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Validation of the Portuguese Version of the Functional Assessment of Chronic Illness Therapy–Spiritual Well-Being Scale (FACIT-Sp 12) Among Brazilian Psychiatric Inpatients

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Abstract

Functional Assessment of Chronic Illness Therapy–Spiritual Well-Being scale (FACIT-Sp 12) is one of the most used and most validated instruments for assessing spiritual well-being in the world. Some Brazilian studies have used this instrument without, however, assessing its psychometric properties. The present study aims to validate the Portuguese version of the FACIT-Sp 12 among Brazilian psychiatric inpatients. A self-administered questionnaire, covering spiritual well-being (FACIT-Sp 12), depression, anxiety, religiosity, quality of life, and optimism, was administered. Of those who met the inclusion criteria, 579 patients were invited to participate and 493 (85.1 %) were able to fill out the FACIT-Sp 12 twice (test and retest). Subsequently, the validation analysis was carried out. Estimation of test–retest reliability, discriminant, and convergent validity was determined by the Spearman’s correlation test, and the internal consistency was examined by the Cronbach’s alpha. The sample was predominantly male (63.9 %) with a mean age of 35.9 years, and the most common psychiatric condition was bipolar disorder (25.7 %) followed by schizophrenia (20.4 %), drug use (20.0 %), and depression (17.6 %) according to ICD-10. The total FACIT-Sp 12 scale as well as the subscales demonstrated high internal consistency (coefficient alphas ranging from 0.893 for the total scale to 0.655 for the Meaning subscale), good convergent and divergent validity, and satisfactory test–retest reliability (rho = 0.699). The Portuguese version of FACIT-Sp 12 is a valid and reliable measure to use in Brazilian psychiatric inpatients. The availability of a brief and broad measure of spiritual well-being can help the study of spirituality and its influence on health by researchers from countries that speak the Portuguese language.

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References

  • Aaronson, N. K., Ahmedzai, S., Bergman, B., Bullinger, M., Cull, A., Duez, N. J., et al. (1993). The European Organization for Research and Treatment of Cancer QLQ-C30: A quality-of-life instrument for use in international clinical trials in oncology. Journal of the National Cancer Institute, 85(5), 365–376.

    Article  CAS  PubMed  Google Scholar 

  • Andrade, T. L., Camelier, A. A., Rosa, F. W., Santos, M. P., Jezler, S., & Silva, J. L. P. (2007). Applicability of the 12-Item Short-Form Health Survey in patients with progressive systemic sclerosis. Jornal Brasileiro de Pneumologia, 33(4), 414–422.

    Article  PubMed  Google Scholar 

  • Bandeira, M., Bekou, V., Lott, K. S., Teixeira, M. A., & Rocha, S. S. (2002). Validação transcultural do teste de orientação da vida (TOV-R). Estudos de Psicologia, 7(2), 251–258.

    Article  Google Scholar 

  • Batista, S., & Mendonça, A Rd A. (2012). Espiritualidade e qualidade de vida nos pacientes oncológicos em tratamento quimioterápico. Revista Bioética, 20(1), 175–188.

    Google Scholar 

  • Bean, M. K., Gibson, D., Flattery, M., Duncan, A., & Hess, M. (2009). Psychosocial factors, quality of life, and psychological distress: Ethnic differences in patients with heart failure. Progress in Cardiovascular Nursing, 24(4), 131–140.

    Article  PubMed  Google Scholar 

  • Bekelman, D. B., Dy, S. M., Becker, D. M., Wittstein, I. S., Hendricks, D. E., Yamashita, T. E., et al. (2007). Spiritual well-being and depression in patients with heart failure. Journal of General Internal Medicine, 22(4), 470–477.

    Article  PubMed Central  PubMed  Google Scholar 

  • Bonelli, R. M., & Koenig, H. G. (2013). Mental disorders, religion and spirituality 1990 to 2010: A systematic evidence-based review. Journal of Religion and Health, 52(2), 657–673.

    Article  PubMed  Google Scholar 

  • Bredle, J. M., Salsman, J. M., Debb, S. M., Arnold, B. J., & Cella, D. (2011). Spiritual well-being as a component of health-related quality of life: The functional assessment of chronic illness therapy—spiritual well-being scale (facit-sp). Religions, 2(1), 77–94.

    Article  Google Scholar 

  • Fonseca-Guedes, C. H. F. (2009). Suporte telefônico como uma intervenção para promover o incentivo à prática de caminhada em pacientes diabéticos tipo 2: influência do perfil de personalidade nesta resposta; Phone call as an intervention for improving walking practice in type 2 diabetes: influence of personality profile in this response. Universidade de São Paulo. Faculdade de Medicina. Departamento de Clínica Médica.

  • Furia, C. L. B. (2006). Qualidade de vida em pacientes tratados de câncer de cavidade oral, faringe e laringe em São Paulo: estudo multicêntrico. Radiologia Brasileira, 39, 252.

    Article  Google Scholar 

  • Gorenstein, C., Andrade, L., & Zuardi, A. (1998). Beck depression inventory: Psychometric properties of the Portuguese version. Rev Psiq Clin, 25(5), 245–250.

    Google Scholar 

  • Hendrickson, A. R., Massey, P. D., & Cronan, T. P. (1993). On the test–retest reliability of perceived usefulness and perceived ease of use scales. MIS Quarterly, 17(2), 227–230.

    Article  Google Scholar 

  • Jafari, N., Zamani, A., Lazenby, M., Farajzadegan, Z., Emami, H., & Loghmani, A. (2013). Translation and validation of the Persian version of the Functional Assessment of Chronic Illness Therapy—Spiritual Well-Being Scale (FACIT-Sp) among Muslim Iranians in treatment for cancer. Palliative and Supportive Care, 11, 29–35.

    Article  PubMed  Google Scholar 

  • King, M., Marston, L., McManus, S., Brugha, T., Meltzer, H., & Bebbington, P. (2013). Religion, spirituality and mental health: Results from a national study of English households. The British Journal of Psychiatry, 202(1), 68–73.

    Article  PubMed  Google Scholar 

  • Koenig, H. G. (2008). Concerns about measuring” spirituality” in research. The Journal of Nervous and Mental Disease, 196(5), 349–355.

    Article  PubMed  Google Scholar 

  • Koenig, H. G. (2012). Religion, spirituality, and health: The research and clinical implications. ISRN Psychiatry, 2012(ID 278730), p. 33.

  • Lucchetti, G., Braguetta, C. C., Vallada, C., & Vallada, H. (2013a). Exploring the acceptance of religious assistance among patients of a psychiatric hospital. International Journal of Social Psychiatry, 59(4), 311–317.

    Article  PubMed  Google Scholar 

  • Lucchetti, G., Granero, L. A., Peres, M., Leão, F., Moreira-Almeida, A., & Koenig, H. (2012). Validation of the Duke Religion Index: DUREL (Portuguese version). Journal of Religion and Health, 51(2), 579–586.

    Article  PubMed  Google Scholar 

  • Lucchetti, G., Lucchetti, A. L., & Koenig, H. G. (2011). Impact of spirituality/religiosity on mortality: Comparison with other health interventions. EXPLORE: The Journal of Science and Healing, 7(4), 234–238.

    Article  Google Scholar 

  • Lucchetti, G., Lucchetti, A. L. G., & Vallada, H. P. (2013b). Measuring spirituality and religiosity in clinical research: A systematic review of instruments available in the Portuguese language. São Paulo Medical Journal, 131(2), 112–122.

    PubMed  Google Scholar 

  • Marcolino, J. Á. M., Mathias, L., Piccinini Filho, L., Guaratini, A., Suzuki, F. M., & Alli, L. A. C. (2007). Escala hospitalar de ansiedade e depressão: estudo da validade de critério e da confiabilidade com pacientes no pré-operatório. Rev Bras Anestesiol, 57(1), 52–62.

    Article  PubMed  Google Scholar 

  • Maselko, J., Gilman, S., & Buka, S. (2009). Religious service attendance and spiritual well-being are differentially associated with risk of major depression. Psychological Medicine, 39(6), 1009–1017.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  • Monod, S., Brennan, M., Rochat, E., Martin, E., Rochat, S., & Büla, C. J. (2011). Instruments measuring spirituality in clinical research: A systematic review. Journal of General Internal Medicine, 26(11), 1345–1357.

    Article  PubMed Central  PubMed  Google Scholar 

  • Murphy, P. E., Fitchett, G., Peterman, A. H., & Schover, L. R. (2008). A 3-factor model for the FACIT-Sp. Psycho-Oncology, 17(9), 908–916.

    Article  PubMed  Google Scholar 

  • Murphy, P. E., Fitchett, G., Stein, K., Portier, K., Crammer, C., & Peterman, A. H. (2009). An examination of the 3-factor model and structural invariance across racial/ethnic groups for the FACIT-Sp: A report from the American Cancer Society’s Study of Cancer Survivors-II (SCS-II). Psycho-Oncology, 19(3), 264–272.

    Article  Google Scholar 

  • Nelson, C., Jacobson, C. M., Weinberger, M. I., Bhaskaran, V., Rosenfeld, B., Breitbart, W., et al. (2009). The role of spirituality in the relationship between religiosity and depression in prostate cancer patients. Annals of Behavioral Medicine, 38(2), 105–114.

    Article  PubMed Central  PubMed  Google Scholar 

  • Noguchi, W., Ohno, T., Morita, S., Aihara, O., Tsujii, H., Shimozuma, K., et al. (2004). Reliability and validity of the functional assessment of chronic illness therapy–spiritual (FACIT–Sp) for Japanese patients with cancer. Supportive Care in Cancer, 12(4), 240–245.

    Article  PubMed  Google Scholar 

  • Nunnally, J. C., Bernstein, I. H., & Berge, J. M.t. (1967). Psychometric theory (Vol. 2). New York: McGraw-Hill.

    Google Scholar 

  • Pereira, F., & Santos, C. (2011). Adaptação cultural da functional assessment of chronic illness therapy—spiritual well-being (FACIT—Sp): estudo de validação em doentes oncológicos na fase final de vida. Cadernos de Saúde, 4(2), 37–45.

    Google Scholar 

  • Peterman, A. H., Fitchett, G., Brady, M. J., Hernandez, L., & Cella, D. (2002). Measuring spiritual well-being in people with cancer: The functional assessment of chronic illness therapy—Spiritual Well-being Scale (FACIT-Sp). Annals of Behavioral Medicine, 24(1), 49–58.

    Article  PubMed  Google Scholar 

  • Powell, L. H., Shahabi, L., & Thoresen, C. E. (2003). Religion and spirituality: Linkages to physical health. American Psychologist, 58(1), 36–52.

    Article  PubMed  Google Scholar 

  • Ruggeri, M., Lasalvia, A., Dall’agnola, R., Tansella, M., Van Wijngaarden, B., Knudsen, H. C., et al. (2000). Development, internal consistency and reliability of the Verona Service Satisfaction Scale-European Version EPSILON Study 7. The British Journal of Psychiatry, 177(39), s41–s48.

    Article  Google Scholar 

  • Teixeira, M. Z. (2009). Ensaio clínico quali-quantitativo para avaliar a eficácia ea efetividade do tratamento homeopático individualizado na rinite alérgica perene. São Paulo: Universidade de São Paulo.

    Google Scholar 

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Authors and Affiliations

  1. Federal University of Juiz de Fora, Av. Eugênio do Nascimento s/nº - Dom Bosco, Juiz de Fora, MG, CEP 36038-330, Brazil

    Giancarlo Lucchetti

  2. João Evangelista Hospital, São Paulo, Brazil

    Alessandra Lamas Granero Lucchetti & Juliane Piasseschi de Bernardin Gonçalves

  3. University of São Paulo, São Paulo, Brazil

    Alessandra Lamas Granero Lucchetti, Juliane Piasseschi de Bernardin Gonçalves & Homero P. Vallada

  4. São Paulo Medical Spiritist Association, São Paulo, Brazil

    Alessandra Lamas Granero Lucchetti & Juliane Piasseschi de Bernardin Gonçalves

Authors
  1. Giancarlo Lucchetti
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  2. Alessandra Lamas Granero Lucchetti
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  3. Juliane Piasseschi de Bernardin Gonçalves
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  4. Homero P. Vallada
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Correspondence to Giancarlo Lucchetti.

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Lucchetti, G., Lucchetti, A.L.G., de Bernardin Gonçalves, J.P. et al. Validation of the Portuguese Version of the Functional Assessment of Chronic Illness Therapy–Spiritual Well-Being Scale (FACIT-Sp 12) Among Brazilian Psychiatric Inpatients. J Relig Health 54, 112–121 (2015). https://doi.org/10.1007/s10943-013-9785-z

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