Psychometric Properties of the Persian Version of the Duke University Religion Index (DUREL): A Study on Muslims

The aim of this study was translation and validation of the Duke University Religion Index in Iranian Muslims. The study was performed in two stages. In the first stage, 1,762 college students from Qazvin city with an average age of 21.2 years participated in the study. In the second phase, 796 college students with an average age of 23.7 were recruited from Tehran. A demographic questionnaire, Santa Clara Strength Faith questionnaire (SCSORF), and Duke Religion Index (DUREL) were administered. Cultural adaptation of these measures was performed by a forward–backward translation technique. Test–retest reliability and intraclass correlation coefficients (ICC) were used for assessing reliability. Convergent validity was measured by Spearman correlation between DUREL and SCSORF. Explanatory and confirmatory factor analyses (EFA and CFA) evaluated the factor structure. Results showed that the scale is reliable. Cronbach’s alpha ranged from 0.866 to 0.921 and ICC ranged from 0.937 to 0.991. Correlations between DUREL and SCSORF were also strong (ranging from 0.62 to 0.79). Results obtained from CFA and EFA confirmed one-dimension for the DUREL. Thus, the DUREL appears to be a proper measure for assessing religiosity among Iranian Muslims. Further testing of the scale among minorities and those with special health-related conditions is suggested.     

Reliability and validity of the Santa Clara Strength of Religious Faith Questionnaire

This study investigates the reliability and validity of the Santa Clara Strength of Religious Faith Questionnaire (SCSORF). The SCSORF and religiosity measures (i.e., Age Universal Religious Orientation Survey, Religious Life Inventory, and the God Control measure from the Belief in Personal Control Scale) were administered to three samples. Results suggest that the SCSORF is both reliable and valid.     

Psychometric Properties of the Persian Spiritual Coping Strategies Scale in Hemodialysis Patients

Spiritual strategies may provide an effective way of coping with disease. This study sought to investigate the validity and reliability of the Persian version of the spiritual coping strategies (SCS) scale among Iranian hemodialysis patients. A convenience sample of 204 hemodialysis patients was recruited to participate in the study. A forward–backward translation method was used to produce the Persian version of the scale. Internal consistency was assessed by Cronbach’s alpha and item–total score correlation. Two-week test–retest reliability was also assessed. The convergent and divergent validity of the scale was evaluated using the Duke University Religion Index and a visual analogue scale for health status. Exploratory and confirmatory factor analyses were used to assess the factor structure. Participants consisted of 113 males and 91 females (mean age 57.2 [SD = 9.7]). Cronbach’s alpha was acceptable (0.87). We found two underlying factors similar to the original scale. The correlations between the study scales confirmed the convergent and divergent validity of the SCS. Confirmatory factor analysis showed a good fit to the data (GFI = 0.923, CFI = 0.948 and RMSEA = 0.068). The Persian version of the SCS has sound psychometric properties in Iranian hemodialysis patients. Future research should consider applying the scale to populations with other religious/cultural backgrounds.     

Further Validation for the Santa Clara Strength of Religious Faith Questionnaire

This study further investigates the validity of the Santa Clara Strength of Religious Faith (SCSORF) questionnaire. Building and expanding upon prior research, the SCSORF, existing religiosity measures, mood, and personality adjustment scales were administered to three samples. Subjects included 290 university students and 232 recovering substance abusers. The results further validate the SCSORF as being a valid measure of strength of religious faith.     

Varieties of openness in Tehran and Qom: psychological and religious parallels of faith and intellect-oriented Islamic religious reflection

This study examined whether faith and intellect-oriented religious reflection would be polarised in Iranian Muslins as they appear to be in American Christians. Iranian students at a university in Tehran and at an Islamic seminary in Qom responded to Faith and Intellect-Oriented Islamic Religious Reflection measures along with scales recording various forms of religious commitment and psychological openness. Both types of religious reflection and the Intrinsic Religious Orientation predicted greater Integrative Self-Knowledge, Openness to Experience, and Need for Cognition and also interacted in ways suggesting complexity in Muslim thought. Comparisons between Tehran and Qom students supported the same conclusion. The Quest Religious Orientation had limited relevance for understanding Muslim commitments. The Extrinsic Personal Religious Orientation predicted greater and the Extrinsic Social Religious Orientation predicted lower psychological openness. These data contrasted with previous evidence of polarisation in the religious reflection of American Christians. They also argued against any simple equation of Muslim commitments with cognitive and religious rigidity.     

Extrinsic Cultural Religious Orientation: analysis of an Iranian measure in university students in the United States

Previous research examining Iranian university students suggested that an Extrinsic Cultural Religious Orientation may be more important than an Extrinsic Social Religious motivation in maintaining Muslim religious commitments. The present project demonstrated that a similar conclusion seemed applicable to the largely Christian commitments of American university students. In the United States, an Extrinsic Cultural Religious Orientation Scale displayed a factor structure like that observed in Iran, was a more robust and consistent predictor of psychological adjustment than the Extrinsic Social Religious Orientation, and was sensitive to spiritual as well as religious dimensions of commitment. Peace and Justice and Cultural Foundations factors from this scale were relatively more positive in their adjustment implications than were Disorder Avoidance and Family and Social Order factors. Noteworthy contrasts between the present American and previous Iranian data appeared in Extrinsic Cultural Religious Orientation relationships with a sense of identity and with cognitive empathy. These results confirmed that the Extrinsic Cultural Religious Orientation deserves additional research attention in both Muslim and more secular Western societies.     

Attitudes of Muslim Physicians and Nurses Toward Religious Issues

There is a growing body of evidence that suggests a positive role for religious involvement in physical and mental health. Studies have shown that attitudes of physicians toward religion affect their relationship with patients and their medical decisions, and in this way may ultimately affect treatment outcomes. Attitudes of nurses toward religion could also influence whether or not they address patients’ unmet spiritual needs. To assess attitudes of physicians and nurses toward religion and how these attitudes vary by education level and demographic characteristics, a total of 800 physicians, medical students, and nurses from some of the largest hospitals in Tehran, Iran, were approached, of whom 720 completed questionnaires (148 nurses, 572 medical students and physicians). The survey questionnaire included the Duke University Religion Index (DUREL), Hoge Intrinsic Religiosity Scale, a brief measure of Negative Religious Coping (NRCOPE), and the brief Trust/Mistrust in God Scale. Religious attitudes and practices were compared between physicians (medical students and physicians) and nurses. Regression analysis revealed that except for intrinsic religiosity, physicians were not less religious than nurses on any other dimension of religiosity. Training level (year of training) was a predictor of religiosity, with those having less training being the most religious. The findings suggest that there are few religious differences between nurses and physicians in Iran. However, religiosity may become less as the training level increases. Lack of emphasis in training on the important role that religion plays in health care may result in a decrease in religious involvement and the development of negative attitudes toward religion over time (displaced by a focus on the technological aspects of health care).     

Religious and Psychological Implications of Positive and Negative Religious Coping in Iran

This study examined the religious and psychological implications of religious coping in Iran. University students (N = 224) responded to the Brief Positive and Negative Religious Coping Scales along with measures of Religious Orientation, Integrative Self-Knowledge, Self-Control, Mindfulness, Self-Compassion, Self-Esteem, Guilt, Shame, and Self-Criticism. As in previous research elsewhere, Positive Religious Coping was stronger on average than Negative Religious Coping, and Positive and Negative Religious Coping predicted adjustment and maladjustment, respectively, In addition, this study demonstrated that direct relationships between Positive and Negative Religious Coping appeared to be reliable in Iran; that Positive Religious Copings was broadly compatible with, and Negative Religious Coping was largely irrelevant to, Iranian religious motivations; and that Negative Religious Coping obscured linkages of Positive Religious Coping with religious and psychological adjustment.     

The Santa Clara Strength of Religious Faith Questionnaire

This article introduces the Santa Clara Strength of Religious Faith Questionnaire (SCSORF) and provides preliminary information on the instrument. The SCSORF is a quick, easy to administer and score, 10-item scale assessing strength of religious faith. The SCSORF and personality and mood measures (i.e., Symptom Check List-90-Revised, Weinberger Adjustment Inventory, Belief in Personal Control Scale, and several author-designed questions) were administered to 102 undergraduate students. Preliminary findings suggest that the SCSORF is both reliable and valid. Furthermore, significant correlations between strength of religious faith, self-esteem, interpersonal sensitivity, adaptive coping, and hope correspond with previous research, suggesting that mental health benefits are associated with strong religious faith. Implications for future research are also discussed.     

Are Religious Coping and Pain Perception Related Together? Assessment in Iranian Cancer Patients

Pain of cancer had various significant side effects that based on the literature it can reduced by religious coping methods. This study aimed to investigate the relationship between religious coping and pain perception in Iranian cancer patients. In this cross-sectional study (October–December, 2015), 380 hospitalized cancer patients were entered to the study using accessible sampling. Data were collected by socio-demographic, Religious Coping and McGill pain questionnaires. Males (48.39 ± 13 ± 39; CI95: 46.41–50.38) are older than females (45.33 ± 18.44; CI95: 42.79–47.87). According to results, there was a significant relationship between pain perception and positive religious coping in cancer patients. Also there was a significant relationship between pain perception and family history of cancer (P < 0.05). It seems that improving the level and quality of positive religious affiliation can be effective on the amount of stimulation and pain of cancer patients. Of course, more comprehensive studies are needed to be achieved more reliable results about the effects of religious coping on pain perception in these patients.     

Psychometric Evaluation of the Spanish Versions of the Perceived Religious Influence on Health Behavior Scale and the Illness as Punishment for Sin Scale in a Sample of Churchgoing Latinas

The present study evaluated the psychometric properties of the Spanish versions of the Perceived Religious Influence on Health Behavior scale and the Illness as Punishment for Sin scale in a sample of churchgoing Latina women (N = 404). For the Perceived Religious Influence on Health Behavior scale, confirmatory factor analysis provided support for the expected one-factor model, internal consistency reliability was good, and there was evidence of convergent validity. For the Illness as Punishment for Sin scale, confirmatory factor analysis provided support for the expected one-factor model, but on a revised seven-item version of the measure. Internal consistency reliability and convergent validity for this revised version were good. It is recommended that future studies use the Perceived Religious Influence on Health Behavior scale and the revised Illness as Punishment for Sin scale when examining these constructs among Latina women.     

Religious orientation and its association with personality,schizotypal traits and manic-depressive experiences

A total of 180 respondents completed the Eysenck Personality Questionnaire, Claridge's STQ, Thalbourne's Manic-Depression scales and the Batson and Ventis Religious Life Inventory (RLI). The RLI was used to yield scores for external, internal and quest dimensions of religiosity. Principal Component Analysis showed the quest dimension to be separate from external and internal religion, which loaded together on one factor. It was found that when the personality and schizotypal trait measures were entered together to predict scores on religiosity, psychoticism emerged as the only predictor of external and internal religiosity, where as schizotypal traits emerged as the only predictor of religious quest.     

Muslim-Christian Religious Orientation Scales: Distinctions,Correlations, and Cross-Cultural Analysis in Iran and the United States

Allport and Ross (1967) Religious Orientation Scales were administered along with nine new Muslim-Christian Religious Orientation Scales (MCROS) to students in Iran and the United States. Religious extrinsicness was associated with self-reported symptoms of psychological disturbance; with the Iranians, intrinsicness predicted adjustment. Most relations among the religious variables were positive with the two samples displaying similar, though not identical, patterns of correlations. Factor analysis of all religious scales in each sample separately yielded two components suggesting Allport's differentiation between the intrinsic and extrinsic motivations. In both samples, partial correlations and multiple regressions were used to remove variance associated with the Allport and Ross scales, and at least some evidence testified to the incremental validity of each MCROS measure in predicting psychological symptoms and the other MCROS variables. Most important, this first systematic, empirical study of the psychology of religion in Iran confirmed the relevance of Allport's thought for understanding Muslim religion and established an empirical foundation for further explorations of the MCROS.     

Chinese Internet addiction inventory: developing a measure of problematic Internet use for Chinese college students.

The current study developed a psychometrically sound multidimensional measure of Internet addiction: the Chinese Internet Addiction Inventory (CIAI). Data were collected from 1,029 Chinese undergraduate students from 14 universities and colleges. The initial sample was split randomly into two samples (N1=516; N2=513). An exploratory factor analysis (EFA) and a confirmatory factor analysis (CFA) were conducted on the two samples respectively. Findings from the EFA suggest that this measure assesses three dimensions of Internet addiction: conflicts, mood modification, and dependence. Items in each dimension showed high internal consistency and acceptable test-retest reliability. Findings from the CFA further confirmed the three-factor measurement structure of CIAI. Test of criterion-related validity also showed good abilities for all three CIAI subscales to discriminate between an Internet addictive group and non-Internet addictive group. The theoretical and clinical implications of CIAI and its limitations are discussed.     

Psychometric and structural analysis of the MMPI-2 Personality Psychopathology Five (PSY-5) facet subscales

The Personality Psychopathology Five (PSY-5) is a model of personality psychopathology assessed in adult populations with a set of Minnesota Multiphasic Personality Inventory-2 (MMPI-2) scales. The authors examine the reliability and validity of recently developed lower-order facet subscales for each of these five domains, with an emphasis on structural invariance, using both confirmatory factor analysis (CFA) and exploratory factor analysis (EFA). MMPI-2 protocols completed by psychiatric patients (N = 693) served as the data source. The reliability and discriminant validity of the subscales were mostly inadequate. Results from the CFAs reveal universally poor statistical fits. Subsequent EFAs extracted alternate latent structures, which also demonstrate mostly inadequate reliability and validity. Overall, results suggest that the item pool that forms the MMPI-2 PSY-5 domain scales may not be able to sustain meaningful facet subscales.     

Brief report: How many dimensions in the prosocial behavior scale? Psychometric investigation in French-speaking adolescents

The purpose of the study was to evaluate the factor structure and the reliability of the Prosocial Behavior Scale (PBS). To our knowledge, no factorial validity of the multifactorial structure of PBS has been published to date. The psychometric characteristics of the PBS were examined in several samples of French adolescents (aged 11–19, N1 = 1141, N2 = 1071, and N3 = 1640) using Confirmatory factor analyses (CFA). The original four-factor structure was not confirmed due to lack of discriminant validity. CFA led us to retain a two-factor solution with a good fit and a satisfactory reliability. Furthermore, the results support the convergent validity of the PBS: helping and caring dimensions were positively correlated with empathy. In addition, partial measurement invariance across gender and grade was attested. In conclusion, the results indicate that the French version of the PBS is a useful instrument for the assessment of prosocial behaviors in adolescence.     

The Factor Structure of the Spiritual Well-Being Scale in Veterans Experienced Chemical Weapon Exposure

This study aimed to determine the factor structure of the spiritual well-being among a sample of the Iranian veterans. In this methodological research, 211 male veterans of Iran–Iraq warfare completed the Paloutzian and Ellison spiritual well-being scale. Maximum likelihood (ML) with oblique rotation was used to assess domain structure of the spiritual well-being. The construct validity of the scale was assessed using confirmatory factor analysis (CFA), convergent validity, and discriminant validity. Reliability was evaluated with Cronbach’s alpha, Theta (θ), and McDonald Omega (Ω) coefficients, intra-class correlation coefficient (ICC), and construct reliability (CR). Results of ML and CFA suggested three factors which were labeled “relationship with God,” “belief in fate and destiny,” and “life optimism.” The ICC, coefficients of the internal consistency, and CR were >.7 for the factors of the scale. Convergent validity and discriminant validity did not fulfill the requirements. The Persian version of spiritual well-being scale demonstrated suitable validity and reliability among the veterans of Iran–Iraq warfare.     

Muslim attitudes towards religion scale: Factors,validity and complexity of relationships with mental health in Iran

Iranian students responded to the 'Muslim Attitudes Towards Religion Scale' (MARS) along with measures of psychiatric symptoms, religious motivation, and mystical experience. The MARS contained three factors and these factors and the full scale were internally reliable. They also correlated positively with an extrinsic religious orientation, even more robustly with greater religious interest and an intrinsic religious orientation, and less consistently with slightly higher levels of self-reported mystical experience. The MARS failed to predict self-reported psychiatric symptoms, but partial correlations uncovered both direct and then inverse linkages with such symptoms after controlling for the intrinsic and extrinsic motivations, respectively. Theology students with a concentration in Islamic philosophy displayed the highest MARS scores. The MARS, therefore, was a valid measure of Iranian religiosity, but in Iran, and perhaps in other Muslim societies as well, motivational factors may be critical in determining how the MARS correlates with mental health.     

Religious Perfectionism Scale Among Believers of Multiple Faiths in China: Development and Psychometric Analysis

In China, many people are converting to various world religions. Nonetheless, religious adherence for them, as with many people, can still function as a double-edged sword with regards to mental health. In particular, religious perfection can become either a healthy commitment or a rigid outlook that leads to distress. Thus, we developed the Religious Perfectionism Scale (RPS) from Chinese religious believers. In the first phase (N = 171), we collected qualitative data through an open-question survey from different religious groups (i.e., Buddhism, Protestantism, and Islam). Then, we developed an item pool based on themes that emerged from these qualitative data. In the second phase, participants (N = 1055) were randomly split into two subsamples. Exploratory factor analyses were performed on the first subsample (N = 519) to select the scale items. The nine-item RPS subsequently includes two dimensions—Zealous Religious Dedication and Religious Self-Criticism. Confirmatory factor analyses (CFA) were performed on the second subsample (N = 536) to cross-validate the factor structure. Results indicate that the internal consistency reliability for the RPS subscale scores was all adequate. Furthermore, the construct validity of the RPS was supported through its correlations with measures of perfectionism perceived to have come from God (or a higher power), psychological indicators, and a personality variable (i.e., discipline) in expected directions. Results of the psychometric evaluations of this newly developed scale suggest that the RPS is a promising measure in that it can facilitate future research that leads to a more comprehensive understanding of the impact of religious perfectionism on psychological well-being.

     

American Muslim Physician Attitudes Toward Organ Donation

Religious beliefs and values impact Muslim patients' attitudes toward a variety of healthcare decisions, including organ donation. Muslim physician attitudes toward organ donation, however, are less well studied. Utilizing a national survey of physician members of the Islamic Medical Association of North America, relationships between religiosity, patterns of bioethics resource utilization, and sociodemographic characteristics with attitudes toward organ donation were assessed. Of 255 respondents, 251 answered the target question, “in your understanding, does Islamic bioethics and law permit organ donation?.” 177 respondents (70%) answered positively, 30 (12%) negatively, and 46 (18%) did not know. Despite the overwhelming majority of respondents believing organ donation to be permitted by Islamic bioethics and law, fewer than one-third (n = 72, 30%) are registered donors. Several sociodemographic features had a positive association with believing organ donation to be permitted: ethnic descent other than that of South Asian, having immigrated to the USA as an adult, and male sex. When using a logistic regression model controlling for these three variables as potential confounders, the best predictor of Muslim physicians believing organ donation to be permissible was utilization of an Imam as a bioethical resource (odds ratio 5.9, p = 0.02). Religiosity variables were not found to be associated with views on the Islamic permissibility of organ donation. While Muslim American physicians appear to believe there is religious support for organ donation, only a minority sign up to be donors. Greater study is needed to understand how physicians' attitudes regarding donation impact discussions between patients and physicians regarding the possibility of donating and of receiving a transplant.