nach oben

Journal of Religion and Health

Erschienen in:

09.09.2022 | Original Paper

Spiritual Pain: A Symptom in Search of a Clinical Definition

verfasst von: Marta Illueca, Ylisabyth S. Bradshaw, Daniel B. Carr

Erschienen in: Journal of Religion and Health | Ausgabe 3/2023

Einloggen, um Zugang zu erhalten

Abstract

We conducted a literature search to identify and compare definitions of the experiential dimension of spiritual pain. Key databases were searched, up to the year 2021 inclusive, for papers with a definition of “spiritual” or “existential” pain/distress in a clinical setting. Of 144 hits, seven papers provided theoretical definitions/descriptions; none incorporated clinical observations or underlying pathophysiological constructs. Based on these findings, we propose a new definition for “spiritual pain” as a “self-identified experience of personal discomfort, or actual or potential harm, triggered by a threat to a person’s relationship with God or a higher power.” Our updated definition can inform future studies in pain assessment and management.

Ameli, R., Sinaii, N., Luna, M. J., Cheringal, J., Gril, B., & Berger, A. (2018). The National Institutes of Health measure of Healing Experience of All Life Stressors (NIH-HEALS): Factor analysis and validation. PLoS ONE, 13(12), e0207820. https://doi.org/10.1371/journal.pone.0207820CrossRefPubMedPubMedCentral

Beauregard, M., & Paquette, V. (2008). EEG activity in Carmelite nuns during a mystical experience. Neuroscience Letters, 444(1), 1–4. https://doi.org/10.1016/j.neulet.2008.08.028CrossRefPubMed

Berger, A. & deSwaan, C. B. (2006). Healing pain: The innovative, breakthrough plan to overcome your physical pain and emotional suffering. Rodale Press.

Boss, L., Branson, S., Cron, S., & Kang, D. H. (2015). Spiritual pain in meals on wheels’ clients. Healthcare, 3(4), 917–932. https://doi.org/10.3390/healthcare3040917CrossRefPubMedPubMedCentral

Boston, P., Bruce, A., & Schreiber, R. (2011). Existential suffering in the palliative care setting: An integrated literature review. Journal of Pain and Symptom Management, 41(3), 604–618. https://doi.org/10.1016/j.jpainsymman.2010.05.010CrossRefPubMed

Büssing, A. (2017). Measures of spirituality/religiosity—description of concepts and validation of instruments. Religions, 8(1), 1–2. https://doi.org/10.3390/rel8010011CrossRef

Caldeira, S., Carvalho, E. C., & Vieira, M. (2013). Spiritual distress—Proposing a new definition and defining characteristics. International Journal of Nursing Knowledge, 24(2), 77–84. https://doi.org/10.1111/j.2047-3095.2013.01234.xCrossRefPubMed

Carey, L. B., & Cohen, J. (2015). The utility of the WHO ICD-10-AM pastoral intervention codings within religious, pastoral, and spiritual care research. Journal of Religion and Health, 54(5), 1772–1787. https://doi.org/10.1007/s10943-014-9938-8CrossRefPubMed

Carey, L. B., Newell, C. J., & Rumbold, B. (2006). Pain control and chaplaincy in Australia. Journal of Pain and Symptom Management, 32(6), 589–601. https://doi.org/10.1016/j.jpainsymman.2006.06.008CrossRefPubMed

Chibnall, J. T., Bennett, M. L., Videen, S. D., Duckro, P. N., & Miller, D. K. (2004). Identifying barriers to psychosocial spiritual care at the end of life: A physician group study. American Journal of Hospice and Palliative Medicine, 21(6), 419–426. https://doi.org/10.1177/104990910402100607CrossRefPubMed

Craig, K. D., Holmes, C., Hudspith, M., Moor, G., Moosa-Mitha, M., Varcoe, C., & Wallace, B. (2020). Pain in persons who are marginalized by social conditions. Pain, 161(2), 261–265. https://doi.org/10.1097/j.pain.0000000000001719CrossRefPubMed

Cristofori, I., Bulbulia, J., Shaver, J. H., Wilson, M., Krueger, F., & Grafman, J. (2016). Neural correlates of mystical experience. Neuropsychologia, 80, 212–220. https://doi.org/10.1016/j.neuropsychologia.2015.11.021CrossRefPubMed

de Araújo Elias, A. C., Giglio, J. S., de Mattos Pimenta, C. A., & El-Dash, L. G. (2006). Therapeutical intervention, relaxation, mental images, and spirituality (RIME) for spiritual pain in terminal patients. A training program. The Scientific World Journal, 6, 2158–2169. https://doi.org/10.1100/tsw.2006.34545CrossRefPubMedPubMedCentral

Delgado-Guay, M. O., Hui, D., Parsons, H. A., Govan, K., De la Cruz, M., Thorney, S., & Bruera, E. (2011). Spirituality, religiosity, and spiritual pain in advanced cancer patients. Journal of Pain and Symptom Management, 41(6), 986–994. https://doi.org/10.1016/j.jpainsymman.2010.09.017CrossRefPubMed

Eisenberger, N. I. (2012). The neural bases of social pain: Evidence for shared representations with physical pain. Psychosomatic Medicine, 74(2), 126–135. https://doi.org/10.1097/PSY.0b013e3182464dd1CrossRefPubMedPubMedCentral

Ferguson, M. A., Schaper, F. L. W. V. J., Cohen, A., Siddiqi, S., Merrill, S. M., Nielson, J. A., Grafman, J., Urgesi, C., Fabbro, F., & Fox, M. D. (2021). A neural circuit for spirituality and religiosity derived from patients with brain lesions. Biological Psychiatry, S0006–3223(21), 01403–01407. https://doi.org/10.1016/j.biopsych.2021.06.016CrossRef

Ferrell, B. R., Handzo, G., Picchi, T., Puchalski, C., & Rosa, W. E. (2020). The urgency of spiritual care: COVID-19 and the critical need for whole-person palliation. Journal of Pain and Symptom Management, 60(3), e7–e11. https://doi.org/10.1016/j.jpainsymman.2020.06.034CrossRefPubMedPubMedCentral

Frankl, V. E. (1985). Man’s search for meaning. Simon and Schuster.

Herdman, T. H., Kamitsuru, S., & Lopes, C. (Eds.). (2021). NANDA International nursing diagnoses: Definitions & classification, 2021-2023. Georg Thieme Verlag.

Hui, D., de la Cruz, M., Thorney, S., Parsons, H. A., Delgado-Guay, M., & Bruera, E. (2011). The frequency and correlates of spiritual distress among patients with advanced cancer admitted to an acute palliative care unit. American Journal of Hospice and Palliative Medicine, 28(4), 264–270. https://doi.org/10.1177/1049909110385917CrossRefPubMed

Illueca, M., Bradshaw, Y. & Carr. D. (2020) 46th International Association for the Study of Pain (IASP) World Congress on Pain, Virtual Congress (2020 September–2021, March).

Jegindø, E. M. E., Vase, L., Skewes, J. C., Terkelsen, A. J., Hansen, J., Geertz, A. W., Roepstorff, A., & Jensen, T. S. (2013). Expectations contribute to reduced pain levels during prayer in highly religious participants. Journal of Behavioral Medicine, 36(4), 413–426. https://doi.org/10.1007/s10865-012-9438-9CrossRefPubMed

Koenig, H. G. (2018). Religion and mental health: Research and clinical applications. Academic Press.

Mako, C., Galek, K., & Poppito, S. R. (2006). Spiritual pain among patients with advanced cancer in palliative care. Journal of Palliative Medicine, 9(5), 1106–1113. https://doi.org/10.1089/jpm.2006.9.1106CrossRefPubMed

McGrath, P. (2002). Creating a language for spiritual pain through research: A beginning. Supportive Care in Cancer, 10(8), 637–646. https://doi.org/10.1007/s00520-002-0360-5CrossRefPubMed

McGrath, P. (2003). Spiritual pain: A comparison of findings from survivors and hospice patients. American Journal of Hospice and Palliative Medicine, 20(1), 23–33. https://doi.org/10.1177/104990910302000109CrossRefPubMed

Murata, H. (2003). Spiritual pain and its care in patients with terminal cancer: Construction of a conceptual framework by philosophical approach. Palliative Supportive Care, 1(1), 15–21. https://doi.org/10.1017/S1478951503030086CrossRefPubMed

Nash, R. B. (1990). Life’s major spiritual issues: An emerging framework for spiritual assessment and pastoral diagnosis. The Caregiver Journal, 7(1), 3–42. https://doi.org/10.1080/1077842X.1990.10781563CrossRef

National Center for Complementary and Integrative Health (2021). NCCIH Strategic Plan FY 2021– 2025: Mapping the Pathway to Research on Whole Person Health. National Center for Complementary and Integrative Health website. Retrieved December 2, 2021, from https://files.nccih.nih.gov/nccih-strategic-plan-2021-2025.pdf

Newberg, A. B. (2014). The neuroscientific study of spiritual practices. Frontiers in Psychology, 5, 215. https://doi.org/10.3389/fpsyg.2014.00215CrossRefPubMedPubMedCentral

North American Nursing Diagnosis Association (NANDA) (1992) as cited in Boss, L., Branson, S., Cron, S., & Kang, D. H. (2015). Spiritual pain in meal on wheels’ clients. In Healthcare, 3(4), 917–932. Multidisciplinary Digital Publishing Institute. https://doi.org/10.3390/healthcare3040917

Puchalski, C., Ferrell, B., Virani, R., Otis-Green, S., Baird, P., Bull, J., Chochinov, H., Handzo, G., Nelson-Becker, H., Prince-Paul, M., Pugliese, K., & Sulmasy, D. (2009). Improving the quality of spiritual care as a dimension of palliative care: The report of the Consensus Conference. Journal of Palliative Medicine, 12(10), 885–904. https://doi.org/10.1089/jpm.2009.0142CrossRefPubMed

Raja, S. N., Carr, D. B., Cohen, Ms., Finnerup, N. B., Flor, H., Gibson, S., Keefe, F. J., Mogil, J. S., Ringkamp, M., Sluka, K. A., Song, X. J., Stevens, B., Sullivan, M. D., Tutelman, P. R., Ushida, T., & Vader, K. (2020). The revised International Association for the Study of Pain definition of pain: Concepts, challenges, and compromises. Pain, 161(9), 1976–1982. https://doi.org/10.1097/j.pain.0000000000001939CrossRefPubMedPubMedCentral

Saunders, D. C. (1988). Spiritual pain. Journal of Palliative Care, 4(3), 29–32. https://doi.org/10.1177/082585978800400306CrossRefPubMed

Schultz, M., Meged-Book, T., Mashiach, T., & Bar-Sela, G. (2017). Distinguishing between spiritual distress, general distress, spiritual well-being, and spiritual pain among cancer patients during oncology treatment. Journal of Pain and Symptom Management, 54(1), 66–73. https://doi.org/10.1016/j.jpainsymman.2017.03.018CrossRefPubMed

Strang, P., Strang, S., Hultborn, R., & Arner, S. (2004). Existential pain—an entity, a provocation, or a challenge? Journal of Pain and Symptom Management, 27(3), 241–250. https://doi.org/10.1016/j.jpainsymman.2003.07.003CrossRefPubMed

Treede, R. D., Rief, W., Barke, A., Aziz, Q., Bennett, M. I., Benoliel, R., Cohen, M., Evers, S., Finnerup, N. B., First, M. B., Giamberardino, M. A., Kaasa, S., Korwisi, B., Kosek, E., Lavand’homme, P., Nicholas, M., Perrot, S., Scholz, J., Schug, S., Smith, B. H., Scensson, P., Vlaeyen, J.W. S., & Wang, S. J. (2019). Ýe IASP Classification of Chronic Pain for the International Classification of Diseases (ICD- 11). Pain, 160(1), 19–27. https://doi.org/10.1097/j.pain.0000000000001384CrossRefPubMed

Weathers, E., McCarthy, G., & Coffey, A. (2016). Concept analysis of spirituality: An evolutionary approach. Nursing Forum, 51(2), 79–96. https://doi.org/10.1111/nuf.12128CrossRefPubMed

Zhang, H., Hook, J. N., Van Tongeren, D. R., Davis, E. B., Aten, J. D., McElroy-Heltzel, S., Davis, D. E., Shannonhouse, L., Hodge, A. S., & Captari, L. E. (2021). Spiritual fortitude: A systematic review of the literature and implications for COVID-19 coping. Spirituality in Clinical Practice, 8(4), 229–244. https://doi.org/10.1037/scp0000267CrossRef

Titel: Spiritual Pain: A Symptom in Search of a Clinical Definition
verfasst von: Marta Illueca
Ylisabyth S. Bradshaw
Daniel B. Carr
Publikationsdatum: 09.09.2022
Verlag: Springer US
Erschienen in: Journal of Religion and Health / Ausgabe 3/2023
Print ISSN: 0022-4197
Elektronische ISSN: 1573-6571
DOI: https://doi.org/10.1007/s10943-022-01645-y

Klimawandel und Gesundheit: Was Sie in der Hausarztpraxis wissen müssen und tun können

Springer Medizin

Spiritual Pain: A Symptom in Search of a Clinical Definition

Abstract

Klimawandel und Gesundheit: Was Sie in der Hausarztpraxis wissen müssen und tun können

Springer Medizin

Abstract

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 3/2023

Using a Measurement Model to Reconceptualize the Church Experiences of Black Men who have Sex with Men

A Dutch Study of Remarkable Recoveries After Prayer: How to Deal with Uncertainties of Explanation

Chaplaincy Perspectives on the Role of Spirituality in Australian Health and Aged Care

Person-Centered Mindfulness: A Culturally and Spiritually Sensitive Approach to Clinical Practice

Libyan Healthcare Professionals’, Patients’ and Caregivers’ Perceptions and Religious Beliefs about Cancer Pain and its Management: A Descriptive Qualitative Study

TIMS: A Mixed Methods Evaluation of the Impact of a Novel Chaplain Facilitated Recorded Interview Placed in the Medical Chart for the Medical Staff in an ICU During the COVID-19 Pandemic