“…Results of the Spiritual change subscale, which assesses the search for spiritual meaning of things, the quest for meaning in life and existential personal approaches, are especially important. Recent meta-regression modeling has shown Cronbach’s alpha coefficients and related confidence intervals ranged from excellent (PTGI-21 total) to good (Relating to others, New possibilities, Personal strength, Spiritual change) and acceptable (Appreciation of life) and were unrelated to patient characteristics ( Lenz et al, 2021 ). The Cronbach’s alpha in our study was 0.92, 0.91, and 0.93 for the total score scale and 0.74–0.80, 0.77–0.83, and 0.72–0.88 for the five subscales, at T1, T2, and T3, respectively.…”