Author: Charlotte Hedberg Affiliation: Stockholm School of Theology- University College Stockholm The inner revolution  A pilot study of Existential health in relation to mystical experience. The aim of the pilot study is to investigate five individuals self-rated health in relation to the existential aspects in secular contexts. Intensive experiences often lead to a new way of looking at life and a new orientation in life. The study builds on five qualitative interviews and theories of mysticism, existential health as well as alexithymia. The empiric material is analyzed through Pahnkes nine typologies for mystical experience aswell as the existential health facets stated in WHOQOL-SRPB.  The study found that all of the participants had experienced an increased self-rated existential health after their mystical experiences. The conclusion of the study states that mystical experiences has been positively affecting self-rated existential health in all eight existential health facets stated in WHOQOL-SRPB.  The results are discussed by adding theories of alexythymia and the role of interpretation.

For several decades much research has shown that people who often attend religious services estimate their life quality and health higher than people who never attend church. (e g Koenig, McCullough & Larson, 2001, 2012). Much of this research has been done in USA. What about Sweden - one of the most secularized countries in the world? The theories of existential epidemiology and of the importance of existential health to other aspects of health from prof. Valerie DeMarinis were used as a theoretical base in this study.  The purpose of this mixed method sequential study was to compare 247 elderly (medium age 75) according to their frequencies of church attendance: Were there any significant correlations between frequency of church attendance and existential health according to WHOQOL-SRPB? Where there any significant correlations between existential health and the other aspects of health assessed in WHOQOL?  What factors were mentioned as explanations to existential health among elderly in this secular country? This question was investigated in the second qualitative part of the study where eight interviews were done, four with persons who never attend church and four who often did. The interview persons were matced to demografic variables and to general health according to WHOQOL. Statistical calculations were made with Spearmans rank order correlation and Mann-Withneys U-test for nonparametri variables. The interviews were analyzed both inductively and deductively.  The results showed significant correlations on 0,01 level between church attendance and all aspects of existential health in SRPB. The result also showed significant correlations between every aspect of existential health to other aspects of health, most clearly to social and psychological health. The correations were stronger to some of the aspects of existential health. It was also  a clear difference in existential health accordning to assessment on SRPB between the two groups.  For intrview persons who never attend church the ways to get existential health was for three of them to engage in different activities as physical exercise, music, spending time with relatives and friends. The fourth person, who estimated higher on SRPB, described a number of aspects of existential health. Among those who often attend Sunday service this was not per se a a factor mentioned as an explanation to their high existential health. Instead it was their Christian faith as a whole that made their existential health.  Researchers in Psychology of religion in Sweden claim an existential epidemiology spread, especially in groups of young people and immigrants. This study shows rather low existential health also in a group of elderly . A collaboration between health care centers and local priests, deacons, pastors and imams are suggested to prevent and treat low existential health.

The aim of the study is to investigate students' self-rated health in relation to existential aspects. With a salutogenic approach, the study builds on theories of existential health, attachment-theory, object relation theory and alexithymia. The study examines how the health promotion Existential health conversations affected the students self-rated health, school as a supporting arena as well as the self-rated ability of the youth to identify and verbalize existential feelings. The focus interviews have also been analysed using the World Health Organization [WHO] instrument for measuring health-related quality of life [HRQL] related to spiritual, religious and personal beliefs [SRPB]. To be able to identify the young people's self-rated ability to identify and verbalise existential feelings, the study has chosen to operationalise the theory of alexithymia, primarily inspired by the "Toronto Alexithymia Scale" [TAS20]. The study is a mixed-methods study based on 94 questionnaires and 6 focus interviews with the students and school health team who participated in Existential health conversations. The material for the self-rated health questionnaire is presented comparatively and the focus interviews are used to nuance that result. The approach “cognition, affection and action” was used for both research issues and serves as the theoretical bridge for the research questions in the study's abductive phase. The study found that a large group of students experienced Existential health conversations to be strengthening, and there was a large group of youth that experienced self-rated lack of ability of the youth to identify and verbalise existential feelings. The conclusion of the study states that schools must continue to work on putting this aspect of health in focus with the concept of existential health.

The existential dimension has gained importance in health studies in the last decades (Moreira-Almeida & Koenig, 2006; DeMarinis, 2008). Little Swedish research exists in this area. A pilot study was conducted in a suburban Stockholm, Church of Sweden parish. Research question was: “How does the existential dimension of health, understood as the ability to create and maintain a functional meaning-makings system, affect the person’s self-rated health and quality of life?” Theoretical framework included: health research focusing the existential dimension; public health through psychology of religion; and, object-relations theory. The mixed-methods format included semi-structured interviews, and surveys: 1) on meaning-making, and 2) Swedish pilot translation of WHOQOL-SRPB (self-rated health and quality of life including spirituality, religiousness and personal beliefs). Central results showed a positive relation between the existential health dimension and: overall ratings of physical, mental, social, and environmental health (p = .008); the overall existential health dimension and mental health (p = .008); and, social health (p = .046) and, the combined health items “How do you feel?” and “How satisfied are you with your health?” (p = .001). These results find support in WHO’s health perspective, and are linked to DeMarinis’ health dimensions and Winnicott’s understanding of potential space. Health dimensions: physical, mental, social, ecological and existential, are closely interlinked. The existential dimension is important through interaction with the others, and through its function as an autonomous health dimension. The study underlines the need for – and offers a culturally-tested method and model to explore existential needs in this secularized context.

Religiositet och andlighet tycks ha samband med fysisk och psykisk hälsa. I uppsatsen undersöks sambandet mellan andlighet och utbrändhet, två grupper behandlare jämförs och mätegenskaper hos skalorna Spirituality, Religiousness and Personal Beliefs Field-Test Instrument (WHOQOL-SRPB), Spiritual Involvement and Beliefs Scale (SIBS), Maslach Burnout Inventory – Human Service Survey (MBI-HSS) och Utbrändhet i arbetet (UA) undersöks. Studiedeltagarna var 38 programledare för kriminalvårdens tolvstegsprogram och 39 behandlare i ett psykoterapinätverk inom beroendevården (svarsfrekvens 61,5%). Andlighet korrelerade med personlig prestation (personal accomplishment; r = 0,315, p < 0,05). I beroendevården fanns ett samband mellan hög grad av andlighet/religiositet och högre grad av utbrändhet. Studien visar att andlighet skulle kunna ge ökat självförtroende, och genom detta påverka hälsa och allmänt välbefinnande samt att effekten av andlighet/religiositet verkar vara positiv i andliga/religiösa sammanhang men inte i mer sekulariserade miljöer. Slutligen konstateras att validiteten hos utbrändhetsmåtten kan ifrågasättas och att vidare utveckling av andlighetsmåtten bör ske.

Introduktion: Enligt World Health Organisation (WHO) definieras hälsa som ett tillstånd av fysiskt, mentalt och socialt välbefinnande och inte endast frånvaro av sjukdom. Utifrån denna definition kan en människa uppleva hälsa och livskvalitet hela livet, oavsett ålder, diagnos eller prognos. Förhållningssättet till livet påverkar den självskattade psykiska, fysiska och sociala hälsan. I Sverige används begreppet existentiell medan begreppet andlig oftast används internationellt. Både existentiell och andlig relaterar till en inre dimension som interagerar med den yttre världen; den egna kroppen, andra människor och de sekulär eller religiösa system som en individ kan relatera till. Syfte: Syftet är att bedöma hur WHO:s åtta faktorer för existentiell hälsa definieras och hur de används i vetenskapliga studier. Metod:Studien bygger på en litteraturstudie i vilken tjugo vetenskapliga artiklar granskats och analyserats. Både kvalitativa och kvantitativa studier, som undersöker existentiell hälsa har inkluderats. För att besvara forskningsfrågan och uppfylla studiens syfte har en kvalitativ metod med induktiv ansats valts för att söka en slutsats utifrån tidigare forskning. De vetenskapliga artiklarna som valts ut har inhämtats via tillförlitliga databaser som PsychInfo, PubMed, SwePub,Google Scholar, och från Socialmedicinsk tidskrift. Resultat: Vid analys av artiklarnas innehåll har vi använt följande teman: andlig kontakt, mening och syfte med livet, upplevelse av förundran, helhet och integration, andlig styrka, harmoni och inre frid, hoppfullhet och optimism samt tro som resurs. Av dessa kom behovet av optimism, inre frid och hopp först. På andra plats kom behovet av mening och syfte med livet. Resultat visade att det är notoriskt svårt att definiera och mäta andlighet på grund av dess omtvistade definition, förhållandet till religiositet och olika kulturer. De olika definitionerna utmanar tillämpningen av begreppen i olika kontexter och kulturer. Slutsats: Då forskning kring existentiell hälsa är begränsad och relativt outforskat behöver framtida forskning fler kvalitativa och kvantitativa forskningsinsatser för att analysera faktorer som påverkar den existentiella hälsan utifrån ett kulturellt och kontextuellt perspektiv. Teorier och metoder kan på så sätt utvecklas för att skapa en evidensbaserad existentiell hälsointervention. / Introduction: According to the World Health Organisation (WHO), health is defined as a state of physical, mental and social well-being and not merely the absence of disease. Based on this definition, a person can experience health and quality of life throughout their life, regardless of age, diagnosis or prognosis. The approach to life affects the self-assessed mental, physical and social health. In Sweden, the term existential is used, while the term spiritual is most often used internationally. Both existential and spiritual relate to an inner dimension that interacts with the outer world; one's own body, other people and the secular or religious systems to which an individual can relate. Purpose: The purpose is to assess how the WHO's eight factors of existential health are defined and how they are used in scientific studies. Method: The study is based on a literature study in which twenty scientific articles were reviewed and analyzed. Both qualitative and quantitative studies investigating existential health have been included. In order to answer the research question and fulfill the purpose of the study, a qualitative method with an inductive approach has been chosen to seek a conclusion based on previous research. The scientific articles that have been selected have been obtained via reliable databases such as PsychInfo, PubMed, SwePub, Google Scholar, and from the Journal of Social Medicine. Results: When analyzing the content of the articles, the following themes were used to categorise findings: spiritual contact, meaning and purpose in life, experience of wonder, wholeness and integration, spiritual strength, harmony and inner peace, hopefulness and optimism and faith as a resource. Out of theseeight themes, the need for optimism, inner peace and hope came first. In second place came the need for meaning and purpose in life. Results showed that it is notoriously difficult to define and measure spirituality due to its contested definition, relationship to religiosity and different cultures. The different definitions challenge the application of the concepts in different contexts and cultures. Conclusion: As research on existential health is limited and relatively unexplored, future research needs more qualitative and quantitative research efforts to analyze factors that affect existential health from a cultural and contextual perspective. Theories and methods can thus be developed to create an evidence-based existential health intervention.