Compilation of the Relationship between Psychosocial Factors and Self-Efficacy of Pain by Mediating Optimism and Psychological Hardiness in Cancer Patients

Introduction: Due to the prevalence of psychological damage in cancer patients, some studies indicate the role of psychological structures in compromising cancer. The purpose of this study was to develop a model for the relationship between psychosocial factors and self-efficacy of pain by mediating optimism and psychological hardiness in patients with cancer in Urmia. Methods: This study was carried out as structural equations. The sample consisted of 250 cancer patients in Urmia in 2018. These patients included Bauer Mindfulness Questionnaire (2006), Social Support for Zimt (1988), Parsian Spirituality and Donitigg (2009), Optimism by Shiyer and Carver (1994) , Psychological hardiness Kobasa et al. (1982) and self-efficacy of Nicholas's pain (1989). Then, using the LISREL software and their structural equations, their fitting proportions were calculated. Results: Mindfulness, social support and spirituality were positively predictive of the self-efficacy of pain; as well as the variables of mindfulness, social support and spirituality in a positive manner Able to predict optimism and psychological hardiness, and ultimately optimism and psychological hardiness, are able to predict positive self-efficacy of pain. The variables of mindfulness, social support and spirituality along with optimism and psychological hardiness simultaneously were able to explain 57.3 percent of the variance of self-efficacy in two. Also, the variables of mindfulness, social support and spirituality can simultaneously explain 32 percent of the variance of optimism and 21.9% of psychological hardiness changes. Conclusions: According to the results of the theoretical model, the relationship between psychosocial factors and the self-efficacy of pain-induced pain is confirmed by the optimism and psychological hardiness of cancer patients.