Volume 8, Issue 1 (March 2021)                   J Educ Community Health 2021, 8(1): 21-28 | Back to browse issues page

Ethics code: IR.BPUMS.REC.1397.140


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1- Department of Health Education and Health Promotion, Bushehr University of Medical Sciences, Bushehr, Iran
2- "Department of Epidemiology and BioStatistics" and "Clinical Research Development Center", Bushehr University of Medical Science, Bushehr, Iran
3- Department of Health Education and Health Promotion, Bushehr University of Medical Sciences, Bushehr, Iran , risi_mr@yahoo.com
Abstract:   (483 Views)
Aims: The present study aimed to investigate the relationship between self-efficacy, decision-making balance, and change processes with stress management in middle-aged women.
Instrument & Methods: This cross-sectional study was performed in 2019 on 600 middle-aged women covered by Bushehr Comprehensive Health Services Centers. The method of sampling was stratified. Data was gathered by demographic questionnaire and TTM based questionnaire, including self-efficacy, decisional balance (perceived barriers and benefits), processes of change, and stage of changes. Data were analyzed using ANOVA and Tukey post hoc test in SPSS 20 software.
Findings: The lowest and highest mean stress management scores were in the women in pre-contemplation (13.64±3.79) and maintenance (22.58±4.10), respectively. The mean score of self-efficacy in the women during the stages of change from pre-contemplation (15.71±6.80) to maintenance (33.06±5.09) was upward, and this average score in the stages of pre-contemplation, contemplation, and preparation was significantly lower than the stages of action and maintenance (p<0.001). Regarding processes of change, consciousness-raising, dramatic relief, environmental reevaluation, self-evaluation, social liberation, self-liberation, stimulus control, counter conditioning, helping relationships, and reinforcement management are significantly lower pre-contemplation and contemplation than action and maintenance (p<0.001).
Conclusion: The results indicate the importance of TTM constructs in advancing individuals to higher levels of change. Based on this, it is recommended to design and implement educational interventions based on TTM to improve stress management behaviors.
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Type of Study: Research Article | Subject: Mental Health
Received: 2020/04/15 | Accepted: 2020/10/6

References
1. Gholami Jam F, Kheftan P, Eghlima M, Sepiddam M. Stress management techniques and its effects on health promotion. Q J Soc Work. 2015;4(3):18-27. [Persian] [Full text]
2. Zare F, Khademian M, Bahjati Ardakani M, Zare M, Parvizi R, Bagharaat A. Job stress and its relationship with Job satisfaction in workers of a refinery control room in the south of Iran. J Prev Med. 2015;2(3):47-55. [Persian] [Full text]
3. Hasani Tabatabai L, Shaker Dioulagh A. Comparison of stress and social support between vetterans and non-veterans, case study of Urmia city, Iran. Iran J War Public Health. 2017;9(3):141-6. [Persian] [Full text]
4. Armand A, Talaee A. Investigating the efficacy of cognitive- behavioral stress-management training on decreasing the psychological problems and symptoms of premenstrual syndrome of afflicted women. Iran J Obstet Gynecol Infertil. 2012;15(21):24-31. [Persian] [Full text]
5. Nazary Gilannejad T, Gaeini AA, Foroughi Pordanjani A, Omidi N. Comparing the effect of 12 weeks of hatha yoga and aerobic exercise on serum cortisol values, stress, anxiety and depression in women with diabetes type 2. Razi J Med Sci. 2017;24(157):81-9. [Persian] [Full text]
6. Behnam-Talab E, Amin-Shokravi F, Hashemian M, Moshki M, Jafaei N. The effect of stress management group counseling on stress in women with a family history of breast cancer. J Kerman Univ Med Sci. 2016;22(1):68-80. [Persian] [Full text]
7. Nekounam A, Etemadi S, Piranaghash Tehrani S. Check the relation sexual satisfaction with marital stress, marital satisfaction and psychological symptoms of coronary artery bypass graft heart patients. Shenakht J Psychol Psychiatry. 2019;6(2):16-26. [Persian] [Full text]
8. Abbasi M, Bavazin F, Mansouri L. Effectiveness of benson relaxation method on reduction of stress and increase of the number and motility of sperms among infertile males. Psychiatr Nurs. 2017;5(3):22-8. [Persian] [Full text]
9. Nazari T, Yassemi MT, Doust-Mohammadi M, Nematzadeh Mahani K. Investigating the prevalence of depression and anxiety in hospitalized patients in internal medicine and surgery. Iran J Psychiatry Behav Sci. 2002;8(2):18-25. [Persian] [Full text]
10. Momayyezi M, Farzaneh F, Lotfi MH. Mental health status (depression, anxiety and stress) of employed and unemployed women in Yazd, Iran, 2015. J Health Dev. 2018;7(3):239-49. [Full text]
11. Heidari F, Mohammad Khan Kermanshahi S, Vanaki Z, Kazem Nejad A. A survey the effect of planned program of health promotion on stress management in middle-aged women. Nurs Res. 2011;6(22):16-23. [Persian] [Full text]
12. Hazavehei MM, Hosseini Z, Moeini B, Moghimbeigi A, Hamidi Y. Assessing stress level and stress management among Hamadan hospital nurses based on PRECEDE model. Horizon Med Sci. 2012;18(2):78-85. [Persian] [Full text]
13. Spence JD, Barnett PA, Linden W, Ramsden V, Taenzer P. Lifestyle modifications to prevent and control hypertension. 7. Recommendations on stress management. Canadian Hypertension Society, Canadian Coalition for High Blood Pressure Prevention and Control, Laboratory Centre for Disease Control at Health Canada, Heart and Stroke Foundation of Canada. CMAJ. 1999;160(Suppl 9):S46-50. [PubMed]
14. Karaçam Z, Şeker SE. Factors associated with menopausal symptoms and their relationship with the quality of life among Turkish women. Maturitas. 2007;58(1):75-82. [PubMed]
15. Rezaee N, Seyedfatemi N, Salar A, Ghaljaei F. Identifying health seeking behaviors among middle-aged women: A qualitative study. J Mazandaran Univ Med Sci. 2016;26(140):175-86. [Persian] [Full text]
16. Horiuchi S, Tsuda A, Kim E, Hong KS, Park YS, Kim U. Relationships between stage of change for stress management behavior and perceived stress and coping. Japanese Psychol Res. 2010;52(4):291-7. [Full text]
17. Eybpoosh S, Rahnavard Z, Yavari P, Rajabi F. Effect of an educational intervention based on the transtheoretical model on vitamin intake in female adolescent. HAYAT. 2011;16(3-4):15-30. [Persian] [Full text]
18. Etehadnezhad S, Moradi Z, Kashfi M, Khani-Jeihooni A, Khiyali Z. Predictors of osteoporosis preventive behaviors among women: An application of the transtheoretical model. J Educ Commun Health. 2018;5(3):48-56. [Persian] [Full text]
19. Karami Daranjani S, Panah Y, Kharazmi E. The effect of health education program based on trans theoritical model on promotion of physical activity among children of patients with hypertension and diabetes. J Health. 2017;8(4):394-407. [Persian]
20. Bagheri M, Roozbahani N, Shamsi M. Predictive factors of smoking among adults based on transtheoretical model. Iran J Health Educ Health Promot. 2015;3(3):211-8. [Persian] [Full text]
21. Parhoodeh Y, Khezeli M, Abbasgholizadeh N. Application of trans-theoretical model in identification of physical activity behavior determinants in University students of Gilan Gharb. J Health. 2015;6(3):281-90. [Persian]
22. Moodi M, Sharifzadeh G, Rakhshani Zabol F. Factors affecting physical activity behavior based on Transtheoretical Model in the employees of Birjand universities in 2014. J Birjand Univ Med Sci. 2014;21(3):352-61. [Persian] [Full text]
23. Horiuchi S, Tsuda A, Prochaska JM, Kobayashi H, Mihara K. Relationships between stages and processes of change for effective stress management in Japanese college students. Psychology. 2012;3(6):494-9. [Full text]
24. Evangelia K, Spiridon K. Stages of change, self-efficacy and stress management perceptions in first year undergraduate students. Intl J Phys Beh Sci. 2011;1(1):24-32. [Full text]
25. Mauriello LM, Rossi JS, Fava JL, Redding CA, Robbins M, Prochaska JO, et al. Assessment of the pros and cons of stress management among adolescents: Development and validation of a decisional balance measure. Am J Health Promot. 2007;22(2):140-3. [PubMed]
26. Nakamura N. The relationships among stages of change for stress management, stress responses, self-efficacy, and frequency of stress-management behavior in Japanese University students. Sch Health. 2009;5:24-30. [Full text]
27. Gentry LA, Chung JJ, Aung N, Keller S, Heinrich KM, Maddock JE. Gender differences in stress and coping among adults living in Hawaii. Calif J Health Promot. 2007;5(2):89-102. [Full text]
28. Riley TA, Fava JL. Stress and transtheoretical model indicators of stress management behaviors in HIV-positive women. J Psychosom Res. 2003;54(3):245-52. [Full text]
29. Deng K, Tsuda A. Relationship between stage of change for three health behaviors and perceived stress in Chinese adults. Open J Soc Sci. 2015;3(9):295-9. [Full text]
30. Rakhshany Zabol F, Sharifzadeh G, Moodi M. A survey of transitional shifts in physical activity behavior among birjand universities employees based on transtheoretical model: A longitudinal study of Iran, 2014. J Commun Health Res. 2016;5(3):202-10. [Persian] [Full text]