Key result
Self-efficacy mediates the positive link between psychological hardiness and quality of life in male HF.
Why the study?
Psychological hardiness may improve quality of life in heart failure patients potentially through self-efficacy, but their interrelationships were not well examined.
Cross-Sectional (n=298)
No
Effect estimate: β = 0.55
p-value: p=<0.05
Psychological hardiness improves quality of life in patients with heart failure both directly and indirectly by increasing self-efficacy.
Hypothesis-generating for psychological factors in heart failure; prospective studies needed before any clinical application.
Background and Aim: Heart failure is a prevalent chronic condition that is frequently associated with reduced quality of life. Psychological hardiness may play a protective role in improving quality of life among patients with heart failure, potentially through mechanisms such as self-efficacy. The present study aimed to examine the relationships among psychological hardiness, self-efficacy, and quality of life in patients with heart failure. Materials and Methods: This descriptive cross sectional study used a correlational design and structural equation modeling. The sample consisted of 298 patients with heart failure who were recruited through convenience sampling from the cardiology department of Farabi Social Security Hospital in Mashhad, Iran. Data were collected using the Minnesota Living with Heart Failure Questionnaire (MLHFQ; 21 items; Rector, 1984), the General Self Efficacy Scale (10 items; Schwarzer et al.), and the Ahvaz Hardiness Questionnaire (1998). Descriptive statistics and correlations were calculated using SPSS, and structural equation modeling was performed with LISREL. Statistical significance was set at p < 0.05. Results: The results of structural equation modeling indicated that self-efficacy significantly mediated the relationship between psychological hardiness and quality of life in patients with heart failure (β = 0.55, p < 0.05). In addition, psychological hardiness had a direct and significant positive association with quality of life (p < 0.05). Model fit indices suggested an acceptable model fit (RMSEA = 0.077; GFI = 0.92). Conclusion: Psychological hardiness contributes to improved quality of life in patients with heart failure both directly and indirectly through self-efficacy. These findings underscore the potential value of interventions aimed at strengthening hardiness and self-efficacy to enhance patient well-being.
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kashani et al. (2026) conducted a cross-sectional in Heart failure (n=298). Psychological hardiness was evaluated on Association between psychological hardiness and quality of life, mediated by self-efficacy (β = 0.55, p=<0.05). Self-efficacy significantly mediated the positive relationship between psychological hardiness and quality of life in male patients with heart failure (β = 0.55, p < 0.05).
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