Health-related quality of life of a very special population: monks of Holy Mountain Athos, Greece

Qual Life Res. 2017 Nov;26(11):3169-3175. doi: 10.1007/s11136-017-1622-5. Epub 2017 Jun 14.

Abstract

Purpose: The investigation of Health-Related Quality of Life (HRQOL) of Orthodox Christian monks who live at the Holy Mount Athos in Greece, and its correlation with demographic characteristics and Sense of Coherence (SOC-13).

Methods: A cross-sectional study was designed. The seven monasteries and five scetes with the largest number of monk population were invited to participate. Two monasteries and 1 scete gave their permission for the study. The final monks sample was formed by 166 monks from 215 who participated to the study. HRQOL was assessed using the SF-12 and Sense of Coherence the SOC-13 scales that were completed by monks from May to August 2012. Μultiple linear regression analyses were conducted to explore the association of the HRQOL subscales with the demographics and SOC-13.

Results: The mean age was 45.5 ± 13.0 years; 83.7% lived in communal monasteries, and the mean number of years in monasticism was 18.4 ± 12.1. The mean value of their Physical Component Summary (PCS) score was 47.3 ± 5.3, which is lower than in the general Greek men population, while their Mental Component Summary (MCS) score was 56.4 ± 5.8, which is higher than in the general Greek men population. The mean value of SOC-13 was 65.7 ± 6.5. Positive association for PCS appeared for place of living (β = 5.43, SE = 1.27, p < 0.001) and negative association for age (β = -0.16, SE = 0.03, p < 0.001) while for MCS for number of years in monasticism (β = 0.07, SE = 0.06, p = 0.023) and sense of coherence (β = 0.47, SE = 0.06, p < 0.001).

Conclusions: The results indicated that monks had better mental health but worse physical health compared to the general Greek male population. More studies are required to validate the above findings.

Keywords: Greece; Health-related quality of life; Holy Mount Athos; Monks.

MeSH terms

  • Cross-Sectional Studies
  • Greece
  • Humans
  • Life Style
  • Male
  • Middle Aged
  • Monks / psychology*
  • Sickness Impact Profile*
  • Surveys and Questionnaires