Spiritual Well-being Research Articles

The Meaning And Function Of Rerajahan In The Religious Life Of The Balinese Hindu Community

This abstract provides an overview of rerajahan, a form of sacred symbolism prominent in Bali, often referred to as the Island of the Gods. Rerajahan consists of small cloth pieces adorned with intricate images and inscriptions, such as human figures, mythical creatures, and sacred motifs, displayed on structures like homes and shrines. These symbols, embodying both artistic and spiritual dimensions, serve to invoke blessings and protection, reflecting the deep cultural and spiritual practices of the Balinese community. The term "rerajahan" originates from "rajah," indicating an inscription or image with mystical power. In Balinese Hinduism, rerajahan is classified into two types: "rerajahan pengiwa" (left-hand path) and "rerajahan penengen" (right-hand path), each with distinct spiritual roles. These symbols are not mere decorations but require specific rituals, known as "pasupati," to activate their spiritual efficacy. The process of creating and activating rerajahan integrates sacred scripts, such as Modré, with symbolic imagery to harness their magical properties. Rerajahan plays diverse roles in Balinese rituals and daily life, including protection, healing, and enhancing spiritual well-being. It features prominently in religious ceremonies like the Panca Yadnya rituals and is used in offerings and personal amulets. The complex Balinese script and careful selection of media for rerajahan highlight its cultural and religious significance. Whether depicted on cloth, metal, or other materials, rerajahan represents a profound connection to the divine, underscoring its importance in both sacred and everyday contexts within Balinese Hinduism.

The Polish Version of the Spirituality Index of Well-Being Scale (SIWB): Development and Adaptation of a Measure

The purpose of this study was to adapt the Polish version of the Spirituality Index of Well-Being Scale (SIWB). Our survey included 392 Polish Catholics, mostly women (N = 267). The factor analyses confirmed the two-factor nature of the SIWB. A model including a second-order factor with two first-order factors similar to the original version proposed by Frey and colleagues (2005) obtained satisfactory values of goodness-of-fit indices. The Polish version of the scale showed high internal consistency. Our study also confirmed the validity of the scale. SIWB scores were positively and strongly related to existential well-being, moderately positively related to resilience and spiritual well-being, and positively and weakly related to religious well-being. The SIWB is a tool for measuring spiritual quality of life with good psychometric properties. The tool can be used to diagnose an index of psychological well-being in the general population.

Nursing Students’ Spiritual Care: Implications to Related Learning Experience (RLE)

The integration of spiritual care into the education of nursing students is paramount for fostering holistic and patient-centered healthcare. As the nursing profession evolves, there is a growing recognition of the interconnectedness of physical, emotional, and spiritual well-being. However, traditional nursing curricula often inadequately address the spiritual dimension of care, potentially leaving nursing students ill-prepared to address the diverse and complex needs of their future patients. Therefore, this study aimed to examine the level of spiritual care practices and knowledge among nursing students in a private tertiary higher education institution during the new normal in one of the private colleges in Pampanga. This study establishes facts that are used to analyze nursing students’ level of spiritual care practices and knowledge. A descriptive design is applied specifically, the descriptive-evaluative and descriptive-comparative research designs in this study. Purposive sampling was utilized and included a total sample of 154 nursing students who have face-to-face classes and clinical duty, particularly levels II and III from one of the Colleges of Nursing in Pampanga, Philippines. This study will utilize a two-parted questionnaire. Part 1 involved the profile of the respondents as their age, gender, civil status, year level/religion. Part 2 will use an adopted standardized instrument, the Spiritual Tool Questionnaire contains (Robles, 2014) that a 64-item questionnaire that focuses around seven elements. The result of the study shows that there is no significant difference between institutional support. Thus, the null hypothesis is accepted. Additionally, the researchers propose that student nurses incorporate a transcultural approach in their patient interactions. This is essential for minimizing bias, building positive relationships, and fostering an environment where patients feel at ease expressing their emotions to student nurses. Furthermore, armed with verified facts and data, nursing institutions can formulate targeted strategies and interventions aimed at enhancing education in spiritual care. Consequently, this contributes to the progression of clinical competence among nursing students.

The role of Anupreksha meditation in alleviating negative thinking among adults: a cross-sectional study

Background: Anupreksha-based meditations (AM) involve focusing on objects including images, colors, sounds, and the nature of the body and soul. Similar to Preksha meditation, which has shown positive effects on mental and physical well-being, AM is proposed to have potential benefits. However, the impact of AM on negative thinking, a key factor in various psycho-physiological ailments, has not been thoroughly examined. This study aimed to explore the effectiveness of AM in reducing negative thoughts and improving mental-health and well-being. It hypothesized that practicing AM can positively alter thought patterns and enhance overall well-being. Methods: A total of 462 English-speaking participants aged 19 to 60 years. Among them, 233 were regular AM practitioners with at least 12 months of experience, and 229 were non-meditators. Self-reported scales were used to measure perseverative thinking, mindfulness, self-compassion, and spiritual well-being. Results: Data were checked for normality and the Mann-Whitney U-test was performed. The AM group showed significant lower perseverative thinking scores (p<0.001) and higher mindfulness, self-compassion, and spiritual well-being scores (p<0.001). The scores of perseverative thinking negatively correlated with mindfulness (rho -0.53; p<0.001), self-compassion (rho -0.43; p<0.001), and spiritual well-being (rho -0.22; p<0.001) in meditators. Additionally, mindfulness positively correlated with self-compassion (rho 0.42; p<0.001) and spiritual well-being (rho 0.36; p<0.001). Conclusions: Shreds of evidence indicated that the practice of Anupreksha-based meditations alleviates negative thoughts by promoting mindfulness, self-compassion, and spiritual well-being. Therefore, the AM can be suggested to improve the positive state of mind and also can be practiced to mitigate psychological-related issues.

Lifestyle Assistance using Smart Mirror for better Physical and Spiritual Wellbeing

Lifestyle Assistance using Smart Mirror for better Physical and Spiritual Wellbeing

Clinical validation of "spiritual distress (00066)" in parents of children with chronic diseases.

This study aimed to determine the clinical validation of the nursing diagnosis (ND) of "spiritual distress (00066)" and the sensitivity, specificity, likelihood ratio, and predictive value in parents of children with chronic diseases. This cross-sectional study was conducted using the clinical diagnostic validity method proposed by Fehring. The data were collected through structured interviews and using a researcher-made list that included 5 parts of demographic information, parents' opinions about spiritual distress, the researcher's diagnosis, 74 defining characteristics (DCs) of the ND of spiritual distress, and the Spiritual Well-being Questionnaire. Data were analyzed using descriptive statistics as well as sensitivity, specificity, likelihood ratio, and predictive value. The prevalence of diagnosis was 70% in a sample of 120 parents. Out of the 74 DCs, 39 criteria were validated. Questioning meaning of illness and suffering had the highest sensitivity (98.8%), the highest negative predictive value (88.88%), and the lowest negative likelihood ratio (0.05%). Expressing the lack of meaning in life demonstrated the highest specificity (97.22%), the highest positive predictive value (98.33%), and the highest positive likelihood ratio (25.26%). Parents who search for meaning of illness and suffering related to a lack of meaning in life are in spiritual distress. The ND was validated. These findings can empower clinical nurses to confidently assess and identify patients experiencing spiritual distress, bridging the gaps caused by the absence of standardized tools for assessing spiritual distress in the inpatient setting.

A discussion of the destabilizing effects of moral injury among nurses

A concealed storm of ethical quandaries and systemic deficiencies is brewing in healthcare paralleling the uncertainties wrought by the aftermath of the COVID-19 pandemic. Despite their commitment to providing safe, compassionate care, nurses grapple with a multitude of factors that impede their agency including excessive workloads, unsafe nurse-patient ratios, and deficiencies in leadership. The emboldened structure and agency paradox further complicates matters as nurses, recognizing systemic constraints, simultaneously feel a strong sense of professional responsibility. This article delves into the ethical principles guiding nurses' work, exploring the strain on moral integrity within incompatible systemic constraints. Scenarios such as conflicting organizational policies hindering patient safety measures, exemplify the moral distress faced by nurses worldwide. The article emphasizes the consequences of unchecked moral distress and its potential to deteriorate into a prolonged state of moral injury impacting nurses’ physical, psychological, and spiritual well-being. The significance of addressing moral distress and subsequently, moral injury is underscored noting their adverse effects on nurses' well-being and retention; pivotal elements in sustaining healthcare systems. The key to address this lies in listening to the frontline staff nurses who possess invaluable insights into the daily struggles and can serve as potent agents of change. The cost of neglecting these issues is deemed too high urging a paradigm shift in recognizing, understanding, and rectifying the ethical challenges and systemic shortcomings plaguing the nursing profession.

Creating and Reliving the Moment: Using Musical Improvisation and Care Aesthetics as a Lens of Connection and Self-Expression for Younger People Living with Dementia.

Musical improvisation is a generative process of spontaneously creating music 'in the moment'. For people with young onset dementia, musical improvisation provides an extended opportunity for creative self-expression and connection to one's own body and life story. Using visual research methods, including video elicitation interviews, this paper explores the 'in the moment' musical experiences of five people living with young onset dementia who took part in a 15-week improvised music-making programme (Music in Mind). We frame the exploration of the group's musical experiences through the emerging lens of 'care aesthetics'-a concept that identifies the sensory relations and embodied practices between two (or more) people in a caring relationship. In the context of this analysis, we look to the caring practices by, with, and between people living with dementia, their family members, and the musicians who lead the programme and the relationship of these practices to feelings of self-expression and meaningful connection. Musical improvisation has the potential to support the psychological, social, and spiritual wellbeing of people living with young onset dementia. In applying a lens of care aesthetics, it is possible to observe the micro-level experiences of people living with dementia and their family carers.

Experiences of divorced people in Pentecostal churches in Botswana

Background: Cases of divorce are on the increase across societies and within the Pentecostal churches. Pentecostal church doctrine disapproves of divorce, and the people experience discrimination consequently. Despite the overall impact divorce has on the spiritual well-being of the victims, Pentecostal churches do not provide sufficient support to them.Objectives: The objectives of the study were to explore the lived experiences of divorced people in Pentecostal churches and the impact divorce had on their spiritual well-being.Method: A qualitative phenomenological design was utilised. The study recruited six divorced people, three pastors and 24 men and women from three Pentecostal churches. Purposive and snowball sampling were used to select the sample. A thematic content analysis was used to analyse data.Results: The study revealed four major effects that divorced people face such as psychological and emotional effects, social effects, spiritual effects and economic effects.Conclusion: The study’s findings unearthed the impact that divorce has on the divorcee’s spiritual well-being. Although the Bible disapproves of divorce, some research indicates that divorce may have positive outcomes in some instances, and therefore, it should not always be viewed negatively.Contribution: The findings of the study would possibly assist Pentecostal church leadership in coming up with effective interventions that can support divorced members in the church.

Spirituality, Self-Efficacy, and Medication Use in African American Women with Hypertension: Beyond the Prescriptions.

Objective: This study aimed to determine the relationship between spiritual, religious, and existential well-being and self-efficacy for appropriate medication use in African American women with hypertension. Methods: In this study, we conducted cross-sectional correlations using linear regression analysis. An African American sample of women from across the United States with hypertension was chosen through a purposive sampling technique. An online survey was used. Results: There were 186 African American women with hypertension who took part in the study, with an average age of 57.15 (SD = 12.79) years. The study found significant correlations between spiritual (p = .022), religious (p = .033), and existential (p = .021) well-being and self-efficacy for appropriate medication use in African American women with hypertension. The study concluded that no women reported high spiritual, religious, or existential well-being, only moderate. Nor were they very confident that they would take their medications under changing or challenging circumstances. Conclusion: African American women are the most religious aggregate in the United States, and there is evidence that spiritual, religious, and existential well-being affects their self-efficacy for appropriate medication use. Clinicians and researchers must collaborate to enhance medication adherence through continuous education, assessment, and reinforcement while also attuning their practice to spiritual, religious, and existential well-being effects on self-efficacy for appropriate medication use in African American women.

The Relationship Between Psychological Pain, Spiritual Well-Being, and Social Support in Turkish Women Undergoing Therapeutic or Elective Abortion.

This study was conducted to determine the relationship between psychological pain, spiritual well-being, and social support amongTurkish women undergoing therapeutic or elective abortion. The cross-sectional study was conducted with 342 women who werehospitalized in the gynecology and obstetrics service of a city hospital between March 2021 and December 2022 in Turkey. The mean psychological pain, spiritual well-being and perceived social support scores of women undergoing therapeutic/elective abortion were 26.96 ± 11.21, 110.72 ± 13.09 and 64.09 ± 15.62, respectively. There were a significant negative correlation between psychological pain with spiritual well-being and social support. According to linear regression analysis, spiritual well-being, social support, age, employment status, economic level, history of abortion, number of abortion, current abortion type, and gestational week were statistically significant predictive factors of psychological pain. Therefore, healthcare providers can provide individualized psychosocial-spiritual care and counseling services that decrease psychological pain in women after therapeutic or elective abortion.

Longitudinal experiences of Canadians receiving compassionate access to psilocybin-assisted psychotherapy

Recent clinical trials have found that the serotonergic psychedelic psilocybin effectively alleviates anxiodepressive symptoms in patients with life-threatening illnesses when given in a supportive environment. These outcomes prompted Canada to establish legal pathways for therapeutic access to psilocybin, coupled with psychological support. Despite over one-hundred Canadians receiving compassionate access since 2020, there has been little examination of these ‘real-world’ patients. We conducted a prospective longitudinal survey which focused on Canadians who were granted Section 56 exemptions for legal psilocybin-assisted psychotherapy. Surveys assessing various symptom dimensions were conducted at baseline, two weeks following the session (endpoint), and optionally one day post-session. Participant characteristics were examined using descriptive statistics, and paired sample t-tests were used to quantify changes from baseline to the two-week post-treatment endpoint. Eight participants with Section 56 exemptions (four females, Mage = 52.3 years), all with cancer diagnoses, fully completed baseline and endpoint surveys. Significant improvements in anxiety and depression symptoms, pain, fear of COVID-19, quality of life, and spiritual well-being were observed. Attitudes towards death, medical assistance in dying, and desire for hastened death remained unchanged. While most participants found the psilocybin sessions highly meaningful, if challenging, one reported a substantial decrease in well-being due to the experience. These preliminary data are amongst the first to suggest that psilocybin-assisted psychotherapy can produce psychiatric benefits in real-world patients akin to those observed in clinical trials. Limited enrollment and individual reports of negative experiences indicate the need for formal real-world evaluation programs to surveil the ongoing expansion of legal access to psychedelics.

Effects of Lymphaticovenous Anastomosis on Quality of Life, Body Image, and Spiritual Health in Lymphedema Patients: A Prospective Cohort Study.

Lymphedema is a debilitating condition that significantly affects quality of life due to its chronic nature and visible symptoms. Lymphaticovenous anastomosis (LVA) has emerged as a promising surgical intervention, yet its effects on body image and spiritual health alongside physical symptoms have not been thoroughly examined. This study evaluates the efficacy of LVA in improving symptoms, quality of life (QOL), body image, and spiritual well-being in lymphedema patients. A prospective cohort study was conducted at Kaohsiung Chang Gung Memorial Hospital, Taiwan, involving 44 patients with lymphedema undergoing LVA surgery. Evaluations were made pre-surgery, one month post-surgery, and six months post-surgery using the 36-Item Short Form Health Survey (SF-36), Multidimensional Body-Self Relations Questionnaire-Appearance Scales (MBSRQ-AS), and a spiritual health scale. Statistical analysis was performed using one-way repeated measures ANOVA. Significant improvements were observed in lymphedema symptoms and QOL measures at six months post-operation. SF-36 results showed enhanced scores in nearly all domains, particularly in physical functioning and role-physical. The appearance orientation scores from the MBSRQ-AS significantly increased, indicating improved perceptions in some dimensions of body image. LVA surgery significantly enhances physical and psychological outcomes in patients with lymphedema, with marked improvements in symptoms, QOL, and body image perceptions. The findings suggest that while LVA is effective in addressing the physical and psychological aspects of lymphedema, it does not impact spiritual dimensions. This underscores the need for holistic approaches in the management of lymphedema to address all facets of patient well-being.

The relationship between spiritual health and COVID-19 anxiety among nurses: a national online cross-sectional study

The Coronavirus disease 2019 (COVID-19) outbreak has created many concerns in most countries. Nurses are among healthcare workers who are largely engaged in providing care to COVID-19 patients, which makes nurses prone to disease-related worries and stresses. Thus, it is essential to identify the factors which may alleviate their stress and anxiety. This study aimed to determine the relationship between COVID-19 anxiety and spiritual health among Iranian nurses. This cross-sectional online survey was conducted between March 2020 and January 2021 on 919 Iranian nurses who worked in healthcare centers in Iran during the COVID-19 outbreak. The participants were recruited by convenience sampling Method. The data were collected using a demographic questionnaire, Ellison’s standard Spiritual Well-Being (SWB) Scale, and the standard scale of Corona Disease Anxiety. Data were analyzed using SPSS software and p-value less than 0.05 was considered significant. Of the participants, 47.0% (95% confidence interval (CI) 43.7–50.2%) had moderate to severe anxiety. The mean score of spiritual health was 73.3 ± 12.5. The multiple linear model indicated a significant negative correlation with a medium effect size between SWB and COVID-19 anxiety levels in a way that for 10 units increase in the SWB was associated with 2.72 units decrease in anxiety score (Adjusted partial r = − 0.320, p < 0.001). The findings revealed a reverse significant relationship between spiritual health and COVID-19 anxiety. On the other hand, nurses with better spiritual health experienced a lower level of COVID-19 anxiety. Therefore, improving spiritual health could help decrease nurses’ anxiety during COVID-19.

Self-efficacy mediation of spiritual well-being and work-family balance

ABSTRACT Work and family are two of the most important aspects of individual identity, but conflict can occur when these domains fall out of balance. Through the conceptual lens of job demands-resource theory, this study examines how spiritual well-being can help employees balance competing roles by strengthening self-efficacy in managing work-family conflict. A quantitative, correlational research design was used to analyze responses from 475 working adults in a mediated multiple regression model. The results indicated that the positive relationship between spiritual well-being and satisfaction with work-family balance is fully mediated by self-efficacy in managing work-family conflict. These findings empirically support the influential roles spiritual well-being and self-efficacy have in balancing conflicting demands in the work-family interface. For organizations and managers, this research underscores the importance of supporting spiritual well-being in a diverse workforce to reduce stress and sustain employee engagement.

PENDIDIKAN ISLAM DALAM PEMBERDAYAAN MASYARAKAT LANJUT USIA

Islamic education aims to build quality humans both in this world and in the afterlife. Apart from that, he must also take part in empowering the community to create prosperity and happiness among them. One of the groups that must be empowered is the elderly community, where they experiences decline and change from a psychological and physiological perspective. This research aims to describe Islamic education in empowering elderly communities. The method used is qualitative with a library study approach model. The data was collected using documentation techniques and then analyzed descriptively. The research results show that Islamic education has a very important role in bridging understanding of religion, forming morals, creating a sense of mutual assistance, and helping to prepare complete Muslim individuals for the daily life of elderly people. Apart from that, it is also possible to achieve physical and spiritual well-being as well as happiness in old age through various religious programs such as holding Islamic Recitations, Al-Qur'an Reading Guidance, Worship Development, and Hadroh Training.

Common Kaphaj Vyadhi in Children and its Treatment Principle and Management

Ayurvedic deals with the physical, biological, social, and spiritual well-being of every individual. Ayurveda has its principles for justification based on Dosha, Dhatu, and Mala, called Tridosha (the three basic principles) having quality and function. The Tridosha principle forms the foundation of Ayurveda. It has been postulated that whatever physiological and pathological processes occur in the body, they are under the influence of three basic elements known as Vata, Pitta, and Kapha. Common Kapha dominant disorders in children are mainly breast milk-vitiated disorders. Aim and Objective- To collect and compile Kaphaja vyadhi in children and its treatment. Material and Methods- A literary study has been conducted through the various ancient texts of Ayurveda and contemporary textbooks. Various websites are also referred to in this context. Review method: literary research. Discussion and Conclusion: classical reference can be very well used to understand common Kaphaja vyadhi in children and its treatment.

Preventing Hysterectomy Through Ayurvedic Management-A Holistic Approach to Adenomyosis

Ayurvedic deals with the physical, biological, social, and spiritual well-being of every individual. Ayurveda has its principles for justification based on Dosha, Dhatu, and Mala, called Tridosha (the three basic principles) having quality and function. The Tridosha principle forms the foundation of Ayurveda. It has been postulated that whatever physiological and pathological processes occur in the body, they are under the influence of three basic elements known as Vata, Pitta, and Kapha. Common Kapha dominant disorders in children are mainly breast milk-vitiated disorders. Aim and Objective- To collect and compile Kaphaja vyadhi in children and its treatment. Material and Methods- A literary study has been conducted through the various ancient texts of Ayurveda and contemporary textbooks. Various websites are also referred to in this context. Review method: literary research. Discussion and Conclusion: classical reference can be very well used to understand common Kaphaja vyadhi in children and its treatment.

Quality of Life and Spiritual Health in Motorcycle Accident Survivors: An Analysis Using the SF-36 Questionnaire and Spiritual Scale

Abstract Introduction Motorcycle traffic accidents rate remained high in Taiwan letting post-trauma care an imperative issue. This study investigates the spiritual, psychological, and physical impacts of motorcycle traffic accidents in Taiwan, focusing on the role of the Injury Severity Score (ISS) in influencing quality of life (QOL) and spiritual well-being outcomes, aiming to enhance holistic recovery strategies for trauma survivors. Methods A prospective study was conducted from April 2022 to March 2024 in a level I trauma center. Patients aged 20 and above with trauma from motorcycle accidents were enrolled and divided into major (ISS ≥ 16) and non-major (ISS &lt; 16) trauma groups. QOL and spiritual health were assessed using 36-item short-form general health survey measures (SF-36) and spiritual scale before discharge and six months later. Results Of 98 patients, we observed significant post-discharge declines in both physical and mental QOL scores, regardless of ISS. However, spiritual scores improved significantly after discharge, with notable enhancements in interpersonal relationships and adversity transcendence observed in patients with ISS &lt; 16, but not in those with ISS ≥ 16. SF-36 analysis revealed that non-religious groups experienced significant declines in mental health scores post-discharge, unlike religious groups, which remained stable. Additionally, religious individuals showed significant post-discharge improvements in interpersonal relationships and adversity transcendence, while non-religious showed no improvement. This suggests a beneficial link between religious adherence and enhanced spiritual well-being. Conclusion Motorcycle accidents reduce QOL and heighten spiritual needs for survivors, regardless of accident severity categorized by ISS score. Integrating spirituality into rehabilitation processes can positively impact overall well-being. Holistic care, addressing physical, psychological, social, and spiritual needs, is vital for optimizing long-term recovery and improving prognosis in trauma survivors, especially in regions with high rates of traffic accidents like Taiwan.

P-468 Relationship between spiritual well-being and prenatal stress level of women conceiving spontaneously or with assisted reproductive techniques

Abstract Study question Is there a relationship between spiritual well-being and prenatal stress level of women who conceived with spontaneous/assisted reproductive techniques (ART)? Summary answer Women Conceiving with ART have higher prenatal stress. As the spiritual well-being of women conceiving with ART increases, the level of prenatal distress decreases. What is known already The negative effects of prenatal stress on maternal-fetal well-being are known. Spirituality provides emotional support by feeling the support of spiritual forces, affirmation in re-meaning life, strengthening the ability to cope with stress with the teachings of the belief system, and increasing hope and harmony. The stress created by fertility treatment may continue during pregnancy. It is thought that spirituality may be effective in coping with stress in pregnancies after ART. Studies in this area are limited. Study design, size, duration he comparative descriptive study was conducted with 202 pregnant women, 115 spontaneous and 87 ART pregnant women, who applied to the obstetrics outpatient clinics of a state hospital between November 2021 and June 2022. Data were collected in an average of 15-20 minutes by face-to-face interview technique. According to the statistical analysis, the effect size was calculated as 0.80 and the statistical power as 99%. Participants/materials, setting, methods Participants (a) who can speak and understand Turkish; (b) 18-49 years of age women; (c) who are 14 and above gestational weeks; (d) who haven’t risk pregnancies were included. The data of the research were collected with the “Personal Information Form”, “Spiritual Well-being Scale “ and “Tilburg Pregnancy Distress Scale”. The research data were evaluated by percentile calculations, averages, Chi-square analysis, Mann Whitney U test, Kruskal Wallis test and Bonferroni test. Main results and the role of chance The average age of women who conceived with ART is 28.91±6.06, and the average age of women who conceived spontaneously is 28.08±5.75. The Spiritual Well-being Scale (SWBS) of the pregnant groups was determined as 124.52±12.00 for the ART group and 123.92±9.02 for the spontaneous group, and there was no statistical significance in terms of spiritual well-being between the groups (p &amp;gt; 0.05). In our study prenatal distress was detected in 12.6% of pregnant women in the ART group (above 28 points) and in 9.6% of spontaneous pregnant women (above 28 points) according to the Tilburg Pregnancy Distress Scale (TPDS) cut-off score. A statistically significant and negative relationship was found between the total SWBS and TPDS (r=-0.256, p &amp;lt; 0.05) in the ART group. A statistically significant and negative relationship was found between the total SWBS and TPDS (r=-0.256, p &amp;lt; 0.05) in the ART group. Limitations, reasons for caution Since the study was conducted in a single center in a province in the west of Turkey, it is a limitation that the results of the study cannot be generalized to the whole population. Wider implications of the findings The ART group experiences higher prenatal distress than the other group. As the spiritual well-being of pregnant women in the ART group increases, the level of prenatal distress decreases. Nurses and midwives should be aware of the prenatal distress-reducing effect on spiritual well-being and provide spiritual counseling. Trial registration number not applicable