en Psychology and Psychiatry Original Article <div style="text-align: justify;"><span style="font-size:12px;"><span style="font-family:Times New Roman;"><b>Background:</b> Postoperative orthopedic pain is challenging; inadequate control prolongs hospitalization and increases costs. The present study examined the relationship between spiritual intelligence and emotional intelligence and pain tolerance.<br> <b>Methods:</b> This cross-sectional, analytical study was conducted on 170 orthopedic surgery patients at Baghdad Teaching Hospital in 2023. Participants were recruited through convenience sampling. Data were collected using the King&rsquo;s Spiritual Intelligence Questionnaire, the Bar-On Emotional Quotient (EQ), and the Visual Analog Scale (VAS). Patients completed instruments two days post-surgery. Data were analyzed using SPSS 23, employing Pearson correlation coefficients, independent-samples t-test, and one-way ANOVA.<br> <b>Results:</b> Among 170 participants, the mean spiritual intelligence score was moderate (71.23&plusmn;8.54), while emotional intelligence was low (184.25&plusmn;17.3). Pain severity was high, with a mean score of 6.22 &plusmn; 0.73. Pearson&rsquo;s correlation coefficient showed a strong negative association between spiritual intelligence (r = -0.62, p = 0.012) and emotional intelligence (r = -0.86, p = 0.01) and pain, with the relationship being stronger for emotional intelligence. Additionally, there was a positive relationship between the demographic variables of age (r = 0.84, p = 0.02) and the presence of comorbidity (t = 0.45, p = 0.03) with higher pain scores. Variables identified as determinants by the linear regression model included emotional intelligence (b=0.61, P<0.001), spiritual intelligence (b=0.98, P<0.001), age (b=0.17, P=0.02), and comorbidity (b=0.28, P=0.004).<br> <b>Conclusion</b>: Spiritual and emotional intelligence reduce pain and improve tolerance, with stronger effects observed for emotional intelligence. Strengthening emotional intelligence among patients is essential. Nursing strategies should include training programs to enhance emotional intelligence skills, such as stress management and effective communication, to better equip patients in coping with pain.</span></span></div> Pain tolerance, Orthopedic procedures, Emotional intelligence, Spiritual intelligence 9 13 http://nmj.goums.ac.ir/browse.php?a_code=A-10-2119-1&slc_lang=en&sid=1 Arefe Fattah fattah69@gmail.com 100319475328460016930 0009-0003-5950-7340 No Department of Physical Therapy, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran Eman Al-Awabdeh masoomeghotbi49@gmail.com 100319475328460016931 100319475328460016931 No Department of Nursing, Fatima College of Health Sciences. Abu Dhabi, United Arab Emirates Alaa Jawad Kadhim alaaj@conursing.uobaghdad.edu.iq 100319475328460016932 100319475328460016932 No Department of Adult Nursing, College of Nursing, University of Baghdad, Baghdad, Iraq Masoome Ghotbi 100319475328460016933 0009-0007-1967-3220 No Department of Emergency, Hazrat Rasul Hospital of Ferdows, Birjand University of Medical Sciences, Birjand, Iran Richard Mottershead 100319475328460016934 100319475328460016934 No Sakina, Behavioural Science Institute, SEHA, Al Ain, United Arab Emirates. College of Nursing, University of Baghdad, Baghdad, Iraq Hamid Reza Khosravizade Tabasi 100319475328460016935 100319475328460016935 No Department of Nursing, Tabas School of Nursing, Birjand University of Medical Sciences, Birjand, Iran Erfan Rajabi erfan.rjbi@gmail.com 100319475328460016936 100319475328460016936 No Student Research Committee, School of Allied Medical Sciences, Iran ‎University of ‎Medical Sciences, ‎Tehran, Iran Hadi Ahmadi Chenari ahmadi.h@bums.ac.ir 100319475328460016937 100319475328460016937 Yes Department of Nursing, Ferdows Faculty of Medical Sciences, Birjand University of Medical Sciences, Birjand, Iran