ERIC Number: EJ1303658
Record Type: Journal
Publication Date: 2021-Aug
Pages: 12
Abstractor: As Provided
ISBN: N/A
ISSN: ISSN-0017-8969
EISSN: N/A
Spiritual Well-Being and Coronary Artery Diseases Severity: Mediating Effects of Anger Rumination and Worry
Ramesh, Somayeh; Besharat, Mohammad Ali; Nough, Hossein
Health Education Journal, v80 n5 p501-512 Aug 2021
Objective: Biological and psychological factors contribute to coronary artery disease (CAD). The purpose of this study was to investigate the relationship between spiritual well-being and CAD severity and determine the mediating effects of anger rumination and worry on this relationship. Design: Descriptive, cross-sectional survey. Setting: Afshar Hospital in Yazd, Iran. Method: Participants were 327 patients with CAD (138 women, 189 men). Spiritual well-being, anger rumination, worry and CAD severity were measured using demographic and medical information questionnaires, the Spiritual Well-Being Scale, the Anger Rumination Scale, the Penn State Worry Questionnaire and Gensini method. Mediation analysis was conducted using the PROCESS macro. Results: CAD severity was negatively correlated with spiritual well-being (r=-0.62, p<0.01) and positively correlated with anger rumination (r=0.58, p<0.01) and worry (r=0.33, p<0.01). The relationship between spiritual well-being and CAD severity was mediated by anger rumination. The direct effect of spiritual wellbeing on CAD severity was statistically significant ([beta]=-0.06, 95% confidence interval [CI] [-0.09, -0.04]). We find a significant indirect effect of spiritual well-being on CAD severity through anger rumination ([beta]=-0.03, 95% CI [-0.05, -0.02]). Conclusion: These results highlight the potential benefits of spiritual well-being for patients with CAD to help them reduce anger rumination and, consequently, CAD severity.
Descriptors: Heart Disorders, Well Being, Mental Health, Foreign Countries, Anxiety, Severity (of Disability), Correlation, Patients, Individual Characteristics, Chronic Illness, Smoking, Body Weight, Body Height, Body Composition, Hypertension, Gender Differences, Age Differences, Adults
SAGE Publications. 2455 Teller Road, Thousand Oaks, CA 91320. Tel: 800-818-7243; Tel: 805-499-9774; Fax: 800-583-2665; e-mail: journals@sagepub.com; Web site: http://bibliotheek.ehb.be:2814
Publication Type: Journal Articles; Reports - Research
Education Level: N/A
Audience: N/A
Language: English
Sponsor: N/A
Authoring Institution: N/A
Identifiers - Location: Iran
Grant or Contract Numbers: N/A