Author:
Rambod Masoume,Hamidizadeh Saeed,Bazrafshan Mohammad-Rafi,Parviniannasab Ali Mohammad
Abstract
AbstractBackgroundResilience is the ability to overcome adversity in response to a potentially traumatic event. It can relieve people’s discomfort and build personal capacity when facing a stressful situation such as beta thalassemia major. Resilience is a complex and multidimensional concept and is influenced by protective and risk factors. Therefore, the aims of the present study were to (1) investigate the relationship between protective (social support and hope) and risk (uncertainty and defensive coping) factors with resilience and (2) examine the mediating role of courageous coping between these protective and risk factors in resilience.MethodsThis descriptive-analytical study was performed on 312 adolescents and young adults with beta-thalassemia major aged 12–24 years; they were selected using purposeful sampling from two different outpatient thalassemia clinics in the south of Iran. Data were collected in a face-to-face survey using Zimmet Multidimensional Scale of Perceived Social Support, Herth Hope, Stewart Uncertainty in Illness scale, Jalowiec Coping, and Connor–Davidson resilience Scale from April 2022 to November 2022. The collected data were analyzed using descriptive tests, Pearson correlation, and a structural equation model.ResultsAccording to the main findings of mediation analysis, courageous coping partially mediated the relationship between social support and resilience [(β = 0.042; 95% BC CI (0.003, 0.131)] and fully mediated the relationship between hope and resilience [(β = 0.166; 95% BC CI (0.031, 0.348)]. In other cases, uncertainty and defensive coping had a direct and indirect effect on resilience, respectively.ConclusionBased on these results, health professionals and healthcare policymakers should consider this mediator in developing programs to improve resilience. Also, the use of courageous coping could modulate the effect of defensive coping on resilience. Therefore, teaching the use of courageous coping can play an important role in improving resilience.
Publisher
Springer Science and Business Media LLC
Subject
General Psychology,General Medicine
Reference59 articles.
1. Yeşilipek A. Hematopoetic stem cell transplantation in patients with beta thalassemia major. Archive and Survey Journal. 2014;23(1):49–59.
2. Lei M-q, Sun L-f, Luo X-s, Yang X-y, Yu F, Chen X-x. Wang Z-m: distinguishing iron deficiency anemia from thalassemia by the red blood cell lifespan with a simple CO breath test: a pilot study. J Breath Res. 2019;13(2):026007.
3. Gulbis B, Ferster A, Vertongen F. Fabiola UdER, Bruxelles RdL: Hemoglobinopathies in Belgium. Belg J Hematol Volume 2010, 1(2).
4. Abbasi S, Shahriari M, Ghanavat M, Talakoub S, Asl FSM, Hemati Z. The relation between different aspects of quality of life with coping style in adolescents with thalassemia in comparison to a healthy group. Int J hematology-oncology stem cell Res. 2020;14(1):19.
5. Hadipour Dehshal M, Tabrizi Namini M, Hantoushzadeh R, Yousefi Darestani S. β-Thalassemia in Iran: things everyone needs to know about this disease. Hemoglobin. 2019;43(3):166–73.