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Updated: Feb 8, 2026

Implantation of Total Artificial Heart in Congenital Heart Disease
Published on: July 18, 2014
Spiritual health mediates the relationship between ego-strength and adjustment to heart disease
Mohammad Ali Besharat1, Somayeh Ramesh1, Elham Moghimi2
1University of Tehran, Iran.
Abstract:
This study aimed to investigate the mediating role of spiritual health in the relationship between ego-strength and adjustment to heart disease. In total, 327 patients with coronary artery disease (138 women, 189 men) completed the Ego-Strength Scale, Adjustment to Illness Scale, and Spiritual Well-Being Scale. Results showed that both ego-strength and spiritual health had a significantly positive correlation with adjustment to heart disease. Results also revealed that spiritual health mediated the relationship between ego-strength and adjustment to heart disease. More improvement in adjustment to heart disease requires more improvement in patients' spiritual health as well as to ego-strength.
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