The relationship between Loneliness, Distress Tolerance and Resilience with Spiritual Health in Older Adult Residents in Nursing Homes

Document Type : Original Article

Authors

1 MA of Clinical Psychology, Department of Clinical Psychology, Isfahan (Khorasgan) Branch, Islamic Azad University, Isfahan, Iran.

2 Assistant Professor, Department of Clinical Psychology, Isf.C., Islamic Azad University, Isfahan, Iran.

10.22126/jap.2025.11836.1840

Abstract

Spiritual health as the fourth pillar of human health is influenced by various factors. Therefore, the present study was conducted to determine the relationship between loneliness, distress tolerance and resilience with spiritual health in older adult residents in nursing homes. The research method was descriptive study, of correlational type and its statistical population included all the older adult residents of Isfahan nursing homes in 2024, of whom 150 people were selected as a sample through convenience sampling method. The research tools include Russell's loneliness scale, Simons and Gaher's Distress tolerance scale, Campbell-Silis & Stein's Connor-davidson resilience scale 10 item and Poloutzian & Ellison's Spiritual well-being scale. The data were analyzed using Pearson correlation coefficient and simultaneous multiple regression, also SPSS-26 statistical software was used. The findings revealed negative and significant relationship between loneliness and spiritual health (r=-0.483), positive and significant relationship between distress tolerance and spiritual health (r=0.509) and positive and significant relationship between resilience and spiritual health (r=0.501), all at P<0.01. Totally predictor variables were able to predict 86.3% of the variance of the spiritual health variable and distress tolerance had a greater contribution in this prediction. Therefore, it is concluded that reducing loneliness and increasing the skills of distress tolerance and resilience are the factors that significantly increase the spiritual health in older adult residents in nursing homes.

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History

  • Receive Date: 20 February 2025
  • Revise Date: 13 September 2025
  • Accept Date: 06 September 2025

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