The Association Between Perceived Stress and Quality of Life in University Students: The Parallel Mediating Role of Depressive Symptoms and Health-Promoting Behaviors.
10.1016/j.anr.2018.08.001
- Author:
Eun Ji SEO
1
;
Jeong Ah AHN
;
Laura L HAYMAN
;
Chun Ja KIM
Author Information
1. College of Nursing & Research Institute of Nursing Science, Ajou University, Suwon, Republic of Korea. address: ckimha@ajou.ac.kr
- Publication Type:Original Article
- Keywords:
depression;
health behavior;
quality of life;
stress, psychological
- MeSH:
Cross-Sectional Studies;
Depression*;
Health Behavior;
Humans;
Life Style;
Negotiating*;
Psychometrics;
Quality of Life*;
Stress, Psychological
- From:Asian Nursing Research
2018;12(3):190-196
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: This study examined whether depressive symptoms and health-promoting lifestyle behaviors mediate the association between perceived stress and quality of life (QoL) in university students. METHODS: Using a cross-sectional survey, Korean university students (N = 187, Mage = 23.97 years; 54.0% Woman) completed structured questionnaires with psychometric adequacy. A parallel multiple mediation model was used to test the mediating effect of depressive symptoms and health-promoting lifestyle behaviors on the relationship between perceived stress and QoL. RESULTS: Total effect of perceived stress, depressive symptoms, and health-promoting lifestyle behaviors on QoL was −.55. Of these, total indirect mediating effect was −.50, whereas direct effect was only −.05 in the parallel mediation model. In particular, depressive symptoms (indirect effect = −.32) and healthpromoting lifestyle behaviors (indirect effect = −.18) completely mediated the relationship between perceived stress and QoL. CONCLUSION: The results suggest that effective strategies primarily focusing on improving depressive symptoms along with health behaviors are needed to decrease the negative effect of perceived stress on QoL.
