Spiritual distress

Spiritual distress is defined as a disruption in a person’s belief system, approved as a nursing diagnosis. It refers to a disturbance in the life principle that integrates one's biological and psychological nature. According to LearnWell Resources, Inc., seven manifestations of spiritual distress have been identified: spiritual pain, alienation, anxiety, guilt, anger, loss, and despair. These are evidenced by specific indicators such as expressions of discomfort related to one’s relationship with God, feelings of emptiness or lack of fulfillment, fear of God's wrath, guilt over perceived failures, frustration at God for allowing suffering, temporary loss of faith, and hopelessness about ever pleasing God.

The use of these indicators in diagnosing spiritual distress is controversial, as they may overlap with psychosocial issues. Wilfred McSherry emphasizes the need for careful consideration when conducting spiritual assessments to avoid inappropriate tools and potential dilemmas in practice. The purpose of understanding spiritual distress and its manifestations is to provide holistic care by addressing both physical and spiritual dimensions of a patient’s well-being.