Skip to main content
Log in

Spirituality and Post-Stroke Aphasia Recovery

  • Original Paper
  • Published:
Journal of Religion and Health Aims and scope Submit manuscript

Abstract

The role of spirituality in post-stroke aphasia recovery has been ignored despite its potential contribution to positive health outcomes, particularly stroke recovery. The present study examines the spiritual experience of adults with aphasia in an effort to better understand the role of one’s spirituality in the aphasia recovery process. Thirteen adults with aphasia completed a modified spirituality questionnaire and participated in semi-structured interviews. All participants considered themselves spiritual and reported improvements in communication during post-stroke recovery. Two themes related to spirituality that emerged from the interviews were (a) a greater power being in control of events and (b) a greater power as helper.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  • Bays, C. L. (2001). Older adults’ descriptions of hope after a stroke. Rehabilitation Nursing: The Official Journal of the Association of Rehabilitation Nurses, 26(1), 18–23.

    Article  CAS  Google Scholar 

  • Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77–101.

    Article  Google Scholar 

  • Brown, K., Worrall, L., Davidson, B., & Howe, T. (2010). Snapshots of success: An insider perspective on living successfully with aphasia. Aphasiology, 24(10), 1267–1295.

    Article  Google Scholar 

  • Bryant, A. N. (2007). Gender differences in spiritual development during the college years. Sex Roles, 56(11–12), 835–846.

    Article  Google Scholar 

  • Buchko, K. J. (2004). Religious beliefs and practices of college women as compared to college men. Journal of College Student Development, 45(1), 89–98.

    Article  Google Scholar 

  • Chow, E. O. W., & Nelson-Becker, H. (2010). Spiritual distress to spiritual transformation: Stroke survivor narratives from Hong Kong. Journal of Aging Studies, 24(4), 313–324.

    Article  Google Scholar 

  • Cohen, A. B., & Koenig, H. G. (2003). Religion, religiosity, and spirituality in the biopsychological model of health and ageing. Ageing International, 28(3), 215–241.

    Article  Google Scholar 

  • Exline, J. J., Pargament, K. I., Grubbs, J. B., & Yali, A. M. (2014). The religious and spiritual struggles scale: Development and initial validation. Psychology of Religion and Spirituality, 6(3), 208.

    Article  Google Scholar 

  • Giaquinto, S., Sarno, S., Dall’Armi, V., & Spiridigliozzi, C. (2010). Religious and spiritual beliefs in stroke rehabilitation. Clinical and Experimental Hypertension, 32(6), 329–334. https://doi.org/10.3109/10641960903443566.

    Article  PubMed  Google Scholar 

  • Gruber, J. (2005). Religious market structure, religious participation, and outcomes: Is religion good for you? Advances in Economic Analysis & Policy. https://doi.org/10.1515/1538-0637.1454.

    Article  Google Scholar 

  • Hill, P. C., Pargament, K. I., Hood, J. W., McCullough, M. E., Swyers, J. P., Larson, D. B., et al. (2000). Conceptualizing religion and spirituality: Points of commonality, points of departure. Journal for the Theory of Social Behaviour, 30(1), 51–77.

    Article  Google Scholar 

  • Jackson, L., & Coursey, R. (1988). The relationship of God control and internal locus of control to intrinsic religious motivation, coping and purpose in life. Journal for the Scientific Study of Religion, 27(3), 399–410. https://doi.org/10.2307/1387378.

    Article  Google Scholar 

  • Jenkins, R. A., & Pargament, K. I. (1995). Religion and spirituality as resources for coping with cancer. Journal of Psychosocial Oncology, 13(1–2), 51–74.

    Article  Google Scholar 

  • Johnstone, B., Franklin, K. L., Yoon, D. P., Burris, J., & Shigaki, C. (2008). Relationships among religiousness, spirituality, and health for individuals with stroke. Journal of Clinical Psychology in Medical Settings, 15, 308–313. https://doi.org/10.1007/s10880-008-9128-5.

    Article  PubMed  Google Scholar 

  • Koenig, H. G., George, L. K., & Titus, P. (2004). Religion, spirituality, and health in medically ill hospitalized older patients. Journal of the American Geriatrics Society, 52, 554–562. https://doi.org/10.1111/j.1532-5415.2004.52161.x.

    Article  PubMed  Google Scholar 

  • Lamb, M., Buchanan, D., Godfrey, C. M., Harrison, M. B., & Oakley, P. (2008). The psychosocial spiritual experience of elderly individuals recovering from stroke: A systematic review. International Journal of Evidence Based Healthcare, 6(2), 173–205.

    PubMed  Google Scholar 

  • Laubmeier, K. K., Zakowski, S. G., & Bair, J. P. (2004). The role of spirituality in the psychological adjustment to cancer: A test of the transactional model of stress and coping. International Journal of Behavioral Medicine, 11(1), 48–55.

    Article  PubMed  Google Scholar 

  • Laures-Gore, J. S., & Buchanan, T. W. (2015). Aphasia and the neuropsychobiology of stress. Journal of Clinical and Experimental Neuropsychology, 37(7), 688–700.

    Article  PubMed  Google Scholar 

  • Mathisen, B., Carey, L. B., Carey-Sargeant, C. L., Webb, G., Millar, C., & Krikheli, L. (2015). Religion, spirituality and speech-language pathology: A viewpoint for ensuring patient-centred holistic care. Journal of Religious Health, 54(6), 2309–2323.

    Article  Google Scholar 

  • McLaughlin, B., Yoo, W., D’Angelo, J., Tsang, S., Shaw, B., Shah, D., et al. (2013). It’s out of my hands: How deferring control to God can decrease quality of life for breast cancer patients. Psycho-Oncology, 22(12), 2747–2754. https://doi.org/10.1002/pon.3356.

    Article  PubMed  PubMed Central  Google Scholar 

  • Morganstern, L. B., Sánchez, B. N., Skolarus, L. E., Garcia, N., Risser, J. M., & Wing, J. J. (2011). Fatalism, optimism, spirituality, depressive symptoms, and stroke outcome. Stroke, 42, 3518–3523. https://doi.org/10.1161/STROKEAHA.111.625491.

    Article  Google Scholar 

  • Mouch, C. A., & Sonnega, A. J. (2012). Spirituality and recovery from cardiac surgery: A review. Journal of Religious Health, 51(4), 1042–1060.

    Article  Google Scholar 

  • Northcott, S., Moss, B., Harrison, K., & Hilari, K. (2016). A systematic review of the impact of stroke on social support and social networks: Associated factors and patterns of change. Rehabilitaion, 30(8), 811–831.

    Google Scholar 

  • Pargament, K. I., Koenig, H. G., & Perez, L. M. (2000). The many methods of religious coping: Development and initial validation of the RCOPE. Journal of Clinical Psychology, 56(4), 519–543.

    Article  PubMed  CAS  Google Scholar 

  • Pérez, J. E., Rex Smith, A., Norris, R. L., Canenguez, K. M., Tracey, E. F., & DeCristofaro, S. B. (2011). Types of prayer and depressive symptoms among cancer patients: The mediating role of rumination and social support. Journal of Behavioral Medicine, 34(6), 519–530.

    Article  PubMed  PubMed Central  Google Scholar 

  • Rosmarin, D. H., Wachholtz, A., & Ai, A. (2011). Beyond descriptive research: Advancing the study of spirituality and health. Journal of Behavioral Medicine, 34(6), 409–413.

    Article  PubMed  Google Scholar 

  • Rowatt, W., & Kirkpatrick, L. A. (2002). Two dimensions of attachment to God and their relation to affect, religiosity, and personality constructs. Journal for the Scientific Study of Religion, 41(4), 637–651.

    Article  Google Scholar 

  • Sander, W. (2002). Religion and human capital. Economics Letters, 75(3), 303–307.

    Article  Google Scholar 

  • Shaw, R., Gullifer, J., & Wood, K. (2016). Religion and spirituality: A qualitative study of older adults. Ageing International. https://doi.org/10.1007/s12126-016-9245-7.

    Article  Google Scholar 

  • Skolarus, L. E., Lisabeth, L. D., Sánchez, B. N., Smith, M. A., Garcia, N. M., Risser, J. M. H., et al. (2012). The prevalence of spirituality, optimism, depression, and fatalism in a bi-ethnic stroke population. Journal of Religion and Health, 51(4), 1293–1305. https://doi.org/10.1007/s10943-010-9438-4.

    Article  PubMed  PubMed Central  Google Scholar 

  • Thoresen, C. E. (1999). Spirituality and health: Is there a relationship? Journal of Health Psychology, 4(3), 291–300.

    Article  PubMed  CAS  Google Scholar 

  • Tweedie, S. W. (1978). Viewing the Bible belt. The Journal of Popular Culture, XI, 865–876. https://doi.org/10.1111/j.0022-3840.1978.1104_865.x.

    Article  Google Scholar 

  • Westbrook, C. J., Davis, D. E., McElroy, S.E., Brubaker, K, Choe, E, Karaga, S., et al. (in press). Trait sources of spirituality scale: Assessing trait spirituality more inclusively. Measurement and Evaluation in Counseling and Development.

  • Worthington Jr., E. L., Hook, J. N., Davis, D. E., & McDaniel, M. A. (2011). Religion and spirituality. Journal of Clinical Psychology, 67(2), 204–214. https://doi.org/10.1002/jclp.20760

    Article  PubMed  Google Scholar 

  • Worthington, E. L., & Scherer, M. (2004). Forgiveness is an emotion-focused coping strategy that can reduce health risks and promote health resilience: Theory, review, and hypotheses. Psychology & Health, 19(3), 385–405.

    Article  Google Scholar 

  • Yin, R. K. (2013). Analyzing case study evidence. In Case Study (Ed.), Research: Design and methods (pp. 133–175). Los Angeles, CA: SAGE Publications Inc.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Jacqueline S. Laures-Gore.

Ethics declarations

Conflict of interest

The authors declare no conflict of interest

Appendices

Appendix A

Spirituality Questionnaire

*Circle one that fits you best:

  1. a.

    I consider myself spiritual but not religious

  2. b.

    I consider myself religious but not spiritual

  3. c.

    I consider myself spiritual and religious

  4. d.

    I consider myself neither spiritual nor religious

*If you consider yourself spiritual, how would you personally describe the Sacred:

  1. a.

    God or some personal deity

  2. b.

    Self

  3. c.

    Humanity

  4. d.

    Nature

  5. e.

    The transcendent (something completely other and difficult to describe with words)

  6. f.

    Other

  7. g.

    I do not consider myself spiritual

* The following items assess the importance of each Sacred object in your experience of spirituality. Please indicate your agreement with the following items:

Please place a number in each box:

1 = Completely disagree

5 = Completely agree

 

God/personal deity

Nature

Humanity

Transcendent

I often seek a sense of closeness in my relationship with:

    

My connection with______ provides a sense of meaning and purpose in my life.

    

My relationship with _______provides a sense of significance for my life.

    

My ability to have a sense of closeness or connection with _______ is the most important thing in my life.

    

My relationship with ____________ is one of most important part of who I am.

    

My relationship with __________ influences everything I do.

    

*The three previous questions marked with the asterisk were taken directly from Westbrook et al. (in press).

Appendix B

Semi-structured Interview

The interview was structured around the following topics to be used as a basis for conversation:

  • Tell me about your stroke.

  • Would you consider yourself to be someone who lives successfully with aphasia?

    • Would you consider yourself to be someone who lives happily with aphasia?

  • Have you noticed any improvements in your communication following your stroke?

  • Would you consider yourself to be a religious or spiritual person?

  • Is there anything that you do in your normal routine that you associate with spirituality?

    • For example, praying, watching the sunrise, attending a community event (only given if examples of potential routine spiritual activities are requested by the participant)

  • Tell me about an experience you have had that you would consider to be spiritual.

  • What spiritual factors, if any, do you believe have contributed to your recovery following your stroke?

  • Are there any spiritual connections with people that you believe contributed to your improvements in communication following your stroke?

  • Do you believe that your spirituality in any way contributed to your healing process following your stroke?

  • Do you believe that your spirituality in any way contributed to your communication improvements?

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Laures-Gore, J.S., Lambert, P.L., Kruger, A.C. et al. Spirituality and Post-Stroke Aphasia Recovery. J Relig Health 57, 1876–1888 (2018). https://doi.org/10.1007/s10943-018-0592-4

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10943-018-0592-4

Keywords

Navigation