An Examination of Moderators of Perceived Stress and Illness Behavior
Jenifer J. Thomas, Evelinn A. Borrayo
.
DOI: 10.4236/psych.2011.26091   PDF    HTML     6,912 Downloads   13,602 Views   Citations

Abstract

The purpose of this study was to examine multiple psychosocial factors (social support, negative affect, coping skills, and perceived health status) as moderators of perceived stress on illness behavior. College students recruited from undergraduate psychology courses completed measures in an on-line survey. Hierarchical multiple regression analyses indicated that commonly investigated psychosocial factors such as affectivity, coping, and social support moderated the relationship between perceived stress and one illness behavior (report of illness without visits to the doctor). However, other moderator variables less investigated, such as perceived health status had a significant effect on both illness behaviors (self-reported incidents of illness with and without visits to the doctor). Our findings highlight the role of behavioral health in primary care and the importance of educating individuals on the relationship between psychosocial factors and health.

Share and Cite:

Thomas, J. & Borrayo, E. (2011). An Examination of Moderators of Perceived Stress and Illness Behavior. Psychology, 2, 590-597. doi: 10.4236/psych.2011.26091.

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1] Benyamini, Y., Medalion, B. & Garfinkel, D. (2006). Patient and spouse perceptions of the patient’s heart disease and their associations with received and provided social support and undermining. Psychology and Health, 22, 765-785. doi:10.1080/14768320601070639
[2] Bood, S., Archer, T., & Norlander, T. (2004). Affective personality in relation to general personality, self-reported stress, coping, and optimism. Individual Differences Research, 2, 26-37.
[3] Bowling, A. (2005). Just one question: If one question works, why ask several? Journal of Epidemiology and Community Health, 59, 342- 345. doi:10.1136/jech.2004.021204
[4] Brown, R., & Schutte, N. (2006). Direct and indirect relationships between emotional intelligence and subjective fatigue in university students. Journal of Psychosomatic Research, 60, 585-593. doi:10.1016/j.jpsychores.2006.05.001
[5] Bury, M. (2005). Health and illness: Short introductions. Massachusetts: Polity Press.
[6] Byers, D., Beard, T., & Wicks, M. (2009). African-American women’s perceived health status while caring for a relative with end stage renal disease. Nephrology Nursing Journal, 36, 599-632.
[7] Carver, C. (1997). You want to measure coping but your protocol’s too long: Consider the brief COPE. International Journal of Behavioral Medicine, 4, 92-100.
[8] Cohen, J. (1988). Statistical power analysis for the behavioral sciences. New Jersey: Lawrence Erlbaum Associates. doi:10.1207/s15327558ijbm0401_6
[9] Cohen, S., Kamarck, T., & Mermelstein, R. (1983). A global measure of perceived stress. Journal of Health and Social behavior, 24, 385- 396. doi:10.2307/2136404
[10] Cohen, S., Kessler, R., & Gordon, L. (1995). Strategies for measuring stress in studies of psychiatric and physical disorders. In S. Cohen, R. Kessler, & L. Gordon (Eds.), Measuring Stress (pp. 3-26). New York, NY: Oxford University Press.
[11] Cohen, S., Tyrrell, D., & Smith, A. (1993). Negative life events, perceived stress, negative affect, and susceptibility to the common cold. Journal of Personality and Social Psychology, 64, 131-140. doi:10.1037/0022-3514.64.1.131
[12] Cohen, S., & Wills, T. (1985). Stress, social support, and the buffering hypothesis. Psychological Bulletin, 93, 310-357. doi:10.1037/0033-2909.98.2.310
[13] Connor-Smith, J., & Compas, B. (2004). Coping as a moderator of relations between reactivity to interpersonal stress, health status, and internalizing problems. Cognitive Therapy and Research, 28, 347- 368. doi:10.1023/B:COTR.0000031806.25021.d5
[14] Costa, P., & McCrae, R. (1985). Hypochondriasis, neuroticism, and aging. When are somatic complaints unfounded? American Psycho- logist, 40, 19-28. doi:10.1037/0003-066X.40.1.19
[15] Cropley, M., & Steptoe, A. (2005). Social support, life events and physical symptoms: A prospective study of chronic and recent life stress in men and women. Psychology, Health & Medicine, 10, 317- 325. doi:10.1080/1354850500093365
[16] DeAngelis, T. (2010). Placing the patient front and center. Monitor on Psychology, 41, 42-47.
[17] Degnan, D., Harris, R., Ranney, J., Quade, D., Earp, J., & Gonzales, J. (1992). Measuring the use of mammography: Two measures compared. American Journal of Public Health, 82, 1386-1388. doi:10.2105/AJPH.82.10.1386
[18] Devins, G., Bezjak, A., Mah, K., Loblaw, A., & Gotoweic, A. (2006). Context moderates illness induced lifestyle disruptions across life domains: A test of the illness intrusiveness theoretical framework in six common cancers. Psycho-Oncology, 15, 221-233. doi:10.1002/pon.940
[19] Dolbier, C., Smith, S., & Steinhardt, M. (2007). Relationship of protective factors to stress and symptoms of illness. American Journal of Health Behavior, 31, 423-433.
[20] Dwyer, A., & Cummings, A. (2001). Stress, self-efficacy, social support, and coping strategies in university students. Canadian Journal of Counseling, 35, 208-220.
[21] Dyson, R., & Renk, K. (2006). Freshman adaptation to university life: Depressive symptoms, stress, and coping. Journal of Clinical Psychology, 62, 1231-1244. doi:10.1002/jclp.20295
[22] Edwards, K., Hershberger, P., Russell, R., & Markert, R. (2001). Stress, negative social exchange, and health symptoms in university students. Journal of American College Health, 50, 75-79. doi:10.1080/07448480109596010
[23] Fleming, R., Baum, A., Gisriel, M., & Gatchel, R. (1982). Mediating influences of social support on stress at Three Mile Island. Journal of Human Stress, 8, 14-22.
[24] Gerber, M., & Puhse, U. (2008). “Don’t crack under pressure!” Do leisure time physical activity and self-esteem moderate the relationship between school-based stress and psychosomatic complaints? Journal of Psychosomatic Research, 65, 363-369. doi:10.1016/j.jpsychores.2008.06.012
[25] Herbert, T., & Cohen, S. (1994). Stress and illness. Encyclopedia of Human Behavior, 4, 325-332.
[26] Hiller, W., Cebulla, M., Korn, H., Leibbrand, R., Roers, B., & Nilges, P. (2010). Causal symptom attributions in somatoform disorder and chronic pain. Journal of Psychosomatic Research, 68, 9-19. doi:10.1016/j.jpsychores.2009.06.011
[27] Hudd, S., Dumlao, J., Erdmann-Sager, D., Murray, D., Phan, E., Soukas, N., & Yokozuka, N. (2000). Stress at college: Effects on health habits, health status and self-esteem. College Student Journal, 34, 217- 227.
[28] Jackson, E., Tucker, C., & Herman, K. (2007). Health value, perceived social support, and health self-efficacy as factors in a health-promoting lifestyle. Journal of American College Health, 56, 69-74. doi:10.3200/JACH.56.1.69-74
[29] Klainin, P. (2009). Stress and health outcomes: The mediating role of negative affectivity in female health care workers. International Journal of Stress Management, 16, 45-64. doi:10.1037/a0013693
[30] Lazarus, R., & Folkman, S. (1984). Stress, appraisal, and coping. New York: Springer Publishing Company.
[31] Mathis, M., & Lecci, L. (1999). Hardiness and college adjustment: Identifying students in need of services. Journal of College Student Development, 40, 305-309.
[32] McClelland, G., & Judd, C. (1993). Statistical difficulties of detecting interactions and moderator effects. Psychological Bulletin, 114, 376- 390. doi:10.1037/0033-2909.114.2.376
[33] Mechanic, D. (1978). Illness behavior. In D. Mechanic (Ed.), Medical sociology (pp. 249-289). The Free Press: New York.
[34] Mechanic, D. (1995). Sociological dimensions of illness behavior. Social Science Medicine, 41, 1207-1216. doi:10.1016/0277-9536(95)00025-3
[35] Miranda, J., Perez-Stable, E., Munoz, R., Hargreaves, W., & Henke, C. (1991). Somatization, psychiatric disorder, and stress in utilization of ambulatory medical services. Health Psychology, 10, 46-51. doi:10.1037/0278-6133.10.1.46
[36] Miilunpalo, S., Vuori, I., Oja, P., Pasanen, M., & Urponen, H. (1997). Self-rated health status as a health measure: The predictive value of self-reported health status on the use of physician services and on mortality in the working-age population. Journal of Clinical Epidemiology, 50, 517-528. doi:10.1016/S0895-4356(97)00045-0
[37] Mizco, N, Mizco, L, & Johnson, M. (2006). Parental support, perceived stress, and illness-related variables among first-year college students. The Journal of Family Communication, 6, 97-117. doi:10.1207/s15327698jfc0602_1
[38] Moos, R., & Schaefer, J. (1993). Coping resources and processes: Current concepts and measures. In L. Goldberger and S. Breznitz (Eds.), Handbook of Stress (2nd ed.), (pp. 127-141). New York: The Free Press.
[39] Norlander, T., Von Schedvin, H., & Archer, T. (2005). Thriving as a function of affective personality: Relation to personality factors, coping strategies, and stress. Anxiety, Stress, & Coping, 18, 105-116. doi:10.1080/10615800500093777
[40] Olfson, M., Gilbert, T., Weissman, M., Blacklow, R., & Broadhead, W. (1995). Recognition of emotional distress in physically healthy primary care patients who perceive poor physical health. General Hospital Psychiatry, 17, 173-180. doi:10.1016/0163-8343(95)00023-K
[41] Pennebaker, J. (2000). Psychological factors influencing the reporting of physical symptoms. In A. Stone, J. Turkkan, C. Bachrach, J. Jobe, H. Kurtzman, & V. Cain (Eds.), The science of self-report: Implications for research and practice (pp. 299-315). New Jersey: Lawrence Erlbaum Associates.
[42] Pilisuk, M., Boylan, R., & Acredolo, C. (1987). Social support, life stress, and subsequent medical care utilization. Health Psychology, 6, 273-288. doi:10.1037/0278-6133.6.4.273
[43] Pritchard, M., Wilson, G., & Yamnitz, B. (2007). What predicts adjustment among college students? A longitudinal panel study. Journal of American College Health, 56, 15-21. doi:10.3200/JACH.56.1.15-22
[44] Risor, M. (2006). Illness behavior and functional somatic symptoms: Rethinking the concept of illness behavior from an anthropological perspective. Social Theory & Health, 4, 180-201. doi:10.1057/palgrave.sth.8700070
[45] Sarason, I., Sarason, B., Shearin, E., & Pierce, G. (1987). A brief measure of social support: Practical and theoretical implications. Journal of Social and Personal Relationships, 4, 497-510. doi:10.1177/0265407587044007

Copyright © 2024 by authors and Scientific Research Publishing Inc.

Creative Commons License

This work and the related PDF file are licensed under a Creative Commons Attribution 4.0 International License.