00962 2 6297052.The authors declare that there are no conflicts of interest.
AcknowledgementsThis research was kindly funded by Al al-Bayt University (a Jordanian governmental university) and this funding will not pose conflict of interest.
AbstractPurpose: The spiritual dimension of a patient's life is an important factor that may mediate detrimental impacts on mental health. The lack of research investigating spiritual wellbeing, religiosity, and mental health among Jordanian hemodialysis patients encouraged this research. This study explored levels of spiritual wellbeing and its associations with depression, anxiety, and stress. Design: A quantitative, cross sectional correlational study. Methods: A sample of 218 Jordanian Muslim hemodialysis patients completed a structured, self-administered questionnaire. The data were analyzed using descriptive statistics and linear multivariate regression models. Findings: The hemodialysis patients had, on average, relatively low levels of spiritual wellbeing, moderate depression, severe anxiety, and mild to moderate stress. The results of the regression models indicated that aspects of spiritual wellbeing were negatively associated with depression, anxiety and stress, but only existential wellbeing consistently retained significant associations after controlling for religious wellbeing, religiosity and sociodemographic variables. Conclusions: Greater spiritual and existential wellbeing of Jordanian hemodialysis patients were significantly associated with less depression, anxiety, and stress. It appears that these patients use religious and spiritual beliefs and practices as coping mechanisms to overcome their depression, anxiety and stress. The implications for holistic clinical practice are explored.