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Demoralization, self-efficacy, and business profitability in self-employed individuals with cardiac diseases

Research output: Contribution to journalArticlepeer-review

Abstract

Cardiac Diseases (CD) have harmful devastating consequences for individuals. Their ill health may cause significant pain and suffering, psychological distress, social difficulties, reduced work capacity, and increased substantial economic strain. This study involved 120 self-employed individuals with CD, divided into lower and higher intolerance of uncertainty (IU) levels. Multi-group analysis was performed to examine differences between low and high IU groups. The study indicated a significant relationship among business profitability decline, IU, and high levels of demoralization in self-employed-individuals with CD. Self-employed-individuals with CD often encounter unique difficulties in performing their job roles appropriately, which affects their health. In addition, the results show that IU moderated the relationships between the study variables. Self-employed individuals with CD who were less tolerant of uncertainty had higher risk of psychological and work-related difficulties. Additionally, personal resources (such as self-efficacy and coping strategies) contribute to demoralization.

Original languageEnglish
Pages (from-to)643-657
Number of pages15
JournalJournal of Health Psychology
Volume31
Issue number2
Early online date31 Mar 2025
DOIs
StatePublished - Feb 2026

Bibliographical note

Publisher Copyright:
© The Author(s) 2025. This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage).

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

  1. SDG 8 - Decent Work and Economic Growth
    SDG 8 Decent Work and Economic Growth

Keywords

  • cardiac diseases
  • coping strategies
  • demoralization
  • self-efficacy
  • self-employed

ASJC Scopus subject areas

  • Applied Psychology

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