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The importance of spirituality in the treatment of mental illness is increasingly acknowledged, but mental healthcare professionals often feel they lack specific competence. An instrument is missing to quantify the spiritual care competence of mental healthcare professionals in the Netherlands. The aim of this study was thus to translate the Spiritual Care Competence Questionnaire (SCCQ) into Dutch and validate it for use in mental healthcare. After translation, the SCCQ-NL was distributed in a cross-sectional design among 3497 healthcare professionals in two mental healthcare institutions (MHIs) in the Netherlands. In the sample of 730 completed questionnaires, exploratory factor analysis revealed seven factors: perception of spiritual needs competencies, team spirit, spiritual self-awareness, documentation competencies, empowerment and proactive opening competencies, knowledge about other religions, and conversation competencies. One item was deleted during the process. Internal consistency for the 25-item SCCQ-NL subscales is sufficient with Cronbach’s alpha ranging from 0.64 to 0.81. Conversation competencies and perception of spiritual needs scored highest in the sample, next to knowledge about other religions and empowerment competencies, while spiritual self-awareness, team spirit and documentation competencies scored the lowest. Small but significant differences in several subscale scores were found for profession, identifying oneself as a believer, practicing prayer and/or meditation, age and working years. The SCCQ-NL can be used for the assessment of spiritual care competencies and for the planning and evaluation of training and improvement strategies.

During the COVID-19 pandemic most people had to cope with the negative implications of the lockdowns, and perceived times of social isolation and loneliness, and thus low wellbeing. Among the best predictors of positive changes of pandemic related attitudes and behaviors was the experience of pausing in wondering awe with subsequent feelings of gratitude. As these observations came from a secular society with a Christian background, we now aimed to analyzed to what extend Jewish people from Israel were experiencing such moments of wondering awe during the COVID-19 pandemic, and how these perceptions are related to their psychological wellbeing. For that purpose, between June and July 2021 a cross-sectional survey with standardized questionnaires was applied among 147 participants from Jerusalem. Those with high wellbeing and those who can rely on their faith as a resource to cope with the pandemic were more intensively perceiving moments of Awe/Gratitude. Awe/Gratitude and a low perception of COVID-19 related stressors were the best predictors of participants’ psychological wellbeing. Against our expectation, Awe/Gratitude was not significantly associated with the experience of nature and enjoying reflective times of silence. Both resources, Awe/Gratitude as a an experiential aspect of spirituality and Nature/Silence as a source to encounter the sacred in one’s life, are relevant and should be supported.

Introduction: There is a gap in healthcare literature related to the spiritual competence of physicians and nurses practicing in South Asian Muslim communities. To fill that gap, the Spiritual Care Competence Questionnaire (SCCQ) was applied which was developed to address multi-professional spiritual care competences. Materials and Methods: A cross-sectional study among 294 health professionals (61% physicians, 17% nurses, and 22% other professions) in 10 hospitals in Punjab, Pakistan. Results: The highest scoring competences were “Dealing with patients/Communication competences”, while “Team Spirit” scored lowest. There were no gender related differences, but there were effects related to professions. “Team Spirit”, “Dealing with patients/Communication competences”, and “Empowerment competences” scored significantly higher in nurses as compared to physicians and other health care professionals, while there were no significant differences for their “Perception/Documentation competences”. These competences were not relevantly related to the intensity of their prayer/meditation activity. Conclusions: Health care professional from Punjab were preferred to tolerate the pain and the suffering of patients and their relatives rather than to talk about spiritual care issues. Their spiritual care competences were less developed. Thus, there is a clear need for further specific education and training of health professionals.

The Spiritual Needs Questionnaire (SpNQ) measures psychosocial, existential, and spiritual needs in clinical contexts. The objective was to confirm its factor structure in Brazil, comparing the results of its validation for Portuguese in Rio de Janeiro, under similar sampling conditions, in João Pessoa (Paraíba-Brazil), among 157 HIV(Human Immunodeficiency Virus)+ patients, most of them men (49%) (women = 35%; other = 16%), aged between 30 and 49 years (53.5%). From exploratory factor analysis and internal consistency analysis a structure of five factors (or components) was obtained: Religious Needs (α = 0.73), Inner Peace and Family Support Needs, gathered (α = 0.64), Existential Needs (α = 0.49) and two new factors instead of “Giving/Generativity Needs”, being Social Recognition Needs (α = 0.54), referring explicitly to religious practices, with items formerly found in the Religious Needs factor, and Time Domain: Reflection and Clarification Needs (α = 0.57), which group only two items (item 4, “reflection on the past” (formerly in the Inner Peace component) and item 5, “resolution of outstanding problems”). The institutional religiosity perceived in the composition of the Social Recognition Needs component shows that these patients differentiate “religiosity” from “spirituality”. The Religious Needs component was formed with items from the “spirituality” construct definition. The most important component was Inner Peace and Family Support Needs, a relevant coping strategy in this disease. The results met proper validity criteria, and SpNQ proved to be sensitive and appropriate to situations of cultural and clinical diversity between samplings.

Spiritual care has been a growing focus in international healthcare research over the last decades. The approaches to spiritual care are many and derive from many different medical fields and different cultural contexts and often remain unknown across healthcare areas. This points to a potential knowledge gap between existing instruments and the knowledge and use of them cross-disciplinarily and cross-culturally, and thus best practice insights are not sufficiently shared. This article contributes to the growing field of spiritual care by providing an overview of the various approaches (henceforth instruments) to assess patients’ spiritual needs in view of improving spiritual care. This was done through a scoping review method. The results of the review were collected and catalogued and presented here as ‘The Catalogue of Spiritual Care Instruments’. The included instruments derive from a wide range of geographical contexts and healthcare areas and are aimed at patients and healthcare professionals alike, clearly showing that spiritual care is a focus in healthcare internationally. However, it also shows the difficulties of defining spiritual care, the importance of local contexts, and the difficulties of cross-cultural validity. The catalogue contains 182 entries and is available as an interactive platform for the further development of spiritual care internationally.

Background: Sometimes prayer life can be difficult even for very religious persons, who may experience phases of “spiritual dryness”, which may have a negative effect on their well-being. Methods: To address this topic, we analyzed three contrasting groups of persons (religious brothers and sisters (RBS), n = 273; Catholic lay persons (CLP), n = 716; other lay persons (OLP), n = 351) with standardized measures and investigated how often indicators of spiritual dryness were perceived within these groups and how the perception that private prayers go unanswered could be a result of this. Results: Spiritual dryness was highest in RBS compared to RLP and OLP. For RBS, perception of being “spiritually empty” was the best predictor of prayers going unanswered, indicating emotional/spiritual exhaustion, while in OLP, the perception that God is “distant” was the best predictor, indicating that, particularly in this (younger) group, spiritual doubt is of particular relevance. For CLP, feeling that God is distant, feeling abandoned by God, and feeling “spiritually empty” were similarly relevant predictors of feelings that prayers go unanswered. Conclusions: This knowledge may help psychologists/psychotherapists, pastoral workers, and spiritual advisors to differentiate the underlying causes of spiritual dryness (in terms of “discernment”) and thus support persons struggling with God, their faith, and life.

This paper gives a summary of findings from studies using the five-item Reliance on God’s Help (RGH) scale, which was developed a decade ago as an integral part of a comprehensive measure to differentiate between external and internal adaptive coping strategies. It has been used for both healthy and diseased persons. We will summarize data on internal reliability scores and the distribution of mean values for the respective items in the different study samples. Also, we will present a structural equation model (SEM) to confirm the scale’s validity. Our analysis shows that the RGH scale is a short, valid, and reliable measure of a person’s strong basic trust in God (faith), regardless of what life brings. The items do not address aspects such as well-being, inner peace, or specific moods. Thus, it is important to note that the RGH scale was not per se associated with indicators of well-being or health-related quality of life, indicating distinct dimensions.

To analyse how patients with chronic diseases would interpret their illness, and how these interpretations were related to spirituality/religiosity, life satisfaction, and escape from illness, we performed a cross-sectional survey among patients with chronic diseases from Poland (n = 275) using standardized questionnaires. Illness was interpreted mostly as an Adverse Interruption of life (61%), Threat/Enemy (50%), Challenge (42%), and rarely as a Punishment (8%). Regression analyses revealed that escape from illness was the best predictor of negative disease perceptions and also strategy associated disease perceptions, and a negative predictor of illness as something of Value, while Value was predicted best by specific spiritual issues. Patients’ religious Trust and partner status were among the significant contributors to their life satisfaction. Data show that specific dimensions of spirituality are important predictors for patients’ interpretation of illness. Particularly the fatalistic negative perceptions could be indicators that patients may require further psychological assistance to cope with their burden.

The item response theory (IRT), or latent trace theory, is based on a set of mathematical models to complement the qualitative analysis of the items in a given questionnaire. This study analyzes the items of the Spiritual Needs Questionnaire (SpNQ) in the Portuguese version, applied to HIV+ patients, with R Studio 3.4.1, mirt statistical package, to find out if the items of the SpNQ possess appropriate psychometric qualities to discriminate between respondents as to the probability of marking one answer and not another, in the same item, showing whether or not the questionnaire is biased towards a pattern of response desired by the researcher. The parameters of discrimination, difficulty, information, and the characteristic curve of the items are evaluated. The reliable items to measure the constructs of each of the five dimensions of the SpNQ of this HIV+ sample (Religious Needs; Inner Peace and Family Support Needs; Existential Needs; Social Recognition Needs; and Time Domain Needs) are presented, as well as the most likely response categories, depending on the latent trace level of the individuals. The questionnaire items showed satisfactory discrimination and variability of difficulty, confirming the good psychometric quality of SpNQ.

In order to measure a wide spectrum of organized and private religious, spiritual, existential and philosophical practices, the SpREUK-P (SpREUK is the German language acronym of “Spirituality/Religiosity and Coping with Illness”) questionnaire was developed as a generic instrument. To account for the fact that institutional religiosity declines, not only in Europe, and to explore the alternative use of various existing esoteric and spiritual resources, the instrument also addresses non-religious forms of spiritual practices. Previously, it was tested in a more secular context and was found to be of relevance for atheistic/agnostic individuals. Now we intended to apply the instrument to 275 Polish individuals with chronic diseases (100% Catholics, 74% women, mean age 56 ± 16 years). The factorial structure of the SpREUK-P’s Polish version was similar to the primary version, but lacked an exclusive “spiritual (mind-body) practices” subscale. Factor analysis revealed four main factors, which would explain 67% of the variance, i.e., religious practices (Cronbach’s alpha = 0.90), humanistic practices (alpha = 0.87), existentialistic practices (alpha = 0.80) and gratitude/awe (alpha = 0.80). The correlation pattern underlines construct validity. Interestingly, in Polish individuals, existentialistic practices did not significantly differ between religious and non-religious individuals (nor between men and women), while all other forms of spiritual practices did differ significantly.

To cover a wider variety of specific aspects of spirituality, which are of relevance also in secular societies, the ASP (“Aspects of Spirituality”) questionnaire was developed. While it was used so far with healthy adults and with adolescents living in a secular society, it was meanwhile used also with Polish students who were predominantly Catholic. Here we compare the factorial structure of the ASP questionnaire in a sample of 871 German (73% non-religious) and 1,017 Polish adolescents/young adults (50% non-religious despite their Catholic denomination). The factorial structure of the ASP questionnaire with its four scales Religious Orientation: Prayer/Trust in God, Search for Insight/Wisdom, Conscious interactions/Compassion, Transcendence Conviction, were similar in the sample of German students and in the Polish students. By means of confirmatory factor analysis (CFA) we were able to use the number of items of the ASP in its student version (ASP-Students). Overall, the instrument is suited to measure a wide variety of vital aspects of spirituality, both religious and secular forms of spirituality. As the instrument avoids exclusive language and operationalizes also non-formal aspects of spirituality in terms of relational consciousness, it is suited, not only for individuals with a skeptical or a-religious attitude, but also for religious individuals.

Objective: Although there are several reports which support a (negative) association between depression and spirituality/religiosity, the specific nature of the relationships remains unclear. To address whether patients with depressive and/or addictive disorders use this resource at all, we focused on a circumscribed variable of intrinsic religiosity, and analyzed putative associations between intrinsic religiosity, depression, life satisfaction and internal adaptive coping strategies. Methods: We referred to data of 111 patients with either depressive and/or addictive disorders treated in three German clinics. For this anonym cross sectional study, standardized instruments were used, i.e., the 5-item scale Reliance on God’s Help (RGH), Beck’s Depression Inventory (BDI), the 3-item scale Escape from Illness, the Brief Multidimensional Life Satisfaction Scale (BMLSS), and internal adaptive coping strategies as measured with the AKU questionnaire. Results: Patients with addictive disorders had significantly higher RGH than patients with depressive disorders (F = 3.6; p = 0.03). Correlation analyses revealed that RGH was not significantly associated with the BDI scores, instead depressive symptoms were significantly associated with life satisfaction and internal adaptive coping strategies (i.e., Reappraisal: Illness as Chance and Conscious Living). Patients with either low or high RGH did not significantly differ with respect to their BDI scores. None of the underlying dimensions of RGH were associated with depression scores, but with life satisfaction and (negatively) with Escape from illness. Nevertheless, patients with high RGH had significantly higher adaptive coping strategies. Regression analyses revealed that Reappraisal as a cognitive coping strategy to re-define the value of illness and to use it as a chance of development (i.e., change attitudes and behavior), was the best predictor of patients’ RGH (Beta = 0.36, p = 0.001), while neither depression as underlying disease (as compared to addictive disorders) nor patients’ life satisfaction had a significant influence on their RGH. Conclusions: Although RGH was significantly higher in patients with addictive disorders than in patients with depressive disorders, depressive symptoms are not significantly associated with patients’ intrinsic religiosity. Particularly those patients with high intrinsic religiosity seem to have stronger access to positive (internal) strategies to cope, and higher life satisfaction. Whether spirituality/religiosity is used by the patients as a reliable resource may depend on their individual experience during live, their expectations, and specific world-view.

There is a multitude of instruments for measuring religiosity/spirituality. Many of these questionnaires are used or even were developed in the context of studies about the connection between religiosity/spirituality and health. Thus, it seems crucial to note that measures can focus on quite different components along a hypothetical path between stressors and health. We present an instructive model which helps to identify these different components and allows the categorization of instruments of religiosity/spirituality according to their primary measurement intention: intensity/centrality, resources, needs, coping, and quality of life/well-being. Furthermore, we point out possibilities as to how religiosity and spirituality can be differentiated. We argue that the distinction between religiosity and spirituality is important in countries with a more secular background where a growing number of people identify themselves as “spiritual, but not religious”.

The interest in the topic of spirituality as a more or less independent dimension of quality of life is continuously growing [...]

There is need for a brief measure of religiosity that can be included in epidemiological surveys to examine relationships between religion and health outcomes. The Duke University Religion Index (DUREL) is a five-item measure of religious involvement, and was developed for use in large cross-sectional and longitudinal observational studies. The instrument assesses the three major dimensions of religiosity that were identified during a consensus meeting sponsored by the National Institute on Aging. Those three dimensions are organizational religious activity, non-organizational religious activity, and intrinsic religiosity (or subjective religiosity). The DUREL measures each of these dimensions by a separate “subscale”, and correlations with health outcomes should be analyzed by subscale in separate models. The overall scale has high test-retest reliability (intra-class correlation = 0.91), high internal consistence (Cronbach’s alpha’s = 0.78–0.91), high convergent validity with other measures of religiosity (r’s = 0.71–0.86), and the factor structure of the DUREL has now been demonstrated and confirmed in separate samples by other independent investigative teams. The DUREL has been used in over 100 published studies conducted throughout the world and is available in 10 languages.

Background: Research has examined the connection between religiosity, spirituality (SpR) and health, and the potential of these variables to prevent, heal and cope with disease. Research indicated that participation in religious meetings or services was associated with a lower risk of developing oral disease. We intended to test a Hebrew version of the SpREUK 1.1 questionnaire, which is reported to be a reliable and valid measure of distinctive issues of SpR, and to test its relevance in the context of oral illness among a Jewish population. Methods: In order to validate the SpREUK-Hebrew instrument, minor translational and cultural/religious adaptations were applied. Reliability and factor analyses were performed, using standard procedures, among 134 Jewish Israeli subjects (mean age 38.4 years). Results: Analysis of reliability for internal consistency demonstrated an intra-class correlation of Cronbach's alpha = 0.90 for the intrinsic religiosity/spiritual and the appraisal scales, and of 0.90 for the support through spirituality/religiosity scales. Inter reliability agreement by kappa ranged between 0.7 and 0.9. We were able to approve the previously described factorial structure, albeit with some unique characteristics in the Jewish population. Individuals´ time spent on spiritual activity correlated with the SpREUK scales. The instrument discriminated well between religious subgroups (i.e., ultra Orthodox, conventional religious and less-religious). Preliminary results indicate an association between measures of spirituality and oral health. Conclusions: The traditional and cultural adaptation of the tool was found to be appropriate. SpREUK-Hebrew was reliable and valid among a Jewish population. This method could therefore be employed in comparative studies among different cultural and religious backgrounds.

For many patients confronted with chronic diseases, spirituality/religiosity is an important resource for coping. Patients often report unmet spiritual and existential needs, and spiritual support is also associated with better quality of life. Caring for spiritual, existential and psychosocial needs is not only relevant to patients at the end of their life but also to those suffering from long-term chronic illnesses. Spiritual needs may not always be associated with life satisfaction, but sometimes with anxiety, and can be interpreted as the patients’ longing for spiritual well-being. The needs for peace, health and social support are universal human needs and are of special importance to patients with long lasting courses of disease. The factor, Actively Giving, may be of particular importance because it can be interpreted as patients’ intention to leave the role of a `passive sufferer´ to become an active, self-actualizing, giving individual. One can identify four core dimensions of spiritual needs, i.e., Connection, Peace, Meaning/Purpose, and Transcendence, which can be attributed to underlying psychosocial, emotional, existential, and religious needs. The proposed model can provide a conceptual framework for further research and clinical practice. In fact, health care that addresses patients’ physical, emotional, social, existential and spiritual needs (referring to a bio-psychosocial-spiritual model of health care) will contribute to patients’ improvement and recovery. Nevertheless, there are several barriers in the health care system that makes it difficult to adequately address these needs.

In Christian tradition there are many different ‘schools’ of spirituality which address an ‘inner transformation’ referring to an individual experience of the Sacred. The focus of this study was to examine the ‘core’ component of Franciscan spirituality (life according to the Gospel) and the ‘transformative’ components (living with and for others in need and respectful commitment to the creation) in a group of brothers and sisters of the Franciscan family. In particular, the reflection on how this spirituality is connected with the perception of the divine in daily life, with feelings of awe and subsequent gratitude on the one hand and compassion and altruistic behavior on the other, was an essential aspect of the present work. Data from a cross-sectional study with standardized instruments among 388 Franciscan brothers and sisters (mean age 61 ± 25 years) showed that “Living from the Faith” and “Seeking God in Silence and Prayer” scored highest, followed by “Commitment to the Creation” and interpersonal factors such as “Peaceful Attitude/Respectful Treatment” and “Commitment to the Disadvantaged”. In all cases, women achieved significantly higher scores than men (with values of F between 5.3 and 23.5, p < 0.05). These dimensions were moderately to strongly associated with experiential aspects of spirituality (i.e., Perception of the Divine, Gratitude/Awe), particularly “Living from the Faith” (r > 5.0, p < 0.0001). With regard to the prosocial ‘outcomes’ (e.g., Compassion and Altruism), stepwise regression analyses showed that Compassion was best predicted by “Peaceful Attitude/Respectful Treatment” and Gratitude/Awe (both explain 27% of variance), and Altruism was best predicted by “Commitment to the Disadvantaged” and Gratitude/Awe (both explain 21% of variance). Mediator analyses with the standardized z-factor values showed that Gratitude/Awe is also a significant mediator of the effects of the Perception of the Divine (as a further significant predictor of prosocial behaviors) on Compassion (beta = 0.05 ± 0.02, p < 0.01) and Altruism (beta = 0.03 ± 0.02, p = 0.04). Surprisingly, “Commitment to the Disadvantaged” was only weakly linked to “Living from the Faith”. It could be shown that “Living from the Faith” was much more connected to Compassion as an intention rather than to Altruism as an action. “Living from the Faith”, as the fundamental aspect of Franciscan spirituality, mediated the effect of the Perception of the Divine on Compassion (beta = 0.08 ± 0.03, p < 0.01) and Altruism (beta = 0.06 ± 0.03, p = 0.04), as well as mediating the effect of Gratitude/Awe on Compassion (beta = 0.07 ± 0.02, p < 0.01) and Altruism (beta = 0.06 ± 0.02, p < 0.01). However, there are significant differences between more contemplative and charitably engaged Franciscans; “Living from the Faith” scored highest in contemplative brothers and sisters within the different branches of Franciscan orders when compared to more charitably engaged persons, while their “Commitment to the Disadvantaged” was significantly lower. These differences could also be ascribed to the different charisms and missions of the Franciscan branches.

The SpREUK questionnaire (SpREUK is an acronym of the German translation of "Spiritual and Religious Attitudes in Dealing with Illness") was developed to investigate how patients with chronic diseases living in secular societies view the impact of spirituality in their dealing with illness (in terms of reactive coping). The aim was to operationalize and quantify patients’ search for a transcendent source of support; their reliance on such a source of help; and whether they regard their illness as a chance for reflection and subsequent change of life and behavior. The contextual 15-item SpREUK has very good internal consistency estimates (ranging from 0.86 to 0.91), and differentiates three factors, i.e., Search (for Support/Access), Trust (in Higher Guidance/Source), and Reflection (Positive Interpretation of Disease). It avoids exclusive religious terminology and appears to be a good choice for assessing patients’ interest in spiritual/religious concerns, which is not biased for or against a particular religious commitment. This reliable and valid instrument is suited for patients in secular and also in religious societies.

The Spiritual Needs Questionnaire (SpNQ), originally written in the German language, was translated and validated into 11 languages, but not Latin languages, such as Brazilian Portuguese. This study aimed to determine the psychometric properties of the SpNQ after translation and transcultural adaptation to the Portuguese language, identifying unmet spiritual needs in a sample of patients living with HIV in Brazil. This pioneering study conformed a four-factor structure of 20 items, differentiating Religious Needs (α = 0.887), Giving/Generativity Needs (α = 0.848), Inner Peace (α = 0.813) and a new item: Family Support Needs (α = 0.778). The Brazilian version of the SpNQ (SpNQ-BR) had good internal validity criteria and can be used for research of the spiritual needs for Brazilian patients. The cross-cultural adaptation and comparison with previous studies showed that the SpNQ is sensitive to the cultural characteristics of different countries.

Self-transcendent feelings such as gratitude, compassion, and awe are highly relevant for human societies. So far, empirical research has focused more on the relational aspects of these feelings (concrete persons), and less on the spiritual aspects referring to the Sacred in a person’s life. We intended to validate an extended version of the former three-item Gratitude/Awe scale. This extended scale was designed with a focus on the experiential aspects of being moved and touched by certain moments and places/nature, on related reactions of pausing with daily activities, and on the subsequent feelings of awe and gratitude. Enrolling 183 test persons (67% women; 59% with a Christian confession) in a cross-sectional study, we can confirm that the seven-item Gratitude/Awe scale (GrAw-7) has good psychometric properties (Cronbach’s alpha = 0.82) and moderate correlation (r = 0.42) with grateful disposition (GQ-6 questionnaire). Structured equation modeling (SEM) confirmed that both constructs, although moderately related, are different. While Gratitude/Awe was best predicted by the frequency of meditation practice, a grateful disposition was best predicted by the frequency of praying and by general life satisfaction. The GrAw-7 scale is not contaminated with specific religious topics or quality of life issues, and can be easily implemented in larger studies.

The Spiritual Needs Questionnaire (SpNQ) is an established measure of psychosocial, existential and spiritual needs. Its 4-factor structure has been primarily validated in persons with chronic diseases, but until now has not been done in elderly and stressed healthy populations. Therefore, we tested the factor structure of the SpNQ in: (1) persons with chronic diseases (n = 627); (2) persons with chronic disease plus elderly (n = 940); (3) healthy persons (i.e., adults and elderly) (n = 1468); and (4) chronically ill, elderly, and healthy persons together (n = 2095). The suggested structure was then validated using structured equation modelling (SEM). The 4-factor structure of the 20-item SpNQ (SpNQ-20) was confirmed, differentiating Religious Needs, Existential Needs, Inner Peace Needs, and Giving/Generativity Needs. The psychometric properties of the measure indicated (CFI = 0.96, TLI = 0.95, RMSEA = 0.04 and SRMR = 0.03), with good reliability indices (Cronbach’s alpha varying from 0.71 to 0.81). This latest version of the SpNQ provides researchers with a reliable and valid instrument that can now be used in comparative studies. Cultural and religious differences can be addressed using their different language versions, assuming the SpNQ’s structure is maintained.

Measures of spirituality should be multidimensional and inclusive and as such be applicable to persons with different worldviews and spiritual-religious beliefs and attitudes. Nevertheless, for distinct research purposes it may be relevant to more accurately differentiate specific religious practices, rituals and behaviors. It was thus the aim of this study to validate a variant version of the SpREUK-P questionnaire (which measures frequency of engagement in a large spectrum of organized and private religious, spiritual, existential and philosophical practices). This variant version was enriched with items addressing specific rituals and practices of Catholic religiosity, by further differentiating items of praying and meditation. The instrument was then tested in a sample of Catholics (inclusively nuns and monks), Protestants, and in non-religious persons. This 23-item SpREUK-RP (Religious Practices) questionnaire has four factors (i.e., Prosocial-Humanistic practices; General religious practices; Catholic religious practices; Existentialistic practices/Gratitude and Awe) and good internal consistency (Cronbach’s alpha ranging from 0.84 to 0.94). An advantage of this instrument is that it is not generally contaminated with items related to persons’ well-being, and it is not intermixed with specific religious attitudes and convictions.

Today there are several approaches for bringing mindfulness, which conceptually refers to the Buddhist Vipassana tradition, into organizations. Programs referring to value-based attitudes and behaviors derived from specific Christian contexts are rarely evaluated. A prerequisite are reliable instruments for measuring the respective outcomes. We therefore performed a cross-sectional study among 418 participants to validate an instrument measuring specific aspects of Franciscan-inspired spirituality (FraSpir), particularly the core dimensions and transformative outcomes. Exploratory factor analysis of this FraSpir questionnaire with 26 items pointed to four main factors (i.e., “Live from Faith/Search for God”; “Peaceful attitude/Respectful Treatment”; “Commitment to Disadvantaged and Creation”; “Attitude of Poverty”). Their internal consistency (Cronbach’s alpha) ranged from 0.79 to 0.97. With respect to convergent validity, there were sound correlations with engagement in religious practices, gratitude and awe, and prosocial-humanistic practices. The 26-item instrument was found to be a reliable and valid instrument for use in training and education programs. Interestingly, nuns and monks scored significantly higher on the Faith and Poverty subscales than others, but similarly on the two subscales addressing considerate action in the world. These attitudes and behaviors are not exclusively valued by those of religious faith, but by all.

Collaboration within the recently established Network for Research on Spirituality and Health (NERSH) has made it possible to pool data from 14 different surveys from six continents. All surveys are largely based on the questionnaire by Curlin “Religion and Spirituality in Medicine, Perspectives of Physicians” (RSMPP). This article is a methodological description of the process of building the International NERSH Data Pool. The larger contours of the data are described using frequency statistics. Five subscales in the data pool (including the already established DUREL scale) were tested using Cronbach’s alpha and Principal Component Analysis (PCA) in an Exploratory Factor Analysis (EFA). 5724 individuals were included, of which 57% were female and the mean age was 41.5 years with a 95% confidence interval (CI) ranging from 41.2 to 41.8. Most respondents were physicians (n = 3883), nurses (n = 1189), and midwives (n = 286); but also psychologists (n = 50), therapists (n = 44), chaplains (n = 5), and students (n = 10) were included. The DUREL scale was assessed with Cronbach’s alpha (α = 0.92) and PCA confirmed its reliability and unidimensionality. The new scales covering the dimensions of “Religiosity of Health Professionals (HPs)” (α = 0.89), “Willingness of Physicians to Interact with Patients Regarding R/S Issues” (α = 0.79), “Religious Objections to Controversial Issues in Medicine” (α = 0.78), and “R/S as a Calling” (α = 0.82), also proved unidimensional in the PCAs. We argue that the proposed scales are relevant and reliable measures of religious dimensions within the data pool. Finally, we outline future studies already planned based on the data pool, and invite interested researchers to join the NERSH collaboration.

Why do we need some more questionnaires to measure aspects of spirituality/religiosity when we already have so many well-tried instruments in use?[...]

Background: We wondered whether “spiritual dryness” as a specific phase of “spiritual crisis” or insecurity is mostly a matter only of Catholic priests or can also be found in other pastoral professionals. Methods: In a cross-sectional survey, we measured the prevalence of spiritual dryness in non-ordained Catholic pastoral workers, and identified relevant predictors. Results: In a sample of 3.277 pastoral workers, 50% would occasionally experience phases of spiritual dryness, while 13% experience it often or even regularly. There were no significant differences between women and men, professions, or age groups. The best predictors of spiritual dryness were low transcendence perception and a low sense of coherence (both are resources), as well as depressive symptoms and stress perception (both are demands or stressors), which would explain 41% of the variance. Self-efficacy expectation and social support were not among the significant predictors. Conclusion: Both the proportions and the main predictors are similar compared to Catholic priests. It is thus not the underlying profession or vocation and the related life situation or differences in social support, but predominantly specific perceptions, feelings, and attitudes that are related to the phenomenon of spiritual dryness—and these can be found in all pastoral professionals who seriously live their spirituality.

Modern healthcare research has only in recent years investigated the impact of health care workers’ religious and other moral values on medical practice, interaction with patients, and ethically complex decision-making. Thus far, no international data exist on the way such values vary across different countries. We therefore established the NERSH International Collaboration on Values in Medicine with datasets on physician religious characteristics and values based on the same survey instrument. The present article provides (a) an overview of the development of the original and optimized survey instruments, (b) an overview of the content of the NERSH data pool at this stage and (c) a brief review of insights gained from articles published with the questionnaire. The questionnaire was developed in 2002, after extensive pretesting in the United States and subsequently translated from English into other languages using forward-backward translations with Face Validations. In 2013, representatives of several national research groups came together and worked at optimizing the survey instrument for future use on the basis of the existing datasets. Research groups were identified through personal contacts with researchers requesting to use the instrument, as well as through two literature searches. Data were assembled in Stata and synchronized for their comparability using a matched intersection design based on the items in the original questionnaire. With a few optimizations and added modules appropriate for cultures more secular than that of the United States, the survey instrument holds promise as a tool for future comparative analyses. The pool at this stage consists of data from eleven studies conducted by research teams in nine different countries over six continents with responses from more than 6000 health professionals. Inspection of data between groups suggests large differences in religious and other moral values across nations and cultures, and that these values account for differences in health professional’s clinical practices.