Structural model of Quality of Life Based on Emotion Regulation Strategies and Metacognitive Beliefs with the Mediating Role of Alexithymia in Patients with Heart Failure

Pouramini Pirjel, Zahra; Bagheri, Masoud; Askarizadeh, Ghasem

doi:10.22059/japr.2025.391289.645175

Structural model of Quality of Life Based on Emotion Regulation Strategies and Metacognitive Beliefs with the Mediating Role of Alexithymia in Patients with Heart Failure

Articles in Press

Document Type : Research Paper

Authors

zahra pouramini pirjel

Masoud Bagheri

ghasem askarizadeh

Department of Psychology, Faculty of Literature and Humanities, Shahid Bahonar University of Kerman, Kerman, Iran

10.22059/japr.2025.391289.645175

Abstract

The aim of the present study was to examine the quality of life of patients with heart failure based on metacognitive beliefs and emotion regulation strategies, with the mediating role of alexithymia. The statistical population consists of all individuals who sought treatment from cardiologists in Kerman for heart failure during the year 2024. A total of 300 patients (180 women and 120 men) were selected through convenience sampling. Data collection was carried out using the World Health Organization Quality of Life Questionnaire (WHOQOL-BREF), the Metacognitive Beliefs Questionnaire by Wells (MCQ-30), the Emotion Regulation Questionnaire by Gross and John (ERQ), and the Toronto Alexithymia Scale (TAS-20). The data were analyzed using structural equation modeling with SPSS version 24 and AMOS version 24. The results indicated that emotion regulation strategies (reappraisal and suppression), metacognitive beliefs, and alexithymia predict the quality of life of patients. Moreover, emotion regulation strategies (reappraisal and suppression) and metacognitive beliefs, with the mediating role of alexithymia, predict the quality of life of patients. Consequently, the model had an appropriate fit. Ultimately, focusing on metacognitive beliefs, emotion regulation strategies, and alexithymia through training and counseling can help patients to improve their quality of life.

Keywords

Alexithymia

Emotion Regulation Strategies

Heart Failure

Metacognitive Beliefs

Quality of life