{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T07:53:55Z","timestamp":1790927635340,"version":"4.1.0"},"reference-count":46,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2026,8,2]],"date-time":"2026-08-02T00:00:00Z","timestamp":1785628800000},"content-version":"vor","delay-in-days":1,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Science Reports"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Presbycusis, an age\u2010related hearing disorder, affects communication, psychosocial functioning, and quality of life. Because its management requires long\u2010term engagement with rehabilitation and medication routines, psychological factors such as personality traits and coping styles may influence treatment adherence. This study investigated the relationship between personality traits and adherence in adults with presbycusis, with coping styles examined as a mediating variable.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A descriptive cross\u2010sectional study was conducted among adults diagnosed with presbycusis recruited from hospitals and audiology centers across Tehran, Iran (November 2024\u2013March 2025). Participants completed the Personality Insights Questionnaire, the Coping Styles Questionnaire, and the Morisky Medication Adherence Scale (MMAS\u20108). Partial Least Squares Structural Equation Modeling (PLS\u2010SEM) was used to assess direct and indirect effects and evaluate model reliability, validity, and predictive accuracy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 384 adults participated. Personality traits showed a significant positive association with coping styles (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u2009=\u20090.652,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05), and coping styles significantly predicted treatment adherence (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u2009=\u20090.379,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05). The indirect effect of personality traits on adherence through coping styles was significant (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u2009=\u20090.247;\n                      <jats:italic>t<\/jats:italic>\n                      \u2009=\u20096.878). Model indices demonstrated acceptable reliability, convergent and discriminant validity, and moderate predictive relevance.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Personality traits influence treatment adherence in adults with presbycusis both directly and through coping styles. Incorporating personality\u2010based and coping\u2010focused strategies into hearing rehabilitation may strengthen adherence and improve long\u2010term outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/hsr2.72955","type":"journal-article","created":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T06:27:56Z","timestamp":1785738476000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Investigating the Relationship Between Personality Traits and Treatment Adherence With the Mediating Role of Coping Styles in Adults With Presbycusis: A Cross\u2010Sectional Study"],"prefix":"10.1002","volume":"9","author":[{"given":"Zahra","family":"Davari","sequence":"first","affiliation":[{"name":"Department of Educational Psychology and Rehabilitation Counselling, Tehran Medical Branch Islamic Azad University Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-3073-9630","authenticated-orcid":false,"given":"Sara","family":"Zamiran","sequence":"additional","affiliation":[{"name":"Department of Occupational Therapy, School of Rehabilitation Shahid Beheshti University of Medical Sciences Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leila","family":"Ganji","sequence":"additional","affiliation":[{"name":"Department of Educational Psychology and Rehabilitation Counselling, Tehran Medical Branch Islamic Azad University Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7643-7821","authenticated-orcid":false,"given":"Malek","family":"Amini","sequence":"additional","affiliation":[{"name":"Department of Occupational Therapy, Rehabilitation Research Centre and School of Rehabilitation Sciences Iran University of Medical Sciences Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shirin Keyvan","family":"Nasab","sequence":"additional","affiliation":[{"name":"Department of Educational Psychology and Rehabilitation Counselling, Tehran Medical Branch Islamic Azad University Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6175-0233","authenticated-orcid":false,"given":"Marzieh","family":"Pashmdarfard","sequence":"additional","affiliation":[{"name":"Department of Occupational Therapy, School of Rehabilitation, Imam Hossein Hospital Shahid Beheshti University of Medical Sciences Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,2]]},"reference":[{"key":"e_1_2_12_2_1","volume-title":"World Report on Hearing","author":"World Health Organization","year":"2021"},{"issue":"4","key":"e_1_2_12_3_1","first-page":"1","article-title":"Global Burden of Hearing Loss in the Year 2000","volume":"18","author":"Mathers C.","year":"2000","journal-title":"Global Burden of Disease"},{"issue":"2","key":"e_1_2_12_4_1","first-page":"98","article-title":"Hearing Loss in Adults: Differential Diagnosis and Treatment","volume":"100","author":"Michels T. 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