Domains of spirituality and their associations with positive mental health : a study of adolescents in Canada, England and Scotland
MetadataShow full item record
Spirituality is a concept with ancient roots yet contemporary relevance to mental health. Its assessment in populations of young people, however, remains an immense challenge. Efforts to perform such assessments typically involve use of unidimensional scales incorporating items related to four domains (connections to “self”, “others”, “nature”, and the “transcendent”). For adolescents, it remains unclear whether these domains equally influence mental health, or if one domain is particularly important. Here we analyzed reports from adolescents who participated in the 2014 Health Behaviour in School-aged Children (HBSC) study conducted in Canada (n = 21,173), England (n = 4339) and Scotland (n = 5603). Reports of positive mental health were modelled as a function of ordinal scores describing each spiritual health domain, controlling for age, the other domains, and potential confounders. Subsequent analyses focused on the centrality of connections to “self” in these relationships. We identified strong and consistent associations between positive mental health and higher scores for each of the four spiritual health domains. In fully adjusted models, these effects were diminished or changed direction for connections to “others”, “nature”, and the “transcendent”, while the positive association with “connections to self” remained. While associations exist between each of the four domains of spiritual health and positive mental health, it appears that associations with connections to “others”, “nature”, and the “transcendent” are sometimes mediated by connections to “self”. Implications for assessment, models and related interventions and health promotion strategies, based on the idea that inner connections may be central to the protective effects of spiritual health, are considered.
Michaelson , V , King , N , Inchley , J , Currie , D , Brooks , F & Pickett , W 2019 , ' Domains of spirituality and their associations with positive mental health : a study of adolescents in Canada, England and Scotland ' Preventive Medicine , vol. 125 , pp. 12-18 . https://doi.org/10.1016/j.ypmed.2019.04.018
Copyright 2019 The Authors. Published by Elsevier Inc. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/BY-NC-ND/4.0/)
DescriptionGrant funding in support of this research was obtained from: 1) The Department of Health, England; 2) The Public Health Agency of Canada and the Canadian Institutes of Health Research (operating grant MOP341188); 3) National Health Service, Health Scotland.
Items in the St Andrews Research Repository are protected by copyright, with all rights reserved, unless otherwise indicated.
Showing items related by title, author, creator and subject.
Effectiveness of an intervention for improving drug prescription in primary care patients with multimorbidity and polypharmacy : study protocol of a cluster randomized clinical trial (Multi-PAP project) Prados-Torres, Alexandra; del Cura-González, Isabel; Prados-Torres, Daniel; López-Rodríguez, Juan A.; Leiva-Fernández, Francisca; Calderón-Larrañaga, Amaia; López-Verde, Fernando; Gimeno-Feliu, Luis A.; Escortell-Mayor, Esperanza; Pico-Soler, Victoria; Sanz-Cuesta, Teresa; Bujalance-Zafra, M. Josefa; Morey-Montalvo, Mariel; Boxó-Cifuentes, José Ramón; Poblador-Plou, Beatriz; Fernández-Arquero, José Manuel; González-Rubio, Francisca; Ramiro-González, María D.; Coscollar-Santaliestra, Carlos; Martín-Fernández, Jesús; Barnestein-Fonseca, M. Pilar; Valderas-Martínez, José María; Marengoni, Alessandra; Muth, Christiane; Multi-PAP Group; Hernández-Santiago, Virginia; Azcoaga-Lorenzo, Amaya (2017-04-27) - Journal articleBackground: Multimorbidity is associated with negative effects both on people's health and on healthcare systems. A key problem linked to multimorbidity is polypharmacy, which in turn is associated with increased risk of ...
Weber, Martin W; Backhaus, Sophia; Chukwujama, Obiora; Fenski, Friederike; Henking, Christoph; Schatte, Laura; Aleman-Diaz, Aixa Y (2018-01-19) - Journal articleTo promote children’s health in Europe, the World Health Organization (WHO) developed the European child and adolescent health strategy 2015–2020, which is supported and will be implemented by all Member States (MS). In ...
Effectiveness of a strategy that uses educational games to implement clinical practice guidelines among Spanish residents of family and community medicine (e-EDUCAGUIA project) : A clinical trial by clusters del Cura-González, Isabel; López-Rodríguez, Juan A.; Sanz-Cuesta, Teresa; Rodríguez-Barrientos, Ricardo; Martín-Fernández, Jesús; Ariza-Cardiel, Gloria; Polentinos-Castro, Elena; Román-Crespo, Begoña; Escortell-Mayor, Esperanza; Rico-Blázquez, Milagros; Hernández-Santiago, Virginia; Azcoaga-Lorenzo, Amaya; Ojeda-Ruiz, Elena; González-González, Ana I.; Ávila-Tomas, José F.; Barrio-Cortés, Jaime; Molero-García, José M.; Ferrer-Peña, Raul; Tello-Bernabé, María Eugenia; Trujillo-Martín, Mar; Barral, Araceli Garrido; Moreno, Aurora Fernández; Pérez, Paloma Casado; Barba, Emilio Cervera; Rodríguez Monje, María Teresa; Iturbe, Ana Gorroñogoitia; Crespo, Luis Ignacio Mendibil; Mañeru, M. Eulalia Mariñelarena; de Gómez Barragan, Ma Josefa Gil; Elustondo, Sofía Garrido; Fuertes, Rosario Riesgo; Cabello Ballesteros, Luisa María; Nido, Rocío álvarez; Moreno, Cruz Bartolome; Rojas, Guillermo Cairo; Rivas, Jose Luis Lopez; Pikatza, Amaya Zenarutzabeitia; Celaya, Carmen Sánchez; Montalvo, Mariel Morey; Almeida, Lizzy Paola Cisneros; álamo Rodríguez, Manuel Del; García-Franco, Alberto López; Weismann, Elisa Ceresuela; álvarez, Remedios Martín; Bustillo, Beatriz Medina; del Pozo, Marta Sánchez Celaya; Perruca, Luis Sánchez; Salinero Fort, Miguel ángel; de Burgos Luna, Carmen; SanJuan, Angel Mataix; Educaguia Group (2016-05-17) - Journal articleBackground: Clinical practice guidelines (CPGs) have been developed with the aim of helping health professionals, patients, and caregivers make decisions about their health care, using the best available evidence. In many ...