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J Res Med Sci 2021,  26:121

Stress, anxiety and patient self-efficacy

Department of Medicine and Optometry, Faculty of Health and Life Sciences, Växjö, Sweden

Date of Submission12-Sep-2019
Date of Decision16-Feb-2020
Date of Acceptance23-Jun-2021
Date of Web Publication22-Dec-2021

Correspondence Address:
Mosad Zineldin
Department of Medicine and Optometry, Faculty of Health and Life Sciences, SE 351 95, Växjö
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jrms.JRMS_608_19

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How to cite this article:
Zineldin M. Stress, anxiety and patient self-efficacy. J Res Med Sci 2021;26:121

How to cite this URL:
Zineldin M. Stress, anxiety and patient self-efficacy. J Res Med Sci [serial online] 2021 [cited 2023 Feb 8];26:121. Available from: https://www.jmsjournal.net/text.asp?2021/26/1/121/333285

Dear Editor,

Stress and anxiety (SA) are the symptoms that can cause physical, neurological, and psychological illnesses. Chronic stress (CS) can contribute to many physical health problems, such as high blood pressure, heart disease, obesity diabetes, chest pain, headaches, insomnia, and heart palpitations.[1],[2]

Chronic anxiety (CA) can have serious consequences of physical illnesses and other mental health conditions and can as well influence the function of the cardiovascular, urinary, and respiratory systems. Various medical researches suspect that anxiety is developed in the amygdala. Many physical symptoms are correlated with a differential diagnosis of all anxiety disorders, according to the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV).[3] Patients with compromised mental health conditions are very often confronted by such stressors and negative experiences during their daily life as discrimination in the workplace and in health-care settings.[4],[5],[6]

Many physical symptoms are correlated with a differential diagnosis of all SA disorders, according to the DSM-IV.[3]

SA impair the brain. As shown in [Figure 1], SA negatively impact behavior because it shuts down the prefrontal cortex and fails to develop properly. Traumatic SA also lead often to chronic hyperexcitation of the amygdala[7].
Figure 1: Stress- and anxiety-negative impact of the brain[7]

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Self-efficacy (SE) is a construct grounded in social cognitive theory. It is defined as the belief that one has the capability to be successful, even in adverse situations.

The present research focused on two forms of psychological distress, SA as major mental disorders as well as the role of SE in improving life satisfaction (LS) of these patients. The population of this study includes 141 participants. The participants were encouraged to login on a survey by a questionnaire web portal the internal consistency of the main variables was satisfactory (α =0.70).

Different simple linear regression models were conducted between the variables. The result shows that The R2 value of the self-efficacy (SE) was ,11 suggested that 11% of the variance in SE was explained by anxiety (B = -,27, P < ,00) and by stress (B = -,12, P < ,00). This result shows statistically significant predictions justifying the mediation analysis in this study.

The main conclusion and recommendation are to provide patients with specific training and knowledge to increase patients' ability to control own life via SE and social support. These soft factors are found to be the main variables impacting the perception and coping with anxiety and stress symptoms and other stressful situations in order to be able to improve the level of LS.

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Conflicts of interest

There are no conflicts of interest.

  References Top

Cuijpers P, Vogelzangs N, Twisk J, Kleiboer A, Li J, Penninx BW. Comprehensive meta-analysis of excess mortality in depression in the general community versus patients with specific illnesses. Am J Psychiatry 2014;171:453-62.  Back to cited text no. 1
Abbey A, Dunkel Schetter C, Brickman P. Handling the stress of looking for a job in law school: The relationship between intrinsic motivation, internal attributions, relations with others, and happiness. Basic Appl Soc Psychol 1983; 4(3): 263 78.  Back to cited text no. 2
American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 4th ed. Washington, DC: American Psychiatric Association; 1994.  Back to cited text no. 3
Tahmassian K, Jalali Moghadam N. Relationship between self-efficacy and symptoms of anxiety, depression, worry and social avoidance in a normal sample of students. Iran J Psychiatry Behav Sci 2011;5:91-8.  Back to cited text no. 4
Cohen S. Social relationships and health. Am Psychol 2004;59:676-84.  Back to cited text no. 5
Zineldin M. Cognitive and Brain Reserve (CBR): Tools to Reduce the Risk of Dementia and Alzheimer. Adv Alzheimer's Dis 2018;7:93-10.  Back to cited text no. 6
Global Union for Science and Peace. Available from: https://www.gusp.org/defusing-world-crises/stress-impairs-brain-functioning/. [Last accessed on 2021 Jun 22].  Back to cited text no. 7


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