Top

Published in:

24-06-2023 | Anxiety | Original Paper

The Role of Spirituality in Anxiety and Psychological Resilience of Hemodialysis Patients in Turkey

Authors: Mehmet Emin Şanli, Mahmut Dinç, Uğur Öner, Metin Buluş, İlhan Çiçek, İdris Doğan

Published in: Journal of Religion and Health | Issue 6/2023

Abstract

Chronic kidney disease (CKD) is a significant health problem that affects millions of people worldwide and its end-stage manifestation requires hemodialysis treatment, which can have a considerable impact on patients’ mental health and quality of life. This study aims to examine the relationship between spirituality and anxiety, as well as spirituality and psychological resilience among hemodialysis patients using the iterative weighted least squares method. Participants included 91 hemodialysis patients, consisting of 49 females and 42 males, whose ages ranged from 20 to 82 years, with a mean age of 48 (SD = 14). The data were collected using the Beck Anxiety Inventory, Spirituality Scale, and Brief Psychological Resilience Scale. Results indicated a weak positive relationship between spirituality and psychological resilience (t = 1.35, P = .183) and a moderate negative relationship between spirituality and anxiety (t = −2.84, P = .006). Furthermore, spirituality accounted for a 1% variance in psychological resilience and a 5% of the variance in anxiety. Additionally, patients’ education level, gender, and whom they live with were relatively stronger correlates of psychological resilience, while the patient’s education level, gender, marital status, whom they live with, presence of another patient at home receiving hemodialysis treatment were strong correlates of anxiety. This study emphasizes the need for comprehensive care that addresses both physical and psychological aspects of CKD management to improve patient outcomes and quality of life.

Aghajani, M., Afaze, M., & Morasai, F. (2014). The effect of spirituality counseling on anxiety and depression in hemodialysis patients. Evidence Based Care, 3, 19–28. https://doi.org/10.22038/EBCJ.2013.2016.CrossRef

Angin, Y. (2021). Covid-19 pandemi sürecinden geçerken sağlık çalışanlarında dini başa çıkma ve psikolojik sağlamlık ilişkisi üzerine bir araştırma.(a research on the Relationship between Religious Coping and psychological resilience in healthcare professionals during covid-19 pandemic). Cumhuriyet İlahiyat Dergisi, 25(1), 331–345. https://doi.org/10.18505/cuid.884399.CrossRef

Asadzandi, M., Mazandarani, H. A., Saffari, M., & Khaghanizadeh, M. (2022). Effect of spiritual care based on the sound heart model on spiritual experiences of hemodialysis patients. Journal of Religion and Health, 61(3), 2056–2071. https://doi.org/10.1007/s10943-021-01396-2.CrossRefPubMed

Ashraf, F., Zareen, G., & Yıldırım, M. (2023). Religious self-regulation, self-determination, resilience, and conflict management strategies in a community sample of international muslim students in Pakistan. Journal of Religion & Spirituality in Social Work: Social Thought, 1–23. https://doi.org/10.1080/15426432.2023.2167255.

Avdal, E. U., Ayvaz, İ., Uran, B. N. Ö., Yildirim, J. G., Sofulu, F., & Pamuk, G. (2020). Opinions of hemodialysis and peritoneum patients regarding depression and psychological problems which they experience: A qualitative study. Journal of Infection and Public Health, 13(12), 1988–1992. https://doi.org/10.1016/j.jiph.2020.02.041.CrossRef

Babamohamadi, H., Sotodehasl, N., Koenig, H. G., Al Zaben, F., Jahani, C., & Ghorbani, R. (2017). The Effect of Holy Qur’an recitation on depressive symptoms in Hemodialysis Patients: A Randomized Clinical Trial. Journal of Religion and Health, 56(1), 345–354. https://doi.org/10.1007/s10943-016-0281-0.CrossRefPubMed

Bahar, A., Savas, A. H., Yildizgördü, E., & Barlioglu, H. (2007). Hemodiyaliz Hastalarinda Anksiyete, Depresyon ve Cinsel Yasam (anxiety, Depression and sexual life of hemodialysis patients). Anadolu Psikiyatri Dergisi, 8(4), 287.

Basım, N., & ve Çetin, F. (2011). Dayanıklılık ölçeğinin yetişkinler için Türkçe versiyonunun geçerlilik ve güvenirlik çalışması.(the reliability and validity of the resilience scale for adultsturkish version). Türk Psikiyatri Dergisi, 22(2), 104–114. https://doi.org/10.1002/mpr.143. https://onlinelibrary.wiley.com/doi/epdf/.CrossRefPubMed

Batra, K., Effah-Acheampong, J., Batra, R., LOPEY, M., & WU, P. J. (2022). ARORA, S., … SHARMA, M. Evolution of SARSCoV-2 variants: A rapid literature scan. Journal of Health and Social Sciences, 7(2), 141–151.

Bayin Donar, G., & Top, M. (2020). A conceptual framework of quality of life in chronic kidney disease in Turkey: A patient-focused approach. The International Journal of Health Planning and Management, 35(6), 1335–1350. https://doi.org/10.1002/hpm.3038.CrossRefPubMed

Beck, A. T., Epstein, N., Brown, G., & Steer, R. A. (1988). An inventory for measuring clinical anxiety: Psychometric properties. Journal of Consulting and Clinical Psychology, 56(6), 893.CrossRefPubMed

Bossola, M., Ciciarelli, C., Di Stasio, E., Panocchia, N., Conte, G. L., Rosa, F., Tortorelli, A., Luciani, G., & Tazza, L. (2012). Relationship between appetite and symptoms of depression and anxiety in patients on chronic hemodialysis. Journal of renal nutrition: the official journal of the Council on Renal Nutrition of the National Kidney Foundation, 22(1), 27–33. https://doi.org/10.1053/j.jrn.2011.02.005.CrossRefPubMed

Bulus, M. (2022). Minimum detectable effect size computations for cluster-level regression discontinuity: Specifications beyond the linear functional form. Journal of Research on Education Effectiveness, 15(1), 151–177. https://doi.org/10.1080/19345747.2021.1947425.CrossRef

Bulus, M. (2023). pwrss: Power and sample size calculation tools. R package version 0.3.1. https://CRAN.R-project.org/package=pwrss.

Bulus, M., & Dong, N. (2021). Bound constrained optimization of sample sizes subject to monetary restrictions in planning of multilevel randomized trials and regression discontinuity studies. The Journal of Experimental Education, 89(2), 379–401. https://doi.org/10.1080/00220973.2019.1636197.CrossRef

Bulus, M., & Koyuncu, I. (2021). Statistical power and precision of experimental studies originated in the Republic of Turkey from 2010 to 2020: Current practices and some recommendations. Journal of Participatory Education Research, 8(4), 24–43. https://doi.org/10.17275/per.21.77.8.4.CrossRef

Bulus, M., & Sahin, S. G. (2019). Estimation and standardization of variance parameters for planning cluster-randomized trials: A short guide for researchers. Journal of Measurement and Evaluation in Education and Psychology, 10(2), 179–201. https://doi.org/10.21031/epod.530642.CrossRef

Burlacu, A., Artene, B., Nistor, I., Buju, S., Jugrin, D., Mavrichi, I., & Covic, A. (2019). Religiosity, spirituality and quality of life of dialysis patients: A systematic review. International urology and nephrology, 51(5), 839–850. https://doi.org/10.1007/s11255-019-02129-x.CrossRefPubMed

Çakmak, S., & Nural, N. (2019). Is the spirituality effective on psychosocial adjustment in patients with chronic disease? International Journal of Emerging Trends in Health Sciences, 3(1), 29–33. https://doi.org/10.18844/ijeths.v3i1.4209.CrossRef

Çelik, H. C., & Acar, T. (2007). Kronik hemodiyaliz hastalarında depresyon ve anksiyete düzeylerinin çeşitli değişkenlere göre incelenmesi.(the investigation of depression and anxiety level of chronic hemodialysis patients according to different variables). Fırat Tıp Dergisi, 12(1), 23–27.

Ceri, V., & Cicek, I. (2021). Psychological well-being, depression and stress during COVID-19 pandemic in Turkey: A comparative study of healthcare professionals and non-healthcare professionals. Psychology Health & Medicine, 26(1), 85–97. https://doi.org/10.1080/13548506.2020.1859566.CrossRef

Chirico, F., Batra, K., Batra, R., Öztekin, G. G., Ferrari, G., Crescenzo, P., & Yildirim, M. (2023a). Spiritual well-being and burnout syndrome in healthcare: A systematic review. Journal of Health and Social Sciences, 8(1), 13–32.

Chirico, F., Yıldırım, M., Dzieciatkowski, T., Dabrowski, M., Malysz, M., Madziala, M., & Szarpak, L. (2023b). Efficiency rating of SG Diagnostics COVID-19 antigen rapid test kit. Future Virology, 1–6. https://doi.org/10.2217/fvl-2021-0210.

Çiçek, İ. (2021a). Mediating role of self-esteem in the association between loneliness and psychological and subjective well-being in university students. International Journal of Contemporary Educational Research, 8(2), 83–97. https://doi.org/10.33200/ijcer.817660.CrossRef

Çiçek, İ. (2021b). Effect of hope on resilience in adolescents: Social support and social connectedness as mediators. Journal of Positive School Psychology, 5(2), 136–147. https://doi.org/10.47602/jpsp.v5i2.283.CrossRef

Çiçek, İ. (2021c). Psychological well-being and separation-individuation in university students. Kastamonu Eğitim Dergisi 15th Anniversary of Kastamonu University: Special Issue on Educational Sciences, 124–133. https://doi.org/10.24106/kefdergi.780535.

R Core Team (2022). R: A language and environment for statistical computing. R foundation for statistical computing, Vienna, Austria. https://www.R-project.org/.

Dane, E., & Olgun, N. (2016). Hemodiyaliz hastalarının psikolojik dayanıklılık durumları ve etkileyen faktörlerin değerlendirilmesi. Nefroloji Hemşireliği Dergisi, 11(1), 43–54.

Davison, S. N., & Jhangri, G. S. (2010). Existential and supportive care needs among patients with chronic kidney disease. Journal of Pain and Symptom Management, 40(6), 838–883. https://doi.org/10.1016/j.jpainsymman.2010.03.015.CrossRefPubMed

Delshad Noughabi, A., Ghorbany Moghadam, I., Khavasi, M., Raznahan, R., Abbasi Mendi, A., & Mohsenikhah, M. (2019). Evaluation of depression, anxiety and stress in hemodialysis patients in Gonabad city 2017. Internal Medicine Today, 25(2), 138–134.

Demirci, İ., & Ekşi, H. (2018). Keep calm and be happy: A mixed method study from character strengths to well-being. Educational Sciences: Theory & Practice, 18(29), 303–354. https://doi.org/10.12738/estp.2018.2.0799.CrossRef

Doğan, T. (2015). Adaptation of the brief resilience scale into turkish: A validity and reliability study. The Journal of Happiness & Well-Being, 3(1), 93–102.

Duran, S., Avci, D., & Esim, F. (2020). Association between spiritual well-being and resilience among turkish hemodialysis patients. Journal of Religion and Health, 59(6), 3097–3109. https://doi.org/10.1007/s10943-020-01000-z.CrossRefPubMed

Durmuş, Y. (2020). Hemodiyaliz hastalarında manevi iyi oluş ile anksiyete ve depresyon arasındaki ilişki. Yüksek lisans tezi. İstanbul Medeniyet Üniversitesi Lisansüstü Eğitim Enstitüsü Hemşirelik Anabilim Dalı Psikiyatri Hemşireliği.

Durmuş, M., & Ekinci, M. (2022). The effect of spiritual care on anxiety and depression level in patients receiving hemodialysis treatment: A randomized controlled trial. Journal of Religion and Health, 61(3), 2041–2055. https://doi.org/10.1007/s10943-021-01386-4.CrossRefPubMed

Ekingen, E., Teleş, M., Yıldız, A., & Yıldırım, M. (2023). Mediating effect of work stress in the relationship between fear of COVID-19 and nurses’ organizational and professional turnover intentions. Archives of Psychiatric Nursing, 42, 97–105.CrossRefPubMedPubMedCentral

Farishta, S., Khan, A., Amin, S., Ahmad, S., Khan, M. S. A., Ahmed, W., & Bano, R. (2022). Prevalence of depression and anxiety in chronic kidney disease patients on hemodialysis. Pakistan Journal of Medical & Health Sciences, 16(09), 403–403. https://doi.org/10.53350/pjmhs22169403.CrossRef

Fox, J., Weisberg, S., & Price, B. (2022). An R companion to applied regression. R package version 3.0–13. https://cran.r-project.org/package=car.

Fradelos, E. C., Latsou, D., Mitsi, D., Tsaras, K., Lekka, D., Lavdaniti, M., & Papathanasiou, I. V. (2018). Assessment of the relation between religiosity, mental health, and psychological resilience in breast cancer patients. Contemporary Oncology/Współczesna Onkologia, 22(3), 172–177. https://doi.org/10.5114/wo.2018.78947.CrossRefPubMed

Fradelos, E. C., Alikari, V., Tsaras, K., Papathanasiou, I. V., Tzavella, F., Papagiannis, D., & Zyga, S. (2021). The effect of spirituality in quality of life of hemodialysis patients. Journal of Religion and Health. https://doi.org/10.1007/s10943-020-01153-x.CrossRefPubMed

Fradelos, E. C., Alikari, V., Tsaras, K., Papathanasiou, I. V., Tzavella, F., Papagiannis, D., & Zyga, S. (2022). The effect of spirituality in quality of life of hemodialysis patients. Journal of Religion and Health, 61(3), 2029–2040. https://doi.org/10.1007/s10943-020-01153-x.CrossRefPubMed

Gelman, A. (2019). Don’t calculate post-hoc power using observed estimate of effect size. Annals of Surgery, 269(1), e9–e10. https://doi.org/10.1097/SLA.0000000000002908.CrossRefPubMed

Gencer, N. (2019). Dindarlık öznel iyi oluşu etkiler mi? Hemodiyaliz hastaları üzerinde kesitsel bir çalışma. Cumhuriyet İlahiyat Dergisi, 23(3), 1419–1444. https://doi.org/10.18505/cuid.601055.CrossRef

George, D., & Mallery, M. (2019). IBM SPSS statistics 26 step by step: A simple guide and reference (16th ed.). Routledge. https://doi.org/10.4324/9780429056765.

Haghighat, N., Rajabi, S., & Mohammadshahi, M. (2021). Effect of synbiotic and probiotic supplementation on serum brain-derived neurotrophic factor level, depression and anxiety symptoms in hemodialysis patients: A randomized, double-blinded, clinical trial. Nutritional Neuroscience, 24(6), 490–499. https://doi.org/10.1080/1028415X.2019.1646975.CrossRefPubMed

Hair, J. (2010). In W. C. Black, B. J. Babin, & R. E. Anderson (Eds.), Multivariate data analysis (7th ed.). Pearson. https://www.pearson.com/uk/educators/higher-education-educators/program/Hair-Multivariate-Data-Analysis-Global-Edition-7th-Edition/PGM916641.html.

Hayati, S., Manzour, R., Hashemi, F. H., & Dizavandi, A. R. (2023). The relationship between coronavirus anxiety, resilience, and islamic beliefs in Hemodialysis patients during the pandemic: A Survey in Iran. Islamic Guidance and Counseling Journal, 6(1), 45–58. https://doi.org/10.25217/igcj.v6i1.3166.CrossRef

Ibrahim, M. B., Badawi, A., S. E., & Alameri, R. A. (2022). Assessment of pain and anxiety during arteriovenous fistula cannulation among hemodialysis patients: A cross-sectional study in Saudi Arabia. Journal of Multidisciplinary Healthcare, 705–718. https://doi.org/10.2147/JMDH.S344256.

Jaberi, A., Momennasab, M., Yektatalab, S., Ebadi, A., & Cheraghi, M. A. (2019). Spiritual health: A concept analysis. Journal of Religion and Health, 58, 1537–1560. https://doi.org/10.1007/s10943-017-0379-z

Kalsoom, U. (2020). Gender role in anxiety, depression and quality of life in chronic kidney disease patients. Pakistan Journal of Medical Sciences, 36(2), https://doi.org/10.12669/pjms.36.2.869.

Kasapoğlu, F. (2020). COVID-19 salgını sürecinde kaygı ile maneviyat, psikolojik sağlamlık ve belirsizliğe tahammülsüzlük arasındaki ilişkilerin incelenmesi. Electronic Turkish Studies, 15(4), https://doi.org/10.7827/TurkishStudies.44284.

Kızılgeçit, M., & Yıldırım, M. (2023). Fear of COVID-19, death depression and death anxiety: Religious coping as a mediator. Archive for the Psychology of Religion, 45(1), 23–36.CrossRef

Kocatürk, M., & Çiçek, İ. (2021). Relationship between positive childhood experiences and psychological resilience in university students: The mediating role of self-esteem. Journal of Psychologists and Counsellors in Schools, 1–12. https://doi.org/10.1017/jgc.2021.16.

Loureiro, A. C. T., de Rezende Coelho, M. C., Coutinho, F. B., Borges, L. H., & Lucchetti, G. (2018). The influence of spirituality and religiousness on suicide risk and mental health of patients undergoing hemodialysis. Comprehensive Psychiatry, 80, 39–45. https://doi.org/10.1016/j.comppsych.2017.08.004.CrossRefPubMed

Luthar, S. S., Cicchetti, D., & Becker, B. (2000). The construct of resilience: A critical evaluation and guidelines for future work. Child Development, 71(3), 543–562.CrossRefPubMedPubMedCentral

Matuszewki, M., Afolabi, A. A., Ilesanmi, O. S., Pruc, M., Navolokina, A., Al-Jeabory, M., & Szarpak, K. (2022). Associations between interleukin-4 and COVID-19 severity: A systematic review and meta-analysis. Journal of Health and Social Sciences, 7(4), 381–396. https://doi.org/10.19204/2022/SSCT4.CrossRef

Moeini, M., Taleghani, F., Mehrabi, T., & Musarezaie, A. (2014). Effect of a spiritual care program on levels of anxiety in patients with leukemia. Iranian Journal of Nursing and Midwifery Research, 19(1), 88. PMID: 24554966; PMCID: PMC3917191.PubMedPubMedCentral

Mosleh, H., Alenezi, M., Alsani, A., Fairaq, G., & Bedaiwi, R. (2020). Prevalence and factors of anxiety and depression in chronic kidney disease patients undergoing hemodialysis: A cross-sectional single-center study in Saudi Arabia. Cureus, 12(1), https://doi.org/10.7759/cureus.6668.

Murgia, C., Notarnicola, I., Rocco, G., & Stievano, A. (2020). Spirituality in nursing: A concept analysis. Nursing ethics, 27(5), 1327–1343. https://doi.org/10.1177/0969733020909534.CrossRefPubMed

Naimi, E., Eilami, O., Babuei, A., Rezaei, K., & Moslemirad, M. (2020). The effect of religious intervention using prayer for quality of life and psychological status of patients with permanent pacemaker. Journal of Religion and Health, 59(2), 920–927. https://doi.org/10.1007/s10943-018-0698-8.CrossRefPubMed

Novita, D., Rokayah, C., Muliani, R., & Sumbara, S. (2022). The relationship of spirituality and resilience in patients that received Hemodialysis. Indonesian Journal of Global Health Research, 4(4), 685–690.

Okhli, A., Hojjati, H., Sadeghloo, A., Molaei, A., & Shahrabady, S. (2019). The relationship between observing religious beliefs and suffering in hemodialysis patients. Journal of Religion and Health, 1–11. https://doi.org/10.1007/s10943-019-00887-7.

Pilger, C., Santos, R. O. P. D., Lentsck, M. H., Marques, S., & Kusumota, L. (2017). Mental well-being and quality of life of older adults on hemodialysis. Revista Brasileira de Enfermagem, 70(4), 689–696. https://doi.org/10.1590/0034-7167-2017-0006.CrossRefPubMed

Qiu, Y., Huang, Y., Wang, Y., Ren, L., Jiang, H., Zhang, L., & Dong, C. (2021). The role of socioeconomic status, family resilience, and social support in predicting psychological resilience among chinese maintenance hemodialysis patients. Frontiers in Psychiatry, 12, 723344. https://doi.org/10.3389/fpsyt.2021.723344.CrossRefPubMedPubMedCentral

Rahnama, P., Javidan, A. N., Saberi, H., Montazeri, A., Tavakkoli, S., Pakpour, A. H., & Hajiaghababaei, M. (2015). Does religious coping and spirituality have a moderating role on depression and anxiety in patients with spinal cord injury? A study from Iran. Spinal Cord, 53(12), 870–874. https://doi.org/10.1038/sc.2015.102.CrossRefPubMed

Revelle, W. (2022). psych: Procedures for personality and psychological research. R package version 2.2.5. https://CRAN.R-project.org/package=psych.

Rizopoulos, D. (2006). Ltm: An R package for latent variable modelling and item response theory analyses. Journal of Statistical Software, 17(5), 1–25. https://doi.org/10.18637/jss.v017.i05.CrossRef

Romagnani, P., Remuzzi, G., Glassock, R., Levin, A., Jager, K. J., Tonelli, M., Massy, Z., Wanner, C., & Anders, H. J. (2017). Chronic kidney disease. Nature -Reviews Disease Primers, 3, 17088. https://doi.org/10.1038/nrdp.2017.88.CrossRefPubMed

Rosenberg, A. R., Syrjala, K. L., Martin, P. J., Flowers, M. E., Carpenter, P. A., Salit, R. B., & Lee, S. J. (2015). Resilience, health, and quality of life among long-term survivors of hematopoietic cell transplantation. Cancer, 121(23), 4250–4257. https://doi.org/10.1002/cncr.29651.CrossRefPubMed

Sadeghifar, J. (2017). Prediction of depression, anxiety and stress based on spiritual components in patients on hemodialysis. Iranian Journal of Psychiatric Nursing, 4(5), 45–51. ‎ Doi:https://doi.org/10.21859/ijpn-04057.

Sağduyu, A., Şentürk, V., Sezer, S., Emiroğlu, R., & Özel, S. (2006). Hemodiyalize giren ve böbrek nakli yapılan hastalarda ruhsal sorunlar, yaşam kalitesi ve tedaviye uyum. (Psychiatric problems, life quality and compliance in patients treated with haemodialysis and renal transplantation). Türk Psikiyatri Dergisi, 17(1), 22–31.PubMed

Sankhe, A., Dalal, K., Save, D., & Sarve, P. (2017). Evaluation of the effect of spiritual care on patients with generalized anxiety and depression: A randomized controlled study. Psychology Health & Medicine, 22(10), 1186–1191. https://doi.org/10.1080/13548506.2017.1290260.CrossRef

Smith, B. W., Dalen, J., Wiggins, K., Tooley, E., Christopher, P., & Bernard, J. (2008). The brief resilience scale: Assessing the ability to bounce back. International Journal of Behavioral Medicine, 15(3), 194–200. https://doi.org/10.1080/10705500802222972.CrossRefPubMed

Süleymanlar, G., Ateş, K., & Seyahi, N. (2020). Türkiye’de Nefroloji, Diyaliz ve Transplantasyon Registry-2019. Ankara: BAYT Bilimsel Arş. Basın Yayın Tanıtım Ltd. Şti.

Tanhan, A. (2020). Utilizing online photovoice (OPV) methodology to address biopsychosocial spiritual economic issues and wellbeing during COVID-19: Adapting OPV to turkish. Turkish Studies, 15(4), 1029–1086. https://doi.org/10.7827/TurkishStudies.44451.CrossRef

Tanhan, A., & Strack, R. W. (2020). Online photovoice to explore and advocate for muslim biopsychosocial spiritual wellbeing and issues: Ecological systems theory and ally development. Current Psychology, 39(6), 2010–2025. https://doi.org/10.1007/s12144-020-00692-6.CrossRef

Tanhan, A., & Young, J. S. (2022). Muslims and mental health services: A concept map and a theoretical framework. Journal of Religion and Health, 61(1), 23–63. https://doi.org/10.1007/s10943-021-01324-4.CrossRefPubMed

Tanhan, F., Özok, H., Kaya, A., & Yıldırım, M. (2023). Mediating and moderating effects of cognitive flexibility in the relationship between social media addiction and phubbing. Current Psychology, 1–12. https://doi.org/10.1007/s12144-023-04242-8.

Ulusoy, M., Sahin, N. H., & Erkmen, H. (1998). Turkish version of the Beck anxiety inventory: Psychometric properties. Journal of Cognitive Psychotherapy, 12(2), 163.

Uysal, V., Göktepe, A. K., Karagöz, S., & İlerisoy, M. (2017). Dinî başa çıkma ile umut, hayat memnuniyeti ve psikolojik sağlamlık arasındaki etkileşim üzerine bir araştırma. Marmara Üniversitesi İlâhiyat Fakültesi Dergisi, 52(52), 139–160. https://doi.org/10.15370/maruifd.333535.CrossRef

Yıldırım, M. (2020). Optimism as a Predictor of Flourishing Over and Above the Big Five Among Youth [[Paper presentation]]. International Academic Studies Conference, [Online], Turkey.

Yıldırım, M., & Maltby, J. (2022). Examining irrational happiness beliefs within an adaptation-continuum model of personality and coping. Journal of Rational-Emotive & Cognitive-Behavior Therapy, 40(1), 175–189.CrossRef

Yıldırım, M., Davison, E., Flowe, H. D., & Maltby, J. (2021). Reconsidering valuing happiness: The application of goal type theory. International Journal of Mental Health and Addiction, 20, 1757–1767.CrossRef

Yıldırım, M., Çağış, Z., Batra, K., Ferrarı, G., Kızılgeçit, M., Chırıco, F., & Sharma, M. (2022). Role of resilience in psychological adjustment and satisfaction with life among undergraduate students in Turkey: A cross-sectional study. Journal of Health and Social Sciences, 7(2), 224–235.

Yıldırım, M., Kaynar, Ö., Arslan, G., & Chirico, F. (2023). Fear of COVID-19, resilience, and future anxiety: Psychometric properties of the turkish version of the dark future scale. Journal of Personalized Medicine, 13(4), 597. https://doi.org/10.3390/jpm13040597.CrossRefPubMedPubMedCentral

Yıldırım Üşenmez, T., Öner, U., Şanlı, M. E., & Dinç, M. (2022). The Effect of spirituality on psychological resilience in women with breast Cancer who have received chemotherapy: A cross-sectional study from Turkey. Journal of Religion and Health, 1–12.

Title: The Role of Spirituality in Anxiety and Psychological Resilience of Hemodialysis Patients in Turkey
Authors: Mehmet Emin Şanli
Mahmut Dinç
Uğur Öner
Metin Buluş
İlhan Çiçek
İdris Doğan
Publication date: 24-06-2023
Publisher: Springer US
Keyword: Anxiety
Published in: Journal of Religion and Health / Issue 6/2023
Print ISSN: 0022-4197
Electronic ISSN: 1573-6571
DOI: https://doi.org/10.1007/s10943-023-01855-y

Keynote webinar | Spotlight on medication adherence

Springer Medicine

The Role of Spirituality in Anxiety and Psychological Resilience of Hemodialysis Patients in Turkey

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 6/2023

Reimagining a Healthcare Ethics for Persons with Parkinson’s Disease: Fostering Compassionate Care Through a Culture of Encounter

A Systematic Review of Interventions Based on Judeo-Christian Principles for Patients with Substance Dependence

Moral Distress, Moral Resilience, Moral Courage, and Moral Injury Among Nurses in the Philippines During the COVID-19 Pandemic: A Mediation Analysis

The Association Between Personal, Affective, and Cognitive Factors and Suicide Risk Among Muslims in Turkey

A Response to the Paal et al. Rejoinder: Religiosity and Risk of Parkinson’s Disease in England and the USA

The Prohibition of Suicide and Its Theological Rationale in Catholic Moral and Canonical Tradition: Origins and Development