Islamic lifestyle with a focus on health

Islamic lifestyle with a focus on health

Investigating the Role of Patience, Cognitive Flexibility, and Wisdom in Predicting the Spiritual Health of Students

Authors
Marzieh Sadat Sajadinezhad 1
Fateme Ahmadi 2
1 Assistant Professor of Psychology, Humanistic Psychology, Arak University, Arak, Iran
2 MA in Psychology, Humanistic Psychology, Arak University, Arak, Iran
Abstract
Introduction: Spiritual health has been recognized as one of the most important dimensions of human health and of course complementary to other dimensions. Although research has been performed in the field of spiritual health consequences, few researchers have investigated the antecedents of this construct. The purpose of the present study was to investigate the role of patience, cognitive flexibility, and wisdom in predicting the spiritual health of students.
Methods: For this purpose, 200 undergraduate and graduate students of Arak University in 2022-2023 were selected by cluster sampling method and responded to comprehensive spiritual health (Amiri et al., 2014), patience (Khormaei, Farmani, and Soltani, 2013), cognitive flexibility(Dennis and Vandwal, 2010) and wisdom (Schmidt, Maldon, and Ponders, 2012) questionnaires. The data were analyzed by Enter and Step-by-Step regression model using SPSS 26 software.
Results: The linear combination of predictor variables including patience, cognitive flexibility and wisdom with spiritual health is significant and about 61% of the variance of spiritual health is explained by these variables (P˂0.01). In the step-by-step regression analysis, the two variables of patience and cognitive flexibility had a significant role in predicting spiritual health (P˂0.01), but the contribution of wisdom in this prediction was not significant. 
Conclusion: It can be stated that considering the significant and prominent role of patience as an Islamic moral and psychological virtue as well as psychological flexibility in predicting spiritual health, it could be benefit from teaching these two concepts in strengthening spiritual health.
 
Keywords
Spiritual Health
Patience
Cognitive Flexibility
Wisdom
Students 
Khadem H, Mozafari M, Yousefi A, Ghanbari Hashemabad B. The relationship between spiritual health and mental health in students of Ferdowsi University of Mashhad. Medical History Quarterly 2016; 7(25): 33-50. [Persian].
Osman JD, Russell RD. The spiritual aspects of health. J Sch Health. 1979; 49(6): 359.
Charter B. The Bangkok charter for health promotion in a globalized world. An Official Journal of the International Union for Health Promotion and Education. 2006 Dec; 21(S1):10.
Gomez R, Fisher JW. Domains of spiritual well-being and development and validation of the Spiritual WellBeing Questionnaire. Pers Individ Differ 2003; 35(8):1975-91.
Fisher J. The four domains model: Connecting spirituality, health and well-being. Religions. 2011 Jan 11; 2(1):17-28.
Mesbah M.I. [Islamic approach spiritual health]. Tehran: Hoghoghi; Persian; 2014.
Abbasi M, Azizi F, Shamsi Gooshki A, Naseri Rad M, Akbari Lake M. Conceptual definition and operationalization of spiritual health: a methodological study. Medical Ethics Quarterly 2013; 6(20): 11-44. [persian].
Esmaeili M, Fani M, Karamkhani M. The Conceptual Framework of Spiritual Health in Islamic Resources (the Quran and Nahj al-Balagha). J Res Relig Health.2017; 3(1): 91- 101. [persian].
McSherry W, Gretton M, Draper P, Watson R. The ethical basis of teaching spirituality and spiritual care: A survey of student nurses perceptions. Nurse Education Today 2008; 28(8):1002-8.
Mohammadi F, Babaee M. The effect of participation in support groups on spiritual health and caregiving pressure in “family member caregivers” of the elderly with Alzheimer’s disease. Iranian Geriatrics Journal 2012; 6(19): 29-37. [persian].     
Isamorad A, Hasanvand F, Ghalami Z. Meta-synthesis of Spiritual Health Researches in Iran. Journal of Culture and Health Promotion 2022; 5(2): 195-204. [persian].  
Banisi P. Predicting the Spiritual Health based on Happiness, Metacognitive Beliefs and Subjective Well-being in Medical Students. Medical Journal of Mashhad University of Medical Sciences. 2019: 62(4): 222-252. [Persian].
Razavi Doost GH, Khakpour H, Fnoodi S, Akati M. The role of the patience in peace and spiritual health based on Quran and Islamic narrations. Quarterly of Medical History 2016; 7(25): 129-155. [persian].
Izadi Tame A, Borjali A, Delavar A, Eskandari H. Comparison of the effect of patience and problem-solving training on reducing aggression, aggression and choosing coping strategies among students of University of Police Sciences. Quarterly of Police Knowledge 2010; 11(3): 182-207. [Persian].
Aghayoosefi A, Tarkhan M, Farmani A. The role of 5 big personality factors in predicting the cognitive regulation strategies of emotion with the mediation of patience components in order to present the model. Quarterly of Clinical Psychology Studies. 2017; 7(26): 43-63. [persian].
Rosati, A. G., Stevens, J. R., Hare, B., & Hauser, M. D. The evolutionary origins of human patience: temporal preferences in chimpanzees, bonobos, and human adults. Current Biology 2007; 1(19): 1663-1668.
Schnitker SA. An examination of patience and well-being. The Journal of Positive Psychology. 2012 Jul 1; 7(4):263-80.
Ghobari Bonab B, Raghebian R. Teaching patience to children for improving their spiritual health: Parents’ guide. Journal of Culture and Health Promotion 2018; 1(1): 49-58. [persian].
Khormaei F, Azadi Dehbidi F, Haghju SH. The structural model of relationship between moral virtue of patience and difficulty in emotion regulation among university students. Journal of Research in Psychological Health. 2016; 10(1): 21-31. [persian].
Ibn Rasoul Sanaati N, Hossein Sabet F, Motamedi A. Role of patience with mediating self-differentiation in emotional regulation and perceived stress among Nurses. Islamic Life Style Centered on Health. 2018: 2(4): 211-216. [persian].
Schnitker SA, Emmons RA. Patience as a virtue: Religious and psychological perspectives. In Research in the Social Scientific Study of Religion, Volume 18 2007 Jan 1 (pp. 177-207). Brill.
Khormaei F, Farmani A, Kalantari S. The comparison of facets of mindfulness and patience among patients with major depression, generalized anxiety disorder and normal individuals. (Master Dissertation). Shiraz University, Shiraz, Iran. 2016. [persian].   
Soltan naser M, Alizade asar A, Rahmati A. Skills training in patience and prayer for reducing student’s depression. The 7th seminar mental health of students. Isfahan: Isfahan University of technology. 2015 [Persian].
Ghobari B, Khodayarifard M. The relationships between god, anxiety, patience and hopin adverse conditions. The first International Conference on Religion and Mental Healt. Tehran, Iran: Iran Medical Sciences University. 2000. [Persian].
Khormaei, F. & A. Farmani. “Five- Factor Model of Patience is Suitable for Explain the Theory of Patience”. The Third International Congress on Islamic Humanities (ICIH) 2015; Tehran and Qom.
Carroll DJ, Blakey E, FitzGibbon L. Cognitive flexibility in young children: Beyond perseveration. Child Development Perspectives. 2016 Dec; 10(4):211-5.
Jacques, S., & Zelazo, P. D. On the possible roots of cognitive flexibility. In B. D. Homer & C. S. Tamis-LeMonda (Eds.), the development of social cognition and communication. Mahwah 2005; NJ: Lawrence Erlbaum.
Dennis, J. P., & Vander Wal, J. S. The cognitive flexibility inventory: Instrument development and estimates of reliability and validity. Cogn Ther Res 2010; 34: 241-253.
Gan, Y., Zhang, Y., Wang, X., Wang, S., & Shen, X. The coping flexibility of neurasthenia and depressive patients. Personality and Individual Differences 2006; 40: 859–871.
Zong, J. G., Cao, X. Y., Cao, Y., Shi, Y. F., Wang, Y. N., Yan, C. (2010). Coping flexibility in college students with depressive symptoms. Health and Quality of Life Outcomes 2010; 8 (66): 1-6.
Folkman S, Lazarus R. An analysis of coping in a middle aged community sample. J. Health Soc  Behav 1980; 21(3):219-239.
Burton, N. W., Pakenham, K, I., Brown, W, J. Feasibility and effectiveness of psychosocial resilience training: A pilot study of the ready program. Psychology Health Medicin 2010; 15(3): 266-7.
Dickstein, D. P., Nelson, E., McClure, E. B., Grimley, M. E., Knopf, L., Brotman, M. A., Rich, B. A., Pine, D. S., & Leibenluft, E. Cognitive flexibility in phenotypes of pediatric bipolar disorder. Child adolesc 2007; 46(3): 341-355.
Masuda, A., & Tully, E.C.The Role of Mindfulness and Psychological Flexibility in Somatization, Depression, Anxiety, and General Psychological Distress in a Nonclinical College Sample. Journal of Evidence-Based Complementary & Alternative Medicine 2012; 17 (1): 66-71.
Davis, R., & Nolen- Hokesema, S. Cognitive inflexibility among ruminations and on ruminators. Cog Ther and Res 2000; 24, 699- 711.
Bergsma A, Ardelt M. Self-reported wisdom and happiness: An empirical investigation. Journal of Happiness Studies. 2012; 13(3):481-99.
Ardelt, M. (2003). “Development and empirical assessment of a three-dimensional wisdom scale”. Research on Aging 2003; 25: 275-324.
Sternberg RJ.editor. Wisdom: Its nature, origins, and development. Cambridge University Press 1990; pp 76.
Weststrate NM, Ferrari M, Ardelt M. The many faces of wisdom: An investigation of cultural-historical wisdom exemplars reveals practical, philosophical, and benevolent prototypes. Personality and Social Psychology Bulletin. 2016 May; 42(5):662-76.
Green SB. How many subjects does it take to do a regression analysis? Multivariate behavioral research. 1991 Jul 1; 26(3):499-510.
Amiri P, Abbasi M, Gharibzadeh S, Asghari Jafarabadi M, Hamzavi Zarghani N, Azizi F. Designation and psychometric assessment of a comprehensive spiritual health questionnaire for Iranian populations. Medical Ethics Quarterly 2015; 8(33):25-55. [persian].   
Khormaei F, Farmani A, Soltani E. The patience scale: Instrument development and estimates of psychometric properties. Journal of Educational Measurement 2014; 17: 50-76. [persian].
Schmit, D, E., Muldoon, J., Pounders, K. (2012). What is Wisdom? The Development and Validation of a Multidimensional Measure. Journal of Leadership, Accountability and Ethics 2012; 9(2): 39-54.
McKenna B, Rooney D, Boal KB. Wisdom principles as a meta-theoretical basis for evaluating leadership. The Leadership Quarterly. 2009 Apr 1;20(2):177-90.
Akbari A, Hashemi S, Khabbazi Kenari M. The Psychometric Characteristics of Wisdom Scale (WS). Positive Psychology Research 2017; 2(6): 19-34. [persian].    
Kohandani M, Abolmaali Alhosseini Kh. Factor structure and psychometric properties of Persian version of cognitive flexibility of Dennis, Vander Wal and Jillon. Psychological Methods and Models Quarterly 2018; 8(29): 53-70. [persian].     
Heidari A, Yoosefee S. The Relationship between Spiritual Health and other Dimensions of Health: Presentation of a Model. Qom Univ. Med. Sci. J 2020; 13 (11) :68-72. [persian].
Memarian N, Ghaempanah Z. Report of the specialized meeting on the concept of spiritual health. Islam and psychological research 2016; 1(3): 99-100. [persian].      
Mohamadi hoseini nejad N, Jafari Roshan, M. Evaluate the effectiveness of teaching life values (accountability and peace) on mental health and social development of schoolchildren. MA thesise, Tehran, Iran: Islamic Azad University, Central Tehran Branch. 2015. [persian].
Sartippi A, Sohrabi F, Pasandideh A. The efficacy of patience training based on the patience component of the Islamic model of Happiness on well-being of housewives. Quarterly Journal of Islamic Psychology. 2016; 2(4): 45-69. [Persian].
Shamshiri B, Shirvani Shiri A. The Concept of Patience in Quran; Its Philosophical and Educational Implications. Biquarterly Journal of Islamic Education. 2012; 6(13): 79-98. [persian].
Pasandideh A. Satisfaction with Life. Qom, Darolhadith. 2012. [Persian].
Asadi S, Amiri SH, Molavi H, Bagheri KH. Introducing concept of wisdom in psychology and its Educational applications. New Educational Approaches. 1392; 8 (2): 1-28. [persian].