Measuring spirituality and religiosity in clinical research
a systematic review of instruments available in the Portuguese language
Keywords:
Religion and medicine, Spirituality, Psychometrics, Review [publication type], Medical history takingAbstract
CONTEXT AND OBJECTIVES: Despite numerous spirituality and/or religiosity (S/R) measurement tools for use in research worldwide, there is little information on S/R instruments in the Portuguese language. The aim of the present study was to map out the S/R scales available for research in the Portuguese language. DESIGN AND SETTING: Systematic review of studies found in databases. METHODS: A systematic review was conducted in three phases. Phases 1 and 2: articles in Portuguese, Spanish and English, published up to November 2011, dealing with the Portuguese translation and/or validation of S/R measurement tools for clinical research, were selected from six databases. Phase 3: the instruments were grouped according to authorship, cross-cultural adaptation, internal consistency, concurrent and discriminative validity and test-retest procedures. RESULTS: Twenty instruments were found. Forty-five percent of these evaluated religiosity, 40% spirituality, 10% religious/spiritual coping and 5% S/R. Among these, 90% had been produced in (n = 3) or translated to (n = 15) Brazilian Portuguese and two (10%) solely to European Portuguese. Nevertheless, the majority of the instruments had not undergone in-depth psychometric analysis. Only 40% of the instruments presented concurrent validity, 45% discriminative validity and 15% a test-retest procedure. The characteristics of each instrument were analyzed separately, yielding advantages, disadvantages and psychometric properties. CONCLUSION: Currently, 20 instruments for measuring S/R are available in the Portuguese language. Most have been translated (n = 15) or developed (n = 3) in Brazil and present good internal consistency. Nevertheless, few instruments have been assessed regarding all their psychometric qualities.
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References
Koenig HG. Research on religion, spirituality, and mental health: a review. Can J Psychiatry. 2009;54(5):283-91.
Lucchetti G, Lucchetti AL, Koenig HG. Impact of spirituality/religiosity on mortality: comparison with other health interventions. Explore (NY). 2011;7(4):234-8.
Koenig HG, McCullough ME, Larson DB. Handbook of religion and health. New York: Oxford University Press; 2001.
Sloan RP, Bagiella E, Powell T. Religion, spirituality, and medicine. Lancet. 1999;353(9153):664-7.
Koenig HG, George LK, Titus P. Religion, spirituality, and health in medically ill hospitalized older patients. J Am Geriatr Soc. 2004;52(4):554-62.
Hall DE, Meador KG, Koenig HG. Measuring religiousness in health research: review and critique. J Relig Health. 2008;47(2):134-63.
Monod S, Brennan M, Rochat E, et al. Instruments measuring spirituality in clinical research: a systematic review. J Gen Intern Med. 2011;26(11):1345-57.
Falagas ME, Pitsouni EI, Malietzis GA, Pappas G. Comparison of PubMed, Scopus, Web of Science, and Google Scholar: strengths and weaknesses.FASEB J. 2008;22(2):338-42.
Ferreira AV, Neto F. Psychometric properties of the Francis Scale of Attitude Towards Christianity among Portuguese university students. Psychol Rep. 2002;91(3 Pt 1):995-8.
Taunay TC, Cristino ED, Machado MO, et al. Desenvolvimento e validação do Inventário de Religiosidade Intrínseca (IRI) [Development and validation of the Intrinsic Religiousness Inventory (IRI)]. Rev Bras Psiquiatr. 2012;34(1):76-81.
Gonçalves M. A religiosidade como fator de proteção contra transtornos depressivos em pacientes acometidas com patologia oncológica da mama [Religiosity as a protection factor against depressive disorders in patients with mamma oncologic pathology]. [Thesis]. Campinas: Faculdade de Ciências Médicas da Universidade Estadual de Campinas; 2000. Available from: http://www.bibliotecadigital.unicamp.br/document/?code=000199287. Accessed in 2012 (Oct 18).
Guedes CHFF. Suporte telefônico como uma intervenção para promover o incentivo à prática de caminhada em pacientes diabéticos tipo 2: influência do perfil de personalidade nesta resposta [Phone call as an intervention for improving walking practice in type 2 diabetes: influence of personality profile in this response]. [Thesis]. São Paulo: Faculdade de Medicina da Universidade de São Paulo; 2009. Available from: http://www.teses.usp.br/teses/disponiveis/5/5159/tde-29042009-103639/pt-br.php. Accessed in 2012 (Oct 18).
Marques LF, Sarriera JC, Dell’Aglio DD. Adaptação e validação da Escala de Bem-estar Espiritual (EBE) [Adaptation and validation of Spiritual Well-Being Scale (SWS)]. Aval Psicol. 2009;8(2):179-86.
Gonçalves AMS, Pillon SC. Adaptação transcultural e avaliação da consistência interna da versão em português da Spirituality Self Rating Scale (SSRS) [Transcultural adaptation and evaluation of the internal consistency of the Portuguese version of the Spirituality Self Rating Scale (SSRS)]. Rev Psiquiatr Clín (São Paulo). 2009;36(1):10-5.
Drucker C. Religiosidade, crenças e atitudes em idosos deprimidos: em um serviço de saúde mental de São Paulo, Brasil. [Dissertation]. Campinas: Faculdade de Eduação da Universidade Estadual de Campinas; 2005. Available from: http://www.amebrasil.org.br/html/ClaudiaDrucker-TESECOMPLETA.pdf. Accessed in 2012 (Oct 18).
Aquino TAA, Correia APM, Marques ALC, et al. Atitude religiosa e sentido da vida: um estudo correlacional [Religious attitude and the meaning of life: a correlational study]. Psicol Cienc Prof. 2009;29(2):228-43.
Lucchetti G, Granero Lucchetti AL, Peres MF, et al. Validation of the Duke Religion Index: DUREL (Portuguese Version). J Relig Health. 2012;51(2):579-86.
Lucchetti G, Lucchetti AG, Badan-Neto AM, et al. Religiousness affects mental health, pain and quality of life in older people in an outpatient rehabilitation setting. J Rehabil Med. 2011;43(4):316-22.
Panzini RG, Maganha C, Rocha NS, Bandeira DR, Fleck MP. Validação brasileira do Instrumento de Qualidade de Vida/espiritualidade, religião e crenças pessoais [Brazilian validation of the Quality of Life instrument/spirituality, religion and personal beliefs]. Rev Saúde Pública. 2011;45(1):153-65.32. Hoge R. A validated intrinsic religious motivation scale. Journal for the Scientific Study of Religion. 1972;11(4):369-76. Available from: http://www.jstor.org/discover/10.2307/1384677?uid=3737664&uid=2129&uid=2&uid=70&uid=4&sid=21100723742361. Accessed in 2012 (Oct 18).
Pargament KI, Koenig HG, Perez LM. The many methods of religious coping: development and initial validation of the RCOPE. J Clin Psychol. 2000;56(4):519-43.
Chaves ECL, Carvalho EC, Beijo LA, Goyatá SLT, Pillon SC. Eficácia de diferentes instrumentos para a atribuição do diagnóstico de enfermagem sofrimento espiritual [Efficacy of different instruments for the identification of the nursing diagnosis spiritual distress]. Rev Latinoam Enferm. 2011;19(4):902-10.
Plante TG, Vallaeys CL, Sherman AC, Wallston KA. The development of a brief version of the Santa Clara Strength of Religious Faith Questionnaire. Pastoral Psychology. 2002;50(5):359-68. Available from: http://www.scu.edu/cas/psychology/faculty/upload/Plante-SCSRF-brief.pdf. Accessed in 2012 (Oct 18).
Peterman AH, Fitchett G, Brady MJ, Hernandez L, Cella D. Measuring spiritual well-being in people with cancer: the functional assessment of chronic illness therapy--Spiritual Well-being Scale (FACIT-Sp). Ann Behav Med. 2002;24(1):49-58.
Bredle JM, Salsman JM, Debb SM, Arnold BJ, Cella D. Spiritual well- being as a component of health-related quality of life: the functional assessment of chronic illness therapy--spiritual well-being scale (FACIT-Sp). Religions. 2011;2(1):77-94. Available from: http://www. mdpi.com/2077-1444/2/1/77/. Accessed in 2012 (Oct 18).
Paloutzian RF, Ellison CW. Loneliness, spiritual well-being and the quality of life. In: Peplau LA, Perlman D, editors. Loneliness: a sourcebook of current theory, research and therapy. Nova York: Wiley; 1982. p. 224-37.
Galanter M, Dermatis H, Bunt G, et al. Assessment of spirituality and its relevance to addiction treatment. J Subst Abuse Treat. 2007;33(3):257-64.
Aquino TAA. Atitude religiosa e crenças dos alunos de psicologia. Revista da Unipê. 2005;9(1):56-63.
Koenig H, Parkerson GR Jr, Meador KG. Religion index for psychiatric research. Am J Psychiatry. 1997;154(6):885-6.
Taunay TCDE, Gondim FAA, Macêdo DS, et al. Validação da versão brasileira da escala de religiosidade de Duke (DUREL) [Validity of the Brazilian version of the Duke Religious Index (DUREL)]. Rev Psiquiatr Clín. 2012;39(4):130-5.
World Health Organization. Division of Mental Health and Prevention of substance abuse. WHOQOL and spirituality, religiousness and personal beliefs (SRPB). Geneva: World Health Organization; 1998 (Report on WHO consultation).
Moreira-Almeida A, Koenig HG. Retaining the meaning of the words religiousness and spirituality: a commentary on the WHOQOL SRPB group’s “a cross-cultural study of spirituality, religion, and personal beliefs as components of quality of life” (62: 6, 2005, 1486-1497). Soc Sci Med. 2006;63(4):843-5.
Fleck MP, Skevington S. Explicando o significado do WHOQOL-SRPB [Explaining the meaning of the WHOQOL-SRPB]. Rev Psiquiatr Clín. 2007;34 suppl 1:146-9.
Koenig HG, Ford SM, George LK, Blazer DG. Religion and anxiety disorder: An examination and comparison of associations in young, middle-aged, and elderly adults. Journal of Anxiety Disorders. 1993;7(4):321-42. Available from: http://www.sciencedirect.com/science/article/pii/088761859390028J. Accessed in 2012 (Oct 18).
Power M, Harper A, Bullinger M. The World Health Organization WHOQOL-100: tests of the universality of Quality of Life in 15 different cultural groups worldwide. Health Psychol. 1999;18(5):495-505.
Pargament KI, Smith BW, Koenig HG, Perez L. Patterns of positive and negative religious coping with major life stressors. Journal for the Scientific Study of Religion. 1998;37(4):710-24. Available from: http://www.jstor.org/discover/10.2307/1388152?uid=3737664&uid=2129&uid=2&uid=70&uid=4&sid=21101165351323. Accessed in 2012 (Oct 18).
Kass JD, Friedman R, Leserman J, Zuttermeister PC, Benson H. Health outcomes and a new index of spiritual experience. Journal for the Scientific Study of Religion. 1991;30(2):203-11. Available from: http://www.jstor.org/discover/10.2307/1387214?uid=3737664&uid=2129&uid=2&uid=70&uid=4&sid=21101165351323. Accessed in 2012 (Oct 18).
Underwood LG, Teresi JA. The daily spiritual experience scale: development, theoretical description, reliability, exploratory factor analysis, and preliminary construct validity using health-related data. Ann Behav Med. 2002;24(1):22-33.
Underwood LG. The daily spiritual experience scale: overview and results. Religions. 2011;2(1):29-50. Available from: http://www.mdpi.com/2077-1444/2/1/29. Accessed in 2012 (Oct 18).
Allport GW, Ross JM. Personal religious orientation and prejudice. J Pers Soc Psychol. 1967;5(4):432-43.
Lucchetti G, Granero A. Integration of spirituality courses in Brazilian medical schools. Med Educ. 2010;44(5):527.
Polit D, Beck C. Nursing research: principles and methods. 7th ed. Philadelphia: Lippincott Williams and Wilkins; 2004.
