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Psychometric Properties of the Persian Spiritual Coping Strategies Scale in Hemodialysis Patients

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Abstract

Spiritual strategies may provide an effective way of coping with disease. This study sought to investigate the validity and reliability of the Persian version of the spiritual coping strategies (SCS) scale among Iranian hemodialysis patients. A convenience sample of 204 hemodialysis patients was recruited to participate in the study. A forward–backward translation method was used to produce the Persian version of the scale. Internal consistency was assessed by Cronbach’s alpha and item–total score correlation. Two-week test–retest reliability was also assessed. The convergent and divergent validity of the scale was evaluated using the Duke University Religion Index and a visual analogue scale for health status. Exploratory and confirmatory factor analyses were used to assess the factor structure. Participants consisted of 113 males and 91 females (mean age 57.2 [SD = 9.7]). Cronbach’s alpha was acceptable (0.87). We found two underlying factors similar to the original scale. The correlations between the study scales confirmed the convergent and divergent validity of the SCS. Confirmatory factor analysis showed a good fit to the data (GFI = 0.923, CFI = 0.948 and RMSEA = 0.068). The Persian version of the SCS has sound psychometric properties in Iranian hemodialysis patients. Future research should consider applying the scale to populations with other religious/cultural backgrounds.

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References

  • Aghighi, M., Mahdavi-Mazdeh, M., Zamyadi, M., Heidary Rouchi, A., Rajolani, H., & Nourozi, S. (2009). Changing epidemiology of end-stage renal disease in last 10 years in Iran. Iranian Journal of Kidney Diseases, 3(4), 192–196.

    PubMed  Google Scholar 

  • Amoah, C. F. (2011). The central importance of spirituality in palliative care. International Journal of Palliative Nursing, 17(7), 353–358.

    Article  PubMed  Google Scholar 

  • Baldacchino, D. R., & Buhagiar, A. (2003). Psychometric evaluation of the Spiritual Coping Strategies scale in English, Maltese, back-translation and bilingual versions. Journal of Advanced Nursing, 42(6), 558–570.

    Article  PubMed  Google Scholar 

  • Battistello, M. (2012). Management of depression in hemodialysis patients. Canadian Association of Nephrology Nurses and Technicians Journal 22(3), 29–34; quiz 35–26.

  • Beaton, D. E., Bombardier, C., Guillemin, F., & Ferraz, M. B. (2000). Guidelines for the process of cross-cultural adaptation of self-report measures. Spine, 25(24), 3186–3191.

    Article  CAS  PubMed  Google Scholar 

  • Bugarski, V., Sakac, V., Vodopivec, S., & Slankamenac, P. (2010). Relation between personality dimensions and depressive symptoms in patients on hemodialysis. Medicinski Pregled, 63(5–6), 305–312.

    Article  PubMed  Google Scholar 

  • Burker, E. J., Evon, D. M., Sedway, J. A., & Egan, T. (2005). Religious and non-religious coping in lung transplant candidates: Does adding God to the picture tell us more? Journal of Behavioral Medicine, 28(6), 513–526.

    Article  PubMed  Google Scholar 

  • Burrai, F., Scalorbi, S., Sebastiani, S., & Cenerelli, D. (2009). Psychometric analysis of the principal components of the Spiritual Coping Strategies. Scenario, 26, 13–20.

    Google Scholar 

  • Charzynska, E. (2012). Development of a questionnaire measuring spiritual coping. Psychology and Health, 27, 177–178.

    Google Scholar 

  • Davison, S. N., & Jhangri, G. S. (2010). Existential and supportive care needs among patients with chronic kidney disease. Journal of Pain and Symptom Management, 40(6), 838–843.

    Article  PubMed  Google Scholar 

  • Eli Friedman. (2012). A Comparison of ESRD Therapy in the United States and Overseas (An Editorial). Retrieved 2013-01-13, from The American Association of Kidney Patients (AAKP): http://www.aakp.org/aakp-library/Comparison-ESRD-Therapy-United-States-Overseas/.

  • Fustos, K. (2011). The Global Muslim Population. Retrieved 2013-01-10, from Population Reference Bureau: http://www.prb.org/Articles/2011/muslim-population-growth.aspx.

  • Gill, C. S., Minton, C. A. B., & Myers, J. E. (2010). Spirituality and religiosity: Factors affecting wellness among low-income, rural women. Journal of Counseling and Development, 88(3), 293–302.

    Article  Google Scholar 

  • Hair, J. F. (2010). Multivariate data analysis (7th ed.). Upper Saddle River, NJ: Prentice Hall.

    Google Scholar 

  • Haque, A. (2004). Religion and mental health: The case of American Muslims. Journal of Religion and Health, 43(1), 45–58.

    Article  Google Scholar 

  • Hawthorne, D., Youngblut, J. M., & Brooten, D. (2011). Psychometric evaluation of the Spanish and English versions of the spiritual coping strategies scale. Journal of Nursing Measurement, 19(1), 46–54.

    Article  PubMed Central  PubMed  Google Scholar 

  • Hunglemann, J. A., Kenkel-Rossi, E., Klassen, L., & Stollenwerk, R. M. (1985). Spiritual well-being in older adults: Harmonious interconnectedness. Journal of Religion and Health, 24(2), 147–153.

    Article  Google Scholar 

  • Hutch, R. A. (2011). Health and Healing: Spiritual, Pharmaceutical, and Mechanical Medicine. Journal of Religion Health.

  • Ichikawa, M., & Konishi, S. (2008). Constructing second-order accurate confidence intervals for communalities in factor analysis. British Journal of Mathematical and Statistical Psychology, 61, 361–378.

    Article  PubMed  Google Scholar 

  • Jeremy J. (2009). Confirmatory Factor Analysis using Amos, LISREL, Mplus, SAS/STAT CALIS. Retrieved 2013-01-5, from Indiana University: http://www.indiana.edu/~statmath.

  • Kalish, N. (2012). Evidence-based spiritual care: A literature review. Current Opinion in Supportive and Palliative Care, 6(2), 242–246.

    Article  PubMed  Google Scholar 

  • Kao, T. W., Chen, P. C., Hsieh, C. J., Chiang, H. W., Tsang, L. Y., Yang, I. F., et al. (2009). Correlations between spiritual beliefs and health-related quality of life of chronic hemodialysis patients in Taiwan. Artificial Organs, 33(7), 576–579.

    Article  PubMed  Google Scholar 

  • Kimura, T., Hayashida, K., Araki, Y., Morita, T., Yamaguchi, N., & Eboshida, A. (2008). How valid is the self-administered visual analogue scale for assessing the health status of elderly people? Hiroshima Journal of Medical Sciences, 57(3–4), 85–92.

    PubMed  Google Scholar 

  • Koenig, H., Parkerson, G. R, Jr, & Meador, K. G. (1997). Religion index for psychiatric research. American Journal of Psychiatry, 154(6), 885–886.

    CAS  PubMed  Google Scholar 

  • Modi, G. K., & Jha, V. (2006). The incidence of end-stage renal disease in India: A population-based study. Kidney International, 70(12), 2131–2133.

    CAS  PubMed  Google Scholar 

  • NIDDK. (2012). Kidney Disease Statistics for the United States. Retrieved 2013-01-16, from National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK): http://kidney.niddk.nih.gov/kudiseases/pubs/kustats/.

  • Pakpour, A. H., Saffari, M., Yekaninejad, M. S., Panahi, D., Harrison, A. P., & Molsted, S. (2010). Health-related quality of life in a sample of Iranian patients on hemodialysis. Iranian Journal of Kidney Diseases, 4(1), 50–59.

    PubMed  Google Scholar 

  • Pakpour, A. H., Yekaninejad, M., Molsted, S., Harrison, A. P., Hashemi, F., & Saffari, M. (2011). Translation, cultural adaptation assessment, and both validity and reliability testing of the kidney disease quality of life—short form version 1.3 for use with Iranian patients. Nephrology, 16(1), 106–112.

    Article  PubMed  Google Scholar 

  • Parkin, D., Rice, N., Jacoby, A., & Doughty, J. (2004). Use of a visual analogue scale in a daily patient diary: modelling cross-sectional time-series data on health-related quality of life. Social Science and Medicine, 59(2), 351–360.

    Article  PubMed  Google Scholar 

  • Ptacek, J. T., Pierce, G. R., & Ptacek, J. J. (2007). Coping, distress, and marital adjustment in couples with cancer: an examination of the personal and social context. Journal of Psychosocial Oncology, 25(2), 37–58.

    Article  CAS  PubMed  Google Scholar 

  • Ramirez, S. P., Macedo, D. S., Sales, P. M. G., Figueiredo, S. M., Daher, E. F., Araujo, S. M., et al. (2012). The relationship between religious coping, psychological distress and quality of life in hemodialysis patients. Journal of Psychosomatic Research, 72(2), 129–135.

    Article  PubMed  Google Scholar 

  • Renty, J., & Roeyers, H. (2007). Individual and marital adaptation in men with autism spectrum disorder and their spouses: The role of social support and coping strategies. Journal of Autism and Developmental Disorders, 37(7), 1247–1255.

    Article  PubMed  Google Scholar 

  • Saffari, M., Zeidi, I. M., Pakpour, A. H., & Koenig, H. G. (2012). Psychometric Properties of the Persian Version of the Duke University Religion Index (DUREL): A Study on Muslims. J Relig Health.

  • Seidl, L. G. (1993). The value of spiritual health. Health Programme, 74(7), 48–50.

    CAS  Google Scholar 

  • Tanyi, R. A., & Werner, J. S. (2003). Adjustment, spirituality, and health in women on hemodialysis. Clinical Nursing Research, 12(3), 229–245.

    Article  PubMed  Google Scholar 

  • Thune-Boyle, I. C., Stygall, J., Keshtgar, M. R., Davidson, T. I., & Newman, S. P. (2012). Religious/spiritual coping resources and their relationship with adjustment in patients newly diagnosed with breast cancer in the UK. Psychooncology.

  • Weisbord, S. D., Fried, L. F., Arnold, R. M., Rotondi, A. J., Fine, M. J., Levenson, D. J., et al. (2004). Development of a symptom assessment instrument for chronic hemodialysis patients: The dialysis symptom index. Journal of Pain and Symptom Management, 27(3), 226–240.

    Article  PubMed  Google Scholar 

  • WHO. (2012). How can we achieve global equity in provision of renal replacement therapy? Retrieved 2013-01-14, from World Health Organization: http://www.who.int/bulletin/volumes/86/3/07-041715/en/.

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Acknowledgments

The authors thank Baqiyatallah University of Medical Sciences for support to conduct the study. Also, we are grateful to Mr. Ali Karami and Mrs. Maryam Naderi for their valuable help to data collection.

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Correspondence to Mohsen Saffari.

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Saffari, M., Koenig, H.G., Ghanizadeh, G. et al. Psychometric Properties of the Persian Spiritual Coping Strategies Scale in Hemodialysis Patients. J Relig Health 53, 1025–1035 (2014). https://doi.org/10.1007/s10943-013-9700-7

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