The relationship between health anxiety and psychological well-being of the elderly with the mediation of self-compassion

Authors

  • Maryam Nayebzadeh Master's degree, Faculty of Psychology, General Psychology, Islamic Azad University, Tehran, Iran
  • Seyyed Ehsan Emadi Master's degree, Faculty of Psychology, General Psychology, Islamic Azad University, Tehran, Iran (Corresponding author).

DOI:

https://doi.org/10.63053/ijhes.114

Keywords:

Self-compassion, health anxiety, psychological well-being and the elderly

Abstract

Introduction: Given that people's attitude towards aging can lead to a sense of well-being, improved quality of life, and long-term health outcomes in old age; identifying modifiable factors before the onset of old age and in middle age can help to begin a positive old age. Self-compassion is one of the variables that promote well-being and life satisfaction in the elderly.

Methodology: This study was a cross-sectional descriptive-correlation study that aimed to determine the relationship between self-compassion and health anxiety with psychological well-being in the elderly in Tehran in 1400-1399. The research population included all men and women aged 60 to 90 years living in Tehran who were referred to health centres in the west of Tehran. A total of 113 participants were selected using a stratified sampling method with allocation proportional to the number of referrals to the relevant centres. The research setting included health centres in the west of Tehran. The data collection tool was a 2-part questionnaire including a) the standard self-compassion questionnaire of Reis et al. (2011) short form and b) the health anxiety questionnaire of Salkoskis and Warwick (2002). The data were analyzed using structural equation modelling and Amos software.

Findings: The findings of this study indicated that the direct path coefficient between health anxiety and psychological well-being is negative (P=0.001). The direct path coefficient between self-compassion and psychological well-being (P=0.049) is positive and health anxiety and self-compassion (P=0.001) is negative. The indirect path coefficient between health anxiety and psychological well-being (P=0.043) is also positive.

Conclusion: Health anxiety reduces psychological well-being in the elderly by reducing self-compassion.

References

• Abramowitz JS, Olatunji BO, Deacon BJ. Health anxiety, hypochondriasis, and the anxiety disorders. Behav Ther. 2007; 38(1):86-94.

• Alipour A, Ghadami A, Alipour Z, Abdullahzadeh H. [Preliminary validation of Corona Anxiety Scale (CDAS) in the Iranian sample (Persian)]. J Health Psychol. 2020; 8(32):163-75.

• Allen, A. B., & Leary, M. R. (2013). Self-com-passionate responses to aging. The Gerontologist, 54(2), 190-200.

• Allen, A. B., Goldwasser, E. R., & Leary, M. R. (2012). Self-compassion and well-being among older adults. Self and Identity, 11(4), 428-453.

• Azarbw, M., & Sajjadi, N. (2018). Role of the meaning of life, self-compassion and psychological capital in predicting psychological well-being of seniors in the elderly. Journal of Geriatric Nursing, 4(4), 0-0. [Persian]

• Barlow DH, Durand M. Abnormal Psychology: An Integrative Approach (6th ed). Canada: Wadsworth; 2012.

• Barsky AJ, Ettner SL, Horsky J, Bates DW. Resource utilization of patients with hypochondriacal health anxiety and somatization. Medical Care. 2001;39(7):705-15.

• Bobevski I, Clarke DM, Meadows G. Health anxiety and its relationship to disability and service use: findings from a large epidemiological survey. Psychosom Med. 2016;78(1):13-25.

• Cooper K, Gregory JD, Walker I, Lambe S, Salkovskis PM. Cognitive behaviour therapy for health anxiety: a systematic review and meta-analysis. Behav Cogn Psychother. 2017;45(2):110-23.

• Creed F, Barsky A. A systematic review of the epidemiology of somatisation disorder and hypochondriasis. J Psychosom Res. 2004;56(4):391-408.

• Crous, G. (2017). Child psychological well-being and its associations with material deprivation and type of home. Children and Youth Services Review, 80(8), 88-95.

• Davoudi I, Nargesi F, Mehrabizadeh HM. Gender diferences in health anxiety and its related dysfunctional beliefs: with control of age. health psychol. 2012;1(3):65-72. [Persian]

• Erkutlu, H. (2014). Exploring the moderating effect of psychological capital on the relationship between narcissism and psychological well-being. Social and Behavioral Sciences, 150(8), 1148-1156.

• Esmaeili S, Ghanbari Panah A, KoochakEntezar R. [Prediction of psychological well-being based on perceived health anxiety and stress with its mediating role of disability in married women working in the School of Nursing and Midwifery, Tehran University of Medical Sciences in 2018 (Persian)]. Iran J Nurs Res. 2020; 14(6):46-52.

• Han, W., & Shibusawa, T. (2015). Trajectory of physical health, cognitive status, and psychological well-being among Chinese elderly. Archives of Gerontology and Geriatrics, 60(1), 168-177.

• Hanley, A. W., Baker, A. K., & Garland, E. L. (2017). Self-interest may not be entirely in the interest of the self: Association between selflessness, dispositional mindfulness and psychological well-being. Personality and Individual Differences, 117(9), 166-171.

• Heintzelman, S. J., & Diener, E. (2019). Subjective well-being, social interpretation, and relationship thriving. Journal of Research in Personality, 78(2), 93-105.

• Homan, K. J. (2016). Self-compassion and psy-chological well-being in older adults. Journal of Adult Development, 23(2), 111-119.

• Imtiaz, S. (2016). Rumination, Optimism, and Psychological Well-Being among the Elderly: Self-Compassion as a Predictor. Journal of Be-havioural Sciences, 26(1), 32.

• Interian A, Allen LA, Gara MA, Escobar JI, Díaz-Martínez AM. Somatic complaints in primary care: further examining the validity of the Patient Health Questionnaire (PHQ-15). Psychosom. 2006;47(5):392-8.

• Jiang W, Kuchibhatla M, Cuffe MS, Christopher EJ, Alexander JD, Clary GL, et al. Prognostic value of anxiety and depression in patients with chronic heart failure. Circulation. 2004; 110(22):3452-6.

• Krieger, T., Altenstein, D., Baettig, I., Doerig, N., & Holtforth, M. G. (2013). Self-compassion in depression: Associations with depressive symptoms, rumination, and avoidance in depressed outpatients. Behavior therapy, 44(3), 501-513.

• Looper KJ, Kirmayer LJ. Hypochondriacal concerns in a community population. Psychol Med. 2001;31(4):577-84.

• Looper KJ, Kirmayer LJ. Hypochondriacal concerns in a community population. Psychol Med. 2001;31(4):577-84.

• López-Solà C, Bui M, Hopper JL, Fontenelle LF, Davey CG, Pantelis C, et al. Predictors and consequences of health anxiety symptoms: a novel twin modeling study. Acta Psychiatrica Scandinavica. 2018;137(3):241-51.

• McManus F, Surawy C, Muse K, Vazquez-Montes M, Williams JM. A randomized clinical trial of mindfulness-based cognitive therapy versus unrestricted services for health anxiety (hypochondriasis). J Consult Clin Psychol. 2012;80(5):817.

• Mohammadpour S, Jooshanlou M. [Relationship between published anxiety disorder and obsessive-compulsive personality disorder with psychological well-being of students of Lorestan University of Medical Sciences in 2014:The mediating role of passionate obsessive love (Persian)]. J Rafsanjan Univ Med Sci. 2015; 14(5):353-66.

• Neff, K. (2003). Self-compassion: An alternative conceptualization of a healthy attitude toward oneself. Self and Identity, 2(2), 85-101.

• Neff, K. D. (2009). The role of self-compassion in development: A healthier way to relate to oneself. Human development, 52(4), 211-214.

• Norouzinia R, Aghabarari M, Kohan M, Karimi M. [Health promotion behaviors and its correlation with anxiety and some students’ demographic factors of Alborz University of Medical Sciences (Persian)]. J Health Promot Manag. 2018; 2 (4) :39-49.

• Noyes R, Kathol RG, Fisher MM, Phillips BM, Suelzer MT, Holt CS. The validity of DSM-III-R hypochondriasis. Arch Gen Psychiatry. 1993;50(12):961-70.

• Pailler, S., & Tsaneva, M. (2018). The effects of climate variability on psychological well-being in India. World Development, 106(5), 15-26.

• Phillips, W. J., & Ferguson, S. J. (2012). Self-compassion: A resource for positive aging. Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 68(4), 529-539.

• Rahimi Pour, M., & Karami, E. (2014). The Mediating role of spiritual intelligence with psychological well-being and life satisfaction in Mehriz elderly people. The Scientific Journal of Rehabilitation Medicine, 3(3), 72-81. [Persian].

• Rajabi, G., & Maghami, E. (2015). Self-compassion as mediator between attachment dimensions with mental well-being: A path analysis model. Quarterly Journal of Health Psychology, 4(16), 79-96. [Persian].

• Rief W, Hiller W, Margraf J. Cognitive aspects of hypochondriasis and the somatization syndrome. J Abnorm Psychol. 1998;107(4):587-94.

• Ryff, C. D., & Singer, B. H. (2006). Best news yet on the six-factor model of well-being. Social science research, 35(4), 1103-1119.

• Sadeghi, M., & Bavazin, F. (2019). Loneliness in the elderly: Prediction based on mental well-being, psychological capital and spiritual intelligence. Aging Psychology, 5(1), 41-51. [Persian].

• Salkovskis PM, Warwick H. Making sense of hypochondriasis: a cognitive theory of health anxiety. In Health anxiety: Clinical and research perspectives on hypochondriasis and related conditions. Chichester: Wiley; 2001.

• Sanderson, W. C., & Scherbov, S. (2015). Faster increases in human life expectancy could lead to slower population aging. PloS one, 10(4), 1-9.

• Simon GE, Gureje O, Fullerton C. Course of hypochondriasis in an international primary care study. Gen Hosp Psychiatry. 2001;23(2):51-5.

• Sohrabi, M., Abedanzade, R., Shetab Boushehri, N., Parsaei, S., & Jahanbakhsh, H. (2017). The Relationship between psychological well-being and mental toughness among elders: Mediator role of physical activity. Salmand: Iranian Journal of Ageing, 11(4), 538-549. [Persian].

• Te Poel F, Baumgartner SE, Hartmann T, Tanis M. The curious case of cyberchondria: A longitudinal study on the reciprocal relationship between health anxiety and online health information seeking. J Anxiety Disord. 2016;43:32-40.

• Varaee, P., Momeni, K., & Moradi, A. (2020). Mediating role of self-compassion in the relationship between attitude toward religion and psychological well-being in the elderly. The Scientific Journal of Rehabilitation Medicine, 9(1), 49-62. [Persian].

• Webel, A. R., Wantland, D., Rose, C. D., Kemppainen, J., Holzemer, W. L., Chen, W.T., & Chaiphibalsarisdi, P. (2015). A cross-sectional relationship between social capital, self-compassion, and perceived HIV symptoms. Journal of pain and symptom management, 50(1), 59-68.

• Weck F, Richtberg S, MB Neng J. Epidemiology of hypochondriasis and health anxiety: comparison of different diagnostic criteria. Curr Psychiatr Rev. 2014;10(1):14-23.

• Wheaton MG, Berman NC, Abramowitz JS. The Contribution of Experiential Avoidance and Anxiety Sensitivity in the Prediction of Health Anxiety. J Cogn Psychother. 2010;24(3):229-39.

Published

2025-01-25

How to Cite

Nayebzadeh, M., & Emadi, S. E. (2025). The relationship between health anxiety and psychological well-being of the elderly with the mediation of self-compassion. International Journal of New Findings in Health and Educational Sciences (IJHES), 3(1), 71–80. https://doi.org/10.63053/ijhes.114

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