Does spirituality really matter?: A study on the potential of spirituality for older adult’s adjustment to aging

This study intended to analyze the indicators of adjustment to aging (AtA) and to investigate the latent constructs that can work as major determinants in spirituality for a cross-national older community-dwelling population. Questionnaires were completed to assess the participants’ background information. Interviews were performed, addressing one core area: indicators of AtA. Complete data were available for 154 older adults from two nationalities (German and Portuguese), aged between 75 and 103 years (M = 86.6; SD = 6.98). The data were subjected to content analysis. Representations of the associations and latent constructs were analyzed using a multiple correspondence analysis (MCA). The most prevalent response of the interviewed participants for indicators of AtA was spirituality (43.2%). Spiritual activities was the most reported response regarding spirituality (20.0%). A significant moderate association was found between spiritual activities and nationality (V = .365; p < .001). Spirituality for older adults was explained by a three-dimensional overall model: spiritual and existential meaning, limit-related awareness and community embeddedness. The findings presented in this paper emphasized the need to explore the potential of spirituality for AtA and the need for improving the spiritual dimension of health care for the older cross-national population