Volume 17, Issue 4 (2026)
Res Med Edu 2026, 17(4): 49-58 |
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Mohseni E, Bakhshi F, Asgari F, Shakiba M. Relationship of Happiness and Academic Expectations Stress with Health Locus of Control among the Students of Guilan University of Medical Sciences. Res Med Edu 2026; 17 (4) :49-58
URL: http://rme.gums.ac.ir/article-1-1511-en.html
URL: http://rme.gums.ac.ir/article-1-1511-en.html
Research Center of Health and Environment, School of Health, Guilan University of Medical Sciences, Rasht, Iran & Department of Health Education and Promotion, School of Health, Guilan University of Medical Sciences, Rasht, Iran , fa.bakhshi88@gmail.com
Abstract: (352 Views)
Introduction:Stress caused by academic pressures is common all around the world. Stress and happiness are key factors influencing mental health. This study aimed to investigate the relationship between happiness and stress related to academic expectations with the health locus of control among students at Guilan University of Medical Sciences.
Methods: This cross-sectional analytic study was conducted on students at Guilan University of Medical Sciences in 2023. Data were collected using demographic and three standardized questionnaires (i.e., the Oxford Happiness Scale, Academic Expectations Stress Scale, and Health Locus of Control Scale). A total of 392 students were selected through strratified random sampling method . Data analysis was performed using descriptive and inferential statistics and multiple linear regression with IBM SPSS Statistics Software (version 23).
Results: The mean age of the students was 22.16±3.65 years, and most of them were female (58.4%) and single (95.4%). The mean±SD scores of happiness and academic expectations stress were 39.68±12.43 and 27.10±7.32, respectively. After adjusting for background variables, the health locus of control constructs, including personal beliefs and chance, showed significant independent associations with happiness and academic expectations stress. Furthermore, weak but significant correlations were observed between personal beliefs and happiness (β=0.42, P=0.001), as well as between chance and happiness (β=0.25, P=0.048). Personal beliefs also showed a weak but significant association with academic expectations stress (β=0.15, P=0.049). The model's R-squared for predicting happiness was 9.95%; however, it explained only 3.79% of the variation in academic expectations stress.
Conclusion: The results indicated weak but significant relationship between health locus of control,happiness and academis expectations stress also, the limited predictive power of the health locus of control model in relation to happiness and academic expectations stress has been demonstrated. Importance of personal beliefs, chance in happinesss and academic stress has been raised in this study. It is suggested to use various psychological and educational models to improve mental health and reduce stress in future research.
Methods: This cross-sectional analytic study was conducted on students at Guilan University of Medical Sciences in 2023. Data were collected using demographic and three standardized questionnaires (i.e., the Oxford Happiness Scale, Academic Expectations Stress Scale, and Health Locus of Control Scale). A total of 392 students were selected through strratified random sampling method . Data analysis was performed using descriptive and inferential statistics and multiple linear regression with IBM SPSS Statistics Software (version 23).
Results: The mean age of the students was 22.16±3.65 years, and most of them were female (58.4%) and single (95.4%). The mean±SD scores of happiness and academic expectations stress were 39.68±12.43 and 27.10±7.32, respectively. After adjusting for background variables, the health locus of control constructs, including personal beliefs and chance, showed significant independent associations with happiness and academic expectations stress. Furthermore, weak but significant correlations were observed between personal beliefs and happiness (β=0.42, P=0.001), as well as between chance and happiness (β=0.25, P=0.048). Personal beliefs also showed a weak but significant association with academic expectations stress (β=0.15, P=0.049). The model's R-squared for predicting happiness was 9.95%; however, it explained only 3.79% of the variation in academic expectations stress.
Conclusion: The results indicated weak but significant relationship between health locus of control,happiness and academis expectations stress also, the limited predictive power of the health locus of control model in relation to happiness and academic expectations stress has been demonstrated. Importance of personal beliefs, chance in happinesss and academic stress has been raised in this study. It is suggested to use various psychological and educational models to improve mental health and reduce stress in future research.
References
1. Patel V, Saxena S, Lund C, Kohrt B, Kieling C, Sunkel C, et al. Transforming mental health systems globally: principles and policy recommendations. Lancet 2023;402(10402):656-66. [DOI:10.1016/S0140-6736(23)00918-2]
2. World Health Organization. WHO guidelines on mental health at work. WHO; 2022 Sep 28. [Link]
3. Brundtland GH. Mental health in the 21st century. Bull World Health Organ 2000;78(4):411. [Link]
4. Sewaybricker LE, Massola G. What is subjective well-being? a critical analysis of the article subjective well-being, by ed diener. Psicol Soc 2023;34:e258310. [DOI:10.1590/1807-0310/2022v34258310-en]
5. Buecker S, Luhmann M, Haehner P, Bühler JL, Dapp LC, Luciano EC, et al. The development of subjective well-being across the life span: A meta-analytic review of longitudinal studies. Psychol Bull 2023;149(7-8):418-46. [DOI:10.1037/bul0000401]
6. Mohammadi M, Choobforoushzadeh A, Rezapour Mirsaleh Y, Shirovi E. The mediating role of health anxiety on the relationship between health literacy, death anxiety and quality of life. Posit Psychol Res 2024;10(1):39-58. [Persian] [DOI:10.22108/ppls.2024.136465.2397]
7. Blanco C, Okuda M, Wright C, Hasin D, Grant B, Liu S-M, et al. Mental health of college students and their non-college-attending peers results from the national epidemiologic study on alcohol and related conditions. Arch Gen Psychiatry 2008;65(12):1429-37. [DOI:10.1001/archpsyc.65.12.1429]
8. Ramón-Arbués E, Gea-Caballero V, Granada-López JM, Juárez-Vela R, Pellicer-García B, Antón-Solanas I. The prevalence of depression, anxiety and stress and their associated factors in college students. Int J Environ Res Public Health 2020;17(19):7001. [DOI:10.3390/ijerph17197001]
9. Sarkashikiyan SM, Babakhani N, Bagheri N. The relationship between academic expectations stress and academic self-defeating behaviors: The mediating role of uncertainty intolerance. Rooyesh 2022;11(4):169-80. [Persian] [Link]
10. Hönig MA. The relationship between perceived infectability and the health locus of control on pandemic related future discounting and the adoption of pathogen avoidance behaviors. Washington State University; 2022. [Link]
11. Ganjoo M, Farhadi A, Baghbani R, Daneshi S, Nemati R. Association between health locus of control and perceived stress in college student during the COVID-19 outbreak: a cross-sectional study in Iran. BMC Psychiatry 2021;21:529. [DOI:10.1186/s12888-021-03543-1]
12. Argyle M, Martin M, Lu L. Testing for stress and happiness: the role of social and cognitive factors. In: Spielberger CD, Sarason IG, editor. Stress and emotion: Anxiety, anger, and curiosity. Taylor & Francis;1995:173-87. [Link]
13. Alipour A, Agah Heris M. Reliability and validity of the Oxford happiness inventory among Iranians. Iran J Health Psychol 2007;3(12):287-98. [Persian] [Link]
14. Ang RP, Huan VS. Academic expectations stress inventory: Development, factor analysis, reliability, and validity. Educ Psychol Measur 2006;66(3):522-39. [DOI:10.1177/0013164405282461]
15. Shokri O, Kadivar P, Naghsh Z, Ghanai Z, Daneshvarpour Z, Molaei M. Personality traits, academic stress, and academic performance. J Educ Pychol Study 2007;3(3):25-48. [Persian]
16. Wallston KA, Wallston BS, DeVellis R. Development of the multidimensional health locus of control (MHLC) scales. Health Educ Monogr 1978;6(2):160-70. [DOI:10.1177/109019817800600107]
17. Moshki M, Ghofranipour F, Hajizadeh E, Azadfallah P. Validity and reliability of the multidimensional health locus of control scale for college students. BMC Public Health 2007;7:295. [DOI:10.1186/1471-2458-7-295]
18. Ghahremani L, Tehrani H, Rajabi A, Jafari A. The relationship between the concepts of hope and happiness in students. Iran J Health Educ Health Promot 2020;8(2):107-17. [Persian] [DOI:10.29252/ijhehp.8.2.107]
19. Karahan M, Kiziltan Eliacik BB, Baydili KN. The interplay of spiritual health, resilience, and happiness: an evaluation among a group of dental students at a state university in Turkey. BMC Oral Health 2024;24(1):587. [DOI:10.1186/s12903-024-04297-4]
20. Mawson J, Miller PK, Booth L. Stress, a reflective self and an internal locus of control: On the everyday clinical placement experiences of older undergraduate radiographers in the UK. Radiography 2022;28(1):55-60. [DOI:10.1016/j.radi.2021.07.019]
21. Stanaland A, Gaither S. "Be a man": The role of social pressure in eliciting men's aggressive cognition. Pers Soc Psychol Bull 2021;47(11):1596-611. [DOI:10.1177/0146167220984298]
22. Santoniccolo F, Trombetta T, Paradiso MN, Rollè L. Gender and media representations: A review of the literature on gender stereotypes, objectification and sexualization. Int J Environ Res Public Health 2023;20(10):5770. [DOI:10.3390/ijerph20105770]
23. Bareket O, Fiske ST. A systematic review of the ambivalent sexism literature: Hostile sexism protects men's power; benevolent sexism guards traditional gender roles. Psychol Bull 2023;149(11-12):637-698. [DOI:10.1037/bul0000400]
24. Sahaghi Hakim. Relationship between Mental Health and Happiness with Academic Achievement in Students of Jondishapour of Ahvaz. J Dev Strategy Med Educ 2018;5(1 ):15-24. [Persian]
25. Niewiadomska I, Bień A, Rzońca E, Jurek K. The mediating role of dispositional optimism in the relationship between health locus of control and self-efficacy in pregnant women at risk of preterm delivery. Int J Environ Res Public Health 2022;19(10):6075. [DOI:10.3390/ijerph19106075]
26. Han KS. Self efficacy, health promoting behaviors, and symptoms of stress among university students. J Korean Acad Nurs 2005;35(3):585-92. [DOI:10.4040/jkan.2005.35.3.585]
27. Mrisho DH, Mseti S. Emotional intelligence: Concept, theoretical perspectives and its relevance on job performance. EAJIS 2024;7(1):28-37. [DOI:10.37284/eajis.7.1.1817]
28. Gautam S, Jain A, Chaudhary J, Gautam M, Gaur M, Grover S. Concept of mental health and mental well-being, it's determinants and coping strategies. Indian J Psychiatry 2024;66(Suppl 2):S231-44. [DOI:10.4103/indianjpsychiatry.indianjpsychiatry_707_23]
29. Krampe H, Danbolt LJ, Haver A, Stålsett G, Schnell T. Locus of control moderates the association of COVID-19 stress and general mental distress: results of a Norwegian and a German-speaking cross-sectional survey. BMC Psychiatry 2021;21:437. [DOI:10.1186/s12888-021-03418-5]
30. Cha NH. The relationships between stress and health locus of control in nursing college students. J East-West Nurs Res 2013;19(2):177-85. [DOI:10.14370/jewnr.2013.19.2.177]
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