Expanding the cross-cultural validity of the Enright Forgiveness Inventory short form.

This research assessed the cross-cultural validity and internal consistency of the Enright Forgiveness Inventory short form (EFI-30). A total of 1677 people across four countries (United States, the Philippines, China and Saudi Arabia) participated in the study. Data analysis relied on multigroup confirmatory factor analysis and assessments of internal consistency. The results indicated that the EFI-30 has the same structure and factor loadings in the four countries and that internal consistency for the EFI-30 factors was >0.80 in the four countries. The discrimination values suggest that the instrument can differentiate people with different levels of forgiveness. The analyses in this study indicate that the EFI-30 is a valid and reliable assessment of cognition, behaviour and affect related to forgiveness in the United States, the Philippines, China and Saudi Arabia. Clinicians working in these countries can confidently use this shorter version of the EFI to measure forgiveness.

Facilitation of Forgiveness: Impact on Health and Well-being.

Although the practice of forgiveness is encouraged, the healing properties of this virtue by health care professionals are often overlooked. Forgiveness is the voluntary, conscious decision to abandon negative feelings toward another who has caused hurt and replacing those feelings with unconditional love and compassion. It is not about forgetting the hurt or ignoring the pain; it is an actual transformation of the heart. The Enright Forgiveness Process Model and the Pyramid Model of Forgiveness are 2 models that facilitate the forgiveness process. By utilizing either of these pathways, the forgiver ultimately experiences peace of mind and a "release from emotional prison" that leads to holistic healing. As a result, the forgiver experiences lower levels of depression, anxiety, and aggression, which improves quality of life. In addition, physiological benefits such as decreased stress levels, lower blood pressure, and a lower heart rate have also been reported. Throughout the course of their careers, nurses encounter patients and families in acute or end-of-life care situations who want to forgive or be forgiven. As holistic health care providers, nurses should be able to facilitate and close this gap in patient care. This article attempts to raise awareness to the importance of forgiveness in health and well-being among nurses and other health care professionals.

Indirect Effects of Forgiveness on Psychological Health Through Anger and Hope: A Parallel Mediation Analysis.

Forgiveness often discussed as a religious idea is also a popular topic in psychology. Empirical studies have shown that forgiveness decreases anger, anxiety, and depression and increases self-esteem and hopefulness for the future. However, research on the relationship between various outcomes of forgiveness is scarce. Thus, we aimed at examining the mediating roles of anger and hope in the relationship between forgiveness and psychological health outcomes. A sample of college students from a large non-profit university (N = 202) filled out self-report measures on forgiveness, anger, anxiety, depression, hope, and self-esteem. A parallel mediation analysis examining the role of anger and hope in the forgiveness-psychological health link was conducted. Results supported the indirect effect of forgiveness on psychological health through anger and hope, and the two mediators had a comparable size of magnitude. Implications, limitations, and future directions are discussed.

Motivations for Forgiving an Offender with Practical Implications for Those in the Helping Professions: A Qualitative Study.

While the forgiveness literature is rapidly growing, little attention has been paid to the general public's motivations for forgiving. Using a qualitative approach, this study examined 100 participants' stated reasons for forgiving. The following seven themes have emerged: (1) forgiveness is the key to inner peace, (2) relationships matter, (3) forgiveness is conditional, (4) they forgive because of love/concern for the other in the human community, (5) forgiveness is a (moral and religious) duty, (6) they forgive for the sake of others, and (7) they forgive for growth. When considering motivations for forgiveness, participants tended to focus on what they could restore or gain as a consequence of forgiving, supporting the findings of past studies. However, some notable differences were also found when questions were asked in different ways. Major findings, implications for those in the helping professions, and limitations and future directions are discussed.

The Efficacy of a Forgiveness Bibliotherapy: A Randomized Controlled Trial with Nursing Students.

Purpose of study: The need for forgiveness education for nursing self-care and forgiveness facilitation has risen. Therefore, the present pilot study tested the efficacy of an 8-week forgiveness bibliotherapy with a small number of undergraduate nursing students. Design of study: Matched pairs of nursing students were randomly assigned to either the experimental group or no-contact control group. The experimental group, using 8 keys to forgiveness by R. Enright (2015) as the treatment manual, read one chapter a week for 8 weeks and provided weekly reflections. Forgiveness and forgiveness-related outcome measures were administered at pretest, posttest, and one-month follow-up. Findings: At the posttest, the experimental group had significantly greater improvement in forgiveness compared to the control group with a large effect size, which was maintained at one month follow-up. There was no other significant difference between the two groups. Within-group comparisons of the experimental group showed improvement in forgiveness, anxiety, depression, and fatigue from pre to post testing periods and forgiveness, anger, anxiety, depression, and fatigue from pre to follow-up testing periods. Conclusion: Use of bibliotherapy may be a cost-effective way to promote the virtue of forgiveness for students in nursing programs.

A randomized controlled trial of a forgiveness intervention program with female acid attack survivors in Pakistan.

Despite the traumatic effects of acid violence on its victims, treatment options are very limited. The present study was aimed at examining the efficacy of a forgiveness intervention with female survivors of acid attack violence in Pakistan. Female acid attack victims in Pakistan were randomized to either a forgiveness group (n = 8) or a treatment-as-usual (TAU; n = 8) control group. The forgiveness group received twice-a-week forgiveness sessions for 4 months, whereas the TAU group either received typical psychological treatment sessions for acid attack victims or no treatment. All participants were assessed on their levels of forgiveness, anger, anxiety, depression, and hope four times prior to the 4-month intervention period, twice after the intervention period, and once at the 1-year follow-up. Posttreatment, the forgiveness intervention group showed greater improvement in hope, anger, anxiety, and depression when compared with the TAU group. Upon further examinations, both groups improved on forgiveness from pretreatment to posttreatment, but the forgiveness group had a higher baseline. From pretreatment to the 12-month follow-up, the forgiveness group, when compared with the TAU group, showed greater improvement in all areas except for depression. This is the first study that examined the effects of a forgiveness intervention for acid attack victims in Pakistan. Results showing the improvement posttreatment as well as over a 1-year period posttreatment are encouraging.

Cascading effects of childhood abuse on physical health issues in later adulthood through trait anxiety and poor daily sleep quality.

The purpose of this study was to investigate the mediating roles of trait anxiety and daily sleep quality between childhood abuse and physical health issues later in adulthood by utilizing the Midlife in the United States Study (n = 281; Mage = 56.38 in wave 2 and Mage = 62.57 in wave 3). Individuals who reported a higher level of childhood abuse reported a higher level of trait anxiety and a lower level of daily sleep quality, leading to an increase in physical health issues. The results highlight the cascading effects of childhood abuse on serious health consequences over the life span.