Test of a model to explain coronary anxiety based on the meaning of life and cyberchondria with a mediating role of spiritual health among housewives

Document Type : Research Paper

Authors

1 Associate Professor, Department of Social Science, Faculty of Literature and Humanities, Shahid Bahonar University, Kerman, Iran. smaghsoodi@uk.ac.ir. (Corresponding Author)

2 MSc, Department of Social Sciences, Faculty of Literature and Humanities, Shahid Bahonar University, Kerman, Iran. esfandiary.af26@gmail.com‌

10.22051/jwsps.2023.42100.2692

Abstract

The present study aimed to investigate the organizational factors influencing the conflict between professional and family roles among female nurses during the COVID-19 pandemic. A survey method was used, and the study population included 100 women nurses from both public and private hospitals in Jiroft city, selected through the census method. The standard questionnaire used to collect data on organizational factors and work-family role conflicts was validated through face validity, and reliability was assessed through Cronbach's alpha. Results from regression analysis showed that the most important predictor of work-family role conflict among working women was organizational commitment (t=-3.695, β=-0.456). The model test demonstrated that organizational justice (β=0.47, p < 0.001), possibility of role promotion (β=0.44, p < 0.001), job involvement (β=0.73, p<0.001), organizational commitment (β=0.68, p<0.001), feeling of role importance (β=0.13, p<0.001), superior social support (β=0.7, p<0.001), coworkers' social support (β=0.63, p<0.001) and job satisfaction (β=0.62, p<0.001) had a negative and significant relationship with work-family role conflict. The regression coefficient between organizational factors and work-family role conflict was -0.31, indicating that a one-unit increase in organizational factors decreased work-family role conflict of working women by 0.31 standard deviation units.

Role Conflict, Job Satisfaction, Social Support, Organizational Commitment, Job Conflict.

‌Introduction
In late 2019, the Covid-19 or coronavirus disease first emerged in China, and on March 11, 2020, it was declared a pandemic by the World Health Organization (Jiminez et al., 2020: 61). This disease has affected the professional and personal lives of many individuals, including nurses who are often faced with work-family conflicts. In the past, it was believed that work and family operated independent of one another and should be studied separately. However, this view has been replaced with the recognition that work and family roles are interdependent, meaning that work environment factors can affect family life, and family issues can affect work life (Boyar, 2018: 216). The coronavirus crisis in Iran has made nurses frontline soldiers in the fight against the pandemic. The challenge of fighting this disease, coupled with family's expectations of the nurses' role, has caused turbulent and complex lives. Hence, this study aimed to examine the conflict between professional and family roles and the organizational factors affecting it among female nurses in Shahrjiroft.
 
Methodology
The current research is a descriptive study that uses a correlation method. The sociostatistical population of the study includes 100 female nurses in Jiroft city, with 83 working in public hospitals (Imam Khomeini and Kashani) and 17 in a private hospital (Qaim). Due to the small size of the population, the researcher used the census method to sample the entire population, resulting in a sample size of 100 people. To collect data and measure variables, two questionnaires were used: one for organizational factors affecting work-family role conflict and the other for measuring work-family conflict. The reliability of the work-family conflict questionnaire was 0.932, and for the organizational factors questionnaire effective in the conflict between work and family roles, it was 0.927.
 
Findings
The results of the study revealed that among the variables of organizational factors, job conflict had the highest average rating while the possibility of role promotion component had the lowest average rating. In terms of job and family role conflicts, time-based conflict had the highest average rating, while behavior-based conflict had the lowest average rating. The variance analysis of the regression model between organizational factors and work-family role conflict of female nurses indicated a significant linear relationship between organizational factors and work-family role conflicts, with all the variables included in the model explaining 15.5% of the variance. Organizational commitment was found to be the most important predictor of work-family role conflict among female nurses. The model test showed a negative and significant relationship between organizational factors and work-family role conflicts, with every one-unit increase in organizational factors leading to a 0.31 standard deviation decrease in work-family role conflicts among female nurses.
 
Result
The variable of organizational commitment was found to be the most significant predictor of work-family role conflict among female nurses in the present study, which is consistent with the findings of Mortazavi and Parhehi (2019). The study also revealed that improved organizational factors were negatively and significantly correlated with work-family role conflict in nursing women, indicating that enhancing organizational factors could reduce the level of work-family role conflict in nursing women. This finding is consistent with the findings of other studies, such as Saif et al. (2013), Salahian et al. (2018), and Kasper et al. (2018). It has been more than two years since the outbreak of the COVID-19 pandemic in Iran, and the current conditions have caused the medical staff, including nursing staff, to become exhausted and tired. Neglecting the demands of nurses can deprive them of their motivation and job satisfaction, leading to migration of nurses and ultimately worsening the shortage of nurses in the country. Based on the findings of this study and the presented model, it can be concluded that by improving organizational factors, the conflict between work-family roles among female nurses can be reduced.

References
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Al Dameery, K., Quteshat, M., Al Harthy, I. & Khalaf, A. (2020). Cyberchondria, uncertainty, and psychological distress among omanis during COVID-19: An online cross-sectional survey. Journal of Hunan University Natural Sciences, 48(11) 140-146.  
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Amjad, F. & Bokharey, I. Z. (2014). The impact of spiritual wellbeing and coping strategies on patients with generalized anxiety disorder. Journal of Muslim Mental Health, 8(1), 21-38.
Andy, Y., Rosyad, Y., Chipojola, K., Wiratama, B., Safitri, C. & Weng, H. (2020). Eects of spirituality, knowledge, attitudes, and practices toward anxiety regarding COVID-19 among the general population in Indonesia: A cross sectional study. Journal of Clinical Medicine, 9(12), 3798-3803.
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Fatemi, N., Rezaei, M., Givari, A. & Hosseini, F. ( 2006). Prayer and spiritual well-being in cancer patients. Payesh, 5(4), 295-303. (In Persian)
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Kumar, A. & Somani, A. (2020). Dealing with Corona virus anxiety and OCD. Asian Journal of Psychiatry, 51, 102053.
Lewis, H. R. (2006). Excellence without a soul: How a great university forgot education. New York: PublicAffairs, 1995-2003.
MacKinlay, E. & Burns, R. (2017). Spirituality promotes better health outcomes and lowers anxiety about aging: The importance of spiritual dimensions for baby boomers as they enter older adulthood. Journal of Religion, Spirituality & Aging, 29(4), 248-265.
McElroy, E. & Shevlin, M. (2014). The development and initial validation of the cyberchondria severity scale (CSS). Journal of Anxiety Disorders, 28(2), 259-265.
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Mirhosseini, S., Nouhi, S., Janbozorgi, M., Mohajer, H. & Naseryfadafan, M. (2020). The role of spiritual health and religious coping in predicting death anxiety among patients with Coronavirus. Studies in Islam and Psychology, 14(26), 29-42. (In Persian)
Mirzaei, O. & Pirkhaefi, A. (2020). The relationship between psychological well -being and spiritual health, life expectancy and the meaning of life of medical students Fifth National Conference on Law, Social Sciences and Humanities, Psychology and Counseling, Shirvan, Iran. (In Persian)
Mohamadi, S. Y. & Rahimzada Tehrani, K. (2018). The effectiveness of therapy on spiritual health and quality of life of women with AIDS in Tehran. Health Psychology, 7(25), 106-120. (In Persian)
Nodoushan, R. J., Alimoradi, H. & Nazari, M. (2020). Spiritual health and stress in pregnant women during the Covid-19 pandemic. SN Comprehensive Clinical Medicine, 2, 2528-2534. (In Persian)
Osarrodi, A., Golafshani, A. & Akaberi, S. . (2012). Relationship between spiritual well-being and quality of life in nurses. North Khorasan University of Medical Sciences, 3(4), 79-88. (In Persian)
Paloutzian, R. F. & Ellison, C. W. (1982). Loneliness, spiritual well-being and the quality of life. Loneliness: A Sourcebook of Current Theory, Research and Therapy, 1(1), 224-237.
Paules, C. I., Marston, H. D. & Fauci, A. S. (2020). Coronavirus infections—More than just the common cold. Jama, 323(8), 707-708.
Peterman, A. H., Fitchett, G., Brady, M. J., Hernandez, L. & Cella, D. (2002). Measuring spiritual well-being in people with cancer: the functional assessment of chronic illness therapy—spiritual well-being scale (FACIT-Sp). Annals of Behavioral Medicine, 24(1), 49-58.
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Rakhshandeh, A., Doroudian, N., Nemati Jahan, N. & Rostamnezhad, M. (2022). Prediction of Coronavirus anxiety based on the meaning in life and intimacy of family members among housewife mothers. Journal of Applied Family Therapy, 2, 190-202. (In Persian)
Sarafraz, M. R., Pourshahbazi, M. & Afshari, M. (2020). Psychometric properties of cyberchondria severity scale (CSS) in Iranian adult population. Journal of Clinical Psychology, 12(3), 67-76. (In Persian)
Shahyad, S. & Mohammadi, M. T. (2022). Psychological impacts of Covid-19 outbreak on mental health status of society individuals: A narrative review. Journal of Military Medicine, 22(2), 184-192. (In Persian)  
Sharajabian, H. & Arshad Riahi, A. (2016). The role of human nature in meaningfulness of life from mullah sadra’s point of view. Religious Anthroplogy, 13(35), 29-49. (In Persian)
Sharifi, M. & Ghorbani, M. (2021). Investigate the role of demographic characteristics, adult attachment styles, and affective temperament in predicting psychological distress during the coronavirus period. Journal of Family Research, 17(3), 407-422. (In Persian)
Sheivandi, K. & Hasanvand, F. (2020). Developing a model for the psychological consequences of Corona Epidemic anxiety and studying the mediating role of spiritual health. Counseling Culture and Psycotherapy, 11(42), 1-36. (In Persian)
Shiah, Y. J., Chang, F., Chiang, S. K., Lin, I. M. & Tam, W.-C. C. (2015). Religion and health: Anxiety, religiosity, meaning of life and mental health. Journal of religion and health, 54, 35-45.
Starcevic, V. (2017). Cyberchondria: Challenges of problematic online searches for health-related information. Psychotherapy and Psychosomatics, 86(3), 129-133.
Steger, M. F., Frazier, P., Oishi, S. & Kaler, M. (2006). The meaning in life questionnaire: assessing the presence of and search for meaning in life. Journal of Counseling Psychology, 53(1), 80-93.
Suyanti, T. S., Keliat, B. A. & Daulima, N. H. C. (2018). Effect of logo-therapy, acceptance, commitment therapy, family psychoeducation on self-stigma, and depression on housewives living with HIV/AIDS. Enfermeria Clinica, 28, 98-101.
Talebi, M. (2022). The role of psychological resilience and spiritual health in predicting covid 19 anxiety in nurses. Iranian Journal of Rehabilitation Research in Nursing, 8(2), 12-20. (In Persian)
Tsibidaki, A. (2021). Anxiety, meaning in life, self-efficacy and resilience in families with one or more members with special educational needs and disability during COVID-19 pandemic in Greece. Research in Developmental Disabilities, 109, 103830.
Varma, R., Das, S. & Singh, T. (2021). Cyberchondria amidst COVID-19 pandemic: Challenges and management strategies. Frontiers in Psychiatry, 12, 618508.
Wang, C., Pan, R., Wan, X., Tan, Y., Xu, L., Ho, C. S., & Ho, R. C. (2020). Immediate psychological responses and associated factors during the initial stage of the 2019 coronavirus disease (COVID-19) epidemic among the general population in China. . nternational Journal of Environmental Research and Public Health, 17(5), 1729.
Yari, N. (2014). Examining the role of hope in the relationship between perceived social support and meaning in life with suicidal thoughts. master's thesis, field of educational psychology, Azad University of Ilam branch. (In Persian)  
Zhang, J., Peng, J., Gao, P., Huang, H., Cao, Y., Zheng, L. & Miao, D. (2019). Relationship between meaning in life and death anxiety in the elderly: Self-esteem as a mediator. BMC Geriatrics, 19, 1-8.  
Zibad, H. A., Foroughan, M., Shahboulaghi, F. M., Rafiey, H. & Rassouli, M. (2017). Perception of spiritual health: A qualitative content analysis in Iranian older adults. Educational Gerontology, 43(1), 21-32.
  

Keywords

Main Subjects


 
Akhlaghifard, M. & Meraji, N. (2021). Predicting corona anxiety based on emotional distress (depression, anxiety and stress) and spiritual health in nurses and aides. Rooyesh-e-Ravanshenasi Journal, 10(6), 161-170. (In Persian)
Al Dameery, K., Quteshat, M., Al Harthy, I. & Khalaf, A. (2020). Cyberchondria, uncertainty, and psychological distress among omanis during COVID-19: An online cross-sectional survey. Journal of Hunan University Natural Sciences, 48(11) 140-146.  
Alipour, A., Ghadami, A., Alipour, Z. & Abdollahzadeh, H. (2020). Preliminary validation of the Corona disease anxiety scale (CDAS) in the Iranian sample. Health Psychology, 8(32), 163-175. (In Persian)
Amjad, F. & Bokharey, I. Z. (2014). The impact of spiritual wellbeing and coping strategies on patients with generalized anxiety disorder. Journal of Muslim Mental Health, 8(1), 21-38.
Andy, Y., Rosyad, Y., Chipojola, K., Wiratama, B., Safitri, C. & Weng, H. (2020). Eects of spirituality, knowledge, attitudes, and practices toward anxiety regarding COVID-19 among the general population in Indonesia: A cross sectional study. Journal of Clinical Medicine, 9(12), 3798-3803.
Bati, A. H., Mandiracioglu, A., Govsa, F. & Cam, O. (2018). Health anxiety and cyberchondria among Ege University health science students. Nurse Educ Today, 71, 169-173.
Battista, J. & Almond, R. (1973(. The development of meaning in life. Psychiatry, 36(4), 409-427.
Baumeister, R. F. (1991). Meanings of Life. Guilford Publications.
Bolgeo, T., Di Matteo, R., Simonelli, N., Dal Molin, A., Lusignani, M., Bassola, B., ... & Iovino, P. (2023). Psychometric properties and measurement invariance of the 7-item general anxiety disorder scale (GAD-7) in an Italian coronary heart disease population. Journal of Affective Disorders, 1(334), 213-219.
Connor, J., Madhavan, S., Mokashi, M., Amanuel, H., Johnson, N. R., Pace, L. E. & Bartz, D. (2020). Health risks and outcomes that disproportionately affect women during the Covid-19 pandemic: A review. Social Science Medicine, 266, 113364.  
Coppola, I., Rania, N., Parisi, R. & Lagomarsino, F. (2021). Spiritual well-being and mental health during the COVID-19 pandemic in Italy. Front Psychiatry, 12, 626944.
Daniali, M. & Eskandari, E. (2022). Predicting coronavirus anxiety based on resilience, cognitive emotion regulation strategies, and cyberchondria [Research]. Advances in Cognitive Sciences, 23(4), 61-71. (In Persian)
Dehdari, T., Yarahmadi, R., Taghdisi, M., Daneshvar, R. & Ahmad Poor, J.  (2013). The relationship between meaning in life and depression, anxiety and stress status among college students of Iran university of medical sciences in 2013. Iranian Journal of Health Education and Health Promotion, 1(3), 83-92. (In Persian)
Farahaninia, M., Abbasi, M., Givari, A. & Haghani, H. (2006). Nursing students’ spiritual well-being and their perspectives towards spirituality and spiritual care perspectives. Iran Journal of Nursing, 18(44), 7-14. (In Persian)
Farahmand, M., Khatami Sarvi, K. & Mohammadhasani, R. (2016). Comparing social health, decision-making, communication skills and self-esteem between working women and housewives in Yazd. Quarterly Journal of Woman and Society, 7(26), 147-166. (In Persian)
Fatemi, N., Rezaei, M., Givari, A. & Hosseini, F. ( 2006). Prayer and spiritual well-being in cancer patients. Payesh, 5(4), 295-303. (In Persian)
Feldman, D. B. & Snyder, C. R. (2005). Hope and the meaningful life: Theoretical and empirical associations between goal–directed thinking and life meaning. Journal of Social and Clinical Psychology, 24(3), 401-421.
Firouzbakht, M., Riahi, M. E. & Tirgar, A. (2017). A survey on factors affecting on Iranian women’s social health: A review study in Persian satabase. Salamat-I Ejtimaei (Community Health), 4(3), 186-196. (in Persian)
Frankl, V. E. (1985). Man's Search For Meaning.
Ghaderi, A. (2017). The relationship between brain-behavioral systems and cyberchondria. M. S. Thesis of TabrizUuniversity. (In Persian)
Golzar, H., Toozandehjani, H. & Shamsaldini, A. (2015). Investigating the relationship of life and anxiety of death in relief forces. The third National Conference on Mental Health and Well-Being. (In Persian)
Ho, M. Y., Cheung, F. M. & Cheung, S. F. ( 2010). The role of meaning in life and optimism in promoting well-being. Personality and Individual Differences, 48(5), 658-663.
Jungmann, S. M. & Witthöft, M. (2020). Health anxiety, cyberchondria, and coping in the current COVID-19 pandemic: Which factors are related to coronavirus anxiety?. Journal of Anxiety Disorders, 73, 102239.
Kord, B. & Rahbari, p. (2018). The prediction of subjective well-being based on meaning of life and mindfulness among cardiovascular patients. Iranina Journal of Psychiatric Nursing, 5(6), 16-23. (In Persian)
Kumar, A. & Somani, A. (2020). Dealing with Corona virus anxiety and OCD. Asian Journal of Psychiatry, 51, 102053.
Lewis, H. R. (2006). Excellence without a soul: How a great university forgot education. New York: PublicAffairs, 1995-2003.
MacKinlay, E. & Burns, R. (2017). Spirituality promotes better health outcomes and lowers anxiety about aging: The importance of spiritual dimensions for baby boomers as they enter older adulthood. Journal of Religion, Spirituality & Aging, 29(4), 248-265.
McElroy, E. & Shevlin, M. (2014). The development and initial validation of the cyberchondria severity scale (CSS). Journal of Anxiety Disorders, 28(2), 259-265.
Michaelson, V., Brooks, F., Jirásek, I., Inchley, J., Whitehead, R., King, N., Walsh, S., Davison, C. M., Mazur, J. & Pickett, W. (2016). Developmental patterns of adolescent spiritual health in six countries. SSM-Population Health, 2, 294-303.  
Mirhosseini, S., Nouhi, S., Janbozorgi, M., Mohajer, H. & Naseryfadafan, M. (2020). The role of spiritual health and religious coping in predicting death anxiety among patients with Coronavirus. Studies in Islam and Psychology, 14(26), 29-42. (In Persian)
Mirzaei, O. & Pirkhaefi, A. (2020). The relationship between psychological well -being and spiritual health, life expectancy and the meaning of life of medical students Fifth National Conference on Law, Social Sciences and Humanities, Psychology and Counseling, Shirvan, Iran. (In Persian)
Mohamadi, S. Y. & Rahimzada Tehrani, K. (2018). The effectiveness of therapy on spiritual health and quality of life of women with AIDS in Tehran. Health Psychology, 7(25), 106-120. (In Persian)
Nodoushan, R. J., Alimoradi, H. & Nazari, M. (2020). Spiritual health and stress in pregnant women during the Covid-19 pandemic. SN Comprehensive Clinical Medicine, 2, 2528-2534. (In Persian)
Osarrodi, A., Golafshani, A. & Akaberi, S. . (2012). Relationship between spiritual well-being and quality of life in nurses. North Khorasan University of Medical Sciences, 3(4), 79-88. (In Persian)
Paloutzian, R. F. & Ellison, C. W. (1982). Loneliness, spiritual well-being and the quality of life. Loneliness: A Sourcebook of Current Theory, Research and Therapy, 1(1), 224-237.
Paules, C. I., Marston, H. D. & Fauci, A. S. (2020). Coronavirus infections—More than just the common cold. Jama, 323(8), 707-708.
Peterman, A. H., Fitchett, G., Brady, M. J., Hernandez, L. & Cella, D. (2002). Measuring spiritual well-being in people with cancer: the functional assessment of chronic illness therapy—spiritual well-being scale (FACIT-Sp). Annals of Behavioral Medicine, 24(1), 49-58.
Petzold, M. B., Bendau, A., Plag, J., Pyrkosch, L., Maricic, L. M., Rogoll, J., Betzler, F., Grosse, J. & Strohle, A.(2020). Development of the COVID-19-anxiety questionnaire and first psychometric testing. BJPsych Open, 6(5), e91. 
Rahimi, N., Nouhi, E. & Nakhaee, N. (2013).  Spiritual well-being and attitude toward spirituality and spiritual care in nursing and midwifery students. Iran Journal of Nursing, 26(85), 55-65. (In Persian)
Rakhshandeh, A., Doroudian, N., Nemati Jahan, N. & Rostamnezhad, M. (2022). Prediction of Coronavirus anxiety based on the meaning in life and intimacy of family members among housewife mothers. Journal of Applied Family Therapy, 2, 190-202. (In Persian)
Sarafraz, M. R., Pourshahbazi, M. & Afshari, M. (2020). Psychometric properties of cyberchondria severity scale (CSS) in Iranian adult population. Journal of Clinical Psychology, 12(3), 67-76. (In Persian)
Shahyad, S. & Mohammadi, M. T. (2022). Psychological impacts of Covid-19 outbreak on mental health status of society individuals: A narrative review. Journal of Military Medicine, 22(2), 184-192. (In Persian)  
Sharajabian, H. & Arshad Riahi, A. (2016). The role of human nature in meaningfulness of life from mullah sadra’s point of view. Religious Anthroplogy, 13(35), 29-49. (In Persian)
Sharifi, M. & Ghorbani, M. (2021). Investigate the role of demographic characteristics, adult attachment styles, and affective temperament in predicting psychological distress during the coronavirus period. Journal of Family Research, 17(3), 407-422. (In Persian)
Sheivandi, K. & Hasanvand, F. (2020). Developing a model for the psychological consequences of Corona Epidemic anxiety and studying the mediating role of spiritual health. Counseling Culture and Psycotherapy, 11(42), 1-36. (In Persian)
Shiah, Y. J., Chang, F., Chiang, S. K., Lin, I. M. & Tam, W.-C. C. (2015). Religion and health: Anxiety, religiosity, meaning of life and mental health. Journal of religion and health, 54, 35-45.
Starcevic, V. (2017). Cyberchondria: Challenges of problematic online searches for health-related information. Psychotherapy and Psychosomatics, 86(3), 129-133.
Steger, M. F., Frazier, P., Oishi, S. & Kaler, M. (2006). The meaning in life questionnaire: assessing the presence of and search for meaning in life. Journal of Counseling Psychology, 53(1), 80-93.
Suyanti, T. S., Keliat, B. A. & Daulima, N. H. C. (2018). Effect of logo-therapy, acceptance, commitment therapy, family psychoeducation on self-stigma, and depression on housewives living with HIV/AIDS. Enfermeria Clinica, 28, 98-101.
Talebi, M. (2022). The role of psychological resilience and spiritual health in predicting covid 19 anxiety in nurses. Iranian Journal of Rehabilitation Research in Nursing, 8(2), 12-20. (In Persian)
Tsibidaki, A. (2021). Anxiety, meaning in life, self-efficacy and resilience in families with one or more members with special educational needs and disability during COVID-19 pandemic in Greece. Research in Developmental Disabilities, 109, 103830.
Varma, R., Das, S. & Singh, T. (2021). Cyberchondria amidst COVID-19 pandemic: Challenges and management strategies. Frontiers in Psychiatry, 12, 618508.
Wang, C., Pan, R., Wan, X., Tan, Y., Xu, L., Ho, C. S., & Ho, R. C. (2020). Immediate psychological responses and associated factors during the initial stage of the 2019 coronavirus disease (COVID-19) epidemic among the general population in China. . nternational Journal of Environmental Research and Public Health, 17(5), 1729.
Yari, N. (2014). Examining the role of hope in the relationship between perceived social support and meaning in life with suicidal thoughts. master's thesis, field of educational psychology, Azad University of Ilam branch. (In Persian)  
Zhang, J., Peng, J., Gao, P., Huang, H., Cao, Y., Zheng, L. & Miao, D. (2019). Relationship between meaning in life and death anxiety in the elderly: Self-esteem as a mediator. BMC Geriatrics, 19, 1-8.  
Zibad, H. A., Foroughan, M., Shahboulaghi, F. M., Rafiey, H. & Rassouli, M. (2017). Perception of spiritual health: A qualitative content analysis in Iranian older adults. Educational Gerontology, 43(1), 21-32.