Spiritual Health and Psychological Distress Among Hong Kong Community Lay Leaders.

Community lay leaders are critical in connecting professional services and general populations in communities. However, limited studies have explored the potential protective factors for psychological health among this group of people. In addition, based on the complex nature of spiritual health, the inconsistent findings of previous studies also suggested that different domains of spiritual health may shape psychological health differently in different contexts and among different socio-demographic groups. Therefore, we assessed the psychological health of Hong Kong community lay leaders after COVID-19 and examined the effects of different domains of spiritual health on psychological distress after controlling for age and gender. Cross-sectional data from 234 Hong Kong community lay leaders aged 18 to 84 were analyzed using structural equation modeling. The results showed that most Hong Kong community lay leaders reported moderate anxiety. In addition, personal and communal (one domain) and transcendental domains of spiritual health were negatively associated with depression, anxiety, and stress, and the environmental domain of spiritual health was positively associated with depression, anxiety, and stress. These findings imply the importance of considering both the positive and negative effects of spiritual health on psychological distress.