title: Spirituality and/or religious faith: A means for coping with the effects of amyotrophic lateral sclerosis/motor neuron disease?
abstract: OBJECTIVE
  The notion of spirituality/religious belief is recognized internationally as a domain within end-of-life care and is important in patients' and carers' quality-of-life. When faced with incurable illness, patients often become more philosophical about their life; many seek comfort in spiritual or religious philosophies. Our intention was to understand how personal spirituality and religious faith might help those living with amyotrophic lateral sclerosis/motor neuron disease (ALS/MND) cope with their impending death.
  
  
  METHODS
  Unsolicited narratives (internet and print-published) written by individuals diagnosed with the terminal condition of ALS/MND were analyzed thematically. Narratives from 161 individuals diagnosed with ALS/MND written over a period of 37 years (from 1968 to 2005) were included.
  
  
  RESULTS
  Our findings reveal that religious faith sustains and helps people to avoid despair, and personal spirituality helps them make sense of what is happening to them.
  
  
  CONCLUSIONS
  The use of personal narratives by people with ALS/MND has provided a vehicle for sharing their deepest spiritual and religious thoughts with others. The place of spirituality and religious faith within ALS/MND care should not be underestimated. Assessment of religious or spiritual needs should become a routine part of practice and is the responsibility of all members of the multidisciplinary team.
authors: Reader in Health Research,Evidence-Based Practice Research Centre (EPRC),Edge Hill University,Ormskirk,Lancashire,United Kingdom.
authors: Mary R
authors: http://orcid.org/0000-0002-8509-3650
authors: MR
authors: O'Brien
authors: School of Interdisciplinary Studies,University of Glasgow,Dumfries Campus,Scotland,United Kingdom.
authors: David
authors: D
authors: Clark
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D000368:Aged; D000690:Amyotrophic Lateral Sclerosis / Q000150:complications* / Q000523:psychology*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D016472:Motor Neuron Disease / Q000150:complications* / Q000523:psychology*; D036301:Qualitative Research; D029181:Spirituality; D013727:Terminal Care / Q000523:psychology
keywords: Amyotrophic lateral sclerosis/motor neuron disease (ALS/MND); Coping; Religious faith; Spirituality; Written narratives