ArticleBMC psychology2026
The relationship between spiritual well-being, state anxiety, and psychological resilience among cross-matched liver transplant donors in Turkey.
Article in BMC psychology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
aimThis study aims to examine the relationship between spiritual well-being, anxiety, and psychological resilience in cross-matched liver transplant donors. It contributes to the international literature on anxiety, spiritual well-being, and psychological resilience in individuals who donate their organs by participating in the cross-matched system as donors. MATERIALS AND
methodsThis descriptive and cross-sectional study was conducted with 116 donors participating in the cross-matching system at a liver transplant institute in a university hospital in Turkey. Data were collected using the FACIT-Sp Spiritual Well-Being Scale, the Spielberger State Anxiety Inventory (STAI-I), and the Brief Psychological Resilience Scale (BPRS). Data were analyzed using mean, standard deviation, Kruskal-Wallis, Mann-Whitney U test, and Spearman's correlation and regression analysis.
resultsDonors demonstrated high levels of spiritual well-being, moderate levels of psychological resilience, and high levels of anxiety. A statistically significant positive association was found between spiritual well-being and psychological resilience (r = 0.381, p < 0.05). Significant positive associations were also observed between psychological resilience and the meaning, peace, and faith subdimensions of spiritual well-being (p < 0.05). No significant association was found between spiritual well-being and anxiety. Despite high spiritual well-being, donors reported elevated anxiety levels, which may reflect the inherently stressful and uncertain nature of the cross-matched transplantation process rather than the influence of individual spiritual resources alone.
conclusionCross-matched liver transplant donors exhibited high spiritual well-being alongside elevated anxiety and moderate psychological resilience. Spiritual well-being was statistically associated with psychological resilience but not with anxiety. These findings suggest that spiritual well-being may support adaptive psychological functioning without necessarily reducing situational anxiety in this high- risk medical context.
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