The Relationship Between Caregiver Stress and Health Anxiety with the Mediation of Emotional Expression in Caregivers of Patients with Chronic Illnesses Admitted to Military Hospitals in Tehran
Keywords:
emotional expression, health anxiety, caregiver stressAbstract
Objective: The present study aimed to determine the relationship between caregiver stress and health anxiety with the mediation of emotional expression in caregivers of patients with chronic illnesses admitted to military hospitals in Tehran.
Methods and Materials: This study employed a correlational research design using structural equation modeling (SEM). The study population consisted of all caregivers of patients with chronic illnesses admitted to military hospitals in Tehran during the first half of 2023. The sample size was 290 individuals, selected using convenience sampling. The research tools included the Novak and Guest Caregiver Stress Questionnaire (1989), the Salkovskis and Warwick Health Anxiety Questionnaire (2002), and the King and Emmons Emotional Expression Questionnaire (1990). The data were analyzed using structural equation modeling (SEM) with LISREL 8.54 and SPSS 24 software.
Findings: The analysis of direct path coefficients revealed a significant direct relationship between caregiver stress (β = 0.23, p < 0.001) and emotional expression (β = -0.58, p < 0.001) with health anxiety. All model fit indices supported the acceptability of the structural model with the collected data (β = -0.42, p < 0.001).
Conclusion: The study's findings suggest that emotional expression can play an important role in reducing the negative effects of caregiver stress on the mental health of caregivers of patients with chronic illnesses.
Downloads
References
Abbasi, A., Shamsizadeh, M., Asayesh, H., Rahmani, H., Hoseini, S. A., & Talebi, M. (2013). The relationship between caregiver burden with coping strategies in Family caregivers of cancer patients. ijpn, 1(3), 62-71. http://ijpn.ir/article-1-170-fa.html
Barghbani, H., Barghbani, R., Salehi, Y., & Rad, M. (2023). The Relationship Between Health Anxiety and Caregiver Burden in Informal Caregivers of Patients with COVID-19. Jundishapur J Chronic Dis Care, 12(1), e132191. https://doi.org/10.5812/jjcdc-132191
Bashiri Nejadian, A., Bayazi, M. H., Johari Fard, R., & Rajaei, A. R. (2021). The Relationship between Ambivalence over Emotional Expression and Health-Related Quality of Life and Adherence to Treatment in Cancer Patients: The Mediating Role of Depression and Social Support: A Descriptive Study. JRUMS, 20(2), 163-186. https://doi.org/10.52547/jrums.20.2.163
Garbóczy, S., Szemán-Nagy, A., Ahmad, M. S., Harsányi, S., Ocsenás, D., Rekenyi, V., Al-Tammemi, A. A., & Kolozsvári, L. R. (2021). Health anxiety, perceived stress, and coping styles in the shadow of the COVID-19. BMC psychology, 9, 1-3. https://doi.org/10.1186/s40359-021-00560-3
Karimi Moghaddam, Z., Rostami, M., Zeraatchi, A., Mohammadi Bytamar, J., Saed, O., & Zenozian, S. (2023). Caregiving burden, depression, and anxiety among family caregivers of patients with cancer: An investigation of patient and caregiver factors. Front. Psychol., 14, 1059605. https://doi.org/10.3389/fpsyg.2023.1059605
King, L. A., & Emmons, R. A. (1990). Conflict over emotional expression: Psychological and physical correlates. Journal of personality and social psychology, 58(5), 864-877. https://doi.org/10.1037/0022-3514.58.5.864
Li, C., Tang, N., Yang, L., Zeng, Q., Yu, T., Pu, X., Wang, J., & Zhang, H. (2023). Effect of caregiver burden on anticipatory grief among caregivers of elderly cancer patients: Chain mediation role of family functioning and resilience. Front. Psychol., 13, 1020517. https://doi.org/10.3389/fpsyg.2022.1020517
Nakhaei Moghadam, R., Bahrainian, S. A., & Nasri, M. (2024). The effectiveness of intensive and short-term dynamic psychotherapy on attachment styles, somatization and health anxiety in patients with chronic pain. Journal of Assessment and Research in Applied Counseling (JARAC), 6(1). https://journals.kmanpub.com/index.php/jarac/article/view/1287
Nargesi, F., Izadi, F., Kariminejad, K., & Rezaei Sharif, A. (2017). Validity and reliability of the Persian version of the Health Anxiety Inventory among students of Medical Sciences University. Journal of Educational Measurement, 7(27), 147-160. https://doi.org/10.22054/jem.2017.19621.1495
Navidi Poshtiri, S., Hassanzadeh, R., & Olia Emadian, S. (2022). The effectiveness of acceptance and commitment therapy on tolerance failure and health anxiety in nursing and midwifery students with health anxiety. Journal of Adolescent and Youth Psychological Studies (JAYPS), 3(1), 222-231. https://doi.org/10.61838/kman.jayps.3.1.18
Putri, Y. S. E., Putra, I. G. N. E., Falahaini, A., & Wardani, I. Y. (2022). Factors Associated with Caregiver Burden in Caregivers of Older Patients with Dementia in Indonesia. International journal of environmental research and public health, 19(19), 12437. https://doi.org/10.3390/ijerph191912437
Rafieinia, P., Rasoolzadeh Tabatabaei Seyed, K., & Azadfallah, P. (2006). Relationship between Emotion Expression Styles and General Health in Students. Journal of Psychology, 10(1 (37 Success)), 84-105. https://sid.ir/paper/54587/fa
Sabetfar, N., Meschi, F., & Hosseinzade Taghvaei, M. (2021). The Effectiveness of Mindfulness-based Group Therapy on Perceived Stress, Emotional Cognitive Regulation, and Self-care Behaviors in Patients With Hypertension. Intern Med Today, 27(2), 246-263. https://doi.org/10.32598/hms.27.2.3502.1
Sabzalipoor, F., Fotoukian, Z., Ahmadi, H., & Jannat Alipour, Z. (2021). Factors related to the care burden in family caregivers of the elderly with chronic diseases - a review study. cjhaa, 6(1), 29-52. http://cjhaa.mubabol.ac.ir/article-1-143-fa.html
Sari, N. P. W. P., & Manungkalit, M. (2023). The effect of family appraisal on caregiver burden in family caregiver of female cancer patients. IJPHS, 12(2). https://doi.org/10.11591/ijphs.v12i2.22788
Sharmi Alamdari, F., Mirzapour Alamdari, M., Khanekeshi, A., Hasanzadeh, M., & Yazdani, F. (2023). Correlation of personality traits and cognitive emotion regulation strategies with health anxiety during the COVID-19 pandemic. Shenakht Journal of Psychology and Psychiatry, 10(2), 95-106. https://doi.org/10.32598/shenakht.10.2.95
Zeinali Siavoshani, E., & Dehghan, M. (2021). The Role of Emotional Expression and Emotion Regulation in Post-Traumatic Growth in Patients with Cancer and Multiple Sclerosis: Considering the Moderating Role of Disease Type. Navid No, 24(78), 42-53. https://doi.org/10.22038/nnj.2021.55171.1264
Downloads
Additional Files
Published
Submitted
Revised
Accepted
Issue
Section
License
Copyright (c) 2025 Neda Salari Doroudi (Author); Bita Bahrami (Corresponding Author)

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

