Volume 36, Issue 1 (1-2022)                   Med J Islam Repub Iran 2022 | Back to browse issues page


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Esmaelzadeh S, Mahmoodi Z, Rajati F, Salehi L. Predictors of Perceived Stress and Quality of Life among Women during the COVID-19 Outbreak: A Cross-sectional Study from Karaj, Iran. Med J Islam Repub Iran 2022; 36 (1) :791-797
URL: http://mjiri.iums.ac.ir/article-1-7878-en.html
Department of Health Education and Promotion, Alborz University of Medical Sciences, Karaj, Iran , leilisalehi@abzums.ac.ir
Abstract:   (672 Views)
Background: The emergence of the coronavirus disease of the 2019 (COVID-19) pandemic in Iran has markedly affected lives and taken a toll on Iranians’ mental health, especially in women. The current study investigated factors that contributed to both perceived stress and quality of life (Qol) among women during the COVID-19 pandemic in Karaj, Iran.
   Methods: A cross-sectional online survey study was conducted between November 30, 2020, and January 30, 2021. A researcher-made questionnaire with 4 subscales, including information seeking, social support, primary appraisal, and secondary appraisal, was used.  Perceived Stress Scale (PSS-10), and 36-Item Short Form Survey (SF-36) questionnaires were also applied. A total of 581 participants completed the study. The convenience sampling method was used in this study. Multiple mediation analyses were applied using pathway analysis.
   Results: The mean age ± SD of the participants was 38.57±7.68 years, and 40.8% had a higher education than a high school diploma. Based on the final fitted model, higher perceived stress had a direct impact on mental QoL (β = 0.47). The Comparative Fit Index  (CFI), Incremental fit index (IFI), and  Goodness of Fit Index (GFI) were calculated as 1, and χ2/df was 4.87.
Educational level and social support from both the direct and indirect pathway affected QoL. Social support affected both information-seeking behavior and secondary appraisal (β = 0.50: 95% CI, 0.38-0.59). Furthermore, information-seeking behavior and  secondary appraisal affected perceived stress. Perceived stress followed by educational level had the strongest and primary appraisal had the poorest indirect association with mental QoL.
   Conclusion: In conclusion, primary appraisal, secondary appraisal, social support, educational level, perceived stress, and information-seeking behavior were correlated with higher levels of mental QoL among women. Social support and improving the situation appraisal can provide appreciated support to manage stress induced by the COVID-19 pandemic. Further assessment is needed to determine the vulnerable groups such as illiterate people. 
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Type of Study: Original Research | Subject: COVID 19

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