Gomez & Fisher (2003)
Gomez & Fisher (2003)
Gomez & Fisher (2003)
www.elsevier.com/locate/paid
Received 11 April 2002; received in revised form 5 November 2002; accepted 30 December 2002
Abstract
Fisher (1998) proposed a spiritual well-being model, comprising the domains of personal, communal,
environmental and transcendental well-being, and a single global spiritual well-being dimension. This
paper reports on four studies aimed at testing Fisher’s theoretical model, and establishing the validity
and reliability of a new self-rating questionnaire (Spiritual Well-Being Questionnaire; SWBQ), developed
to reflect this model. All four studies supported Fisher’s model. The SWBQ showed good reliability
(Cronbach’s alpha, composite reliability and variance extracted), and validity (construct, concurrent, dis-
criminant, predictive and factorial independence from personality). The SWBQ has the advantage over
other existing spiritual well-being measures in that it is based on a broader and more empirically based
conceptualization of spiritual well-being, and has well established psychometric properties.
# 2003 Elsevier Ltd. All rights reserved.
Keywords: Spiritual Well-Being; SWBQ
1. Introduction
The concept of ‘‘spiritual health’’ is doubly problematic in view of the way in which the two
terms ‘‘spiritual’’ and ‘‘health’’ have themselves undergone considerable development and revi-
sions in recent years. Classical definitions of spirituality have tended to concentrate on the reli-
gious, ecclesiastical, or matters concerned with the soul, while current studies in spirituality adopt
much wider definitions, integrating all aspects of human life and experiences (Muldoon & King,
1995; Schneiders, 1986). There has been a similar widening in understanding of what counts as
0191-8869/03/$ - see front matter # 2003 Elsevier Ltd. All rights reserved.
doi:10.1016/S0191-8869(03)00045-X
1976 R. Gomez, J.W. Fisher / Personality and Individual Differences 35 (2003) 1975–1991
health and wellness, in that, current emphasis in medicine tends to give greater concern for the
whole person, rather than just the treatment of disease. According to Coward and Reed (1996),
wellness reflects a sense of well-being that is derived from an intensified awareness of wholeness and
integration among all dimensions of one’s being, which also includes the spiritual elements of life.
In recent years, several attempts have been made to link the two concepts of spirituality and
health within the idea of spiritual well-being. For example, Hateley (1983) wrote about spiritual
health in terms of relationship to self, empathy in the community, and relationship with God.
Young (1984) mentioned the interrelatedness of body, mind, and spirit within the context of inner
peace, and in terms of relationships with others and with nature. Goodloe and Arreola (1992)
spoke of meaning and purpose with self-transcendence, social and spiritual actions with others,
oneness with nature, and personal relationship with God. For Hood-Morris (1996), spiritual
health included transcendent and existential features pertaining to an individual’s relationships
with the self, others and a higher being, coupled with interactions with one’s environment. The
National Interfaith Coalition on Aging (1975) suggested that spiritual well-being is the affirma-
tion of life in a relationship with oneself (personal), others (communal), nature (environment),
and God (or transcendental other). Integrating these concepts together, spiritual well-being can
be defined in terms of a state of being reflecting positive feelings, behaviours, and cognitions of
relationships with oneself, others, the transcendent and nature, that in turn provide the individual
with a sense of identity, wholeness, satisfaction, joy, contentment, beauty, love, respect, positive
attitudes, inner peace and harmony, and purpose and direction in life.
Using the domains proposed by the NICA (1975) as a framework, Fisher (1998) interviewed 98
secondary school teachers in terms of what they thought were important indicators of spiritual
well-being in their students. The interview used questions reflected in a number of measures for
spiritual well being. These included the Spiritual Well-Being Scale (Ellison, 1983), the Spiritual
Orientation Inventory (Elkins, Hedstrom, Hughes, Leaf, & Saunders, 1988), the Mental, Physical
and Spiritual Well-Being Scale (Vella-Brodrick & Allen, 1995), the Spiritual Assessment Inven-
tory (Hall & Edwards, 1996), the Perceived Wellness Survey (Adams, Bezner, & Steinhardt,
1997), and the JAREL Spiritual Well-Being Scale (Hungelmann, Kenkel-Rossi, Klassen, & Stol-
lenwerk, 1996). Consistent with the NICA (1975) model, quantitative analyses of their responses
led Fisher (1998) to also conclude that spiritual well-being reflects the extent to which people live
in harmony within relationships with oneself (personal), others (communal), nature (environ-
ment), and God (or transcendental other).
According to Fisher (1998), the personal domain deals with how one intra-relates with oneself with
regard to meaning, purpose and values in life. The communal domain expresses in the quality and
depth of inter-personal relationships, between self and others, and includes love, justice, hope, and
faith in humanity. The environmental domain deals with care and nurture for the physical and bio-
logical world, including a sense of awe, wonder and unity with the environment. The transcendental
domain deals with the relationship of self with some-thing or some-one beyond the human level,
such as a cosmic force, transcendent reality, or God, and involves faith towards, adoration and
worship of, the source of mystery of the universe. Fisher also suggested that these four spiritual
well-being domains cohere to determine a person’s overall or global spiritual well-being. It is to
be noted that in Fisher’s model, the term ‘‘well-being’’ is associated with the different domains to
cohere with existing literature, and to be consistent with the NICA (1975) model. Thus its use in
Fisher’s model does not necessarily imply positive or better well-being (Fisher, 1998).
R. Gomez, J.W. Fisher / Personality and Individual Differences 35 (2003) 1975–1991 1977
In a subsequent study, Fisher, Francis, and Johnson (2000) used a questionnaire to examine
primary school teachers’ views about important indicators of spiritual well-being. The ques-
tionnaire comprised a checklist of items covering spiritual health in terms of personal, communal,
environment, and transcendental domains. The items included were those that were identified as
important for spiritual well-being in Fisher’s (1998) earlier study. Factor analysis of the responses
of this questionnaire supported Fisher’s four dimensional model of spiritual well-being. Also, the
items comprising the questionnaires were highly correlated with each other, raising the possibility
that the four spiritual well-being domains may cohere to form a higher order global spiritual well-
being dimension, as proposed by Fisher (1998).
In another study, Fisher (2001) used a questionnaire comprising items for each of the four
spiritual well-being domains to explore teachers’ views of current practice and priority for nur-
turing secondary school students’ spiritual well-being. Factor analyses of responses for both
current practice and priority supported Fisher’s four dimensional model of spiritual well-being.
Consistent with Fisher’s (1998) view of a second order global spiritual well-being dimension, the
items comprising the questionnaires were highly correlated with each other.
As noted earlier, currently there are a number of self-rating questionnaires that provide mea-
sures for spiritual well-being. However, no questionnaire exists that includes a balance in all the
four domains identified by Fisher (1998). For example, the widely used Spiritual Well-Being Scale
(Ellison, 1983; Ellison & Smith, 1991; Ledbetter, Smith, Fischer, Vosler-Hunter, & Chew, 1991;
Tjeltveit, Fiordalisi, & Smith, 1996) has dimensions for existential well-being (fusion of Fisher’s
personal, communal, and transcendental domains) and religious well-being (comparable to Fish-
er’s transcendental domain). The items of the Spiritual Orientation Inventory (Elkins et al., 1988)
clusters around two dimensions, namely the experiential dimension and the value dimension
(Tloczynski, Knoll, & Fitch, 1997). These questions essentially relate to personal and communal
aspects of spiritual health, with fleeting references to the environment and a deliberate exclusion
of religion and any mention of a transcendent other. The spiritual part of the Mental, Physical
and Spiritual Well-Being Scale (Vella-Brodrick & Allen, 1995) has dimensions for existential and
religious well-being. The Spiritual Assessment Inventory (Hall & Edwards, 1996) is entirely
focused on relationship with God. The subscale for spiritual wellness in the Perceived Wellness
Survey (Adams et al., 1997) is limited to the personal domain as proposed by Fisher. The JAREL
Spiritual Well-Being Scale consists of questions focusing on self, on others, and on the transcen-
dent, but not on the environment (Hungelmann et al., 1996). Spiritual well-being has been fea-
tured in a number of quality of life questionnaires, such as the McGill Quality of Life
Questionnaire (Cohen, Mount, Bruera, Provost, Rowe, & Tong, 1997). According to Cohen et al.
(1997), most quality of life instruments exclude the existential domain.
Overall, therefore, existing questionnaires do not provide an adequate operationalization of the
definition of spiritual well-being as embraced by the four domains identified by Fisher (1998).
Against this background, the aim of the studies reported here were to develop and validate a self-
rating measure of spiritual well-being in terms of Fisher’s (1998) model. The development of such
a self-rating questionnaire for spiritual well-being would be useful as existing data show that
some aspects of spiritual well-being (in particular the transcendental) may be associated nega-
tively with happiness (Fehring, Brennan, & Keller, 1987), and other aspects of spiritual well-being
(such as personal) are positively associated with psychological well-being (Barcus, 1999). Thus a
broad based spiritual well-being questionnaire will enable data to be obtained for a more heuristic
1978 R. Gomez, J.W. Fisher / Personality and Individual Differences 35 (2003) 1975–1991
model of spiritual well-being, and thereby facilitate advancement in research in this area. Using Fish-
er’s (1998) model, four separate studies were conducted over a period of 3 years to develop a ques-
tionnaire (Study 1), examine its factorial structure using exploratory factor analysis (Study 2) and
confirmatory factor analysis (Studies 3 and 4), and also its reliability and validity (Studies 2, 3 and 4).
2. Study 1
2.1. Overview
Study 1 reports on the development of a self-rating questionnaire for measuring personal well-
being, communal well-being, environmental well-being, and transcendental well-being, as con-
ceptualised in Fisher’s spiritual well-being model. More specifically, beginning with an initial
questionnaire containing 12 items for each of the spiritual well-being domains and using
exploratory factor analysis, a shorter 20-item questionnaire, comprising five items for each spiri-
tual well-being domain is outlined.
2.2. Method
2.2.1. Participants
The total sample comprised 248 students from four different types of secondary schools (State,
Catholic, Christian Community, and other independent schools) in Ballarat, a regional city, and
the western suburbs of Melbourne in Victoria, Australia. In all, four schools participated in the
study. There were 120 males and 128 females. The participants’ ages ranged from 11 to 16 years,
with a mean of 13.80 (S.D.=1.33).
Overall, therefore, all items that were included in the PSWBQ were selected through a process
that involved selection of appropriate items from other spiritual well-being questionnaires, three
studies of teachers’ views of spiritual well-being, and two expert opinions. To allow self-ratings,
participants were asked to indicate how they felt the statements in the items described their per-
sonal experience over the last 6 months, using a five-point Likert scale, ranging from very low
(rated 1) to very high (rated 5).
An exploratory factor analysis using principal component analysis with oblimin rotation was
conducted with all items of the PSWBQ. This resulted in a four-factor solution, with eigenvalues
more than 1. Together, these four factors accounted for 51.33% of the variance. Based on a fac-
tor loading of 0.35, Factor 1 included 10 personal well-being items and 4 communal well-being
items. Factor 2 comprised 11 of the transcendental items and 1 communal item, while Factor 3
comprised all 12 environmental well-being items. Factor 4 included 6 of the communal items and
one personal well-being item. Thus Factors 1–4 reflected mainly personal, transcendental, envir-
onmental, and communal spiritual well-being, respectively. The loadings are shown in Table 1. In
order to reduce the number of items in the four empirically derived factors, the five items with the
highest loading in each factor were selected. This resulted in 20 items, with five items in each
factor. For all four factors of this revised Spiritual Well-Being Questionnaire (SWBQ), the
resultant items within each factor were those that were initially hypothesised to belong in them.
Thus the exploratory factor analysis was generally supportive of the four domains of spiritual
well-being model proposed by Fisher (1998).
4. Study 2
4.1. Overview
Study 2 examined the factor structure of the 20 items SWBQ (see also Table 1), using explora-
tory factor analysis. As noted earlier, Fisher (2001) has proposed that the four spiritual well-being
domains are all subsumed by a second-order global spiritual well-being dimension. Study 2 also
examined this hypothesis. In addition, it reports some data on the internal consistency, and con-
vergent and discriminant validity of the SWBQ.
4.2. Method
4.2.1. Participants
The total sample comprised 537 students from four different types of secondary schools (State,
Catholic, Christian Community, and other independent schools) in Ballarat, a regional city, and
the western suburbs of Melbourne in Victoria, Australia. In all five schools participated in the
study. There were 272 males and 265 females. The participants’ ages ranged from 11 to 16 years,
with a mean of 13.78 (S.D.=1.38). The mean age for boys was 13.66 years (S.D.=1.36), and it
1980 R. Gomez, J.W. Fisher / Personality and Individual Differences 35 (2003) 1975–1991
Table 1
Primary factor loadings of the preliminary SWBQ in Study 1
Table 1 (continued)
Loadings of 0.35 or more are underlined. The five highest loading in each factor are bold. P, C, E, and T are items
representing the personal, communal, environmental, and transcendental well-being domains, respectively.
was 13.89 (S.D.=1.39) for girls. There was no significant difference between the gender groups, t
(d.f.=535)=1.90, ns.
Table 2
Primary factor loadings of the SWBQ in Study 2
significant (P < 0.01). Taken together, these findings provide support for a hierarchical model in
terms of the four spiritual well-being domains being components of a higher order global spiritual
well-being dimension, as proposed by Fisher (2001).
Table 3
Correlations for the SWBQ dimensions with SWBS dimensions
transcendental, and communal domains. Given that the existential well-being dimension of the SWBS
is a fusion of Fisher’s personal, transcendental, and communal domains, the findings here support the
convergent validity of the personal, transcendental, and communal domains of the SWBQ. The global
scores of both questionnaires correlated moderately. Taken together, the findings in the study sup-
port the convergent and discriminant validity of the SWBQ primary and global scales.
5. Study 3
5.1. Overview
Study 3 examined the factor structure of the SWBQ using confirmatory factor analysis (CFA).
Based on the results of Studies 1 and 2, it first examined support for a four-factor oblique model
in which the relevant items for personal, communal, environmental, and transcendental spiritual
well-being loaded on four separate first order factors, with the factors freely correlated. It then
examined a second order CFA model, in which all the four first order factors loaded on a single
higher order spiritual well-being factor, with the first order factors not correlated with each other
(i.e. orthogonal). Reliability data are also provided.
5.2. Method
The participants comprised 832 individuals, with 416 male and 416 female participants, ranging
in age from 18 to 42 years, with a mean age of 20.20 (S.D.=2.95). Participants were students
from six universities in Australia. All participants completed the SWBQ (developed in Study 1) at
the end of lectures.
5.3. Results
Initial EFA of SWBQ ratings produced results similar to Study 1. In view of space limitation,
the results are not shown, but are available from the authors. Thus EFA of three sets of data
(Studies 1–3), across different age and gender groups, showed the expected four factors for the
SWBQ. The mean (S.D.) were 19.97 (3.39), 13.00 (6.06) 16.69 (4.23), and 20.77 (3.16) for the
1984 R. Gomez, J.W. Fisher / Personality and Individual Differences 35 (2003) 1975–1991
6. Study 4
6.1. Overview
Study 4 also used CFA to examine the SWBQ models tested as part of Study 3. The reliability
of the SWBQ was established by examining the composite reliability, variance extracted and
Table 4
Absolute goodness-of-fit indices for the CFA models of the SWBQ
Study 3
Four-factor (oblique) 565 164 0.48 0.93 0.92 0.04
One-factor 5816 170 6.82 0.50 0.39 0.16
Four-factor (orthogonal) 1635 174 1.76 0.82 0.77 0.18
Hierarchical second order model 999 168 1.00 0.89 0.86 0.09
Study 4
Four-factor (oblique) 488 164 0.71 0.90 0.87 0.05
One-factor 3455 170 7.21 0.48 0.36 0.18
Four-factor (orthogonal) 1180 174 2.20 0.78 0.74 0.24
Hierarchical second order model 731 168 1.24 0.86 0.83 0.10
AGFI, adjusted goodness-of-fit index; GFI, goodness-of-fit index; RMSR, root mean square residual; SNCP, scaled
noncentrality parameter. Lower values of w2, and SNCP indicate a better fit. RMSR values of 40.10 and GFI and
AGFI values of 50.90 indicate good fit.
R. Gomez, J.W. Fisher / Personality and Individual Differences 35 (2003) 1975–1991 1985
internal consistency of the four spiritual well-being factors and the overall spiritual well-being
factor. The validity was established by examining (1) the factorial independence of the spiritual
well-being dimensions from the personality dimensions, (2) the relationships of the spiritual
well-being dimensions with Eysenck’s (1967) personality dimensions (i.e. extraversion, neuroti-
cism, and psychoticism) and happiness, and (3) if the spiritual well-being dimensions con-
tributed additional variance over that of the personality dimensions in the prediction of
happiness.
6.2. Method
The participants comprised 456 individuals, with 146 male and 310 female participants. Parti-
cipants’ ages ranged from 18 to 24 years, with a mean age of 20.20 (S.D.=2.95). Participants
were students from the University of Ballarat, and universities in England and Ireland, within a
wide range of courses. All participants completed the SWBQ (developed in Study 1), the Adult
Eysenck Personality Questionnaire-Revised Short Scale (EPQ-R/SS; Eysenck & Eysenck, 1991),
and the Oxford Happiness Inventory (OHI; Argyle, Martin, & Crossland, 1989). These ques-
tionnaires were completed in groups at the end of lectures. The order of completion of the ques-
tionnaires was randomized across participants.
The Adult Eysenck Personality Questionnaire-Revised Short Scale (EPQ-R/SS; Eysenck &
Eysenck, 1991) was used to measure extraversion, neuroticism, and psychoticism. It also has a lie
score that can be interpreted as a measure of social desirability. The EPQ-R/SS is a 48-item
‘‘yes’’/‘‘no’’ questionnaire. It contains 12 items chosen from each of the four scales (extraversion,
neuroticism, psychoticism, and lie) of the longer version of the EPQ-R (Eysenck & Eysenck,
1991). Eysenck and Eysenck (1991) have reported high internal consistency (Cronbach’s alphas)
for all the scales of the EPQ-R/SS.
The OHI (Argyle et al., 1989) is a 29-item measure of happiness. The OHI was developed
mainly by reversing the items of the Beck Depression Inventory (BDI; Beck, Ward, Mendelson,
Mock, & Erbaugh, 1961) and adding more items of subjective well-being. For each item, the
respondent is required to select one of four options, reflecting incremental increases in happiness.
The total score provides a measure of overall happiness. Argyle et al. (1989) have reported an
internal reliability (Cronbach’s alpha) of 0.90 for the OHI, and studies have also supported its
construct and concurrent validity (e.g. Argyle et al., 1989; Beck et al., 1961; Bradburn, 1969;
Chan & Joseph, 2000; Furnham & Cheng, 1999; Hills & Argyle, 1998; Lu & Argyle, 1991).
support the hierarchical model of spiritual well-being, as proposed by Fisher (1998, 2001). They
also provide evidence for the construct validity of the SWBQ.
Table 5
Reliability of the spiritual well-being dimensions of the SWBQ in Study 4
Mean (S.D.) for personal, communal, environmental, transcendental, and global were 19.36 (3.85), 20.16 (3.59), 16.04
(4.44), 13.78 (6.51), and 69.35 (12.94), respectively.
Table 6
Joint factor analysis of the dimensions of the EPQ-R/SS and the SWBQ
Principal component
1 2 3
R/SS. Using principal component analysis, with oblimin rotation, three factors emerged with
eigenvalues greater than 1. The results are shown in Table 6. As shown, Factor 1 was comprised
of all four spiritual well-being domains, and it accounted for 29.13% of the variance. Factor 2
was comprised of the three personality dimensions, and accounted for an additional 16.66% of
the variance. The third factor was comprised of the lie scale and psychoticism. This factor
accounted for 13.39% of the variance. Of particular significance is that none of the spiritual well-
being domains and personality dimensions loaded together on the same factor. This suggests
factorial independence of the spiritual well-being domains from the personality dimensions.
Table 7
Correlations of the scores of the Oxford Happiness Inventory and Eysenck’s Personality Questionnaire with the
dimensions of the SWBQ
Table 8
Standardized beta and R2 change for incremental effect for the dimensions of the SWBQ
Step 1
Extraversion 0.29*** 0.28*** 0.28*** 0.31*** 0.32***
Neuroticism 0.34*** 0.34*** 0.35*** 0.36*** 0.36***
Psychoticism 0.00 0.04 0.00 0.05 0.05
Lie 0.02 0.01 0.02 0.02 0.79
are religious, or older groups of individuals. Additionally, while the transcendental domain may
not have an on-going association with the general well-being of individuals, its association with
general well-being may be more evident during particular periods, such as during crises. Clearly,
we need more studies in this area.
7. General discussion
Consistent with Fisher’s model, the results of the exploratory factor analyses (Studies 1–3) and
the confirmatory factor analyses (Studies 3 and 4) reported here indicated that spiritual well-
being can be conceptualized in terms of the four domains of personal well-being, communal well-
being, environmental well-being, and transcendental well-being. Also, in line with Fisher’s model,
there were significant and moderate to high correlations between these domains (Studies 2–4).
Both exploratory (Studies 2 and 3) and confirmatory (Studies 3 and 4) factor analyses showed
that these domains reflect primary dimensions that cohere to form a single higher second order or
global spiritual well-being dimension. Across the studies, these findings were found for three dif-
ferent samples, and across gender and age groups. Given this, and that three previous studies that
examined teachers’ perceptions of indicators of spiritual well-being have all supported Fisher’s
model (1998, 2001; Fisher et al., 2000), it can be argued that Fisher’s model does indeed provide a
valuable conceptualization of spiritual well-being, and is worthy of further empirical study.
Based on the results of the first study, the SWBQ was developed to provide a self-rating ques-
tionnaire reflecting Fisher’s theoretical model of spiritual well-being. This questionnaire com-
prised five items for each of the four spiritual well-being domains. There was evidence of
generally high internal consistency (Studies 2–4), composite reliability (Study 4), and variance
extracted (Study 4) for the global and the four domains of the SWBQ. Both the exploratory fac-
tor analysis (Studies 2 and 3) and confirmatory factor analysis (Studies 3 and 4) indicated strong
support for its construct validity. A joint factor analysis of the four SWBQ domains with
Eysenck’s personality dimensions (Study 4) showed that the spiritual well-being domains were
independent of the personality dimensions, providing further support for the construct validity of
the SWBQ and its dimensions. The SWBQ also showed good convergent and discriminant
validity in that its global and domain scores correlated appropriately with the global and
dimension scores of the widely used Ellison’s (1983) Spiritual Well-Being Scale (Study 2). Also,
consistent with predictions from existing theory and data, the SWBQ global and domain scores
for personal, communal, and environmental spiritual well-being correlated as expected with
extraversion, neuroticism, psychoticism, and happiness (Study 4). The demonstration that these
SWBQ scores contributed additional variance over that of the personality dimensions in the
prediction of happiness indicates support for their incremental validity as well.
In conclusion, the studies reported here demonstrate support for Fisher’s (1998) spiritual well-
being model, and the SWBQ as a reliable and valid measure of spiritual well-being. The SWBQ
has the advantage over other existing spiritual well-being measures in that it is based on a broader
conceptualization of spiritual well-being, compared with other spiritual well-being measures.
Thus it could have a high degree of relevance for those interested in research on the interrelations
between spiritual life experience and well-being, in general. Such studies would be useful as
existing data (Barcus, 1999), and also this study have shown that some aspects of spiritual life
1990 R. Gomez, J.W. Fisher / Personality and Individual Differences 35 (2003) 1975–1991
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