{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T18:41:04Z","timestamp":1760035264398,"version":"build-2065373602"},"reference-count":38,"publisher":"MDPI AG","issue":"4","license":[{"start":{"date-parts":[[2025,7,2]],"date-time":"2025-07-02T00:00:00Z","timestamp":1751414400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Geriatrics"],"abstract":"<jats:p>Objectives: To describe, understand, and correlate willingness to forgive with self-perceived health-related quality of life, including the components of quality of physical health and mental health. Methods: Conducted with 30 older individuals, \u226565 years old, with preserved cognitive abilities, literacy \u2265 four years of education, living in Portugal and Spain. The 12-Item Short-Form Health Survey (SF-12) was used to assess self-perceived health-related quality of life, and the Heartland Forgiveness Scale (HFS) was used to measure willingness to forgive. Results: There was a direct positive correlation between willingness to forgive and perception of health-related quality of life, especially for the mental health component, educational level, cohabitation, and work activity. Conclusions: Forgiveness could play a significant role in the emotional health and quality of life of the elderly. Strategies to develop forgiveness can benefit the active aging process, contributing to improved health-related quality of life in older individuals.<\/jats:p>","DOI":"10.3390\/geriatrics10040090","type":"journal-article","created":{"date-parts":[[2025,7,3]],"date-time":"2025-07-03T04:35:52Z","timestamp":1751517352000},"page":"90","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The Relationship Between Willingness to Forgive and Health-Related Quality of Life in Older Adults in Portugal and Spain"],"prefix":"10.3390","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9298-2950","authenticated-orcid":false,"given":"Cristiane Pavanello Rodrigues","family":"Silva","sequence":"first","affiliation":[{"name":"RISE-Health, Escola Superior de Sa\u00fade de Santa Maria, Tv. de Antero de Quental 173 175, 4049-024 Porto, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8407-4127","authenticated-orcid":false,"given":"Fausto J.","family":"Barbero-Iglesias","sequence":"additional","affiliation":[{"name":"Department of Nursing and Physiotherapy, Institute of Biomedical Research of Salamanca, University of Salamanca, 37007 Salamanca, Spain"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8349-0441","authenticated-orcid":false,"given":"Luis","family":"Polo-Ferrero","sequence":"additional","affiliation":[{"name":"Department of Nursing and Physiotherapy, Institute of Biomedical Research of Salamanca, University of Salamanca, 37007 Salamanca, Spain"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3772-8746","authenticated-orcid":false,"given":"Jos\u00e9 I.","family":"Recio-Rodr\u00edguez","sequence":"additional","affiliation":[{"name":"Department of Nursing and Physiotherapy, Institute of Biomedical Research of Salamanca, University of Salamanca, 37007 Salamanca, Spain"},{"name":"Primary Care Research Unit of Salamanca, Research Network on Chronicity, Primary Care and Health Promotion, 37007 Salamanca, Spain"}]}],"member":"1968","published-online":{"date-parts":[[2025,7,2]]},"reference":[{"key":"ref_1","unstructured":"Worthington, E.L. (2005). Initial Questions About the Art and Science of Forgiving. Handbook of Forgiveness, Routledge."},{"key":"ref_2","unstructured":"Enright, R.D. (2006). Forgiveness Is a Choice: A Step-by-Step Process for Resolving Anger and Restoring Hope, American Psychological Association."},{"key":"ref_3","unstructured":"Gil, J.C.A. (2009). The Extraordinary Capacity to Forgive: Implications in the (Re)Construction of Happiness. [Master\u2019s Thesis, University of Algarve]."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"515","DOI":"10.1080\/08870446.2018.1545906","article-title":"Meta-analytic connections between forgiveness and health: The moderating effects of forgiveness-related distinctions","volume":"34","author":"Rasmussen","year":"2019","journal-title":"Psychol. Health"},{"key":"ref_5","doi-asserted-by":"crossref","unstructured":"Vismaya, A., Gopi, A., and Romate, J. (2024). Psychological interventions to promote self-forgiveness: A systematic review. BMC Psychol., 12.","DOI":"10.1186\/s40359-024-01671-3"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"279","DOI":"10.1037\/a0031839","article-title":"Effects of a forgiveness intervention for older individuals","volume":"60","author":"Allemand","year":"2013","journal-title":"J. Couns. Psychol."},{"key":"ref_7","doi-asserted-by":"crossref","unstructured":"L\u00f3pez, J., Serrano, M.I., Gim\u00e9nez, I., and Noriega, C. (2021). Forgiveness interventions for older individuals: A review. J. Clin. Med., 10.","DOI":"10.3390\/jcm10091866"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"439","DOI":"10.1080\/13607860903483136","article-title":"Unforgiveness, rumination and depressive symptoms among older individuals","volume":"14","author":"Krause","year":"2010","journal-title":"Aging Ment. Health"},{"key":"ref_9","unstructured":"Vieira, M., Neves-Amado, J., and Deodato, S. (2017). Interpersonal forgiveness and health-related quality of life in the elderly: Scoping review. 11th International Seminar on Nursing Research Proceedings, Institute of Health Sciences\u2013Catholic University of Portugal."},{"key":"ref_10","unstructured":"World Health Organization (2025, April 03). Global Strategy and Action Plan on Ageing and Health 2016\u20132020: Towards a World in Which Everyone Can Live a Long and Healthy Life. Available online: https:\/\/apps.who.int\/gb\/ebwha\/pdf_files\/WHA73\/A73_INF2-en.pdf."},{"key":"ref_11","unstructured":"Organization for Economic Co-Operation and Development (OECD) (2024). Demographic Trends. Society at A Glance 2024: OECD Social Indicators, OECD Publishing."},{"key":"ref_12","unstructured":"Guerreiro, M. (1998). Contribution of Neuropsychology to the Study of Dementias. [Ph.D. Thesis, University of Lisbon]."},{"key":"ref_13","first-page":"10","article-title":"New normative scores of the Mini Mental State Examination","volume":"9","author":"Morgado","year":"2009","journal-title":"Sinapse"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"695","DOI":"10.1111\/j.1532-5415.2005.53221.x","article-title":"The Montreal Cognitive Assessment (MoCA): A brief screening tool for mild cognitive impairment","volume":"53","author":"Nasreddine","year":"2005","journal-title":"J. Am. Geriatr. Soc."},{"key":"ref_15","doi-asserted-by":"crossref","unstructured":"S\u00e1ez-Guti\u00e9rrez, S., Fern\u00e1ndez-Rodr\u00edguez, E.J., S\u00e1nchez-G\u00f3mez, C., Garc\u00eda-Mart\u00edn, A., Barbero-Iglesias, F.J., and S\u00e1nchez Aguadero, N. (2024). Study protocol for a randomized controlled trial: Effect of an everyday cognition training program on cognitive function, emotional state, frailty and functioning in older individuals without cognitive impairment. PLoS ONE, 19.","DOI":"10.1371\/journal.pone.0300898"},{"key":"ref_16","first-page":"376","article-title":"Validation of the Montreal Cognitive Assessment instrument in Spanish in adults over 60 years of age","volume":"34","author":"Delgado","year":"2019","journal-title":"Neurology"},{"key":"ref_17","first-page":"55","article-title":"Creation of the Portuguese version of the MOS SF-36. Part I: Cultural and linguistic adaptation","volume":"13","author":"Ferreira","year":"2000","journal-title":"Acta Med. Port."},{"key":"ref_18","first-page":"119","article-title":"Creation of the Portuguese version of the MOS SF-36. Part II: Validation tests","volume":"13","author":"Ferreira","year":"2000","journal-title":"Acta Med. Port."},{"key":"ref_19","first-page":"15","article-title":"Perception of health status and health-related quality of life of the active population: Contribution to the definition of Portuguese norms","volume":"21","author":"Ferreira","year":"2003","journal-title":"Rev. Port. Saude Publica"},{"key":"ref_20","first-page":"771","article-title":"The Spanish version of the SF-36 health survey: An instrument for measuring clinical outcomes","volume":"104","author":"Alonso","year":"1995","journal-title":"Med. Clin."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"220","DOI":"10.1097\/00005650-199603000-00003","article-title":"A 12-Item Short-Form Health Survey: Construction of scales and preliminary tests of reliability and validity","volume":"34","author":"Ware","year":"1996","journal-title":"Med. Care"},{"key":"ref_22","unstructured":"Pais-Ribeiro, J.L. (2005). The Important Thing Is Health: Study of Adaptation of an Instrument to Assess Health Status, Merck Sharp & Dohme Foundation."},{"key":"ref_23","first-page":"1275","article-title":"Evaluation of the SF-12 questionnaire: Verification of the usefulness of the mental health scale","volume":"142","author":"Silva","year":"2014","journal-title":"Rev. Med. Chil."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"135","DOI":"10.1157\/13074369","article-title":"The Spanish SF-36 Health Questionnaire: A Decade of Experience and New Developments","volume":"19","author":"Vilagut","year":"2005","journal-title":"Gac. Sanit."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"313","DOI":"10.1111\/j.1467-6494.2005.00311.x","article-title":"Dispositional forgiveness of self, others, and situations","volume":"73","author":"Thompson","year":"2005","journal-title":"J. Pers."},{"key":"ref_26","unstructured":"(2023, December 27). Heartland Forgiveness Scale. Available online: www.heartlandforgiveness.com."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"289","DOI":"10.1186\/s12955-020-01531-9","article-title":"Cross-cultural adaptation and validation of the European Portuguese version of the Heartland Forgiveness Scale","volume":"18","author":"Ikedo","year":"2020","journal-title":"Health Qual Life Outcomes"},{"key":"ref_28","doi-asserted-by":"crossref","unstructured":"Gallo-Giunzioni, K., Prieto-Urs\u00faa, M., Fern\u00e1ndez-Belinch\u00f3n, C., and Luque-Reca, O. (2021). Measuring Forgiveness: Psychometric Properties of the Heartland Forgiveness Scale in the Spanish Population. Int. J. Environ. Res. Public Health, 18.","DOI":"10.3390\/ijerph18010045"},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"329","DOI":"10.1037\/cou0000063","article-title":"Forgiving the self and physical and mental health correlates: A meta-analytic review","volume":"62","author":"Davis","year":"2015","journal-title":"J. Couns. Psychol."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"732863","DOI":"10.3389\/fpsyg.2021.732863","article-title":"The Older, the More Forgiving? Characteristics of Forgiveness of Chinese Older Adults","volume":"12","author":"Tao","year":"2021","journal-title":"Front. Psychol."},{"key":"ref_31","first-page":"123","article-title":"Happiness, optimism, hope and forgiveness in young adults, adults and the elderly","volume":"52","year":"2010","journal-title":"Psychologica"},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"2819","DOI":"10.1007\/s10943-021-01369-5","article-title":"Gender differences in forgiveness and its affective correlates","volume":"61","author":"Kaleta","year":"2022","journal-title":"J. Relig. Health"},{"key":"ref_33","doi-asserted-by":"crossref","unstructured":"Vieira, A., Sousa, P., Moura, A., Lopes, L., Silva, C., Robinson, N., Machado, J., and Moreira, A. (2022). The Effect of Auriculotherapy on Situational Anxiety Trigged by Examinations: A Randomized Pilot Trial. Healthcare, 10.","DOI":"10.3390\/healthcare10101816"},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"2944","DOI":"10.1177\/1359105315589393","article-title":"Forgiveness and health-related quality of life in older individuals: Adaptive cognitive emotion regulation strategies as mediators","volume":"21","author":"Rey","year":"2016","journal-title":"J. Health Psychol."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"463","DOI":"10.1080\/13607863.2013.856858","article-title":"A program of positive intervention in the elderly: Memories, gratitude and forgiveness","volume":"18","author":"Ortega","year":"2014","journal-title":"Aging Ment. Health"},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"661","DOI":"10.1080\/01634372.2017.1374314","article-title":"Mindfulness-based forgiveness groups for older individuals","volume":"60","author":"Foulk","year":"2017","journal-title":"J. Gerontol. Soc. Work"},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"2470","DOI":"10.1177\/00332941231152395","article-title":"The Moderation Effects of Self-Construal Between Dispositional Mindfulness and Interpersonal Forgiveness","volume":"127","author":"Zhang","year":"2024","journal-title":"Psychol. Rep."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"538","DOI":"10.3389\/fpsyg.2017.00538","article-title":"Fit to Forgive: Effect of Mode of Exercise on Capacity to Override Grudges and Forgiveness","volume":"8","author":"Struthers","year":"2017","journal-title":"Front. Psychol."}],"container-title":["Geriatrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2308-3417\/10\/4\/90\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T18:03:24Z","timestamp":1760033004000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2308-3417\/10\/4\/90"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7,2]]},"references-count":38,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2025,8]]}},"alternative-id":["geriatrics10040090"],"URL":"https:\/\/doi.org\/10.3390\/geriatrics10040090","relation":{},"ISSN":["2308-3417"],"issn-type":[{"type":"electronic","value":"2308-3417"}],"subject":[],"published":{"date-parts":[[2025,7,2]]}}}