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The Influence of Illness Perception on Emotional Disorders in Perimenopausal Women in Macau: The Serial Mediating Effect of Self-Esteem and Psychological Resilience

Author

Listed:
  • Jiaqi Li

    (Institute of Analytical Psychology, Faculty of Health and Wellness, City University of Macau, Macau SAR, China)

  • Tulips Yiwen Wang

    (Institute of Analytical Psychology, Faculty of Health and Wellness, City University of Macau, Macau SAR, China)

  • Jenny C. Lok

    (Department of Innovative Social Work, Faculty of Health and Wellness, City University of Macau, Macau SAR, China)

  • Ruiting Shi

    (Faculty of Humanities and Social Sciences, City University of Macau, Macau SAR, China)

Abstract

Studying the emotional disorders of perimenopausal women and their influencing factors from a psychological perspective is essential for developing targeted psychological interventions and support strategies. Such efforts can help middle-aged and elderly women better cope with the challenges of perimenopause and improve their overall quality of life. This study aimed to explore the chain mediating effect of self-esteem and psychological resilience on the relationship between illness perception and emotional disorders in perimenopausal women in Macau. A total of 617 postmenopausal women completed the Brief Illness Perception Questionnaire, Psychological Resilience Scale, Self-Esteem Scale, and Hospital Anxiety and Depression Scale. Results revealed a significant positive correlation between illness perception and emotional disorders. Illness perception was found to have a significant direct effect on emotional disorders and an indirect effect through the mediating roles of self-esteem and psychological resilience, both independently and sequentially. These findings indicate that illness perception directly influences emotional disorders in postmenopausal women in Macau and indirectly impacts them through self-esteem and psychological resilience, offering valuable insights for psychological intervention strategies.

Suggested Citation

  • Jiaqi Li & Tulips Yiwen Wang & Jenny C. Lok & Ruiting Shi, 2025. "The Influence of Illness Perception on Emotional Disorders in Perimenopausal Women in Macau: The Serial Mediating Effect of Self-Esteem and Psychological Resilience," Social Sciences, MDPI, vol. 14(3), pages 1-11, March.
    • Handle: RePEc:gam:jscscx:v:14:y:2025:i:3:p:186-:d:1615725
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