T he Religious and Spiritual Struggles Scale (RSS) assesses six domains of potential struggles, which people may experience. The RSS is a 26-item measure with strong psychometric support. For a list of the items and more details, see the reference below (Exline, Pargament, Grubbs, & Yali, 2014). Based on Exline et al. (2014) and a general reading of the topic, I define religious/ spiritual (RS) struggles as experiences of personal concern linked to RS beliefs, practices, values, or experiences, which negatively affect thinking, feelings, or behavior, relationships, or health. The Six Domains of Spiritual Struggles Following is a quote from page 208 of the 2014 article, which describes the six domains. I have added bold text to help readers identify each domain. Note, r/s is a common abbreviation for religious/spiritual. The measure assesses six domains of r/s struggle: divine (negative emotion centered on beliefs about God or a perceived relationship with God), ...
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