Prediction of Belief in a Just World and Self-Compassion Based on Proactive Coping in Hemodialysis Patients with Chronic Kidney Disease

AbstractObjective: The present study aimed to examine the relationship of proactive coping with self-compassion and belief in a just world in patients undergoing hemodialysis.Method: This descriptive–correlational study was conducted on patients with chronic kidney disease (CKD), aged 18 years and older, who had been on hemodialysis for more than three months and attended dialysis centers in Semnan hospitals. Due to COVID-19 restrictions, a total of 207 individuals were selected as the study sample through convenience sampling, considering inclusion and exclusion criteria. The research instruments included Neff’s Self-Compassion Scale (2003), the Belief in a Just World Scale for self and others developed by Sutton and Douglas (2005), and the Proactive Coping Inventory by Greenglass et al. (1999).Findings: The results indicated that proactive coping significantly influenced all components of self-compassion: it had negative effects on self-judgment, isolation, and over-identification, while showing positive effects on self-kindness, common humanity, and mindfulness. Moreover, proactive coping exerted a positive and significant effect on all three dimensions of belief in a just world.Conclusion: These findings provide valuable insights for professionals working with hemodialysis patients. By addressing and strengthening psychological factors such as proactive coping, tailored interventions can be designed to improve patients’ quality of life.