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Table 11 Sample quotations related to 'spirituality' as captured by other word pairs.

From: Developing a patient-centered outcome measure for complementary and alternative medicine therapies II: Refining content validity through cognitive interviews

Hopeless

Cog06

No trust, no belief in a higher power, or even, not just in God, but in people; just kind of dwelling on all the negatives, all the bad things. Hopeless would be another word for it.

Hopeful

Cog01

Now I feel more hopeful because I've been able to add a deeper spiritual dimension.

Closed-hearted

Cog09

Somebody who doesn't allow themselves to experience goodness, happiness, peace, on a spiritual level; just very closed off to that kind of thing. ... I didn't allow myself to experience those things on a spiritual level.

Open-hearted

Cog01

Open-hearted. Again, it gets back up into having faith, or being connected, and there, I never lost my open-heartedness, even in the worst time.

Isolated/Connected

Cog05

The more that I am fully present in each moment, I am more connected with Spirit. The more that you are present in each moment, you find everything you need to find, the joy, and everything that you need and you're connected with Spirit. The more you are connected with Spirit, there is no isolation.