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Health Promot Perspect. 2021;11(3): 344-350.
doi: 10.34172/hpp.2021.44

Scopus ID: 85115074190
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Original Article

Does self-efficacy mediate the relationship between occupational stress and mental health problems? A study among nursing professionals

Iman Dianat 1* ORCID logo, Sonia Azemi 2, Farahnaz Abdollahazade 2, Ahmad Bazazan 1, Mohammad Asghari Jafarabadi 3,4

1 Department of Occupational Health, Faculty of Health, Tabriz University of Medical Sciences, Tabriz, Iran
2 Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran
3 Center for the Development of Interdisciplinary Research in Islamic Sciences and Health Sciences, Tabriz University of Medical Sciences, Tabriz, Iran
4 Department of Statistics and Epidemiology, School of Medicine, Zanjan University of Medical Sciences, Zanjan, Iran

Abstract

Background: While it is acknowledged that self-efficacy plays a significant role in understanding consequences of occupational stress, no research has given much attention to the mediating effect of self-efficacy in the association between occupational stress and mental health (MH)problems. The aims of this study were to examine: (1) the associations between occupational stress, MH problems, and self-efficacy among nursing professionals, and (2) mediating effect of self-efficacy in the association between occupational stress and MH problems. Methods: A multi-hospital cross-sectional survey was adopted in eight hospitals in Tabriz, Iran. 389 nursing staff were recruited through a two-stage sampling procedure. Study variables included occupational stress (Health & Safety Executive [HSE] Management Standards RevisedIndicator Tool [MS–RIT]), mental health (General Health Questionnaire [GHQ–28]), and self efficacy (General Self-Efficacy [GSE–10]). Generalized structural equation modelling (GSEM)was applied. Results: Occupational stress (mean±SD=109.2±13.4), poor MH (41.9%), and low selfefficacy (mean±SD=17.7±4.9) were fairly common among the participants. The results showed significant direct effect of occupational stress on MH problems (β=- 0.38, P<0.001). Indirect effect of occupational stress on MH problems through self-efficacy was not significant. Conclusion: The findings highlight the role of other mechanisms or factors than self-efficacy in the association between occupational stress and MH problems that should be established in future work.
Keywords: Mediation analyses, Self-esteem, Mental disorders, Nurses, Psychological stresses
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Submitted: 19 May 2021
Revision: 13 Jun 2021
Accepted: 15 Jun 2021
ePublished: 18 Aug 2021
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