The Moderating Role of Spirituality and Religion in the Association between Perceived Stress and Mental Health in Hong Kong during COVID-19

A cross-sectional online survey was conducted during coronavirus (COVID-19) to determine the association between perceived stress and mental health as well as the impact of spirituality and religion on the relationship. A convenience sample (n=360) of healthy adults (median ages: 45-64 years) living in Hong Kong participated. Standardized tools were used to measure the levels of perceived stress, anxiety and depressive symptoms, religious coping, and spirituality (meaning, peace, and faith). Findings confirmed a positive association between perceived stress and mental health concerns. Religious affiliation, positive religious coping, and spirituality (faith) were able to moderate the impact of perceived stress on anxiety levels.