Including the spiritual dimension in the treatment of patients with affective disorders: validation of the spiritual distress and resources questionnaire (SDRQ).

IF 3 3区心理学 Q1 PSYCHOLOGY, MULTIDISCIPLINARY

BMC Psychology Pub Date : 2025-02-11 DOI:10.1186/s40359-025-02438-0

Gerhard Stutz, Florian Hotzy, Andrea Eisenhut, Franziska von Keyserlingk, Hanspeter Moergeli, Simon Peng-Keller, Michael Rufer

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Abstract

Background: There is a lack of valid instruments for assessing spiritual resources and distress in the context of psychiatry and psychotherapy. To fill this gap, the newly developed Spiritual Distress and Resources Questionnaire (SDRQ) was studied in patients with affective disorders. The purpose of this study was to examine the psychometric properties of the SDRQ.

Methods: The SDRQ was administered to 177 patients with affective disorders. Measurement properties including reliability, structural validity and construct validity were analysed. In addition, a sub-sample of 41 participants completed the SDRQ a second time to assess test-retest reliability.

Results: Exploratory factor analysis confirmed that the 22 items of the SDRQ could be grouped into four subscales: spiritual distress, spiritual coping, immanence and transcendence. The spiritual distress, transcendence, immanence and spiritual coping subscales showed high internal consistency as indicated by Cronbach's alpha coefficients (0.83-0.88). The construct validity of the SDRQ was supported by meaningful and significant correlations with established measures in the field. In particular, higher levels of spiritual distress were strongly associated with higher scores on the Hospital Anxiety and Depression Scale.

Conclusion: The results of this study suggest that the SDRQ is a reliable, valid and user-friendly screening tool for assessing spiritual distress, spiritual resources and spiritual coping in patients with affective disorders. The use of the SDRQ may be useful to adequately address and integrate spiritual aspects in a multimodal care approach.

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在情感性障碍患者的治疗中纳入精神维度：精神困扰与资源问卷（SDRQ）的验证。

背景：在精神病学和心理治疗的背景下，缺乏有效的工具来评估精神资源和痛苦。为了填补这一空白，我们在情感性障碍患者中研究了新开发的精神困扰和资源问卷（SDRQ）。本研究的目的是检验SDRQ的心理测量特性。方法：对177例情感性障碍患者实施SDRQ。分析了测量的信度、结构效度和结构效度。此外，41名参与者的子样本第二次完成了SDRQ，以评估重测信度。结果：探索性因子分析证实，SDRQ的22个条目可分为精神困扰、精神应对、内在和超越四个分量表。精神痛苦、超越性、内在性和精神应对四个分量表的Cronbach α系数（0.83 ~ 0.88）显示出较高的内部一致性。SDRQ的结构效度得到了与该领域已建立的措施有意义和显著相关的支持。特别是，精神痛苦程度越高，在医院焦虑和抑郁量表上的得分越高。结论：本研究结果表明，SDRQ是一种可靠、有效、易用的情感障碍患者精神困扰、精神资源和精神应对的筛查工具。使用SDRQ可能有助于在多式联运护理方法中充分处理和整合精神方面的问题。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

BMC Psychology Psychology-Psychology (all)

CiteScore

3.90

自引率

2.80%

发文量

265

审稿时长

24 weeks

期刊介绍： BMC Psychology is an open access, peer-reviewed journal that considers manuscripts on all aspects of psychology, human behavior and the mind, including developmental, clinical, cognitive, experimental, health and social psychology, as well as personality and individual differences. The journal welcomes quantitative and qualitative research methods, including animal studies.