School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran.
College of Nursing, Michigan State University, East Lansing, MI, USA.
J Relig Health. 2022 Apr;61(2):1437-1450. doi: 10.1007/s10943-021-01487-0. Epub 2022 Jan 4.
Cancers are globally prevalent often life-threatening diseases that carry an immense psychological burden such as death anxiety. Thus, identifying protective psychological factors affecting death anxiety in individuals with cancer is of strong relevance. This study investigated the potential mediating role of hope in the relationship between religious orientation and death anxiety in Iranian patients with cancer. A cross-sectional design was used to evaluate death anxiety, hope, and religious orientation in a convenience sample of 320 patients (age range 18-89 years) with cancer. Measures included demographic factors, health characteristics, and validated instruments of the study constructs. Path analysis was used to evaluate mediation models. The findings indicated a direct path from intrinsic religious orientation (β = - 0.122, p < 0.001) to death anxiety and a direct path from hope (β = - 0.258, p < 0.001) to death anxiety. However, when hope was introduced as a mediating variable, the relationship between intrinsic religious orientation and death anxiety became non-significant (β = 0.001, p = 0.983). In this study, hope largely explained the relationship between intrinsic religiosity and death anxiety. In countries such as Iran where religiosity is an important psychological construct, greater hope among the more intrinsically religious may help to explain why more deeply religious persons experience less anxiety.
癌症是全球普遍存在的、常危及生命的疾病，会给患者带来巨大的心理负担，如死亡焦虑。因此，识别影响癌症患者死亡焦虑的保护心理因素具有重要意义。本研究调查了希望在伊朗癌症患者宗教取向与死亡焦虑之间关系中的潜在中介作用。采用横断面设计评估了 320 例癌症患者（年龄 18-89 岁）的死亡焦虑、希望和宗教取向。评估指标包括人口统计学因素、健康特征和研究结构的验证工具。采用路径分析评估中介模型。研究结果表明，内在宗教取向与死亡焦虑之间存在直接路径（β=-0.122，p<0.001），希望与死亡焦虑之间也存在直接路径（β=-0.258，p<0.001）。然而，当希望被引入作为中介变量时，内在宗教取向与死亡焦虑之间的关系变得不显著（β=0.001，p=0.983）。在本研究中，希望在很大程度上解释了内在宗教与死亡焦虑之间的关系。在伊朗等宗教是重要心理结构的国家，内在宗教性更高的人可能希望更大，这可以帮助解释为什么更虔诚的人焦虑程度更低。
