Previous research suggests that intimate partner violence (IPV), particularly physical or sexual violence, was associated with cervical cancer. However, there is less work examining the mechanism of the relationship between IPV and cervical cancer. The purpose of this cross-sectional study was to examine psychosocial factors (e.g., stress, social support, self-esteem, and depressive symptoms) as mediators of the relationship between IPV and cervical cancer among 532 Thai women with gynecological problems. About 21.1% of participants reported any type of IPV (e.g., physical, sexual, or emotional violence) in the past year and 22.2% had cervical cancer. IPV was significantly positively associated with stress, depressive symptoms, and cervical cancer but negatively correlated with social support and self-esteem. Results from structural equation modeling indicated that not only did IPV exhibit significantly direct effects on social support, stress, and depressive symptoms, and indirect effects on self-esteem, but it also had a significant, positive, total effect on cervical cancer. IPV exhibited the significant indirect effect on cervical cancer through social support, self-esteem, stress, and depressive symptoms. The model fitted very well to the empirical data and explained 9% of variance. The findings affirmed that those psychosocial factors were mediators of the relationship between IPV and cervical cancer. Health care protocols for abused women should include screening for and treatment of IPV-related psychosocial factors. Interventions that provide social support and protect self-esteem should reduce stress and depressive symptoms among abused women, thereby reducing the risk of cervical cancer.
Background: Psychological well-being (PWB) is a significant indicator of positive psychology. Thus far, the predictors of PWB are not well-understood among university students in Asian countries. Purpose: This study aimed to investigate the relationships between PWB and its predictors (stress, resilience, mindfulness, self-efficacy, and social support) in Thai and Singaporean undergraduates. Stress is perceived to have a negative influence on PWB, but mindfulness, resilience, self-efficacy, and social support indicate positive influences. Methods: A cross-sectional descriptive predictive research design was used with 966 Thai and 696 Singaporean university students. After calculating an adequate sample size and performing convenience sampling, we administered the following six standard scales: the Perceived Stress Scale, the Connor–Davidson Resilience Scale, the Mindfulness Awareness Scale, the General Self-Efficacy Scale, the Multi-dimensional Scale of Perceived Social Support, and the Psychological Well-being Scale, along with a demographic questionnaire. Descriptive statistics, correlation analysis, and structural equation modeling were performed for participants’ PWB. Results: Mindfulness had significant effects on both factors of PWB, including autonomy and growth, and cognitive triad, across two samples. In the Thai sample, resilience most strongly predicted autonomy and growth and perceived stress did so the cognitive triad, whereas in the Singaporean sample, perceived control most strongly predicted autonomy and growth and support from friends did so the cognitive triad. Conclusion: These findings provide specific knowledge towards enhancing psychosocial interventions and promoting PWB to strengthen mindfulness, resilience, perceived control of stress, and social support.
Background Resilience reflects individuals’ ability to bounce back quickly in the face of stressful situations. Resilience is positively correlated with psychological well-being (PWB) and negatively related to poor mental health. However, there is limited longitudinal research to confirm the causal relationships between resilience and PWB. This study aimed to examine the relationships among stress, resilience, and PWB among youths in the Philippines across two samples. A descriptive comparative study was conducted and two repeated cross-sectional samples were recruited. Eligible participants were undergraduate students from a university in the Philippines regardless of sociological backgrounds. Data were collected via anonymous online questionnaires; and analyzed by using descriptive statistics and structural equation modelling (SEM). Results A total of 630 were recruited (Sample 1 = 221 and Sample 2 = 409). Most of whom were female, Filipino, Christian and students from Nursing School. Results from SEM indicated that the hypothesized two-group models had an adequate fit with sample data. Furthermore, perceived control and resilience were significant predictors of the autonomy & growth factor of PWB. Perceived stress and resilience significantly predicted the negative triad factor of PWB. These findings were comparable across the two samples providing strong evidence to support causal relationships among the study variables. Conclusion There is a need to offer stress management interventions and resilience-based programs to enhance PWB. Additional research should be conducted to test the efficacy of the interventions.
Psychological well-being is an important predictor for various health outcomes. This study aimed to test psychometric properties of the English-and Thai-version of the Psychological Well-Being Scale (PWB-S). Four convenience samples were recruited in Singapore and Thailand; and the English and Thai-version of the PWB-S were used. Data collection included paper-andpencil and online self-reported questionnaires. Descriptive statistics and exploratory and confirmatory factor analyses were performed to test the factorial structure of the scale. Correlations with external variable were utilized to test convergent validity. For all four samples, the PWB-S contained two distinct factors: The Autonomy & Growth (9-10 items) and Negative Triad factors (5-6 items). All four samples had acceptable fit indices and all factor loadings achieved statistical significance. All factors had significant correlations with external correlates and reliability coefficients were acceptable. Findings suggested that the English and Thai-version PWB-S had sound psychometric properties for Thai and Singaporean samples. Future research may use the English and Thai-version of PWB-S to assess psychological wellbeing among young people.
Purpose: To determine the prevalence of mental health problems in migrant workers from Myanmar in Thailand and to examine the relationship among factors that influence such problems. Lazarus's transactional model of stress and coping was used to frame the study. Design: A cross-sectional design, involving interviews with 445 migrant workers from Myanmar, was used to collect data. Data collection tools included a sociodemographic form, the Interpersonal Support Evaluation List (ISEL-12), the Acculturative Stress Scale (ASS), the Perceived Stress Scale (PSS) and the Hopkins Symptom Check List (HSCL-25). Findings: 11.9% of the participants reported symptoms of depression and/or anxiety. Gender, selfrated physical health, and perceived general stress explained 49.0% of the probable presence of mental health problems and correctly classified 91.9% of cases. The low prevalence of these problems compared to other studies may be related to increased workplace and community stability. Conclusion: The findings may help health care professionals to understand how overall good health and community and workplace environments can support mental health and wellbeing for migrant workers. Health promotion strategies have the potential to be an important future focus for health care professionals who provide services to this population.
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