| Type | Journal Article |
|---|---|
| Author | Carol M Baldwin |
| Author | Marcia Grant |
| Author | Christopher Wendel |
| Author | Susan Rawl |
| Author | C Max Schmidt |
| Author | Clifford Ko |
| Author | Robert S Krouse |
| Abstract | Purpose: To examine spiritual quality of life (QOL) of veterans with intestinal ostomies. Design: Mixed-method cross-sectional. Methods: Male veterans with total scores in the upper (n = 59) and lower (n = 61) quartiles of the City of Hope Quality-of-Life-Ostomy survey provided spiritual QOL data. Analyses included chi-square and analysis of variance with significance set at p < .05. Content analysis was used to explicate narratives and focus groups. Results: The high spiritual QOL group was more likely to be married, older, and report more years since surgery (each p < .0001). Upper quartile participants had more favorable scores for several spiritual QOL domains (all p < .0001). Qualitative comments reflected high or low total QOL scores. Conclusions: Spiritual QOL is influenced by an intestinal stoma. Qualitative comments lend insight into the meaning of spirituality items. Findings can assist in the provision of holistic care in this population. |
| Publication | Journal of Holistic Nursing: Official Journal of the American Holistic Nurses' Association |
| Volume | 26 |
| Issue | 3 |
| Pages | 185-194; discussion 195-196; quiz 197-199 |
| Date | Sep 2008 |
| Journal Abbr | J Holist Nurs |
| DOI | 10.1177/0898010108315185 |
| ISSN | 0898-0101 |
| URL | http://www.ncbi.nlm.nih.gov/pubmed/18664602 |
| Accessed | Fri Nov 13 19:06:25 2009 |
| Library Catalog | NCBI PubMed |
| Extra | PMID: 18664602 |
| Date Added | Sat Oct 1 16:55:15 2011 |
| Modified | Sat Oct 1 16:55:15 2011 |
Purpose: To examine spiritual quality of life (QOL) of veterans with intestinal ostomies. Design: Mixed-method cross-sectional. Conclusions: Spiritual QOL is influenced by an intestinal stoma. Qualitative comments lend insight into the meaning of spirituality items.
| Type | Journal Article |
|---|---|
| Author | Jill E Bormann |
| Author | Tom L Smith |
| Author | Sheryl Becker |
| Author | Madeline Gershwin |
| Author | Laureen Pada |
| Author | Ann H Grudzinski |
| Author | Elizabeth A Nurmi |
| Abstract | PURPOSE: Silent, frequent repetition of a mantram-a word or phrase with spiritual significance, sometimes called a Holy Name-is an ancient form of prayer that may reduce stress and related symptoms. The authors tested the feasibility and efficacy of a 5-week (90-min per week) intervention on mantram repetition in a sample of ambulatory veterans. METHOD: Aconvenience sample (N= 62) of outpatient veterans participated in the study by completing pre-and posttest self-report questionnaires on stress, anxiety, anger, quality of life, and spiritual well-being. Wrist-worn counters were provided to track mantram practice. FINDINGS: Mantram repetition significantly reduced symptoms of stress and anxiety and improved quality of life and spiritual well-being. CONCLUSION: Additional research using a larger sample size and control group is needed to further substantiate the benefits of this intervention. IMPLICATIONS: Frequent, silent mantram repetition is easily taught and could be used by nurses and patients for managing stress and increasing well-being. |
| Publication | Journal of Holistic Nursing: Official Journal of the American Holistic Nurses' Association |
| Volume | 23 |
| Issue | 4 |
| Pages | 395-414 |
| Date | Dec 2005 |
| Journal Abbr | J Holist Nurs |
| DOI | 10.1177/0898010105278929 |
| ISSN | 0898-0101 |
| Short Title | Efficacy of frequent mantram repetition on stress, quality of life, and spiritual well-being in veterans |
| URL | http://www.ncbi.nlm.nih.gov/pubmed/16251489 |
| Accessed | Fri Nov 13 15:27:55 2009 |
| Library Catalog | NCBI PubMed |
| Extra | PMID: 16251489 |
| Date Added | Sat Oct 1 16:55:15 2011 |
| Modified | Sat Oct 1 16:55:15 2011 |
The authors tested the feasibility and efficacy of a 5-week (90-min per week) intervention on mantram repetition in a sample of ambulatory veterans. Findings: Mantram repetition significantly reduced symptoms of stress and anxiety and improved quality of life and spiritual well-being.
| Type | Journal Article |
|---|---|
| Author | Carol E Fletcher |
| Abstract | To determine health care providers' views on spirituality, its role in the health of patients, and barriers to discussing spiritual issues with patients, the author convened five focus groups at two Veterans Administration Medical Centers. Participants were nurses, physicians, social workers, psychologists, and chaplains. Common themes included (a) the lack of education for professionals regarding how to address patients' spiritual needs; and (b) systems-related issues, including communication systems that do not function well, how spiritual needs are addressed on admission, support or lack thereof by hospital administrators, and lack of support for the spiritual needs of staff. The aging and illnesses of many current veterans plus the escalated potential of war highlight the importance of addressing veterans' spiritual needs. |
| Publication | Qualitative Health Research |
| Volume | 14 |
| Issue | 4 |
| Pages | 546-561 |
| Date | Apr 2004 |
| Journal Abbr | Qual Health Res |
| DOI | 10.1177/1049732303262509 |
| ISSN | 1049-7323 |
| URL | http://www.ncbi.nlm.nih.gov/pubmed/15068579 |
| Accessed | Fri Nov 13 12:49:41 2009 |
| Library Catalog | NCBI PubMed |
| Extra | PMID: 15068579 |
| Date Added | Sat Oct 1 16:55:15 2011 |
| Modified | Sat Oct 1 16:55:15 2011 |
The author convened five focus groups at two Veterans Administration Medical Centers. Participants were nurses, physicians, social workers, psychologists, and chaplains. The aging and illnesses of many current veterans plus the escalated potential of war highlight the importance of addressing veterans’ spiritual needs.
| Type | Journal Article |
|---|---|
| Author | S. S. McLaughlin |
| Author | A. D. McLaughlin |
| Author | J. A. Van Slyke |
| Abstract | Background: This study of outpatients at a military medical center seeks to evaluate the extent that this population relies on religion and spirituality to cope with health-related stress. This study also assesses outpatients' desire for spiritual intervention in the context of their medical appointments. Methods: A cross-sectional survey was conducted using a convenience sample of 670 outpatients presenting at a military medical center. Results: The majority of respondents endorsed a Christian religious affiliation (87%), a belief in God (91%), and attendance at religious services at least a few times a month (53%). Respondents who were male, younger than age 43, and on active duty were significantly less likely to attend religious services, believe in God (or a 'higher power'), or rely on religion or spirituality to cope with illness. Outpatients presenting for procedures or treatments were more likely to desire prayer or other religious intervention, as compared to patients who had regular clinic appointments. Conclusions: Compared to the general US population, a higher percentage of this patient population believes in God ( 91% vs. 78%), attends religious services once a week or more (42% vs. 30%), and endorses a Christian religious affiliation (87% vs. 73%). Because one-third of the surveyed outpatients desired prayer or other religious support, we concluded that all outpatients should be explicitly notified of the pastoral care and counseling services that are available for them. |
| Publication | Southern Medical Journal |
| Volume | 103 |
| Issue | 6 |
| Pages | 527-531 |
| Date | JUN 2010 |
| DOI | 10.1097/SMJ.0b013e3181de0304 |
| ISSN | 0038-4348 |
| Accessed | Wed Jul 7 18:17:00 2010 |
| Library Catalog | ISI Web of Knowledge |
| Date Added | Thu Sep 29 09:04:02 2011 |
| Modified | Thu Sep 29 09:04:02 2011 |
| Type | Journal Article |
|---|---|
| Author | Sanea Nad |
| Author | Darko Marcinko |
| Author | Bjanka Vuksan-Aeusa |
| Author | Miro Jakovljević |
| Author | Gordana Jakovljevic |
| Abstract | We investigated relationships between spiritual well-being (SWB), intrinsic religiosity (IR), and suicidal behavior in 45 Croatian war veterans with chronic posttraumatic stress disorder and 32 healthy volunteers. Compared with the volunteers, the veterans had significantly lower SWB scores (p = 0.000) and existential well-being (EWB) scores (p = 0.000). Scores on the religious well-being (RWB) subscale (p = 0.108) and the IR scale did not differ significantly between the groups (p = 0.803). Veterans' suicidality inversely correlated with SWB (p = 0.000), EWB (p = 0.000), RWB (p = 0.026), and IR (p = 0.041), with the association being stronger for the EWB subscale than for the RWB subscale. Veterans who had attempted suicide at least once in their lifetime had significantly higher Suicidal Assessment Scale scores and lower EWB scores than veterans who never attempted suicide. Low EWB scores may imply an increased risk of suicidality. Some religious activities were more frequent among the veterans than among the healthy volunteers, possibly reflecting the veterans' increased help-seeking behavior due to poor EWB. |
| Publication | The Journal of Nervous and Mental Disease |
| Volume | 196 |
| Issue | 1 |
| Pages | 79-83 |
| Date | Jan 2008 |
| Journal Abbr | J. Nerv. Ment. Dis |
| DOI | 10.1097/NMD.0b013e31815faa5f |
| ISSN | 1539-736X |
| Short Title | Spiritual well-being, intrinsic religiosity, and suicidal behavior in predominantly Catholic Croatian war veterans with chronic posttraumatic stress disorder |
| URL | http://www.ncbi.nlm.nih.gov/pubmed/18195647 |
| Accessed | Fri Nov 13 18:29:00 2009 |
| Library Catalog | NCBI PubMed |
| Extra | PMID: 18195647 |
| Date Added | Sat Oct 1 16:55:15 2011 |
| Modified | Sat Oct 1 16:55:15 2011 |
We investigated relationships between spiritual well-being (SWB), intrinsic religiosity (IR), and suicidal behavior in 45 Croatian war veterans with chronic posttraumatic stress disorder and 32 healthy volunteers. Compared with the volunteers, the veterans had significantly lower SWB scores (p = 0.000) and existential well-being (EWB) scores (p = 0.000). Some religious activities were more frequent among the veterans than among the healthy volunteers, possibly reflecting the veterans’ increased help-seeking behavior due to poor EWB.
| Type | Journal Article |
|---|---|
| Author | Kenneth I. Pargament |
| Author | Patrick J. Sweeney |
| Abstract | This article describes the development of the spiritual fitness component of the Army's Comprehensive Soldier Fitness (CSF) program. Spirituality is defined in the human sense as the journey people take to discover and realize their essential selves and higher order aspirations. Several theoretically and empirically based reasons are articulated for why spirituality is a necessary component of the CSF program: Human spirituality is a significant motivating force, spirituality is a vital resource for human development, and spirituality is a source of struggle that can lead to growth or decline. A conceptual model developed by Sweeney, Hannah, and Snider (2007) is used to identify several psychological structures and processes that facilitate the development of the human spirit. From this model, an educational, computer-based program has been developed to promote spiritual resilience. This program consists of three tiers: (a) building awareness of the self and the human spirit, (b) building awareness of resources to cultivate the human spirit, and (c) building awareness of the human spirit of others. Further research will be needed to evaluate the effectiveness of this innovative and potentially important program. |
| Publication | American Psychologist |
| Volume | 66 |
| Issue | 1 |
| Pages | 58-64 |
| Date | January 2011 |
| DOI | 10.1037/a0021657 |
| ISSN | 0003-066X |
| Short Title | Building Spiritual Fitness in the Army |
| Accessed | Tue Feb 15 18:54:51 2011 |
| Library Catalog | ScienceDirect |
| Date Added | Thu Sep 29 08:57:52 2011 |
| Modified | Thu Sep 29 08:57:52 2011 |
| Type | Journal Article |
|---|---|
| Author | M W Parker |
| Author | G F Fuller |
| Author | H G Koenig |
| Author | M A Vaitkus |
| Author | J M Bellis |
| Author | W F Barko |
| Author | J Eitzen |
| Author | V R Call |
| Abstract | The primary purposes of this article are to (1) highlight current challenges facing health promotion advocates within the military and civilian culture; (2) present the strengths and weaknesses of the current Army approach to health promotion and preventive medicine; and (3) present several unifying themes that contribute to enhanced progress within the field of health promotion. A conceptual model that links common goals across the fields of successful aging, health promotion, spirituality and health, and life course is advocated to maximize efficacious interventions and to transform the current Army approach to health promotion. A companion article will describe an integrative model of health promotion and wellness that responds to the challenges and incorporates the unifying themes described in this article. |
| Publication | Military Medicine |
| Volume | 166 |
| Issue | 6 |
| Pages | 485-489 |
| Date | Jun 2001 |
| Journal Abbr | Mil Med |
| ISSN | 0026-4075 |
| Short Title | Soldier and family wellness across the life course |
| URL | http://www.ncbi.nlm.nih.gov/pubmed/11413724 |
| Accessed | Thu Nov 12 21:03:36 2009 |
| Library Catalog | NCBI PubMed |
| Extra | PMID: 11413724 |
| Date Added | Sat Oct 1 16:55:15 2011 |
| Modified | Sat Oct 1 16:55:15 2011 |
As an alternative to the current Department of Defense approach to health promotion and related research, which is critiqued in Part I of this article, the authors present a new, integrative health promotion and wellness model.
| Type | Journal Article |
|---|---|
| Author | M W Parker |
| Author | G F Fuller |
| Author | H G Koenig |
| Author | J M Bellis |
| Author | M A Vaitkus |
| Author | W F Barko |
| Author | J Eitzen |
| Abstract | As an alternative to the current Department of Defense approach to health promotion and related research, which is critiqued in Part I of this article, the authors present a new, integrative health promotion and wellness model. This age-graded model incorporates successful aging, targeted health promotion, and spirituality in the context of the developmental perspective provided by life course constructs. By using an age-graded, multidisciplinary system of assessment, intervention, and follow-up in the context of preparing military personnel and families for the next season of life, this model advocates the prevention of disease and disability, active engagement with life, the maximization of high cognitive and physical functioning, and positive spirituality. Preliminary, selected illustrations from a variation of this model at the U.S. Army War College are provided. Progressive extrapolation of the model to other military leadership schools is proposed as a more efficacious health promotion strategy for the Department of Defense. |
| Publication | Military Medicine |
| Volume | 166 |
| Issue | 7 |
| Pages | 561-570 |
| Date | Jul 2001 |
| Journal Abbr | Mil Med |
| ISSN | 0026-4075 |
| Short Title | Soldier and family wellness across the life course |
| URL | http://www.ncbi.nlm.nih.gov/pubmed/11469025 |
| Accessed | Thu Nov 12 21:03:39 2009 |
| Library Catalog | NCBI PubMed |
| Extra | PMID: 11469025 |
| Date Added | Sat Oct 1 16:55:15 2011 |
| Modified | Sat Oct 1 16:55:15 2011 |
The primary purposes of this article are to (1) highlight current challenges facing health promotion advocates within the military and civilian culture; (2) present the strengths and weaknesses of the current Army approach to health promotion and preventive medicine; and (3) present several unifying themes that contribute to enhanced progress within the field of health promotion.
| Type | Journal Article |
|---|---|
| Author | Helané Wahbeh |
| Author | Heather Zwickey |
| Author | Barry Oken |
| Abstract | Abstract Objectives: Home practice is frequently prescribed as part of mind-body medicine interventions, although rarely objectively measured. This brief methods report describes one method for objectively measuring home practice adherence using a custom monitoring software program. Design: Methods for objectively measuring adherence were developed as part of a randomized controlled trial on the mechanisms of mindfulness meditation. Settings/location: The study was conducted at Oregon Health & Science University, Portland, Oregon. Subjects: The subjects comprised 11 combat veterans with post-traumatic stress disorder. Interventions: The method used was mindfulness meditation. Outcome measures: There were subjective and objective adherence measurements of mindfulness meditation home practice. Results: The first iteration of objective adherence monitoring used an iPod device and had limitations in participant usage and correctly capturing data. In the second iteration, objective data were easily collected, uploaded, and viewed using the custom software application, iMINDr. Participants reported that iMINDr was straightforward to use, and they returned the monitoring units as directed. Conclusions: The iMINDr is an example of a simple objective adherence measurement system that may help mind-body researchers examine how home practice adherence may affect outcomes in future clinical trials. |
| Publication | Journal of Alternative and Complementary Medicine (New York, N.Y.) |
| Volume | 17 |
| Issue | 2 |
| Pages | 175-177 |
| Date | Feb 2011 |
| Journal Abbr | J Altern Complement Med |
| DOI | 10.1089/acm.2010.0316 |
| ISSN | 1557-7708 |
| Accessed | Tue Mar 15 14:26:11 2011 |
| Library Catalog | NCBI PubMed |
| Extra | PMID: 21281126 |
| Date Added | Thu Sep 29 08:57:14 2011 |
| Modified | Thu Sep 29 08:57:14 2011 |