Introduction
With the progress in medicine, and technology, and the consequent rise in life expectancy, the elderly demographic has been expanding in recent times [
1,
4]. In old age, individuals undergo significant life changes, experience declines in physical and cognitive capabilities, and are susceptible to various physical and mental ailments. Neglecting these concerns can lead to substantial economic and social burdens for societies [
5,
9]. Therefore, researching the psychological challenges faced by the elderly holds growing significance and merit. Factors such as religiosity and resilience are known to enhance the psychological health and well-being of older individuals in their later years [
3,
18]. Therefore, this study aimed to explore the mediating role of resilience in the correlation between religiosity and the psychological well-being of the elderly. The objective is to enhance understanding and fortify these variables among the elderly, ultimately contributing to an improvement in their quality of life.
Methods
This current study is cross-sectional in nature, classified as applied research based on its objectives, and utilizes correlation analysis, particularly path analysis, as the primary method of data collection. The statistical population comprised individuals aged 60 and above, both male and female, residing in the city of Mianeh in 2021. A total of 319 participants (comprising 162 women and 157 men) were selected using convenience sampling by approaching individuals in public settings. The inclusion criteria were not having severe physical and mental illnesses and also having informed consent to complete the questionnaire. Descriptive statistics, including mean and standard deviation, and inferential statistics, including Pearson’s correlation coefficient and path analysis were used for data analysis, and SPSS software, version 26 and LISREL software, version 10.2 were used for analysis at a significance level of 0.05. In order to collect information, the Connor-Davidson Resilience Scale [
30], the Religiosity Scale developed by Glock and Stark [
33], and the Ryff’s Psychological WellBeing Scale [
11] were used.
Results
The data were analyzed in two parts, descriptive and inferential statistics. First, the descriptive findings, including the mean and standard deviation for the research variables, followed by the matrix of correlation coefficients, and then the findings from the path analysis to test the research hypotheses are presented. The results of the correlation analysis showed that all correlation coefficients obtained were significant at the level of P>0.05 or P>0.01, and high religiosity and resilience were associated with higher psychological well-being.
Table 1 shows the results of examining direct, indirect, and total relationships between variables.
The results of direct, indirect, and total relationship path analysis are shown in
Table 1. The significance of the impact of each relationship is evaluated by t values. All t values except the indirect effect of the consequence dimension on psychological well-being are above 1.96 and significant. To test the mediation hypothesis, considering the significance of belief, consequence, and ritual dimensions with resilience, as well as their significance in relation to psychological well-being, it can be concluded that resilience plays a mediating role between belief, consequence, and ritual with psychological well-being.
Conclusion
The purpose of the present study was to investigate the mediating role of resilience in the relationship between religiosity and the psychological well-being of the elderly. The results showed that religiosity has a positive relationship with resilience in the elderly, religiosity is often associated with the expression of positive feelings and experiences, and gives meaning to people’s lives in critical situations, thereby improving people’s resilience [
40]. According to the obtained results, religiosity has a positive relationship with the psychological well-being of the elderly; the elderly may consider their problems as an integral part of life and deal with them by trusting in God, leading to an improvement in their psychological well-being [
3]. Furthermore, the findings indicated a positive correlation between resilience and psychological well-being in the elderly. Resilient individuals exhibit positive emotions when confronted with unfamiliar emotional situations, and these positive emotions play a crucial role in restoring favorable conditions, ultimately leading to an enhancement in the psychological well-being of resilient individuals [
22]. Based on the results, resilience has a mediating role in the relationship between religiosity and the psychological well-being of the elderly, and as a result, the influence of religiosity through increasing resilience can improve people’s psychological well-being.
Ethical Considerations
Compliance with ethical guidelines
This study was approved by the research ethics committee of Zanjan University (Code: IR.ZNU.REC.1401.030). In this study, all ethical considerations, such as explaining the study objectives to the participants, ensuring the confidentiality of their information, their right to leave the study, and obtaining their informed consent were considered.
Funding
This article was extracted from the master’s thesis of Saeideh Mohammadi in general psychology at Zanjan University. This research received no specific grant from any funding agency in the public, commercial, or not-for-profit sectors.
Authors' contributions
All authors participated in all stages of the research.
Conflicts of interest
The authors declared that they have no conflicts of interest in publishing this article.
Acknowledgments
The authors would like to thank all seniors who participated in this study for their cooperation.
Refrences
- Steptoe A, Deaton A, Stone AA. Subjective wellbeing, health, and ageing. Lancet. 2015; 385(9968):640-8. [DOI:10.1016/S0140-6736(13)61489-0] [PMID] [PMCID]
- Afandi AA, Mulyani S, Rahmawati L. Efforts to fulfill the spiritual needs of the elderly in Ngunut village, Dander District, Bojonegoro. Jurnal eduhealth. 2022; 13(02):1143-7. [Link]
- Varaee P, Momeni K, Moradi A. [Prediction of psychological well-being based on attitude toward religion and death anxiety in the elderly men of Kermanshah’s part-time elderly care center (Persian)]. Journal of Research on Religion & Health. 2018; 4(2):54-68. [Link]
- Maldonado Briegas JJ, Sánchez Iglesias AI, Ballester SG, Vicente Castro F. The well-being of the elderly: Memory and aging. Frontiers in Psychology. 2020; 11:778. [DOI:10.3389/fpsyg.2020.00778] [PMID] [PMCID]
- Komalasari W, Yulia A. hubungan faktor fisik, psikologis dengan kualitas hidup lansia di air camar puskesmas andalas padang tahun 2019. Journal of Social and Economics Research. 2020; 2(1):23-30. [DOI:10.54783/jser.v2i1.12]
- Lee S, Choi Y. A study on family support and resilience of the elderly. Journal of Advanced Researches and Reports. 2021; 1(2):61-8. [DOI:10.21742/JARR.2021.1.2.09]
- Sutria E, Lestari I. Empowerment the elderly in enhancing psychological well-being: Does mental-spiritual guidance enhance the elderly quality of life? Journal of Islamic Health Studies. 2022; 1(1):8-24. [Link]
- Li J, Hsu CC, Lin CT. Leisure participation behavior and psychological well-being of elderly adults: An empirical study of Tai Chi Chuan in China. International Journal of Environmental Research and Public Health. 2019; 16(18):3387. [DOI:10.3390/ijerph16183387] [PMID] [PMCID]
- Won D, Bae JS, Byun H, Seo KB. Enhancing subjective well-being through physical activity for the elderly in Korea: A meta-analysis approach. International Journal of Environmental Research and Public Health. 2019; 17(1):262. [DOI:10.3390/ijerph17010262] [PMID] [PMCID]
- Akhavan Tafti M, Mofradnezhad N. [The relationship of emotional intelligence and social skills with psychological well-being in the elderly (Persian)]. Salmand. 2018; 13(3):334-45. [DOI:10.32598/sija.13.3.334]
- Ryff CD. Happiness is everything, or is it? Explorations on the meaning of psychological well-being. Journal of Personality and Social Psychology. 1989; 57(6):1069-81. [DOI:10.1037/0022-3514.57.6.1069]
- Compton WC. Toward a tripartite factor structure of mental health: Subjective well-being, personal growth, and religiosity. The Journal of Psychology. 2001; 135(5):486-500. [DOI:10.1080/00223980109603714] [PMID]
- Hapsari S, Ratriana Y. Hubungan antara Psychological Well Being dan Kesepian pada Lansia di Desa Ringinawe Kota Salatiga. Jurnal Ilmiah Bimbingan Konseling Undiksha. 2022; 13(2):1-9. [DOI:10.23887/jibk.v12i3.38721]
- Bragina I, Voelcker-Rehage C. The exercise effect on psychological well-being in older adults-a systematic review of longitudinal studies. German Journal of Exercise and Sport Research. 2018; 48(3):323-33. [DOI:10.1007/s12662-018-0525-0]
- Yeung D. Aging and psychological well-being. In: Pachana NA, editor. Encyclopedia of geropsychology. Singapore: Springer Singapore; 2015. [DOI:10.1007/978-981-287-082-7_139]
- Ryff CD, Singer BH. Best news yet on the six-factor model of well-being. Social Science Research. 2006; 35(4):1103-19. [DOI:10.1016/j.ssresearch.2006.01.002]
- Bonanno GA. Resilience in the face of potential trauma. Current Directions in Psychological Science. 2005; 14(3):135-8. [DOI:10.1111/j.0963-7214.2005.00347.x]
- Zhao X, Zhang D, Wu M, Yang Y, Xie H, Li Y, et al. Loneliness and depression symptoms among the elderly in nursing homes: A moderated mediation model of resilience and social support. Psychiatry Research. 2018; 268:143-51. [DOI:10.1016/j.psychres.2018.07.011] [PMID]
- Sciumè L, Rebagliati GAA, Iannello P, Mottini A, Alessandro A, Caserta AV, et al. Rehabilitation after urgent or elective orthopedic surgery: The role of resilience in elderly patients. Rehabilitation Nursing. 2018; 43(5):267-74. [DOI:10.1097/rnj.0000000000000038] [PMID]
- Andalib Kourayem M, Mahmoodi Nia S. [The quality of life in the elderly: The role of resiliency and mindfulness (Persian)]. Aging Psychology. 2021; 7(2):179-67. [DOI:10.22126/JAP.2021.6217.1510]
- Weiss LG. Toward the mastery of resiliency. Canadian Journal of School Psychology. 2008; 23(1):127-37. [DOI:10.1177/0829573508316600]
- Letzring TD, Block J, Funder DC. Ego-control and ego-resiliency: Generalization of self-report scales based on personality descriptions from acquaintances, clinicians, and the self. Journal of Research in Personality. 2005; 39(4):395-422. [DOI:10.1016/j.jrp.2004.06.003]
- Jadidi A, Sadeghian E, Khodaveisi M, Fallahi-Khoshknab M. Spiritual needs of the muslim elderly living in nursing homes: A qualitative study. Journal of Religion and Health. 2022; 61(2):1514-28. [DOI:10.1007/s10943-021-01263-0] [PMID] [PMCID]
- Fernández Lorca MB, Valenzuela E. Religiosity and subjective wellbeing of the elderly in Chile: A mediation analysis. Journal of Religion, Spirituality & Aging. 2022; 34(1):17-38. [DOI:10.1080/15528030.2020.1839624]
- Headey B, Schupp J, Tucci I, Wagner GG. Authentic happiness theory supported by impact of religion on life satisfaction: A longitudinal analysis with data for Germany. The Journal of Positive Psychology. 2010; 5(1):73-82. [DOI:10.1080/17439760903435232]
- Diener E, Suh EM, Lucas RE, Smith HL. Subjective well-being: Three decades of progress. Psychological Bulletin. 1999; 125(2):276. [DOI:10.1037/0033-2909.125.2.276]
- Aghababaei N, Błachnio A, Aminikhoo M. The relations of gratitude to religiosity, well-being, and personality. Mental Health, Religion & Culture. 2018; 21(4):408-17. [DOI:10.1080/13674676.2018.1504904]
- Koenig HG. Spirituality, wellness, and quality of life. Sexuality, Reproduction and Menopause. 2004; 2(2):76-82. [DOI:10.1016/j.sram.2004.04.004]
- Brown PH, Tierney B. Religion and subjective well-being among the elderly in China. The Journal of Socio-Economics. 2009; 38(2):310-9. [DOI:10.1016/j.socec.2008.07.014]
- Connor KM, Davidson JR. Development of a new resilience scale: The connor-davidson resilience scale (CD-RISC). Depression and Anxiety. 2003; 18(2):76-82. [DOI:10.1002/da.10113] [PMID]
- Keyhani M, Taghvaei D, Rajabi A, Amirpour B. [Internal consistency and confirmatory factor analysis of the Connor-Davidson Resilience Scale (CD-RISC) among nursing female (Persian)]. Iranian Journal of Medical Education. 2015; 14(10):857-65. [Link]
- A’zami Y, Mo’tamedi A, Doostian U, Jalalvand M, Farzanwgan M. [The role of resiliency, spirituality, and religiosity in predicting satisfaction with life in the elderly (Persian)]. Counseling Culture and Psycotherapy. 2012; 3(12):1-20. [DOI:10.22054/qccpc.2011.5906]
- Stark R. A taxonomy of religious experience. Journal for the Scientific Study of Religion. 1965; 5(1):97-116. [DOI:10.2307/1384259]
- Pouyafar M, Serajzadeh SH. [The study of secularization among muslim iranians; inter-generational comparison (Persian)]. Journal of Iranian Social Development Studies. 2012; 4(4):65-88. [Link]
- Khanjani M, Shahidi S, Fathabadi J, Mazaheri MA, Shokri O. [Factor structure and psychometric properties of the Ryff’s scale of Psychological well-being, short form (18-item) among male and female students (Persian)]. Thoughts and Behavior in Clinical Psychology. 2014; 9(32):27-36. [Link]
- Motamedi A, Borjali A, Sadeghpour M. [Predicting the psychological well-being of the elderly based on the ability to manage stress and social support (Persian)]. Salmand. 2017; 13(1):98-109. [DOI:10.21859/sija.13.1.98]
- Hooman HA. [Structural equation modeling with lisrel application (Persian)]. Tehran: SAMT publication; 2005. [Link]
- Badeleh shamooshaki MT, Mirbehbahani N, Ariakhah M, Latifizadeh M, Jahanshi N. [Relationship between religious beliefs with quality of life and resilience of mothers with children suffering from cancer (Persian)]. Journal of Health Research in Community. 2020; 6(3):10-9. [Link]
- Abbasifard A, Habibzadeh A, Zeynabi R. Religiosity: Mediation of Resilience and Hopefulness; The Case of Students of Islamic Azad University, Qom Branch. Health, Spirituality & Medical Ethics Journal. 2022; 9(1). [DOI:10.32598/hsmej.9.1.6]
- Fradelos EC, Latsou D, Mitsi D, Tsaras K, Lekka D, Lavdaniti M, et al. Assessment of the relation between religiosity, mental health, and psychological resilience in breast cancer patients. Contemporary Oncology/Współczesna Onkologia. 2018;22(3):172-7. [DOI:10.5114/wo.2018.78947] [PMID]
- Goodarzi M. [The relationship between religious attitude and the symptoms of post traumatic stress disorder in people who experienced the Bam earthquake (Persian)]. Journal of Fundamentals of Mental Health. 2011; 13(50):93-182. [DOI:10.22038/JFMH.2011.1018]
- Diener E, Lucas RE, Oishi S. Subjective well-being: The science of happiness and life satisfaction. In: Snyder CR, Lopez SJ, editors. Handbook of positive psychology. Oxford: Oxford Academic; 2002. [DOI:10.1093/oso/9780195135336.003.0005]
- Reutter KK, Bigatti SM. Religiosity and spirituality as resiliency resources: Moderation, mediation, or moderated mediation? Journal for the Scientific Study of Religion. 2014; 53(1):56-72. [DOI:10.1111/jssr.12081]
- Kim S, Esquivel GB. Adolescent spirituality and resilience: Theory, research, and educational practices. Psychology in the Schools. 2011; 48(7):755-65. [DOI:10.1002/pits.20582]
- Sayyedi MS, Baghherian F. [Predicting family hardiness by family leisure and home religious rituals with the mediating role of family communication quality (Persian)]. Family Counseling and Psychotherapy. 2011; 1(2):226-42. [Link]
- Moinizadeh MM, Asghar Yar. [The relationship between religiosity and psychological well-being of couples refering to counseling centers (Persian)]. Positive Psychology. 2019; 3(8):24-33. [Link]
- Ismail Z, Desmukh S. Religiosity and psychological well-being. International Journal of Business and Social Science. 2012; 3(11):20-8. [Link]
- Van Cappellen P, Toth-Gauthier M, Saroglou V, Fredrickson BL. Religion and well-being: The mediating role of positive emotions. Journal of Happiness Studies. 2014; 17:485-505. [DOI:10.1007/s10902-014-9605-5]
- Baysal M. Positive psychology and spirituality: A review study. Spiritual Psychology and Counseling. 2022; 7(3):359-88. [DOI:10.37898/spc.2022.7.3.179]
- Ghayati M, Rezakhani S. [The mediating role of resilience in the relationship between religious attitude and locus of control with psychological well-being in elderly women (Persian)]. Rooyesh-e-Ravanshenasi Journal. 2022; 11(9):91-102. [Link]
- Nafar Z, Karimi E. [The relationship between resilience and coping strategies with psychological well-being in students (Persian)]. Rooyesh-e-Ravanshenasi Journal. 2019; 8(7):239-46. [Link]
- Iqbal MZ, Sumaira, Ulfat. Resilience as related to psychological well-being among school teachers. Psychology in India. 2018; 6(1 and 2):36-41. [Link]
- Hashemi Nosratabad T, Bahadori Khosroshahi J. [The relationship between hope and resilience with psychological well-being in students (Persian)]. Thought and Behavior in Clinical Psychology. 2011; 6(22):41-50. [Link]
- Seidmahmoodi J, Rahimi C, Mohamadi N. Resiliency and religious orientation: Factors contributing to posttraumatic growth in Iranian subjects. Iranian Journal of Psychiatry. 2011; 6(4):145-50. [PMID] [PMCID]
- Behzadpoor S, Motahhari ZS, Vakili M, Sohrabi F. [The effect of resilience training on increasing psychological well-being of infertile women (Persian)]. Journal of Ilam University of Medical Sciences. 2015; 23(5):131-42. [Link]
- Roothman B, Kirsten DK, Wissing MP. Gender differences in aspects of psychological well-being. South African Journal of Psychology. 2003; 33(4):212-8. [DOI:10.1177/008124630303300403]
- List J. Clinical issues and the empirical dimensions of the religion and health connection. The Virtual Mentor. 2005; 7(5):virtualmentor.2005.7.5.jdsc1-0505. [DOI:10.1001/virtualmentor.2005.7.5.jdsc1-0505] [PMID]
- Jafarzadeh MR, Hosseini SA, Alaei Rozbahani A. [The mediation role of psychological well-being in the relationship between resilience and positive connection at school (Persian)]. Journal of New Approaches in Educational Administration, 2021; 12(2):153-68. [DOI:10.30495/jedu.2021.23144.4686]
- Nemati S. [The role of resiliency and psychological hardiness in predicting psychological well-being (Persian)]. Positive Psychology Research. 2020; 5(3):1-12. [Link]