Aug 2026· Pakistan Journal of Positive Psychology· Vol 3, pp. 6-15· 0 citations· 45 references
TL;DR
The results showed that resilience was positively correlated with depression, anxiety, and stress; however, these factors were negatively correlated with caregivers compared to individuals with thalassemia, and the presence of multiple thalassemia patients raised the caregivers' anxiety levels.
Abstract
The aim of the study was to find out the impact of Depression, Anxiety, and Stress on Mental Health; furthermore, the study will examine the Moderating Role of Resilience among Caregivers of individuals with thalassemia. The translated version of DASS 21 was used to assess anxiety, depression, and stress. For mental health, the Urdu-translated version of the Mental Health Inventory (MHI) (Khan et al., 2015) was used. The resilience scale (Connor et al., 2003) was used to assess the resilience. A sample of thalassemia patients and their caregivers was selected for the current study to be conducted across several hospitals and thalassemia clinics in Rawalpindi and Islamabad. The partial least squares structural equation modeling (PLS-SEM) approach was computed, which was conducted by using the Smart PLS software. This suggests that individuals experiencing depression, anxiety, and stress may develop adaptive coping mechanisms, leading to increased resilience. Mental health significantly moderates the relationship between DASS and resilience. This means that the impact of stress, anxiety, and depression on resilience varies according to mental health. The results showed that resilience was positively correlated with depression, anxiety, and stress; however, these factors were negatively correlated with caregivers compared to individuals with thalassemia, and the presence of multiple thalassemia patients raised the caregivers' anxiety levels.
Higher levels of resilience were associated with lower levels of depression, anxiety, and stress, suggesting an important role of this construct in the mental health of medical students.
Raiane Carvalho Pontes, Luçandra Ramos Espírito Santo, M. P. Baldo et al.· REMUNOM· 0 citations
Financial strain is a significant concern among university students, as it can negatively affect their mental health and overall functioning. This study aimed to examine the influence of financial pressure on depression and anxiety amongst hostel-residing university students and also find out the moderating role of resilience. For this purpose, the research design adopted was cross-sectional, and 300 university students residing in hostels were selected through purposive sampling to collect data. After obtaining informed consent, information was collected using standardized self-report measures like the APR Financial Stress Scale for financial issues (Heo et al., 2020). The PHQ-9 was used to measure depressive symptoms (Kroenke et al., 2001), anxiety measured by using the GAD-7 (Spitzer et al., 2006), and the BRS for resilience (Smith et al., 2008). The study variables were analyzed using descriptive statistics, reliability analysis, regression, and moderation analysis using the PROCESS macro (Model-1) to study the relationships among the variables. The outcomes indicated that financial stress positively predicts depression (r = .52, p < .01) and anxiety (r = .43, p < .01). Moderation analysis revealed that resilience did not significantly moderate the relationship between financial stress, depression, and anxiety. So, according to my study, resilience does not buffer the impact of financial stress in the present sample. This investigation showed the direct influence of financial stress on student psychological outcomes and emphasizes the need for targeted interventions to reduce financial stress and promote mental well-being among university students.
M. Ansar, Uzma Jillani· Pakistan Journal of Positive...· 0 citations
Objectives Climate change can affect individuals’ physical and mental health. The present study aims to evaluate the mediating role of resilience and adaptation in the relationship between climate change anxiety and mental health.
Methods This is a correlational study utilizing structural equation modeling (SEM). The study population included all members of the Iranian Red Crescent Society in six provinces of Iran exposed to climate change (Khuzestan, Hormozgan, Ilam, Kerman, Sistan & Baluchestan, and South Khorasan) in 2024. A total of 1196 people were selected using cluster random sampling and convenience sampling methods. Data were collected using the 25-item symptom checklist, the eco-anxiety scale, the Connor-Davidson resilience scale, and the adaptation questionnaire. Data analysis was conducted using Pearson’s correlation test and path analysis in SPSS software, version 24 and AMOS software, version 24.
Results There was a significant positive relationship between climate change anxiety and mental health (P<0.01, r=0.41) and between adaptation and mental health (P<0.01, r=0.57), while a significant negative relationship was observed between resilience and mental health (P<0.01, r=-0.39). The indirect effect of climate change anxiety on mental health was significant through adaptation and resilience (P<0.001).
Conclusion Climate change anxiety has an indirect relationship with the mental health of people through resilience and adaptation.
R. Gholamnia, Pirhossein Kolivand, Razie Alishvandi et al.· Iranian Journal of Psychiatr...· 1 citation
Abstract This study examined the associations of anxiety, insomnia, and psychological resilience with health-related quality of life (HRQoL) among maintenance dialysis patients and explored potential mediating roles. In this cross-sectional study, 207 adult patients undergoing maintenance dialysis were recruited. HRQoL was assessed using the Short Form-36 Health Survey (SF-36), generating Physical Component Summary (PCS) and Mental Component Summary (MCS) scores. Anxiety, insomnia, and psychological resilience were measured using the Generalized Anxiety Disorder-7 (GAD-7), Athens Insomnia Scale (AIS), and 25-item Connor–Davidson Resilience Scale (CD-RISC-25), respectively. Multivariable linear regression and bootstrap-based mediation analyses were conducted. Furthermore, subgroup analyses were conducted to examine the robustness of the results. Higher anxiety and insomnia scores were independently associated with lower PCS and MCS, whereas resilience was positively associated with both components. Each one-point increase in anxiety score was associated with a 1.61-point decrease in PCS and a 1.15-point decrease in MCS; corresponding decreases for insomnia were 1.01 and 0.91 points. Psychological resilience partially mediated the association between anxiety and HRQoL (23.46% for PCS; 30.37% for MCS), but no significant mediation was observed for insomnia. Subgroup analyses showed consistent associations for insomnia, while the anxiety–HRQoL relationship was modified by smoking status and diabetes. Anxiety and insomnia are independently associated with impaired HRQoL in dialysis patients. Psychological resilience partially explains the adverse impact of anxiety, but not insomnia, suggesting distinct patterns of association and potential targets for tailored psychosocial interventions.
Ruitong Liao, Xue-mei Zhang, Lian Lin et al.· Renal Failure· 0 citations
Caregivers of patients with Severe Persistent Mental Illness (SPMI) face tremendous challenges. They often experience elevated levels of burden, depression, and anxiety. These factors negatively impact their quality of life (QoL). However, few studies have examined caregiver burden and its psychological effects in Saudi Arabia. This study aims to assess caregiver burden in relation to socio-demographic characteristics and its correlation with depression, anxiety, and QoL. The study tool consisted of validated questionnaire, including the Patient Health Questionnaire-9 (PHQ-9), Generalized Anxiety Disorder-7 (GAD-7), abridged Arabic version of the Zarit Burden Interview (ZBI), and the World Health Organization Quality of Life-Brief Version (WHOQOL-BREF). A cross-sectional convenience sample of 120 participants was recruited from the Psychiatry Outpatient Clinics at King Saud University Medical City in Riyadh, Saudi Arabia. Our results showed a significant positive correlation between caregiver burden and depression and anxiety scores (p < 0.001). Moreover, significantly higher burden levels were found among female caregivers and those residing with patients, p = 0.04 and p = 0.002, respectively. Additionally, the severity of mental illness was also associated with an increased burden level (p = 0.001). Notably, spouses and children reported significantly higher burden levels (p = 0.036). In multivariable analyses, caregiver anxiety and perceived severity of the patient’s mental illness were independently associated with higher caregiver burden, while depressive and anxiety symptoms were independently associated with poorer quality of life.Furthermore, a significant negative correlation was found between caregiver burden and the physical and psychological QoL domains (p < 0.001 and p = 0.013, respectively). Collectively, our findings highlight the mental health challenges faced by caregivers of individuals with SPMI in Saudi Arabia, which negatively impact their QoL. Consequently, these findings substantiate the urgent need for targeted support interventions, particularly those addressing caregiver anxiety, depression, and the challenges associated with severe mental illness, especially for caregivers who live with or care for individuals with SPMI.
Fatimah Albrekkan, Shuliweeh Alenezi, A. Ghesheyan et al.· PLoS ONE· 0 citations
The study aims to identify the psychological attributes that act as protective factors for mental health in the university context. To this end, negative variables, such as depression, anxiety, and stress, will be analyzed, as opposed to protective variables, such as resilience, self-efficacy, and meaning in life. The study sample consisted of 476 participants from all geographic regions of Brazil. In total, 68.5% identified themselves as women, and the average age was 37.23 years (SD = 14.05). The sample was formed by two main groups: university professors, 59.8% of the sample, and university students, 40.2% of the sample. The results of the inferential analysis revealed statistically significant differences for all variables investigated (p < 0.001) in both groups. The correlation analysis indicated more expressive results for depression and resilience (r = -0.56, p < 0.001), anxiety and presence of meaning (r = -0.56, p < 0.001), and presence of meaning and stress (r = -0.56, p < 0.001). In the regression, the most parsimonious prediction models for depression (adjusted R² = 0.378), anxiety (adjusted R2 = 0.413) and stress (R2 = 0.443) include resilience and presence of meaning as predictors with the greatest impact. Seeking to understand how these variables behave simultaneously, a mediation model was tested, which corroborated the role of resilience and presence of meaning. We conclude that conceiving your life as having purpose and coherence and having the ability to prevent and overcome the negative impacts of adversity contributes to mental health.
Thiago Medeiros Cavalcanti, Marcus Vinícius Leal de Farias, A. K. S. Soares· Current Psychology· 0 citations
