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:: Volume 24, Issue 1 (Spring 2022) ::
JHC 2022, 24(1): 52-63 Back to browse issues page
Investigating the Relationship between Self-Compassion with Psychological Well-Being in Patients with Multiple Sclerosis (MS): The Mediating Role of Social Loneliness
M Ashoori , M Kachooei , E Vahidi
Department of Psychology, Humanities Faculty, University of Science and Culture, Tehran, Iran
Abstract:   (480 Views)
Background & aim: Loneliness is a common experience in people with MS that is associated with significant psychological consequences. Therefore, it is important to check the psycho-social status of people with MS patients. Accordingly, the aim of the present study was to investigate the mediating role of social loneliness in the relationship between self-compassion and psychological well-being.
Methods: For this descriptive-correlational study, 220 patients with MS were selected by a convenience sampling method. Data were collected by using Psychological Well-Being Scales of Ryff's (PWB), Self-compassion Scale (SCS), and social loneliness (SLS). Finally, Data were analyzed by Pearson correlation and Structural Equation Model using SPSS software version 23 and AMOS version 24.
Results: The results showed that the self- Compassion had a significant positive correlation with psychological well-being (r=0.66, p<0.01) and a significant negative correlation with social loneliness (r=-0.63, p<0.01). Also, There was a significant negative correlation between feelings of social loneliness with well-being psychological (r=-0.69, p<0.01). The indirect effect and the effect of total self-Compassion on psychological well-being were 0.26 and 0.86, respectively,
Conclusion: The results showed that the feeling of social loneliness plays a mediating role in the relationship between self-compassion and psychological well-being. Therefore, it is possible to improve the psychological well-being of people with multiple sclerosis by improving social relationships.
Keywords: Multiple Sclerosis, Psychological Well-Being, Self-Compassion, Social Loneliness
Full-Text [PDF 316 kb]   (121 Downloads)    
Type of Study: correlation design | Subject: Psychiatric Nursing
Received: 2022/02/26 | Accepted: 2022/06/19 | Published: 2022/06/21
1. Leavitt VM, Riley CS, De Jager PL, Bloom S. Esupport: feasibility trial of telehealth support group participation to reduce loneliness in multiple sclerosis. Multiple Sclerosis Journal. 2020;26(13):1797-800. [DOI:10.1177/1352458519884241] [PMID]
2. Tosifian N, Ghaderibagejan M, Mahmoodi A, Khaledian M. Structural modeling of early maladaptive schemas and executive functions of people diagnosed with MS emphasizing on the role of the sense of loneliness factor. Neuropsychology. 2018;3(10):93-108.
3. Calandri E, Graziano F, Borghi M, Bonino S. Improving the quality of life and psychological well-being of recently diagnosed multiple sclerosis patients: preliminary evaluation of a group-based cognitive behavioral intervention. Disability and Rehabilitation. 2017;39(15):1474-81. [DOI:10.1080/09638288.2016.1198430] [PMID]
4. Barker AB, das Nair R, Lincoln NB, Hunt N. Social identity in people with multiple sclerosis: a meta-synthesis of qualitative research. Social Care and Neurodisability. 2014;5(4):256-67. [DOI:10.1108/SCN-05-2014-0009]
5. Gheibee A, Tajeri B, Kooshki S, Sobhi Gharamaleki N. Comparison of the effectiveness of acceptance and commitment and compassion therapy on psychological well-being in patient with multiple sclerosis. Iranian Journal of Rehabilitation Research in Nursing. 2021;7(2):63-73.
6. Bhagchandani RK. Effect of loneliness on the psychological well-being of college students. International Journal of Social Science and Humanity. 2017;7(1):60.
7. Cheung AT, Li WHC, Ho LLK, Ho KY, Chiu S, Chan C-FG, et al. Impact of brain tumor and its treatment on the physical and psychological well-being, and quality of life amongst pediatric brain tumor survivors. European Journal of Oncology Nursing. 2019;41:104-9. [DOI:10.1016/j.ejon.2019.06.003] [PMID]
8. Kingdon CC, Bowman EW, Curran H, Nacul L, Lacerda EM. Functional status and well-being in people with myalgic encephalomyelitis/chronic fatigue syndrome compared with people with multiple sclerosis and healthy controls. Pharmaco Economics-open. 2018;2(4):381-92. [DOI:10.1007/s41669-018-0071-6] [PMID] [PMCID]
9. Timkova V, Mikula P, Fedicova M, Szilasiova J, Nagyova I. Psychological well-being in people with multiple sclerosis and its association with illness perception and self-esteem. Multiple Sclerosis and Related Disorders. 2021;54:103114. [DOI:10.1016/j.msard.2021.103114] [PMID]
10. Ghielen I, Rutten S, Boeschoten RE, Houniet-de Gier M, van Wegen EE, van den Heuvel OA, et al. The effects of cognitive behavioral and mindfulness-based therapies on psychological distress in patients with multiple sclerosis, parkinson's disease and huntington's disease: two meta-analyses. Journal of Psychosomatic Research. 2019;122:43-51. [DOI:10.1016/j.jpsychores.2019.05.001] [PMID]
11. Neff KD, Kirkpatrick KL, Rude SS. Self-compassion and adaptive psychological functioning. Journal of Research in Personality. 2007;41(1):139-54. [DOI:10.1016/j.jrp.2006.03.004]
12. Hassani SF, Tizdast T, Zarbakhsh MR. The role of self-compassion and Hope in the relationship between psychological wellbeing, maladaptive schemas, resilience, and social support in women with multiple sclerosis. Journal of Client-Centered Nursing Care. 2021;7(3):195-204. [DOI:10.32598/JCCNC.7.3.372.1]
13. Nery-Hurwit M, Yun J, Ebbeck V. Examining the roles of self-compassion and resilience on health-related quality of life for individuals with multiple sclerosis. Disability and Health Journal. 2018;11(2):256-61. [DOI:10.1016/j.dhjo.2017.10.010] [PMID]
14. Narimani M, Ghasemkhanlo A, Sabri V. The comparison of self-compassion, anxiety and depression inpatients with chronic pain and normal people. Anesthesiology and Pain. 2020;11(3):57-65.
15. Parnian Khooy M, Kehtary L, Gharadaghi A, Eidi M. The effectiveness of compassion-focused therapy on experiential avoidance and cognitive fusion of cancer patients with depressive symptoms. Journal of Health Psychology. 2021;9(36):105-18.
16. Zhu L, Yao J, Wang J, Wu L, Gao Y, Xie J, et al. The predictive role of self‐compassion in cancer patients' symptoms of depression, anxiety, and fatigue: a longitudinal study. Psycho‐Oncology. 2019;28(9):1918-25. [DOI:10.1002/pon.5174] [PMID]
17. MirMoeini P, Bayazi MH, Khalatbari J. Comparing the effectiveness of acceptance and commitment therapy with compassion focused therapy on loneliness in patients with multiple sclerosis. Yafteh. 2021;22(4):132-45. [DOI:10.32598/hms.27.4.3426.1]
18. Mikula P, Nagyova I, Krokavcova M, Vitkova M, Rosenberger J, Szilasiova J, et al. Self-esteem, social participation, and quality of life in patients with multiple sclerosis. Journal of Health Psychology. 2017;22(8):984-92. [DOI:10.1177/1359105315621778] [PMID]
19. Takalu MTM, Hosseini SA, Khankeh HR, Pishyareh E, Ebrahimi HA, Bakhshi E. How primary caregivers of individuals with multiple sclerosis cope with social isolation: a grounded theory study in an Iranian context. International Journal of Therapy and Rehabilitation. 2020;27(6):1-13. [DOI:10.12968/ijtr.2019.0034]
20. Sagan A. Sample size in multilevel structural equation modeling-the Monte Carlo approach. Econometrics Ekonometria Advances in Applied Data Analytics. 2019;23(4):63-79. [DOI:10.15611/eada.2019.4.05]
21. Ryff CD. Happiness is everything, or is it? explorations on the meaning of psychological well-being. Journal of Personality and Social Psychology. 1989;57(6):1069. [DOI:10.1037/0022-3514.57.6.1069]
22. Khanjani M, Shahidi S, Fathabadi J, Mazaheri MA, Shokri O. Factor structure and psychometric properties of the Ryff's Scale of Psychological Well-being, Short Form (18-item) among male and female students. Thoughts and Behavior in Clinical Psychology. 2014;9(32):27-36.
23. Neff KD. The development and validation of a scale to measure self-compassion. Self and Identity. 2003;2(3):223-50. [DOI:10.1080/15298860309027]
24. Momeni F, Shahidi S, Mootabi F, Heydari M. Psychometric properties of a Farsi version of the Self-Compassion Scale (SCS). Contemporary Psychology. 2014;8(2):27-40.
25. Kachooei M, Hasani J, Moradi A, Fathi-Ashtiani A. Comparison of dispositional mindfulness and self-compassion among women with normal and high body-mass-index. Community Health (Salāmat-i ijtimāī). 2018;5(2):2018.
26. DiTommaso E, Spinner B. The development and initial validation of the Social and Emotional Loneliness Scale for Adults (SELSA). Personality and Individual Differences. 1993;14(1):127-34. [DOI:10.1016/0191-8869(93)90182-3]
27. Hays RD, DiMatteo MR. A short-form measure of loneliness. Journal of Personality Assessment. 1987;51(1):69-81. [DOI:10.1207/s15327752jpa5101_6] [PMID]
28. Russell DW. UCLA Loneliness Scale (Version 3): reliability, validity, and factor structure. Journal of Personality Assessment. 1996;66(1):20-40. [DOI:10.1207/s15327752jpa6601_2] [PMID]
29. Besharat MA. Reliability and validity of a short form of the mental health enventory in an Iranian population. Scientific Journal of Forensic Medicine. 2009;15(54).
30. Besharat MA. Social Loneliness Scale: Questionnaire, Instruction and Scoring (Farsi Version). Journal of Developmental Psychology: Iranian Psychologist. 2018;14(56):475-76.
31. Zimet GD, Dahlem NW, Zimet SG, Farley GK. The multidimensional scale of perceived social support. Journal of Personality Assessment. 1988;52(1):30-41. [DOI:10.1207/s15327752jpa5201_2]
32. Hassani SF, Tizdast T, Zarbakhsh MR. The role of self-compassion and hope in the relationship between psychological wellbeing, maladaptive schemas, resilience, and social support in women with multiple sclerosis. Journal of Client-Centered Nursing Care. 2021;7(3):195-204. [DOI:10.32598/JCCNC.7.3.372.1]
33. Freeman J, Gorst T, Gunn H, Robens S. "A non-person to the rest of the world": experiences of social isolation amongst severely impaired people with multiple sclerosis. Disability and Rehabilitation. 2020;42(16):2295-303. [DOI:10.1080/09638288.2018.1557267] [PMID]
34. Kasikci E. Examination of the level of disability, loneliness and self care ability of patients with multiple sclerosis. International Journal of Caring Sciences. 2020;13(3):1668-77.
35. Alizadeh S, Khanahmadi S, Vedadhir A, Barjasteh S. The relationship between resilience with self-compassion, social support and sense of belonging in women with breast cancer. Asian Pacific Journal of Cancer Prevention. 2018;19(9):2469.
36. Hyland KA, Small BJ, Gray JE, Chiappori A, Creelan BC, Tanvetyanon T, et al. Loneliness as a mediator of the relationship of social cognitive variables with depressive symptoms and quality of life in lung cancer patients beginning treatment. Psycho‐Oncology. 2019;28(6):1234-42. [DOI:10.1002/pon.5072] [PMID]
37. Rezaie N, Ghaderi F, Akrami N. The relationship between self-compassion, perceived social support, and self-esteem with women's borderline personality symptoms, mediating role of aloneness and hopelessness. Journal of Psychological Studies. 2020;16(3):57-74.
38. Balto JM, Pilutti LA, Motl RW. Loneliness in multiple sclerosis: possible antecedents and correlates. Rehabilitation Nursing Journal. 2019;44(1):52-59. [DOI:10.1097/RNJ.0000000000000128] [PMID]
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Ashoori M, kachooei M, Vahidi E. Investigating the Relationship between Self-Compassion with Psychological Well-Being in Patients with Multiple Sclerosis (MS): The Mediating Role of Social Loneliness. JHC 2022; 24 (1) :52-63
URL: http://hcjournal.arums.ac.ir/article-1-1358-en.html

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Volume 24, Issue 1 (Spring 2022) Back to browse issues page
مجله سلامت و مراقبت Journal of Health and Care
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