health anxiety

Objective: Cancer is one of the most essential health issues in the world and Iran which is usually associated with significant clinical and psychological discomfort in the optimal use of coping strategies. Therefore، the purpose of the present study was to analyze a structural model of medication adherence based on health anxiety, positive meta-emotion, and pain self-efficacy mediated by health locus of control in men with cancer. Method: The research was descriptive-correlational using structural equation modelling to test the relationships between the variables. The statistical population was men with gastrointestinal cancer in Golestan province referred to Shafi Hyrkan Cancer Patients Support Center. According to, 227 people were selected through targeted sampling. The research instruments included the Salkowski and Warwick Health Anxiety Inventory, Beer and Moneta Positive Metacognitions and Positive Meta-Emotions Questionnaire, Nicholas Pain Self-Efficacy questionnaire, Morisky, Ang, and Wood's Medication Adherence Questionnaire, and Wallston's Health Control Source Inventory. Data analysis was performed in LISREL software version 8.71. Findings: The results showed that health anxiety, internal health locus of control, and positive meta-emotion had a positive effect (P <0.005) and pain self-efficacy had a negative and significant effect on medication adherence (P <0.001). The source of internal health locus of control mediated the effect of pain self-efficacy and positive meta-emotion mediated the medication adherence positively and significantly (P <0.005). Conclusion: Health anxiety, positive meta-emotion, and pain self-efficacy are correlated with medication adherence and affect medication adherence mediated by health locus of control.

Objective: The purpose of this study was to predict marital satisfaction based on health anxiety and self-efficacy with the mediation role of mindfulness in women with multiple sclerosis. Method: The present research method was descriptive-correlational using structural equation modeling (path analysis). The statistical population included 14899 married women with diplomas and higher education who were members of the Tehran MS Association in 2021. Using the Cochran formula, 342 women were selected as research samples through convenience sampling. All participants responded to four questionnaires, including Olson et al.’s Marital Satisfaction, Salkovskis et al.’s Health Anxiety, Schwarzer and Jerusalem’s Self-efficacy, and Baer et al.’s Mindfulness questionnaires. Results: The results showed the direct effect of marital satisfaction through self-efficacy and health anxiety was significant (P<0/05). Also, the indirect effect of marital satisfaction through mindfulness was significant (P<0/05). Conclusion: According to the results, mindfulness plays a mediating role in the relationship between health anxiety, self-efficacy, and marital satisfaction.