Developing a Predictive Model of Sense of Coherence in Elderly Women Based on Perceived Social Support with the Mediating Role of Ego Strength

Authors

    Elham Naeimabadi PhD Candidate in Counseling, Department of Counseling, Ro.C., Islamic Azad University, Roudehen, Iran
    Afsaneh Boostan * Assistant Professor, Department of Counseling, Ro.C., Islamic Azad University, Roudehen, Iran dr.afsanehboostan@gmail.com
    Simindokht Rezakhani Associate Professor, Department of Counseling, Ro.C., Islamic Azad University, Roudehen, Iran
https://doi.org/10.61838/kman.pwj.6.3.8

Keywords:

Aging, Sense of Coherence, Perceived Social Support, Ego Strength

Abstract

Objective: The present study aimed to develop a predictive model of sense of coherence in elderly women based on perceived social support, with the mediating role of ego strength.

Methods and Materials: This applied research employed a correlational design using structural equation modeling for data analysis. The statistical population consisted of all elderly women who visited health centers in Tehran during the first half of 2024. From this population, 220 participants were selected using convenience sampling. Participants completed Antonovsky’s Sense of Coherence Questionnaire, Zimet et al.’s Perceived Social Support Questionnaire, and the Ego Strength Questionnaire developed by Markstrom et al. Data were analyzed using SPSS-24 and AMOS-24. The bootstrap method in the Preacher and Hayes macro was used to assess the mediating variable.

Findings: The results indicated that the structural model demonstrated good fit. All direct and indirect path coefficients between perceived social support and sense of coherence, with ego strength as a mediator, were positively significant.

Conclusion: It is concluded that elderly women with higher levels of sense of coherence tend to receive greater perceived social support, and their personality functions more effectively due to strong cognitive, emotional, and behavioral ego strength, leading to the utilization of more mature defense mechanisms.

Downloads

Download data is not yet available.

References

Bahmani Nia, M., & Sohrabi Shegefti, N. (2024). Comparison of Ego Strength, Defense Mechanisms, and Object Relations in Individuals with Depression and Healthy Individuals. Clinical Psychology and Personality, 22(1), 126-145. https://cpap.shahed.ac.ir/article_4316.html?lang=en

Broersma, F., Oeseburg, B., Dijkstra, J., & Wynia, K. (2018). The impact of self-perceived limitations, stigma and sense of coherence on quality of life in multiple sclerosis patients: results of a cross-sectional study. Clinical Rehabilitation, 32(4), 536-545. https://doi.org/10.1177/0269215517730670

Delkhah, Z., Alivandi Vafa, M., & Moheb, N. (2024). The Relationship of Meaning in Life, Self-compassion, and Perceived Social Support With Fear of Aging: The Mediating Role of Spiritual Well-being [Research]. Salmand: Iranian Journal of Ageing, 18(4), 570-587. https://doi.org/10.32598/sija.2023.3576.1

Fan, N., Fan, H., Luo, R., Wang, Y., Yan, Y., Yang, X., Wang, M., Dou, Y., Ni, R., Wei, J., Yang, W., & Ma, X. (2024). The impact of childhood trauma on emotional distress and the moderating role of sense of coherence among college students in China. Scientific reports, 14(1), 9797. https://doi.org/10.1038/s41598-024-60537-1

Hagger, M. S., Wood, C., Stiff, C., & Chatzisarantis, N. L. D. (2010). Ego depletion and the strength model of self-control: A meta-analysis. Psychological bulletin, 136(4), 495-525. https://doi.org/10.1037/a0019486

Hamidi, R., Ghodsi, P., & Taghiloo, S. (2024). Developing a Model of Death Anxiety Based on Perceived Social Support with the Mediation of Psychological Well-being in the Elderly with COVID-19 Experience. Journal of Assessment and Research in Applied Counseling (JARAC), 6(3), 45-55. https://doi.org/10.61838/kman.jarac.6.3.6

Jiang, J., & Luo, D. (2021). The Relationship Between Perceived Social Support and Social in College Students: The Mediation of Sense of Coherence. SHS Web of Conferences, 123, 01006. https://doi.org/10.1051/shsconf/202112301006

Khedmati, N. (2020). The relationship between sense of coherence and ego strength with death anxiety in the elderly. Rooyesh-e-Ravanshenasi Journal, 9(3), 51-58. https://frooyesh.ir/browse.php?a_id=1911&sid=1&slc_lang=en

Kosler, L. M., Bauer, S., Möltner, A., Rainer, M., & Holm-Hadulla, B. (2024). The relationship between sense of coherence and self-efficacy with well-being and mental health - the situation of students at a typical German university during the COVID-19 pandemic and 1 year after the lifting of social restrictions. Frontiers in psychology. https://doi.org/10.3389/fpsyg.2024.1457992

Li, M., & Ren, Y. (2024). Relationship among physical exercise, social support and sense of coherence in rural left-behind children. Journal of psychiatric research, 169, 1-6. https://doi.org/10.1016/j.jpsychires.2024.05.045

Moon, J. H., & Seo, E. (2024). Sense of coherence promotion and occupational and family stress mitigation may improve heart health behaviors in middle-aged working women: a structural equation modelling approach. Frontiers in Public Health, 12. https://doi.org/10.3389/fpubh.2024.1333867

Mousavi Asl, S. A., & Parouei, S. (2021). The Effectiveness of Positive Psychotherapy on Sense of Coherence, Self-Efficacy, Psychological Well-Being, and Resilience in Nurses of Social Security Hospitals. Scientific-Research Quarterly of Health Psychology, 10(39), 171-190. https://hpj.journals.pnu.ac.ir/article_8287.html

Nikosefat, Z., & Gharehbaghy, F. (2020). The mediating and moderating role of ego strength in the relationship between object relations and identity status. Clinical Psychology and Personality, 18(2), 109-118. https://doi.org/10.22070/cpap.2020.2944

Peters, O. (2023). Navigating Gender Dynamics: Social Support and Psychological Distress in Elderly Individuals. BISMA The Journal of Counseling, 7(3), 382-388. https://doi.org/10.23887/bisma.v7i3.75266

Rajabi, M., Hajebi, M. Z., & Monirpour, N. (2024). Explaining the Model of Marital Commitment Based on Object Relations With the Mediating Role of Ego Strength. Hn, 2(4), 59-66. https://doi.org/10.61838/kman.hn.2.4.7

Salarvand, S., Hashemzadeh, A., & Delshad Noghabi, A. (2023). The sense of dignity of care and the perceived social support for hospitalized elderly patients. International Journal of Africa Nursing Sciences, 18, 100523. https://doi.org/10.1016/j.ijans.2022.100523

Sarboland, K. (2017). Providing a model to optimize human resource empowerment strategies in East Azerbaijan Social Security Organization. Journal of public Administration Mission, 8(2), 163-174. https://www.magiran.com/paper/2363378

Takhayori, M., fakhri, m., & Hasanzadeh, r. (2021). The Mediating Role of Perceived Social Support in the Relationship between Ego Strength and Emotional Distress Tolerance in Students of the Faculty of Nursing of Tehran University. J-Nurs-Edu, 10(1), 79-90. http://jne.ir/article-1-1199-en.html

van Sint Fiet, A., de la Rie, S., van der Aa, N., Bloemen, E., & Wind, T. (2022). The relevance of social capital and sense of coherence for mental health of refugees. SSM - Population Health, 20, 101267. https://doi.org/10.1016/j.ssmph.2022.101267

Vanaken, L., Bijttebier, P., & Hermans, D. (2021). An investigation of the coherence of oral narratives: Associations with mental health, social support and the coherence of written narratives. Frontiers in psychology, 11, 602725. https://doi.org/10.3389/fpsyg.2020.602725

Yalnizca-Yildirim, S., & Cenkseven-Önder, F. (2023). Sense of coherence and subjective well-being: The mediating role of Hope for college students in Turkey. Current Psychology, 42(15), 13061-13072. https://doi.org/10.1007/s12144-021-02478-w

Yosefi, A. (2011). Analysis of the relationship between Sense of Coherence and Emotional Intelligence in university students. Journal of Psychological Studies, 7(3), 51-74. https://doi.org/10.22051/psy.2011.1542

Yousefi, F., & Sefarzadeh, S. (2023). Designing a Model for Enhancing Inner Ego Strength Based on Decision-Making Styles and Emotional Distress Tolerance with the Mediation of Mindfulness in Nursing Students. Nursing research, 18(3), 56-69. http://ijnr.ir/browse.php?a_id=2711&sid=1&slc_lang=en&ftxt=0

Zadhasan, Z., & Gholamzadeh Jofreh, M. (2023). The effectiveness of emotion-focused cognitive therapy on corona anxiety, sense of coherence and post-traumatic growth in women recovered from corona. Applied Family Therapy Journal (AFTJ), 4(1), 672-687. https://doi.org/10.61838/kman.aftj.4.1.34

Zanjanchi Niko, S., & Farahani, A. (2024). Comparison of Ego Strength and Defense Mechanisms in Patients with Borderline Personality Disorder and Healthy Individuals. Khomeini Shahr.

Zolfaghari, M., Hosseini Abadi, R., Galehdar, N., & Mohammadi, R. (2024). Investigating the Relationship between Perceived Social Support and Self-Esteem in Elderly People Living in Khorramabad City in 2022. Journal of Health Research, 10(2), 39-49.

Zoromba, M. A., Atta, M. H. R., Ali, A. S., El‐Gazar, H. E., & Amin, S. M. (2024). The Mediating Role of Psychological Capital in the Relationship Between Family Sense of Coherence and Caregiver Stress Among Parents of Children With Autism Spectrum Disorder. International journal of mental health nursing, 33(6), 2157-2169. https://doi.org/10.1111/inm.13383

Additional Files

Published

2025-07-01

Submitted

2024-12-19

Revised

2025-04-03

Accepted

2025-04-16

How to Cite

Naeimabadi, E. ., Boostan, A., & Rezakhani, S. . (2025). Developing a Predictive Model of Sense of Coherence in Elderly Women Based on Perceived Social Support with the Mediating Role of Ego Strength. Psychology of Woman Journal, 6(3), 1-9. https://doi.org/10.61838/kman.pwj.6.3.8