Journals / Spiritual Psychology and Counseling / 2026 / Volume: 11 Issue: 2

Spiritually Integrated Process Assessment Scale (SIPAS): Validity and Reliability Study

Halil Eksi(MARMARA ÜNİVERSİTESİ)0000-0001-7520-4559
Mehmet Özalp(NATIONAL DEFENSE UNIVERSITY, NAVAL ACADEMY)
M. Furkan Tunç(ISTANBUL SABAHATTIN ZAIM UNIVERSITY)0000-0001-6370-1507
Ebru Talibe Turgut(İSTANBUL SAĞLIK VE TEKNOLOJİ ÜNİVERSİTESİ)0000-0003-4412-1448
Pages
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Publication Date
2026-06-30
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Findings provide evidence that the adapted scale is valid and reliable, offering a robust tool for evaluating professionals’ integration of spirituality and religion in counseling practice.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:This study sought to adapt the Spiritually Integrated Process Assessment Scale into Turkish and evaluate its psychometric properties.
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Key Findings & Data:Of the 399 individuals who initially completed the survey, 51 cases were excluded due to extreme outliers, yielding a final sample of 348 participants.
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Conclusion & Impact:Findings provide evidence that the adapted scale is valid and reliable, offering a robust tool for evaluating professionals’ integration of spirituality and religion in counseling practice.
🔬Design:Survey & Empirical Study
📍Scope:Comprehensive Sample
⚙️Variables:SIPAS · spirituality · counseling

Abstract

This study sought to adapt the Spiritually Integrated Process Assessment Scale into Turkish and evaluate its psychometric properties. Data were collected from adult participants through convenience sampling. Of the 399 individuals who initially completed the survey, 51 cases were excluded due to extreme outliers, yielding a final sample of 348 participants. Following rigorous translation and back-translation procedures, participants completed the SIPAS alongside a conceptually related measure for criterion validity. Data screening confirmed normality assumptions, and analyses were conducted using SPSS (v.25) and AMOS (v.24). Internal consistency was examined through Cronbach’s alpha, and construct validity was assessed via Confirmatory Factor Analysis (CFA). The Turkish SIPAS demonstrated high reliability and satisfactory fit indices. Findings provide evidence that the adapted scale is valid and reliable, offering a robust tool for evaluating professionals’ integration of spirituality and religion in counseling practice.

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Cite This Article

Eksi, H., Akyol, H., Aydın, N., Karalı, F. B., Özalp, M., Tunç, M. F., Turgut, E. T. (2026). Spiritually Integrated Process Assessment Scale (SIPAS): Validity and Reliability Study. Spiritual Psychology and Counseling, Volume: 11 Issue: 2. https://doi.org/10.37898/spiritualpc.1793082

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References (71)

  1. Aktürk, Ü., Erci, B., & Araz, M. (2017). Functional evaluation of treatment of chronic disease: Validity and reliability of the Turkish version of the Spiritual Well-Being Scale. Palliative and Supportive Care, 15, 684–692. https://doi.org/10.1017/S1478951517000013
  2. Apak, H. (2025). Adaptation of the Employee Spirituality Scale into Turkish: A study on healthcare workers. Spiritual Psychology and Counseling, 10(1), 7–17. https://doi.org/10.37898/spiritualpc.1407910
  3. Aslan, H., Aktürk, Ü., & Erci, B. (2020). Validity and reliability of the Turkish version of the Nurse Spiritual Care Therapeutics Scale. Palliative and Supportive Care, 1–6. https://doi.org/10.1017/S1478951520000267
  4. Association for Spiritual, Ethical, and Religious Values in Counseling. (2009). Spiritual competencies: Competencies for addressing spiritual and religious issues in counseling. https://www.counseling.org/docs/default-source/competencies/competencies-for-addressing-spiritual-and-religious-issues-in-counseling.pdf?sfvrsn=aad7c2c_8
  5. Bedel, G. (2009). The validity and reliability study of the Turkish version of the Spirituality Scale (Thesis No. 254563) [Master’s thesis, İstanbul Bilgi University]. National Thesis Center.
  6. Büyüköztürk, Ş. (2011). Sosyal bilimler için veri analizi el kitabı: İstatistik, araştırma deseni, SPSS uygulamaları ve yorum (14. baskı). Pegem Akademi Yayıncılık.
  7. Captari, L. E., Hook, J. N., Hoyt, W., Davis, D. E., McElroy, H. S. E., & Worthington, E. L., Jr. (2018). Integrating clients’ religion and spirituality within psychotherapy: A comprehensive meta-analysis. Journal of Clinical Psychology, 74(11), 1938–1951. https://doi.org/10.1002/jclp.22681
  8. Cashwell, C. S., & Watts, R. E. (2010). The new ASERVIC competencies for addressing spiritual and religious issues in counseling. Counseling and Values, 55(1), 2–5. https://doi.org/10.1002/j.2161-007X.2010.tb00018.x
  9. Cengil, M. ve Koç, A. (2023). Eşler Arasında Algılanan Manevi Doyum Ölçeği (EŞMDÖ). Bozok Üniversitesi İlahiyat Fakültesi Dergisi, 24(24), 87–115. https://doi.org/10.51553/bozifder.1336842
  10. Clarke, P. B., Giordano, A. L., Cashwell, C. S., & Lewis, T. F. (2013). The straight path to healing: Using motivational interviewing to address spiritual bypass. Journal of Counseling & Development, 91(1), 87–94. https://doi.org/10.1002/j.1556-6676.2013.00075.x
  11. Crook-Lyon, R. E., O’Grady, K. A., Smith, T. B., Jensen, D. R., Golightly, T., & Potkar, K. A. (2012). Addressing religious and spiritual diversity in graduate training and multicultural education for professional psychologists. Psychology of Religion and Spirituality, 4(3), 169–181. https://doi.org/10.1037/a0026403
  12. Currier, J. M., Pearce, M. J., Wong, S., Salcone, S., Brock, B., Kim, E., Kemp, D., Hinkel, H., Oxhandler, H. K., Vieten, C., Fox, J., Polson, E. C., & Pargament, K. I. (2025). Acceptability and feasibility of infusing training in spiritual and religious competencies in mental health graduate education. Training and Education in Professional Psychology, 19(3), 226–236. https://doi.org/10.1037/tep0000495
  13. Çetintaş, Ş., & Ekşi, H. (2020). Spiritually oriented couple, marriage and family therapies. Spiritual Psychology and Counseling, 5(1), 7–24. https://doi.org/10.37898/spc.2020.5.1.096
  14. Davis, E. B., Worthington, E. L., Jr., & Schnitker, S. A. (Eds.). (2023). Handbook of positive psychology, religion, and spirituality. Springer. https://doi.org/10.1007/978-3-031-10274-5
  15. DeVellis, R. F., & Thorpe, C. T. (2021). Scale development: Theory and applications (5th ed.). Sage.
  16. Düzgüner, S. (2018). Nereden çıktı bu maneviyat: Manevi bakımın temellerine ilişkin kültürlerarası bir analiz. A. Ayten, M. Koç ve N. Tınaz (Ed.), Manevi danışmanlık ve rehberlik içinde (s. 17). Değerler Eğitimi Merkezi Yayınları.
  17. Ekşi, H. (2022). Manevi yönelimli psikolojik danışma (2. baskı). Nobel Akademik.
  18. Ekşi, H., & Kardaş, S. (2017). Spiritual well-being: Scale development and validation. Spiritual Psychology and Counseling, 2, 73–88. https://doi.org/10.12738/spc.2017.1.0022
  19. Ekşi, H., Kaya, Ç. ve Çiftçi, M. (2016a). Maneviyat ve psikolojik danışma. H. Ekşi & Ç. Kaya (Ed.), Manevi yönelimli psikoterapi ve psikolojik danışma içinde (s. 13–28). Kaknüs.
  20. Ekşi, H., Takmaz, Z., & Kardaş, S. (2016b). Spirituality in psychotherapy settings: A phenomenological inquiry into the experiences of Turkish health professionals. Spiritual Psychology and Counseling, 1(1), 89–108. https://doi.org/10.12738/spc.2016.1.0005
  21. Gallup. (2021). How religious are Americans? https://news.gallup.com/poll/358364/religious-americans.aspx
  22. Garssen, B., Visser, A., & Pool, G. (2021). Does spirituality or religion positively affect mental health? Meta-analysis of longitudinal studies. The International Journal for the Psychology of Religion, 31(1), 4–20. https://doi.org/10.1080/10508619.2020.1729570
  23. Gürkan, E. ve Akbaş, M. (2024). Manevi danışmanlık ve psikoterapi: Dünyada ve Türkiye’de manevi danışmanlığın gelişimi. Kahramanmaraş İstiklal Üniversitesi Psikoloji Dergisi, 2(1), 41–60.
  24. Harris, S., & Tao, H. (2022). The impact of US nurses’ personal religious and spiritual beliefs on their mental well-being and burnout: A path analysis. Journal of Religion and Health, 61(3), 1772–1791. https://doi.org/10.1007/s10943-021-01203-y
  25. Henriksen, R. C., Jr., Polonyi, M. A., Bornsheuer‐Boswell, J. N., Greger, R. G., & Watts, R. E. (2015). Counseling students’ perceptions of religious/spiritual counseling training: A qualitative study. Journal of Counseling & Development, 93(1), 59–69. https://doi.org/10.1002/j.1556-6676.2015.00181.x
  26. Holmberg, Å., Jensen, P., & Vetere, A. (2021). Spirituality—A forgotten dimension? Developing spiritual literacy in family therapy practice. Journal of Family Therapy, 43(1), 78–95. https://doi.org/10.1111/1467-6427.12298
  27. İkiz, F. E. ve Totan, T. (2014). Etkili psikolojik danışman niteliklerinin değerlendirilmesine ilişkin ölçek geliştirme çalışması. Türk Psikolojik Danışma ve Rehberlik Dergisi, 5(42), 269–279.
  28. İme, Y., Ekşi, H. ve Ekşi, F. (2019). Manevi Aşkınlık Ölçeği’nin Türkçeye uyarlanması: Geçerlik ve güvenirlik çalışması. İnönü Üniversitesi Eğitim Fakültesi Dergisi, 20(3), 1008–1020. https://doi.org/10.17679/inuefd.562410
  29. Karaca, T., & Ercan Sahin, N. (2025). The effect of palliative spiritual care education on nursing students’ perception of spiritual care and attitudes towards death in Turkey: A quasi-experimental study. Journal of Religion and Health, 64(2), 920–929. https://doi.org/10.1007/s10943-024-02196-0
  30. Karaırmak, Ö. (2004). Tinsel anlayışın psikolojik danışmadaki rolü. Turkish Psychological Counseling and Guidance Journal, 3(22), 45–55.
  31. Kasapoğlu, F. (2020). Developing the Counselor Attitude Scale for spirituality in counseling: A validity and reliability study. Spiritual Psychology and Counseling, 5(2), 219–236. https://doi.org/10.37898/spc.2020.5.2.89
  32. Kerkez, M., & Şanli, M. E. (2024). Mediating role of spirituality in the relationship of anxiety, stress and depression with resilience in individuals exposed to earthquakes in Türkiye. International Journal of Disaster Risk Reduction, 104, 104347. https://doi.org/10.1016/j.ijdrr.2024.104347
  33. Kline, P. (2015). A handbook of test construction (psychology revivals): Introduction to psychometric design. Routledge. https://doi.org/10.4324/9781315695990
  34. Kwiker, H. (2025). The awakened therapist: Spirituality, consciousness, and subtle energy in gestalt therapy. Taylor & Francis. https://doi.org/10.4324/9781003521969
  35. Li, C. H. (2016). Confirmatory factor analysis with ordinal data: Comparing robust maximum likelihood and diagonally weighted least squares. Behavior Research Methods, 48(3), 936–949. https://doi.org/10.3758/s13428-015-0619-7
  36. Magaldi-Dopman, D., Park-Taylor, J., & Ponterotto, J. G. (2011). Psychotherapists’ spiritual, religious, atheist or agnostic identity and their practice of psychotherapy: A grounded theory study. Psychotherapy Research, 21(3), 286–303. https://doi.org/10.1080/10503307.2011.565488
  37. Martínez de Pisón, R. (2023). Religion, spirituality and mental health: The role of guilt and shame. Journal of Spirituality in Mental Health, 25(4), 261–276. https://doi.org/10.1080/19349637.2022.2109241
  38. Ok, Ü., Gedik, Z. ve Erşahin, Z. (2019). Hastalar için manevi bakım. Nobel Akademik.
  39. Okan, N., & Ekşi, F. (2025). The Spiritual Psychological Robustness Scale (SPRS): A new measure for assessing spiritual and psychological strength in the context of Turkish culture. Journal of Religion and Health, 64, 1473–1497. https://doi.org/10.1007/s10943-024-02175-5
  40. Okere, C. A., Sak‐Dankosky, N., Yerris, V., & Kvist, T. (2024). Spiritual interventions: Improving the lives of colorectal cancer survivors—A systematic literature review. Journal of Advanced Nursing, 80(12), 4758–4776. https://doi.org/10.1111/jan.16196
  41. Oxhandler, H. K. (2019). Revalidating the Religious/Spiritually Integrated Practice Assessment Scale with five helping professions. Research on Social Work Practice, 29(2), 223–233. https://doi.org/10.1177/1049731516669592
  42. Oxhandler, H. K., & Pargament, K. I. (2014). Social work practitioners’ integration of clients’ religion and spirituality in practice: A literature review. Social Work, 59(3), 271–289. https://doi.org/10.1093/sw/swu018
  43. Oxhandler, H. K., & Parrish, D. E. (2016). The development and validation of the Religious/Spiritually Integrated Practice Assessment Scale. Research on Social Work Practice, 26(3), 295–307. https://doi.org/10.1177/1049731514550207
  44. Oxhandler, H. K., Pargament, K. I., Pearce, M. J., Vieten, C., & Moffatt, K. M. (2021). Current mental health clients’ attitudes regarding religion and spirituality in treatment: A national survey. Religions, 12(6), 371. https://doi.org/10.3390/rel12060371
  45. Pargament, K. I. (2001). The psychology of religion and coping: Theory, research, practice. Guilford.
  46. Pargament, K. I. (2013). Searching for the sacred: Toward a nonreductionistic theory of spirituality. In K. I. Pargament, J. J. Exline, & J. W. Jones (Eds.), APA handbook of psychology, religion, and spirituality: Context, theory, and research (Vol. 1, pp. 257–273). American Psychological Association. https://doi.org/10.1037/14045-014
  47. Pargament, K. I. (2023). From research to practice: Three waves in the evolution of the psychology of religion and spirituality. Spiritual Psychology and Counseling, 8(3), 207–225. https://doi.org/10.37898/spc.2023.8.3.191
  48. Pew Research Center. (2017). The changing global religious landscape. https://www.pewresearch.org/religion/2017/04/05/the-changing-global-religious-landscape/
  49. Pew Research Center. (2022). National public opinion reference survey (NPORS). https://www.pewresearch.org/methods/fact-sheet/national-public-opinion-reference-survey-npors/
  50. Piedmont, R. L., & Wilkins, T. A. (2020). Understanding the psychological soul of spirituality: A guidebook for research and practice. Routledge. https://doi.org/10.4324/9781351164481
  51. Rhemtulla, M., Brosseau-Liard, P. É., & Savalei, V. (2012). When can categorical variables be treated as continuous? A comparison of robust continuous and categorical SEM estimation methods under suboptimal conditions. Psychological Methods, 17(3), 354–373. https://doi.org/10.1037/a0029315
  52. Richards, P. S., & Bergin, A. E. (Eds.). (2004). Casebook for a spiritual strategy in counseling and psychotherapy. American Psychological Association. https://doi.org/10.1037/10652-000
  53. Ripley, J. S., Sells, J. N., Battaglini, L., Haught, S., Chen, Z. J., Kent, V., Smith, R., Overfelt, C., Tan, J., Tan, J., Villate, F., Saunders, J., Waldheim, D., Rose, R., & Wray, K. (2026). Obtaining religious and spiritual competencies for relationship therapy: Outcomes of Competency Addressing Religion and Spirituality (CARS) training. Psychotherapy, 63(2), 199–209. https://doi.org/10.1037/pst0000595
  54. Rosmarin, D. H., Bigda-Peyton, J. S., Öngur, D., Pargament, K. I., & Björgvinsson, T. (2013). Religious coping among psychotic patients: Relevance to suicidality and treatment outcomes. Psychiatry Research, 210(1), 182–187. https://doi.org/10.1016/j.psychres.2013.03.023
  55. Rosseel, Y. (2012). lavaan: An R package for structural equation modeling. Journal of Statistical Software, 48(2), 1–36. https://doi.org/10.18637/jss.v048.i02
  56. Sajadi, M., Niazi, N., Khosravi, S., Yaghobi, A., Rezaei, M., & Koenig, H. G. (2018). Effect of spiritual counseling on spiritual well-being in Iranian women with cancer: A randomized clinical trial. Complementary Therapies in Clinical Practice, 30, 79–84. https://doi.org/10.1016/j.ctcp.2017.12.011
  57. Shafranske, E. P., & Cummings, J. P. (2013). Religious and spiritual beliefs, affiliations, and practices of psychologists. In K. I. Pargament, A. Mahoney, & E. P. Shafranske (Eds.), APA handbook of psychology, religion, and spirituality: An applied psychology of religion and spirituality (Vol. 2, pp. 23–41). American Psychological Association. https://doi.org/10.1037/14046-002
  58. Sperry, L. (2025). Spiritually integrated psychotherapy: Infusing spirituality in clinical practice. Taylor & Francis. https://doi.org/10.4324/9781003425991
  59. Stratton, S. J. (2021). Population research: Convenience sampling strategies. Prehospital and Disaster Medicine, 36(4), 373–374. https://doi.org/10.1017/S1049023X21000649
  60. Şirin, T. (2018). Maneviyat Ölçeği’nin geliştirilmesi: Geçerlik ve güvenirlik çalışması. Turkish Studies, 13(18), 1283-1309. https://doi.org/10.7827/TurkishStudies.13996
  61. Tabachnick, B. G., & Fidell, L. S. (2013). Using multivariate statistics (6th ed.). Pearson.
  62. Tavşancıl, E. (2006). Tutumların ölçülmesi ve SPSS ile veri analizi (3. basım). Nobel.
  63. Ulutaş, D. A., & Kırlıoğlu, M. (2021). Adaptation of Spiritual Competency Scale (SCS-R-II) to Turkish: Validity and reliability study. Toplum ve Sosyal Hizmet, 32(4), 1371–1387. https://doi.org/10.33417/tsh.866378
  64. Vieten, C., & Lukoff, D. (2022). Spiritual and religious competencies in psychology. American Psychologist, 77(1), 26–38. https://doi.org/10.1037/amp0000821
  65. Vieten, C., Fox, J., Oxhandler, H. K., Pearce, M., Polson, E. C., Pargament, K.,. & Currier, J. M. (2024). Spiritual and religious competency training for mental health care professionals: How much is enough? Counselor Education and Supervision, 63(3), 187–202. https://doi.org/10.1002/ceas.12311
  66. Vieten, C., Oxhandler, H. K., Pearce, M., Fry, N., Tanega, C., & Pargament, K. (2023). Mental health professionals’ perspectives on the relevance of religion and spirituality to mental health care. BMC Psychology, 11(439), 1–10. https://doi.org/10.1186/s40359-023-01466-y
  67. Vocational Qualifications Authority (MYK). (2019). Manevi danışman (Seviye 6) ulusal meslek standardı (19UMS0728-6, Rev.00). Resmî Gazete tarih/sayı: 25.10.2019 - 30929 (Mükerrer). https://portal.myk.gov.tr/index.php?dl=Meslek_Standartlari%2F4352%2FSON_TASLAK_PDF_20191028_102736.pdf
  68. Yamada, A. M., Lukoff, D., Lim, C. S. F., & Mancuso, L. L. (2020). Integrating spirituality and mental health: Perspectives of adults receiving public mental health services in California. Psychology of Religion and Spirituality, 12(3), 276–287. https://doi.org/10.1037/rel0000260
  69. Yaman, K. G., Sanver-Gürsoy, H., Canel, A. N., & Ekşi, H. (2018). Maternal Spiritual Coping Scale: Development and validation. Spiritual Psychology and Counseling, 3, 9–21. https://doi.org/10.12738/spc.2018.1.0042
  70. Yenen, İ. (2017). Türkiye’de manevi danışmanlık ve rehberlik literatürü üzerine bibliyografik bir çalışma. Dokuz Eylül Üniversitesi İlahiyat Fakültesi Dergisi, (46), 157–219. https://doi.org/10.21054/deuifd.404785
  71. Vieten, C., Fox, J., Oxhandler, H. K., Pearce, M., Polson, E. C., Pargament, K.,. & Currier, J. M. (2024). Spiritual and religious competency training for mental health care professionals: How much is enough? Counselor Education and Supervision, 63(3), 187–202. https://doi.org/10.1002/ceas.12311