Spirituality and mental health status among Northern Plain tribes

Spirituality measures often show positive associations with preferred mental health outcomes in the general population; however, research among American Indians (AIs) is limited. We examined the relationships of mental health status and two measures of spirituality – the Midlife Development Inventory (MIDI) and a tribal cultural spirituality measure – in Northern Plains AIs, aged 15–54 (n?=?1636). While the MIDI was unassociated with mental health status, the tribal cultural spirituality measure showed a significant relationship with better mental health status. Mental health conditions disproportionately affect AIs. Understanding protective factors such as cultural spirituality that can mitigate mental health disorders is critical to reducing these health disparities.     

Religiosity and Excess Weight Among African-American Adolescents: The Jackson Heart KIDS Study

Recent studies suggest that religion and spirituality can yield health benefits for young African-Americans. We examined the relationship between religious practices, spirituality, and excess weight among African-American adolescents (N = 212) residing in the Deep South. Results from modified Poisson regression analysis indicate that adolescents who prayed daily had a lower prevalence of excess weight (PR 0.77 [95% CI 0.62–0.96]) than those who did not. This relationship was only significant for 12–15 year-old participants in age-stratified analysis. These findings suggest that preventive interventions offered to children and younger adolescents can have implications for weight status across the lifespan.

     

A Review of Spiritual and Religious Measures in Nursing Research Journals: 1995--1999

Background: A series of systematic reviews has revealed relatively high levels of interest in religion and spirituality in different nursing specialties, but not in general nursing research journals. Purpose: To identify the extent to which spirituality and religiousness were measured in all quantitative and qualitative research articles published in Research in Nursing and Health, Nursing Research, Advances in Nursing Science (ANS), and Image: The Journal of Nursing Scholarship from 1995 to 1999. Methods: A full-text search was conducted of ANS and Image using the Ovid search system. Nursing Research and Research in Nursing and Health were hand searched for spiritual/religious measures. Characteristics of selected studies, the measures taken, and their uses were coded for data analysis. Results: A total of 564 research studies were identified, of which 67 (11.9%) included at least one measure of spirituality or religiousness. A significant difference was found between the percentage of qualitative and quantitative studies that contained measures of these concepts. Of the 119 qualitative studies, 23 (19.3%) contained a measure of religion or spirituality, compared to 44 of the 445 (9.9%) quantitative studies. Nominal indicators of religious affiliation were the most commonly used measures in the quantitative studies and measures of religion and spirituality were rarely used in the analyses. Although only a few quantitative or qualitative studies intended to focus on religion or spirituality, these themes often emerged spontaneously in the qualitative research. Conclusions: Research in Nursing and Health, Advances in Nursing Science, Nursing Research, and Image: The Journal of Nursing Scholarship all published research measuring spirituality and religiousness during the time-period studied. The rate at which spirituality and religion appeared in these nursing research articles is substantially higher than that found in most fields outside of nursing. Even more frequent inclusion of spiritual and religious variables and richer measures of spirituality and religiousness would help to increase the available scientific information on the role of spirituality and religion in nursing care.     

Mental Health,Culture and Spirituality: Implications for the Effective Psychotherapeutic Care of Australia's Ageing Migrant Populations

SUMMARY

In this essay, attention is given to discussing the notions of and influences of culture, mental health and spirituality. Research shows that people who came to Australia either as immigrants or refugees are at risk of suffering a disproportionate incidence of mental problems relative to the rest of the Australian population. Older male immigrants are particularly at risk. A key variable influencing the mental health of immigrants/refugees in Australia is the social conditions in which they live. Another largely unrecognised variable influencing mental health is spirituality. The extent to which the expression of spirituality promotes mental health and healing, however, will depend on cross-cultural perceptions of what spirituality is, and how it influences mental health, illness and recovery. Whatever the perceptions of spirituality, it is important to understand that its roots are cultural, and its influence is on meaning construction. Meaning construction, in turn, is itself culturally mediated and framed. Given this, it is crucial that culture-what it is and how it influences human experience-is understood by health professionals if they are to be able to provide meaningful and therapeutically effective care to culturally diverse people and their mental health problems. A central aim of this essay is to facilitate this understanding.     

A Paradigm to Assess Implicit Attitudes towards God: The Positive/Negative God Associations Task

Psychological research on the relationship between spirituality/religion and mental health has grown considerably over the past several decades and now constitutes a sizable body of scholarship. Among dimensions of S/R, positive beliefs about God have been significantly related to better mental health outcomes, and conversely negative beliefs about God are generally associated with more distress. However, prior research on this topic has relied heavily upon self-report Likert-type scales, which are vulnerable to self-report biases and measure only explicit cognitive processes. In this study, we developed and validated an implicit social cognition task, the Positive/Negative God Go/No-go Association Task (PNG-GNAT), for use in psychological research on spirituality and religion (S/R). Preliminary evidence in a large sample (N = 381) suggests that the PNG-GNAT demonstrates internal consistency, test–retest and split-half reliability, and concurrent evidence of validity. Further, our results suggest that PNG-GNAT scores represent different underlying dimensions of S/R than explicit self-report measures, and incrementally predict mental health above and beyond self-report assessment. The PNG-GNAT appears to be an effective tool for measuring implicit positive/negative beliefs about God.

     

Demarcating Role Transitions as Indicators of Adulthood in the 21st Century: Who Are They?

The present study examines the transition into adulthood from a Symbolic Interactionism perspective, where people come to define themselves based on cultural influences and established cultural norms. College students (N = 234; mean age 23 years, SD = 6.26; 69.4% White, 14.5% Hispanic, 4.7% African-American) who had placed more importance on role transition markers (e.g., parenthood and marriage) as indicators of the transition into adulthood belonged to a fraternity/sorority were a traditionally aged college student (aged 18–25), were an ethnic minority were of a traditional marital status (i.e., not cohabitating) or belonged to a religious organization (particularly for men). These findings are consistent with the view that people who apparently hold collectivist or more traditional values place more importance on role transition markers as markers of adulthood. It is suggested that research take into account the cultural context when studying developmental periods that are culturally construed (i.e., the transition to adulthood), rather than biologically based.     

Assessing Professional Boundaries in Clinical Settings: The Development of the Boundaries in Practice Scale

This article reports on the Boundaries in Practice (BIP) Scale developed to measure knowledge, comfort, ethical decision making, and experience. Few instruments used in studies conducted on professional/?client boundaries have been validated. The BIP demonstrated sound face, content and construct validity, and adequate internal consistency reliability. The BIP Scale provides the first reliable and valid means of investigating multiple boundary domains across health disciplines and teams. The sensitivity and complexity of boundary issues and the serious consequences of breaches highlight the importance of a valid and reliable measure in building empirical knowledge in this field.     

Ethnicity, socioeconomic background, and psychosis-proneness in a diverse sample of college students

A sample of 915 college students completed the Perceptual Aberration, Magical Ideation, and Schizotypal Personality Scales. No statistically significant differences were found between African-American (n=209) and European-American (n=591) students on these measures, except on the Perceptual Aberration Scale (p<0.01). Additional analyses revealed that this difference was mediated by the subjects’ gender and socioeconomic background. The results of the present study are consistent with previous studies that have examined the mediating role of socioeconomic background in the performance of African-Americans on the Minnesota Multiphasic Personality Inventory (MMPI) and the Millon Clinical Multiaxial Personality Inventory (MCMI) and confirm that differences on schizotypy measures are best interpreted in the context of the sociocultural background of the subjects.     

A New Multidimensional Measure of Spirituality‐Religiosity for Use in Diverse Substance Abuse Treatment Populations

Extant measures of spirituality‐religiosity, not developed specifically with substance abuse treatment populations in mind, may not be culturally appropriate in regard to either: (1) the 12‐step “culture” found in many treatment programs; or (2) racial‐ethnic minority populations overrepresented in publicly funded programs. A 40‐item four‐dimensional measure was developed, which differentiates “religiosity” (religious practices) from “spirituality” (an individual's relationships with God/higher power, others, and self). Instrument development involved: qualitative focus groups with individuals in seven diverse Texas treatment programs; quantitative exploratory and confirmatory (CFA) analyses to test the four‐factor model conducted using data from 237 diverse clients in treatment programs in Tennessee and Virginia. Confirmatory analyses indicate acceptable fit indices (>0.90) for the four‐factor model, and acceptable reliability estimates for all subdimensions (≥0.70) provide further support for the measures. Results support the potential usefulness of the measures.     

Health Effects of Religion,Spirituality, and Supernatural Beliefs in Mainland China: A Systematic Review

Effects of religion, spirituality and supernatural beliefs (RSS) upon health in mainland China remain poorly understood, despite strong RSS beliefs influencing Chinese society. We conducted a Chinese–English bilingual systematic review to summarize the state of RSS-health research in mainland China. Study quality was assessed using the Critical Appraisal Skills Program tool. We screened 1858 studies, 162 of which were included in the review. From 2000–2004 to 2015–2019, the number of RSS-health studies in China increased from five to 73. However, only 7% of studies were rated as higher quality. Cross-sectional and case–control studies represented the vast majority of study designs (94%) and religious affiliation was the only RSS measure for 58% of studies. Higher, moderate, and lower quality studies indicated that RSS has both beneficial and adverse health implications. RSS-health research in China has accelerated rapidly in the last 20 years, but fundamental gaps in knowledge remain. Longitudinal study designs and nuanced RSS measures are needed to advance understanding of RSS health effects in China.

     

The relationship between spirituality and depressive symptom severity,psychosocial functioning impairment,and quality of life: examining the impact of age,gender, and ethnic differences

Research has documented the contribution of spirituality on overall health and mental health among college students. However, very few studies have explored the impact of cultural and ethnic differences on the effect of spirituality on mental health outcomes in this population. The aims of this study were to examine the relationships among spirituality, depressive symptom severity, psychosocial functioning impairment, and quality of life in a large multi-ethnic sample of college students and explore the impact of age, gender, and ethnicity on these relationships. The sample consisted of Latino, African-American, Caucasian, and Caribbean/West Indian college students. Findings indicated that spirituality, believing in God's presence, age, gender, and ethnicity were significantly related to depressive symptoms. These factors were also associated with impairment in psychosocial functioning and quality of life related to depression.     

Brief Trust/Mistrust in God Scale: psychometric properties of the Farsi version in Muslims

In Iran, a Middle Eastern Islamic country, far too little attention has been paid to the validation and cultural adaptation of measures of religion/spirituality. This has limited the potential for research in this area. The objective of the paper is to assess the psychometric properties of the Farsi version of the Brief Trust/Mistrust in God Scale (BTMGS). After translation of the original English version of the measure into Farsi using a standard forward–backward method, the BTMGS along with the Duke University Religion Index (DUREL) and Hoge Intrinsic Religiosity (Hoge IR) Scale was administered to 720 medical students, physicians, and nurses at Tehran University of Medical Sciences and affiliated hospitals. Internal consistency (α), test–retest reliability, concurrent validity, and construct validity were determined for the BTMGS. The Farsi version of the BTMGS had high internal consistency (α = 0.90 and 0.92 for trust and mistrust subscales, respectively) and test–retest reliability (intraclass correlation coefficient = 0.89 and 0.95 for trust and mistrust subscales, respectively), and was adequately correlated with other established measures of religiosity (i.e., the DUREL [r = 0.64, p < 0.001] and Hoge IR [r = 0.54, p < 0.001]) indicating support for the concurrent validity of the measure. A confirmatory factor analysis indicated that the Farsi version has two factors (i.e., Trust in God and Mistrust in God) consistent with the original scale. These findings suggest that the Farsi version of BTMGS is a valid and reliable measure in Farsi-speaking populations that may be used to assess relationships with health and well-being.     

Spirituality and Religiosity in Urban Adolescents with Asthma

Predictors of multiple dimensions of spirituality/religiosity (S/R) and adolescents’ preferences for having S/R (e.g., prayer) addressed in hypothetical medical settings were assessed in a sample of urban adolescents with asthma. Of the 151 adolescents (mean age = 15.8, 60% female, 85% African-American), 81% said that they were religious and spiritual, 58% attended religious services in the past month, and 49% prayed daily. In multivariable models, African-American race/ethnicity and having a religious preference were associated with higher levels of S/R (R ² = 0.07–0.25, P < .05). Adolescents’ preferences for including S/R in the medical setting increased with the severity of the clinical situation (P < .05).     

Relational Spirituality,Mature Alterity,and Spiritual Service among Ministry Leaders: An Empirical Study

Christian communities in the United States increasingly are debating sociopolitical issues and the relevance of social justice and cultural diversity to Christian spirituality. The present study investigated connections between spiritual maturity, mature alterity, spiritual service, and spiritual leadership in a predominantly female and ethnically diverse sample of Christian ministry leaders (N = 115) in the United States. Spiritual maturity was operationalized based on a relational spirituality model using measures representing dwelling- and seeking-oriented dimensions. Spiritual service was assessed through (a) sanctification of service and (b) a differentiated posture of listening to the struggles of others. Results showed both measures of spiritual maturity were significantly and positively related to social justice commitment, differentiated listing, and intercultural competence (the latter among female but not male ministry leaders) over and above effects for age and spiritual impression management. A dwelling-oriented measure of spiritual maturity was positively associated with the sanctification of leadership service, whereas a seeking-oriented measure of spiritual maturity showed a modest positive association with spiritual leadership. Spiritual leadership was unrelated to measures of mature alterity. Findings are discussed with respect to limitations, future psychological research, and theological implications for postcolonial pastoral leadership and spirituality.

     

Asian American families' collectivistic coping strategies in response to 9/11

Our study investigated the use of individualistic and collectivistic coping strategies among Asian American family members of victims of the World Trade Center (WTC) attacks on September 11th, 2001. Interviews were conducted with 11 Asian Americans who had lost a member of their family in the WTC attacks. Using the Discovery-Oriented Research analysis (Mahrer, 1988), results indicated that Asian Americans utilized the following collectivistic coping methods to deal with their losses: individualistic coping, familial coping, intracultural coping, relational universality, forbearance, fatalism/ spirituality, and indigenous healing methods. Additionally, our research found that cultural stigmata, privacy issues, and lack of culturally responsive counselors were factors in participants not utilizing available mental health services. Implications for culturally appropriate services, counseling, and research are discussed.     

Radical Otherness: Sociological and Theological Approaches

Abstract

This article reports two studies on the development of the Embodied Spirituality Scale (ESS), an instrument designed to measure the level of integration between one's experience of sexuality and spirituality. Both studies were limited to specifically Christian samples. Study 1 reports the initial construction of the ESS. Participants in Study 1 consisted of 128 women and 64 men (ages 16 to 75, M = 22.7 years). Study 2 reports a validation study of the ESS. Participants in Study 2 consisted of 125 female (46.5 per cent) and 142 male (52.8 per cent) adults between the ages of 18 and 78 (M = 47; SD = 10.9). The results offer empirical support for the concept of embodied spirituality as an integral relationship between sexuality and spirituality. The results also suggest that, as a measure of embodied awareness, the ESS may offer clues to the nature of the ‘active ingredient’ in the relationship between spirituality and health.     

Coping with Work:

African-American women, who have faced the "double jeopardy" (Beale, 1970) of racism and sexism in the workforce, have had to develop coping strategies to enable their survival. African-Americans appear to use more diverse coping strategies than Caucasians (Barbarin, 1983; Gibson, 1982; Ramseur, 1989), as well as a more varied pool of informal helpers in their social networks and more flexible responses to stress (Gibson, 1982). Career counselors working with African-American women should be aware of decision-making factors other than individual preference, such as cultural norms and coping strategies necessary to survive in a discriminatory work environment. This paper examines the relationship between coping strategies used by African-American women and workplace realities, and makes recommendations for culturally sensitive career interventions with African-American women clients.     

Are Religiosity and Spirituality Associated with Obesity Among African Americans in the Southeastern United States (the Jackson Heart Study)?

There are several lines of evidence that suggest religiosity and spirituality are protective factors for both physical and mental health, but the association with obesity is less clear. This study examined the associations between dimensions of religiosity and spirituality (religious attendance, daily spirituality, and private prayer), health behaviors and weight among African Americans in central Mississippi. Jackson Heart Study participants with complete data on religious attendance, private prayer, daily spirituality, caloric intake, physical activity, depression, and social support (n = 2,378) were included. Height, weight, and waist circumference were measured. We observed no significant association between religiosity, spirituality, and weight. The relationship between religiosity/spirituality and obesity was not moderated by demographic variables, psychosocial variables, or health behaviors. However, greater religiosity and spirituality were related to lower energy intake, less alcohol use, and less likelihood of lifetime smoking. Although religious participation and spirituality were not cross-sectionally related to weight among African Americans, religiosity and spirituality might promote certain health behaviors. The association between religion and spirituality and weight gain deserves further investigation in studies with a longitudinal study design.     

Positive mental imagery and mental health amongst university students in Pakistan

Mental health problems amongst university students pose a major public health challenge, and this is particularly the case in Pakistan. Alongside broader societal and cultural pressures, cognitive factors likely also play a role in the development of and resilience to mental health problems and may provide a feasible target for interventions. The current study built on previous research in primarily European samples investigating the relationship between one cognitive factor, positive future-oriented mental imagery, and mental health, extending this to a sample of university students in Pakistan (N = 1838). In a cross-sectional design, higher vividness of positive future-oriented mental imagery was associated with lower levels of depressive symptoms and higher levels of positive mental health amongst participants completing questionnaire measures on paper (N = 1430) or online (N = 408). In the sample completing the measures on paper, these relationships remained statistically significant even when controlling for socio-demographic and mental health-related variables. The results provide a foundation for further investigating positive mental imagery as a potential mechanism of mental health and intervention target amongst university students in Pakistan.     

A Conceptual Framework for Assessing the Spiritual Functioning and Fulfillment of Older Adults in Long-Term Care Settings

ABSTRACT

The 1971 White House Conference on Aging asserted that all persons are spiritual, and that the spiritual well-being of older adults is a significant area of concern for both researchers and practitioners. Many attempts have been made to define and describe spirituality, using instruments designed to measure religious functioning and behavior. While these have been helpful to researchers, they have been of little practical use.

This paper presents a conceptual framework for the operationalization of the variable, “spirituality.” Using this framework, the authors chose three qualitative research questions related to spiritual values which were asked of both older adults and service providers. The results were factor analyzed and an instrument was developed which enables the practitioner to assess the type of spiritual functioning and fulfillment desired by older adults in long-term care settings.