Assessing spiritual growth and spiritual decline following a diagnosis of cancer: Reliability and validity of the spiritual transformation scale

Brenda S. Cole, Clare M. Hopkins, John Tisak, Jennifer L. Steel, Brian I. Carr

Research output: Contribution to journalArticlepeer-review

Abstract

This study assessed the factor structure, reliability, and validity of an instrument designed to assess spiritual transformations following a diagnosis of cancer - the Spiritual Transformation Scale (STS). The instrument was administering to 253 people diagnosed with cancer within the previous 2 years. Two underlying factors emerged (spiritual growth (SG) and spiritual decline (SD)) with adequate internal reliability (alpha = 0.98 and 0.86, respectively) and test-retest reliability (r = 0.85 and 0.73, respectively). Validity was supported by correlations between SG and the Positive and Negative Affect Scale (PANAS) Positive Affect Subscale (r = 0.23, p <0.001), the Daily Spiritual Experiences Scale (r = 0.57, p <0.001), and the Post-traumatic Growth Inventory (r = 0.68, p <0.001). SD was associated with higher scores on the Center for Epidemiological Studies Depression scale (r = 0.38, p <0.001) and PANAS-Negative Affect Subscale (r = 0.40, p <0.001), and lower scores on the PANAS-Positive Affect Subscale (r = -0.23, p <0.001), and the Daily Spiritual Experiences Scale (r = -0.30, p <0.001). Hierarchical regression analyses indicated that the subscales uniquely predicted adjustment beyond related constructs (intrinsic religiousness, spiritual coping, and general post-traumatic growth). The results indicate that the STS is psychometrically sound, with SG predicting better, and SD predicting poorer, mental and spiritual well-being following a diagnosis of cancer.

Original languageEnglish
Pages (from-to)112-121
Number of pages10
JournalPsycho-Oncology
Volume17
Issue number2
DOIs
Publication statusPublished - Feb 2008

Keywords

  • Religion
  • Spiritual change
  • Spiritual growth and spiritual decline
  • Spiritual transformation
  • Spirituality and cancer

ASJC Scopus subject areas

  • Oncology
  • Psychology(all)
  • Social Sciences (miscellaneous)

Fingerprint Dive into the research topics of 'Assessing spiritual growth and spiritual decline following a diagnosis of cancer: Reliability and validity of the spiritual transformation scale'. Together they form a unique fingerprint.

Cite this