Background: Pain resilience can protect cancer patients from emotional turmoil as a protective factor in adapting to chronic pain. Objectives: This study aimed to evaluate cancer patients’ psychometric properties in the Persian version of the Pain Resilience Scale. Methods: This methodological study was conducted on 200 patients with cancer, who referred to the chemotherapy section of Imam Reza Hospital in Kermanshah, Iran in 2021 to examine the psychometric properties of the Persian version of the Ankawi Pain Resilience Scale. The subjects were selected through purposive sampling method based on inclusion criteria. Results: The results indicated that Cronbach’s alpha coefficient was obtained under the Behavioral Perseverance Scale (α = 0.86), Emotional/Cognitive Positive Thinking Scale (α = 0.93), and the whole Scale (α = 0.94). According to the exploratory factor analysis, this scale explained 65% of the variance of the pain resilience variable. The confirmatory factor analysis results confirmed that a two-factor model is a good fit for the data. Conclusion: According to the results, the pain resilience scale had an acceptable validity in people with cancer.
Objectives: Personality and spiritual factors play an important role in the death anxiety of incurable patients. This research was performed to investigate the mediating role of resilience in the relationship between emotional regulation and spirituality, with death anxiety in cancer patients. Methods: Number of 290 cancer patients referring to the chemotherapy section of Imam Reza Hospital were selected using available sampling methods. The questionnaires that were considered to collect information were: (1) Demographic Information Questionnaire; (2) Parsian and Dunning Spirituality Questionnaire; (3) Garnefski Emotion Regulation Questionnaire; (4) Connor & Davidson Resilience Questionnaire; and (5) Templer Death Anxiety Questionnaire; all the data from these questionnaires after completion and analysis of the data collected, structural equations were carried out using Smart Pls. Results: The results showed that the direct effect of cognitive regulation of emotion, spirituality and resilience on death anxiety is significant (P ≤ 0.01). Also, the direct effect of cognitive regulation of emotion and spirituality on resilience is significant (P ≤ 0.01). Furthermore the indirect cognitive regulation of emotion and spirituality on death anxiety mediated by resilience is significant (P ≤ 0.01). Conclusions: The results of this study show the importance of personality and spiritual factors in psychological problems of cancer patients and have implications in the field of psychotherapy.
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