“…Therefore, spiritual pain is often multifaceted and can affect an individual spiritually, physically, emotionally, and psychologically. This impact includes emotional responses such as grief, anger, guilt, shame, doubt, despair, fear, helplessness, and fatigue (Bartel, 2004;Burton, 2003). Millspaugh (2005a) theorized that spiritual pain is composed of several dynamic and interactive components.…”