The Relationship Between Early Maladaptive Schemas and Anger Control Strategies in Patients With Coronary Artery Disease: The Mediating Role of Resilience
Keywords:
Early maladaptive schemas, resilience, anger control strategies, coronary artery disease, structural equation modelingAbstract
Objective: This study aimed to investigate the relationship between early maladaptive schemas and anger control strategies through the mediating role of resilience in patients with coronary artery disease and to propose a structural model. Methods and Materials: This was a descriptive-correlational study. The statistical population included patients with coronary artery disease admitted to public heart hospitals in Tehran during the second half of 2021. A total of 302 patients were selected through convenience sampling. Data were collected using the Connor-Davidson Resilience Scale, the short form of the Young Schema Questionnaire, and the Standard Anger Management Skills Scale. Data were analyzed using structural equation modeling in AMOS. Findings: Path analysis revealed a significant direct relationship between early maladaptive schemas and resilience (β=0.48, p<0.01), and between schemas and anger control strategies (β=0.40, p<0.01). Resilience was also significantly related to anger control (β=0.42, p<0.01). The modified model demonstrated acceptable fit indices. Moreover, resilience significantly mediated the relationship between maladaptive schemas and anger control strategies (indirect β=0.20, p<0.01). Conclusion: The findings suggest that resilience plays a mediating role in the relationship between early maladaptive schemas and anger control strategies among cardiac patients. Enhancing resilience may help improve emotional regulation and reduce anger responses in this population.
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