# The Relationship Between Willingness to Forgive and Health-Related Quality of Life in Older Adults in Portugal and Spain

**Authors:** Cristiane Pavanello Rodrigues Silva, Fausto J. Barbero-Iglesias, Luis Polo-Ferrero, José I. Recio-Rodríguez

PMC · DOI: 10.3390/geriatrics10040090 · 2025-07-02

## TL;DR

This study explores how willingness to forgive is linked to better mental health and quality of life in older adults in Portugal and Spain.

## Contribution

The study identifies forgiveness as a potential factor influencing mental health and quality of life in elderly populations.

## Key findings

- Willingness to forgive is positively correlated with health-related quality of life in older adults.
- The correlation is particularly strong for mental health and is influenced by education, cohabitation, and work activity.
- Promoting forgiveness may support active aging and improve emotional health in the elderly.

## Abstract

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, ≥65 years old, with preserved cognitive abilities, literacy ≥ 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.

## Full-text entities

- **Diseases:** inflammatory (MESH:D007249), injury to (MESH:D014947), physical (MESH:D059445), pain (MESH:D010146), hypertension (MESH:D006973), cardiovascular disease (MESH:D002318), anxiety (MESH:D001007), emotional limitations in daily (MESH:D020773), rumination (MESH:D000079562), depression (MESH:D003866), dementia (MESH:D003704), cognitive deficit (MESH:D003072)
- **Chemicals:** cortisol (MESH:D006854)
- **Species:** Homo sapiens (human, species) [taxon 9606]

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Source: https://tomesphere.com/paper/PMC12285951