Soleimani Mohammad Ali, Sharif Saeed Pahlevan, Yaghoobzadeh Ameneh, Yeoh Ken Kyid, Panarello Bianca
Social Determinants of Health Research Center, Qazvin University of Medical Sciences, Qazvin, Iran.
Taylor's Business School, Taylor's University Malaysia, Subang Jaya, Malaysia.
J Relig Health. 2018 Apr;57(2):683-703. doi: 10.1007/s10943-017-0554-2.
Previous empirical studies have shown that both spiritual well-being (SWB) and death anxiety (DA) significantly affect the mental health of patients with acute diseases. In this regard, our paper contributes to the extant literature by scrutinizing the conditional relationship between SWB and DA as well as the various mechanisms underpinning such a relationship in patients with acute myocardial infraction (AMI). A descriptive, correlational methodology was utilized. Our main sample consisted of 300 patients with acute myocardial infraction who were hospitalized in a specialized medical institution in Iran throughout a two-month period (i.e. August-October 2015). Patients completed Spiritual Well-Being Scale (SWBS) and Templer's Death Anxiety Scale (TDAS). Even though our study showed that the relationship between SWB and DA in patients with AMI is non-significant, we found that (1) single patients with higher SWB have lower DA, (2) single patients with higher SWB as well as social support have significantly lower DA, and (3) for single men/men without social support, there is a negative relationship between SWB and DA. The relationship between SWB and DA is influenced by factors such as sex, marital status and social support. In addition, the specific nature of this relationship (i.e. strength and sign) is dependent upon the sociodemographic characteristics of patients as well as other contextual influences. Result revealed that although relationship between SWB and DA is non-significant, this is influenced by factors such as sex and social support. In addition, the specific nature of this relationship (i.e. strength and sign) is dependent upon the sociodemographic characteristics of patients as well as other contextual influences.
以往的实证研究表明，精神幸福感（SWB）和死亡焦虑（DA）均会对急性病患者的心理健康产生显著影响。在这方面，我们的论文通过审视精神幸福感与死亡焦虑之间的条件关系以及急性心肌梗死（AMI）患者中支撑这种关系的各种机制，为现有文献做出了贡献。我们采用了描述性、相关性研究方法。我们的主要样本包括300名急性心肌梗死患者，他们于2015年8月至10月的两个月期间在伊朗的一家专业医疗机构住院。患者完成了精神幸福感量表（SWBS）和坦普勒死亡焦虑量表（TDAS）。尽管我们的研究表明急性心肌梗死患者的精神幸福感与死亡焦虑之间的关系不显著，但我们发现：（1）精神幸福感较高的单身患者死亡焦虑较低；（2）精神幸福感较高且有社会支持的单身患者死亡焦虑显著较低；（3）对于没有社会支持的单身男性/男性而言，精神幸福感与死亡焦虑之间存在负相关关系。精神幸福感与死亡焦虑之间的关系受到性别、婚姻状况和社会支持等因素的影响。此外，这种关系的具体性质（即强度和正负）取决于患者的社会人口学特征以及其他背景影响因素。结果显示，尽管精神幸福感与死亡焦虑之间的关系不显著，但这受到性别和社会支持等因素的影响。此外，这种关系的具体性质（即强度和正负）取决于患者的社会人口学特征以及其他背景影响因素。
