title: Path analysis of relationship among personality, perceived stress, coping, social support, and psychological outcomes.
abstract: OBJECTIVE
  To provide a structural model of the relationship between personality traits, perceived stress, coping strategies, social support, and psychological outcomes in the general population.
  
  
  METHODS
  This is a cross sectional study in which the study group was selected using multistage cluster and convenience sampling among a population of 4 million. For data collection, a total of 4763 individuals were asked to complete a questionnaire on demographics, personality traits, life events, coping with stress, social support, and psychological outcomes such as anxiety and depression. To evaluate the comprehensive relationship between the variables, a path model was fitted.
  
  
  RESULTS
  The standard electronic modules showed that personality traits and perceived stress are important determinants of psychological outcomes. Social support and coping strategies were demonstrated to reduce the increasing cumulative positive effects of neuroticism and perceived stress on the psychological outcomes and enhance the protective effect of extraversion through decreasing the positive effect of perceived stress on the psychological outcomes.
  
  
  CONCLUSIONS
  Personal resources play an important role in reduction and prevention of anxiety and depression. In order to improve the psychological health, it is necessary to train and reinforce the adaptive coping strategies and social support, and thus, to moderate negative personality traits.
authors.affiliation: Hamidreza Roohafza, Cardiac Rehabilitation Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan 009831, Iran.
authors.forename: Hamidreza
authors.initials: H
authors.lastname: Roohafza
authors.affiliation: Hamidreza Roohafza, Cardiac Rehabilitation Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan 009831, Iran.
authors.forename: Awat
authors.initials: A
authors.lastname: Feizi
authors.affiliation: Hamidreza Roohafza, Cardiac Rehabilitation Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan 009831, Iran.
authors.forename: Hamid
authors.initials: H
authors.lastname: Afshar
authors.affiliation: Hamidreza Roohafza, Cardiac Rehabilitation Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan 009831, Iran.
authors.forename: Mina
authors.initials: M
authors.lastname: Mazaheri
authors.affiliation: Hamidreza Roohafza, Cardiac Rehabilitation Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan 009831, Iran.
authors.forename: Omid
authors.initials: O
authors.lastname: Behnamfar
authors.affiliation: Hamidreza Roohafza, Cardiac Rehabilitation Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan 009831, Iran.
authors.forename: Ammar
authors.initials: A
authors.lastname: Hassanzadeh-Keshteli
authors.affiliation: Hamidreza Roohafza, Cardiac Rehabilitation Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan 009831, Iran.
authors.forename: Peyman
authors.initials: P
authors.lastname: Adibi
keywords: Coping strategies; Depression and anxiety; Personality traits; Social support; Stressful life events; Structural equations model