The Japanese Association of School Health

Material

ISSN ONLINE : 1880-2400

[School Health Vol.5, 24-30, 2009]

The relationships among stages of change for stress management, stress responses, self-efficacy, and frequency of stress-management behavior in Japanese university students

Nanako Nakamura*

  • *Center for Research on Human Development and Clinical Psychology, Hyogo University of Teacher Education
  • 942-1 Shimokume, Kato-shi, Hyogo 673-1494 Japan
  • nanako@hyogo-u.ac.jp

[Received February 9, 2009 ; Accepted December 8, 2009]

Keywords:
stress management, transtheoretical model, stages of change, university students

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Abstracts

It is important for university students to learn how to manage their stress, but many students are not interested in doing so. Therefore, they need support to become interested in stress management as a healthy lifestyle behavior. The Transtheoretical Model (TTM) of behavior change, which has been applied in the clarification of the acquisition of many health behaviors, will help to develop health promotion programs. The stage of change is one of the components of the TTM. In this study, I measured the stage of change for stress management in Japanese university students, and examined whether stages are associated with stress-related variables. In Study 1, a total of 228 university students participated in a questionnaire survey. The one-week test-retest (n = 99) reliability was sufficiently high. When asked to describe their stress management behaviors freely, exercising was the most common response. On the other hand, cognitive-focused coping was scarcely mentioned. Examining the relationships among stages and stress responses and self-efficacy, significant relationships with the stages of change were recognized in stress responses. In Study 2, a total of 186 university students answered a questionnaire. One-way analyses of variance showed the frequency of engaging stress management behaviors in the maintenance stage was significantly higher than those in precontemplation and contemplation stages. However, no differences were observed among stages and self-efficacy. Results suggest reliability, validity, and some characteristics of stages of change for stress management behavior of Japanese university students.

References

  • Bridle, C., Riemsma, R.P., Pattenden, J., Sowden, A.J., Mather, L., Watt, I.S., and Walker, A.(2005)Systematic review of the effectiveness of health behavior interventions based on the transtheoretical model. Psychology and Health, 20, 283-301.
  • Evers, K.E., Prochaska, J.O., Johnson, J.L., Mauriello, L.M., Padula, J.A., and Prochaska, J.M.(2006)A randomized clinical trial of a population- and transtheoretical model-based stress-management intervention. Health Psychology, 25, 521-529.
  • Hori, M. and Shimazu, A.(2007)Effect of a stress management program for university students: intervention for social support. Japanese Journal of Psychology, 78, 284-289.(in Japanese)
  • Kato, A., Shibayama, Y., Tsuboi, K., and Nakano, K.(2000)The effect of university students' mental hygine upon their mental conditions after graduation: A clinical research from the point of view of social support. Japanese Jouranal of Psychosomatic Medicine, 40, 221-228.(in Japanese)
  • Kato, T.(2007)Relatinship between intimacy with friends and processes of interpersonal stress among college students. Japanese Journal of Social Psychology, 23, 152-161.(in Japanese)
  • Laforge, R.G., Velicer, W.F., Richmond, R.L., and Owen, N.(1999)Stage distributions for five health behaviors in the United States and Australia. Preventive Medicine, 28, 61-74.
  • Mauriello, L.M., Rossi, J.S., and Fava, J.L.(2007)Assessment of the pros and cons of stress management among adolescents: Development and validation of a decisional balance measure. American Journal of Health Promotion, 22, 140-143.
  • Nakamura, N., Oka, K., Matsuo, N., Takenaka, K., and Agari, I.(2002)The relationships between stages of change for stress management and depressive symptoms in a sample of Japanese elderly people. Stress Science, 17: 185-193.(in Japanese)
  • Nigg, C.R., Burbank, P.M., Padula, C., Dufresne, R., Rossi, J.S., Velicer, W.F., Laforge, R.G., and Prochaska, J.O.(1999)Stages of change across ten health risk behaviors for older adults. The Gerontologist, 39, 473-482.
  • Oikawa, M. and Sakamoto, S.(2007)Psycho-educational program for preventing depression in female college students: A cognitive behavioral approach to promoting self-efficacy. Japanese Journal of Educational Psychology, 55, 106-119.(in Japanese)
  • Padlina, O., Aubert, L., Gehring, T.M., Martin-Diener, E., and Somaini, B.(2001)Stages of change for perceived stress in a Swiss population sample: an explorative study. Sozial und Praventivmedizin, 46, 396-403.
  • Prochaska, J. and DiClemente, C.(1983)Stages and processes of self-change in smoking: Toward an integrative model of change. Journal of Consulting and Clinical Psychology 5: 390-395.
  • Prochaska, J.O. and Velicer, W.F.(1997)The transtheoretical model of health behavior change. American Journal of Health Promotion, 12, 38-48.
  • Prochaska, J.O., Butterworth, S., Redding, C.A., Burden, V., Perrin, N., Leo, M., Flaherty-Robb, M., and Prochaska, J.M.(2008)Initial efficacy of MI, TTM tailoring and HRI’s with multiple behaviors for employee health promotion. Preventive Medicine, 46, 226-231.
  • Riley, T.A., Toth, J.M., and Fava, J.L.(2000)The transtheoretical model and stress management practices in women at risk for, or infected with, HIV. Journal of the Association of Nurses in Aids Care, 11, 67-77.
  • Riley, T.A. and Fava, J.L.(2003)Stress and transtheoretical model indicators of stress management behaviors in HIV-positive women. Journal of Psychosomatic Research, 54, 245-252.
  • Sakamoto, S. and Nishikawa, M.(2002)A preventive action of controling depressed mood in undergraduates : The development of psycho-educational program using group works. Otsuma Women's University bulletin of Faculty of Human Relations, 3, 227-242.(in Japanese)
  • Suzuki, S., Shimada, H., Miura, M., Katayanagi, K., Umano, R., and Sakano, Y.(1997)Development of a new psychological stress response scale(SRS-18)and investigation of the reliability and validity. Japanese Journal of Behavior Medicine, 4, 22-29.(in Japanese)

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