نوع مقاله : مقاله پژوهشی
نویسندگان
1 دانشجوی دکتری روانشناسی سلامت، گروه روانشناسی سلامت، پردیس کیش، دانشگاه تهران، تهران، ایران.
2 نویسنده مسئول، استاد ممتاز گروه روانشناسی سلامت، دانشکده روانشناسی و علوم تربیتی، دانشگاه تهران، تهران، ایران.
3 استادیار گروه روانشناسی، جامعه المصطفی العالمیه، قم، ایران.
چکیده
تازه های تحقیق
Refrences
Abdolalipour, S., Feyzollahi, A., Laghusi, D., Kalekhane, Z. Y., Zamani-Zad, N., Ahmadi, M., & Mirghafourvand, M. (2024). The relationship of social support with sexual assertiveness and marital satisfaction in Iranian women. Journal of Education and Health Promotion, 13(1). doi: 10.4103/jehp.jehp_1242_23. eCollection 2024.
Adamu, K., Feleke, A., Muche, A., Yasin, T., Mekonen, A., Chanie, M., … & Fentaw, Z. (2022). Health related quality of life among adult hypertensive patients on treatment in dessie city, northeast ethiopia. Plos One, 17(9), e0268150.
Akbari, O., Dehghan, M., & Tirgari, B. (2022). Muslim nurse’s spiritual sensitivity as a higher perception and reflection toward spiritual care: a qualitative study in southeast iran. BMC Nursing, 21(1). https://doi.org/10.1186/s12912-022-01044-4
Allen, W. (2025). Cultural and psychological factors inhibiting self-care in African-American men with hypertension. Primary Health Care, 35(1), 30–34.
Amiri, M., Mirzaei, S., & Nasiriani, K. (2021). Effect of spiritual care on anxiety and fear of orthopaedic surgery patients. Journal of Pastoral Care & Counseling Advancing Theory and Professional Practice Through Scholarly and Reflective Publications, 75(4), 259- 266.
Banaei, M., Safarzadeh, S., Moridi, A., Dordeh, M., Dashti, S., Abdi, F., & Roozbeh, N. (2021). Associated factors of marital satisfaction in Iranian women during the COVID-19 pandemic: A population-based study. Shiraz E-Medical Journal, 22(11), e112434.
Bolgeo, T., Vellone, E., Ambrosca, R., Simeone, S., Alvaro, R., & Pucciarelli, G. (2021). The association of spirituality with anxiety and depression in stroke survivor–caregiver dyads. The Journal of Cardiovascular Nursing, 37(4), 97- 106.
Cruwys, T., South, E., Halford, W., Murray, J., & Fladerer, M. (2022). Measuring “we‐ness” in couple relationships: a social identity approach. Family Process, 62(2), 795- 817.
Dehghanizadeh, Z., Allame, Z., & Eydi-Baygi, M. (2021). Prediction of health anxiety based on spiritual well-being and cognitive emotion regulation strategies during COVID-19 in Iranian individuals. Annals of Military and Health Sciences Research, 19(2), e113454.
Ding, L., Li, Z., Jiang, H., Zhang, X., Xiong, Z., & Zhu, X. (2024). Mobile phone problem use and depressive symptoms: the mediating role of social support and attitude to aging among Chinese older adults. BMC psychiatry, 24(1). https://doi.org/10.1186/s12888-024-05565-x
Fabbris, J., Mesquita, A., Caldeira, S., Carvalho, A., & Carvalho, E. (2016). Anxiety and spiritual well-being in nursing students: a cross-sectional study. Journal of Holistic Nursing, 35(3), 261- 270.
Feng, Y., Liu, X., Lin, T., Luo, B., Mou, Q., Ren, J., … & Chen, J. (2021). Exploring the relationship between spiritual well-being and death anxiety in patients with gynecological cancer: a cross-section study. BMC Palliative Care, 20(1). https://doi.org/10.1186/s12904-021-00778-3?urlappend=%3Futm_source%3Dresearchgate.net%26utm_medium%3Darticle
Ginting, H., Näring, G., Kwakkenbos, L., & Becker, E. (2015). Spirituality and negative emotions in individuals with coronary heart disease. The Journal of Cardiovascular Nursing, 30(6), 537- 545.
He, Q., Xu, P., Wang, H., Wang, S., Yang, L., Ba, Z., & Huang, H. (2023). The mediating role of resilience between perceived social support and sense of security in medical staff following the COVID-19 pandemic: A cross-sectional study. Frontiers in Psychiatry, 14, 1096082.
Heinonen, P., & Tainio, L. (2022). Intercorporeal construction of we-ness in classroom interaction. Human Studies, 46(4), 655- 678.
Higgins, K. L. (2003). Anxiety sensitivity and relationship patterns [Master’s thesis, William & Mary]. W&M ScholarWorks. https://scholarworks.wm.edu/etd/1539626421
Journault, A. A., Plante, I., Charbonneau, S., Sauvageau, C., Longpré, C., Giguère, C. É., Labonté, C., Roger, K., Cernik, R., Chaffee, K. E., Dumont, L., Labelle, R., & Lupien, S. J. (2022). Using latent profile analysis to uncover the combined role of anxiety sensitivity and test anxiety in students' state anxiety. Frontiers in psychology, 13. https://doi.org/10.3389/fpsyg.2022.1035494
Kline, R. B. (2011). Principles and practice of structural equation modeling. Guilford Press.
Kuppler, M., & Wagner, M. (2022). Effect of commitment on supportive dyadic coping: a longitudinal test of interdependence theory with german couples. Journal of Family Issues, 44(10), 2613- 2643.
Li, J., Xue, L., & Pan, H. (2022). Social support and spiritual well-being of patients with esophageal cancer aged over 50 years: The mediating role of rumination. Frontiers in psychiatry, 13. https://doi.org/10.3389/fpsyt.2022.805380
Li, Y. (2023). A cross-sectional analysis of the relationships between anxiety sensitivity and youth irritability: the mediated roles of insomnia and selective attention for threat. BMC Psychiatry, 23(1). https://doi.org/10.1186/s12888-023-028-z
Li, Y., Tian, W., Liu, P., & Geng, F. (2023). A cross-sectional analysis of the relationships between anxiety sensitivity and youth irritability: The mediated roles of insomnia and selective attention for threat. BMC Psychiatry, 23(1), Article 782.
Londoudi, A. (2024). Assessment of the relationship between fear of cancer recurrence, spiritual well-being, and men tal health among cancer patients: a cross-sectional study. Nursing Reports, 14(1), 317-327.
Mendes, B., Donato, S., Silva, T., Penha, R., Jaman-Mewes, P., & Salvetti, M. (2023). Spiritual well-being, symptoms and performance of patients under palliative care. Revista Brasileira de Enfermagem, 76(2), e20220007.
Mohammadfarahmand, G. (2023). Predicting marital satisfaction based on sexual satisfaction and psychological well-being in married women. PWJ, 4(3), 62- 68.
Mousavi, S., Fazlollahi, A., Nejadghaderi, S., Aslani, A., Sullman, M., & Kolahi, A. (2023). The burden of ischemic heart disease among adults 70 years and older in Iran, 1990–2019. International Journal of Aging, 1(1), 1–12.
Mrayyan, M. T., Abu Khait, A., Al-Mrayat, Y., Alkhawaldeh, J. F. M., Alfayoumi, I., Algunmeeyn, A., Kutah, O. A., Abunab, H. Y., Hamdan, M. S., & Alhabashneh, H. (2025). Anxiety sensitivity moderates the relationship between internet addiction and cyberchondria among nurses. Journal of Health Psychology, 30(11), 3125–3136.
Padmanabhanunni, A., Pretorius, T. B., & Isaacs, S. A. (2023). We are not islands: The role of social support in the relationship between perceived stress during the COVID-19 pandemic and psychological distress. International Journal of Environmental Research and Public Health, 20(4), 3179.
Putri, P., Maurida, N., Novitasari, F., Rosalini, W., Budiman, M., & Afandi, A. (2021). Workplace spirituality with nurse anxiety during the covid 19 pandemic in indonesia. PJMHS, 15(10), 3204- 3206.
Radhika, P., & Jose, A. (2021). Evaluation and comparison of stress status between hypertensive and normotensive subjects. International Journal of Health Sciences and Research, 11(11), 138–144.
Sayehmiri, K., Kareem, K. I., Abdi, K., Dalvand, S., & Gheshlagh, R. G. (2020). The relationship between personality traits and marital satisfaction: a systematic review and meta-analysis. BMC psychology, 8, 1- 8.
Sepanlou, S., Mehdipour, P., Ghanbari, A., Djalalinia, S., Peykari, N., Kasaeian, A., … & Farzadfar, F. (2021). Levels and trends of hypertension at national and subnational scale in iran from 1990 to 2016: a systematic review and pooled analysis. Archives of Iranian Medicine, 24(4), 306- 316.
Sheng, W. (2024). Impact of moral elevation on college students’ sense of meaning of life: the mediating roles of gratitude and perceived social support. Psychology Research and Behavior Management, 17, 1103- 1114.
Srivastav, M., Clement, W. L., Landrein, S., Zhang, J., Howarth, D. G., & Donoghue, M. J. (2023). A phylogenomic analysis of Lonicera and its bearing on the evolution of organ fusion. American Journal of Botany, 110(4), e16143.
Suminta, R., & Ghufron, M. (2022). The gratitude and marital satisfaction in the infertile spouses. Psikis Jurnal Psikologi Islami, 8(2), 192- 202.
Wang, Y., Gu, J., Zhang, F., & Xu, X. (2023). The effect of perceived social support on postpartum stress: The mediating roles of marital satisfaction and maternal postnatal attachment. BMC Women’s Health, 23(1), 482.
Yaacob, M., Harun, N. A., Ramli, F., Abdul Razak, H., & Sajuni, N. A. (2018). Depression, anxiety and stress among dental undergraduate students: Prevalence, stressors and relieving factors. IIUM Medical Journal Malaysia, 17(2), 123–130.
Yuan, W., Xie, Z., Dong, P., & Yang, Y. (2023). Linking perceived social support to self-esteem and social integration among adolescents with visual impairment: A cross-lagged study. Frontiers in Psychology, 13, 1054857.
Zimet, G. D., Dahlem, N. W., Zimet, S. G., & Farley, G. K. (1988). The multidimensional scale of perceived social support. Journal of Personality Assessment, 52(1), 30–41. https://doi.org/10.1207/s15327752jpa5201_2
کلیدواژه‌ها
موضوعات
عنوان مقاله [English]
نویسندگان [English]
Objective: The present study aimed to investigate the fit of the marital satisfaction model based on spiritual vitality and the experience of being us with the mediation of anxiety sensitivity and perceived social support among women with hypertension.
Method: This study was conducted using a non-experimental correlational method based on the structural equation modeling. The population included women with high blood pressure who referred to the Heartbeat Clinic and Dey Hospital in Qom in the second half of 2024, 250 of whom were selected for the study by the convenience sampling. The research instruments included Afrouz's Marital Satisfaction Scale, Afrooz's Spiritual vitality Scale, Cruise's "Being Us" Questionnaire in the Couple Relationship, Floyd's Anxiety Sensitivity Questionnaire, and Zimmet's Perceived Social Support Scale. The data were analyzed using the Pearson correlation test and structural equations.
Results: The results of the indirect effects analysis showed that spiritual vitality has a significant indirect effect on marital satisfaction through anxiety sensitivity and perceived social support, and the experience of being us through perceived social support, but the indirect effect of "the experience of being us" on marital satisfaction through anxiety sensitivity was not significant. The model fit indices also indicated a favorable fit of the model.
Conclusions: The findings of this study indicate that spiritual vitality and the experience of being us can play an important role in increasing marital satisfaction among women with hypertension by various mechanisms, especially through reducing anxiety sensitivity and increasing perceived social support.
کلیدواژه‌ها [English]
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Refrences
Abdolalipour, S., Feyzollahi, A., Laghusi, D., Kalekhane, Z. Y., Zamani-Zad, N., Ahmadi, M., & Mirghafourvand, M. (2024). The relationship of social support with sexual assertiveness and marital satisfaction in Iranian women. Journal of Education and Health Promotion, 13(1). doi: 10.4103/jehp.jehp_1242_23. eCollection 2024.
Adamu, K., Feleke, A., Muche, A., Yasin, T., Mekonen, A., Chanie, M., … & Fentaw, Z. (2022). Health related quality of life among adult hypertensive patients on treatment in dessie city, northeast ethiopia. Plos One, 17(9), e0268150.
Akbari, O., Dehghan, M., & Tirgari, B. (2022). Muslim nurse’s spiritual sensitivity as a higher perception and reflection toward spiritual care: a qualitative study in southeast iran. BMC Nursing, 21(1). https://doi.org/10.1186/s12912-022-01044-4
Allen, W. (2025). Cultural and psychological factors inhibiting self-care in African-American men with hypertension. Primary Health Care, 35(1), 30–34.
Amiri, M., Mirzaei, S., & Nasiriani, K. (2021). Effect of spiritual care on anxiety and fear of orthopaedic surgery patients. Journal of Pastoral Care & Counseling Advancing Theory and Professional Practice Through Scholarly and Reflective Publications, 75(4), 259- 266.
Banaei, M., Safarzadeh, S., Moridi, A., Dordeh, M., Dashti, S., Abdi, F., & Roozbeh, N. (2021). Associated factors of marital satisfaction in Iranian women during the COVID-19 pandemic: A population-based study. Shiraz E-Medical Journal, 22(11), e112434.
Bolgeo, T., Vellone, E., Ambrosca, R., Simeone, S., Alvaro, R., & Pucciarelli, G. (2021). The association of spirituality with anxiety and depression in stroke survivor–caregiver dyads. The Journal of Cardiovascular Nursing, 37(4), 97- 106.
Cruwys, T., South, E., Halford, W., Murray, J., & Fladerer, M. (2022). Measuring “we‐ness” in couple relationships: a social identity approach. Family Process, 62(2), 795- 817.
Dehghanizadeh, Z., Allame, Z., & Eydi-Baygi, M. (2021). Prediction of health anxiety based on spiritual well-being and cognitive emotion regulation strategies during COVID-19 in Iranian individuals. Annals of Military and Health Sciences Research, 19(2), e113454.
Ding, L., Li, Z., Jiang, H., Zhang, X., Xiong, Z., & Zhu, X. (2024). Mobile phone problem use and depressive symptoms: the mediating role of social support and attitude to aging among Chinese older adults. BMC psychiatry, 24(1). https://doi.org/10.1186/s12888-024-05565-x
Fabbris, J., Mesquita, A., Caldeira, S., Carvalho, A., & Carvalho, E. (2016). Anxiety and spiritual well-being in nursing students: a cross-sectional study. Journal of Holistic Nursing, 35(3), 261- 270.
Feng, Y., Liu, X., Lin, T., Luo, B., Mou, Q., Ren, J., … & Chen, J. (2021). Exploring the relationship between spiritual well-being and death anxiety in patients with gynecological cancer: a cross-section study. BMC Palliative Care, 20(1). https://doi.org/10.1186/s12904-021-00778-3?urlappend=%3Futm_source%3Dresearchgate.net%26utm_medium%3Darticle
Ginting, H., Näring, G., Kwakkenbos, L., & Becker, E. (2015). Spirituality and negative emotions in individuals with coronary heart disease. The Journal of Cardiovascular Nursing, 30(6), 537- 545.
He, Q., Xu, P., Wang, H., Wang, S., Yang, L., Ba, Z., & Huang, H. (2023). The mediating role of resilience between perceived social support and sense of security in medical staff following the COVID-19 pandemic: A cross-sectional study. Frontiers in Psychiatry, 14, 1096082.
Heinonen, P., & Tainio, L. (2022). Intercorporeal construction of we-ness in classroom interaction. Human Studies, 46(4), 655- 678.
Higgins, K. L. (2003). Anxiety sensitivity and relationship patterns [Master’s thesis, William & Mary]. W&M ScholarWorks. https://scholarworks.wm.edu/etd/1539626421
Journault, A. A., Plante, I., Charbonneau, S., Sauvageau, C., Longpré, C., Giguère, C. É., Labonté, C., Roger, K., Cernik, R., Chaffee, K. E., Dumont, L., Labelle, R., & Lupien, S. J. (2022). Using latent profile analysis to uncover the combined role of anxiety sensitivity and test anxiety in students' state anxiety. Frontiers in psychology, 13. https://doi.org/10.3389/fpsyg.2022.1035494
Kline, R. B. (2011). Principles and practice of structural equation modeling. Guilford Press.
Kuppler, M., & Wagner, M. (2022). Effect of commitment on supportive dyadic coping: a longitudinal test of interdependence theory with german couples. Journal of Family Issues, 44(10), 2613- 2643.
Li, J., Xue, L., & Pan, H. (2022). Social support and spiritual well-being of patients with esophageal cancer aged over 50 years: The mediating role of rumination. Frontiers in psychiatry, 13. https://doi.org/10.3389/fpsyt.2022.805380
Li, Y. (2023). A cross-sectional analysis of the relationships between anxiety sensitivity and youth irritability: the mediated roles of insomnia and selective attention for threat. BMC Psychiatry, 23(1). https://doi.org/10.1186/s12888-023-028-z
Li, Y., Tian, W., Liu, P., & Geng, F. (2023). A cross-sectional analysis of the relationships between anxiety sensitivity and youth irritability: The mediated roles of insomnia and selective attention for threat. BMC Psychiatry, 23(1), Article 782.
Londoudi, A. (2024). Assessment of the relationship between fear of cancer recurrence, spiritual well-being, and men tal health among cancer patients: a cross-sectional study. Nursing Reports, 14(1), 317-327.
Mendes, B., Donato, S., Silva, T., Penha, R., Jaman-Mewes, P., & Salvetti, M. (2023). Spiritual well-being, symptoms and performance of patients under palliative care. Revista Brasileira de Enfermagem, 76(2), e20220007.
Mohammadfarahmand, G. (2023). Predicting marital satisfaction based on sexual satisfaction and psychological well-being in married women. PWJ, 4(3), 62- 68.
Mousavi, S., Fazlollahi, A., Nejadghaderi, S., Aslani, A., Sullman, M., & Kolahi, A. (2023). The burden of ischemic heart disease among adults 70 years and older in Iran, 1990–2019. International Journal of Aging, 1(1), 1–12.
Mrayyan, M. T., Abu Khait, A., Al-Mrayat, Y., Alkhawaldeh, J. F. M., Alfayoumi, I., Algunmeeyn, A., Kutah, O. A., Abunab, H. Y., Hamdan, M. S., & Alhabashneh, H. (2025). Anxiety sensitivity moderates the relationship between internet addiction and cyberchondria among nurses. Journal of Health Psychology, 30(11), 3125–3136.
Padmanabhanunni, A., Pretorius, T. B., & Isaacs, S. A. (2023). We are not islands: The role of social support in the relationship between perceived stress during the COVID-19 pandemic and psychological distress. International Journal of Environmental Research and Public Health, 20(4), 3179.
Putri, P., Maurida, N., Novitasari, F., Rosalini, W., Budiman, M., & Afandi, A. (2021). Workplace spirituality with nurse anxiety during the covid 19 pandemic in indonesia. PJMHS, 15(10), 3204- 3206.
Radhika, P., & Jose, A. (2021). Evaluation and comparison of stress status between hypertensive and normotensive subjects. International Journal of Health Sciences and Research, 11(11), 138–144.
Sayehmiri, K., Kareem, K. I., Abdi, K., Dalvand, S., & Gheshlagh, R. G. (2020). The relationship between personality traits and marital satisfaction: a systematic review and meta-analysis. BMC psychology, 8, 1- 8.
Sepanlou, S., Mehdipour, P., Ghanbari, A., Djalalinia, S., Peykari, N., Kasaeian, A., … & Farzadfar, F. (2021). Levels and trends of hypertension at national and subnational scale in iran from 1990 to 2016: a systematic review and pooled analysis. Archives of Iranian Medicine, 24(4), 306- 316.
Sheng, W. (2024). Impact of moral elevation on college students’ sense of meaning of life: the mediating roles of gratitude and perceived social support. Psychology Research and Behavior Management, 17, 1103- 1114.
Srivastav, M., Clement, W. L., Landrein, S., Zhang, J., Howarth, D. G., & Donoghue, M. J. (2023). A phylogenomic analysis of Lonicera and its bearing on the evolution of organ fusion. American Journal of Botany, 110(4), e16143.
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