title: Mental well-being mediates the relationship between perceived stress and perceived health.
abstract: The association between stress and health has been well researched in the past; however, comparatively few mediators have been tested to understand the underlying mechanism. With increasing awareness on mental well-being, this study evaluated the relationship between perceived stress and perceived health and examined mental well-being as a mediator. Two-hundred undergraduates aged 21 to 26 years completed the English Perceived Stress Scale, Health Status Questionnaire and Asian Mental Well-Being Scale that assess perceived stress, perceived health and mental well-being, respectively. Factor analysis and structural equation modelling on the Perceived Stress Scale replicated the reported two-factor structure after excluding an insignificant item. Linear multiple regression analyses indicated that perceived stress was negatively associated with perceived health. Results showed that mental well-being partially mediated the relationship between perceived stress and perceived health, although it is acknowledged that this association could be bidirectional. Findings from the present study suggest that future research could focus on reducing stress and improving mental well-being to alleviate the effect of stress on health.
authors.affiliation: Nanyang Technological University, Singapore.
authors.forename: Hui Chian
authors.initials: HC
authors.lastname: Teh
authors.forename: Josephine A
authors.initials: JA
authors.lastname: Archer
authors.forename: Weining
authors.initials: W
authors.lastname: Chang
authors.forename: S H Annabel
authors.initials: SH
authors.lastname: Chen
mesh_terms: D000328:Adult; D044466:Asian People; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008297:Male; D008603:Mental Health; D010465:Perception; D011569:Psychiatric Status Rating Scales; D012044:Regression Analysis; D013315:Stress, Psychological / Q000517:prevention & control*; D013334:Students; D011795:Surveys and Questionnaires; D055815:Young Adult
keywords: mediation; mental well-being; perceived health; perceived stress; validation