The Present State of Existential Interventions Within Palliative Care

Existential psychotherapy is rooted in the European tradition of existential philosophy. Existential philosophers include Husserl and Heidegger, who were German, and Camus, Sartre, de Beauvoir, and Merleau-Ponty, who were French. Their works contain existentially ultimate themes such as death, freedom, meaninglessness, and isolation. Based on their knowledge of existential philosophy, Binswanger, Frankl, and Boss developed the earlier existential psychotherapies such as Dasein-analysis and Logotherapy, while May, Laing, Yalom, May, and Wong started later existential psychotherapies in the British and American culture. Focusing on patients with advanced cancer and/or terminal care, we found nine types of existential psychotherapies which were investigated using randomized controlled trials (RCTs): Meaning-Centered Group Psychotherapy (MCGP), Individual Meaning-Centered Psychotherapy (IMCP), Meaning-Making intervention (MMi), Meaning of Life Intervention, Managing Cancer and Living Meaningfully (CALM), Hope Intervention, Cognitive and Existential Intervention, Dignity Therapy, and Life-Review Interviews, from 19 relevant RCTs. All deal with death, meaninglessness, isolation, and freedom. Particularly, MCGP, IMCP, MMi, Meaning of Life intervention, and CALM emphasize finding and/or making meaning in the individual's life. The effects on existential or spiritual well-being were confirmed in MCGP, IMCP, Meaning of Life intervention, and Life-Review intervention although the number of studies were very few. In the other interventions, there were heterogenous findings and again the number of studies was very small. Further studies are required to investigate the effects of existential psychotherapy on patients with advanced cancer.

Psychometric Analysis of the Shortened Version of the Spiritual Well-Being Scale on the Slovak Population (SWBS-Sk)

This study was focused on verifying the factor structure of the shortened version of the Spiritual Well-Being Scale (SWBS) on a representative sample of adult Slovak citizens (N = 1018, 49% men, age 18–85 years, and mean age 46.2). The shortened version of the SWBS consists of 10 items divided into two subscales: religious well-being (RWB) and existential well-being (EWB). Results of confirmatory factor analysis (CFA) showed insufficient parameters of the full two-factor model due to three negatively formulated items. After their exclusion, the two-factor model was found to be valid in the Slovakian population (χ (13) = 53.1, p < 0.001, χ2/df = 4.1, CFI = 0.999, TLI = 0.999, RMSEA = 0.055, and SRMR = 0.028). The reliability of the final version of the SWBS-Sk, consisting of seven positively worded items, is high, with α = 0.86 and ω = 0.94. Religious respondents and women scored significantly higher on the whole scale (p = 0.001) as well as on the two subscales (p < 0.05). A higher age was associated with a higher RWB score (p = 0.001) and a lower EWB score (p = 0.002). The shortened version of the SWBS-Sk consisting of positively worded items was found to be valid and reliable for further use in the Slovak environment.

The Old Adults’ Emotional Wellness and Spiritual Well-being with an Emphasis on Physical Activity during COVID-19 Pandemic

Background and Purpose: COVID-19 pandemic is a challenge for improving health during lockdown. Unfortunately, the concern which is expressed as for the welfare and the health of the elderly contradicts the actions undertaken for their health and welfare. The psychological research conducted during COVID-19 pandemic rarely include the people over 60 years old. Hence, the purpose of the current study was to compare emotional wellness and psychological health of active and inactive old adults in Shahrood city with an emphasis on physical activity during COVID-19 pandemic. The subject of the present research is an interdisciplinary one. Materials and Methods: The current study was a practical descriptive survey. The statistical population of the research were all the elderly aged over 60 years in Shahrood in 2020 (based on the latest census equal to 17173 people). The sample size was estimated based on Cochran formula following convenience sampling method. The data collection tool was a questionnaire, and the data were analyzed using SPSS and Excel Software. Results: The findings indicated that the level of emotional wellness and spiritual well-being of active old adults was more than that of inactive old adults, and inactive old adults had higher levels of unpleasant feelings than active old adults. Conclusion: Based on the findings, it is essential that the elderly keep doing the recommended amount of exercise and physical activity. Although this could be challenging for them both to have access to sport clubs and parks and to follow health protocols, there are extensive creative activities which could be replaced in order to stay in health and active at home.

The Relationship Between Spiritual Well-Being and Life Satisfaction During COVID-19

Turkey is among the countries that has been significantly affected by the COVID-19 pandemic. Thousands of people have lost their lives, and the outbreak has caused millions of people to experience both physiological and psychological problems. This study examines the effect of spiritual well-being on the life satisfaction levels of individuals the COVID-19 pandemic. The research was carried out on white-collar employees working in the service sector in Turkey. The data of the field research was collected through online surveys from a sample of 384 employees. The findings show that spiritual well-being has a positive effect on life satisfaction.

Factors Predicting Spiritual Well-Being among Dependent Older People

Spiritual well-being is a deep feeling within the mind that represents peacefulness and the inner strength of individuals, resulting from an understanding of the nature of life and acceptance of changes occurring to themselves. Spiritual well-being is; therefore, very important to dependent older people. The objectives of this study were to identify the levels of spiritual well-being of dependent older people, to examine the relationships between religious belief, religious practice, self-esteem, social support, depression, and spiritual well-being, and to examine the ability of those factors to predict spiritual well-being among dependent older people. The study sample were 395 of people aged 60 years and above who are dependent and live in three provinces in southern Thailand. Data were collected using questionnaires, including the Spiritual Well-Being Scale for Dependent Older People, Thai version of the Rosenberg Self-Esteem Scale, Thai version of the Multidimensional Scale of Perceived Social Support, Thai Geriatric Depression Scale, the Religious Practices Questionnaire, and the Buddhist Belief Questionnaire. Data were analyzed using descriptive statistics, Spearman’s rank correlation coefficient, and multiple regression analysis. The study results were as follows: 1) The spiritual well-being among dependent older people was at a moderate level (x̅ = 46.97, SD = 7.22). 2) Religious belief, religious practice, self-esteem, and social support significantly related positively to spiritual well-being (p < 0.01), while depression significantly related negatively to spiritual well-being (p < 0.01). 3) Religious belief, self-esteem, and social support together could explain 46.00 % of the variance in spiritual well-being. The results of this study can be used by nurses and health care providers to determine interventions for enhancing spiritual well-being in this particular group of older people. HIGHLIGHTS Spiritual well-being is one of the important dimensions of holistic care. Spiritual well-being has a positive effect on physical, mental and social health The conceptual framework is guided by the Buddhism Principles Religious belief, self-esteem, and social support together could explain 46.00 % of the variance in spiritual well-being