Valerie Michaelson|Nathan King|Joanna Inchley|Dorothy Currie|Fiona Brooks|William Pickett
Domains of spirituality and their associations with positive mental health: a study of adolescents in Canada, England and Scotland
Queen's University|Queen's University|MRC/CSO Social and Public Health Sciences Unit|University of Glasgow|University of St Andrews|University of St Andrews|University of Technology Sydney|Queen's University
spirituality concept ancient roots yet contemporary relevance mental health assessment populations young people however remains immense challenge efforts perform assessments typically involve use unidimensional scales incorporating items related four domains connections self others nature transcendent adolescents remains unclear whether domains equally influence mental health one domain particularly important analyzed reports adolescents participated 2014 health behaviour schoolaged children hbsc study conducted canada n 21173 england n 4339 scotland n 5603 reports positive mental health modelled function ordinal scores describing spiritual health domain controlling age domains potential confounders subsequent analyses focused centrality connections self relationships identified strong consistent associations positive mental health higher scores four spiritual health domains fully adjusted models effects diminished changed direction connections others nature transcendent positive association connections self remained associations exist four domains spiritual health positive mental health appears associations connections others nature transcendent sometimes mediated connections self implications assessment models related interventions health promotion strategies based idea inner connections may central protective effects spiritual health considered