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

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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.

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  • 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.

    Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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  Google Scholar 

  • 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.

  • Fitchett, G., Rybarczyk, B. D., DeMarco, G. A., & Nicholas, J. J. (1999). The role of religion in medical rehabilitation outcomes: A longitudinal study. Rehabilitation Psychology, 44, 333–353. doi:10.1037/0090-5550.44.4.333.

    Article  Google Scholar 

  • Forchheimer, M., McAweeney, M., & Tate, D. G. (2004). Use of the SF-36 among persons with spinal cord injury. American Journal of Physical Medicine and Rehabilitation, 83, 390–395. doi:10.1097/01.PHM.0000124441.78275.C9.

    Article  PubMed  Google Scholar 

  • Giaquinto, S., Spiridigliozzi, C., & Caracciolo, B. (2007). Can faith protect from emotional distress after stroke? Stroke, 38, 993–997. doi:10.1161/01.STR.0000257996.26950.59.

    Article  PubMed  Google Scholar 

  • Gillen, G. (2005). Brief Report-Positive consequences of surviving a stroke. The American Journal of Occupational Therapy, 59, 346–350.

    PubMed  Google Scholar 

  • Johnstone, B., Glass, B., & Oliver, R. E. (2007). Religion and disability: Clinical, research, and training considerations for rehabilitation professionals. Disability and Rehabilitation, 29, 1153–1163. doi:10.1080/09638280600955693.

    Article  PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • Koenig, H. G., McCullough, M. E., & Larson, D. B. (2001). Handbook of religion and health. Oxford: Oxford University Press.

    Google Scholar 

  • 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., 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.

    Article  PubMed  Google Scholar 

  • Rippentrop, A. E., Altmaier, E. M., Chen, J. J., Found, E. M., & Keffala, V. J. (2005). The relationship between religion/spirituality and physical health, mental health, and pain in a chronic pain population. Pain, 116, 311–321. doi:10.1016/j.pain.2005.05.008.

    Article  PubMed  Google Scholar 

  • Robinson-Smith, G. (2002). Prayer after stroke. Its relationship to quality of life. Journal of Holistic Nursing, 20, 352–366. doi:10.1177/089801002237592.

    Article  PubMed  Google Scholar 

  • 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.

    Article  Google Scholar 

  • Sloan, R. P., Bagiella, E., & Powell, T. (1999). Religion, spirituality, and medicine. Lancet, 353, 664–667. doi:10.1016/S0140-6736(98)07376-0.

    Article  PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

  • 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.

    Article  Google Scholar 

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This article was supported with funding from the Center on Religion and the Professions at the University of Missouri-Columbia, funded by the Pew Charitable Trusts.

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Correspondence to Brick Johnstone.

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Johnstone, B., Franklin, K.L., Yoon, D.P. et al. Relationships Among Religiousness, Spirituality, and Health for Individuals with Stroke. J Clin Psychol Med Settings 15, 308–313 (2008).

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