Cited by 0Religion, Spirituality, and PsychologyPosttraumatic Stress Disorder ResearchWorkplace Spirituality and Leadership

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Malliar Bellian Spiritual Healing from Trauma Scale: Preliminary Scale Development

Open access
Malliar Bellian, Pious·2026·Indiana University Indianapolis

Abstract

The unique role of spirituality in trauma recovery in helping professions has highlighted the necessity for developing measurements to assess the level of healing among people who have experienced traumatic events. However, there is no single dedicated scale to assess spiritual healing from trauma. Therefore, this study aimed to develop and test a new scale preliminarily, the Malliar Bellian Spiritual Healing from Trauma (MBSHT) scale, to assess the level of spiritual healing among adults who experienced traumatic events. Thus, this study aimed to improve the efficacy of healing and recovery methods within the helping professions. A Content Analysis of the relevant literature was conducted to generate scale items and to ensure they are empirically informed. Subject matter experts were consulted to establish face and content validity. Next, a pilot study was conducted to finetune the items and to test the initial psychometric properties of the proposed scale. Reliability was investigated using Classical Test Theory to determine the internal consistency of the scale. A preliminary Content Analysis revealed five components, namely, hope, mind, body, spirit, and meaning making, that collectively embody spiritual healing from trauma. In this context, an item pool of 50 items was created, and these five sub-constructs were tested as five subscales. The reliability analysis demonstrated good internal consistency for Hope (α = .84), Mind (α = .88), Body (α = .81), Spirit (α = .81), and Meaning-Making (α = .84). The overall scale (50 items) yielded an excellent internal consistency reliability (α =.96). The coefficient alphas based on the pilot study data showed stability and consistency, which is a fitting sign for conducting Exploratory Factor Analysis (EFA) of the constructs and dimensions with a larger sample for the full-scale psychometric analysis and validation in a future study. In the long run, spiritual approaches can be confidently advanced with clients experiencing trauma for desirable recovery and healing.

Overview

AI snapshot

Written from a shortened version of the paper’s full text (it is longer than we read).

TL;DR

This dissertation develops and preliminarily tests the Malliar Bellian Spiritual Healing from Trauma (MBSHT) scale, a 50-item instrument with five subscales (Hope, Mind, Body, Spirit, Meaning-Making) derived from a content analysis of the spiritual healing and trauma literature. In a pilot sample of 26 trauma survivors, all five subscales and the overall scale showed good-to-excellent internal consistency, supporting progression to a larger validation study.

Key findings

  • Content analysis of the literature yielded 37 concepts, patterns, and themes, clustered into five subconstructs: hope, mind, body, spirit, and meaning-making; an initial pool of 79 items was reduced to 50 (10 per subscale) after removing 29 redundant items.
  • Pilot reliability (n = 26) was good for Hope (α = .84), Mind (α = .88), Body (α = .81), Spirit (α = .81), and Meaning-Making (α = .84); the overall 50-item scale yielded α = .96.
  • Six of ten invited subject matter experts (60%) completed the review; based on their feedback 11 items were reworded, 3 removed for redundancy, and 3 new items added (e.g., "Some days, I find it hard to believe healing is possible").
  • Sample characteristics: mean age 46 years (SD = 9.42), 66.7% female, 39% Black or African American and 36% White; 18.2% had received professional treatment for their trauma while 63.6% had not; 23 of 26 participants rated the scale length as "about the right amount" and 22 rated the items as clear.

Methods

  • Cross-sectional scale development study following DeVellis and Thorpe's (2022) procedures across three steps: (A) content analysis/systematic literature review of databases including APA PsycINFO, CINAHL Complete, and Mental Measurements Yearbook (inclusion: 2015–2025, English, spiritual practice/intervention in helping professions); (B) subject matter expert review of the initial item pool for face and content validity; (C) pilot test.
  • Pilot participants were adults 18+, English-reading, with self-reported trauma experienced at least one year prior, recruited via convenience sampling through four trauma-serving organizations in California, Indiana, Maryland, and Washington D.C.; data collected via Qualtrics. Seven ineligible respondents were removed by listwise deletion, leaving 26 analyzable cases (target had been 30).
  • Analysis in IBM SPSS 31: descriptive statistics, item-level response distributions, Pearson correlation matrices for each subscale (interpreted with Cohen's benchmarks), and internal consistency via Cronbach's alpha under Classical Test Theory.

Limitations

  • Stated by the paper: the exploratory nature of the preliminary development; self-report bias affecting sample representativeness; convenience sampling limiting generalizability; no additional qualitative interviews beyond SME review and pilot testing; only one reverse-scored item out of 50 and no steps taken to minimize response bias; heterogeneous trauma types rather than a single trauma type; possible cultural/contextual differences in how respondents understood the study; difficulty synthesizing many themes from a partly non-empirical literature; potential researcher bias in coding and synthesis; limited data validity and absent participant perspectives since this was not the primary data collection; use of only two theoretical frameworks; and no factorial validation yet.
  • Evident from the text: the pilot sample (n = 26) is small and below the initially intended 30, and no exploratory or confirmatory factor analysis, test-retest reliability, or convergent/discriminant validity evidence was produced, so the factor structure and construct validity of the MBSHT remain untested.

Model-written summary. Check it against the paper before relying on it.

Integrity signals

Registry

DataCite · 10.7912/4s2m-b722

Cites

Statistics

28 tests recomputed · 0 with the reported and recomputed p on opposite sides of .05

Verification

Claims the paper makes

116 Own result · 89 Sources not found · 23 Own interpretation · 16 Own method · 13 No basis given

  • Probably not a substantial claim. 118
  • It may state two separate claims as one. 41
  • The quote only partly states this claim. 12
145 of 145
  • The paper relies on this without support.

    Spiritual healing has not been fully examined in conventional healthcare and practice settings because it has been perceived along with Complementary Alternative Medicine (CAM) by the scientific community.

    “Spiritual healing has not been fully examined in conventional healthcare and practice settings as it has been perceived along with Complementary Alternative Medicine (CAM) by the scientific community.”
  • The paper relies on this without support.

    Spiritual healing from trauma is a measurable construct that can be assessed with a psychometric scale.

    “Integrating evidence-informed spiritual healing into the helping professions to address trauma-based issues could be effectively carried out with the help of a psychometric instrument to assess the level of spiritual healing from trauma.”
  • The paper relies on this without support.

    The literature reviewed is sufficient to identify the major domains of spiritual healing from trauma.

    “Major themes and components that were identified to develop the new scale from the existing literature include hope”
  • The paper relies on this without support.

    There is no specific tool to assess the level of gradual healing that is taking place among clients after traumatic events in their lives.

    “However, there is no specific tool to assess the level of gradual healing that is taking place among clients after the occurrence of traumatic events in their lives.”
  • The paper relies on this without support.

    Available scales do not fully cover the construct of spiritual healing aimed at holistic recovery from trauma.

    “Available scales do not fully cover the construct of spiritual healing aimed at holistic recovery from trauma.”
  • The authors state this as an assumption.

    Items reflect the overall construct of spiritual healing, which can be a desirable process of recovery among clients who have experienced trauma.

    “The assumption of the researcher is that items reflect the overall construct of spiritual healing, which can be a desirable process of recovery among clients who have experienced trauma.”
  • The paper relies on this without support.

    Growth, progress, and healing take place among trauma clients, gradually reaching a level of being healed from trauma.

    “The contention is that growth, progress and healing take place among trauma clients, gradually reaching a level of being healed from trauma.”
  • The paper relies on this without support.

    Trauma clients will experience spiritual healing as a process of recovery, and recovery becomes an outcome of the spiritual practices and related efforts used by clients and practitioners.

    “Eventually, trauma clients will experience spiritual healing as a process of recovery; and the recovery becomes an outcome of the spiritual practices and related efforts used by the clients and practitioners.”
  • The paper relies on this without support.

    The role of evidence-based practices in spiritual healing has often been neglected in mainstream healthcare settings.

    “based practices in spiritual healing must be systematically documented, as their role has often been neglected in mainstream healthcare settings.”
  • The paper relies on this without support.

    The construct of spiritual healing from trauma can be adequately measured by a self-report scale.

    “This content analysis contributed extensively to the development of a tool encompassing these themes and components to generate a new scale on spiritual healing from trauma.”
  • The paper relies on this without support.

    The content analysis captured the relevant evidence-based spiritual practices and themes for spiritual healing from trauma.

    “The results of the Content Analysis revealed evidence-based spiritual practices that were used with trauma clients.”
  • The paper relies on this without support.

    The SMEs' assessments of the degree to which each scale item accurately reflects one of the five sub-constructs are valid indicators of item-subconstruct correspondence.

    “when they were asked to assess the degree to which each scale item accurately reflect one of the five sub-constructs from the list.”
  • The paper relies on this without support.

    Listwise deletion of the 7 ineligible participants does not bias the reliability estimates.

    “A listwise deletion approach (Acock, 2005; Newman, 2014) was employed by the researcher to treat those 7 ineligible participants.”
  • The paper relies on this without support.

    The study's sample of 26 participants is representative enough for preliminary psychometric assessment.

    “The study used statistical analyses with a focus on research design with a representative sample (N=26).”
  • The paper relies on this without support.

    A significant gap in the existing literature is the absence of a dedicated scale for evaluating spiritual healing in the helping professions.

    “Although some existing scales such as PTGI, CAPS-5, and OHS provide insights into healing dimensions, a significant gap in the existing literature was the absence of a dedicated scale for evaluating spiritual healing in the helping professions.”
  • The paper relies on this without support.

    The constant interplay between mind-body-spirit in the healing process is evident in multiple empirical studies.

    “The constant interplay that is happening in the healing process between the mind-body-spirit is evident in multiple empirical studies.”
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Statistics that don’t add up

Each reported p-value recomputed from its test statistic and degrees of freedom.

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Statistics recomputed

Every reported test result, recomputed from its test statistic and degrees of freedom. A result shows as not adding up only once an independent check has confirmed it.

  • Doesn’t add upr(26) = 0.42reported p < .01 · recomputed p = .026

    “r(26) = .42, p < .01”

  • Not confirmedr(26) = 0.65reported p < 0 · recomputed p < .001

    “r(26) = .65, p < .0”

  • Not confirmedr(26) = 0.64reported p < 0 · recomputed p < .001

    “r(26) = .64, p < .0”

  • Not confirmedr(26) = 0.71reported p < 0 · recomputed p < .001

    “r(26) = .71, p < .0”

  • Not confirmedr(26) = 0.69reported p < 0 · recomputed p < .001

    “r(26) = .69, p < .0”

  • Consistentr(26) = 0.7reported p < .01 · recomputed p < .001

    “r(26) = .70, p < .01”

  • Consistentr(26) = 0.61reported p < .01 · recomputed p < .001

    “r(26) = .61, p < .01”

  • Consistentr(26) = 0.81reported p < .01 · recomputed p < .001

    “r(26) = .81, p < .01”

  • Consistentr(26) = 0.63reported p < .01 · recomputed p < .001

    “r(26) = .63, p < .01”

  • Consistentr(26) = 0.59reported p < .01 · recomputed p < .001

    “r(26) = .59, p < .01”

  • Consistentr(26) = 0.66reported p < .01 · recomputed p < .001

    “r(26) = .66, p < .01”

  • Consistentr(26) = 0.64reported p < .01 · recomputed p < .001

    “r(26) = .64, p < .01”

  • Consistentr(26) = 0.71reported p < .01 · recomputed p < .001

    “r(26) = .71, p < .01”

  • Consistentr(26) = 0.83reported p < .01 · recomputed p < .001

    “r(26) = .83, p < .01”

  • Consistentr(26) = 0.65reported p < .01 · recomputed p < .001

    “r(26) = .65, p < .01”

  • Consistentr(26) = 0.8reported p < .01 · recomputed p < .001

    “r(26) = .80, p < .01”

  • Consistentr(26) = 0.69reported p < .01 · recomputed p < .001

    “r(26) = .69, p < .01”

  • Consistentr(26) = 0.62reported p < .01 · recomputed p < .001

    “r(26) = .62, p < .01”

  • Consistentr(26) = 0.72reported p < .01 · recomputed p < .001

    “r(26) = .72, p < .01”

  • Consistentr(26) = 0.78reported p < .01 · recomputed p < .001

    “r(26) = .78, p < .01”

  • Consistentr(26) = 0.82reported p < .01 · recomputed p < .001

    “r(26) = .82, p < .01”

  • Consistentr(26) = 0.73reported p < .01 · recomputed p < .001

    “r(26) = .73, p < .01”

  • Consistentr(26) = 0.74reported p < .01 · recomputed p < .001

    “r(26) = .74, p < .01”

  • Consistentr(26) = 0.67reported p < .01 · recomputed p < .001

    “r(26) = .67, p < .01”

  • Consistentr(26) = 0.76reported p < .01 · recomputed p < .001

    “r(26) = .76, p < .01”

  • Consistentr(26) = 0.56reported p < .01 · recomputed p = .002

    “r(26) = .56, p < .01”

  • Consistentr(26) = 0.85reported p < .01 · recomputed p < .001

    “r(26) = .85, p < .01”

  • Consistentr(26) = 0.68reported p < .01 · recomputed p < .001

    “r(26) = .68, p < .01”

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Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

Each contradiction between two passages listed here was confirmed by an independent check.

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Citations

Cites

Still being checked.

Cited by

Still being checked.

Metadata

Authors
Malliar Bellian, P.
Affiliations
Indiana University Indianapolis
Venue
Indiana University Indianapolis
Publisher
Indiana University Indianapolis
Published
2026
OpenAlex
W7162648976
Cited by
0
References
0
Type
dissertation
Language
en
Open access
Locations
  • IUScholarWorks (Indiana University) (submittedVersion)
  • IU Indianapolis University Library
Topics
  • Social Sciences › Health › Religion, Spirituality, and Psychology
  • Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
  • Social Sciences › Business, Management and Accounting › Organizational Behavior and Human Resource Management › Workplace Spirituality and Leadership
Keywords
spiritual healing, trauma, scale development, psychometric validation, spirituality

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