Structural modeling of psychological well-being based on self transcendence mediated by social support on patients with diabetes

Document Type : Original Article

Authors

1 Department of Psychology, Najafabad Branch, Islamic Azad University, Najafabad, Iran

2 Faculty of Humanities, Sadjad University, Mashhad, Iran

Abstract

Background and Objective: Diabetes is one of the most common and costly chronic disease. Diabetes can have significant psychological effects on health.The present study aimed to investigate structural model of psychological well-being based on the theory of Self transcendence mediated by social support in patients with diabetes
Materials and Methods: The present study was a descriptive study that using structural equation modeling. We used available sampling for selecting 382 patients with diabetes type2 Referred to private diabetes clinics in Tehran in spring and summer 1400. Research tools included Psychological Well-being Questionnaire (PWBQ), Self-Transcendence Questionnaire (STQ) and Social Support Questionnaire (SSQ). The data were analyzed by SPSS21 and LISREL8.5 software.
Results: The proposed conceptual model approved all model fit indices (such as SRMR GFI, CFI, RMSEA) in an acceptable range to be good.  Self transcendence had a strong and positive relationship with psychological well-being, social support had a positive relationship with each of the mentioned components. It had an intermediary role. In general, the research model had a good fit and the considered structural model was desirable.
Conclusion: Improving the Self transcendence was associated with improving social support and promoting psychological well-being and could be used as a psychological solution alongside medical treatments.

Keywords


  1. Snyder LL, Stafford JM, Dabelea D, Divers J, Imperator G, Law J, et al. Socio‐economic, demographic, and clinical correlates of poor glycaemic control within insulin regimens among children with Type 1 diabetes: the search for Diabetes in Youth Study. Diabetic Medicine 2019; 36(8):1028-36. doi: 10.1111/dme.13983.
  2. Chrvala CA, Sherr D, Lipman RD. Diabetes self-management education for adults with type 2 diabetes mellitus: a systematic review of the effect on glycemic control. Patient Education and Counseling 2016; 99(6):926-943. doi: 10.1016/j.pec.2015.11.003.
  3. Amir Ehsani KA, Hu J, Wallace DC, Silva ZA, Dick S. Hispanic families’ action plans for a healthier lifestyle for diabetes management. The Science of Diabetes Self-Management and Care 2019; 45(1): 87-95. doi.org/10.1177/0145721718812478.
  4. Bakhtiarpour S, Heidarni A, Moradi Manesh F. Structural model of diabetic patients' self-care based on depression and mindfulness: The mediating role of health-based lifestyle. Journal of Diabetes Nursing 2020; 8(1): 1032-1044.
  5. Ruini C, Ryff CD. Using eudaimonic well-being to improve lives. In: Wood AM, Johnson J, editors. The Wiley Handbook of Positive Clinical Psychology 2016; 153-166. doi.org/10.1002/9781118468197.ch11.
  6. Kordi M, Banaei Heravan M. The Relationship of depression, anxiety, and stress with selfcar. behaviors in women with gestational diabetes. Journal of Midwifery and Reproductive Health 2020; 8(1): 2083-95. doi: 10.22038/JMRH.2019.41459.1471.
  7. Owens-Gary MD, Zhang X, Jawanda S, Bullard KM, Allweiss P, Smith BD. The importance of addressing depression and diabetes distress in adults with type 2 diabetes. Journal of General Internal Medicine 2019; 34(2): 320-4. doi: 10.1007/s11606-018-4705-2.
  8. Reyes-Contreras M, Glauser G, Rennison DJ, Taborsky B. Early-life manipulation of cortisol and its receptor alters stress axis programming and social competence. Royal Society 2019; 374(1770): 20180119. doi:10.1098/rstb.2018.0119.
  9. Damreihani N, Behzadipour S, Tahmasebi S. Relationship the Role of Perceived Social Support with Psychological Well-Being and the Marital Adjustment in the Women Undertake Mastectomy. Iranian Journal of Surgery 2017; 25(1): 61-9.
  10. Novak MA, Suomi SJ. Psychological Well‐ The International Encyclopedia of Primatology 2016; 14:1-4. doi: 10.1002/9781119179313.
  11. Sharifian N, Grühn D. The differential impact of social participation and social support on psychological well-being: Evidence from the Wisconsin longitudinal study.The International Journal of Aging and Human Development 2019; 88(2):107-126. doi.org/10.1177/0091415018757213.
  12. Reed PG. Theory of self-transcendence. In: MJ Smith, PJ Liehr, editors. Middle Range Theory for Nursing. 3rd ed. New York: Springer Publishimg 2013, 109-140.
  13. Rahmati A, Mousavi Nasab MH, Moradi F. Cognitive ability in the elderly: The role of self-transcendence, self-compassion and positive Affect. Aging Psychology 2020; 6(2): 107-117. doi: 10.22126/JAP.2020.5457.1435.
  14. Van Deurzen E. Transcendence and the Psychotherapeutic Quest for Happiness. London: The Royal College of Psychiatrists 2014.
  15. Kitson A, Chirico A, Gaggioli A, Riecke BE. A review on research and evaluation methods for investigating self-transcendence. Fronier in Psychology 2020; 11:547687. doi: 10.3389/fpsyg.2020.547687.
  16. Zanjani Tabasi R. Preliminary standardization of psychological well-being test [dissertation]. Tehran: University of Tehran, 2004.
  17. Fleming R, Baum A, Gisriel MM, Gatchel RJ. Mediating influences of social support on stress at Three Mile Island. Journal of Human stress 1982; 8(3): 14-22. doi.org/10.1080/0097840X.1982.9936110.
  18. Jafari E, Esmaeili A, Atadokht A. The relationship between religiosity and social support with coping styles in the mothers of children with special needs. Psychology of Exceptional Individuals 2015; 5(18):89-99. doi: 10.22054/JPE.2015.1546.
  19. Kalantari Kh. Structural Equation Modeling in socio-economic research. Tehran: Farhang Saba Publications; 2009.
  20. Anderson JC, Gerbing DW. Structural Equation Modeling in Practice: A Review and Recommended Two-Step Approach. Psychological Bulletin 1988; 103(3): 411-423. doi.org/10.1037/0033-2909.103.3.411.
  21. Moradi M. Perceived social support and academic vitality: the mediating role of beliefs of academic self-efficacy. Journal of Education and Learning Studies 2015;7 (1):24-1.
  22. Mohanna S, Talepasand S. The Relationship between Environmental Supports and Emotional Self-awareness with Academic Engagement: The Mediating role of Educational Well-being. Iranian Journal of Medical Education 2016; 16:31-42.
  23. Emadpour L, Ghulami Lavasani M, Shahcheraghi SM. The relationship between perceived social support and psychological well-being among students based on mediating role of academic motivation. International Journal of Mental Health and Addiction 2016; 14: 284-290. doi:10.1007/s11469-015-9608-4.
  24. Siedlecki KL, Salthouse TA, Oishi S, Jeswani S. The relationship between social support and subjective well-being across age. Social Indicators Research 2013; 117(2): 561-576. doi: 10.1007/s11205-013-0361-4.
  25. Tian L, Liu B, Huang S, Huebner ES. Perceived social support and school well-being among Chinese early and middle adolescents: The mediational role of self-esteem. Social Indicators Research 2013; 113(3):991-1008. doi: 10.1007/s11205-012-0123-8.
  26. Roberts JE, Gotlib IH. Temporal variability in global self-esteem and specific selfevaluation as prospective predictors of emotional distress: Specificity in predictors and outcome. Journal of Abnormal Psychology 1997; 106(4):521-529. doi.org/10.1037/0021-843X.106.4.521.
  27. Worth P, Smith M. Clearing the Pathways to Self-Transcendence. Frontiers in Psychology 2021. doi.org/10.3389/fpsyg.648381.
  28. Seligman MEP. Flourish: A visionary new understanding of happiness and well-being. New York: Free Press; 2011.
  29. Yaden DB, Haidt J, Hood RW, Vago DR, Newberg AB. The varieties of self-transcendent experience. Review of General Psychology 2017; 21:143-160. doi.org/10.1037/gpr0000102.
  30. Wong PTP. Preface: Frankl’s cure for a soulless psychology and a sick society. In: Krasovska N, Mayer CH, editors. Psychobiography of Viktor Frankl. New York: Springer Publishing; 2020.
  31. Stellar JE, Gordo AM, Piff PK, Cordar D, Anderson CL, Bai Y et al. Self-transcendent emotions and their social functions: compassion, gratitude, and Awe bind us to others through prosociality. Emotion Review 2017; 9:200–207. doi: org/10.1177/1754073916684557.
  32. Wong PTP, Mayer CH, Arslan G. COVID-19 and Existential Positive Psychology: The New Science of Self-Transcendence. Frontiers in Psychology 2021. doi.org/10.3389/fpsyg.2021.800308.
  33. Ekici E, Kızılcı S, Üner E, Belli M. Care Dependency and Diabetes Self-Care Activities in Elderly Individuals with Diabetes. Elderly Health Journal 2020; 6 (2):131-139. doi: 10.18502/ehj. v6i2.5021.
  34. Hosseini A, Mjdy A, Hassani G. Investigating the role of social support on the quality of life of the elderly in Mashhad in 2014. Jurnal of Gerontology 2016; 1(2):10-18. doi:10.18869/acadpub.joge.1.2.10.
  35. Huber L, Plotner M, Schmitz J. Social competence and psychopathology in early childhood: a systematic review. European Child Adolescent Psychiatry 2019; 28(4):443-59. doi:10.1007/s00787-018-1152-x.
  36. Nazari S, Afshar PF, Sadeghmoghadam L, Namazi Shabestari A, Farhadi A. Developing the perceived social support scale for older adults: A mixed-method study. AIMS Public Health 2020; 7(1):66-80. doi: 10.3934/publichealth.2020007.
  37. Heydari A, Arefi M, Amiri H. Investigating the mediating role of self-care and spiritual experiences in the relationship between psychological well-being and social support of the elderly. Medical Journal of Mashad University of Medical Sciences 2020; 63(2): 2425-2415. doi: 10.22038/MJMS.2020.16254.
  38. Turashvili T, Turashvili M. Structural equation model of psychological well-being, a Georgian exploration. Social and Behavioral Sciences 2015; 21(8):4-9. doi.org/10.1016/j.sbspro.2015.04.908.
  39. Ghaffari M, Shahbazian HB, Kholghi M, Haghdoost MR. Relationship between social support and depression in diabetic patients. Jundishapur Scientific Medical Journal 2010; 8(4):383-389.
  40. Rey L, Extremera N, Sánchez-Álvarez N. Clarifying the links between perceived emotional intelligence and well-being in older people: pathways through perceive social support from family and friends. Applied Research in Quality of Life 2019; 14(1):221-35. doi:10.1007/s11482-017-9588-6.
  41. Van Deurzen E. Transcendence and the Psychotherapeutic Quest for Happiness. England: Royal College of Psychiatrists 2014.
  42. Wong PTP. Existential Positive Psychology (PP2.0) and global wellbeing: why it is necessary during the age of COVID-19. International Journal of Existential Positive Psychology 2021; 10: 1-16.
  43. Validipak A, Khaledi Sh, Moieni Manesh K. Efficacy of mindfulness training on enhancing optimism in women with pregnancy diabetes. Journal of Health Psychology 2015; 4(14):62-78.
  44. Rahimian Boogar I. The predictive role of happiness, optimism and demographical status in engagement in health-related behaviors. Knowledge and Health 2013; 8(1):17-23.
  45. Sarafino EP. [Health psychology: Biosychosocial interactions]. 3rd ed. Tehran, Iran:  Roshd Publishing 2012.
  46. Patrick H, Knee CR, Canevello A, Lonsbary C.  The role of need fulfillment inrelationship functioning and well-being:  A selfdetermination theory perspective.  Journal of Personality and Social Psychology 2007; 92: 434-457.  doi: 10.1037/0022-3514.92.3.434.
  47. Galiana L, Tomás JM, Fernández I, Oliver A. Predicting Well-Being Among the Elderly: The Role of Coping Strategies. Frontiers in Psychology 2020; 3(11): 616. doi: 10.3389/fpsyg.2020.00616.