Lifestyle and Shiftwork: Designing and Testing a Model for Health Promotion of Iranian Nurses

2019 ◽  
Vol 26 (3) ◽  
pp. 262-268 ◽  
Author(s):  
Hamidreza Mokarami ◽  
Tayebe Rahimi Pordanjani ◽  
Ali Mohammadzadeh Ebrahimi ◽  
Fariba Kiani ◽  
Mohammad Faridan
Keyword(s):  
Mental Health ◽  
Health Promotion ◽  
Sleep Disturbance ◽  
Indirect Effect ◽  
Structural Equation ◽  
Sleep Disturbances ◽  
Well Being ◽  
Chronic Fatigue ◽  
Equation Modeling ◽  
Physical And Mental Health

BACKGROUND: Lifestyle is one factor that forms the nurses’ health, particularly those who work in shiftwork schedules. AIMS: The aim of this study was to design and test a model for health promotion of Iranian nurses. In this model, nurses’ lifestyle was considered as the precedent, physical and mental health as the outcomes, and sleep disturbance and chronic fatigue as the mediators. METHODS: A cross-sectional study using structural equation modeling was conducted among 240 shiftworker nurses in Iran. The data collection was performed using the Persian versions of the Survey of Shiftworkers Questionnaire and Life Style Questionnaire. Bootstrap in Preacher and Hayes’ Macro program was used for testing mediation. RESULTS: Lifestyle had a weak significant direct effect on physical (β = 0.13, p < .04) and mental health (β = 0.12, p < .02), and it had a significant indirect effect on physical health via chronic fatigue (β = −0.11, p < .001) and sleep disturbance (β = −0.05, p < .01). This variable only had a significant indirect effect on mental health via chronic fatigue (β = −0.19, p < .001). The final model proposed a new significant path between sleep disturbances and chronic fatigue (β = 0.22, p < .001). CONCLUSIONS: Therefore, the hospital officials can enhance the nurses’ physical and mental well-being by providing interventions and training courses on aspects of healthy lifestyles, such as physical activity, avoidance of smoking, and maintenance of body weight.

scholarly journals Factors Related to Mental Health During the COVID-19 Lockdown in Spain

2021 ◽  
Vol 12 ◽  
Author(s):  
Ruth Pinedo ◽  
Isabel Vicario-Molina ◽  
Eva González Ortega ◽  
Andrés Palacios Picos
Keyword(s):  
Mental Health ◽  
Latent Variables ◽  
Structural Equation ◽  
Online Survey ◽  
Psychological Impact ◽  
Well Being ◽  
Vulnerable Groups ◽  
Equation Modeling ◽  
Healthy Habits ◽  
And Gender

The COVID-19 disease has forced governments to adopt exceptional measures. The lockdown decreed in Spain in 2020 required citizens to stay confined at home, which might have affected their mental health. The objective is to identify factors that influenced adults' mental health during this period. A sample of 3,508 adults from the Spanish general population completed an online survey that collected sociodemographic data and information about daily planning and activities, healthy habits, loneliness, coping humor and mental health. Data were analyzed using Structural Equation Modeling. According to the results, the proposed model showed good fit values, and latent variables explained 30% of the variance in mental health. Loneliness, coping humor, healthy habits, age and gender had a significant weight in the prediction of mental health during lockdown. Area of residence, number of days of confinement and number of people in the household were not related to mental health. This study addresses the effect of COVID-19 and social distancing measures by identifying risk and protective factors for the development of mental health difficulties. There is a need to target specific and early interventions aimed at mitigating the psychological impact of the pandemic while increasing well-being, especially in more vulnerable groups.

scholarly journals Coping strategies and distress reduction in psychological well-being? A structural equation modelling analysis using a national population sample

2015 ◽  
Vol 25 (4) ◽  
pp. 370-383 ◽  
Author(s):  
X. Meng ◽  
C. D'Arcy
Keyword(s):  
Mental Health ◽  
Health Promotion ◽  
General Population ◽  
Coping Strategies ◽  
Structural Equation ◽  
Well Being ◽  
Mental Health Promotion ◽  
Psychiatric Disease ◽  
Positive Coping ◽  
Negative Coping

Background.Little is understood about of the role of coping strategies in psychological well-being (PWB) and distress for the general population and different physical and psychiatric disease groups. A thorough examination of these relationships may provide evidence for the implementation of public mental health promotion and psychiatric disease prevention strategies aimed at improving the use of positive coping approaches or addressing the causes and maintainers of distress. The present study using a structural equation modelling (SEM) approach and nationally representative data on the Canadian population investigates the relationships among PWB, distress and coping strategies and identifies major factors related to PWB for both the general population and diverse-specific disease groups.Methods.Data examined were from the Canadian Community Health Survey of Mental Health and Well-being (CCHS 1.2), a large national survey (n = 36 984). We applied exploratory factor analysis (EFA), confirmatory factor analysis and SEM to build structural relationships among PWB, distress and coping strategies in the general population.Results.Both SEM measurement and structure models provided a good fit. Distress was positively related to negative coping and negatively related to positive coping. Positive coping indicated a higher level of PWB, whereas negative coping was associated with a lower level of PWB. PWB was negatively related to distress. These same relationships were also found in the population subgroups. For the population with diseases (both physical and psychiatric diseases, except agoraphobia), distress was the more important factor determining subjective PWB than the person's coping strategies, whereas, negative coping had a major impact on distress in the general population. Strengths and limitations were also discussed.Conclusions.Our findings have practical implications for public psychiatric disease intervention and mental health promotion. As previously noted positive/adaptive coping increased the level of PWB, whereas negative/maladaptive coping was positively related to distress and negatively related to PWB. Distress decreased the level of PWB. Our findings identified major correlates of PWB in both the general population and population subgroups. Our results provide evidence for the differential use of intervention tactics among different target audiences. In order to improve the mental health of the general population public mental health promotion should focus on strategies that reduce negative coping at a population level, whereas clinicians treating individual clients should make the reduction of distress their primary target to maintain or improve patients’ PWB.

scholarly journals Stress of COVID-19, Anxiety, Economic Insecurity, and Mental Health Literacy: A Structural Equation Modeling Approach

2021 ◽  
Vol 12 ◽  
Author(s):  
Yangxiu Hu ◽  
Baojuan Ye ◽  
Jiawen Tan
Keyword(s):  
Mental Health ◽  
Health Literacy ◽  
Structural Equation ◽  
Mental Health Literacy ◽  
Well Being ◽  
Equation Modeling ◽  
Economic Insecurity ◽  
Chinese College Students ◽  
Negatively Associated

The COVID-19 pandemic is currently a global health threat attributed to negatively affecting the mental health and well-being of people globally. The purpose of the current study is to examine the mediating roles of economic insecurity and mental health literacy in the relationship between stress about COVID-19 and anxiety. Results from the current study using a large sample of Chinese college students (N = 1,334) showed that stress of COVID-19 was positively associated with economic insecurity and anxiety while negatively associated with mental health literacy, which in turn was negatively associated with anxiety. These results elucidate our understanding of the role of mediators in stress about COVID-19 and anxiety. The findings are useful in terms of providing evidence for tailoring interventions and implementing preventative approaches to mitigate anxiety due to stress of COVID-19. Based on the present findings and within the context of COVID-19, the potential utility of promoting MHL to reduce the psychopathological consequences of COVID-19 is discussed.

scholarly journals Investigating the Mental Health Impacts of University Campus Green Space Through Perceived Sensory Dimensions and the Mediation Effects of Perceived Restorativeness on Restoration Experience

2020 ◽  
Vol 8 ◽  
Author(s):  
Fahimeh Malekinezhad ◽  
Paul Courtney ◽  
Hasanuddin bin Lamit ◽  
Mauro Vigani
Keyword(s):  
Mental Health ◽  
University Students ◽  
Structural Equation ◽  
Green Space ◽  
Well Being ◽  
Measurement Model ◽  
Green Spaces ◽  
Equation Modeling ◽  
Mediation Effects ◽  
Landscape Characteristics

Introduction: Green spaces support people mentally in their everyday life. Perceived restorativeness and Perceived Sensory Dimension (PSD) have been addressed as optimal environmental related characteristics with regards to psychological restoration. However, relatively little research has investigated how the perception of these characteristics, directly and indirectly, affects restoration experience, particularly in a sample of university students within the area of green outdoor campus landscapes.Methods: This study hypothesizes these associations through application of partial least squares structural equation modeling (PLS-SEM), inputting data from a sample of university students in Malaysia. In the hypothesized model, we examine the degree of restoration that is enjoyed by subjects within landscapes through the effects of these characteristics. Indirect effects of perceived restorativeness via evaluation of mediation effects associated with perception of landscape characteristics and restoration experience are also investigated.Results: Through validation of the measurement model, we find significant positive coefficient paths with adequate predictive abilities in the hypothesized model. Findings suggest the effect of PSD on perceived restorativeness leads to a better explanation of restoration experience. In addition, perceived landscape characteristics of PSD enhance restoration experience in alignment with perceived restorativeness characteristics.Conclusions: Greater effects on restoration experience come through perceived restorativeness that is affected by PSD, which itself is capable of promoting favorable experiences of restorativeness in a green space and facilitating psychological restorative outcomes. The mechanistic effect of emotional regulation implies a distinct role of green spaces in maintaining good mental health and has relevance to public health models that promote independence and well-being through preventative approaches. The work paves the way for further studies that examine which dimensions of PSD support perceived restorativeness and restoration experience more than others, and the wider psycho-social value of green spaces through the application of mediation effects and personal sensory dimensions in the development of mental health.

scholarly journals The Association between Loneliness, Mental Well-Being, and Self-Esteem among Adolescents in Four Nordic Countries

2021 ◽  
Vol 18 (14) ◽  
pp. 7405
Author(s):  
Nelli Lyyra ◽  
Einar Baldvin Thorsteinsson ◽  
Charli Eriksson ◽  
Katrine Rich Madsen ◽  
Asko Tolvanen ◽  
...  
Keyword(s):  
Mental Health ◽  
Structural Equation ◽  
Mental Health Problems ◽  
Health Indicators ◽  
Well Being ◽  
Self Esteem ◽  
Nordic Countries ◽  
Positive Mental Health ◽  
Equation Modeling ◽  
Mental Well Being

Positive mental health is central to adolescent well-being. The present study examines the prevalence of loneliness and positive mental health indicators (mental well-being and self-esteem) in four Nordic countries and associations between loneliness, mental well-being, and high self-esteem. This study is based on data from the Health Behaviour in School-aged Children (HBSC) study which was conducted in 2018 in Denmark, Finland, Iceland, and Sweden. Participants were 5883 15-year-old boys and girls. To examine the associations between loneliness, mental well-being, and self-esteem, structural equation modeling (SEM) was applied. In the comparison of Nordic countries, the prevalence of loneliness was highest among Finnish and Icelandic adolescents. High mental well-being and high self-esteem were most prevalent in Denmark and Sweden. In general, boys scored higher on positive mental health indicators and girls on loneliness. Loneliness was also a strong indicator of low mental well-being and low self-esteem in all Nordic countries. Loneliness is not only associated with mental health problems such as anxiety and depression, but it is also a risk factor for adolescents’ positive mental health. Positive mental health is important for healthy maturation and there is a need to develop initiatives to reduce adolescent loneliness and so support positive development.

scholarly journals Examining associations between COVID-19 stressors, intimate partner violence, health, and health behaviors

2021 ◽  
pp. 026540752110120
Author(s):  
Abriana M. Gresham ◽  
Brett J. Peters ◽  
Gery Karantzas ◽  
Linda D. Cameron ◽  
Jeffry A. Simpson
Keyword(s):  
Mental Health ◽  
Intimate Partner Violence ◽  
Substance Use ◽  
Health Behaviors ◽  
Partner Violence ◽  
Structural Equation ◽  
Online Survey ◽  
Intimate Partner ◽  
Equation Modeling ◽  
Physical And Mental Health

The economic, social, and health impacts of the COVID-19 pandemic are expected to increase the occurrence of intimate partner violence (IPV) victimization. IPV victimization may, in turn, contribute to physical and mental health, substance use, and social distancing behaviors during the COVID-19 pandemic. The primary objective of the current study was to understand the extent to which 1) COVID-19 stressors are associated with IPV victimization and 2) IPV victimization is associated with health and health behaviors. Participants ( N = 1,813) completed an online survey between May 15 and 28, 2020 that assessed COVID-19 stressors (financial anxiety, social disconnection, health anxiety, COVID-19-specific stress), IPV victimization, physical and mental health, substance use, and movement outside of the home. Structural equation modeling indicated that greater COVID-19-related stressors were associated with greater IPV victimization during the pandemic, even after controlling for enduring vulnerabilities associated with IPV victimization. Additionally, greater IPV victimization during the COVID-19 pandemic was associated with higher levels of substance use and movement outside of the home, but not poorer physical and mental health. COVID-19 stressors may have detrimental relationship effects and health implications, underscoring the need for increased IPV intervention and support services during the pandemic. Findings from the current work provide preliminary correlational evidence for a theoretical model centered on IPV victimization, rather than perpetration.

scholarly journals Impact of SARS-CoV-2 Outbreak on Physical and Mental Health, Psychological Distress, and Suicidal Ideation, and the Mediating Role of Stressors

2021 ◽  
Vol 6 (1) ◽  
Author(s):  
Keita Kiuchi ◽  
◽  
Katsumasa Kishi ◽  
Kanto Araki
Keyword(s):  
Mental Health ◽  
Social Support ◽  
Psychological Distress ◽  
Suicidal Ideation ◽  
Structural Equation ◽  
Online Survey ◽  
Demographic Data ◽  
Equation Modeling ◽  
Physical And Mental Health ◽  
Mediating Role

This study investigated the physical and psychological impacts of elements related to coronavirus disease (COVID-19) and demographic data in Japan both directly and as mediated by stressors, immediately following the rescinding of the state of emergency declaration accompanying the severe acute respiratory syndrome coronavirus 2 outbreak. An online survey was administered to 1,500 Japanese registered with an online outsourcing service. Data were analyzed with structural equation modeling using Mplus. Relatively large total effects were observed for “insufficient exercise” on physical health (β = –0.24, SE = 0.03), “mental health issues related to COVID-19” on mental health (β= –0.25, SE = 0.03) and psychological distress (β= 0.24, SE = 0.03), neuroticism on mental health (β= –0.30, SE = 0.02) and psychological distress (β= 0.36, SE = 0.02), and social support on suicidal ideation (β= –0.32, SE = 0.03). Thus, mitigating the harm resulting from the ongoing impact of the COVID-19 infection outbreak by raising awareness of risk factors and promoting social support is feasible.

scholarly journals Differences Between the Psychological Symptoms of Health Workers and General Community After the First Wave of the COVID-19 Outbreak in Spain

2021 ◽  
Vol 12 ◽  
Author(s):  
Sergio Reno-Chanca ◽  
Julie Van Hoey ◽  
Jesús Alberto Santolaya-Prego de Oliver ◽  
Ilargi Blasko-Ochoa ◽  
Pilar Sanfeliu Aguilar ◽  
...  
Keyword(s):  
Mental Health ◽  
Structural Equation ◽  
Healthcare Workers ◽  
Health Workers ◽  
Psychological Symptoms ◽  
Equation Modeling ◽  
Physical And Mental Health ◽  
Obsessive Compulsive ◽  
Online Questionnaire ◽  
General Community

The coronavirus disease-2019 (COVID-19) has worsened the physical and mental health of the general population. Healthcare workers have a high risk of suffering a mental disorder after the first wave. In this way, psychologists, who deal with mental health issues and are considered as healthcare workers in many countries, are of interest in this context. The present study aimed to examine anxiety, depression, stress, and obsessions and compulsions across psychologists, healthcare professionals, and the general community. These variables were measured through the Depression, Anxiety, and Stress Scale (DASS-21), as well as the Yale–Brown Obsessive Compulsive Scale (Y-BOCS), which are related to different sociodemographic variables. The study was carried out after the first wave in Spain through an online questionnaire. Structural equation modeling and a multigroup analysis were carried out across the groups and variables under study. The results suggested that; (i) healthcare workers and general community depicted similar results in anxiety and stress, as well as obsessions; (ii) the group of psychologists depicted better scores than the other groups under study; (iii) stress and anxiety did not predict compulsions in the group of psychologists; (iv) anxiety predicted obsessions for all the professions, while the relationship of this variable with stress was different for each group; and (v) invariance reached a full metric level.

scholarly journals Cognitive and socio-emotional correlates of psychological well-being and mental health in Guatemalan adults

2021 ◽  
Vol 9 (1) ◽  
Author(s):  
María J. Ramírez-Luzuriaga ◽  
Laura Ochaeta ◽  
Manuel Ramírez-Zea ◽  
Ann DiGirolamo ◽  
Rachel Waford ◽  
...  
Keyword(s):  
Mental Health ◽  
Executive Function ◽  
Emotional Support ◽  
Structural Equation ◽  
Well Being ◽  
Equation Modeling ◽  
Modeling Framework ◽  
Psychological Well Being ◽  
Developmental Potential ◽  
Spirituality And Religion

Abstract Background Little is known about associations of psychological and mental well-being with cognitive and socioemotional factors in low and middle-income countries, particularly among vulnerable populations born in adverse environments that may restrict developmental potential. This study aimed to examine the cognitive and socioemotional correlates of psychological well-being and mental health in a cohort of Guatemalan adults born in contexts of poverty and malnutrition. Methods From Dec 2017 to Apr 2019, data were collected from 704 women and 564 men ages 40–57 years living in four rural villages in eastern Guatemala and Guatemala City. We measured latent domains of psychological well-being, spirituality and religion, emotional support, and executive function using Confirmatory Factor Analysis (CFA). Under a Structural Equation Modeling framework, we examined intercorrelations among latent domains and observed measures of intelligence and mental health. Results CFA supported the construct validity of factor structures in this population. Correlations of psychological well-being with spirituality and religion were moderate in women (r = 0.68, p < 0.001) and men (r = 0.70, p < 0.001). Executive function was weakly correlated with psychological well-being in men (r = 0.23, p < 0.001) and showed no association in women. Correlations of psychological well-being with emotional support and IQ were weak in women (r = 0.34, and r = 0.15, respectively; p < 0.001 for both) and men (r = 0.35, and r = 0.25, respectively; p < 0.001 for both). Mental health and IQ were weakly correlated in men (r = 0.09, p < 0.05) and showed no association in women. Mental health showed weak correlations with emotional support (r = 0.18, p < 0.001 in women; r = 0.09, p < 0.05 in men), psychological well-being (r = 0.32 and r = 0.35, in women and men respectively; p < 0.001 for both) and showed no association with executive function in both sexes. Conclusions Of all examined factors, spirituality and religion made the greatest contribution to psychological well-being. These findings support the notion that in populations experiencing difficult circumstances, religion can perhaps make a greater contribution to well-being and aid coping. More research is needed to examine mediators of this association.

scholarly journals Evaluation of a Digital Game-Based Learning Program for Enhancing Youth Mental Health: A Structural Equation Modeling of the Program Effectiveness

2016 ◽  
Vol 3 (4) ◽  
pp. e46 ◽  
Author(s):  
Jenny MY Huen ◽  
Eliza SY Lai ◽  
Angie KY Shum ◽  
Sam WK So ◽  
Melissa KY Chan ◽  
...  
Keyword(s):  
Mental Health ◽  
Structural Equation Modeling ◽  
Structural Equation ◽  
Program Effectiveness ◽  
Youth Mental Health ◽  
Well Being ◽  
Equation Modeling ◽  
Digital Game ◽  
Game Based Learning ◽  
Psychological Well Being

BackgroundDigital game-based learning (DGBL) makes use of the entertaining power of digital games for educational purposes. Effectiveness assessment of DGBL programs has been underexplored and no attempt has been made to simultaneously model both important components of DGBL: learning attainment (ie, educational purposes of DGBL) and engagement of users (ie, entertaining power of DGBL) in evaluating program effectiveness.ObjectiveThis study aimed to describe and evaluate an Internet-based DGBL program, Professor Gooley and the Flame of Mind, which promotes mental health to adolescents in a positive youth development approach. In particular, we investigated whether user engagement in the DGBL program could enhance their attainment on each of the learning constructs per DGBL module and subsequently enhance their mental health as measured by psychological well-being.MethodsUsers were assessed on their attainment on each learning construct, psychological well-being, and engagement in each of the modules. One structural equation model was constructed for each DGBL module to model the effect of users' engagement and attainment on the learning construct on their psychological well-being.ResultsOf the 498 secondary school students that registered and participated from the first module of the DGBL program, 192 completed all 8 modules of the program. Results from structural equation modeling suggested that a higher extent of engagement in the program activities facilitated users’ attainment on the learning constructs on most of the modules and in turn enhanced their psychological well-being after controlling for users’ initial psychological well-being and initial attainment on the constructs.ConclusionsThis study provided evidence that Internet intervention for mental health, implemented with the technologies and digital innovations of DGBL, could enhance youth mental health. Structural equation modeling is a promising approach in evaluating the effectiveness of DGBL programs.

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