Mediating Contribution of Resilience between Quality of Life and Death Anxiety among Individuals with Cardiovascular Disease

Abstract

In the context of individual with cardiovascular disease, literature review indicates that resilience could act as a protective factor, enabling individuals to effectively manage the symptoms of death anxiety and to achieve better quality of life which ultimately impacts on the challenging journey of cardiovascular disease. However, the fundamental mechanisms leading this pathway needs further exploration. The primary objective of this study is to investigate the mediating role of resilience with quality of life and death anxiety among persons with Cardiovascular Disease. Sample of current study was consisted of 100 individuals with cardiovascular disease from various concerned government hospitals across Karachi, Pakistan. Among the participants 67% were males and 33% were female. The age range of the entire sample was from 20 years to 64 years. The study data has been collected through convenient random sampling technique using informed consent form; personal demographic form; Urdu Resilience Scale (RS-U; Anwar et al., 2017); Urdu World Health Organization Quality of life-Bref (WHOQoL-U; Khan et al., 2003) and Urdu Death Anxiety Scale (DAS-U; Goreja & Pervez, 2000). The finding depicts that path c shows significant total effect of death anxiety on quality of life without resilience as a mediator (b = .51, t = 5.94, p <.01); path c’ indicates an estimate direct effect of death anxiety on quality of life with resilience as a mediator (b = .71, t = 5.28, p <.01). The strength of beta value has increased b = .23 to b = .71 in predicting quality of life with resilience. The statistical analysis has been performed by using PROCESS v4.2, Model 4 by Andrew F. Hayes in SPSS V-26. The importance of this study is relevant to local healthcare professionals and policy makers in the development of interventions and support mechanisms that foster resilience in individuals with cardiovascular disease and ultimately improve their quality of life and overall wellbeing.