using this multidimensional approach for studying future expectations. Further research is needed to investigate its stability and role in predicting adolescent risk behavior over time.     

Predictors of Health-Related Quality of Life over Time Among Adolescents and Young Adults with Sickle Cell Disease

Little is known about what factors affect the health-related quality of life (HRQoL) of adolescents and young adults (AYAs) with sickle cell disease (SCD), and how their HRQoL changes over time. This retrospective study included 87 AYAs attending a SCD Adolescent Clinic who completed a measure of HRQoL at each visit over the course of approximately 1.3 years. Results suggested that the following were associated with poorer physical HRQoL: being female, more healthcare utilization events, and presence of internalizing symptoms. Internalizing and externalizing symptoms were the only factors correlated with poorer psychosocial HRQoL. Generalized linear mixed models indicated that physical and psychosocial HRQoL improved among all participants during the assessment period, and those with externalizing behaviors reported faster improvement in physical HRQoL over time. AYAs with SCD may benefit from early mental health screening and intervention to optimize clinical care.     

Health-Related Quality of Life in Children and Adolescents Following Traumatic Injury: A Review

This paper comprehensively reviews the published literature investigating health-related quality of life (HRQOL) following general traumatic injury in individuals between birth and 18?years. Studies were not considered if they primarily compared medical treatment options, evaluated physical function but not other aspects of HRQOL, or focused on non-traumatic wounds. Specific injury types (e.g., burn injury) were also not included. A total of 16 studies met criteria. Participants were age 1-18?years, with 12 studies considering children 5?years of age or older. Males were overrepresented. Injury severity averaged mostly in the moderate range. HRQOL deficits were noted in injured samples in all studies except the two with the longest time to follow-up (6-11?years). Some improvement was seen 6?months to 2?years after injury. Factors associated with HRQOL deficits were investigated, with acute and posttraumatic stress disorder symptoms showing the strongest relationship. Research to date in this area is impressive, particularly the number of studies using prospective longitudinal investigations and validated measures. Challenges remain regarding methodologic differences, assessment of preinjury status, retention of participants, and management of missing data. Suggested future directions include extension of follow-up duration, utilization of pediatric self-report when possible, inclusion of younger children, and development of intervention programs.     

Five-Factor Model Personality Traits, Spirituality/Religiousness, and Mental Health Among People Living With HIV

ABSTRACT We examined the association between five-factor personality domains and facets and spirituality/religiousness as well as their joint association with mental health in a diverse sample of people living with HIV ( n =112, age range 18–66). Spirituality/religiousness showed stronger associations with Conscientiousness, Openness, and Agreeableness than with Neuroticism and Extraversion. Both personality traits and spirituality/religiousness were significantly linked to mental health, even after controlling for individual differences in demographic measures and disease status. Personality traits explained unique variance in mental health above spirituality and religiousness. Further, aspects of spirituality and religiousness were found to mediate some of the links between personality and mental health in this patient sample. These findings suggest that underlying personality traits contribute to the beneficial effects of spirituality/religiousness among vulnerable populations.     

Psychometric Examination of the Brief Multidimensional Measure of Religiousness/Spirituality Among College Students

Resurgent interest in the relations between religiousness/spirituality (R/S) and health is evident in the scientific literature but much of the research fails to capture the proposed multidimensional nature of R/S. This problematic situation is compounded by the existence of a plethora of measures mostly lacking substantial empirical or even theoretical support. The Brief Multidimensional Measure of Religiousness/Spirituality (BMMRS) was developed to address measurement confusion by providing a standard instrument for researchers investigating the dimensions of R/S relevant to health. Psychometric properties and factor structure of the BMMRS were investigated in a sample of 374 college students. Exploratory and confirmatory factor analyses suggested a seven-factor structure for the BMMRS. Preliminary construct validity for the instrument was demonstrated. These findings generally support those of previous studies and suggest that the modified BMMRS is a viable multifactor measure of R/S for use with young adults.     

The Relationship of Religiosity and Spirituality to Quality of Life Among Cancer Patients

Most quality of life (QOL) assessments measure patients’ emotional well-being, functional well-being, interpersonal/social well-being, and satisfaction with treatment. Little attention has been given to patients’ spirituality or religiosity. Further, studies that have examined the impact of spirituality or religiosity on QOL have not differentiated between the constructs. The purpose of this study was to examine religiosity and spirituality as separate variables, and to define their relationship to QOL for 61 persons with cancer. Regression analyses indicated that, while spirituality and religiosity are moderately intercorrelated, spirituality has a stronger relationship with QOL than religiosity. When attempting to understand a person's spiritual life and its impact on QOL, there is a need for clear distinction between and separate assessment of spirituality and religiosity.     

Religiousness and Quality of Life Among Older Adults of Different Ethnic Groups in Malaysia: A Five-Year Follow-up Study

Journal of Religion and Health - Research has shown that religion is associated with a better quality of life (QoL). This study aims to examine ethnic differences in the association between...     

Health-Related Quality of Life Among Substance Abusers in Residential Drug Abuse Treatment

Health-related quality of life (HRQOL) in substance abusers remains an area of inquiry in need of investigation. The few studies on the topic have found substance abuser HRQOL less than that of the general population. The present research compared 303 substance abusers in long-term residential therapeutic community treatment in New York with a general non-institutionalized adult sample from New York (N = 27,465) whose data were collected between 2002 and 2006 during the yearly administrations of the Behavioral Risk Factor Surveillance System (BRFSS), a state-based system of health surveys gathering data from upwards of 350,000 adults per year across all 50 states. One sample t-tests found that the in-treatment substance abusers reported significantly more physically and mentally unhealthy days over the past 30 days, as well as significantly more inactive days over the past 30 days due to illness.     

Health-Related Quality of Life and Adaptive Behaviors of Adolescents with Sickle Cell Disease: Stress Processing Moderators

The objective of this study was to examine resilience among adolescents with sickle cell disease (SCD), focusing on the interaction of health-related quality of life with stress processing to explain adaptive behavior. Forty-four adolescents with SCD completed paper-and-pencil measures of health-related quality of life, appraisals (hope), pain coping strategies (e.g. adherence), and adaptive behavior. Self-reported health-related quality of life was significantly associated with adaptive behavior, as was adherence. Findings for moderation were mixed. Pain coping strategies moderated the association of health-related quality of life with adaptive behavior such that at lower levels of Coping Strategies Questionnaire (CSQ) Adherence, better quality of life was associated with higher adaptive behavior. Similarly, at higher levels of hope, better quality of life was associated with higher adaptive behavior, and poorer quality of life was associated with lower adaptive behavior. Adolescents with SCD showed resilience, particularly in terms of personal adjustment, that may be explained by their appraisals and stress processing strategies. Interventions to support an optimistic or hopeful outlook and improve adherence to recommendations for medical management of sickle cell pain may result in improved resilience/adaptive behavior.     

Typologies of Religiousness/Spirituality: Implications for Health and Well-Being

The purpose of this study was to develop empirically based typologies of religiousness/spirituality (R/S) and to determine whether the typologies were related to health and well-being. The study used a nationally representative sample of adults (N = 1,431). Using latent profile analysis, typologies were derived based on religious service attendance, prayer, positive religious coping, and daily spiritual experiences. Multivariate statistical tests were used to examine cluster differences in health and well-being. A four-class model was identified: highly religious, moderately religious, somewhat religious, and minimally religious or non-religious. The four classes were distinctively different in psychological well-being, in that the highly religious class was most likely to be happy and satisfied with finances and least likely to be psychologically distressed.     

当代中国青少年校园欺凌受害模式探索:基于潜在剖面分析

采用特拉华欺凌受害量表、病人健康问卷抑郁量表和广泛性焦虑量表对湖南省八个地区20所中学初一到高三3761名学生进行调查,探索学生欺凌受害模式,并对不同模式亚群体的人口学特点及其心理健康状况展开研究。结果发现：（1）校园欺凌中,言语欺凌、身体欺凌、关系欺凌、网络欺凌这四种常见欺凌类型具有较高的共发性,潜在剖面分析表明存在四种典型的校园欺凌受害模式："所有类型欺凌受害组"（1.5%）、"传统类型受害组"（3.9%）、"传统类型轻卷入组"（14.9%）和"未受害组"（79.6%）;（2）欺凌受害模式的人群分布受不同人口学特征（性别、年级、学校位置、自评学习成绩）的影响,男性、初中、乡村学校、成绩较差的学生更易受到欺凌;（3）即使是轻度的欺凌受害卷入,也会对个体心理健康产生较为严重的消极影响,对校园欺凌行为"零容忍"确有依据。     

Formal Employment and Health-Related Quality of Life among People Living with HIV in South Africa

This study examined the link between formal employment and characteristics of the workplace (especially awareness of workplace HIV policies and HIV status disclosure to work colleagues) and health-related quality of life (HRQoL) among people living with HIV (PLHIV). The study analysed medical treatment and employment history since first being diagnosed as HIV-positive among 554 adults, 55 % females, who had been on HIV treatment for at least 2 years in South Africa. Additional cross-sectional data on HRQoL were collected using the Medical Outcomes Study 36-Item Short Form (SF-36) (QualityMetric Incorporated). Two hundred and forty four (44 %) of the study participants (39 % and 49 % among males and females, respectively) were formally employed at the study interview. Formally employed study participants reported higher HRQoL than those not formally employed, as reflected in mean scores in the physical and mental component summaries of the SF-36 instrument. HRQoL was unrelated to study participants’ CD4 count, viral load and duration since HIV diagnosis. Among the formally employed study participants, 27.9 % reported awareness of workplace HIV policies in their organisations, while 50.8 % said they had disclosed their HIV status to work colleagues. The awareness of workplace HIV policies was associated with higher mental component summary scores after controlling for study participants’ socio-demographic characteristics, but had no significant association with the physical component summary scores. The disclosure of HIV status to work colleagues was associated with neither mental nor physical component summary scores. The finding of a positive association between formal employment and HRQoL among PLHIV suggest the need for facilitative interventions for employment entry and continuation among PLHIV for their wellbeing.     

Perceived Quality of Life and Health-Related Correlates Among Men Aboard Navy Ships

The objectives of this study are twofold: First, findings are presented to provide a baseline assessment of perceived quality of life (QOL) in a group of 430 Navy shipboard men. As part of this objective, Navy shipboard QOL ratings are compared with those of a U.S. national sample to provide a perspective for interpreting Navy responses. Second, the study identifies health-related factors associated with QOL. In both the Navy and national samples, QOL evaluations are generally positive and show considerable variation. Navy shipboard QOL evaluations are higher than civilian evalua- tions on items addressing satisfaction with self and the ability to adjust to changes, but lower on items assessing satisfaction with work and personal life. A consistent association exists between better health/fitness and higher QOL, including satisfaction with one's Navy job. Consistent correlates of perceived QOL are self-ratings of health and physical fitness, perceptions of not being overweight, and lower reporting of psychosomatic symptoms.     

Motivational Profiles Among Young Table-Tennis Players in Intensive Training Settings: A Latent Profile Transition Analysis

This study aimed to (a) identify motivational profiles among a sample of 141 young table-tennis players involved in intensive training settings; (b) examine the consistency or change of motivational profiles for the same athlete over time; and (c) investigate differences between these profiles on burnout, coping, stress, and recovery. Latent profile transition analysis revealed 2 or 3 distinct profiles that are similar for the 3 measurement occasions: self-determined profile, moderate profile, and low profile. Motivational profiles exhibited both stability and changes over time from an intraindividual perspective. Athletes from the self-determined profile were characterized by the best psychological adjustment.     

The Emerging Meanings of Religiousness and Spirituality: Problems and Prospects

This article examines traditional and modern psychological characterizations of religiousness and spirituality. Three ways in which religiousness and spirituality are polarized by contemporary theorists are examined: organized religion versus personal spirituality; substantive religion versus functional spirituality; and negative religiousness versus positive spirituality. An alternative approach to understanding religiousness and spirituality is presented that integrates rather than polarizes these constructs, and sets boundaries to the discipline while acknowledging the diversity of religious and spiritual expressions. Directions for future investigations of these two constructs are presented.     

Measuring Health-Related Quality of Life After Stroke: A Brief Tool

Routine assessment of health-related quality of life (HRQoL) can be time consuming and burdensome for a person with stroke. Therefore the aim of this study was to develop and test a brief instrument for assessing HRQoL among people with stroke. The Quality of Life after Stroke Scale (QLASS) was constructed from items within the Quality of Life Index-Stroke Version and the Chronic Respiratory Disease Questionnaire. It was administered to 92 people with stroke at three points in time: immediately after discharge from hospital, 6 months and 12 months later. Results suggest that the QLASS has 19 items which represent three factors: emotional functioning, mastery and fatigue which correlate with valid measures of health status and activities of daily living. The QLASS is proposed as a brief, valid HRQoL tool for use among people with stroke.