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:: Volume 23, Issue 4 (winter 2022) ::
JHC 2022, 23(4): 289-300 Back to browse issues page
The Mediating Role of Coping Strategies in the Relationship between Self-compassion and Adherence to Treatment in Cardiovascular Patients
M Pouresmaeel Niazi , F Farshbaf Mani Sefat , F Farshbaf Mani Sefat , Sh Meshgi
Department of Psychology, Urmia Branch, Islamic Azad University, Urmia, Iran
Abstract:   (406 Views)
Background & aim: Treatment adherence is one of the main factors in achieving maximum clinical efficacy. It seems that self-compassion and coping strategies of patients, can be effective on improving treatment adherence. The aim of this study was to investigate the mediating role of coping strategies in the relationship between self-compassion with treatment adherence in cardiovascular patients.
Methods: This research was correlational research using structural equation method. The number of 234 cardiovascular patients referred to the center of the heart of Shahid Madani in 2021 was selected as available samples. Data were collected using Raes's Self-Compassion Scale and coping with the stressful situations of Endler & Parker and Modanloo's Adherence questionnaire and then analyzed using descriptive statistics (mean and standard deviation) and inferential statistics (Pearson correlation and path analysis) in SPSS-24 and AMOS-24 software.
Results: The results showed that self-compassion and Problem-Focused coping strategy had a direct, positive and significant effect on treatment adherence (p<0.001), while Emotion-Focused and avoidance strategies had a direct, negative, and significant effect on treatment adherence (p<0.001). Self-compassion also had a direct, positive, and significant effect on Problem-Focused strategy (p<0.001) and a direct, negative, and significant effect on Emotion-Focused and avoidance strategies (p<0.001). The results of Sobel test showed that self-compassion through coping strategies (Problem-Focused Strategy, β=0.19; Emotion-Focused Strategy, β=0.08; Avoidance Strategy, β=0.11) had an indirect, positive and significant effect on treatment adherence (p<0.001).
Conclusion: The results confirmed that self-compassion through coping strategies increased treatment adherence through coping strategies. According to the findings, it is possible to prepare educational programs that affect self-compassion and the using of adaptive coping strategies of patients.
Keywords: Self-compassion, Coping Strategies, Treatment Adherence, Cardiovascular Disease
Full-Text [PDF 387 kb]   (121 Downloads)    
Type of Study: Correlation | Subject: Psychiatric Nursing
Received: 2021/11/17 | Accepted: 2022/03/12 | Published: 2022/03/20
References
1. Liang LX, Liu Y, Shi YJ, Jiang TT, Zhang HR, Liu BH, et al. Family care and subjective well-being of coronary heart disease patients after percutaneous coronary intervention: mediating effects of coping strategies. International Journal of Nursing Sciences. 2021;9(1):79-85. [DOI:10.1016/j.ijnss.2021.09.006] [PMID] [PMCID]
2. Mozaffarian D, Benjamin EJ, Go AS, Arnett DK, Blaha MJ, Cushman M, et al. Heart disease and stroke statistics- 2015 update: a report from the American Heart Association. Circulation. 2015;131:434-41. https://doi.org/10.1161/CIR.0000000000000152 [DOI:10.1161/CIR.0000000000000157] [PMID]
3. Fahimfar N, Khalili D, Sepanlou SG, Malekzadeh R, Azizi F, Mansournia MA, et al. Cardiovascular mortality in a western Asian country: results from the Iran cohort consortium. BMJ Open. 2018;8(7):020303. [DOI:10.1136/bmjopen-2017-020303] [PMID] [PMCID]
4. Zyryanov SK, Fitilev SB, Vozzhaev AV, Shkrebniova II, Shindryaeva NN, Klyuev DA, et al. Medication adherence in patients with stable coronary artery disease in primary care. Research Results in Pharmacology. 2020;6(2):97-103. [DOI:10.3897/rrpharmacology.6.54130]
5. Fernandez-lazaro CI, Garcia-Gonzalez JM, Adams DP, Fernandez-lazaro D, Mielgo-Ayuso J, Caballero-Garcia A, et al. Adherence to treatment and related factors among patients with chronic conditions in primary care: a cross-sectional study. BMC Family Practice. 2019;20:132. [DOI:10.1186/s12875-019-1019-3] [PMID] [PMCID]
6. Tan CS. The need of patient education to improve medication adherence among hypertensive patients. Malaysian Journal of Pharmacy. 2020;6(1):1-5. [DOI:10.52494/MOEL1486]
7. Kotera Y, Van Gordon W. Effects of self-compassion training on work-related well-being: a systematic review. Frontiers in Psychology. 2021;12:630798. [DOI:10.3389/fpsyg.2021.630798] [PMID] [PMCID]
8. Austin J, Drossaert CHC, Schroevers MJ, Sanderman R, Kirby JN, Bohlmeijer ET. Compassion-based interventions for people with long-term physical conditions: a mixed methods systematic review. Psychology & Health. 2021;36(1):16-42. [DOI:10.1080/08870446.2019.1699090] [PMID]
9. Al-Refae M, Al-Refae A, Munroe M, Sardella NA, Ferrari M. A self-compassion and mindfulness-based cognitive mobile intervention (serene) for depression, anxiety, and stress: promoting adaptive emotional regulation and wisdom. Frontiers in Psychology. 2021;12:648087. [DOI:10.3389/fpsyg.2021.648087] [PMID] [PMCID]
10. Afshari A. Prediction of diabetic patients' treatment adherence via self-compassion, emotional regulation and spiritual wellbeing. Journal of Research in Behavioural Sciences. 2019;16(4):466-75 [Persian]. [DOI:10.52547/rbs.16.4.466]
11. Jalil MF, Ali A, Ahmed Z, Kamarulzaman R. The mediating effect of coping strategies between psychological capital and small tourism organization resilience: Insights from the COVID-19 pandemic, Malaysia. Frontiers in Psychology. 2021;12:766528. [DOI:10.3389/fpsyg.2021.766528] [PMID] [PMCID]
12. Stanisławski K. The coping circumplex model: an integrative model of the structure of coping with stress. Frontiers in Psychology. 2019;10:694. [DOI:10.3389/fpsyg.2019.00694] [PMID] [PMCID]
13. Compas BE, Jaser SS, Bettis AH, Watson KH, Gruhan MA, Dunbar JP, et al. Coping, emotion regulation, and psychopathology in childhood and adolescence: a meta-analysis and narrative review. Psychological Bulletin. 2017;143(9):939-91. [DOI:10.1037/bul0000110] [PMID] [PMCID]
14. Iqbal K, Irshad Y, Ali Gilani SR, Hussain S, Ahmad M, Khan UA, et al. Quality of life in patients undergoing cardiac surgery: role of coping strategies. Cureus. 2021;13(7):16435. [DOI:10.7759/cureus.16435]
15. Mansourinik A, Davoudi I, Neisi A, Mehrabizadeh Honarmand M, Tamannaeifar MR. The relationship between body discrepancy and body image maladaptive coping strategies in female students: the mediating role of self-compassion and body shame. Journal of Research in Psychological Health. 2019;12(4):1-15 [Persian].
16. Gruszczyńska M, Bąk-Sosnowska M, Szemik S. Selected psychological aspects and medication adherence in oncological patients. Cancer Medicine. 2020;9(3):943-50. [DOI:10.1002/cam4.2691] [PMID] [PMCID]
17. Hoekstra T, Wilming L, Sjobbema C, Brouwer S. Exploring treatment adherence in long-term sick-listed workers and the impact of coping strategies, illness perceptions and perceived health. BMC Public Health. 2022;22(1):259. [DOI:10.1186/s12889-022-12676-1] [PMID] [PMCID]
18. Kleinsinger F. The unmet challenge of medication nonadherence. The Permanent Journal. 2018;22:18-33. [DOI:10.7812/TPP/18-033] [PMID] [PMCID]
19. Abbaszadeh M, Rejeh N, Tadrisi S D, Jafari F. Medication adherence in patients undergoing repeat angioplasty: a cross-sectional study. Journal of Critical Care Nursing. 2021;14(4):50-41 [Persian].
20. Sagan A. Sample size in multilevel structural equation modeling- the Monte Carlo Approach. Econometrics. 2019;23(4):63-79. [DOI:10.15611/eada.2019.4.05]
21. Seyed Fatemi N, Rafii F, Hajizadeh E, Modanloo M. Psychometric properties of the adherence questionnaire in patients with chronic disease: a mixed method study. Koomesh Journal. 2018;20(2):179-91 [Persian].
22. Lluch-Sanz C, Galiana L, Vidal-Blanco G, Sansó N. Psychometric properties of the self-compassion Scale-Short form: the study of its role as a protector of Spanish nurses professional quality of life and well-being during the COVID-19 pandemic. Nursing Reports. 2022;12(1):65-76. [DOI:10.3390/nursrep12010008] [PMID] [PMCID]
23. Shahbazi M, Rajabi Gh, Maghami E, Jelodari A. Confirmatory factor analysis of the Persian version of the self-compassion rating scale revised. Journal of Psychological Models and Methods. 2015;6(19):31-46 [Persian].
24. Boysan M. Validity of the coping inventory for stressful situations-short form (CISS-21) in a non-clinical Turkish sample. Journal of Psychiatry & Neurological Sciences. 2012;25:101-107. [DOI:10.5350/DAJPN2012250201]
25. Mohebi S, Shokri O, khodaei A. Psychometric analysis of the coping inventory for stressful situations-short form (CISS-SF) among students. Quarterly of Educational Measurement. 2020;10(40):87-113 [Persian].
26. Abdollahi A, Taheri A. Structural equation modeling using AMOS software. Tehran: Jahade Daneshgahi Publishers; 2019 [Persian].
27. Miller JJ, Lee J, Niu Ch, Owens EG, Bode M. Self-compassion as a predictor of self-care: a study of social work clinicians. Clinical Social Work Journal. 2019;47:321-31. [DOI:10.1007/s10615-019-00710-6]
28. Pérez-Aranda A, García-Campayo J, Gude F, Luciano JV, Feliu-Soler A, González-Quintela A, et al. Impact of mindfulness and self-compassion on anxiety and depression: the mediating role of resilience. International Journal of Clinical and Health Psychology. 2021;21(2):100229. [DOI:10.1016/j.ijchp.2021.100229] [PMID] [PMCID]
29. Sirois FM, Hirsch JK. Self-compassion and adherence in five medical samples: the role of stress. Mindfulness. 2019;10(1):46-54. [DOI:10.1007/s12671-018-0945-9] [PMID] [PMCID]
30. Muris P, van den Broek M, Otgaar H, Oudenhoven I, Lennartz J. Good and bad sides of self-compassion: a face validity check of the self-compassion scale and an investigation of its relations to coping and emotional symptoms in non-clinical adolescents. Journal of Child and Family Studies. 2018;27(8):2411-21. [DOI:10.1007/s10826-018-1099-z] [PMID] [PMCID]
31. Ewert C, Vater AM, Schröder-Abé M. Self-compassion and coping: a meta-analysis. Mindfulness. 2021;12(2):1063-77. [DOI:10.1007/s12671-020-01563-8]
32. Badrizadeh A, Rezaii Jamaloi H, Khanzadeh M, Foroughi S, Saki M. Adherence to treatment based on social support and coping strategies in patients with type 2 diabetes. Yafte. 2021;23(3):13-24 [Persian]. [DOI:10.32592/Yafteh.2021.23.3.2]
33. Corallo F, Bonanno L, Di Cara M, Rifici C, Sessa E, D'Aleo G, et al. Therapeutic adherence and coping strategies in patients with multiple sclerosis: an observational study. Medicine. 2019;98(29):16532. [DOI:10.1097/MD.0000000000016532] [PMID] [PMCID]
34. Uzer-Kremers L, Bralet MC, Angerville B, Jeanblanc J, Pierrefiche O, Martinetti MP, et al. Is self-compassion linked to treatment adherence in schizophrenia? Schizophrenia Research. 2020;222:493-95. [DOI:10.1016/j.schres.2020.05.058] [PMID]
35. Ceccarelli LA, Giuliano RJ, Glazebrook CM, Strachan SM. Self-compassion and psycho-physiological recovery from recalled sports failure. Frontiers in Psychology. 2019;10:1564. [DOI:10.3389/fpsyg.2019.01564] [PMID] [PMCID]
36. Zhang JW, Chen S. Self-compassion promotes personal improvement from regret experiences via acceptance. Personality and Social Psychology Bulletin. 2016;42(2):244-58. [DOI:10.1177/0146167215623271] [PMID]
37. Khalili N, Bahrami M, Ashouri E. Self-compassion and adherence to treatment in patients with cancer. Iran Journal of Nursing and Midwifery Research. 2021;26(5):406-10 [Persian].
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Pouresmaeel Niazi M, Farshbaf Mani Sefat F, Farshbaf Mani Sefat F, Meshgi S. The Mediating Role of Coping Strategies in the Relationship between Self-compassion and Adherence to Treatment in Cardiovascular Patients. JHC. 2022; 23 (4) :289-300
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Volume 23, Issue 4 (winter 2022) Back to browse issues page
مجله سلامت و مراقبت Journal of Health and Care
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