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Spiritual Struggle, Death, Depression, and Public Health

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2018, MPH, University of Cincinnati, Medicine: Biostatistics (Environmental Health).
This thesis covers two studies. Part 1 will begin with a survey of the literature on religious coping, depression, and burnout as well as where the concept of resiliency factors into this discussion. Then this section will address original research conducted with Hospice of Hope and studies hospice workers over a two-year period. The first year included 59 respondents, and the second year had 36 persons who participated, and 22 participated in both Year 1 and Year 2 data to provide longitudinal data. The survey measured depression (CES-D), religious coping (Brief-RCOPE), resiliency (BRS), self-esteem (RSES), various coping questions (COPE), and death attitudes (DAP-R); the researchers also included some additional questions regarding tobacco use. Then the data will be compared and discussed with how this relates to public health. The psychosocial and spiritual cost of working amidst death and dying is also applicable not only to hospice but also emergent care settings, such as the ICU and emergency medicine. Part 2 is a meta-analysis surveying the literature and comparing those studies which used both depression scales and the Religious COPE (whether the Brief-RCOPE, the full RCOPE, or another version of it like the JCOPE). The meta-analysis found that the Positive RCOPE was not significantly correlated in the diverse set of studies selected. However, the meta-analysis confirmed that spiritual struggle (measured by the Negative RCOPE) was highly correlated with Depression. This Thesis studies the public health issues which those employees around acute death settings interconnect with spiritual struggle, depression, resiliency, and explore possible future sources of study.
Marepalli| Rao, Ph.D. (Committee Chair)
Daniel Grossoehme, D.M.P.C. (Committee Member)
Marissa Wagner Oehlhof, Ph.D. (Committee Member)
135 p.

Recommended Citations

Citations

  • Betz, J. M. (2018). Spiritual Struggle, Death, Depression, and Public Health [Master's thesis, University of Cincinnati]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1526315350278655

    APA Style (7th edition)

  • Betz, John. Spiritual Struggle, Death, Depression, and Public Health. 2018. University of Cincinnati, Master's thesis. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=ucin1526315350278655.

    MLA Style (8th edition)

  • Betz, John. "Spiritual Struggle, Death, Depression, and Public Health." Master's thesis, University of Cincinnati, 2018. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1526315350278655

    Chicago Manual of Style (17th edition)