Fakhari Ali, Shalchi Behzad, Rahimi Vahab Asle, Naghdi Sadeh Reza, Lak Elnaz, Najafi Atieh, Shayeghanmehr Aref
Research Center of Psychiatry and Behavioral Sciences, Department of Psychiatry, Tabriz University of Medical Sciences, Tabriz, Iran.
Unit for Adolescence Health, Province Health Center, Tabriz, Iran.
Heliyon. 2023 Jul 11;9(7):e18152. doi: 10.1016/j.heliyon.2023.e18152. eCollection 2023 Jul.
Data concerning the relationship between Mental Health Literacy (MHL) and COVID-19 stress are limited. The study explored the relationship between COVID-19-related stress, MHL, and healthy lifestyle and their components. The current study aimed to investigate the moderating role of a healthy lifestyle in the relationship between MHL and COVID-19-related stress among people referring to health complexes in Tabriz.
In this descriptive-correlational study, 1011 people who referred to health complexes in Tabriz were selected using cluster sampling and responded to the COVID-19 Stress Scale (CSS), Mental Health Knowledge Questionnaire (MHKQ), and Lifestyle Questionnaire (LSQ). Data analysis was performed using structural equation modeling. SPSS ver.19 and LISREL ver. 8.5 statistical software is used to classify, process, and analyze data and test research hypotheses.
The results indicated that stress caused by COVID-19 has a negative relationship with lifestyle and MHL. The relationship between lifestyle and MHL was positive, and it has the positive effect on a healthy lifestyle (with a standardized coefficient of 0.23). In addition, MHL had a negative effect on the stress related to the coronavirus (with a standard coefficient of -0.22), and the relationship between a healthy lifestyle was also negative on the stress related to the coronavirus (with a standard coefficient of -0.20). The evaluation of the hypothetical research model using fit indices showed that the hypothetical model fits the measurement model (Comparative Fit Index (CFI) = 0.97, Goodness of Fit Index (GFI) = 0.95, Root Mean Square Error of Approximation (RMSEA) = 0.055). All the comparative indices as well as the comparative fit index were found to be close to one and greater than 0.90.
This study highlights that healthcare providers must develop effective preventive and therapeutic interventions to deal with COVID-19-related stress and pay attention to the issue of increasing the level of MHL during international crises taking into consideration the moderating role of a healthy lifestyle, and develop educational and treatment programs.
关于心理健康素养（MHL）与新冠疫情压力之间关系的数据有限。本研究探讨了新冠疫情相关压力、心理健康素养和健康生活方式及其组成部分之间的关系。本研究旨在调查健康生活方式在大不里士地区前往健康中心的人群中，心理健康素养与新冠疫情相关压力之间关系的调节作用。
在这项描述性相关性研究中，采用整群抽样法选取了1011名前往大不里士健康中心的人员，并让他们对新冠疫情压力量表（CSS）、心理健康知识问卷（MHKQ）和生活方式问卷（LSQ）进行作答。使用结构方程模型进行数据分析。使用SPSS 19版和LISREL 8.5版统计软件对数据进行分类、处理、分析并检验研究假设。
结果表明，新冠疫情导致的压力与生活方式和心理健康素养呈负相关。生活方式与心理健康素养之间呈正相关，且对健康生活方式有积极影响（标准化系数为0.23）。此外，心理健康素养对与新冠病毒相关的压力有负面影响（标准系数为-0.22），健康生活方式与新冠病毒相关压力之间的关系也为负（标准系数为-0.20）。使用拟合指数对假设研究模型进行评估表明，假设模型与测量模型拟合良好（比较拟合指数（CFI）=0.97，拟合优度指数（GFI）=0.95，近似均方根误差（RMSEA）=0.055）。所有比较指数以及比较拟合指数均接近1且大于0.90。
本研究强调，医疗保健提供者必须制定有效的预防和治疗干预措施来应对新冠疫情相关压力，并在国际危机期间考虑到健康生活方式的调节作用，关注提高心理健康素养水平的问题，并制定教育和治疗方案。
