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http://dx.doi.org/10.5762/KAIS.2017.18.1.55

Impact of Life Stress on Depression, Subjective Well-being and Psychological Well-being in Nursing Students: Mediation Effects of Coping  

Lee, Eun-Sook (Department of Nursing, Gyeongnam National University of Science and Technology)
Publication Information
Journal of the Korea Academia-Industrial cooperation Society / v.18, no.1, 2017 , pp. 55-65 More about this Journal
Abstract
This study was conducted to investigate the mediating effects of coping on the impact of life stress on depression, subjective well-being and psychological well-being in nursing students. Self-report questionnaires were used to collect data from 147 nursing students. Data were analyzed using descriptive statistics, Pearson's correlation coefficient and hierarchical multiple regression. Nursing students who had a higher level of depression had a higher level of life stress, as well as a higher frequency of avoidance coping. Conversely, those who had a higher level of subjective well-being and psychological well-being had a lower level of life stress, as well as a lower frequency of avoidance coping. There were also significant positive correlations between psychological well-being and problem solving coping. The results showed that avoidance coping partially mediated the effects of life stress on depression, subjective well-being and psychological well-being. The results suggest that it is necessary to offer stress management programs to reduce avoidance coping, with additional consideration of life stress and coping strategies, to prevent depression and improve well-being among nursing students.
Keywords
Coping; Depression; Life stress; Nursing students; Well-being;
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Times Cited By KSCI : 12  (Citation Analysis)
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1 K. K. ,Chon, S. C. Choi, B. C. Yang, "Integrated adaptation of CES-D in Korea", The Korean Journal of Health Pychology, vol. 6, no. 1, pp. 59-76, 2001.
2 E. K Suh, J. S. Koo, "A concise measure of subjective well-being (COMSSWB): Scale development and validation", Korean Journal of Social and Personality Psychology, vol. 25, no. 1, pp. 95-113, 2011.
3 C. D. Ryff, "Happiness is everything, or is it?: exploitation on the meaning of psychological well-being", Journal of Personality and Social Psychology, vol. 57, pp. 1069-1081, 1989. DOI: http://dx.doi.org/10.1037//0022-3514.57.6.1069   DOI
4 M. S. Kim, H. W. Kim, K. H. Cha, "Analyses on the construct of psychological well-being(PWB) of korean male and female adults", Korean Journal of Social and Personality Psychology, vol. 15, no. 2, pp. 19-39, 2001.
5 J. Por, L. Barriball, J. Fitzpatrick, J. Roberts, "Emotional intelligence: Its relationship to stress, coping, well-being and professional performance in nursing students", Nurse Education Today, vol. 31, no. 8, pp. 855-860, 2011. DOI: http://dx.doi.org/10.1016/j.nedt.2010.12.023   DOI
6 S. H. Kim, S. H. Lee, "The Influence of job-seeking stress, career decision-making self-efficacy, self-esteem and academic achievement on nursing students' happiness", The Journal of Korean Academic Society of Adult Nursing, vol. 27, no. 1, pp. 63-72. 2015. DOI: http://dx.doi.org/10.7475/kjan.2015.27.1.63   DOI
7 Y. S. Kim, M. Y. Han, "Factors influencing happiness index of nursing students", The Journal of Korean Nursing Administration Academic Society, vol. 21, no. 5, pp. 501-510, 2015. DOI: http://dx.doi.org/10.11111/jkana.2015.21.5.501   DOI
8 C. Y. Kim, "Self-differentiation, stress level and stress coping strategies of nursing students", The Journal of Korean Academic Society of Nursing Education, vol. 12, no. 2, pp. 238-247, 2006.
9 R. S. Lazarus, S. Folkman, Stress, appraisal, and coping, New York: Springer Pub. Co, 1984.
10 D. P. Moreira, A. R. F. Furegato, "Stress and depression among students of the last semester in two nursing courses", Latin American Journal of Nursing, vol. 21, pp. 155-162, 2013. DOI: http://dx.doi.org/10.1590/s0104-11692013000700020
11 J. H. Ha, S. H. An, "The verification of a structural relationship model of suicidal ideation to stress, coping styles, perfectionism, depression, and impulsivity", Korean Journal Of Counseling And Psychotherapy, vol. 20, no. 4, pp. 1149-1171, 2008.
12 P. N. Park, "The mediating effect of stress coping type and self-esteem between life stress and suicidal ideation in nursing college students", Journal of the Korean Society of School Health, vol. 29, no. 1, pp. 1-10, 2016. DOI: http://dx.doi.org/10.15434/kssh.2016.29.1.1   DOI
13 E. Diener, E. M. Suh, R. E. Lucas, H. L. Smith, "Subjective well-being: Three decades of progress, Psychological Bulletin", vol. 125, pp. 276-302, 1999. DOI: http://dx.doi.org/10.1037/0033-2909.125.2.276   DOI
14 H. J. Shin, C. D. Kim, "A validation study of coping strategy indicator(CSI)", Korean Journal Of Counseling And Psychotherapy, vol. 14, no. 4, pp. 919-935, 2002.
15 P. Klainin-Yobas, O. Keawkerd, W. Pumpuang, C. Thunyadee, W. Thanoi, H. G. He, "The mediating effects of coping on the stress and health relationships among nursing students: a structural equation modelling approach", Journal of Advanced Nursing, vol. 70, no. 6, pp. 1287-1298, 2013. DOI: http://dx.doi.org/10.1111/jan.12283   DOI
16 S. H. Shin, "The effect of academic stress and the moderating effects of academic resilience on nursing students' depression", The Journal of Korean Academic Society of Nursing education, vol. 22, no. 1, pp. 14-24, 2016. DOI: http://dx.doi.org/10.5977/jkasne.2016.22.1.14   DOI
17 C. L. M. Keyes, D. S.hmotkin, C. D. Ryff, "Optimizing well-being: the empirical encounter of two traditions", Journal of Personality and Social Psychology, vol. 82, no. 6, pp. 1007-1022, 2002. DOI: http://dx.doi.org/10.1037/0022-3514.82.6.1007   DOI
18 K. K. Chon, K. H. Kim, J. S. Lee, "Development of the revised life stress scale for college students", Korean Journal of Health Psychology, vol. 5, no. 2, pp. 316-335, 2000.
19 J. H. Amirkhan, "A factor analytically derived measure of coping: the coping strategy indicator", Journal of Personality and Social Psychology, vol. 59, no. 5, pp. 1066-1074, 1990. DOI: http://dx.doi.org/10.1037/0022-3514.59.5.1066.   DOI
20 S. J. Yu, M. R. Song, E. M. Kim, "Factors influencing depression among nursing students", The Journal of Korean Academic Society of Nursing Education, vol. 20, no. 1, pp. 71-80, 2014. DOI: http://dx.doi.org/10.5977/jkasne.2014.20.1.71   DOI
21 S. H. Jeong, S. H. Park, "Relationship among Stress, Depression, and Satisfaction to Clinical Practice among Nursing Students", The Korean Journal of Rehabilitation Nursing, vol. 16, no. 1, pp. 47-54, 2013. DOI: http://dx.doi.org/10.7587/kjrehn.2013.47   DOI
22 W. H. Jun, K. S. Cha, K. L. Lee, "Factors aff ecting subjective well-being in nursing students", The Journal of Korean Academic Society of Nursing Education, vol. 21, no. 2, pp. 276-284, 2015. DOI: http://dx.doi.org/10.5977/jkasne.2015.21.2.276   DOI
23 H. S. Park, "Stress, yangsaeng and subjective happiness among female undergraduate nursing students in the republic of Korea", The Journal of Korean Academic Society of Nursing Education, vol. 20, no. 4, pp. 471-481, 2014. DOI: http:dx.doi.org/10.5977/jkasne.2014.20.4.471   DOI
24 C. Segrin, A. Hanzal, C. Donnerstein, M. Taylor, T. J. Domschke, "Social skills, psychological well-being, and the mediating role of perceived stress", Anxiety Stress & Coping, vol. 20, no. 3, pp. 321-329, 2007. DOI: http://dx.doi.org/10.1080/10615800701282252.   DOI
25 S. K. Cha, E. M.. Lee, "Comparison of stress, depression and suicidal ideation between nursing students and students of other majors", The Journal of Korean Academic Society of Nursing Education, vol. 20, no. 4, pp. 650-658, 2014. DOI: http://dx.doi.org/10.5977/jkasne.2014.20.4.650   DOI
26 J. Y. Paik, S. G. Seo, "The influence of life stress on well-being: meaning in life as moderator", The Korean Journal of Clinical Psychology, vol. 33, no. 3, pp. 509-529, 2014. DOI: http://dx.doi.org/10.15842/kjcp.2014.33.3.004   DOI
27 Ministry of Health and Welfare, The epidemiological survey of mental disorders in Korea, Ministry of Health and Welfare, 2011.
28 P. Burnard, D. Edwards, K. Bennett, H. Thaibah, V. Tothova, D. Baldacchino, P. Bara, J. Mytevelli, "A comparative, longitudinal study of stress in student nurses in five countries: Albania, Brunei, the Czech Republic, Malta and Wales", Nurse Education Today, vol. 28, no. 2, pp. 134-145, 2008. DOI: http://dx.doi.org/10.1016/j.nedt.2007.04.002   DOI
29 C. Gibbons, M., Dempster, M. Moutray, "Stress, coping and satisfaction in nursing students", Journal of Advanced Nursing, vol. 67, no. 3, pp. 621-632, 2011. DOI: http://dx.doi.org/10.1111/j.1365-2648.2010.05495.x   DOI
30 H. R. Hakojarvi, L. Salminen, R. Suhonen, "Health care students' personal experiences and coping with bullying in clinical training", Nurse Education Today, vol. 34, no. 1, pp. 138-144, 2014. DOI: http://dx.doi.org/10.1016/j.nedt.2012.08.018   DOI
31 Y. S. Kim, J. Y. Seo, "Construction of the structural equation model on college adaptation in nursing students", Journal of the Korean Data & Information Science Society, vol. 26, no. 6, pp. 1439-1452, 2015. DOI: http://dx.doi.org/10.7465/jkdi.2015.26.6.1439   DOI
32 H. J. Park, I. S. Jang, "Stress, depression, coping styles and satisfaction of clinical practice in nursing students", The Journal of Korean Academic Society of Nursing education, vol. 16, no. 1, pp. 14-23. 2010. DOI: http://dx.doi.org/10.5977/jkasne.2010.16.1.014   DOI
33 G. H. Park, "Development of a structural equation model to estimate university students' depression", Journal of Korean Academy of Nursing, vol. 38, no. 6, pp. 779-788, 2008. DOI: http://dx.doi.org/10.4040/JKAN.2008.38.6.779   DOI
34 K. K. Chon, K. H. Kim, "Development of the revised life stress scale for college students", The Korean Journal of Clinical Psychology, vol. 10, no. 1, pp. 137-158, 1991.
35 E. H. Lee, "Life stress and depressive symptoms among college students: testing for moderating effects of coping style with structural equations", Korean Journal of Health Psychology, vol. 9, no. 1, pp. 25-48, 2004.
36 S. J. Gong, E. H. Lee, "Mediation effect of coping between life stress and depression in female college students", The Korean Journal of Woman Psychology, vol. 11, no. 1, pp. 21-40, 2006.
37 N. M. Kim, S. S. Kim, "Mediation effects of social support and resilience between life stress and psychological well-being among korean college students", Korean Journal of Counseling, vol. 14, no. 2, pp. 1125-1144, 2013. DOI: http://dx.doi.org/10.15703/kjc.14.2.201304.1125   DOI
38 H. Ko, M. Lee, "The effects of flow on stress and well-being in korean college students: the moderating effect of flow and the mediating effect of coping strategies", The Korean Journal of Stress Research, vol. 21, no. 4, pp. 283-292, 2013.
39 H J. Kim, Y. M. .Baek, "The effects of optimism and stress coping styles on depression and life satisfaction", Korea Journal of Counseling, vol. 7, no. 3, pp. 683-699, 2006.
40 A .G. Horwitze, R. M., Hill, C. A. King, "Specific coping behaviors in relation to adolescent depression and suicidal ideation", Journal of Adolescence, vol. 34, no. 5, pp. 1077-1085, 2011. DOI: http://dx.doi.org/10.1016/j.adolescence.2010.10.004   DOI
41 J. S. Mahmoud, R. Staten, L. A. Hall, T. A. Lennie, "The relationship among young adult college students' depression, anxiety, stress, demographics, life satisfaction, and coping styles", Issues Mental Health Nursing, vol. 33, no. 3, pp. 149-156, 2012. DOI: http://dx.doi.org/10.3109/01612840.2011.632708   DOI
42 K. H. Ham, B. H. Byeon, S. M. Cheon, "The relationship between gratitude and psychological well-being in adolescents: the moderating effect of stress coping strategy", Korea Journal of Counseling, vol. 12, no. 6, pp. 2163-2176, 2011. DOI: http://dx.doi.org/10.15703/kjc.12.6.201112.2163   DOI
43 H. F. Wang, M. C. Yeh, "Stress, coping, and psychological health of vocational high school nursing students associated with a competitive entrance exam", Journal of Nursing Reserch, vol. 13, no. 2, pp. 106-116, 2005. DOI: http://dx.doi.org/10.1097/01.jnr.0000387532.07395.0b   DOI
44 J. W. Lee, Y. S. Eo, "Effect of clinical stress and stress coping on college adjustment in nursing students", The Korean Journal of Health Service Management, vol. 7, no. 2, pp. 125-134, 2013. DOI: http://dx.doi.org/10.12811/kshsm.2013.7.2.125   DOI
45 S. C. Hayes, J. B. Luoma, F. W. Bond, A. Masuda, J. Lillis, "Acceptance and commitment therapy: model, processes and outcomes", Behaviour Research and Therapy, vol. 44, no. 1, pp. 1-25, 2006. DOI: http://dx.doi.org/10.1016/j.brat.2005.06.006   DOI