Spiritual wellness and depression

With a growing appreciation for the holism of human functioning, interest in the spiritual dimension as it relates to depression has increased. In this article, I review medical wellness literature and counseling literature for insight into the nature of spirituality and propose 4 dimensions of spiritual wellness as a result of this review: a sense of meaning in life, a transcendent perspective, an intrinsic value system, and a sense of belonging to a spiritual community of shared values and support. These dimensions are examined as they relate to the clinical literature and empirical research on depression. Implications for research, counseling, and counselor education also are reviewed.