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Published in: Journal of Clinical Psychology in Medical Settings 4/2008

01-12-2008

Relationships Among Religiousness, Spirituality, and Health for Individuals with Stroke

Authors: Brick Johnstone, Kelly Lora Franklin, Dong Pil Yoon, Joseph Burris, Cheryl Shigaki

Published in: Journal of Clinical Psychology in Medical Settings | Issue 4/2008

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Abstract

The current study evaluated the relationships among spiritual beliefs, religious practices, physical health, and mental health for individuals with stroke. A cross-sectional analysis of 63 individuals evaluated in outpatient settings, including 32 individuals with stroke and 31 healthy controls was conducted through administration of the Brief Multidimensional Measure of Religiousness/Spirituality (BMMRS) and the Medical Outcomes Scale-Short Form 36 (SF-36). For individuals with stroke, the SF-36 General Mental Health scale was significantly correlated with only the BMMRS Religious and Spiritual Coping scale (r = .43; p < .05). No other BMMRS factors were significantly correlated with SF-36 mental or physical health scales. Non-significant trends indicated spiritual factors were primarily related to mental versus physical health. This study suggests spiritual belief that a higher power will assist in coping with illness/disability is associated with better mental health following stroke, but neither religious nor spiritual factors are associated with physical health outcomes. The results are consistent with research that suggests that spiritual beliefs may protect individuals with stroke from experiencing emotional distress.
Literature
go back to reference Benjamins, M. R., Musick, M. A., Gold, D. T., & George, L. K. (2003). Age-related declines in activity level: The relationship between chronic illness and religious activities. Journal of Gerontology: Social Sciences, 58B, S377–S385. Benjamins, M. R., Musick, M. A., Gold, D. T., & George, L. K. (2003). Age-related declines in activity level: The relationship between chronic illness and religious activities. Journal of Gerontology: Social Sciences, 58B, S377–S385.
go back to reference Berges, I. M., Kuo, Y. F., Markides, K. S., & Ottenbacher, K. (2007). Attendance at religious services and physical functioning after stroke among older Mexican Americans. Experimental Aging Research, 33, 1–11. doi:10.1080/03610730601005893.PubMedCrossRef Berges, I. M., Kuo, Y. F., Markides, K. S., & Ottenbacher, K. (2007). Attendance at religious services and physical functioning after stroke among older Mexican Americans. Experimental Aging Research, 33, 1–11. doi:10.​1080/​0361073060100589​3.PubMedCrossRef
go back to reference Centers for Disease Control and Prevention (CDC). (2001). Prevalence of disabilities, associated health conditions among adults: United States, 1999. Morbidity and Mortality Weekly Report, 50, 120–125. Centers for Disease Control and Prevention (CDC). (2001). Prevalence of disabilities, associated health conditions among adults: United States, 1999. Morbidity and Mortality Weekly Report, 50, 120–125.
go back to reference Colantonio, A., Kasl, S. V., & Ostfeld, A. M. (1992). Depressive symptoms and other psychosocial factors as predictors of stroke in elderly. American Journal of Epidemiology, 136, 884–894.PubMedCrossRef Colantonio, A., Kasl, S. V., & Ostfeld, A. M. (1992). Depressive symptoms and other psychosocial factors as predictors of stroke in elderly. American Journal of Epidemiology, 136, 884–894.PubMedCrossRef
go back to reference Colantonio, A., Kasl, S. V., Ostfeld, A. M., & Berkman, L. F. (1993). Psychosocial predictors of stroke outcomes in an elderly population. Journal of Gerontology, 48, S261–S268.PubMed Colantonio, A., Kasl, S. V., Ostfeld, A. M., & Berkman, L. F. (1993). Psychosocial predictors of stroke outcomes in an elderly population. Journal of Gerontology, 48, S261–S268.PubMed
go back to reference Fetzer Institute and National Institute on Aging Working Group. (1999). Multidimensional measurement of religiousness/spirituality for use in health research: A report of the Fetzer Institute/National Institute on Aging working group. Kalamazoo, MI: John E. Fetzer Institute. Fetzer Institute and National Institute on Aging Working Group. (1999). Multidimensional measurement of religiousness/spirituality for use in health research: A report of the Fetzer Institute/National Institute on Aging working group. Kalamazoo, MI: John E. Fetzer Institute.
go back to reference Gillen, G. (2005). Brief Report-Positive consequences of surviving a stroke. The American Journal of Occupational Therapy, 59, 346–350.PubMed Gillen, G. (2005). Brief Report-Positive consequences of surviving a stroke. The American Journal of Occupational Therapy, 59, 346–350.PubMed
go back to reference Kendler, K. S., Liu, X. Q., Gardner, C. O., McCullough, M. E., Larson, D., & Prescott, C. A. (2003). Dimensions of religiosity and their relationship to lifetime psychiatric and substance use disorders. The American Journal of Psychiatry, 160, 496–503. doi:10.1176/appi.ajp.160.3.496.PubMedCrossRef Kendler, K. S., Liu, X. Q., Gardner, C. O., McCullough, M. E., Larson, D., & Prescott, C. A. (2003). Dimensions of religiosity and their relationship to lifetime psychiatric and substance use disorders. The American Journal of Psychiatry, 160, 496–503. doi:10.​1176/​appi.​ajp.​160.​3.​496.PubMedCrossRef
go back to reference Koenig, H. G., McCullough, M. E., & Larson, D. B. (2001). Handbook of religion and health. Oxford: Oxford University Press. Koenig, H. G., McCullough, M. E., & Larson, D. B. (2001). Handbook of religion and health. Oxford: Oxford University Press.
go back to reference Pargament, K. I. (1999). Religious/spiritual coping. In Fetzer Institute, National Institute on Aging Working Group: Multidimensional Measurement of Religiousness/Spirituality for use in Health Research. A report of a national working group supported by Fetzer Institute in collaboration with the National Institute on Aging (pp. 43–56). Kalamazoo, MI: Fetzer Institute. Pargament, K. I. (1999). Religious/spiritual coping. In Fetzer Institute, National Institute on Aging Working Group: Multidimensional Measurement of Religiousness/Spirituality for use in Health Research. A report of a national working group supported by Fetzer Institute in collaboration with the National Institute on Aging (pp. 43–56). Kalamazoo, MI: Fetzer Institute.
go back to reference Pargament, K., Koenig, H., & Perez, L. (2000). The many methods of religious coping: Development and initial validation of the RCOPE. Journal of Clinical Psychology, 56, 519–543. doi:10.1002/(SICI)1097-4679(200004)56:4<519::AID-JCLP6>3.0.CO;2-1.PubMedCrossRef Pargament, K., Koenig, H., & Perez, L. (2000). The many methods of religious coping: Development and initial validation of the RCOPE. Journal of Clinical Psychology, 56, 519–543. doi:10.1002/(SICI)1097-4679(200004)56:4<519::AID-JCLP6>3.0.CO;2-1.PubMedCrossRef
go back to reference Rosamond, W., Flegal, K., Friday, G., Furie, K., Go, A., Greenlund, K., et al. (2007). Heart disease and stroke statistics-2007 update: A report from the American Heart Association Statistics Committee and Stroke Statistics Subcommittee. Circulation, 115, 169–171. doi:10.1161/CIRCULATIONAHA.106.179918.CrossRef Rosamond, W., Flegal, K., Friday, G., Furie, K., Go, A., Greenlund, K., et al. (2007). Heart disease and stroke statistics-2007 update: A report from the American Heart Association Statistics Committee and Stroke Statistics Subcommittee. Circulation, 115, 169–171. doi:10.​1161/​CIRCULATIONAHA.​106.​179918.CrossRef
go back to reference Underwood, L., & Teresi, J. (2002). The Daily Spiritual Experience Scale: Development, theoretical description, reliability, exploratory factor analysis, and preliminary construct validity using health-related data. Annals of Behavioral Medicine, 24, 22–33. doi:10.1207/S15324796ABM2401_04.PubMedCrossRef Underwood, L., & Teresi, J. (2002). The Daily Spiritual Experience Scale: Development, theoretical description, reliability, exploratory factor analysis, and preliminary construct validity using health-related data. Annals of Behavioral Medicine, 24, 22–33. doi:10.​1207/​S15324796ABM2401​_​04.PubMedCrossRef
go back to reference Underwood-Gordon, L., Peters, D. J., Bijur, P., & Fuhrer, M. (1997). Roles of religiousness and spirituality in medical rehabilitation and the lives of persons with disabilities. American Journal of Physical Medicine and Rehabilitation, 76, 255–257. doi:10.1097/00002060-199705000-00021.PubMedCrossRef Underwood-Gordon, L., Peters, D. J., Bijur, P., & Fuhrer, M. (1997). Roles of religiousness and spirituality in medical rehabilitation and the lives of persons with disabilities. American Journal of Physical Medicine and Rehabilitation, 76, 255–257. doi:10.​1097/​00002060-199705000-00021.PubMedCrossRef
go back to reference Ware, J. E., Snow, K. K., Kosinski, M., & Gandek, B. (1993). SF-36 Health Survey: Manual and interpretation guide. Boston, MA: The Health Institute, New England Medical Center. Ware, J. E., Snow, K. K., Kosinski, M., & Gandek, B. (1993). SF-36 Health Survey: Manual and interpretation guide. Boston, MA: The Health Institute, New England Medical Center.
go back to reference Yoon, D. P., & Lee, E. O. (2004). Religiousness/spirituality and subjective well-being among rural elderly Whites, African Americans, and Native Americans. Journal of Human Behavior in the Social Environment, 10, 191–211. doi:10.1300/J137v10n01_05.CrossRef Yoon, D. P., & Lee, E. O. (2004). Religiousness/spirituality and subjective well-being among rural elderly Whites, African Americans, and Native Americans. Journal of Human Behavior in the Social Environment, 10, 191–211. doi:10.​1300/​J137v10n01_​05.CrossRef
Metadata
Title
Relationships Among Religiousness, Spirituality, and Health for Individuals with Stroke
Authors
Brick Johnstone
Kelly Lora Franklin
Dong Pil Yoon
Joseph Burris
Cheryl Shigaki
Publication date
01-12-2008
Publisher
Springer US
Published in
Journal of Clinical Psychology in Medical Settings / Issue 4/2008
Print ISSN: 1068-9583
Electronic ISSN: 1573-3572
DOI
https://doi.org/10.1007/s10880-008-9128-5

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