Investigating The Mediating Role of Depression and Anxiety in The Relationship Between Stress Management and Mental Health in Cardiovascular Patients

Mitra Teymouri; Mahtab Moraveji; Zahra Sadat Goli; Zahra Karbasian; Behrooz Malleknejad

doi:10.61838/kman.hn.1.1.13

Authors

Mitra Teymouri M.A Student in Clinical Psychology, Department of Psychology, International Kish Campus, Kish, Iran Author
Mahtab Moraveji Associate Professor, Department of Nursing and Midwifery, Zanjan Branch, Islamic Azad University, Zanjan, Iran Author https://orcid.org/0000-0003-3150-0836
Zahra Sadat Goli Assistant Professor, Department of Psychology, Kashan Branch, Islamic Azad University, Kashan, Iran Corresponding Author https://orcid.org/0000-0001-5002-8931
Zahra Karbasian Ph.D Student in Health Psychology, Department of Psychology, International Kish Campus, Kish, Iran Author https://orcid.org/0000-0002-1180-4990
Behrooz Malleknejad M.A. in Educational Technologies, Department of Educational Sciences, South Tehran Branch, Islamic Azad University, Tehran, Iran Author https://orcid.org/0009-0006-9475-498X

DOI:

https://doi.org/10.61838/kman.hn.1.1.13

Keywords:

Cardiovascular disease, Stress management, Mental health, Anxiety, Depression

Abstract

Cardiovascular disease (CVD) remains one of the leading causes of mortality worldwide among both men and women. This study aims to investigate the mediating roles of depression and anxiety in the relationship between stress management and mental health in patients with cardiovascular disease. This descriptive correlational study utilized a structural equation model. The study population comprised cardiovascular patients in Kashan city in 2022. Sixty cardiovascular patients from Shahid Beheshti Hospital in Kashan were selected through convenience sampling. Participants completed the Mental Health Inventory (Keyes, 2002), the Stress Management Scale (Kobin et al., 1990), and the Hospital Anxiety and Depression Scale (Zigmond & Snaith, 1983). Data were analyzed using SPSS version 22 and SmartPLS software, employing Pearson correlation tests and structural equation modeling. Results indicated a negative and significant correlation between stress management and both depression and anxiety. Additionally, a positive and significant correlation was found between stress management and mental health. Anxiety mediated the relationship between stress management and mental health, whereas depression did not. It is recommended that treatment plans for cardiovascular patients should incorporate strategies addressing anxiety, depression, and stress management.