“…The relationship between spiritual support and decreased distress has been empirically supported in studies of Christian church members (Pargament, 1990), parents mourning the death of a child (Maton, 1989), adults with cancer (Yates, Chalmer, St. James, Follansbee, & McKegney, 1981), caregivers of family members with dementia (Wright, Pratt, & Schmall, 1985), hospice workers (Schneider & Kastenbaum, 1993), and among community elders (Idler, 1987;Koenig, George, & Siegler, 1988), and elders undergoing major surgery (Harris, et al, 1995;Oxman, Freeman, & Manheimer, 1995;Shrimali & Broota, 1987). Oxman, Freeman, and Manheimer (1995) interviewed 232 openheart surgery patients before surgery, and one and six months after surgery.…”