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.

Institute of Experimental Psychology Centre for Social and Psychological Sciences Slovak Academy of Sciences Dúbravská Cesta 9 84104 Bratislava Slovakia

Olomouc University Social Health Institute Palacky University Olomouc Univerzitní 22 77111 Olomouc Czech Republic

Psychiatric Psychotherapeutic Outpatient Clinic Heydukova 27 81108 Bratislava Slovakia

See more in PubMed

Emmons R.A. Striving for the sacred: Personal goals, life meaning, and religion. J. Soc. Issues. 2005;61:731–745. doi: 10.1111/j.1540-4560.2005.00429.x. DOI

Stríženec M. Novšie Psychologické Pohľady na Religiozitu a Spritualitu. Slovak Academic Press; Bratislava, Slovakia: 2007. pp. 39–59.

Park C.L. Religion and meaning. In: Paloutzian R.F., Park C.L., editors. Handbook of the Psychology of Religion and Spirituality. The Guilford Press; New York, NY, USA: 2013. pp. 357–379.

Villani D., Sorgente A., Iannello P., Antonietti A. The Role of Spirituality and Religiosity in Subjective Well-Being of Individuals with differenct Religious Status. Frint. Psychol. 2019;10:1525. doi: 10.3389/fpsyg.2019.01525. PubMed DOI PMC

Koenig H.G. Concerns about measuring “Spirituality” in research. J. Nerv. Ment. Dis. 2008;196:349–355. doi: 10.1097/NMD.0b013e31816ff796. PubMed DOI

Snider A.M., McPhedran S. Religiosity, spirituality, mental health, and mental health treatment outcomes in Australia: A systematic literature review. Ment. Health Relig. Cult. 2014;17:568–581. doi: 10.1080/13674676.2013.871240. DOI

Brown D.R., Carney J.S., Parrish M.S., Klem J.L. Assessing Spirituality: The Relationship Between Spirituality and Mental Health. J. Spirit. Ment. Health. 2013;15:107–122. doi: 10.1080/19349637.2013.776442. DOI

Cotton S., Larkin E., Hoopes A., Cromer B.A. The impact of adolescent spirituality on depressive symptoms and health risk behaviors. J Adolesc. Health. 2005;36:529. doi: 10.1016/j.jadohealth.2004.07.017. PubMed DOI

Michael S.T., Crowther M.R., Schmid B., Allen R.S. Widowhood and spirituality: Coping responses to bereavement. J. Women Aging. 2003;15:145–165. doi: 10.1300/J074v15n02_09. PubMed DOI

McIntosh D.N., Poulin M.J., Silver R.C., Holman E.A. The distinct roles of spirituality and religiosity in physical and mental health after collective trauma: A national longitudinal study of responses to the 9/11 attacks. J. Behav. Med. 2011;34:497–507. doi: 10.1007/s10865-011-9331-y. PubMed DOI

Stratta P., Capanna C., Riccardi I., Perugi G., Toni C., Dell’Osso L., Rossi A. Spirituality and Religiosity in the Aftermath of a Natural Catastrophe in Italy. J. Relig. Health. 2013;52:1029–1037. doi: 10.1007/s10943-012-9591-z. PubMed DOI

Staton-Tindall M., Duvall J., Stevens-Watkins D., Oser C.B. The Roles of Spirituality in the Relationship between Traumatic Life Events, Mental Health, and Drug Use among African American Women from One Southern State. Subst. Use Misuse. 2013;48:1246–1257. doi: 10.3109/10826084.2013.799023. PubMed DOI PMC

Paloutzian R.F., Ellison C.W. Loneliness, spiritual well-being and the quality of life. In: Peplau L.A., Perlman D., editors. Loneliness: A Sourcebook of Current Theory, Research and Therapy. John Wiley & Sons; New York, NY, USA: 1982. pp. 224–236.

Stutzman H., Abraham S. A correlational study of spiritual well-being and depression in the adult cancer patient. Health Care Manag. 2017;36:164–172. doi: 10.1097/HCM.0000000000000153. PubMed DOI

Musa A.S., Pevalin D.J., Al Khalaileh M.A.A. Spiritual Well-Being, Depression, and Stress among Hemodialysis Patients in Jordan. J. Holistic Nurs. 2017;36:354–365. doi: 10.1177/0898010117736686. PubMed DOI

Dalmida S.G., Holstad M.M., Diiorio C., Laderman G. Spiritual well-being, depressive symptoms, and immune status among women living with HIV/AIDS. Women Health. 2009;49:119–143. doi: 10.1080/03630240902915036. PubMed DOI PMC

Taliaferro L.A., Rienzo B.A., Pigg R.M., Miller M.D., Dodd V.J. Spiritual well-being and suicidal ideation among college students. J. Am. Coll. Health. 2009;58:83–90. doi: 10.3200/JACH.58.1.83-90. PubMed DOI

Ibrahim N., Che Din N., Ahmad M., Amit N., Ghazali S.E., Wahab S., Kadir N.B.A., Halim F.W., Halim M.R.T.A. The role of social support and spiritual wellbeing in predicting suicidal ideation among marginalized adolescents in Malaysia. BMC Public Health. 2019;19:553. doi: 10.1186/s12889-019-6861-7. PubMed DOI PMC

Compton M.T., Furman M.C. Inverse correlations between symptom scores and spiritual well-being among African American patients with first-episode schizophrenia spectrum disorders. J. Nerv. Ment. Dis. 2005;193:346–349. doi: 10.1097/01.nmd.0000161700.94728.7c. PubMed DOI

Scott E.L., Agresti A.A., Fitchett G. Factor Analysis of the “Spiritual Well-Being Scale” and Its Clinical Utility with Psychiatric Inpatients. J. Sci. Study Relig. 1998;37:314–321. doi: 10.2307/1387530. DOI

Soleimani M.A., Pahlevan Sharif S., Allen K.A., Yaghoobzadeh A., Sharif Nia H., Gorgulu O. Psychometric Properties of the Persian Version of Spiritual Well-Being Scale in Patients with Accute Myocardial Infarction. J. Relig. Health. 2016;56:1981–1997. doi: 10.1007/s10943-016-0305-9. PubMed DOI PMC

Musa A.S. Factor structure of the spiritual well-being scale: Cross-cultural comparisons between Jordanian Arab and Malaysian Muslim University students in Jordan. J. Transcult. Nurs. 2016;27:117–125. doi: 10.1177/1043659614537305. PubMed DOI

Martinez E.Z., Almeida R.G.D.S., Garcia F.R., Carvalho A.C.D.D. Notes on the Portuguese language version of the Spiritual Welfare Scale. J. Brasil. Psiquiatria. 2013;62:76–80. doi: 10.1590/S0047-20852013000100010. DOI

Malinakova K., Kopcakova J., Kolarcik P., Madarasova Geckova A., Polackova Solcova I., Husek V., Kracmarova L.K., Dubovska E., Kalman M., Puzova Z., et al. The Spiritual Well-Being Scale: Psychometric Evaluation of the Shortened Version in Czech Adolescents. J. Relig. Health. 2017;56:697–705. doi: 10.1007/s10943-016-0318-4. PubMed DOI PMC

Malinakova K., Kopcakova J., Geckova A., van Dijk J.P., Furstova J., Kalman M., Taver P., Reijneveld S.A. “I am spiritual, but not religious”: Does one without the other protect against adolescent health-risk behaviour? Int. J. Public Health. 2019;64:115–124. doi: 10.1007/s00038-018-1116-4. PubMed DOI PMC

Malinakova K., Trnka R., Bartuskova L., Glogar P., Kascakova N., Kamlan M., van Dijk J.P., Tavel P. Are Adolescent Religious Attendance/Spirituality Associated with Family Characteristics? Int. J. Environ. Res. Public Health. 2019;16:2947. doi: 10.3390/ijerph16162947. PubMed DOI PMC

Tavel P., Sandora J., Furstova J., Lacev A., Husek V., Puzova Z., Šolcová I.P., Malinakova K. Czech Version of the Spiritual Well-Being Scale: Evaluation and Psychometric Properties. Psychol. Rep. 2021;124:366–381. doi: 10.1177/0033294119898117. PubMed DOI

Musa A.S., Pevalin D.J. Psychometric evaluation of the Arabic version of the Spiritual Well-Being Scale on a sample of Jordanian Arab Christians. J. Psychol. Theol. 2014;42:293–301. doi: 10.1177/009164711404200306. DOI

Byrne B.M. Using Multitrait–Multimethod Analyses in Testing for Evidence of Construct Validity. In: Schweizer K., Distefano C., editors. Principles and Methods of Test Construction: Standards and Recent Advances. Volume 3. Hogrefe Publishing; Newburyport, MA, USA: 2016. pp. 288–307.

Baker R.P. New technology in survey research: Computer-assisted personal interviewing (CAPI) Soc. Sci. Comput. Rev. 1992;10:145–157. doi: 10.1177/089443939201000202. DOI

Brahme R., Godbole S., Gangakhedkar R., Sachdeva K.S., Verma V., Risbud A. Use of computer-assisted personal interviewing and information management system in a survey among hiv high-risk groups in India: Strengths, weaknesses, opportunities, and threats analysis. Indian J. Community Med. Off. Publ. Indian Assoc. Prev. Soc. Med. 2018;43:107–112. PubMed PMC

Statistical Office of the Slovak Republic. 2021. [(accessed on 23 November 2021)]. Available online: http://statdat.statistics.sk/cognosext/cgi-bin/cognos.cgi?b_action=xts.run&m=portal/cc.xts&gohome=

Ai A.L., Wink P., Paloutzian R.F., Harris K.A. Assessing Spirituality in a Diverse World. Springer; Berlin/Heidelberg, Germany: 2021. pp. 413–444.

Smith B.W., Dalen J., Wiggins K., Tooley E., Christopher P., Bernard J. The brief resilience scale: Assessing the ability to bounce back. Int. J. Behav. Med. 2008;15:194–200. doi: 10.1080/10705500802222972. PubMed DOI

Furstova J., Kascakova N., Polackova Solcova I., Hasto J., Tavel P. How Czecho-Slovakia Bounces Back: Population-Based Validation of the Brief Resilience Scale in Two Central European Countries. [(accessed on 16 December 2021)];Psychol. Rep. 2021 Available online: https://journals.sagepub.com/doi/abs/10.1177/00332941211029619. PubMed DOI

Tedeschi R.G., Calhoun L.G. The Posttraumatic Growth Inventory: Measuring the positive legacy of trauma. J. Traum. Stress. 1996;9:455–471. doi: 10.1002/jts.2490090305. PubMed DOI

Ware J.E., Kosinski M., Dewey J.E., Gandek B. How to score and interpret single-item health status measures: A manual for users of the SF-Y Health Survey. Int. J. Urol. 2001;17:555–562.

R Core Team . R: A Language and Environment for Statistical Computing. R Foundation for Statistical Computing; Vienna, Austria: 2021. [(accessed on 18 December 2021)]. Available online: https://www.R-project.org/

Rosseel Y. Lavaan: An R package for structural equation modeling and more. Version 0.5–12 (BETA) J. Stat. Softw. 2012;48:1–36. doi: 10.18637/jss.v048.i02. DOI

Hu L.T., Bentler P.M. Cutoff Criteria for Fit Indexes in Covariance Structure Analysis: Conventional Criteria Versus New Alternatives. Struct. Equ. Model. 1999;6:1–55. doi: 10.1080/10705519909540118. DOI

Satorra A., Bentler P.M. A scaled difference chi-square test statistic for moment structure analysis. Psychometrika. 2001;66:507–514. doi: 10.1007/BF02296192. PubMed DOI PMC

Ellison C.W. Spiritual Well-Being—Conceptualization and Measurement. J. Psychol. Theol. 1983;11:330–340. doi: 10.1177/009164718301100406. DOI

Bufford R.K., Paloutzian R.F., Ellison C.W. Norms for the Spiritual Well-Being Scale. J. Psychol. Theol. 1991;19:56–70. doi: 10.1177/009164719101900106. DOI

Gow A.J., Watson R., Whiteman M., Deary I.J. A Stairway to Heaven? Structure of the Religious Involvement Inventory and Spiritual Well-Being Scale. J. Relig. Health. 2011;50:5–19. doi: 10.1007/s10943-010-9375-2. PubMed DOI

Chen F.F. Sensitivity of goodness of fit indexes to lack of measurement invariance. Struc. Equ. Model. 2007;14:464–504. doi: 10.1080/10705510701301834. DOI

Borualogo I.S., Casas F. Adaptation and validation of the Children’s worlds subjective well-being scale (CW-SWBS) in Indonesia. J. Psikol. 2019;46:102–116. doi: 10.22146/jpsi.38995. DOI

Eksi H., Kardas S. Spiritual well-being: Scale development and validation. Spirit. Psychol. Counsel. 2017;2:73–88. doi: 10.12738/spc.2017.1.0022. DOI

Darvyri P., Galanakis M., Avgoustidis A.G., Vasdekis S., Artemiadis A., Tigani X., Chrousos G.P., Darviri C. The spiritual well-being scale (SWBS) in Greek population of Attica. Psychology. 2014;5:1575–1583. doi: 10.4236/psych.2014.513168. DOI

Velasco L., Rioux L. Adaptation et validation en langue française d’une échelle de bien-être spirituel: Correction. Can. J. Beh. Sci. 2009;41:240. doi: 10.1037/a0016144. DOI

Miller G., Fleming W., Brown-Anderson F. Spiritual well-being scale ethnic differences between Caucasians and African-Americans. J. Psychol. Theol. 1998;26:358–364. doi: 10.1177/009164719802600406. DOI

Sonderen E.V., Sanderman R., Coyne J.C. Ineffectiveness of reverse wording of questionnaire items: Let’s learn from cows in the rain. PLoS ONE. 2013;8:e68967. doi: 10.1371/annotation/af78b324-7b44-4f89-b932-e851fe04a8e5. PubMed DOI PMC

Suárez Álvarez J., Pedrosa I., Lozano L.M., García Cueto E., Cuesta Izquierdo M., Muñiz Fernández J. Using reversed items in Likert scales: A questionable practice. Psicothema. 2018;30:149–158. doi: 10.7334/psicothema2018.33. PubMed DOI

Colosi R. Negatively worded questions cause respondent confusion. [(accessed on 16 November 2021)];Proc. Surv. Res. Methods Sect. Am. Stat. Assoc. 2005 2005:2896–2903. Available online: https://citeseerx.ist.psu.edu/viewdoc/download?doi=10.1.1.556.243&rep=rep1&type=pdf.

Chyung S.Y., Barkin J.R., Shamsy J.A. Evidence-based survey design: The use of negatively worded items in surveys. Perform. Improv. 2018;57:16–25. doi: 10.1002/pfi.21749. DOI

Dalal D.K., Carter N.T. Negatively worded items negatively impact survey research. In: Lance C.E., Vandenberg R.J., editors. More Statistical and Methodological Myths and Urban Legends. Routledge/Taylor & Francis Group; London, UK: 2014. pp. 112–132.

Weems G.H., Onwuegbuzie A.J., Collins K.M. The role of reading comprehension in responses to positively and negatively worded items on rating scales. Eval. Res. Educ. 2006;19:3–20. doi: 10.1080/09500790608668322. DOI

Šarníková G., Maliňáková K., Fürstová J., Dubovská E., Tavel P. Psychometrická analýza škály funkčního posouzení terapie chronických nemocí-spirituální osobní pohoda (FACIT-Sp) v českém prostředí. [(accessed on 16 December 2021)];Ceskoslov. Psychol. 2018 62:114–128. Available online: http://cspsych.psu.cas.cz/files/cspsych_supplement_2018.pdf.

Kalkstein S., Tower R.B. The daily spiritual experiences scale and well-being: Demographic comparisons and scale validation with older Jewish adults and a diverse internet sample. J. Relig. Health. 2009;48:402–417. doi: 10.1007/s10943-008-9203-0. PubMed DOI

Kim S.S., Kim-Godwin Y.S., Koenig H.G. Family spirituality and family health among Korean-American elderly couples. J. Relig. Health. 2016;55:729–746. doi: 10.1007/s10943-015-0107-5. PubMed DOI

Lee K., Ashton M.C. Sex differences in HEXACO personality characteristics across countries and ethnicities. J. Pers. 2020;88:1075–1090. doi: 10.1111/jopy.12551. PubMed DOI

Löffler C.S., Greitemeyer T. Are women the more empathetic gender? The effects of gender role expectations. Curr. Psychol. 2021;2021:1–12. doi: 10.1007/s12144-020-01260-8. DOI

Forlenza O.V., Vallada H. Spirituality, health and well-being in the elderly. Int. Psychogeriatr. 2018;30:1741–1742. doi: 10.1017/S1041610218001874. PubMed DOI

Hamberg E.M. Stability and change in religious beliefs, practice, and attitudes: A Swedish panel study. J Scient. Study Relig. 1991;30:63–80. doi: 10.2307/1387149. DOI

Galen L.W., Kloet J.D. Mental well-being in the religious and the non-religious: Evidence for a curvilinear relationship. Ment. Health, Relig. Cult. 2011;14:673–689. doi: 10.1080/13674676.2010.510829. DOI

Tedeschi R.G., Calhoun L.G. Posttraumatic growth: Conceptual foundations and empirical evidence. Psychol. Inq. 2004;15:1–18. doi: 10.1207/s15327965pli1501_01. DOI

Parappully J., Rosenbaum R., Van Den Daele L., Nzewi E. Thriving after trauma: The experience of parents of murdered children. J. Humanist. Psychol. 2002;42:33–70. doi: 10.1177/0022167802421003. DOI

Werdel M.B., Dy-Liacco G.S., Ciarrocchi J.W., Wicks R.J., Breslford G.M. The unique role of spirituality in the process of growth following stress and trauma. Pastoral. Psychol. 2014;63:57–71. doi: 10.1007/s11089-013-0538-4. DOI

Khursheed M., Shahnawaz M.G. Trauma and Post-traumatic Growth: Spirituality and Self-compassion as Mediators Among Parents Who Lost Their Young Children in a Protracted Conflict. J. Relig. Health. 2020;59:2623–2637. doi: 10.1007/s10943-020-00980-2. PubMed DOI

Tedeschi R.G., Cann A., Taku K., Senol-Durak E., Calhoun L.G. The Posttraumatic Growth Inventory: A Revision Integrating Existential and Spiritual Change. J. Traum. Stress. 2017;30:11–18. doi: 10.1002/jts.22155. PubMed DOI

Tsai J., Harpaz-Rotem I., Pietrzak R.H., Southwick S.M. In: Trauma resiliency and posttraumatic growth, In APA Handbook of Trauma Psychology: Trauma Practice. Gold. S.N., editor. Volume 2. American Psychological Association; Washington, DC, USA: 2017. pp. 89–113. DOI

Itzhaki M., Peles-Bortz A., Kostistky H., Barnoy D., Filshtinsky V., Bluvstein I. Exposure of mental health nurses to violence associated with job stress, life satisfaction, staff resilience, and post-traumatic growth. Int. J. Ment. Health Nurs. 2015;24:403–412. doi: 10.1111/inm.12151. PubMed DOI

Abolghasemi A., Varaniyab S.T. Resilience and perceived stress: Predictors of life satisfaction in the students of success and failure. Proced. Soc. Behav. Sci. 2010;5:748–752. doi: 10.1016/j.sbspro.2010.07.178. DOI

Cohn M.A., Fredrickson B.L., Brown S.L., Mikels J.A., Conway A.M. Happiness unpacked: Positive emotions increase life satisfaction by building resilience. Emotion. 2009;9:361–368. doi: 10.1037/a0015952. PubMed DOI PMC

Zullig K.J., Ward R.M., Horn T. The association between perceived spirituality, religiosity, and life satisfaction: The mediating role of self-rated health. Soc. Indicat. Res. 2006;79:255–274. doi: 10.1007/s11205-005-4127-5. DOI

Vitorino L.M., Lucchetti G., Leao F.C., Vallada H., Peres M.F.P. The association between spirituality and religiousness and mental health. Sci. Rep. 2018;8:17233. doi: 10.1038/s41598-018-35380-w. PubMed DOI PMC

Dankulincova Veselska Z., Jirasek I., Veselsky P., Jiraskova M., Plevova I., Tavel P., Madarasova Geckova A. Spirituality but not religiosity is associated with better health and higher life satisfaction among adolescents. Int. J. Environ. Res. Public Health. 2018;15:2781. doi: 10.3390/ijerph15122781. PubMed DOI PMC

Lun V.M.C., Bond M.H. Examining the Relation of Religion and Spirituality to Subjective Well-Being Across National Cultures. Psychol. Relig. Spirit. 2013;5:304–315. doi: 10.1037/a0033641. DOI

Unterrainer H.F., Lewis A.J., Fink A. Religious/Spiritual Well-Being, Personality and Mental Health: A Review of Results and Conceptual Issues. J. Relig. Health. 2014;53:382–392. doi: 10.1007/s10943-012-9642-5. PubMed DOI

Mendonca D., Oakes K.E., Ciarrocchi J.W., Sneck W.J., Gillespie K. Research in the Social Scientific Study of Religion. Volume 18. Entomological Society of Canada; Toronto, ON, Canada: 2007. Spirituality and God-attachment as predictors of subjective well-being for seminarians and nuns in India; pp. 121–140. DOI

Poulin M.J., Haase C.M. Growing to Trust: Evidence That Trust Increases and Sustains Well-Being across the Life Span. Soc. Psychol. Pers. Sci. 2015;6:614–621. doi: 10.1177/1948550615574301. DOI

Nosrati F., Rahimi-Nejad A., Ghayoomi Naeeni A. The relationship between parental attachment, spiritual intelligence and gender with psychological well-being in gifted students. [(accessed on 16 December 2021)];J. Sch. Psychol. 2018 6:176–198. Available online: http://jsp.uma.ac.ir/article_609.html?lang=en.

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