2025, Number 1
<< Back
Salud Mental 2025; 48 (1)
Psychometric Properties of Tools for Assessing Spirituality: A Scoping Review
Aya-Roa KJ, Beltrán-Campos V, García-Campo ML, Vargas-Escobar LM, Hernández-Mariano JÁ
Language: English
References: 53
Page: 47-66
PDF size: 329.49 Kb.
ABSTRACT
Background The study of spirituality has gained importance, as it correlates with mental health and coping
strategies, particularly at times of vulnerability. Spirituality could therefore contribute to the development of
interventions to improve people’s quality of life. Experts often base the development of interventions and
treatments on instruments measuring constructs such as spiritual well-being, which requires validated, reliable
instruments.
Objective. This scoping review sought to summarize the evidence in the literature on the instruments
available to assess spirituality in different groups and evaluate the content and psychometric properties
of these instruments.
Method. A search was conducted on PubMed, Virtual Health Library (VHL), Elsevier,
Springer, Scopus, and Google Scholar databases, using a combination of keywords such as “spirituality,”
“validation study,” and “psychometrics.” The search was restricted to studies published in English and Spanish
from January 2013 to March 2023.
Results. Sixty-four studies were included in this review. Two categories
of analysis were established, the first being constructs related to spirituality and instruments for their measurement,
in which a total of 22 conceptual constructs were found. The second was the validity and reliability
of the instruments, in which it was found that most studies only assessed construct validity.
Discussion and
conclusion. Given the complexity of the phenomenon, many instruments lack conceptual boundaries, resulting
in similarities between items in instruments measuring different constructs. Determining the attributes and
dimensions for the accurate measurement of spirituality is essential.
REFERENCES
Adib-Hajbaghery, M., & Zehtabchi, S. (2016). Developing and Validating anInstrument to Assess the Nurses’ Professional Competence in Spiritual Care.Journal of Nursing Measurement, 24(1), 15-27. https://doi.org/10.1891/1061-3749.24.1.15
Agli, O., Bailly, N., & Ferrand, C. (2017). Validation of the Functional Assessmentof Chronic Illness Therapy—Spiritual Well-being (FACIT-Sp12) on French OldPeople. Journal of Religion and Health, 56(2), 464-476. https://doi.org/10.1007/s10943-016-0220-0
Ahmad, N., Sinaii, N., Panahi, S., Bagereka, P., Serna-Tamayo, C., Shnayder, S.,Ameli, R., & Berger, A. (2022). The FACIT-Sp spiritual wellbeing scale: a factoranalysis in patients with severe and/or life-limiting medical illnesses. Annals ofPalliative Medicine, 11(12), 3663-3673. https://doi.org/10.21037/apm-22-692
Becerra Canales, B., & Becerra Huaman, D. (2020). Diseño y validación de la escalade Inteligencia Espiritual en la práctica sanitaria, Ica-Perú. Enfermería Global,19(4), 349-378. https://doi.org/10.6018/eglobal.417371
Becerra-Partida, E. N., Millán, R. M., & Arias, D. R. R. (2019). Depresión en pacientescon diabetes mellitus tipo 2 del programa DiabetIMSS en Guadalajara, Jalisco,México. Revista CONAMED, 24(4), 174–178. http://www.conamed.gob.mx/gobmx/revista/pdf/vol_23_2018/COMPLETO_4.pdf
Benito, E., Oliver, A., Galiana, L., Barreto, P., Pascual, A., Gomis, C., &Barbero, J. (2014). Development and Validation of a New Tool for theAssessment and Spiritual Care of Palliative Care Patients. Journal of Painand Symptom Management, 47(6), 1008-1018.e1. https://doi.org/10.1016/j.jpainsymman.2013.06.018
Berger, D., Fink, A., Perez Gomez, M. M., Lewis, A., & Unterrainer, H. (2016). TheValidation of a Spanish Version of the Multidimensional Inventory of Religious/Spiritual Well-Being in Mexican College Students. The Spanish Journal ofPsychology, 19, https://doi.org/10.1017/sjp.2016.9
Burke, L. A., Crunk, A. E., Neimeyer, R. A., & Bai, H. (2021). Inventory ofComplicated Spiritual Grief 2.0 (ICSG 2.0): Validation of a revised measure ofspiritual distress in bereavement. Death Studies, 45(4), 249-265. https://doi.org/10.1080/07481187.2019.1627031
Burke, L. A., Neimeyer, R. A., Holland, J. M., Dennard, S., Oliver, L., & Shear, M. K.(2013). Inventory of Complicated Spiritual Grief: Development and Validationof a New Measure. Death Studies, 38(4), 239–250. https://doi.org/10.1080/07481187.2013.810098
Büssing, A., Franczak, K., & Surzykiewicz, J. (2016). Spiritual and ReligiousAttitudes in Dealing with Illness in Polish Patients with Chronic Diseases:Validation of the Polish Version of the SpREUK Questionnaire. Journalof Religion and Health, 55(1), 67–84. https://doi.org/10.1007/s10943-014-9967-3
Caccia, P., & Elgier, M. (2020). Resiliencia y satisfacción con la vida en adolescentessegún nivel de espiritualidad. PSOCIAL; 6(2), 62–70. https://publicaciones.sociales.uba.ar/index.php/psicologiasocial/article/view/5975
Daaleman, T. P., Reed, D., Cohen, L. W., & Zimmerman, S. (2014). Developmentand Preliminary Testing of the Quality of Spiritual Care Scale. Journal ofPain and Symptom Management, 47(4), 793-800. https://doi.org/10.1016/j.jpainsymman.2013.06.004
de Diego-Cordero, R., Suárez-Reina, P., Badanta, B., Lucchetti, G., & Vega-Escaño,J. (2022). The efficacy of religious and spiritual interventions in nursing care topromote mental, physical and spiritual health: A systematic review and metaanalysis.Applied Nursing Research, 67, 151618. https://doi.org/10.1016/j.apnr.2022.151618
de Jager Meezenbroek, E., Garssen, B., van den Berg, M., van Dierendonck, D.,Visser, A., & Schaufeli, W. B. (2012). Measuring Spirituality as a UniversalHuman Experience: A Review of Spirituality Questionnaires. Journal of Religionand Health, 51(2), 336-354. https://doi.org/10.1007/s10943-010-9376-1
Deluga, A., Dobrowolska, B., Jurek, K., Ślusarska, B., Nowicki, G., & Palese, A.(2020). Nurses’ spiritual attitudes and involvement—Validation of the Polishversion of the Spiritual Attitude and Involvement List. PLOS ONE, 15(9),e0239068. https://doi.org/10.1371/journal.pone.0239068
Deng, L. R., Masters, K. S., Schmiege, S. J., Hess, E., & Bekelman, D. B. (2021).Two Factor Structures Possible for the FACIT-Sp in Patients With Heart Failure.Journal of Pain and Symptom Management, 62(5), 1034-1040. https://doi.org/10.1016/j.jpainsymman.2021.05.009
Díaz-Castillo, R., Montero-López Lena, M., González-Escobar, S., & González-Arratia López Fuente, N. I. (2021). Desarrollo y validación de la EscalaTrifactorial de Espiritualidad en personas adultas mayores mexicanas. Neurama,8(1), 39–52. https://www.neurama.es/articulos/15/articulo4.pdf
Elhai, N., Carmel, S., O’Rourke, N., & Bachner, Y. G. (2018). Translation andvalidation of the Hebrew version of the SHALOM Spiritual questionnaire.Aging & Mental Health, 22(1), 46–52. https://doi.org/10.1080/13607863.2016.1222350
Epstein, J., Santo, R. M., & Guillemin, F. (2015). A review of guidelines forcross-cultural adaptation of questionnaires could not bring out a consensus.Journal of Clinical Epidemiology, 68(4), 435-441. https://doi.org/10.1016/j.jclinepi.2014.11.021
Erci, B., & Aktürk, Ü. (2018). The System of Belief Inventory: A Validation Studyin Turkish Cancer Patients. Journal of religion and health, 57(4), 1237-1245.https://doi.org/10.1007/s10943-017-0406-0
Feng, J., Li, Y., Sun, Y., Wang, L., Qi, W., Wang, K. T., & Xue, Y. (2021). The ChineseSpiritual Coping Scale: Development and Initial Psychometric Evaluation. Journalof religion and health, 60(1), 458–474. https://doi.org/10.1007/s10943-019-00970-z
Feng, M., Xiong, X.-y., & Li, J.-j. (2019). Spiritual Intelligence Scale--Chinese form:Construction and initial validation. Current Psychology: A Journal for DiversePerspectives on Diverse Psychological Issues, 38(5), 1318–1327. https://doi.org/10.1007/s12144-017-9678-5
Fopka-Kowalczyk, M., Best, M., & Krajnik, M. (2023). The Spiritual Supporter Scaleas a New Tool for Assessing Spiritual Care Competencies in Professionals:Design, Validation, and Psychometric Evaluation. Journal of religion andhealth, 62(3), 2081–2111. https://doi.org/10.1007/s10943-022-01608-3
Fuentes, L. del C. (2018). La Religiosidad y la Espiritualidad ¿Son conceptos teóricosindependientes? Revista de Psicología, 14(28), 109-119. https://erevistas.uca.edu.ar/index.php/RPSI/article/view/1742
Gallardo-Peralta, L. P., Cuadra-Peralta, A., & Veloso-Besio, C. (2018). Validación deun Índice Breve de Religiosidad y Espiritualidad en personas mayores. Revistade Psicología, 27(1), 1. https://doi.org/10.5354/0719-0581.2018.50736
Gallegos, W. L. A., Loayza, A. E., Rivera, R., & Cohello, A. L. N. (2021). Modified andValidated Version of the System of Beliefs Inventory (SBI-15R) in a Sample ofInhabitants from Arequipa City (Peru). International Journal of Latin AmericanReligions, 5(2), 501-518. https://doi.org/10.1007/s41603-021-00139-1
González-Rivera, J. A., & Pagán-Torres, O. M. (2018). Desarrollo y Validación deun instrumento para medir Estrategias de Afrontamiento Religioso. RevistaEvaluar, 18(1), 70-86. https://doi.org/10.35670/1667-4545.v18.n1.19771
González-Rivera, J. A., Quintero-Jiménez, N., Veray-Alicea, J., & Rosario-Rodríguez,A. (2017). Adaptación y validación de la escala de espiritualidad de delaneyen una muestra de adultos puertorriqueños. Revista Electrónica de PsicologíaIztacala, 20(1). https://www.revistas.unam.mx/index.php/repi/article/view/58935
González-Rivera, J. A., Veray-Alicea, J., & Rosario-Rodríguez, A. (2017). Desarrollo,validación y descripción teórica de la escala de espiritualidad personal en unamuestra de adultos en Puerto Rico. Revista Puertorriqueña de Psicología,28(2), 388-404.
González-Rivera, J., Rosario-Rodríguez, A., & Pagán-Torres, O. (2018). ConfirmatoryFactorial Analysis of the Personal Spirituality Scale in Puerto Ricans AdultsInteracciones. Interacciones, 4(3), 153-162. https://doi.org/10.24016/2018.v4n3.101
Gonçalves, A. M. D. S., Santos, M. A. D., Chaves, E. D. C. L., & Pillon, S. C.(2016). Adaptação transcultural e validação da versão brasileira da TreatmentSpirituality / Religiosity Scale. Revista Brasileira de Enfermagem, 69(2), 235-241. https://doi.org/10.1590/0034-7167.2016690205i
Guilherme, C., Fulquini, F., Ribeiro, V., Gadioli, B., Eduardo, A., Caldeira, S., &Carvalho, E. (2020). Validity evidenceofthe spiritual care competence scalefor brazilian undergraduate nursing students. Reme: Revista Mineira deEnfermagem, 24(1), e-1343. https://doi.org/10.5935/1415.2762.20200080
Głaz, S. (2021). Psychological Analysis of Religiosity and Spirituality: Constructionof the Scale of Abandonment by God (SAG). Journal of Religion and Health,60(5), 3545–3561. https://doi.org/10.1007/s10943-021-01197-7
Herdman, M., Fox-Rushby, J., & Badia, X. (1998). A model of equivalence in thecultural adaptation of HRQoL instruments: the universalist approach. Quality oflife research : an international journal of quality of life aspects of treatment, careand rehabilitation, 7(4), 323-335. https://doi.org/10.1023/a:1024985930536
Hu, Y., Tiew, L. H., & Li, F. (2019). Psychometric properties of the Chinese versionof the spiritual care-giving scale (C-SCGS) in nursing practice. BMC MedicalResearch Methodology, 19(1), 21. https://doi.org/10.1186/s12874-019-0662-7
İpek Çoban, G., Şirin, M., & Yurttaş, A. (2017). Reliability and Validity of theSpiritual Care-Giving Scale in a Turkish Population. Journal of Religion andHealth, 56(1), 63-73. https://doi.org/10.1007/s10943-015-0086-6
Kabakci, E. N., & Çelik, N. (2022). Adaptation into Turkish and evaluation of thepsychometric properties of the Spiritual Care Competence Scale. CentralEuropean Journal of Nursing and Midwifery, 13(2), 648-656. https://doi.org/10.15452/cejnm.2022.13.0001
Kang, K. A., Taylor, E. J., & Chun, J. (2022). Nurse Spiritual Care TherapeuticsScale: Validation Among Nurses Who Care for Patients With Life-ThreateningIllnesses in South Korea. Journal of hospice and palliative nursing, https://doi.org/10.1097/NJH.0000000000000895. Advance online publication. https://doi.org/10.1097/NJH.0000000000000895
Levine, E. G., Vong, S., & Yoo, G. J. (2015). Development and Initial Validation of aSpiritual Support Subscale for the MOS Social Support Survey. Journal of Religionand Health, 54(6), 2355-2366. https://doi.org/10.1007/s10943-015-0005-x
Lin, Y. L., Rau, K. M., Liu, Y. H., Lin, Y. H., Ying, J., & Kao, C. C. (2015).Development and validation of the Chinese Version of Spiritual InterestsRelated Illness Tool for patients with cancer in Taiwan. European journal ofoncology nursing, 19(5), 589-594. https://doi.org/10.1016/j.ejon.2015.03.005
Lloret-Segura, Susana, Ferreres-Traver, Adoración, Hernández-Baeza, Ana, &Tomás-Marco, Inés. (2014). El Análisis Factorial Exploratorio de los Ítems: unaguía práctica, revisada y actualizada. Anales de Psicología, 30(3), 1151-1169.https://dx.doi.org/10.6018/analesps.30.3.199361
Lo, G., Chen, J., Wasser, T., Portenoy, R., & Dhingra, L. (2016). Initial Validationof the Daily Spiritual Experiences Scale in Chinese Immigrants With CancerPain. Journal of Pain and Symptom Management, 51(2), 284-291. https://doi.org/10.1016/j.jpainsymman.2015.10.002
López-Aguado, M., & Gutiérrez-Provecho, L. (2019). Cómo realizar e interpretarun análisis factorial exploratorio utilizando SPSS. REIRE Revista d’InnovacióiRecerca en Educació, 12(2), https://doi.org/10.1344/reire2019.12.227057
López-Tarrida, Á. C, Ruiz-Romero, V., & González-Martín, T. (2020). Cuidando consentido: la atención de lo espiritual en la práctica clínica desde la perspectiva delprofesional. Revista Española de Salud Pública, 94, 202001002. Recuperadoen 08 de enero de 2025, de http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1135-57272020000100083&lng=es&tlng=es.
Lundman, B., Årestedt, K., Norberg, A., Norberg, C., Fischer, R. S., & Lövheim,H. (2015). Psychometric Properties of the Swedish Version of the Self-Transcendence Scale Among Very Old People. Journal of Nursing Measurement,23(1), 96-111. https://doi.org/10.1891/1061-3749.23.1.96
Makkar, S., & Singh, A. K. (2021). Development of a spirituality measurement scale.Current Psychology, 40(3), 1490-1497. https://doi.org/10.1007/s12144-018-0081-7
Martins, H., Caldeira, S., Domingues, T., Vieira, M., & Koenig, H. (2021). Validationof the Duke University Religion Index (DUREL) in Portuguese Cancer PatientsUndergoing Chemoterapy. Journal of Religion and Health, 60(5), 3562-3575.https://doi.org/10.1007/s10943-020-01143-z
Moeini, B., Zamanian, H., Taheri-Kharameh, Z., Ramezani, T., Saati-Asr, M.,Hajrahimian, M., & Amini-Tehrani, M. (2018). Translation and PsychometricTesting of the Persian Version of the Spiritual Needs Questionnaire AmongElders With Chronic Diseases. Journal of Pain and Symptom Management,55(1), 94-100. https://doi.org/10.1016/j.jpainsymman.2017.08.024
Mokkink, L. B., de Vet, H. C. W., Prinsen, C. A. C., Patrick, D. L., Alonso, J., Bouter,L. M., & Terwee, C. B. (2018). COSMIN Risk of Bias checklist for systematicreviews of Patient-Reported Outcome Measures. Quality of life research, 27(5),1171-1179. https://doi.org/10.1007/s11136-017-1765-4
Morales Contreras, B. N., & Palencia Sierra, J. J. (2021). Dimensión espiritual en elcuidado enfermero. Enfermería Investiga, 6(2), 51-59. https://doi.org/10.31243/ei.uta.v6i2.1073.2021
Morales-Ramón, F., & Ojeda-Vargas, M. G. (2014). El cuidado espiritual como unaoportunidad de cuidado y trascendencia en la atención de enfermería. Salud enTabasco, 20(3), 94-97.
Muñiz, J., & Fonseca-Pedrero, E. (2019). Diez pasos para la construcción de un test.Psicothema, 1(31), 7-16. https://doi.org/10.7334/psicothema2018.291
Muñoz Devesa, A., Morales Moreno, I., Bermejo Higuera, J. C., & Galán González Serna,J. M. (2014). La Enfermería y los cuidados del sufrimiento espiritual. Index deEnfermería, 23(3), 153-156. https://doi.org/10.4321/s1132-12962014000200008