The Impact of Spiritual Well-being onPsychological Distress in Patients with Spinal Cord Injury:The Mediating Role of Loneliness and Hopelessness
Background and Objective:Spiritual well-being is one of the fundamental concepts in chronic diseases and is considered an important approach to improve public health. Given the importance of spiritual well-being and its role, the purpose of this study is a structural model which examines the impact of spiritual well-being on psychological distress with regard to loneliness and hopelessness as mediators.
Method: This descriptive study is correlational. Participants were 144 patients with spinal cord injury in Isfahan selected through convenience sampling. The data were collected using the Spiritual Well-Being Scale (SWBS), UCLA Loneliness Scale, Beck Hopelessness Scale and DASS-21 Scale. Structural equation modeling (SEM) was employed as statistical technique for data analysis of the study. All ethical issues were observed in this study and the researchers declared no conflict of interests.
Results:The results demonstrated that Spiritual Well-being, Loneliness and Hopelessness significantly correlated with Psychological Distress. Further, the test of mediation by bootstrapping method established significant mediating role of Loneliness and Hopelessness in the relationship between Spiritual Well-being and Psychological Distress.
Conclusion: These findings can beneficially contribute to the clinical settings in treatment of psychological distress among the patients with spinal cord injury.
Abasabadi M. Investigation and comparison of emotional intelligence and hopelessness in 14-18 old aged boy adolescences of welfare organization family's based on length of residents in this family's in Kerman Province. (MA): Allameh Univ; 2005.
Arjomand Hesabi M. Applied value miliugraphy, CAT scan and MRI in diagnosis of spinal cord injury patients. [PhD dissertation]. Tehran: Islamic Azad Univ of Tehran 1993. (Full Text in Persian)
Amoli A. Rights of spinal cord injury patient in international documents. J Rehabil 2003;14: 43-8. (Full Text in Persian)
Jalalifar T. Know more about spinal cord injury. Tehran: Spinal Cord Inj Assoc Tehran1993. (Full Text in Persian)
Gandaomkar F. Efficacy of stomachic massage on treatment Constipation among spinal cord injury patients. Proceedings of the 2 nd Seminar of Spinal Cord Injuries of Iran; 19-20 Oct 2010; Tehran. (Full Text in Persian)
Firouzi A. Rehabilitation of spinal cord injury among children. Proceedings of the 2nd Seminar of Spinal Cord Injuries of Iran 19-20 Oct 2010; Tehran. (Full Text in Persian)
Moghadam M, Habibi R, Davatgaran K. Comprehensive rehabilitation of spinal cord injury. Tehran: Ministry Labor Soc Aff Publ. 2009; 191-200. (Full Text in Persian)
Fathi Ashtiani A. Psychological tests of personality and mental health. 1 st ed. Tehran: Besat Publ. 2009; 323-37. (Full Text in Persian)
Kennedy P, Rogers BA. Anxiety and depression after spinal cord injury: a longitudinal analysis. Arch Phys Med Rehabil 2000;81(7):37-932.
Al-Hamzawi AO, Bruffaerts R, Bromet EJ, AlKhafaji AM, Kessler RC. The epidemiology of major depressive episode in the Iraqi general population. PLoS One. 2015;10(13).
Dorud M. Check the quality of life of people with brain injury in Tehran.Master's thesis, Faculty of
Rehabilitation, Tehran University of Medical Sciences. Journal blood. 2008;9(1):36-43. (Full Text in Persian)
Morales PY, Prince-Vélezb R, Ramírezcy RM, Palmer L. Frecuencia de rasgos de depresión en médicosinternos de pregrado del Instituto Mexicano del SeguroSocial en Mexicali, Baja California. Nvestigacion en Educacion Medica 2016:1-5.
Fabian L, Clara N, Winfried R, Stephanie M, Tania L. The impact of loneliness on paranoia: An experimental approach. Journal of Behavior Therapy and Experimental Psychiatry. 2017:51-7.
Asher SR, Paquette JA. Loneliness and Peer relations in childhood. Current Directions in psychological Science. 2003;12:75-8.
Stravynski A, Boyer R. Loneliness in relation to suicide ideation and parasuicide: A population-wide study. Suicide and Life-Threatening Behavior. 2001;31:32−40.
Johnson HD, Lavoie JC. Spenceri MC, Mahoney-Wernli MA. Peer conflict a voidance: Associations with loneliness, social anxiety, and social a voidance. Psychological Reports. 2001;88:227-35.
Nangle DW, Erdley CA, Newman JE, Mason CA, Carpenter EM. Popularity, friendship quantity, and Friendship quality:Interactive influences on children’s loneliness And depression. Journal of Clinical Child and Adolescent Psychology. 2003;32:546–55.
Durak Batigun A. Suicide probability: an assessment terms of reasons for living, hopelessness and loneliness. Turk Psikiyatri Derg. 2005;16(1):29-39.
Saif AS. Modern Psychology: Psychology of Learning and Education: Karaan Publishing House; 2016.
Snyder CR. Hope theory: rainbows in the mind. Psychological Inquiry. 2002;13(4):249-75.
Elliott T, Witty TE, Herrick S. Negotiating reality after physical loss: hope, depression, and disability. Journal of Personality and Social Psychology. 1991;61(4):608-13.
Aghayani Chavishi A, Talebian D, Tarkhourani H, Sedghi Jalal H, Azarmi S, Fathi Ashtiani A. The relationship between prayers and religious orientation with mental health. Journal of Behavioral Sciences. 2008;2(2):149-56. (Full Text in Persian)
Hawks SR. Motional eating and spiritual well-being: A possible concion? American Journal of Health Education. 2003;34:30-3.
Yaghobie AB. The relationship between spiritual well-being and life satisfaction in older people hope. Psychology of religion. 2015;7(3):109-21. (Full Text in Persian)
Hartz GW. Spirituality and Mental Health: Clinical Applications. New York: Haworth press; 2005.
Kathleen ML, Carla JGk. The relationship between spirituality, surpose in Life, and Well-Being in HIV-Positive Persons. Journal of the Association of Nurses in AIDS Care. 2007;18 (3):13-22.
Bassett RL. Measuring Christian maturity: A comparison of several scales. J Psychol Theol. 1991;19(1):84-93.
Genia V. Evaluation of Spiritual well-being scale in a sample of college students. International Journal for the Psychology of Religion. 2001;11(1):25-33.
Hawks SR, Hull ML, Thalman R L, Richins PM. Review of Spiritual Health: Definition, Role, and Intervention Strategies in Health Promotion. American journal of Health promotion. 1995;9:376-84.
Paloutzian RF, Ellison CW. Loneliness, spiritual well- being, and quality of life. In L. A. Peplau, & D. Perlman (Eds.), Loneliness: A Sourcebook foe current theory, research, and therapy. New York: Wiley Interscience.; 1982.
Mellor D, Hayashi Y, Firth L, Stokes M, Chambers SRC. Volunteering and Well-Being: Do Self-Esteem, Optimism, and Perceived Control Mediate the Relationship? Journal of Social Service Research. 2008;34(4):61.
Khezri M, Bahreyni M, Ravanipour K, Mirzae. The Relationship between spiritual wellbeing and depression or death anxiety in cancer patients in Bushehr 2015. Quarterly nursing of vulnerable groups 2015;1(2):15-28. (Full Text in Persian)
Beh-PajoohA, Jahangiri M, Zahrakar K. Humor Skills training and Reducing Depression in Patients with Spinal Cord Injury. Evolutionary Psychology: Iranian psychology. 2008;6/23:235- 27. (Full Text in Persian)
Samani S, Jookar B, Sahragard N. Resilience, mental health and life satisfaction. Journal Clin Psychiatry. 2007;13(3):290-5. (Full Text in Persian)
Goudarzi MA. The study on reliability and validity of beck hopelessness scale in a group of Shiraz university students. Journal of Social Sciences and Humanities of Shiraz University. 2002;18(2(36)):27-39. (Full Text in Persian)
Vasileiou K, Barnett J, Barreto M, Vines J, Atkinson M, Lawson S. Experiences of loneliness associated with being an informal caregiver: A qualitative investigation. Front Psychol. 2017:1-11.
Valtorta NK, Kanaan M, Gilbody S, Ronzi S, Hanratty B. Loneliness and social isolation as risk factors for coronaryheart disease and stroke: systematic review and meta-analysis of longitudinal observational studies. Heart 2016;102:1009-16.
Teo AR, Choi H, Valenstein M. Social relationships and depression: ten-year follow-up from a nationally representative study. Journal of Pone. 2013; 8(4): e62396.
Beutel ME, Klein EM, Brähler E, Reiner I, Junger C, Michal M, et al. Loneliness in the general population: prevalence, determinants and relations to mental health. BMC Psychiatry. 2017;17(97):1-7.
Paloutzian RF, Ellison CW. Loneliness, spiritual well- being, and quality of life. In L. A. Peplau, & D. Perlman (Eds.), Loneliness: A Sourcebook foe current theory, research, and therapy: New York: Wiley Interscience; 1982.
Mickley JR, Soeken K, Belcher A. Spiritual Well-Being, Religiousness and Hope Among Women With Breast Cancer. IMAGE –INDIANAPOLIS. 1992;24(4):267-78.
Poorghaznein T, Ghafari F. Study of relationship between hope and self esteem in renal transplant recipients at Imamreza hospital in Mashhad, Iran. Journal of Sabzevar University of Medical sciences. 2004;11(1(31)):55-61. (Full Text in Persian)
McClain C, Rosenfeld B, Breitbart W. Effect of spiritual well-being on end-of-life despair in terminally-ill cancer patients. Lancet. 2003;361(9369):1603-7.
Bahrami Dashtaki H, Alizadeh H, Ghobari Bonab B, Karami A. The effectiveness of group spirituality training on decreasing of depression in students. Conseling Research and Development. 2006;5(19):49-72. (Full Text in Persian)
Leach MM, Lark R. Does spirituality add to personality in the study of trait forgiveness? Personality and Individual Differences. 2004;37:147-56.
Woodbury AM. Social support network and adjustment in childhood: Longitudinal analysis. Dissertation Abstract International. 1992;52:45-6.
Hoffman JM, Bombardier CH, Graves DE. A longitudinal study of depression from 1 to 5 years after spinal cord injury. Arch Phys Med Rehabil 2011;92(3):411-8.
Crewe NM. Gains and losses during spinal cord injury. Spinal Cord Rehabil. 1996;26(1):42-54.
Ryff CD. Happiness is everything, or is it? Explorations on the meaning of psychological well-being. J PersSoc Psychol. 1996;57:1069–81.
You KS, Lee HO, Fitzpatrick JJ, Kim S, Marui E, Lee JS. Spirituality, depression, living alone, and perceived health among Korean older adults in the community. Archives of Psychiatric Nursing 2009;23(4):309-22.
Ghobaribonab B, Hakimirad E, Motavallipour A. The relationship between spirituality and mental health in college students: the case of university of Tehran. The sixth international conference on new directions in the humanities faith university; Istanbul, Turkey.2008. 15-8.
Ellison CG, Burdette AM, Hill TD. Blessed assurance: Religion, anxiety, and tranquility among US adults. Social Science Research 2009;38(3):656-67.
Martze E, Livneh H, Priebe M. Predictors of psychosocial adaption among people with spinal cord injury or disorder. Arch Phys Med Rehabi. 2005;86(6):1182-92.
Mellor D, Hayashi Y, Firth L, Stokes M, Chambers S, Cummins R. Volunteering and Well-Being: Do Self-Esteem, Optimism, and Perceived Control Mediate the Relationship? Journal of Social Service Research. 2008;34(4):61.
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