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  • 1.
    Kostenius, Catrine
    et al.
    Luleå tekniska universitet, Hälsa och rehabilitering.
    Melder, Cecilia
    Uppsala University, Sweden.
    Existential health: A valuable dimension when promoting health throughout the life-course in Sweden2019In: WAIORA: Promoting Planetary Health and Sustainable Development for All, 2019Conference paper (Refereed)
  • 2.
    Melder, Cecilia
    Stockholm School of Theology, Department of Theology. University College Stockholm, Stockholm School of Theology.
    The epidemiology of lost meaning: A study in the psychology of religion and existential public health2012In: Scripta Instituti Donneriani Aboensis, ISSN 0582-3226, Vol. 24, p. 237-258Article in journal (Refereed)
    Abstract [en]

    The existential dimension of spirituality has proven to be of great importance over the last two decades when it comes to studies of self-rated health and quality of life. We see the positive effects it has on blood pressure, depression and life expectancy for chemotherapy and HIV patients, to mention just a few examples. In the public health sector, it is interesting to note that this existential/spiritual dimension had already been present in the early years when the term public health first came into the Swedish language. In the year 1926 public health was defined as ‘a people’s physical and spiritual health’. During the intervening years of major medical and scientific technical improvements in the field, the existential/spiritual perspective had been put aside, but now once again this dimension has come into focus. The central question is, how does the existential dimension of health, understood as a person’s ability to create and maintain functional meaning making systems, affect the person’s self-rated health and quality of life? The working theories and basic perspectives in this article are drawn from health research with attention to the existential dimension, public health from the perspective of the psychology of religion, and object relations theory.

  • 3.
    Melder, Cecilia A.
    Uppsala universitet, Religionspsykologi.
    Vilsenhetens epidemiologi: en religionspsykologisk studie i existentiell folkhälsa2011Doctoral thesis, monograph (Other academic)
    Abstract [en]

    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.

  • 4.
    Melder, Cecilia A
    et al.
    Uppsala universitet, Religionspsykologi.
    Söderqvist, Fredrik
    Uppsala universitet, Centrum för klinisk forskning, Västerås.
    Modern Meaning-making: Adolescent understanding of existential aspects in Health-related quality of life [HRQL]2017In: IAPR Conference in Hamar 2017: Culture, Context and Existential Challenges, 2017, p. 30-30Conference paper (Other (popular science, discussion, etc.))
    Abstract [en]

    Aims: Present results from focus interviews concerning existential aspects related to the adaptation of the WHOQOL-SRPB(BREF) for Swedish adolescents.

    Background: Exploring existential aspects of HRQL are important when mental ill-health is increasing among adolescents in a secular context. WHO introduced WHOQOL-SRPB in 2002 for measuring HRQL, including Spiritual, Religious and Personal beliefs [SRPB]. It is validated for Swedish adults. Now it requires adaptation for youth, even internationally.

    Methods: Pupils (age 15–19) in four groups were interviewed following WHO instructions for cognitive interviewing. Content analysis of the transcribed interviews was conducted.

    Results: The pupils considered existential aspects important for HRQL. The items: Meaning, Awe, Wholeness, Peace and Hope were comprehensible for them. Faith and Personal beliefs were related to e.g. insecurity, individualism:”To believe in yourself” and traditional aspects:”I personally believe in Jesus but I do not believe in God”. Spiritual Strength and Spiritual Connection did not require transcendence and could relate to various ideas e.g. nature or popular culture:”The first thing that pops up is the Lion King that talks to Simba in the clouds. It is his inner spirituality”.

    Conclusion: Results show the importance of adaptation of existential aspects in HRQL to the cultural (secularized) context.

  • 5.
    Melder, Cecilia
    et al.
    Uppsala universitet, Religionspsykologi.
    Fischer, Regina Santamaki
    Abo Akad Univ, Turku, Finland.;Umea Univ, Umea, Sweden..
    Nygren, Bjorn
    Umea Univ, Umea, Sweden..
    DeMarinis, Valerie
    Uppsala universitet, Religionspsykologi.
    Validating WHOQOL-SRPB in Sweden: instrument adaption for measuring existential aspects of health-related quality of life [HRQL] in secular contexts2016In: Quality of Life Research, ISSN 0962-9343, E-ISSN 1573-2649, Vol. 25, p. 100-100Article in journal (Refereed)
  • 6.
    Melder, Cecilia
    et al.
    Uppsala universitet, Religionspsykologi.
    Jyrell, Ida P.
    Söderqvist, Fredrik
    Uppsala universitet, Centrum för klinisk forskning, Västerås.
    Measuring adolescents health-related quality of life [HRQL] in a secular context-introducing a Swedish WHOQOL-SRPB-adolescent instrument2016In: Quality of Life Research, ISSN 0962-9343, E-ISSN 1573-2649, Vol. 25, p. 88-88Article in journal (Refereed)
  • 7.
    Melder, Cecilia
    et al.
    Uppsala University, Department of Religious Studies/Psychology of Religion.
    Kostenius, Catrine
    Luleå tekniska universitet, Hälsa och rehabilitering.
    Existential health: developing and evaluating methods for successful health promotion in a secularized context2016Conference paper (Other academic)
  • 8. Melder, Cecilia
    et al.
    Santamäki Fischer, Regina
    Umeå universitet, Institutionen för omvårdnad.
    Nygren, Björn
    Umeå universitet, Institutionen för omvårdnad.
    DeMarinis, Valerie
    Umeå universitet, Allmänmedicin.
    Validating WHOQOL-SRPB in Sweden: instrument adaption for measuring existential aspects of health-related quality of life [HRQL] in secular contexts2016Conference paper (Refereed)
  • 9.
    Söderqvist, Fredrik
    et al.
    Uppsala universitet, Centrum för klinisk forskning, Västerås.
    Melder, Cecilia
    Uppsala universitet, Religionspsykologi.
    Psychometric testing of the WHOQOL-BREF scale in Swedish adolescents2016In: Quality of Life Research, ISSN 0962-9343, E-ISSN 1573-2649, Vol. 25, p. 103-103Article in journal (Refereed)
1 - 9 of 9
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