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The Mediating Role of Perceived Stress in the Relationship between Health-Promoting Lifestyles with Illness Anxiety in the Medical Staff of Al-Ghadir Hospital
Hossein Rostami1, Ezatollah Ahmadi2, Reza Abdi1
1- Department of Psychology, Faculty of Psychology, Azarbaijan Shahid Madani University, Tabriz, Iran
2- Department of Psychology, Faculty of Psychology, Azarbaijan Shahid Madani University, Tabriz, Iran , amiraliahmadi91@yahoo.com
English Extended Abstract:   (498 Views)
Aims: The medical staff are always fighting against diseases and are in contact with the patients, and psychological helplessness, including depression and anxiety, has been reported in many staff working on the front lines of fighting diseases. The present study aimed to determine the relationship between health-promoting lifestyles and illness anxiety with the mediating role of perceived stress in the medical staff of Al-Ghadir Hospital.
Materials and Methods: The current research is an applied and descriptive correlational type in terms of nature. The statistical population of this research was the medical staff of Al-Ghadir Hospital in Tabriz, Iran, in 2022 (315 people). The statistical sample of the research was determined by using a simple random sampling method of 236 people. In this research, three standard questionnaires, including the Taylor and Cox (1998) illness anxiety scale, Cohen et al.'s (1983) perceived stress questionnaire, and Walker et al.'s (1997) health-promoting lifestyle questionnaire, were used to collect data. The data were analyzed using partial least squares path analysis with PLS-3 software. 
Findings: Descriptive findings showed that 188 participants (79.7%) were female, and 48 (20.3%) were male. The test of the research model showed that the structural model of the relationship between health-promoting styles and illness anxiety with the mediation of perceived stress had a good fit. Model analysis showed that in the direct path, health-promoting lifestyles had a negative and significant relationship with illness anxiety (β=0.144; t=2.418), and indirectly, the relationship between health-promoting styles and illness anxiety through the mediating variable of perceived stress was negative and significant (Z=3.541). Perceived stress explained the relationship between health promotion style and illness anxiety by 47% (VAF=0.47).
Conclusion: The findings of this research showed that perceived stress could negative and significantly mediate the relationship between health-promoting styles and illness anxiety in a selected sample of people referring to Al-Ghadir Hospital in Tabriz, Iran.
Article number: 39
Keywords: Health Promotion [MeSH], Anxiety Disorder [MeSH], Stress [MeSH]
Full-Text [PDF 570 kb]   (222 Downloads)    
Article Type: Original Research | Subject: Police Related Psychology
Received: 2022/10/6 | Accepted: 2022/11/13 | Published: 2022/12/6
References
1. Kim S.C, Quiban C, Sloan C, Montejano A. Predictors of poor mental health among nurses during COVID-19 pandemic. Nurs Open. 2021;8(2):900-7. DOI: 10.1002/nop2.697 [DOI:10.1002/nop2.697] [PMID] [PMCID]
2. Gorbalenya AE, Susan C, Ralph S, Raoul J, de Groot Christian Drosten, Anastasia A et al. Severe acute respiratory syndrome-related coronavirus-the species and its viruses, a statement of the coronavirus study group. 2020. BioRxiv [DOI:10.1101/2020.02.07.937862]
3. Fink P, Ornbol E, Christensen KS. The outcome of health anxiety in primary care. A two- year follow up study on health care costs and self-rated health. J Plos One. 2010;5(3):e9873. DOI: 10.1371/journal.pone.0009873 [DOI:10.1371/journal.pone.0009873] [PMID] [PMCID]
4. Diagnostic and statistical manual of mental disorders 5th ed. (2013). Arlington, VA Washington D.C: American. 189-95p. https://en.wikipedia.org/wiki/Diagnostic_and_Statistical_Manual_of_Mental_Disorders
5. Lee T. W, Il Sun K, Kyung J. L. Health promotion behaviors and quality of life among community-dwelling elderly in Korea: A cross-sectional survey. Int J Nurs Stud. 2016;43:293-300. DOI: 10.1016/j.ijnurstu.2005.06.009 [DOI:10.1016/j.ijnurstu.2005.06.009] [PMID]
6. Wu P, Fang Y, Guan Z, Fan B, Kong J, Yao Z. et al. The psychological impact of the SARS epidemic on hospital employees in China: Exposure, risk perception, and altruistic acceptance of risk. Can J Psychiatry. 2009;54(5):302-11. DOI: 10.1177/070674370905400504 [DOI:10.1177/070674370905400504] [PMID] [PMCID]
7. Pouralizadeh M, Bostani Z, Maroufizadeh S, Ghanbari A, Khoshbakht M, Alavi S. A, Ashrafi S. Anxiety and depression and the related factors in nurses of Guilan university of medical sciences hospitals during COVID-19: A web-based cross-sectional study. Int J Afr Nurs Sci. 2020;13:1-6. DOI: 10.1016/j.ijans.2020.100233 [DOI:10.1016/j.ijans.2020.100233] [PMID] [PMCID]
8. Karimi L, Khalili R, Sirati nir M. Prevalence of various psychological disorders during the Covid-19 pandemic: Systematic review. J Mil Med. 2020;22(6):648-62. [Persian]. DOI:10.30491/JMM.22.6.648.
9. Najjar Nasab S, Dasht-e Bozorgi Z. The effect of motivational interviews on lifestyle enhancing the health and blood pressure of women with eating disorder. J Health Psychol. 2019;8(31):103-18. https://hpj.journals.pnu.ac.ir/article_6318_en.html
10. Gujirat O, & Kumar N. Investigation of work and life balance of women employees and its effects on emotional and social well-being. J Human Insights. 2018;2(3):152-5. https://dx.doi.org/10.22034/jhi.2018.7085518-
11. Roslan S, Ahmad N, Nabilla N, Ghiami Z. Psychological Well-being among Postgraduate Students. Acta Medica Bulgarica. 2017;44(1):35-41. DOI:10.1515/amb-2017-0006. [DOI:10.1515/amb-2017-0006]
12. Atadakht A, Rahimi S, Vali Nejad S. The role of lifestyle enhancing health and religious orientation in predicting quality of life and death anxiety in the elderly. Aging Psychol. 2018;4(2):143-54. https://jap.razi.ac.ir/article_1002.html
13. Rahimi A, Ahmadi F. Akhond M. An investigation of amount and factors affecting nurses' job stress in some hospitals in Tehran. Res J Life. 2013;10(22):11-20. [Persian]. http://hayat.tums.ac.ir/article-1-254-en.html.
14. Seydi F, Zare H, Saffarinia M, Erfani N. Investigating of perceived stress role in the relationship between social support, psychological capital and forgiveness with distress tolerance in couples. Women Fam Culture Edu J. 2021;16(56):129-55. DOI: 20.1001.1.26454955.1400.16.56.5.3
15. Saadatazhar H, Sobhi Gharamaleki N, Zargham hajebi M. Resilience model based on personality traits by the mediating role of perceived stress in the military. J Police Med. 2022;11(1):e1. http://jpmed.ir/browse.php?a_id=946&sid=1&slc_lang=en
16. Safaieepourzamani M, Arefi M. The relation between coping stytles and percieved stress in nurses of educational hospital in kermanshah university of medical sciences. J Clin Res Paramed Sci. 2015;4(1):34-41. [Persian]. https://www.sid.ir/paper/256039/en
17. Mohammadi Nasab R, Fakhimi Azar S, Pasban M, Bohloli N. Determining the psychological factors affecting the ability of nurses- A case study of Al-Ghadir Naja Hospital. J Police Med. 2021;10(3):177-84. http://jpmed.ir/article-1-926-fa.html
18. Cole D, Nelson L. Stress at work: the relationship between hope and health in hospital nurses. Health Care Manage Rev. 2001;26(4):18-7. [DOI:10.1097/00004010-200110000-00002] [PMID]
19. Hosseini F, Fasihi Harandi T, Kazemi M, Rezaeian M, Hosseini R. The relationship between sleep quality and general health of nurses in Rafsanjan university of medical sciences in 2012. J Rafsanjan Univ Med Sci. 2013;12(10):843-54. [Persian]. http://journal.rums.ac.ir/article-1-1605-en.pdf
20. Abdollahi A, Abu Talib M, Yaacob SN, Ismail Z. Hardiness as a mediator between perceived stress and happiness in nurses. J Psychiatr Ment Health Nurs 2014;21(9):789-96. doi: 10.1111/jpm.12142 [DOI:10.1111/jpm.12142] [PMID]
21. Masoudnia E. Impact of perceived vulnerability on student's coping strategies in stressful situations: an appraisal of health belief model. Iran J Psychiatr Nurs. 2015;3(3):63-75. [Persian]. http://ijpn.ir/article-1-618-en.html
22. Taylor S, Zvolensky MJ, Cox BJ, Deacon B, Heimberg RG, Ledley DR, et al. Robust dimensions of anxiety sensitivity: development and initial validation of the anxiety sensitivity index-3. Psychol Assess. 2007;19(2):176-188. DOI:10.1037/1040-3590.19.2.176 [DOI:10.1037/1040-3590.19.2.176] [PMID]
23. Rodriguez B.F, Bruce S.E, Pagano M.E, Spencer M.A, Keller M.B. Factor structure and stability of the anxiety sensitivity index in a longitudinal study of anxiety disorder patients. Behav Res Ther.2004;42(1):79-91. https://doi.org/10.1016/S0005-7967(03)00074-3 [DOI:10.1016/s0005-7967(03)00074-3] [PMID]
24. Ghasemi K, Elahi T. The relationship between early maladaptive schemas and illness anxiety:The mediating role of experiential avoidance. J Res Psychol Health. 2019;13(3):47-55. [Persian]. http://rph.khu.ac.ir/article-1-3580-en.html
25. Cohen S, Kamarck T, Mermelstein R. A global measure of perceived stress. J Health Soc Behav. 1983;24:385-96. [DOI:10.2307/2136404] [PMID]
26. Mohammadi-Yeganeh L, Bastani F, Feizi Z, Agilar-Vafaie M, Haghani H. Effect of stress management education on mood and perceived stress among oral contraceptive pill users. Iran J Nurse. 2008;21(53):63-73. http://ijn.iums.ac.ir/article-1-410-fa.html
27. Pasandideh M, Salek Mahdi F. Comparison of perceived stress, emotion regulation strategies and cognitive flexibility in patients with G.I.S diseases and normal individuals. J Sci Res. 2019;8(29):82-100. https://www.sid.ir/paper/227338/en
28. Walker SN, Kerr MJ, Pender NJ, Sechrist KR. A Spanish language version of the health promoting lifestyle profile. Nurs Res. 1990;39(5):268-73. https://pubmed.ncbi.nlm.nih.gov/2399130/ [DOI:10.1097/00006199-199009000-00003] [PMID]
29. Mohammadi Zeidi I, Pakpour Hajiagha A, Mohammadi Zeidi B. Reliability and validity of persian version of the health-promoting lifestyle profile. J Mazandaran Univ Med Sci. 2011;20 (1):102-13. http://jmums.mazums.ac.ir/article-1-955-fa.html
30. Rezazadeh A, Davari A. Modeling of structured equations using PLS software. Jahad Daneshgahi. 2017. 240p. https://www.gisoom.com/book/11097132/
31. Fathi A, Sadeghi S, Maleki Rad A, Rostami H, Abdolmohammadi K. Effect of Health-promoting lifestyle and psychological well-being on anxiety induced by coronavirus disease 2019 in Non-medical Students. J Arak Uni Med Sci. 2020;23(5):698-709. [Persian]. 10.32598/JAMS.23.COV.1889.2 [DOI:10.32598/JAMS.23.COV.1889.2]
32. Farivar M, Aziziaram M, Basharpoor S. The role of health promoting behaviors and health beliefs in predicting of corona anxiety (COVID-19) among nurses. J Nurs Manag. 2021;9(4):1-12. https://www.sid.ir/en/Journal/ViewPaper.aspx?ID=835193
33. Norouzinia R, Aghabarari M, Kohan M, Karimi M. Health promotion behaviors and its correlation with anxiety and some students' demographic factors of Alborz University of Medical Sciences. JHPM. 2013;2(4):39-49. [Persian]. http://jhpm.ir/article-1-236-en.html [DOI:10.18869/acadpub.aums.1.4.200]
34. Kim H.-Y, Shin S.-H, Lee E.-H. Effects of health belief, knowledge, and attitude toward COVID-19 on prevention behavior in health college students. Int J Environ Res Public Health. 2022;19(3):1898. [DOI:10.3390/ijerph19031898] [PMID] [PMCID]
35. Hoying J, Melnyk B. M, Hutson E. Prevalence and correlates of depression, anxiety, stress, healthy beliefs, and lifestyle behaviors in first-year graduate health sciences students. Worldviews Evid Based Nurs. 2020;17(1),49-59. https://doi.org/10.1111/wvn.12415 [DOI:10.1111/wvn.12415.] [PMID] [PMCID]
36. Keele R. To role model or not? Nurses' challenges in promoting a healthy lifestyle. Workplace health Safe. 2019;67(12):584-91. https://www.researcher-app.com/paper/2513027 [DOI:10.1177/2165079919828738] [PMID]
37. Ross A, Bevans M, Brooks A. T, Gibbons S, Wallen G. R. Nurses and health-promoting behaviors: Knowledge may not translate into self-care. AORN J. 2017;105(3):267-75. DOI: 10.1016/j.aorn.2016.12.018 [DOI:10.1016/j.aorn.2016.12.018] [PMID] [PMCID]
38. Jiang W, Kuchibhatla M, Cuffe MS, Christopher EJ, Alexander JD, Clary GL, et al. Prognostic value of anxiety and depression in patients with chronic heart failure. Circulation. 2004;110(22):3452-6. DOI:10.1161/01.CIR.0000148138.25157. [DOI:10.1161/01.CIR.0000148138.25157.F9] [PMID]
39. Alipour A, Ghadami A, Alipour Z, Abdullahzadeh H. Preliminary validation of Corona Anxiety Scale (CDAS) in the Iranian sample. J Health Psychol. 2020; 8(32):163-75. DOI:10.30473/HPJ.2020.52023.4756
40. Zhang Y, Peters A, Chen G. Perceived stress mediates the associations between sleep quality and symptoms of anxiety and depression among college nursing students. 2018;15(1). DOI: 10.1515/ijnes-2017-0020 [DOI:10.1515/ijnes-2017-0020] [PMID]
41. Wittayapun Y, Tanasirirug V, Butsripoom B, Ekpanyaskul Ch. Factors Affecting Health-promoting Behaviors in nursing students of the faculty of nursing Srinakharinwirot University. J Public Health. 2010;40 (2):215-25. https://he02.tci-thaijo.org/index.php/jph/article/view/7933
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Rostami H, Ahmadi E, Abdi R. The Mediating Role of Perceived Stress in the Relationship between Health-Promoting Lifestyles with Illness Anxiety in the Medical Staff of Al-Ghadir Hospital. JPMed 2022; 11 (1)
URL: http://jpmed.ir/article-1-1120-en.html
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year 11, Issue 1 (5-2022) Back to browse issues page
نشریه علمی پژوهشی طب انتظامی Journal of Police Medicine
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