ArticleBMC psychiatry2025
The mediating role of spiritual well-being in the relationship between self-care agency and hope in patients diagnosed with schizophrenia: a cross-sectional and correlational study.
Article in BMC psychiatry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
1 citing paper in PubMed.
- Global Research Trends on Spirituality and Religion in Schizophrenia and Psychosis: A 30-Year Bibliometric Analysis.Journal of religion and health · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND/
aimsResearch shows that low self-care ability and hopelessness are common in schizophrenia patients. Spirituality can be a key coping resource in managing mental illnesses. However, the mediating effect of spirituality on the relationship between self-care ability and hope in schizophrenia patients is unknown. This study aims to explore the mediating role of spiritual well-being in the relationship between self-care agency and hope in schizophrenia.
methodThis study is cross-sectional and correlational study with a descriptive design. The study was conducted with 116 schizophrenia patients who presented to the psychiatry outpatient clinic of a university hospital in eastern Turkey between 10.02. 2023 and 10.01. 2024. Descriptive Information Form, Self-Care Agency Scale, Herth Hope Index and Functional Assessment of Chronic Illness Therapy - Spiritual Well-Being Scale were used to collect the data. Structural equation modelling and bootstrapping method were used to analyse the data.
resultsIn this study, the effect of self-care agency on hope (β = 0.12) was positive but not significant. However, self-care agency positively influenced spiritual well-being (β = 0.47), and spiritual well-being had a significant positive effect on hope (β = 0.83). Spiritual well-being fully mediated the relationship between self-care agency and hope, with the total mediated effect on hope being significant (β = 0.52). The model explained 23% of the variance in spiritual well-being and 80% of the variance in hope.
conclusionIt was determined that self-care agency affected spiritual well-being positively and spiritual well-being affected hope positively in schizophrenia patients. It was also found that spiritual well-being mediated the relationship between self-care agency and hope. It is expected that this research model will be useful in formulating strategies to improve hope and self-care in schizophrenia patients.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.