Factors Influencing the Perception of Stress among Chronic Patients

Masuma Parvin, Mahbuba Kaniz Keya

Abstract


Chronic illness is a major health care burden in the developing country like Bangladesh. For this, the present study examined the effects of age, gender, education and monthly income on perceived stress of type-2 diabetes and coronary heart disease patients. The study was conducted on 100 chronic patients (50 diabetic and 50 coronary heart disease) selected randomly from different hospitals and clinics of Rajshahi city in Bangladesh. The age range of sample was 35 to 65 years (M=53.03). All of the participants were out-patients. Perceived Stress Questionnaire (Keya, 2006) was used to assess the stress level. Regression analysis revealed that demographic variables (age, gender and monthly income) explained 29 percent of the variance that highlighting contributions to patients’ perceived stress. The t- test analyses revealed that female patients perceive high level of stress than male patients. Results of the analysis of variance revealed that the main effect of education on perceived stress was statistically significant, illiterate patients perceived high level of stress compare to primary, secondary, higher secondary and graduate group. The findings conclude that gender, monthly income and level of education have significant effects on patients’ perceived stress.


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References


Baum, A., Garofalo, J. P., & Yali, A. N. N. (1999). Socioeconomic status and chronic stress: does stress account for SES effects on health?. Annals of the New York Academy of Sciences, 896(1), 131-144.

Begum, I. A., Sen, M., Afrin, S. F., Shafia, S. M., Islam, M. A., & Rahman, M. H. (2012). Association of dietary fiber with high sensitivity C-reactive proteinin type 2 diabetes mellitus. Bangladesh Journal of Medical Science, 11(2), 117.

Booth, A., & Amato, P. (1991). Divorce and psychological stress. Journal of health and social behavior, 396-407.

Cohen, S., Janicki-Deverts, D., & Miller, G. E. (2007). Psychological stress and disease. Jama, 298(14), 1685-1687.

Cohen, S., Kamarck, T., & Mermelstein, R. (1983). A global measure of perceived stress. Journal of Health and Social Behavior, 24(4), 385–396. doi:10.2307/2136404

Curtis, R., Groarke, A., Coughlan, R., & Gsel, A. (2004). The influence of disease severity, perceived stress, social support and coping in patients with chronic illness: a 1 year follow up. Psychology, Health & Medicine, 9(4), 456-475.

Devins, G. M., and Binik, Y. M. (1996). Facilitating coping with chronic physical illness. In Zeidner, M., and Endler, N. (Eds.), Handbook of Coping: Theory, Research and Applications, New York, Wiley, pp. 640–696.

Fărcaş, A. D., & Năstasă, L. E. (2014). Factors influencing the perception of stress in patients with heart failure. Procedia-Social and Behavioral Sciences, 127, 144-148.

Feizi, A., Aliyari, R., & Roohafza, H. (2012). Association of perceived stress with stressful life events, lifestyle and sociodemographic factors: a large-scale community-based study using logistic quantile regression. Computational and mathematical methods in medicine, 2012.

Hara, Y., Hisatomi, M., Ito, H., Nakao, M., Tsuboi, K., & Ishihara, Y. (2014). Effects of gender, age, family support, and treatment on perceived stress and coping of patients with type 2 diabetes mellitus. BioPsychoSocial medicine, 8(1), 16.

Heijmans, M., Rijken, M., Foets, M., de Ridder, D., Schreurs, K., & Bensing, J. (2004). The stress of being chronically ill: from disease-specific to task-specific aspects. Journal of Behavioral Medicine, 27(3), 255-271.

Ijaz, S., & Ajmal, M. (2011). Experiencing Type II Diabetes in Pakistan. Pakistan Journal of Social & Clinical Psychology, 9(1).

Kaptein, A. A., Scharloo, M., Helder, D. I., Kleijn, W. C., van Korlaar, I. M., & Woertman, M. (2003). Representations of chronic illnesses. The self-regulation of health and illness behaviour. London: Routledge, 97-118.

Krantz, D. S., Baum, A., Singer, J. E., & Singer, J. L. (Eds.). (2013). Cardiovascular Disorders and Behavior: Handbook of Psychology and Health (Vol. 3). Psychology Press.

Kulick, D. L. (2014). Heart attack (myocardial infarction). Retrieved from http://www.medicinenet.com/heart_attack/article.htm

Legato, M. J., Gelzer, A., Goland, R., Ebner, S. A., Rajan, S., Villagra, V., & Kosowski, M. (2006). Gender-specific care of the patient with diabetes: review and recommendations. Gender Medicine, 3(2), 131-158.

Luthra, D. (2010). A link between stress and diabetes.

Matthews, K. A. (1986). Handbook of stress, reactivity, and cardiovascular disease (Vol. 6). Wiley-Interscience.

Moos, R. H., & Schaefer, J. A. (1984). The crisis of physical illness. In Coping with physical illness (pp. 3-25). Springer, Boston, MA.

Nilsson, P. M., Theobald, H., Journath, G., & Fritz, T. (2004). Gender differences in risk factor control and treatment profile in diabetes: a study in 229 Swedish primary health care centres. Scandinavian journal of primary health care, 22(1), 27-31.

Salleh, M. R. (2008). Life event, stress and illness. The Malaysian journal of medical sciences: MJMS, 15(4), 9-18.

Shields, M. (2004). Stress, health and the benefit of social support. Health reports, 15(1), 9.

Tang, Y. H., Pang, S., Chan, M. F., Yeung, G. S., & Yeung, V. T. (2008). Health literacy, complication awareness, and diabetic control in patients with type 2 diabetes mellitus. Journal of advanced nursing, 62(1), 74-83.

Taylor, S. (2006). Health Psychology, 6th edn. NewYork. McGraw Hill.

Wijenaike, N. (2007). Official Home Page of Diabete Suffolk. com. 23rd November 2002.“. Diabetes and Stress”. Retrieved on, 22(3).

World Health Organization Report (2014). Noncommunicable Diseases (NCD) Country Profiles.

Zautra, A. J. (1996). Investitations of the ongoing stressful situations among those with chronic illness. American Journal of Community Psychology, 24(6), 697-717.


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