ArticleBMC psychiatry2026
Mediating role of self-esteem and hope in predicting quality of life among forensic psychiatric patients with homicide offenses.
Article in BMC psychiatry, 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
backgroundUnderstanding the psychological factors that influence the quality of life among patients with forensic psychiatric disorders admitted to inpatient care units is of principal importance in enhancing their well-being and rehabilitation outcomes. This study investigates hope as a mediator in the relationship between self-esteem and quality of life in this unique population.
methodsThis study was conducted among male forensic psychiatric inpatients admitted following homicide offenses at the forensic ward of Razi Psychiatric Hospital. A total of 58 participants were selected using census method. Data collection involved administering Rosenberg's Self-Esteem Scale, Snyder's Adult Hope Scale, and the World Health Organization Quality of Life-BREF questionnaire. Statistical analysis was performed using the Statistical Package for the Social Sciences (SPSS-26), including correlation analysis, univariable regression analysis, multivariable regression analysis, and mediation analysis.
resultsIn a simple regression model, Self-esteem positively associated with quality of life (coef. = 12.9, p <.001). Hope also positively linked to quality of life (coef. = 6.1, p <.001). Self-esteem positively associated with hope (coef. = 1.9, p <.001). Hope mediated the relationship between self-esteem and quality of life, including general health, physical health, mental health, social relationships, and environmental factors. The indirect effect of self-esteem on quality of life through hope was significant (11.2, 95% CI: 5.2 to 17.7), while the direct effect was non-significant (1.7, 95% CI: -5.1 to 8.5). 47% of the quality of life score variance was explained by self-esteem and hope.
conclusionBoth self-esteem and hope are significant predictors of quality of life in this population, with hope playing a mediating role in the relationship between self-esteem and various aspects of well-being. Interventions targeting self-esteem and fostering hope may prove beneficial in enhancing the overall quality of life for these patients.
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