Problem: The positive relationship between spirituality and physical, psychological, and social well-being has been well established. However, beyond quality of life measures, this construct has yet to be more deeply studied in a sample of individuals diagnosed with Systemic Lupus Erythematosus (SLE). Furthermore, relational spirituality has yet to be studied in a chronically ill population. Meeting these gaps in the literature, this study compared the explicit domains and latent constructs measured by a relational spirituality instrument and examined their associations with a measure of biopsychosocial-spiritual well-being and quality of life measure.
Results: Utilizing nonrandom online surveys, this study included 305 participants, with 85 reporting a SLE diagnosis. Results indicated the BioPPSI did not maintain its original factor structure, with the psychological and spiritual items loading onto one domain. The SLE sample reported lower levels of physical well-being and higher levels of secured attachment to God. However, ATG style was only significantly related to LQoL emotional health, as those with more secured attachment reported high emotional health.
Implications: This study highlights the need to further develop the BioPPSI and to better understand the relationship of relational spirituality for those with a chronic illness. Furthermore, the study emphasizes the need to better understand the needs of individuals with SLE and methods of intervention.
","abstract_html":"<p>Problem: The positive relationship between spirituality and physical, psychological, and social well-being has been well established. However, beyond quality of life measures, this construct has yet to be more deeply studied in a sample of individuals diagnosed with Systemic Lupus Erythematosus (SLE). Furthermore, relational spirituality has yet to be studied in a chronically ill population. Meeting these gaps in the literature, this study compared the explicit domains and latent constructs measured by a relational spirituality instrument and examined their associations with a measure of biopsychosocial-spiritual well-being and quality of life measure. </p> <p>Results: Utilizing nonrandom online surveys, this study included 305 participants, with 85 reporting a SLE diagnosis. Results indicated the BioPPSI did not maintain its original factor structure, with the psychological and spiritual items loading onto one domain. The SLE sample reported lower levels of physical well-being and higher levels of secured attachment to God. However, ATG style was only significantly related to LQoL emotional health, as those with more secured attachment reported high emotional health.</p> <p>Implications: This study highlights the need to further develop the BioPPSI and to better understand the relationship of relational spirituality for those with a chronic illness. Furthermore, the study emphasizes the need to better understand the needs of individuals with SLE and methods of intervention.</p>","abstract_has_math":false,"creators":["Richardson-Cline, Kara Ann"],"institution":null,"degree_name":"Doctor of Philosophy (PhD)","degree_level":"Dissertation","degree_discipline":"Counseling Psychology & Community Services","degree_department":null,"school":null,"contributors":["Cindy Juntunen"],"advisors":[],"committee_chairs":[],"committee_members":[],"year":2013,"date_issued":"2013-01-01T08:00:00Z","date_published":"2013-01-01T08:00:00Z","updated_at":"2026-07-24T03:26:24Z","subjects":["Biopsychosocial Model, Biopsychosocial-Spiritual Model, Quality of Life, Relational Spirituality, Spirituality, Systemic Lupus"],"languages":[],"rights":[],"rights_urls":[],"identifier_entries":[]},"links":{"outbound_url":"https://commons.und.edu/theses/1474","outbound_label":"Repository record","outbound_source":"dc:identifier"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:contributor","label":"Contributor","values":["Cindy Juntunen"]},{"key":"dc:creator","label":"Author","values":["Richardson-Cline, Kara Ann"]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"thesis:degree_discipline","label":"Discipline","values":["Counseling Psychology & Community Services"]},{"key":"thesis:degree_level","label":"Degree Level","values":["Dissertation"]},{"key":"thesis:degree_name","label":"Degree Name","values":["Doctor of Philosophy (PhD)"]}]},{"id":"subjects_keywords","label":"Subjects and Keywords","entries":[{"key":"dc:subject","label":"Dc Subject","values":["Biopsychosocial Model, Biopsychosocial-Spiritual Model, Quality of Life, Relational Spirituality, Spirituality, Systemic Lupus"]}]},{"id":"identifiers","label":"Identifiers","entries":[{"key":"dc:identifier","label":"Identifier","values":["https://commons.und.edu/theses/1474"]}]},{"id":"additional","label":"Additional Metadata","entries":[{"key":"dc:description.abstract","label":"Abstract","values":["Problem: The positive relationship between spirituality and physical, psychological, and social well-being has been well established. However, beyond quality of life measures, this construct has yet to be more deeply studied in a sample of individuals diagnosed with Systemic Lupus Erythematosus (SLE). Furthermore, relational spirituality has yet to be studied in a chronically ill population. Meeting these gaps in the literature, this study compared the explicit domains and latent constructs measured by a relational spirituality instrument and examined their associations with a measure of biopsychosocial-spiritual well-being and quality of life measure.
Results: Utilizing nonrandom online surveys, this study included 305 participants, with 85 reporting a SLE diagnosis. Results indicated the BioPPSI did not maintain its original factor structure, with the psychological and spiritual items loading onto one domain. The SLE sample reported lower levels of physical well-being and higher levels of secured attachment to God. However, ATG style was only significantly related to LQoL emotional health, as those with more secured attachment reported high emotional health.
Implications: This study highlights the need to further develop the BioPPSI and to better understand the relationship of relational spirituality for those with a chronic illness. Furthermore, the study emphasizes the need to better understand the needs of individuals with SLE and methods of intervention.
"]},{"key":"dc:title","label":"Title","values":["Spirituality And Systemic Lupus Erythematosus"]}]}],"canonical_facts":{"dc:contributor":["Cindy Juntunen"],"dc:creator":["Richardson-Cline, Kara Ann"],"dc:description.abstract":["Problem: The positive relationship between spirituality and physical, psychological, and social well-being has been well established. However, beyond quality of life measures, this construct has yet to be more deeply studied in a sample of individuals diagnosed with Systemic Lupus Erythematosus (SLE). Furthermore, relational spirituality has yet to be studied in a chronically ill population. Meeting these gaps in the literature, this study compared the explicit domains and latent constructs measured by a relational spirituality instrument and examined their associations with a measure of biopsychosocial-spiritual well-being and quality of life measure.
Results: Utilizing nonrandom online surveys, this study included 305 participants, with 85 reporting a SLE diagnosis. Results indicated the BioPPSI did not maintain its original factor structure, with the psychological and spiritual items loading onto one domain. The SLE sample reported lower levels of physical well-being and higher levels of secured attachment to God. However, ATG style was only significantly related to LQoL emotional health, as those with more secured attachment reported high emotional health.
Implications: This study highlights the need to further develop the BioPPSI and to better understand the relationship of relational spirituality for those with a chronic illness. Furthermore, the study emphasizes the need to better understand the needs of individuals with SLE and methods of intervention.
"],"dc:identifier":["https://commons.und.edu/theses/1474"],"dc:subject":["Biopsychosocial Model, Biopsychosocial-Spiritual Model, Quality of Life, Relational Spirituality, Spirituality, Systemic Lupus"],"dc:title":["Spirituality And Systemic Lupus Erythematosus"],"thesis:degree_discipline":["Counseling Psychology & Community Services"],"thesis:degree_level":["Dissertation"],"thesis:degree_name":["Doctor of Philosophy (PhD)"]},"updated_at":"2026-07-24T03:26:24Z"}