The Effectiveness of Positive Thinking Skills on Guilt Feelings, Rumination, and Hope for Life in the Elderly

Authors

    Mansoureh Mohammadpour Department of Psychology, Beh.C, Islamic Azad University, Behshahr, Iran
    Mohammadreza Esmaeilnia Ghara * Department of Psychology, Beh.C, Islamic Azad University, Behshahr, Iran 2161428586@iau.ac.ir

Keywords:

Positive thinking skills, guilt feelings, hope for life, rumination

Abstract

ABSTRACT

The present study aimed to examine the effectiveness of positive thinking skills on guilt feelings, rumination, and hope for life among elderly individuals in the city of Qaemshahr. Based on its objective, the study is applied in nature. The research design was quasi-experimental, employing a pretest–posttest format with a control group. The statistical population included all elderly residents of Qaemshahr who were living in nursing homes. A total of 30 participants were selected and randomly assigned to experimental and control groups; to control for group effects, both groups were selected from the same nursing home. Data were collected using the Snyder Hope Scale (Snyder, 1991), the Ruminative Responses Scale developed by Nolen-Hoeksema and Morrow (Nolen-Hoeksema & Morrow, 1991), and the Guilt Inventory by Kugler and Jones (Kugler & Jones, 1992) at two stages, pretest and posttest. The intervention consisted of the Susan Quilliam protocol, translated by Barati and Sadeghi (2011), along with the book The Optimistic Child by Martin Seligman et al., translated by Davarpanah (2012), administered over 10 sessions of 90 minutes each across 10 weeks. Data were analyzed using univariate and multivariate analysis of covariance (ANCOVA and MANCOVA). The results indicated that positive thinking skills had a significant effect on guilt feelings, rumination, and hope for life. The largest effect size was observed for hope for life (55%), followed by guilt feelings (approximately 44%), and rumination (35%). Based on the findings, the implementation of positive thinking training programs appears necessary for reducing rumination and guilt while enhancing hope for life among the elderly.

Downloads

Download data is not yet available.

References

1. Sander M, Oxlund B, Jespersen A, Krasnik A, Mortensen EL, Westendorp RGJ. The Challenges of Human Population Ageing. Age and Ageing. 2015;44(2):185-7.

2. Khaki S, Khasali Z, Farajzadeh M, Dalvand S, Moslemi B. The Relationship Between Depression and Death Anxiety and Quality of Life in Older Adults. Hayat. 2017;23(2):152-61.

3. Baratchi M, Kamili A, Ghaffari HA, Mansouri N. Therapeutic and Health Needs of the Elderly: A Challenge Facing Iranian Society. National Conference on Health, Safety and Environment Management in the Field of Citizenship2015. p. 1-14.

4. Lopez SJ, Snyder CR, Pedrotti JT. Hope: Many Definitions, Many Measures. In: Snyder CR, Lopez SJ, editors. Positive Psychological Assessment: A Handbook of Models and Measures. Washington, DC: American Psychological Association; 2006. p. 91-106.

5. Graham C. Hope and despair: Implications for life outcomes and policy. Behavioral Science & Policy. 2024:23794607231222529. doi: 10.1177/23794607231222529.

6. Ye Y, Chen B, Zhen R, Li Y, Liu Z, Zhou X. Childhood maltreatment patterns and suicidal ideation: mediating roles of depression, hope, and expressive suppression. European Child & Adolescent Psychiatry. 2024;33(11):3951-64. doi: 10.1007/s00787-024-02442-6.

7. Villacura-Herrera C, Ávalos-Tejeda M, Gaete J, Robinson J, Núñez D. The underlying dynamics of a suicidal ideation latent network model: The role of hopelessness, psychopathology, emotion regulation, and behavioral coping skills in adolescents from the general population. Journal of Affective Disorders. 2025;379:540-8. doi: 10.1016/j.jad.2025.02.101.

8. Watkins ER, Roberts H. Reflecting on Rumination: Consequences, Causes, Mechanisms and Treatment of Rumination. Behaviour Research and Therapy. 2020;127:103573.

9. Heissel A, Pietrek A, Kangas M, der Kaap-Deeder V, Rapp MA. The Mediating Role of Rumination in the Relation Between Basic Psychological Need Frustration and Depressive Symptoms. Journal of Clinical Medicine. 2023;12(2):395.

10. Chentsova VO, Bravo AJ, Mezquita L, Pilatti A, Hogarth L. Internalizing Symptoms, Rumination, and Problematic Social Networking Site Use: A Cross-National Examination Among Young Adults in Seven Countries. Addictive Behaviors. 2023;136:107464.

11. Nagy LM, Shanahan ML, Seaford SP. Nonsuicidal Self-Injury and Rumination: A Meta-Analysis. Journal of Clinical Psychology. 2023;79(1):7-27.

12. Taleb Haghi N, Kouchak Entezar A, Qodsi P. Comparing Perceived Stress and Rumination in Older Adults Living in Nursing Homes and Older Adults Living with Their Families. First Scientific Research Conference on Psychology, Counseling, Educational Sciences, and Social Sciences2020.

13. Soleimani A, Sohrabi F, Shams J. The Relationship of Worry and Rumor with Metacognitive Beliefs and Major Depressive Syndrome. New Psychological Research. 2014;9(33):111-24.

14. Carlos TO, David AC, Julia WF. Definition and Measurement of Guilt: Implications for Clinical Research and Practice. Clinical Psychology Review. 2010;30(5):536-46.

15. Robinaugh DJ, McNally RJ. Autobiographical Memory for Shame or Guilt Events: Association with Psychological Symptoms. Behaviour Research and Therapy. 2010;48(7):646-52.

16. Amirbeglou Dariani M, Marashi MK. Guilt and Anxiety in Older Adults: The Role of Existential Concerns. Aging Psychology. 2021;7(1):29-41.

17. Rostami A, Shariatnia K, Khajavandkhoshli A. The Relationship of Self-Efficacy and Mindfulness with Rumination in Students of Shahroud Branch, Islamic Azad University. Quarterly of Medical Sciences. 2014;24(4):254-9.

18. Shahbazi L, Seyed A, Khoroush M. The Effectiveness of Positive Thinking and Optimism Skills Training with a Cognitive-Behavioral Approach on Reducing Depression and Improving Quality of Life. Psychological Studies of Adolescents and Youth. 2021;2(3).

19. Karimi A, Ahadi H, Asadzadeh H. The Effectiveness of Positive Thinking Skills Training on Reducing Anxiety in Female Students of Islamic Azad University, Sabzevar Branch. 2020.

20. Haroon Rashidi H, Bahiraei MR. The Effectiveness of Positive Intervention on Life Satisfaction and Character Strengths in Elderly Men. Aging Psychology. 2020;6(2):179-89.

21. Nazari S, Honarmand P, Houshyar Danesh M. Comparing the Effects of a Period of Yoga and Pilates Training on Mental Health and Quality of Life in Inactive Elderly Women. Psychological Science. 2019;18(82):1165-73.

22. Behpazhooh A, Soleimani S. The Relationship Between Sleep Quality and Depression in Elderly Individuals in Three مناطق of Tehran. Salmand: Iranian Journal of Ageing. 2016;11(1):72-9.

23. Eskandari M, Bahmani B, Hasani F, Dadkhah A, Naghiyayee M. Effectiveness of Group Cognitive-Existential Therapy on Depression of Parents with Children Having Cancer. Clinical Psychology & Personality. 2014;2(10):41-50.

Downloads

Published

2026-07-01

Submitted

2025-12-30

Revised

2026-04-09

Accepted

2026-04-15

Issue

Section

Articles

How to Cite

Mohammadpour, M. ., & Esmaeilnia Ghara, M. (2026). The Effectiveness of Positive Thinking Skills on Guilt Feelings, Rumination, and Hope for Life in the Elderly. Mental Health and Lifestyle Journal, 1-12. https://mhljournal.com/index.php/mhlj/article/view/210

Similar Articles

1-10 of 97

You may also start an advanced similarity search for this article.