Relationship between Death Anxiety and Resilience in Grade Four Liver Disease Patients: Mediating Role of Attachment to God

Document Type : Original Article

Authors

1 Department of Psychology, Payame Noor University, Kaboodarhang, Iran

2 Department of Psychology, Sciences and Research, Branch,Islamic Azad University,fars, Shiraz, Iran

3 Department of Psychology, Garmsar Branch, Islamic Azad University, Garmsar, Iran

4 Department of Psychology, Tehran Branch, Islamic Azad University, Science and Research Branch, Tehran, Iran

Abstract

Background: Today, the global focus is shifting toward non-communicable and chronic illnesses, such as non-alcoholic fatty liver disease.  
 
Objectives: This study aimed to explore the impact of attachment to God as a mediator in the relationship between death anxiety and resilience among grade four liver disease patients.
 
Methods: The present study was part of descriptive-correlational research and used cross-sectional research methods and structural equation modeling. The statistical population of this study included all grade four liver disease patients in Imam Khomeini Hospital, Tehran, Iran, between from August to October 2023. The statistical sample included 211 grade four liver disease patients selected through purposive sampling. Research tools included the Death Anxiety Scale, the Connor-Davidson Resilience Scale, and the Attachment to God Inventory. SPSS software (version 27) was used to perform descriptive statistics, and SmartPLS software (version 4) was used to conduct path analysis between variables.
 
Results: The findings of the present study showed that death anxiety had a significant negative impact on resilience (β=-0.516, P<0.001). Similarly, death anxiety significantly and negatively impacted attachment to God (β=-0.636, P<0.001). However, attachment to God, as a mediating variable, did not significantly impact resilience (β=0.111, P=0.101).
 
Conclusion: The results indicated that having a connection to God can lower death anxiety in grade four liver disease patients. Additionally, the study found that as death anxiety increases in grade four liver disease patients, their level of resilience and attachment to God decreases.  

Keywords

Acknowledgments: We extend our gratitude to the entire team at Imam Khomeini Hospital in Tehran, as well as to the grade four liver disease patients who participated in this research. Approval for this study was granted by the Ethical Committee at Islamic Azad University, Garmsar Branch, Garmsar, Iran (IR.IAU.GARMSAR.REC. 1402. 215).

 

Availability of data and materials:  The data used in the research can be requested from the author before or after the publication of the study.

 

Conflicts of interest: The researchers verify that the study was conducted free from any commercial or financial conflicts of interest. 

 

Consent for publication: The signed Consent to Publish send to the Publisher to permission of the Authors to publish the Work.

 

Ethics approval and consent to participate:  Approval for this study was granted by the Ethical Committee at Islamic Azad University, Garmsar Branch, Garmsar, Iran (IR.IAU.GARMSAR.REC. 1402. 215). The study was conducted in accordance with the ethical principles outlined in the Declaration of Helsinki.

 

Financial disclosure: This research did not receive any financial backing from external entities.

 

Author contributions: F. A.Z.: Contributed to the conception of the work, revising the draft, approving the final version of the manuscript, and agreeing on all aspects of the work; S. T.; M. G. and S. T. : Contributed to the data analysis and interpretation, critical revision, and approval of the final version of the manuscript; S. B.B.; F. A.Z. and R.K: Contributed to acquiring data, drafting the manuscript, and approving the final version; M. G. and S. T.: Contributed to the conception and design of the study, critical revision, and approval of the manuscript's final version; F. A.Z. and R.K.: Contributed to the conception and design of the study, data interpretation, drafting of the manuscript and critical revision, and approval of final version.

 

Open Access Policy: This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. To view a copy of this licence, visit https://creativecommons.org/licenses/by/4.0/

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Razavi International Journal of Medicine
Volume 13, Issue 1
special issue; Psychology in Health
March 2025

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