ArticlePLOS mental health2025
Prevalence of mental health in relation to religious practices in a contemporary small-scale older Amdo Tibetans.
Article in PLOS mental health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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2 citing papers in PubMed.
- Personality traits and anxiety in a Tibetan cultural context: incremental contributions of neuroticism and extraversion.Frontiers in psychology · 2026Article
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9 authors.
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Abstract
Amdo Tibetans, a devout and cohesive non-industrial society, intertwine religious practices, such as pray, kowtow, and pilgrimage, aspect of their private and public lives. This unique cultural and religious framework fosters a profound connection between their religious practices and health behaviors. The primary aim of this study was to assess the links between religious practices (pray, kowtow, and pilgrimage) and mental health, as well as physical activity and physical function among older Amdo Tibetans. A cross-sectional field survey was conducted involving 538 agropastoral older Amdo Tibetans aged ≥40, situated in the eastern Tibetan Plateau. Evaluated various mental health scales, including psychological well-being (Resilience (SRS-7) and Flourish (SFI-12)), distress (Depression (CESD-8) and Anxiety (GAD-7), and social integration (F_SozU K-6), were assessed, along with objectively measured parameters such as moderate-vigorous physical activity (MVPA), sleep duration, grip strength, gait speed, and walking endurance. Multivariable linear regression models were used to assess the associations. Bonferroni correction was applied for multiple testing, adjusting for socio-demographic characteristics, health status, and health behavior. The study revealed significant positive associations between participation in religious practices and psychological well-being, social integration, and self-rated health, with inverse associations observed with psychological distress. MVPA was positively correlated with daily kowtow. Daily kowtow also showed positive associations with sleep duration. In terms of physical function, daily prayer was negatively associated with grip strength, while daily kowtow exhibited positive correlations with grip strength and gait speed, but distant pilgrimage showed no significant. Religious practices among older Amdo Tibetans were associated with positive mental health, while presenting complex and contrasting effects on physical activity and functional health. In contrast to industrialized societies, unique Amdo Tibetan culture provides a distinctive lens for exploring the relationship between religion and health.
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