Religious and Spiritual Struggles Brief Inventory: Initial Validation and Psychometric Study
Abstract
Background: Religious and spiritual struggles are psychological conflicts associated with a relationship with divinity or religious organizations' particular practices and teachings. These struggles can affect health and well-being, causing emotional distress and pain. Objective: The purpose of this study was to develop and validate a brief measure that examines religious and spiritual struggles (R/E) from the theoretical framework of Exline. Method: This research had an instrumental design. An availability sampling composed of 312 participants residing in Puerto Rico was used. Results: The psychometric analysis confirmed that the scale has a four-dimensional structure (divine struggles, interpersonal struggles, evil struggles, intrapersonal struggles), solid reliability, construct validity, and convergent validity. The 14 items met good discrimination values. Conclusions: These results suggest that the instrument can measure four types of R/E struggles in Puerto Rican adults. Furthermore, this new instrument will allow the advancement of new research on R/E struggles in Puerto Rico and Latin America.
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References
Abu-Raiya, H., Pargament, K. I., Weissberger, A., & Exline, J. (2015). An Empirical Examination of Religious/Spiritual Struggle Among Israeli Jews. The International Journal for the Psychology of Religion, 26(1), 61-79. https://doi.org/10.1080/10508619.2014.1003519
Altemeyer, B., & Hunsberger, B. (1997). Amazing conversions: Why some turn to faith and others abandon religion. Prometheus.
Ano, G. G., & Vasconcelles, E. B. (2005). Religious coping and psychological adjustment to stress: A meta-analysis. Journal of Clinical Psychology, 61(4), 461-480. http://dx.doi.org/10.1002/jclp.20049
Ato, M., López, J. J., & Benavente, A. (2013). Un sistema de clasificación de los diseños de investigación en psicología. Anales de Psicología, 29(3), 1038-1059. https://doi.org/10.6018/analesps.29.3.178511
Ávila-Toscano, J. H., & Madariaga, C. (2015). Interacción social conflictiva y problemas de salud mental en redes personales de ex combatientes ilegales en Colombia. Terapia Psicológica, 33(3), 277-283. https://doi.org/10.4067/S0718-48082015000300010
Barnes, H. A., Hurley, R. A., & Taber, K. H. (2019). Moral injury and PTSD: Often co-occurring yet mechanistically different. The Journal of Neuropsychiatry and Clinical Neurosciences, 31(2), 98-103. https://doi.org/10.1176/appi.neuropsych.19020036
Bowman, E. S., Beitman, J. A., Palesh, O., Prez, J. E., & Koopman, C. (2009). The Cancer and Deity Questionnaire: A new religion and cancer measure. Journal of Psychosocial Oncology, 27(4), 435-453. https://doi.org/10.1080/07347330903181913
Bryant, A., & Astin, H. (2008). The Correlates of Spiritual Struggle during the College Years. The Journal of Higher Education, 79(1), 1-27. https://doi.org/10.1080/00221546.2008.11772084
Carlson, K. D., & Herdman, A. O. (2010). Understanding the impact of convergent validity on research results. Organizational Research Methods, 15(1), 17-32. https://doi.org/10.1177/1094428110392383
Cho, E. (2016). Making reliability reliable. Organizational Research Methods, 19(4), 651-682. https://doi.org/10.1177/1094428116656239
Colón-Rivera, Y. (2014). Traducción, adaptación cultural y validación del Brief Religious Coping Scale en una muestra de puertorriqueños/as. (Disertación doctoral). Ponce Health Sciences University, Ponce, Puerto Rico.
Exline, J. J. (Ed.). (2013). Religious and spiritual struggles. In K. I. Pargament, J. J. Exline, & J. W. Jones (Eds.), APA handbooks in psychology®. APA handbook of psychology, religion, and spirituality (Vol. 1): Context, theory, and research (p. 459–475). American Psychological Association. https://doi.org/10.1037/14045-025
Exline, J. J., Pargament, K. I., Grubbs, J. B., & Yali, A. M. (2014). The Religious and Spiritual Struggles Scale: Development and initial validation. Psychology of Religion and Spirituality, 6(3), 208-222. https://doi.org/10.1037/a0036465
Exline, J. J., Park, C. L., Smyth, J. M., & Carey, M. P. (2011). Anger toward God: Social-cognitive predictors, prevalence, and links with adjustment to bereavement and cancer. Journal of Personality and Social Psychology, 100(1), 129-148. https://doi.org/10.1037/a0021716
Francis, B., Gill, J. S., Yit Han, N., Petrus, C. F., Azhar, F. L., Ahmad Sabki, Z., Said, M. A., Ong Hui, K., Chong Guan, N., & Sulaiman, A. H. (2019). Religious Coping, Religiosity, Depression and Anxiety among Medical Students in a Multi-Religious Setting. International journal of environmental research and public health, 16(2), 259. https://doi.org/10.3390/ijerph16020259
Garssen, B., Visser, A., & de Jager Meezenbroek, E. (2012a). Instruments measuring spirituality in clinical research. Journal of General Internal Medicine, 27(4), 401. https://doi.org/10.1007/s11606-011-1769-7
Garssen, B., Visser, A., & de Jager Meezenbroek, E. (2012b). Responses to: ‘Measures assessing spirituality as more than religiosity: A methodological review of nursing and health-related literature’ by Sessanna, L., Finnell, D. S., Underhill, M., Chang, Y. P. & Peng, H. L. (2012). Journal of Advanced Nursing, 68(7), 1677-1694. Journal of Advanced Nursing, 68(7), 1670-1671. https://doi.org/10.1111/j.1365-2648.2012.05984.x
Garssen, B., Visser, A., & de Jager Meezenbroek, E. (2016). Examining whether spirituality predicts subjective well-being: How to avoid tautology. Psychology of Religion and Spirituality, 8(2), 141-148. https://psycnet.apa.org/doi/10.1037/rel0000025
Gibbons, J. A., Hartzler, J. K., Hartzler, A. W., Lee, S. A., & Walker, W. R. (2015). The Fading Affect Bias shows healthy coping at the general level, but not the specific level for religious variables across religious and non-religious events. Consciousness and cognition, 36, 265–276. https://doi.org/10.1016/j.concog.2015.07.004
González-Rivera, J. A., Pagán-Torres, O. M., Soto-Rodríguez, N. E., Rodríguez-Torres, E., Maymei-Guadalupe, L. G., & Rodríguez-Rivera, N. N. (2019). Espiritualidad y religiosidad en revistas puertorriqueñas de psicología: Un análisis bibliométrico. Ciencias de la Conducta, 34(1), 1-38. http://cienciasdelaconducta.org/index.php/cdc/article/view/11
Grubbs, J. B., Exline, J. J., & Campbell, W. K. (2013). I deserve better and God knows it! Psychological entitlement as a robust predictor of anger at God. Psychology of Religion and Spirituality, 5(3), 192-200. https://doi.org/10.1037/a0032119
Hall, T. W., & Edwards, K. J. (2002). The Spiritual Assessment Inventory: A theistic model and measure for assessing spiritual development. Journal for the Scientific Study of Religion, 41(2), 341-357. https://doi.org/10.1111/1468-5906.00121
Homolka, S. J. (2017). Validation of Religious and Spiritual Struggles Scales for adolescents. (Disertación doctoral). Case Western Reserve University, Cleveland, Ohio.
IBM Corp. (2017). IBM SPSS Statistics for Windows, Version 25.0. IBM Corp.
Jöreskog, K. G. (1977). Factor analysis by least-squares and maximum-likelihood methods. En K. Enslein, A. Ralston y H.S. Wilf (Eds.), Statistical methods for digital computers, Vol. 3. Wiley.
Kapuscinski, A. N., & Masters, K. S. (2010). The current status of measures of spirituality: A critical review of scale development. Psychology of Religion and Spirituality, 2(4), 191-205. https://doi.org/10.1037/a0020498
Kline, T. J. (2005). Psychological testing: A practical approach to design and evaluation. Sage.
Koenig, H.G. (2008). Concerns about measuring spirituality in research. The Journal of Nervous and Mental Disease, 196(5), 349-355. https://doi.org/10.1097/nmd.0b013e31816ff796
Krause, N., Ingersoll-Dayton, B., Ellison, C. G., & Wulff, K. M. (1999). Aging, religious doubt, and psychological well-being. The Gerontologist, 39(5), 525-533. https://doi.org/10.1093/geront/39.5.525
Krumrei, E., Mahoney, A., & Pargament, K. (2011). Demonization of divorce: Prevalence rates and links to postdivorce adjustment. Family Relations, 60(1), 90-103. https://doi.org/10.1111/j.1741-3729.2010.00635.x
Litz, B. T., Stein, N., Delaney, E., Lebowitz, L., Nash, W. P., Silva, C., & Maguen, S. (2009). Moral injury and moral repair in war veterans: a preliminary model and intervention strategy. Clinical Psychology Review, 29(8), 695-706. https://doi.org/10.1016/j.cpr.2009.07.003
Lloret-Segura, S., Ferreres-Traver, A., Hernández-Baeza, A., & To¬más-Marco, I. (2014). El análisis factorial exploratorio de los ítems: Una guía práctica, revisada y actualizada. Anales de Psi¬cología, 30(3), 1151-1169. http://dx.doi.org/10.6018/ana-lesps.30.3.199361
Matsunaga, M. (2010). How to factor analyze your data right: Do's, don'ts, and how-to's. International Journal of Psychological Research, 3(1), 97-110. https://doi.org/10.21500/20112084.854
McConnell, K. M., Pargament, K. I., Ellison, C. G., & Flannelly, K. J. (2006). Examining the links between spiritual struggles and symptoms of psychopathology in a national sample. Journal of clinical psychology, 62(12), 1469-1484. https://doi.org/10.1002/jclp.20325
McDonald, R. P. (1999). Test theory: A unified treatment. Erlbaum Associates.
Migdal, L., & MacDonald, D. A. (2013). Clarifying the relation between spirituality and well-being. Journal of Nervous and Mental Disease, 201(4), 274-280. https://doi.org/10.1097/nmd.0b013e318288e26a
Pagán-Torres, O. M., & González-Rivera, J. A. (2020). Spanish Translation and Validation of the Religious and Spiritual Struggles Scale in Puerto Rico [Manuscrito sometido para publicación]. Ponce Health Sciences University, Ponce, Puerto Rico
Pargament, K. I., Smith, B. W., Koenig, H. G., & Perez, L. (1998). Patterns of positive and negative religious coping with major life stressors. Journal for the Scientific Study of Religion, 37(4), 710-724. https://doi.org/10.2307/1388152
Pargament, K. I. (2007). Spiritually integrated psychotherapy: Understanding and addressing the sacred. Guilford Press.
Pargament, K., Feuille, M., & Burdzy, D. (2011). The Brief RCOPE: Current psychometric status of a short measure of religious coping. Religions, 2(1), 51-76. https://doi.org/10.3390/rel2010051
Park, H. S., Dailey, R., & Lemus, D. (2002). The Use of exploratory factor analysis and principal components analysis in communication research. Human Communication Research, 28(4), 562-577. https://doi.org/10.1111/j.1468-2958.2002.tb00824.x
Raykov, T., & Shrout, P. E. (2002). Reliability of scales with general structure: Point and interval estimation using a structural equation modeling approach. Structural Equation Modeling, 9(2), 195-212. https://doi.org/10.1207/S15328007SEM0902_3
Schmitt, T. A. (2011). Current methodological considerations in exploratory and confirmatory factor analysis. Journal of Psychoeducational Assessment, 29(4), 304-321. https://doi.org/10.1177/0734282911406653
Sedlar, A. E., Stauner, N., Pargament, K. I., Exline, J. J., Grubbs, J. B., & Bradley, D. F. (2018). Spiritual struggles among atheists: Links to psychological distress and well-being. Religions, 9(8). https://doi.org/10.3390/rel9080242
Stevens, J. (2002). Applied multivariate statistics for the social sciences (4a. ed.). Lawrence Erlbaum Associates.
Visser, A., Garssen, B., & Vingerhoets, A. (2010). Spirituality and well-being in cancer patients: A review. Psycho-Oncology, 19(6), 565-572. https://doi.org/10.1002/pon.1626
Wilson, F. R., Pan, W., & Schumsky, D. A. (2012). Recalculation of the Critical Values for Lawshe’s Content Validity Ratio. Measurement and Evaluation in Counseling and Development, 45(3), 197-210. https://doi.org/10.1177/0748175612440286
Wilt, J. A., Grubbs, J. B., Exline, J. J., & Pargament, K. I. (2016). Personality, religious and spiritual struggles, and well-being. Psychology of Religion and Spirituality, 8(4), 341-351. https://doi.org/10.1037/rel0000054
Wood, B. T., Worthington, E. L., Jr., Exline, J. J., Yali, A. M., Aten, J. D., & McMinn, M. R. (2010). Development, refinement, and psychometric properties of the Attitudes Toward God Scale (ATGS-9). Psychology of Religion and Spirituality, 2(3), 148-167. https://doi.org/10.1037/a0018753
Wortmann, J. (2013). Religious Coping. En Gellman, M.D., & Turner, J.R. (eds), Encyclopedia of Behavioral Medicine. Springer. https://doi.org/10.1007/978-1-4419-1005-9_665
Zarzycka, B., Ciszek, P., & Rykowska, K. (2018). The Polish adaptation of the Religious and Spiritual Struggles Scale: Factorial structure and psychometric properties. Roczniki Psychologiczne, 21(3), 255-278. https://doi.org/10.18290/rpsych.2018.21.3-4
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