Validação da versão portuguesa de Spiritual Well-Being Questionnaire em idosos institucionalizados

Mariana Neves; Inês Queiroz Garcia; Helena Espirito-Santo; Laura Lemos

doi:10.31211/rpics.2018.4.1.70

Authors

Mariana Neves Instituto Superior Miguel Torga http://orcid.org/0000-0002-3234-9587
Inês Queiroz Garcia Instituto Superior Miguel TorgaCoimbra, Portugal https://orcid.org/0000-0001-7842-5285
Helena Espirito-Santo Instituto Superior Miguel TorgaCoimbra, PortugalCentro de Investigação do Núcleo de Estudos e Intervenção Cognitivo-Comportamental Universidade de Coimbra, Portugal https://orcid.org/0000-0003-2625-3754
Laura Lemos Instituto Superior Miguel TorgaCoimbra, Portugal https://orcid.org/0000-0002-9624-8312

DOI:

https://doi.org/10.31211/rpics.2018.4.1.70

Keywords:

Older people, Institutionalization, Assessment, SWBQ, Spiritual well-being

Abstract

Background & Objectives: It is undeniable the importance that the concept of spiritual well-being takes today. Research is scarce in the institutionalized older population, and it is therefore important to develop validated tools on spiritual well-being for this population. The main objective of the present study is the analysis of the psychometric properties and the validation of the Portuguese version of the Spiritual Well-Being Questionnaire (SWBQ). Method: The sample included 101 institutionalized older people from the Coimbra area (n = 51, 50.5%) and Aveiro (n = 50, 49.5%), aged 65-96, 33 (32.7%) were male and 68 (67.3%) were female. In addition to SWBQ, the Hope Scale, the Optimism Scale, the Geriatric Anxiety Inventory, and the Geriatric Depression Scale were administered. Results: The SWBQ presented a factorial structure of three factors (environmental, transcendental, and humanitarian), different from the original version whose factor structure pointed to four factors. The internal consistency was adequate and the convergent and divergent validity did not confirm its construct validity. Spiritual well-being was statistically different in terms of gender (p < 0.01), marital status (p < 0.05) and occupation (p < 0.05). Conclusions: This study contributed to the provision of a new instrument for the evaluation of spiritual well-being in institutionalized older people, showing reasonable psychometric characteristics, but should be replicated in samples with other characteristics to confirm this data.

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References

Amjad, F., & Bokharey, I. Z. (2014). The impact of spiritual wellbeing and coping strategies on patients with generalized anxiety disorder. Journal of Muslim Mental Health, 8(1), 21-38. [Google Scholar] [CrossRef]

Ando, M., Morita, T., Miyashita, M., Sanjo, M., Kira, H., & Shima, Y. (2010). Effects of bereavement life review on spiritual well-being and depression. Journal of Pain and Symptom Management, 40(3), 453-459. [Google Scholar] [CrossRef]

Atchley, R. C. (1997). Everyday mysticism: Spiritual development in later adulthood. Journal of Adult Development, 4(2), 123-134. [Google Scholar] [CrossRef]

Barreto, J., Leuschner, A., Santos, F., & Sobral, M. (2003) Escala de depressão geriátrica [Geriatric Depression Scale]. In Grupo de Estudos de Envelhecimento Cerebral e Demências. (Ed.), Escalas e testes na demência (2nd ed., pp. 65-67). Lisboa: Grupo de Estudos de Envelhecimento Cerebral e Demências. [Google Scholar]

Barros-Oliveira, J. H. (1998). Optimismo: Teoria e avaliação (proposta de uma nova escala) [Optimism: Theory and evaluation (proposal of a new scale)]. Psicologia, Educação e Cultura, 2(2), 295-308. [Google Scholar] [Handle]

Barros-Oliveira, J. H. (2003). Esperança: Natureza e avaliação (proposta de uma nova escala) [Hope: Nature and evaluation (proposed new scale)]. Psicologia, Educação e Cultura, 7(1), 83-106. [Google Scholar] [Handle]

Barros-Oliveira, J. H. (2010). Felicidade, optimismo, esperança e perdão em jovens, adultos e idosos [Happiness, optimism, hope, and forgiveness in young people, adults, and older people]. Psychologica, 52(1), 123-147. [Google Scholar] [CrossRef]

Bester, E., Naidoo, P., & Botha, A. (2016). The role of mindfulness in the relationship between life satisfaction and spiritual wellbeing amongst the elderly. Social Work, 52(2), 245-266. [Google Scholar] [CrossRef]

Burke, P. C. (1999). Spirituality: A continually evolving component in women's identity development. In L. E. Thomas & S. A. Eisenhandler (Eds.), Religion, belief, and spirituality in late life (pp. 113-136). New York, NY: Springer. [Google Scholar]

Büssing, A., Ostermann, T., & Matthiessen, P. F. (2005). The role of religion and spirituality in medical patients in Germany. Journal of Religion and Health, 44(3), 321-340. [Google Scholar] [CrossRef]

Chao, S. Y., Lan, Y. H., Tso, H. C., Chung, C. M., Neim, Y. M., & Clark, M. J. (2008). Predictors of psychosocial adaptation among elderly residents in long-term care settings. The Journal of Nursing Research, 16(2), 149-159. [Google Scholar] [CrossRef]

Crowther, M. R., Parker, M. W., Achenbaum, W. A., Larimore, W. L., & Koenig, H. G. (2002). Rowe and Kahn’s model of successful aging revisited: Positive spirituality – the forgotten factor. The Gerontologist, 42(5), 613-620. [Google Scholar] [CrossRef]

Davis, B. (2005). Mediators of the relationship between hope and well-being in older adults. Clinical Nursing Research, 14(3), 253-272. [Google Scholar] [CrossRef]

Dhara, R. D., & Jogsan, Y. A. (2013). Depression and psychological well-being in old age. Journal of Psychology & Psychotherapy, 3(3), 117-120. [Google Scholar] [CrossRef]

Direção-Geral da Saúde. (2017). Estratégia nacional para o envelhecimento ativo e saudável: 2017-2025 [National strategy for active and healthy aging: 2017-2025]. Lisboa: Ministério da Saúde. [Google Scholar] [PDF]

Espírito-Santo, H., & Daniel, F. (2010). Inventário de Ansiedade Geriátrica [Instrumento de avaliação não publicado] [Geriatric Anxiety Inventory] (Unpublished assessment instrument). Coimbra: Instituto Superior Miguel Torga.

Espírito-Santo, H., & Daniel, F. (2017). Calcular e apresentar tamanhos do efeito em trabalhos científicos (2): Guia para reportar a força das relações [Calculating and reporting effect sizes on scientific papers (2): Guide to report the strength of relationships]. Revista Portuguesa de Investigação Comportamental e Social, 3(1), 53-64. [Google Scholar] [CrossRef]

Fisher, J. W. (1999). Helps to fostering students’ spiritual health. International Journal of Children’s Spirituality, 4(1), 29-49. [Google Scholar] [CrossRef]

Fisher, J. W. (2011). The four domains model: Connecting spirituality, health and well-being. Religions, 2(1), 17-28. [Google Scholar] [CrossRef]

Fisher, J. W., Francis, L. J., & Johnson, P. (2000). Assessing spiritual health via four domains of spiritual wellbeing: The SH4DI. Pastoral Psychology, 49(2), 133-145. [Google Scholar] [CrossRef]

Fisher, J. W., Francis, L. J., & Johnson, P. (2002). The personal and social correlates of spiritual well-being among primary school teachers. Pastoral Psychology, 51(1), 3-11. [Google Scholar] [CrossRef]

Fisher, J. W. (2006). Using secondary students’ views about influences on their spiritual well-being to inform pastoral care. International Journal of Children’s Spirituality, 11(3), 347-356. [Google Scholar] [CrossRef]

Fisher, J. W. (2007). It’s time to wake up and stem the decline in spiritual well-being in Victorian schools. International Journal of Children’s Spirituality, 12(2), 165-177. [Google Scholar] [CrossRef]

Frankl, V. E. (1988). The will to meaning: Foundations and applications of logotherapy. New York, NY: Penguin, Expanded edition. [Google Scholar]

Gomez, R., & Fisher, J. W. (2003). Domains of spiritual well-being and development and validation of the spiritual well-being questionnaire. Personality and Individual Differences, 35(8), 1975-1991. [Google Scholar] [CrossRef]

Gouveia, M. J. P. M. (2011). Flow disposicional e o bem-estar espiritual em praticantes de actividades físicas de inspiração oriental (Doctoral dissertation, Instituto Universitário de Ciências Psicológicas, Sociais e da Vida da Universidade do Porto). [Google Scholar] [Handle]

Gouveia, M. J., Marques, M., & Pais-Ribeiro, J. L. (2009). Versão portuguesa do questionário de bem-estar espiritual (SWBQ): Análise confirmatória da sua estrutura factorial [Portuguese version of the Spiritual Well-Being Questionnaire (SWBQ): Confirmatory analysis of its factorial structure]. Psicologia, Saúde & Doenças, 10(2), 285-293. [Google Scholar] [Scielo]

Hadzic, M. (2011). Spirituality and mental health: Current research and future directions. Journal of Spirituality in Mental Health, 13(4), 223-235. [Google Scholar] [CrossRef]

Jun, J. S., Lee, K. H., & Bolin, B. L. (2015). Stress and spirituality on the depressive symptoms of older adults in assisted living: Gender differences. Journal of Evidence-Informed Social Work, 12(6), 588-600. [Google Scholar] [CrossRef]

Kimura, T., Sakuma, T., Isaka, H., Uchida, S., & Yamaoka, K. (2016). Depressive symptoms and spiritual wellbeing in Japanese university students. International Journal of Culture and Mental Health, 9(1), 14-30. [Google Scholar] [CrossRef]

Koenig, H. G. (2001). Religion, spirituality, and medicine: How are they related and what does it mean?. Mayo Clinic Proceedings, 76(12), 1189-1191. [Google Scholar] [CrossRef]

Koenig, H. G., & McConnell, M. (2001). The healing power of faith: How belief and prayer can help you triumph over disease. London, UK: Simon & Schuster. [Google Scholar]

Kreitzer, M. J. (2012). Spirituality and well-being: Focusing on what matters. Western Journal of Nursing Research, 34(6), 707-711. [Google Scholar] [CrossRef]

Lima, M. P. (2010). Envelhecimento(s) [Aging(s)] (1st ed.). Coimbra: Imprensa da Universidade de Coimbra. [Google Scholar]

Lou, V. W. Q. (2015). Spiritual well-being of Chinese older adults: Conceptualization, measurement and intervention (1st ed.). Heidelberg: Springer. [Google Scholar] [CrossRef]

Marcoen, A. (1994). Spirituality and personal well-being in old age. Ageing and Society, 14(4), 521-536. [Google Scholar] [CrossRef]

Marôco, J. (2014). Análise estatística com o SPSS statistics [Statistical analysis with SPSS statistics] (6th ed.). Pêro Pinheiro: ReportNumber. [Google Scholar]

Marques, L. F. (2003). A saúde e o bem-estar espiritual em adultos porto-alegrenses [Health and spiritual well-fare in adults from Porto Alegre]. Psicologia, Ciência e Profissão, 23(2), 56-65. [Google Scholar] [CrossRef]

McFadden, S. H. (1999). Religion, personality, and aging: A life span perspective. Journal of Personality, 67(6), 1081-1104. [Google Scholar] [CrossRef]

Meraviglia, M. G. (1999). Critical analysis of spirituality and its empirical indicators: Prayer and meaning in life. Journal of Holistic Nursing, 17(1), 18-33. [Google Scholar] [CrossRef]

Monteiro, M. R. (2009). Correlatos de bem-estar espiritual de indivíduos em reabilitação cardíaca pós-enfarte agudo do miocárdio [Correlates of spiritual well-being of individuals in cardiac rehabilitation after acute myocardial infarction] (Master’s thesis, Universidade Fernando Pessoa, Porto). [Google Scholar] [Handle]

Murphy, K. R., & Davidshofer, C. O. (2004). Psychological testing: Principles and applications (6th ed.). Englewood Cliffs, NJ: Prentice-Hall. [Google Scholar]

Nelson, J. M. (2009). Psychology, religion, and spirituality (1st ed.). New York, NY: Springer-Verlag. [Google Scholar]

Pachana, N. A., Byrne, G. J., Siddle, H., Koloski, N., Harley, E., & Arnold, E. (2007). Development and validation of the Geriatric Anxiety Inventory. International Psychogeriatrics, 19(1), 103-114. [Google Scholar] [CrossRef]

Pallant, J. (2011). SPSS survival manual: A step by step guide to data analysis using SPSS for Windows (4th ed.). Crows Nest NSW: Allen and Unwin. [Google Scholar]

Payne, B. P. (1994). Faith development of older men. In E. H. Thompson (Ed.), Older men’s lives (pp. 85-103). Thousand Oaks, CA: Sage. [Google Scholar]

Pearson, L. C., & Hall, B. W. (1993). Initial construct validation of the Teaching Autonomy Scale. Journal of Educational Research, 86(3), 172-178. [Google Scholar] [CrossRef]

Poor, H. J., Borgi, M., Borgi, M., & Moslemi, A. (2016). The relationship between spiritual well-being and quality of life and optimism on the staff of Arak University of Medical Sciences. Health, Spirituality and Medical Ethics, 3(2), 8-15. [Google Scholar] [URL]

PORDATA. (2015). Índice de envelhecimento: Onde há mais e menos idosos por 100 jovens? [Aging Index: Where are there more and less old people per 100 young people?]. Base de dados Portugal Contemporâneo. [URL]

Rahimi, A., Anoosheh, M., Ahmadi, F., & Foroughan, M. (2013). Exploring spirituality in Iranian healthy elderly people: A qualitative content analysis. Iranian Journal of Nursing and Midwifery Research, 18(2), 163-170. [Google Scholar] [PMC]

Ribeiro, O., Paúl, C., Simões, M. R., & Firmino, H. (2011). Portuguese version of the Geriatric Anxiety Inventory: Transcultural adaptation and psychometric validation. Aging & Mental Health, 15(6), 742-748. [Google Scholar] [CrossRef]

Rodrigues, L. R., Nader, I. D., Silva, A. T. M., Tavares, D. M. S., Assunção, L. M., & Molina, N. P. F. M. (2017). Spirituality and religiosity related to socio-demographic data of the elderly population. Northeast Network Nursing Journal, 18(4), 429-436. [Google Scholar] [CrossRef]

Schneider, R. H., & Irigaray, T. Q. (2008). O envelhecimento na atualidade: Aspectos cronológicos, biológicos, psicológicos e sociais [The process of aging in today's world: chronological, biological, psychological and social aspects]. Estudos de Psicologia (Campinas), 25(4), 585-593. [Google Scholar] [CrossRef]

Singh, D., & Kedare, J. (2014). A study of depression in medically ill elderly patients with respect to coping strategies and spirituality as a way of coping. Journal of Geriatric Mental Health, 1(2), 83-89. [Google Scholar] [CrossRef]

Smith, G., & Rush, B. K. (2006). Normal aging and mild cognitive impairment. In D. K. Attix & K. A. Welsh-Bohmer (Eds.), Geriatric neuropsychology: Assessment and intervention (pp. 27-55). New York, NY: Guilford Press. [Google Scholar]

Taghiabadi, M., Kavosi, A., Mirhafez, S. R., Keshvari, M., & Mehrabi, T. (2017). The association between death anxiety with spiritual experiences and life satisfaction in elderly people. Electronic Physician, 9(3), 3980-3985. [Google Scholar] [CrossRef]

Tornstam, L. (1999). Late-life transcendence: A new developmental perspective on aging. In L. E. Thomas & S. A. Eishenhandler (Eds.), Religion, belief, and spirituality in late life (pp. 178-202). New York, NY: Springer. [Google Scholar]

Velasco-Gonzalez, L., & Rioux, L. (2014). The spiritual well-being of elderly people: A study of a French sample. Journal of Religion and Health, 53(4), 1123-1137. [Google Scholar] [CrossRef]

Watkins, M. W. (2000). Monte Carlo PCA for parallel analysis [Computer software]. State College, PA: Ed & Psych Associates. [Google Scholar]

Wink, P., & Dillon, M. (2002). Spiritual development across the adult course: Findings from a longitudinal study. Journal of Adult Development, 9(1), 79-94. [Google Scholar] [CrossRef]

World Health Organization. (1998). WHOQOL and spirituality, religiousness and personal beliefs (SRPB). [WHO reference number: WHO/MSA/MPH/98.2]. [Google Scholar] [Handle]

World Health Organization. (2015). World report on ageing and health. Genebra: Autor. [Google Scholar]

Yesavage, J. A., Brink, T. L., Rose, T. L., Lum, O., Huang, V., Adey, M., & Leirer, V. O. (1983). Development and validation of a geriatric depression screening scale: A preliminary report. Journal of Psychiatric Research, 17(1), 37-49. [Google Scholar] [CrossRef]

Zinnbauer, B. J., & Pargament, I. K. (2002). Capturing the meanings of religiousness and spirituality: One way down from a definitional Tower of Babel. In R. L. Piedmont & D. O. Moberg (Eds.), Research in the Social Scientific Study of Religion (Vol. 13, pp. 23-54). Leiden, The Netherlands: BRILL. [Google Scholar]