Spirituality as a Resource to Rely on in Chronic Illness: The SpREUK Questionnaire

The SpREUK questionnaire (SpREUK is an acronym of the German translation of "Spiritual and Religious Attitudes in Dealing with Illness") was developed to investigate how patients with chronic diseases living in secular societies view the impact of spirituality in their dealing with illness (in terms of reactive coping). The aim was to operationalize and quantify patients’ search for a transcendent source of support; their reliance on such a source of help; and whether they regard their illness as a chance for reflection and subsequent change of life and behavior. The contextual 15-item SpREUK has very good internal consistency estimates (ranging from 0.86 to 0.91), and differentiates three factors, i.e., Search (for Support/Access), Trust (in Higher Guidance/Source), and Reflection (Positive Interpretation of Disease). It avoids exclusive religious terminology and appears to be a good choice for assessing patients’ interest in spiritual/religious concerns, which is not biased for or against a particular religious commitment. This reliable and valid instrument is suited for patients in secular and also in religious societies.