Impact Of Sense Of Coherence On Psychological Well-Being Among Heart Patients: The Chain Mediating Role Of Affect And Meaning In Life

Abstract

The study investigated the relationship between a sense of coherence and psychological well-being among heart patients. It also assessed the mediating roles of affect and meaning in life in the relationship between a sense of coherence and psychological well-being. A sample of 205 heart patients contacted at Ch. Pervaiz Elahi Institute of Cardiology in Multan provided data on measures of Sense of Coherence Scale, the Psychological Well-Being Scale, Positive and Negative Affect Schedule Short Form, and Meaning in Life Questionnaire along with demographic information. For the data analysis, Hayes's PROCESS v4.2 Model-6 on SPSS-25 was [1]used. Correlation analysis showed the significant relations among sense of coherence, psychological well-being, affect, and meaning in life (p < 0.01). It was found that affect and meaning in life indirectly influenced the relationship of sense of coherence with psychological well-being (a1*b1 = 0.2366, p < 0.001); (a2*b2 = 0.0456, p < 0.05). Serial mediation analysis further demonstrated the sequential influence of affect and meaning in life on psychological well-being (indirect effect 3 = 0.1154, p < 0.001). Findings highlighted the importance of a sense of coherence in promoting psychological well-being among heart patients. The study provides valuable insights for interventions aimed at enhancing coping strategies and mental health in this clinical sample.