ArticleBMC psychiatry2024
Relationship between self-esteem and quality of life in middle-aged and older patients with chronic diseases: mediating effects of death anxiety.
Article in BMC psychiatry, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed, 24 citations in OpenAlex.
- Spiritual and Religious Beliefs, Behaviors, and Struggles in Relation to Death Anxiety: Evidence from a U.S. Nationwide Probability Sample.Journal of religion and health · 2026Article
- The impact of death attitudes on death anxiety among nursing interns: a multicenter cross-sectional study.BMC palliative care · 2026Article
- Self-esteem in patients post-percutaneous coronary intervention: a cross-sectional examination.BMC cardiovascular disorders · 2026Article
- Latent profile analysis of health-related quality of life among older adults with age-related thoracic hyperkyphosis.Scientific reports · 2026Article
- Exploring quality of death in Chinese hospice and palliative care units: a qualitative perspective from practitioners in healthcare settings.BMC palliative care · 2025Article
- Psychosocial Adaptation After Heart Transplantation: The Chain-Mediating Effect of Self-Esteem and Death Anxiety on Social Support and Quality of Life in China.Behavioral sciences (Basel, Switzerland) · 2025Article
- Determinants and progression of stigma in amyotrophic lateral sclerosis/motor neuron disease.Amyotrophic lateral sclerosis & frontotemporal degeneration · 2025Article
- The relationship of self-esteem and mental health among older adults with the mediating role of loneliness.BMC geriatrics · 2025Article
- Analysis of Factors Affecting Quality of Life (QoL) in Middle-Aged Stroke Patients (Under 65 Years Old) in the Rehabilitation Phase: Multivariate Regression Analysis.Journal of multidisciplinary healthcare · 2025Article
- Enhancing emotional intelligence through sleep therapy in high-stress professionals: a case-control study on efficacy and predictive factors.Frontiers in psychiatry · 2025Article
- Psychological and behavioural responses to death anxiety in older adults with chronic illnesses: a systematic integrative review.Frontiers in psychology · 2025Review
- The association between death anxiety and nutrition awareness in elderly hospitalized patients: a dual-perspective analysis from person-centered and variable-centered approaches based on future time perspective.Frontiers in nutrition · 2025Article
- A Multidimensional Perspective on COPD: How Coping Styles and Self-Esteem Relate to Psychological Distress and Functional Capacity.International journal of chronic obstructive pulmonary disease · 2025Article
- Biopsychosocial determinant of quality of life of older adults in Pakistan and Canada.Frontiers in psychiatry · 2024Article
- Perceived Social Support and Health-Related Quality of Life Among Hypertensive Patients: A Latent Profile Analysis and the Role of Delay Discounting and Living Alone.Risk management and healthcare policy · 2024Article
- Exploring body mass index and gender-based self-esteem differences in Saudi Arabia.Frontiers in public health · 2024Article
Corrections and comments
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Authors and funding
8 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMany studies have explored the relationship between self-esteem and quality of life. However, few studies have elucidated the mechanisms underlying the relationship between self-esteem and quality of life in middle-aged and older patients with chronic diseases. The present study aimed to explore the mediating role of death anxiety in this relationship.
methodsMiddle-old-aged patients with chronic diseases were selected as the respondents by using a multi-stage sampling method, random number table method from October 2021 to February 2022 in the Second Affiliated Hospital of Zhejiang University School of Medicine. The Cumulative Disease Rating Scale, the Self-Esteem Scale (SES), the Chinese version of the Death Anxiety Scale (CT-DAS), and the Simplified version of the Quality of Life Scale (SF-12) were used as the researching tools to conduct the survey. SPSS26.0 was used to analysis data. AMOS 23.0 software was used to construct structural equation modeling.
results294 valid questionnaires were collected. There were significant differences in quality of life among middle-aged and elderly patients with chronic diseases who have different physical activities, socialization, and chronic pain (P < 0.01); Self-esteem was positively associated with quality of life (r = 0.330, P < 0.01), self-esteem was negatively associated with death anxiety (r = -0.222, P < 0.01), and death anxiety was negatively associated with quality of life (r = -0.263, P < 0.01); Death anxiety partially mediated the relationship between self-esteem and quality of life, with the mediating effect accounting for 18.40% of the total effect.
conclusionDeath anxiety partially mediates the relationship between self-esteem and quality of life. Interventions to improve self-esteem and reduce death anxiety should be used to improve the quality of life of middle-aged and senior patients with chronic diseases.
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