Volume 11, Issue 2 (9-2026)
cjhaa 2026, 11(2): 0-0 |
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Badiee Sabzevar H, Khodabakhsh M R, Bagherzadeh Golmakani Z. Relationship between Psychological Resilience and Health-Related Quality of Life: The Mediating Role of Sleep Quality in Older Adults with Chronic Diseases. cjhaa 2026; 11 (2)
URL: http://cjhaa.mubabol.ac.ir/article-1-260-en.html
URL: http://cjhaa.mubabol.ac.ir/article-1-260-en.html
Assistant Professor, Department of Psychology, Ne. C., Islamic Azad University, Neyshabur, Iran
Abstract: (15 Views)
Background and Objective: Aging accompanied by chronic diseases can significantly affect health-related quality of life. The aim of this study was to develop a structural model of the relationship between psychological resilience and health-related quality of life, with sleep quality as a mediating variable, among older adults with chronic diseases.
Methods: The study population consisted of adults aged 60 years and older with chronic diseases who were residing in nursing homes in Neyshabur County, with an approximate population of 1,000 individuals, during the second half of 2024. A total of 450 participants were selected using convenience sampling and completed the Connor–Davidson Resilience Scale (CD-RISC), the 36-Item Short Form Health Survey (SF-36), and the Pittsburgh Sleep Quality Index (PSQI). Data were analyzed using Pearson’s correlation coefficient and structural equation modeling (SEM) with SPSS 26 and AMOS 26.
Findings: The results indicated that the proposed model demonstrated a good fit to the data (GFI = 0.917, CFI = 0.922, NFI = 0.909, RMSEA = 0.077, χ²/df = 4.681). Psychological resilience had a significant positive direct effect on health-related quality of life (β = 0.314) and also exerted a significant positive effect on sleep quality.
Conclusion: resilience and health-related quality of life among older adults with chronic diseases. Understanding the factors associated with resilience may help inform interventions to improve the quality of life in this population.The findings indicate that sleep quality mediates the relationship between psychological.
Methods: The study population consisted of adults aged 60 years and older with chronic diseases who were residing in nursing homes in Neyshabur County, with an approximate population of 1,000 individuals, during the second half of 2024. A total of 450 participants were selected using convenience sampling and completed the Connor–Davidson Resilience Scale (CD-RISC), the 36-Item Short Form Health Survey (SF-36), and the Pittsburgh Sleep Quality Index (PSQI). Data were analyzed using Pearson’s correlation coefficient and structural equation modeling (SEM) with SPSS 26 and AMOS 26.
Findings: The results indicated that the proposed model demonstrated a good fit to the data (GFI = 0.917, CFI = 0.922, NFI = 0.909, RMSEA = 0.077, χ²/df = 4.681). Psychological resilience had a significant positive direct effect on health-related quality of life (β = 0.314) and also exerted a significant positive effect on sleep quality.
Conclusion: resilience and health-related quality of life among older adults with chronic diseases. Understanding the factors associated with resilience may help inform interventions to improve the quality of life in this population.The findings indicate that sleep quality mediates the relationship between psychological.
Keywords: Psychological resilience, Health-related quality of life, Sleep quality, Aging, Chronic disease
Type of Study: Research |
Subject:
Special
Received: 2026/07/25 | Accepted: 2026/08/26 | Published: 2026/09/23
Received: 2026/07/25 | Accepted: 2026/08/26 | Published: 2026/09/23
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