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. 2024 Jul 3:15:1388032.
doi: 10.3389/fpsyg.2024.1388032. eCollection 2024.

Demoralization and well-being among self-employed individuals with cardiac disease: the role of intolerance of uncertainty

Wafaa Sowan  1 , David Kissane  2
Affiliations

Demoralization and well-being among self-employed individuals with cardiac disease: the role of intolerance of uncertainty

Wafaa Sowan et al. Front Psychol. .

Abstract

Background: Individuals with cardiac disease (CD) who are self-employed may experience ability limitations and especially intensive challenges and uncertainties. These challenges may cause demoralization and impaired well-being.

Objectives: To examine: (a) whether work ability limitations are related to demoralization and well-being among self-employed people with CD; (b) rates of demoralization; and (c) how demoralization and intolerance of uncertainty (IU) are associated with well-being.

Methods: The study involved 120 self-employed individuals with CD. The PROCESS macro was used to analyze mediation and moderation processes.

Results: The prevalence of demoralization syndrome was 37.4%. Work ability-limitations were associated with higher demoralization levels. Demoralization was associated with well-being only among participants with high IU. Further, demoralization mediated the relationship between work ability limitations and well-being only for individuals with high IU.

Conclusion: Encountering limitations among self-employed was associated with demoralization and lower levels of well-being, especially among those with high IU. In addition, demoralization syndrome is prevalent among individuals with CD in general. Early recognition and treatment of demoralization as a treatable psychological syndrome are essential for preventing its degeneration into more complex forms. In addition to uncertainty related to health, it is important to pay special attention to other sources of uncertainty.

Keywords: cardiac disease; demoralization; intolerance of uncertainty; self-employed; well-being; work ability limitations.

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Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Figures

Figure 1
Figure 1
Study model.
Figure 2
Figure 2
Results of the moderation model of demoralization on well-being in different IU levels.
See this image and copyright information in PMC

References

    1. Andrews J. L., Li M., Minihan S., Songco A., Fox E., Ladouceur C. D., et al. . (2023). The effect of intolerance of uncertainty on anxiety and depression, and their symptom networks, during the COVID-19 pandemic. BMC Psychiatry 23:261. doi: 10.1186/s12888-023-04734-8, PMID: - DOI - PMC - PubMed
    1. Bailey C., Doyle Z., Dearin J., Michael N., Kissane D. (2020). Demoralization and chronic illness in rural Australia: a cross-sectional survey. Palliat. Supportive Care 18, 271–276. doi: 10.1017/S1478951519000841, PMID: - DOI - PubMed
    1. Behan D. (2018). Demoralization during medical illness: a case of common factors treatment. Clin. Soc. Work. J. 47, 266–275. doi: 10.1007/s10615-018-0660-y - DOI
    1. Bobevski I., Kissane D., McKenzie D., Murphy G., Perera C., Payne I., et al. . (2022). The demoralization interview: reliability and validity of a new brief diagnostic measure among medically ill patients. Gen. Hosp. Psychiatry 79, 50–59. doi: 10.1016/j.genhosppsych.2022.10.002, PMID: - DOI - PubMed
    1. Bobevski I., Kissane D. W., Vehling S., Mehnert-Theuerkauf A., Murri M. B., Grassi L. (2021). Demoralisation and its link with depression, psychological adjustment and suicidality among cancer patients: a network psychometrics approach. Cancer Med. 11, 815–825. doi: 10.1002/cam4.4406, PMID: - DOI - PMC - PubMed

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