Does coping with pain help the elderly with cardiovascular disease? The association of sense of coherence, spiritual well-being and self-compassion with quality of life through the mediating role of pain self-efficacy

Abstract Background Population ageing is considered one of the biggest challenges facing the world, and the status of the elderly in society and their quality of life (QOL) have proved to be a concern in professional and scientific research circles. As a result, the current study sought to investiga...

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Main Authors: Nahid Salehi, Majid Yousefi Afrashteh, Mohammad Reza Majzoobi, Arash Ziapour, Parisa Janjani, Sahar Karami
Format: Article
Language:English
Published: BMC 2023-06-01
Series:BMC Geriatrics
Subjects:
Online Access:https://doi.org/10.1186/s12877-023-04083-x
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author Nahid Salehi
Majid Yousefi Afrashteh
Mohammad Reza Majzoobi
Arash Ziapour
Parisa Janjani
Sahar Karami
author_facet Nahid Salehi
Majid Yousefi Afrashteh
Mohammad Reza Majzoobi
Arash Ziapour
Parisa Janjani
Sahar Karami
author_sort Nahid Salehi
collection DOAJ
description Abstract Background Population ageing is considered one of the biggest challenges facing the world, and the status of the elderly in society and their quality of life (QOL) have proved to be a concern in professional and scientific research circles. As a result, the current study sought to investigate the role of pain self-efficacy (PSE) as a moderator in the relationship between sense of coherence (SOC), spiritual well-being, and self-compassion with QOL in Iranian elderly with cardiovascular disease (CVD). Method This was a correlational study of the path analysis type. The statistical population included all elderly people with CVD who were at least 60 years of age in Kermanshah Province, Iran, in 2022, of whom 298 (181 men and 117 women) were selected using convenience sampling and according to the inclusion and exclusion criteria. The participants answered questionnaires from the World Health Organization on QOL, Paloutzian and Ellison’s spiritual well-being, Nicholas’s PSE, Antonovsky’s SOC, and Raes et al.’s self-compassion. Results The results of path analysis demonstrated that the hypothesized model of this study has a good fit in the studied sample. There were significant paths between SOC (β = 0.39), spiritual well-being (β = 0.13) and self-compassion (β = 0.44) with PSE. Although there were significant paths between SOC (β = 0.16) and self-compassion (β = 0.31) with QOL, there was no significant path between spiritual well-being and QOL (β = 0.06). Besides, there was a significant path between PSE and QOL (β = 0.35). Finally, PSE was found to mediate the relationship of SOC, spiritual well-being and self-compassion with QOL. Conclusion The results may provide psychotherapists and counselors working in this field of inquiry with advantageous information to choose or create a useful therapeutic method to work with the elderly with CVD. Meanwhile, other researchers are suggested to examine other variables which may serve a mediating role in the mentioned model.
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spelling doaj.art-86bac2541f6441f2a1bb57043791d42e2023-07-02T11:26:25ZengBMCBMC Geriatrics1471-23182023-06-0123111010.1186/s12877-023-04083-xDoes coping with pain help the elderly with cardiovascular disease? The association of sense of coherence, spiritual well-being and self-compassion with quality of life through the mediating role of pain self-efficacyNahid Salehi0Majid Yousefi Afrashteh1Mohammad Reza Majzoobi2Arash Ziapour3Parisa Janjani4Sahar Karami5Cardiovascular Research Center, Health Institute, Imam-Ali hospital, Kermanshah University of Medical SciencesDepartment of Psychology, Faculty of Humanities, University of ZanjanDevelopmental Psychology and Clinical Psychology of the Lifespan, , University of SiegenCardiovascular Research Center, Health Institute, Imam-Ali hospital, Kermanshah University of Medical SciencesCardiovascular Research Center, Health Institute, Imam-Ali hospital, Kermanshah University of Medical SciencesCardiovascular Research Center, Health Institute, Imam-Ali hospital, Kermanshah University of Medical SciencesAbstract Background Population ageing is considered one of the biggest challenges facing the world, and the status of the elderly in society and their quality of life (QOL) have proved to be a concern in professional and scientific research circles. As a result, the current study sought to investigate the role of pain self-efficacy (PSE) as a moderator in the relationship between sense of coherence (SOC), spiritual well-being, and self-compassion with QOL in Iranian elderly with cardiovascular disease (CVD). Method This was a correlational study of the path analysis type. The statistical population included all elderly people with CVD who were at least 60 years of age in Kermanshah Province, Iran, in 2022, of whom 298 (181 men and 117 women) were selected using convenience sampling and according to the inclusion and exclusion criteria. The participants answered questionnaires from the World Health Organization on QOL, Paloutzian and Ellison’s spiritual well-being, Nicholas’s PSE, Antonovsky’s SOC, and Raes et al.’s self-compassion. Results The results of path analysis demonstrated that the hypothesized model of this study has a good fit in the studied sample. There were significant paths between SOC (β = 0.39), spiritual well-being (β = 0.13) and self-compassion (β = 0.44) with PSE. Although there were significant paths between SOC (β = 0.16) and self-compassion (β = 0.31) with QOL, there was no significant path between spiritual well-being and QOL (β = 0.06). Besides, there was a significant path between PSE and QOL (β = 0.35). Finally, PSE was found to mediate the relationship of SOC, spiritual well-being and self-compassion with QOL. Conclusion The results may provide psychotherapists and counselors working in this field of inquiry with advantageous information to choose or create a useful therapeutic method to work with the elderly with CVD. Meanwhile, other researchers are suggested to examine other variables which may serve a mediating role in the mentioned model.https://doi.org/10.1186/s12877-023-04083-xPain self-efficacySense of coherenceSpiritual well-beingSelf-CompassionQuality of lifeAged
spellingShingle Nahid Salehi
Majid Yousefi Afrashteh
Mohammad Reza Majzoobi
Arash Ziapour
Parisa Janjani
Sahar Karami
Does coping with pain help the elderly with cardiovascular disease? The association of sense of coherence, spiritual well-being and self-compassion with quality of life through the mediating role of pain self-efficacy
BMC Geriatrics
Pain self-efficacy
Sense of coherence
Spiritual well-being
Self-Compassion
Quality of life
Aged
title Does coping with pain help the elderly with cardiovascular disease? The association of sense of coherence, spiritual well-being and self-compassion with quality of life through the mediating role of pain self-efficacy
title_full Does coping with pain help the elderly with cardiovascular disease? The association of sense of coherence, spiritual well-being and self-compassion with quality of life through the mediating role of pain self-efficacy
title_fullStr Does coping with pain help the elderly with cardiovascular disease? The association of sense of coherence, spiritual well-being and self-compassion with quality of life through the mediating role of pain self-efficacy
title_full_unstemmed Does coping with pain help the elderly with cardiovascular disease? The association of sense of coherence, spiritual well-being and self-compassion with quality of life through the mediating role of pain self-efficacy
title_short Does coping with pain help the elderly with cardiovascular disease? The association of sense of coherence, spiritual well-being and self-compassion with quality of life through the mediating role of pain self-efficacy
title_sort does coping with pain help the elderly with cardiovascular disease the association of sense of coherence spiritual well being and self compassion with quality of life through the mediating role of pain self efficacy
topic Pain self-efficacy
Sense of coherence
Spiritual well-being
Self-Compassion
Quality of life
Aged
url https://doi.org/10.1186/s12877-023-04083-x
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