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The Associations among Psychological Distress, Coping Style, and Health Habits in Japanese Nursing Students: A Cross-Sectional Study

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  • Akio Tada

    (Department Faculty of Health Science, Hyogo University, 2301 Shinzaike Hiraoka-cho, Kakogawa, Hyogo 675-0195, Japan)

Abstract

Background: Nursing students in many countries have been reported to experience high levels of stress and psychological distress. Health habits could potentially mediate the association between coping styles and psychological status. The purpose of this study was to evaluate the mediation effect of health habits in the relationship between stress coping styles and psychological distress in Japanese nursing students. Methods: A total of 181 nursing students completed anonymous self-reported questionnaires comprised of the General Health Questionnaire-12 (GHQ-12), the Brief Coping Orientation questionnaire, and an additional questionnaire on health behavior. A mediation analysis using path analysis with bootstrapping was used for data analysis. Results: Multivariate linear regression analysis showed that psychological distress was significantly and positively associated with “Avoidance coping” (β = 0.39, p < 0.001), and was negatively associated with “Active coping” (β = −0.30, p < 0.001), “exercise habit” (β = −0.25, p = 0.001), and “sleeping” (β = −0.24, p = 0.002). In the path model, “Active coping” and “Avoidance coping” had significant or marginally significant associations with “exercise habits” (active: β = 0.19, p = 0.008, avoidance: β = −0.12, p = 0.088), and psychological distress (active: β = −0.25, p < 0.001, avoidance: β = 0.363, p < 0.001). However, these coping style variables did not have a significant association with “sleep”. In general, the size of the correlations was below 0.4. Conclusions: Exercise habits mediated the relationship between coping styles and psychological distress to a greater extent than sleep. The present study suggests the possibility that complex interactions between health habits and coping styles may influence the psychological status of nursing students.

Suggested Citation

  • Akio Tada, 2017. "The Associations among Psychological Distress, Coping Style, and Health Habits in Japanese Nursing Students: A Cross-Sectional Study," IJERPH, MDPI, vol. 14(11), pages 1-10, November.
  • Handle: RePEc:gam:jijerp:v:14:y:2017:i:11:p:1434-:d:119969
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    References listed on IDEAS

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    1. Perales, F. & Del Pozo-Cruz, J. & Del Pozo-Cruz, B., 2014. "Impact of physical activity on psychological distress: A prospective analysis of an Australian national sample," American Journal of Public Health, American Public Health Association, vol. 104(12), pages 91-97.
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    1. Mohd Hanafiah Ahmad Hijazi & Mohammad Saffree Jeffree & Nicholas Tze Ping Pang & Syed Sharizman Syed Abdul Rahim & Azizan Omar & Fatimah Ahmedy & Mohd Hanafi Ahmad Hijazi & Mohd Rohaizat Hassan & Rozi, 2022. "Seroprevalence of COVID-19 and Psychological Distress among Front Liners at the Universiti Malaysia Sabah Campus during the Third Wave of COVID-19," IJERPH, MDPI, vol. 19(11), pages 1-13, June.
    2. Ali Ikrou & Sam Gnanapragasam & Redouane Abouqal & Jihane Belayachi, 2023. "Comparison of the psychological health of students at the higher institutes of nursing and health techniques: A Moroccan multicentre study," International Journal of Social Psychiatry, , vol. 69(1), pages 23-27, February.
    3. Sílvia Reverté-Villarroya & Laura Ortega & Laia Raigal-Aran & Esther Sauras-Colón & Roser Ricomà-Muntané & David Ballester-Ferrando & Carolina Rascón-Hernán & Teresa Botigué & Ana Lavedán & Luis Gonzá, 2021. "Psychological Well-Being in Nursing Students: A Multicentric, Cross-Sectional Study," IJERPH, MDPI, vol. 18(6), pages 1-11, March.
    4. Winnie Lai Sheung Cheng & Phyllis Man Chi Young & Kevin Kar Ho Luk, 2022. "Moderating Role of Coping Style on the Relationship between Stress and Psychological Well-Being in Hong Kong Nursing Students," IJERPH, MDPI, vol. 19(18), pages 1-12, September.
    5. Natura Colomer-Pérez & Joan J. Paredes-Carbonell & Carmen Sarabia-Cobo & Sergio A. Useche & Vicente Gea-Caballero, 2022. "Self-Care and Sense of Coherence: A Salutogenic Model for Health and Care in Nursing Education," IJERPH, MDPI, vol. 19(15), pages 1-14, August.
    6. Jesús de la Fuente & Francisca Lahortiga-Ramos & Carmen Laspra-Solís & Cristina Maestro-Martín & Irene Alustiza & Enrique Aubá & Raquel Martín-Lanas, 2020. "A Structural Equation Model of Achievement Emotions, Coping Strategies and Engagement-Burnout in Undergraduate Students: A Possible Underlying Mechanism in Facets of Perfectionism," IJERPH, MDPI, vol. 17(6), pages 1-24, March.

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