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"Perceived Stress"

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"Perceived Stress"

Original Articles
Association of Perceived Stress and Physical Activity Level with Severity of Coronary Artery Disease in Gaza Strip, Palestine: A Cross-Sectional Study
Mohamed Kuhail, Kurosh Djafarian, Sakineh Shab-Bidar, Khalid Jamal Khadoura
Korean J Fam Med 2022;43(4):261-270.   Published online July 19, 2022
DOI: https://doi.org/10.4082/kjfm.21.0125
Background
The association between life-event stressors and low physical activity linked to the severity of coronary artery disease (CAD) is poorly understood. Therefore, this study aimed to determine the perceived stress status and physical activity level associated with the severity of CAD.
Methods
The study was conducted among 423 patients with newly discovered CAD (both sexes, aged 35–65 years) confirmed by coronary angiography results. CAD severity was classified according to the Gensini score as severe or non-severe. The fasting blood glucose and lipid profiles were also investigated. Anthropometric and brachial blood pressure measurements were obtained. A structured questionnaire including participants’ characteristics, the Perceived Stress Scale (PSS-14), and the International Physical Activity Questionnaire were used via face-to-face interviews. Multivariable binary logistic regression was used to assess the predictors of CAD severity using IBM SPSS ver. 24.0 (IBM Corp., Armonk, NY, USA).
Results
Most participants were classified as having severe CAD (63.8%). Adjusting for age, sex, smoking status, systolic blood pressure, body mass index, and history of hypertension, the severity of CAD increased by 9% for a onescore increase in the PSS (odds ratio [OR], 1.09; 95% confidence interval [CI], 1.01–1.14; P=0.030). Moreover, sufficiently active (600–1,500 metabolic equivalents [METs]/wk) patients had lower odds of severe CAD (OR, 0.43; 95% CI, 0.23–0.72; P=0.027) than those with insufficient activity. However, no significant association was found between physical activity (≥1,500 METs/wk) and CAD severity.
Conclusion
The odds of CAD severity significantly increased with increasing perceived stress score but decreased with sufficient physical activity.

Citations

Citations to this article as recorded by  
  • Relationship Between Perceived Stress and Anxiety in Patients Undergoing Coronary Angiography
    Assaire Mahamat Youssouf, Selda Arslan
    Clinical and Experimental Health Sciences.2025; 15(2): 362.     CrossRef
  • Allostatic Load Mediates Associations Between Race and Ethnicity and Hypertensive Disorders of Pregnancy
    Mitali Ray, Lacey W. Heinsberg, Rebecca B. McNeil, William A. Grobman, Amir Lueth, Robert M. Silver, C. Noel Bairey Merz, Lisa D. Levine, Lynn M. Yee, Daniel E. Weeks, Yvette P. Conley, Janet M. Catov
    Obstetrics & Gynecology.2025;[Epub]     CrossRef
  • Guidelines for physical activity counseling in primary healthcare clinics
    Yun Jun Yang
    Journal of the Korean Medical Association.2024; 67(4): 265.     CrossRef
  • Moderating Effect of Physical Activity on the Relationship between Perceived Stress and Depression in Patients with Ischemic Heart Disease: A Cross-Sectional Study
    Yue-Hee Yeom, Suk Jeong Lee
    Korean Journal of Adult Nursing.2023; 35(3): 204.     CrossRef
  • 5,116 View
  • 102 Download
  • 2 Web of Science
  • 4 Crossref
Perceived Stress, Alexithymia, and Psychological Health as Predictors of Sedative Abuse
Nader Rajabi Gilan, Ali Zakiei, Sohyla Reshadat, Saeid Komasi, Seyed Ramin Ghasemi
Korean J Fam Med 2015;36(5):210-215.   Published online September 18, 2015
DOI: https://doi.org/10.4082/kjfm.2015.36.5.210
Background

The harmful effects of sedative medications and substances in conjunction with limited research regarding predictive psychological constructs of drug abuse necessitate further investigation of associated factors. Therefore, the present study aimed to elucidate the roles of perceived stress, alexithymia, and psychological health as predictors of sedative abuse in medical students.

Methods

In this cross-sectional study, 548 students at Kermanshah University of Medical Sciences, Iran, were selected using stratified random sampling. The data were obtained using the Perceived Stress Scale, an alexithymia scale (Farsi version of the Toronto Alexithymia Scale-20), and a General Health Questionnaire to assess psychological health. Data were analyzed using discriminant analyses.

Results

The results demonstrated that the user and non-user of sedative substances groups had significantly different predictive variables (except for social function disorder) (P>0.05). Physical complaints, alexithymia, and perceived stress, which had standard coefficients of 0.80, 0.60, and -0.27, respectively, predicted sedative drug use.

Conclusion

The results of the present study indicate that perceived stress, alexithymia, physical complaints, anxiety, and depression are associated with sedative drug abuse.

Citations

Citations to this article as recorded by  
  • Psychotropic medicine use without current or prior medical advice, storage at home and association with perceived stress in a primary health care setting in Greece
    P. Volkos, E.I. Kritsotakis, E.K. Symvoulakis
    Medicina de Familia. SEMERGEN.2024; 50(3): 102150.     CrossRef
  • Spiritual dryness and its predictors in Iranian Muslims
    Hadis Ashrafizadeh, Azam Shirinabadi Farahani, Arndt Büssing, Maryam Rassouli
    Spiritual Care.2024; 13(3): 257.     CrossRef
  • The predictors of spiritual dryness among Iranian cancer patients during the COVID-19 pandemic
    Azam Shirinabadi Farahani, Sara Hamideh Kerdar, Hadis Ashrafizadeh, Arndt Büssing, Nasrin Mehrnoush, Mohammad Esmaeil Akbari, Maryam Karami, Salehe Tajalli, Leila Khanali Mojen, Maryam Rassouli
    Frontiers in Psychology.2023;[Epub]     CrossRef
  • A transformative and social marketing ecosystem investigation into drug use among young adults
    Aimee Riedel, Amanda Beatson, Rory Mulcahy, Byron Keating
    Journal of Services Marketing.2023; 37(2): 184.     CrossRef
  • Association between alexithymia and substance use: A systematic review and meta‐analysis
    Kirsi Honkalampi, Markus Jokela, Soili M. Lehto, Mika Kivimäki, Marianna Virtanen
    Scandinavian Journal of Psychology.2022; 63(5): 427.     CrossRef
  • Perceptions of Spiritual Dryness in Iran During the COVID-19 Pandemic
    Arndt Büssing, Sara Hamideh Kerdar, Mohammad Esmaeil Akbari, Maryam Rassouli
    Journal of Religion and Health.2021; 60(5): 3347.     CrossRef
  • Triggers of Substance Abuse Slip and Relapse During Outpatient Treatment in Methadone/Buprenorphine Maintenance Therapy Clinics: A Predictive Model with Emphasis on Treatment-Related Factors
    Saeid Komasi, Mozhgan Saeidi, Mohammad Mehdi Amiri, Nasrin Nazeie, Nasim Shams Alizadeh, Ali Soroush
    Jundishapur Journal of Health Sciences.2017;[Epub]     CrossRef
  • 5,028 View
  • 24 Download
  • 6 Web of Science
  • 7 Crossref
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