en عمومى General نامه به سردبیر LETTER TO THE EDITOR <div></div> Spirituality is recognized globally as an important aspect to respond to many questions associated with health and happiness. The World Health Organization is also interested in pursuing the physical, psychological, and social dimensions of health (1).<br> There are several challenges regarding the definition of spiritual health and the advancement of research in this regard (2). In addition, due to the controversies, it is difficult to achieve a common definition of spirituality (3, 4).<br> However, it seems that the current definitions (5) on the concepts and indicators of spiritual health do not provide comprehensive coverage of all factors in societies; therefore, the results obtained from spiritual health research in one society are not generalizable to different societies.<br> Furthermore, due to the differences in people&#39;s attitudes towards religion and spirituality, it is difficult to evaluate these concepts independently or in combination. As we know, the cognition, actions, emotions, and personal effects of individuals are important indicators of spirituality. <table cellpadding="0" cellspacing="0" width="100%"> <tbody> <tr> <td> <div>This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial 4.0 International License</div> </td> </tr> </tbody> </table> <table cellpadding="0" cellspacing="0" width="100%"> <tbody> <tr> <td> <div><strong>*</strong><strong>Correspondence: </strong>Should be addressed to Dr. Esmaeil Fattahi. <strong>Email: </strong>Esmaeil.fattahi@yahoo.com</div> </td> </tr> </tbody> </table> &nbsp; <table cellpadding="0" cellspacing="0" width="100%"> <tbody> <tr> <td></td> </tr> </tbody> </table> Spiritual Health, Definition, culture 2 2 http://jhsme.muq.ac.ir/browse.php?a_code=A-10-249-1&slc_lang=en&sid=1 Mahnaz Solhi solhi80@gmail.com 0000-0001-7839-8010 No Department of Education and Health Promotion, School of Health, Iran University of Medical Sciences, Tehran, Iran. Esmaeil Fattahi اسماعیل فتاحی Esmaeil.fattahi@yahoo.com 0000-0002-8921-4907 Yes Department of Education and Health Promotion, School of Health, Iran University of Medical Sciences, Tehran, Iran. Mahnaz Pouresmaeil مهناز پوراسماعیل mahnazpou@gmail.com 0000-0002-4617-8205 No Department of Education and Health Promotion, School of Health, Iran University of Medical Sciences, Tehran, Iran. Ph.D Candidate Health Education and Health Promotion, School of Health, Iran University of Medical Sciences (IUMS),Tehran, Iran Hadi Darvishigilan هادی درویشی گیلان Hadidarvishigilan@gmail.com 0000-0002-7390-5607 No Department of Education and Health Promotion, School of Health, Iran University of Medical Sciences, Tehran, Iran. Ph.D Candidate Health Education and Health Promotion, School of Health, Iran University of Medical Sciences (IUMS),Tehran, Iran Sedighe Rastaghi صدیقه رستاقی Sedighe_rastaghi@yahoo.com 0000-0003-3286-4965 No Department of Biostatistics, Faculty of Health, Mashhad University of Medical Sciences, Mashhad, Iran. : PhD Student in Biostatistics, Department of Biostatistics, Faculty of Health, Mashhad University of Medical Sciences, Mashhad, Iran