A longitudinal qualitative study was conducted to explore the experiences of church leaders (10 priests, pastors, and pastors' wives) who provided disaster spiritual/emotional care (DSEC) to the island of Puerto Rico during a period of intense and repeated crises from 2017 to 2022. Utilizing a narrative inquiry approach, 18 in-depth interviews were conducted and analyzed. Findings indicated that the participants engaged in psychological, social, and religious coping strategies to actively cope with the stress and trauma of being first responder rescuer/victims. Regional, cultural and contextual factors are considered in an effort to understand and enhance services to populations where disaster is the new normal.

This issue commences with a bibliometric analysis of the top 100 most cited articles on religion. It then presents the first of a two-part series relating to research from Poland and progresses to examine the relevance of religion and spirituality to public health. Finally, this issue revisits the long-established and productive discipline of healthcare chaplaincy and various factors relating to parish clergy. A new theme of mindfulness and prayer is also introduced.

The purpose of this study was to assess the association between nurse religiosity and decision to consult spiritual care services at a hospital in the western USA. An anonymous survey was distributed to assess nurses' reports of whether they would request spiritual care services across different scenarios. Out of 171 nurses approached to participate in this survey, fifty-one nurses completed the survey and half of respondents considered themselves religious. Compared to non-religious nurses, religious nurses reported greater likelihood to contact a chaplain across a variety of patient and family scenarios, including when a patient has a new diagnosis, is anxious or depressed, or has a challenging family situation.

People with primary brain tumors face spiritual challenges due to neuro-cognitive disturbances such as aphasia and rapid neurological deterioration. This scoping review aimed to map the evidence regarding professional spiritual care in this neuro-oncological population. The literature search was conducted utilizing two databases (PubMed, CINAHL) and two peer-reviewed journals ('Spiritual Care', 'Journal of Religion and Health'). In total, 27 studies were analyzed, and five thematic categories were identified: (1) spiritual needs, (2) integrating the spiritual dimension in care, (3) spiritual care generalist interventions, (4) spiritual care specialist interventions, (5) assessments. Early integration of spiritual care and specific training are important.

In this essay, I utilize a historical methodology into Catholic thought on abortion, looking toward the foundational viewpoint of original sin as justification for the need to baptize infants for the sake of their salvation. Then, I highlight how abortion has developed and shifted throughout the twentieth century vis-à-vis Papal Encyclicals and Vatican II. Strikingly, there is a resounding silence on the soteriology of aborted fetuses in Canon Law. Finally, I return to the clinical context to indicate the theological tension between the Catholic Church's foundational belief on the need to baptize and their procedural ethic on the soteriology of aborted fetuses, resulting in the uncertainty of the salvation for unbaptized aborted fetuses.

War is a significant, high-intensity stressor that forces millions of people to seek refuge in safer areas, resulting in profound physical and mental health challenges. Following the large-scale Russian invasion of Ukraine in February 2022, millions of Ukrainians became refugees in Europe. This exploratory study examines the influence of faith on the mental health of Ukrainian forced migrants during the war. The results indicate that two years after the start of the full-scale war, Ukrainian forced migrants suffer from PTSD symptoms, high levels of depression, moderate anxiety, frustration, rigidity, aggressiveness, and loneliness. This exploratory study provides insights into the role of faith in the mental health of forced migrants and underscores the importance of support services for this vulnerable population.

Given a dearth of comprehensive assessments, this study provided a quantitative and scientific analysis of 286 articles on spiritual leadership (SL) published in Scopus-indexed journals. Citation, cluster and co-citation analysis were employed to highlight the key works, sketch the intellectual framework and identify the research gaps. The most influential documents, journals, authors/researchers, countries and universities were also determined using citation analysis. Besides author co-citation and journal co-citation, analysis were also performed to determine the intellectual structure of SL literature, followed by a thorough review of authors' keywords utilizing cluster analysis. Keyword co-occurrence cluster analysis led to the identification of five major clusters/streams: (a) spiritual leadership and well-being; (b) spiritual leadership and other types of leadership; (c) spiritual leadership and creativity; (d) spiritual leadership and employee-level outcomes; (e) spiritual leadership, sustainability and spirituality. Future research directions were suggested within each identified cluster. This study will assist regulators and academic scholars in understanding the nuts and bolts of spiritual leadership and identifying areas that require more research.

This study introduces the spiritual psychological resilience scale (SPRS), a newly developed instrument designed to assess the integration of spiritual beliefs with psychological resilience in the Turkish context. The scale assesses the manner in which individuals draw upon spiritual resources to cope with adversity and maintain psychological well-being. Exploratory and confirmatory factor analyses identified a three-factor structure. Spiritual coping, spiritual beliefs and spiritual commitment collectively account for 55.01% of the variance. The scale exhibited robust internal consistency across all subscales, with Cronbach's alpha coefficients ranging from 0.785 to 0.854, thereby substantiating its reliability. Furthermore, the scale exhibited a notable negative correlation with spiritual contradiction, thereby substantiating its criterion validity. The SPRS provides a comprehensive instrument for evaluating spiritual and psychological resilience and is applicable to diverse populations. Future research should investigate its utility across different demographic and cultural groups, as well as its relevance to other psychological constructs such as depression and anxiety. This scale has the potential for use in counselling, educational and clinical settings, particularly for populations dealing with trauma and adversity.

Religiosity is a determinant of human flourishing and a protective/risk factor on health. In recent years the DUREL has been one of the most used measures in studies of religion and health worldwide. This scale has five items to assess three domains: organizational religiosity (item 1), non-organizational religiosity (item 2), and intrinsic/subjective religiosity (items 3, 4 and 5). Through an online survey, we examined the psychometric properties, factor structure and measurement invariance of the Duke University Religion Index among 411 Spanish-speaking Puerto Rican adults. We found alpha and omega reliability coefficients of .91. In confirmatory factor analysis (CFA) with robust maximum likelihood estimation, best-fit models were those with three factors. We observed adequate convergent/discriminant validity via CFA-related statistics. Using multigroup CFA, the DUREL was gender-invariant. Correlations with external criteria supported its concurrent validity. Our findings support DUREL's utility as a religiosity measure for Puerto Ricans.

This study was aimed at evaluating the knowledge and attitudes of religious officials in Turkey about circumcision. Among the Imams, 96.7% (n = 234) were married, and 91.3% (n = 221) had male children. The place of circumcision was at home in 42.1% (n = 102), and 56.1% (n = 123) of the performers were not licensed physicians. Overall, 59.1% of the Imams believed that circumcision provided protection against HIV, 49.6% believed it reduced the risk of penile cancer, and 69.8% believed that circumcision increased sexual potency. Our research reveals that Imams in Turkey lack knowledge about circumcision.

Caregiving challenges of Parkinson's disease can result in loss of faith, meaning, and spiritual distress. The purpose of this study is to describe Parkinson's disease caregivers' perceptions and experiences related to spiritual distress, sources of spiritual and religious support, acts, and experiences of growth, and finding meaning and joy in the midst of spiritual distress. We conducted semi-structured interviews with caregivers of persons with Parkinson's disease (n = 16) and identified five themes: (a) Bearing witness to suffering underlies spiritual distress; (b) Prayers are pleas for "soul help"; (c) Spiritual guidance and support are important; (d) Faith and community are sources of spiritual support; and (e) Joy, meaning, and growth help to transcend spiritual distress. Interventions that target sources of spiritual distress and joy are needed.

Interstitial lung diseases (ILDs) have an impact on patient quality of life at some point. Alternatives such as pulmonary rehabilitation, oxygen supplementation, yoga, and mindfulness practices can help in the care of patients with ILD. The current study was designed to explore the perceptions of gratitude by patients with various ILDs during an MBI. This was a qualitative study involving 50 patients with ILDs. Data were collected through transcription of expressions of gratitude during weekly sessions. A six-phase thematic analysis was used to evaluate the data qualitatively. The results obtained allowed the construction of five thematic categories of gratitude: Religious belief: recognition of the existence of a God being evident in the statements of several patients, who relied on it as a strategy for coping with the disease; the possibility of autonomy: perceived in the importance placed upon being able to perform simple, routine tasks; the presence of family and friends, the assurance of treatment by the health care team and the treatment itself; and the changes achieved through the mindfulness training. Despite the severity and limitations imposed by the disease, the participants were able to perceive the importance and meaning of the presence of family and friends, spirituality, the medical team, and mindfulness in their lives.

Luján is considered the religious heart of Argentina, attracting pilgrims from all over the world. Among the pilgrimages across the world, there is also a Polish pilgrimage organized every year by Polish communities in Buenos Aires for the Polish Argentines. The purpose of this article is to examine the changes in the number of pilgrims, administered sacraments and celebrated masses in Luján from 2019 to 2023. The research shows that after a sharp decline in the number of pilgrims from 5 million in 2019 to 1 million in 2020 due to the COVID-19 pandemic, there has been a resurgence in pilgrimages, with over 6 million pilgrims worldwide in 2023. The article analyses empirical data collected through in-depth interviews with 25 Argentines of Polish descent (n = 25). Its purpose is to examine how the motives and intentions of these individuals for making a pilgrimage to Luján have changed before, during, and after the COVID-19 pandemic, as well as significance of the pilgrimage for each of them. The research clearly demonstrates that the pandemic has strengthened the faith of Polish pilgrims living in Argentina, who now view pilgrimages to Luján and entrusting their intentions to the Virgin Mary as a personal obligation.

Body image is a major postpartum problem negatively correlated with postpartum depression. The present study tests this correlation amongst ultra-Orthodox women in Israel and analyses whether movement classes are effective in improving postpartum body image. Utilising a mixed-methods approach, the study followed two groups of ultra-Orthodox postpartum women (n = 45): one group that participated in movement classes (n = 23) and a comparison group that did not (n = 22). Results of the study found a negative correlation between depression and body image amongst ultra-Orthodox women (r(53) =  -0.342, p < .05) and a trend of movement classes positively affecting postpartum body image (t(43) = 1.388, p = .086). Furthermore, semi-structured interviews found three themes as to how movement 1. Regulates emotions, 2. Releases stress and 3. Places the mother at the centre. Discussion of the results highlights the importance of maintaining positive body image and emotional health in the postpartum period, and that, according to the perception of participants in this study, movement positively contributed to their sense of self and coping abilities. These connections are critical regarding ultra-Orthodox women, whose birth rate is significantly higher relative to broader society. The current study should serve as a basis for encouraging postpartum movement participation amongst ultra-Orthodox and other similar conservative religious sectors of society.

The study aimed to examine the spiritual care experiences of nurses caring for gynecologic cancer patients. The study was conducted using a phenomenological design, one of the qualitative research methods. Nurses caring for gynecologic cancer patients were included in the study. In sample selection, the criterion sampling method, one of the purposeful sampling methods, was used, and the sample size was ten nurses. A semi-structured interview guide was used to collect the data. Content analysis was performed using the MAXQDA package program. The study was written based on the COREQ checklist. The nurses' statements determined themes, sub-themes, and codes in line with the research findings. Accordingly, four themes were identified as "spiritual care practices," "emotional effects of spiritual care," "factors affecting spiritual care," and "recommendations to improve spiritual care". In line with the findings obtained, it is recommended that in-service training should be provided to nurses caring for gynecologic cancer patients to provide spiritual care at a professional level. Moreover, the excessive workload caused by working conditions should be reduced, and regulations and institutional policies should be established to increase the number of nurses.

We examined whether the salutogenic nature of resilience is the pathway of association, as well as a moderating factor, between spirituality and vicarious posttraumatic growth (VPTG). Two hundred Nigerian orthopedic nurses completed the Resilience Scale (RS-14), Spiritual Involvement and Belief Scale-Revised (SIBS-R), and Posttraumatic Growth Inventory-Short Form (PTGI-SF). We found that greater spirituality and resilience were directly associated with high VPTG. Resilience helped to explain (mediated) the relationship between spirituality and VPT such that spirituality was linked to VPTG by virtue of high resilience. Moderation analysis indicated that resilience was most robustly associated with increased VPTG for nurses with high spirituality compared to those with moderate and low levels of spirituality. Findings may be relevant in integrative/complementary approaches to trauma work.

Individuals experiencing chronic widespread musculoskeletal pain (CWP) frequently have comorbid depression. The presence of depression and pain-related outcomes in these patients are found to be positively correlated with inability to forgive or let go of interpersonal hurts and maltreatments. So for these patients, the current study aimed to apply a religiously integrated forgiveness intervention and to find out its efficacy in lessening depression and pain. The first part of research consisted of developing a religiously integrated forgiveness intervention by incorporating Islamic principles in Enright's process model of forgiveness. The other half was a randomized-control design where Depression Subscale of Depression Anxiety Stress Scale Urdu version as reported by Zafar (Urdu translations of the DASS, 2014) and Heartland Forgiveness Scale Urdu version (Butt in Interdiscip J Contemp Res Bus 4:769-792, 2012) were applied on a total of 272 adults (122 male and 150 female). After screening, 60 individuals (18 males and 39 females) were selected on the basis of high and low score on depression and forgiveness scales, respectively. Their ages ranged from 26 to 45 years. Selected individuals were randomly assigned to be a part of either treatment or control group. Religiously integrated forgiveness therapy (RIFT) was applied on 30 individuals in comparison to the 30 participants from control group. Results indicated that in comparison with control group, from pretest to posttest participants in forgiveness intervention group scored lower on depression as well as pain and scored higher on forgiveness (p > .001). It was found that the religiously integrated model of forgiveness therapy was efficacious in enhancing forgiveness and in reducing depression among individuals with chronic widespread musculoskeletal pain.

Socioeconomic status and religion are associated with health indicators. This study compared the correlations between religious observance, socioeconomic status, and select health indicators among adults in neighboring cities in Israel based on data collected from the Maccabi Health Services database. One city is characterized by religious observance, while the other is primarily secular. Lower smoking rates and higher rates of low cholesterol, triglycerides and LDL levels were observed in the religious city. No significant differences were found for low HDL rates or diabetes. Unique characteristics of populations must be considered when planning health interventions.

This descriptive study was conducted with 406 physicians to evaluate fear of malpractice, burnout and spiritual well-being among physicians in Turkey. In our study, 81.5%, 11.6% and 6.9% of physicians experienced high, medium and low levels of fear of malpractice, emotional burnout, depersonalisation and personal accomplishment, respectively. However, physicians reported high levels of spiritual well-being and harmony with nature, moderate levels of transcendence and anomie. As spiritual well-being and transcendence increased, emotional burnout and depersonalisation decreased and personal accomplishment increased. In addition, as harmony with nature increased, depersonalisation decreased and personal accomplishment increased, and as anomie increased, emotional burnout and depersonalisation increased.

This paper attempts to evaluate how massive religious festival celebrations can encourage the faster spread of any pandemic according to our problem statement, such as the case of COVID-19. For example, we evaluate Israel's three major religions, namely  Judaism, Christianity, and the Islamic festival  celebrations, respectively. Firstly, we have the traditional Jewish festivities such as Hanukkah, Yom Kippur, Sukkot, and Rosh Hashanah. In the Christian's traditional festivities celebrations, we identified Christmas, Easter Day, and All Saints Day. Finally, the Muslim festivities of Muharram and the Birthday of the Holy Prophet Mohamad. The purpose of  this study was to evaluate if these nine massive religious festival  celebrations are the main reasons for the large spread of COVID-19 in Israel directly or indirectly. In fact, we propose a new methodology to evaluate the impact of any massive religious festival celebration and the fast spread of any pandemic everywhere and anytime. The new indicator is entitled "The National Spread Levels of Infectious Diseases Risk from Massive Religious Festivities Index" (National-SLIDRMRF-Index). Finally, the major finding in this research is that any massive religious events can generate an exponential number of COVID-19 cases constantly. Therefore, this research concluded that we urgently need a standardized index to monitor  and control the expansion of any pandemic such as COVID-19 among different religious groups in the same country. At the same time, we give different policy recommendations to the Israeli government to constantly keep major controls and measures of different religious events in Jerusalem.

This study examines how Black and White Americans perceive two facets of trust (trust in medical doctor and trust in medical care for racial group) and two facets of religiosity (religious service attendance and religious norms regarding organ donation) in relation to the topic of organ donation. Two hundred and one participants (N = 201) were surveyed across the United States using the Qualtrics survey company. Bivariate analyses found donor status was not related to religious service attendance (r = - .001, p > .05) or religious norms (r = .09, p > .05). Donor status was significantly related to trust in doctors, (r = - .25, p < .001) and trust in medical care for racial group, r = - .239, p < .001). Independent samples t-tests revealed Black Americans had significantly lower levels of trust in medical care for racial group than White Americans (t = - 5.14, p < .001) but did not differ in levels of trust in doctor (t = - 1.73, p > .05). The implications of these findings for future research and campaigns are discussed.