Journal of Religion and Health

, Volume 44, Issue 3, pp 321–340 | Cite as

The Role of Religion and Spirituality in Medical Patients in Germany

  • Arndt BüssingEmail author
  • Thomas Ostermann
  • Peter F. Matthiessen


Using the new developed SpREUK questionnaire (version 1.0b), we examined how German patients (n = 129) with cancer, multiple sclerosis and other diseases view the impact of spirituality and religiosity (SpR) on their health and how they cope with illness. Patients with both a religious and spiritual attitude (32%) had significantly higher values in the sub-scales dealing with the search for meaningful support, and the stabilizing effects of SpR than patients without such attitudes (20%), while patients with a non-spiritual religious attitude (35%) had lower perception of the beneficial effects of their SpR and had significantly lower scores in the search for meaningful support sub-scale. Just half of the non-spiritual religious group and 42% of religious patients are convinced that finding an access to a spiritual source has a positive influence on their illness.


questionnaires religion and medicine spirituality and religion coping chronic disease 


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  1. Büssing, A., Ostermann, Th. 2004Caritas und ihre neuen Dimensionen—Spiritualität und KrankheitPatzek, M. eds. Caritas plus ... Qualität hat einen Namen: CaritasButzon and BerckerKevelaer110133Google Scholar
  2. Büssing, A., Ostermann, T., Matthiessen, P.F. 2005aSearch for meaningful support and the meaning of illness in German Cancer patientsAnticancer Research2514491455Google Scholar
  3. Büssing, A., Ostermann, T., Matthiessen, P.F. 2005bRole of Religion and spirituality in medical patients: confirmatory results with the SpREUK questionnaireHealth and Quality of Life Outcomes3110( Scholar
  4. Büssing, A., Ostermann, T., Matthiessen, P.F. 2005cSpirituelle Bedürfnisse krebskranker Menschen—Einstellung und PraxisDeutsche Zeitschrift für Onkologie371322CrossRefGoogle Scholar
  5. Büssing, A. 2001Regen über den Kiefern. Zen-Meditation für chronisch Kranke und TumorpatientenJohannes M Mayer VerlagStuttgartGoogle Scholar
  6. Cotton, S.P., Levine, E.G., Fitzpatrick, C.M., Dold, K.H., Targ, E. 1999Exploring the relationships among spiritual well-being, quality of life, and psychological adjustment in women with breast cancerPsychooncology8429438CrossRefPubMedGoogle Scholar
  7. Ehman, J.W., Ott, B.B., Short, T.H., Ciampa, R.C., Hansen-Flaschen, J. 1999Do patients want physicians to inquire about their spiritual or religious beliefs if they become gravely ill?Archives of Internal Medicine15918031806CrossRefPubMedGoogle Scholar
  8. Ellison, C.G., George, L.K. 1994Religious involvement, social ties, and social support in a southeastern communityJournal for the Scientific Study of Religion334661Google Scholar
  9. Fehring, R.J., Miller, J.F., Shaw, C. 1997Spiritual well-being, religiosity, hope, depression, and other mood states in elderly people coping with cancerOncology Nursing Forum24663671PubMedGoogle Scholar
  10. Gallup, G. 1995The Gallup poll Public: Opinion 1995Scholarly ResourcesWilmington DEGoogle Scholar
  11. Jagodzinski, W., Dobbelaere, K. 1993Der Wandel kirchlicher Religiosität in WesteuropaBergmann, J.Hahn und Luckmann Th., A. eds. Religion und Kultur Sonderheft 33 der “Kölner Zeitschrift für Soziologie und Sozialpsychologie”Westdeutscher VerlagOpladen6891Google Scholar
  12. Kaye, J., Raghavan, S.K. 2002Spirituality in disability and illnessJournal of Religion and Health41231242CrossRefGoogle Scholar
  13. King, D.E., Bushwick, B. 1994Beliefs and attitudes of hospital inpatients about faith healing and prayerJournal of Family Practice39349352PubMedGoogle Scholar
  14. Klein, M. 2000Der Esoterik-Boom Sie wollen sich selbst erlösen. Idea-Spektrum—Nachrichten und Meinungen aus der evangelischenWelt351617Google Scholar
  15. Koenig, H.G., Larson, D.B., Larson, S.S. 2001Religion and coping with serious medical illnessThe Annals of Pharmacotherapy35352359CrossRefPubMedGoogle Scholar
  16. Koenig, H.G. 2003Religion, spirituality and health: An American physician's responseMedical Journal of Australia1785152PubMedGoogle Scholar
  17. Kosmin, B.A., Lachman, S.P. 1993One nation under GodHarmonyNewYorkGoogle Scholar
  18. Levenson, H. 1973Multidimensional locus of control in psychiatric patientsJournal of Consulting & Clinical Psychology41397404Google Scholar
  19. Lukoff, D., Provenzano, R., Lu, F., Turner, R. 1999Religious and spiritual case reports on Medline A Systematic analysis of records from 1980–1996Alternative Therapies in Health and Medicine56470Google Scholar
  20. Luskin, F.M. 2000A review of the effect of religious and spiritual factors on mortality and morbidity with a focus on cardiovascular and pulmonary diseaseJournal of Cardiopulmonary Rehabilitation2815CrossRefGoogle Scholar
  21. McClain, C.S., Rosenfeld, B., Breitbart, W. 2003Effect of spiritual well-being on end-of-life despair in terminally-ill cancer patientsLancet36116031607CrossRefPubMedGoogle Scholar
  22. McCullough, M.E., Hoyt, W.T., Larson, D.B., Koenig, H.G., Thoresen, C. 2000Religious involvement and mortality: A meta-analytic reviewHealth Psychology19211222CrossRefPubMedGoogle Scholar
  23. McGrath, P. 1997Spirituality and discourse: a postmodern approach to hospice researchAustralian Health Review20116128PubMedGoogle Scholar
  24. Mueller, P.S., Plevak, D.J., Rummans, T.A. 2001Religious involvement, spirituality, and medicine: Implications for clinical practiceMayo Clinic Proceedings7612251235PubMedGoogle Scholar
  25. Nelson, C.J., Rosenfeld, B., Breitbart, W., Galietta, M. 2002Spirituality, religion, and depression in the terminally illPsychosomatics43213220CrossRefPubMedGoogle Scholar
  26. Ostermann, Th., Büssing, A., Matthiessen, P.F. 2004Entwicklung und Validierung eines Fragebogens zur Erfassung der spirituellen und religiösen Einstellung und des Umgangs mit Krankheit (SpREUK)Forschende Komplementärmedizin und Klassische Naturheilverfahren11346353CrossRefGoogle Scholar
  27. Peach, H.G. 2003Religion, spirituality and health: How should Australia's medical professionals respond?Medical Journal of Australia1788688PubMedGoogle Scholar
  28. Peterman,  2002Measuring spiritual well-being in people with cancer: The functional assessment of chronic illness therapy–Spiritual Well-being Scale (FACIT–Sp)Annals of Behavioral Medicine244958CrossRefPubMedGoogle Scholar
  29. Plante, T.G., Boccaccini, M.T. 1997The Santa Clara strength of Religious Faith questionnairePastoral Psychology45375387Google Scholar
  30. Post-White, J., Ceronsky, C., Kreitzer, M.J., Nickelson, K., Drew, D., Mackey, K.W., Koopmeiners, L., Gutknecht, S. 1996Hope, spirituality, sense of coherence, and quality of life in patients with cancerOncology Nursing Forum2315711579Google Scholar
  31. Post, S.G., Puchalski, C.M., Larson, D.B. 2000Physicians and patient spirituality: Professional boundaries, competency, and ethicsAnnals of Internal Medicine132578583PubMedGoogle Scholar
  32. Powell, L.H., Shahabi, L., Thoresen, C.E. 2003Religion and spirituality. Linkages to physical healthAmerican Psychologist583652CrossRefPubMedGoogle Scholar
  33. Reid, T.R. (2001a). Hollow Halls in Europe's Churches. Attendance by Christians Dwindles As Number of Faithful Decreases. The Washington Post, Sunday, May 6Google Scholar
  34. Reid, T.R. (2001b). Why are Europe's churches empty? The Washington Post, Saturday, May 19Google Scholar
  35. Riley, B.B., Perna, R., Tate, D.G., Forchheimer, M., Anderson, C., Luera, G. 1998Types of spiritual well-being among persons with chronic illness: Their relation to various forms of quality of lifeArchives of Physical Medicine & Rehabilitation79258264Google Scholar
  36. Rotter, J. 1966Generalized expectations for internal versus external control reinforcement, Psychological MonographsGeneral and Applied Psychology80127Google Scholar
  37. Schnabel, U. (2003). Wie man in Deutschland glaubt. Die Zeit, 22. Dezember, S. 34–35Google Scholar
  38. Seemann, T., Dubin, L.F., Seemann, M. 2003Religiosity/spirituality and health. A critical review of the evidence for biological pathwaysAmerican Psychologist585363CrossRefPubMedGoogle Scholar
  39. Silvestri, G.A., Knittig, S., Zoller, J.S., Nietert, P.J. 2003Importance of faith on medical decisions regarding cancer careJournal of Clinical Oncology2113791382CrossRefPubMedGoogle Scholar
  40. Sloan, R.P., Baglella, E., Powell, T. 1999Religion, spirituality, and medicineThe Lancet353664667CrossRefGoogle Scholar
  41. Sloan, R.P., Bagiella, E. 2002Claims about religious involvement and health outcomesAnnals of Behavioral Medicine241421CrossRefPubMedGoogle Scholar
  42. Thoresen, C.E. 1999Spirituality and health: Is there a relationship?Journal of Health Psychology4291300Google Scholar
  43. Underwood, L.G., Teresi, J.A. 2002The daily spiritual experience scale: Development, theoretical description, reliability, exploratory factor analysis, and preliminary construct validity using health-related dataAnnals of Behavioral Medicine242233CrossRefPubMedGoogle Scholar

Copyright information

© Blanton-Peale Institute 2005

Authors and Affiliations

  • Arndt Büssing
    • 1
    Email author
  • Thomas Ostermann
    • 2
  • Peter F. Matthiessen
    • 3
  1. 1.medical doctor and associated professor of the Department of Medical Theory and Complementary Medicine,Head of the Department of Applied Immunology, Cancer Research Foundation HerdeckeUniversity Witten/Herdecke,Herdecke Community HospitalGermany
  2. 2.mathematician and research fellow of the Department of Medical Theory and Complementary MedicineUniversity Witten/HerdeckeGermany
  3. 3.psychiatrist and head of the Department for Psychiatry and Psychotherapy at the Herdecke Community Hospital, and head of the Department of Medical Theory and Complementary MedicineUniversity Witten/HerdeckeGermany

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