Religion, spirituality and mental health: results from a national study of English households

Abstract

BackgroundReligious participation or belief may predict better mental health but most research is American and measures of spirituality are often conflated with well-being.AimsTo examine associations between a spiritual or religious understanding of life and psychiatric symptoms and diagnoses.MethodWe analysed data collected from interviews with 7403 people who participated in the third National Psychiatric Morbidity Study in England.ResultsOf the participants 35% had a religious understanding of life, 19% were spiritual but not religious and 46% were neither religious nor spiritual. Religious people were similar to those who were neither religious nor spiritual with regard to the prevalence of mental disorders, except that the former wereless likely to have ever used drugs (odds ratio (OR)=0.73, 95% CI 0.60-0.88) or be a hazardous drinker (OR=0.81, 95% CI 0.69-0.96). Spiritual people were more likely than those who were neither religious nor spiritual to have ever used (OR = 1.24, 95% CI 1.02-1.49) or be dependent on drugs (OR = 1.77, 95% CI 1.20-2.61), and to have abnormal eating attitudes (OR = 1.46, 95% Cl 1.10-1.94), generalised anxiety disorder (OR =1.50, 95% Cl 1.09-2.06), any phobia (OR = 1.72, 95% CI 1.07-2.77) or any neurotic disorder (OR = 1.37, 95% CI 1.12-1.68). They were also more likely to be taking psychotropic medication (OR = 1.40, 95% CI 1.05-1.86).ConclusionsPeople who have a spiritual understanding of life in the absence of a religious framework are vulnerable to mental disorder.