Volume 22, Issue 4 (3-2025)
sjsph 2025, 22(4): 389-406 |
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Siahmoshtei J, Zivari Rahman M, Mikaeili N. Modeling of the Mediating Role of Health Literacy in the Relationship Between Early Maladaptive Schemas and Coping Strategies in Cancer Patients. sjsph 2025; 22 (4) :389-406
URL: http://sjsph.tums.ac.ir/article-1-6372-en.html
URL: http://sjsph.tums.ac.ir/article-1-6372-en.html
1- PhD. Student, Department of Psychology, University of Mohaghegh Ardabili, Ardabil, Iran , Siahmoshtei.j@uma.ac.ir
2- Assistant Professor, Department of Educational Sciences and Counseling, Sayyed Jamaleddin Asadabadi University, Asadabad, Iran, Assistant Professor, Department of Educational Sciences and Counseling, Sayyed Jamaleddin Asadabadi University, Asadabad, Iran
3- Professor, Department of Psychology, University of Mohaghegh Ardabili, Ardabil, Iran, Professor, Department of Psychology, University of Mohaghegh Ardabili, Ardabil, Iran
2- Assistant Professor, Department of Educational Sciences and Counseling, Sayyed Jamaleddin Asadabadi University, Asadabad, Iran, Assistant Professor, Department of Educational Sciences and Counseling, Sayyed Jamaleddin Asadabadi University, Asadabad, Iran
3- Professor, Department of Psychology, University of Mohaghegh Ardabili, Ardabil, Iran, Professor, Department of Psychology, University of Mohaghegh Ardabili, Ardabil, Iran
Abstract: (1255 Views)
Background and Aim: Cancer patients face numerous psychological and physical challenges in which various psychological, social, economic and medical variables are involved. This study aimed to model the structural equations of coping strategies in cancer patients based on early maladaptive schemas with the mediating role of health literacy.
Materials and Methods: This was a correlation analysis study based on structural equation modeling. The statistical population consisted of cancer patients aged 20 to 60 years visiting private medical centers in Tehran between April 20th and September 21st, 2024, from among whom 665 participants were selected through convenience sampling. Data were collected using the Early Maladaptive Schemas Questionnaire (1998), the Adult Health Literacy Questionnaire (2023), and the Coping with Stressful Situations Inventory Questionnaire (1990) and analyzed using the structural equation modeling methods using SPSS 25 and Amos 24 software at a significance level of 0.05.
Results: Data analysis showed that the early maladaptive schemas had a statistically negative relationship with health literacy (β = ─ 0.84, p < 0.001) and a positive relationship with coping strategies (β = 0.25, p < 0.001). In addition, health literacy had a negative association with coping strategies (β = 0.83, p < 0.001). In addition, health literacy had a negative association with coping strategies (β=─0.83, p<0.001).and an intermediary role in the association between primary maladaptive schemas and coping strategies (β=0.25, p<0.001). Goodness-of-fit indices indicated an adequate fit of the model (GFI = 0/916, IFI = 0/910, CFI = 0/909, and RMSEA = 0.078).
Conclusion: The findings show that early maladaptive schemas are associated with low
health literacy and coping behaviors in cancer patients. Improving health literacy can, as a mediating variable, moderate these negative effects, and can also contribute to better constructive coping behaviors. Educational interventions to increase health literacy can be useful in mental therapy and rehabilitation.
Materials and Methods: This was a correlation analysis study based on structural equation modeling. The statistical population consisted of cancer patients aged 20 to 60 years visiting private medical centers in Tehran between April 20th and September 21st, 2024, from among whom 665 participants were selected through convenience sampling. Data were collected using the Early Maladaptive Schemas Questionnaire (1998), the Adult Health Literacy Questionnaire (2023), and the Coping with Stressful Situations Inventory Questionnaire (1990) and analyzed using the structural equation modeling methods using SPSS 25 and Amos 24 software at a significance level of 0.05.
Results: Data analysis showed that the early maladaptive schemas had a statistically negative relationship with health literacy (β = ─ 0.84, p < 0.001) and a positive relationship with coping strategies (β = 0.25, p < 0.001). In addition, health literacy had a negative association with coping strategies (β = 0.83, p < 0.001). In addition, health literacy had a negative association with coping strategies (β=─0.83, p<0.001).and an intermediary role in the association between primary maladaptive schemas and coping strategies (β=0.25, p<0.001). Goodness-of-fit indices indicated an adequate fit of the model (GFI = 0/916, IFI = 0/910, CFI = 0/909, and RMSEA = 0.078).
Conclusion: The findings show that early maladaptive schemas are associated with low
health literacy and coping behaviors in cancer patients. Improving health literacy can, as a mediating variable, moderate these negative effects, and can also contribute to better constructive coping behaviors. Educational interventions to increase health literacy can be useful in mental therapy and rehabilitation.
Type of Study: Research |
Subject:
Public Health
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