title: The Role of Stress Management in the Relationship between Purpose in Life and Self-Rated Health in Teachers: A Mediation Analysis.
abstract: To examine whether stress management mediates the relationship between purpose in life and self-rated health status (SRH).
  
  
  
  A cross-sectional survey was conducted among 6840 teachers in 2013 in Guangzhou, China. Purpose in life was assessed through the Purpose in Life Subscale of the Psychological Well-being Scale. Stress management was assessed using the eight-item questionnaire adapted from the Health-promoting Lifestyle Profile II. SRH was assessed by the Suboptimal Health Measurement Scale Version 1.0. The mediation hypothesis was tested by the structural equation model for path analysis.
  
  
  
  It was found that purpose in life had direct and indirect effects on SRH. The path analysis showed the total effect (β = 0.563) of purpose in life on SRH was comprised of a direct effect (β = 0.319) and an indirect effect (β = 0.244), which was mediated by stress management.
  
  
  
  By supporting the mediation hypothesis, our results indicate that stress management mediated the effect of purpose in life on SRH. Enhancement of teachers' purpose in life and improvement of training skills of stress management should be incorporated in the strategy of improving teachers' health.
authors.affiliation: School of Traditional Chinese Medicine, Southern Medical University, Guangzhou 510515, Guangdong, China. leephialf@126.com.
authors.forename: Fei
authors.initials: F
authors.lastname: Li
authors.affiliation: School of Traditional Chinese Medicine, Southern Medical University, Guangzhou 510515, Guangdong, China. jieyu@smu.edu.cn.
authors.forename: Jieyu
authors.initials: J
authors.lastname: Chen
authors.affiliation: Department of Traditional Chinese Medicine, The Affiliated Brain Hospital of Guangzhou Medical University (Guangzhou Huiai Hospital), Guangzhou 510170, Guangdong, China. yulinfimmu@126.com.
authors.forename: Lin
authors.initials: L
authors.lastname: Yu
authors.affiliation: School of Traditional Chinese Medicine, Southern Medical University, Guangzhou 510515, Guangdong, China. niuniu_jing@126.com.
authors.forename: Yuan
authors.initials: Y
authors.lastname: Jing
authors.affiliation: School of Traditional Chinese Medicine, Southern Medical University, Guangzhou 510515, Guangdong, China. 13427550499@163.com.
authors.forename: Pingping
authors.initials: P
authors.lastname: Jiang
authors.affiliation: School of Chinese Medicine, Hong Kong Baptist University, Hong Kong 999077, China. 13480405@life.hkbu.edu.hk.
authors.forename: Xiuqiong
authors.initials: X
authors.lastname: Fu
authors.affiliation: School of Traditional Chinese Medicine, Southern Medical University, Guangzhou 510515, Guangdong, China. a2278197a@163.com.
authors.forename: Shengwei
authors.initials: S
authors.lastname: Wu
authors.affiliation: School of Traditional Chinese Medicine, Southern Medical University, Guangzhou 510515, Guangdong, China. sunxiaomin198001@163.com.
authors.forename: Xiaomin
authors.initials: X
authors.lastname: Sun
authors.affiliation: School of Traditional Chinese Medicine, Southern Medical University, Guangzhou 510515, Guangdong, China. luoren2014@126.com.
authors.forename: Ren
authors.initials: R
authors.lastname: Luo
authors.affiliation: School of Chinese Medicine, Hong Kong Baptist University, Hong Kong 999077, China. hykwan@hkbu.edu.hk.
authors.forename: Hiuyee
authors.initials: H
authors.lastname: Kwan
authors.affiliation: School of Traditional Chinese Medicine, Southern Medical University, Guangzhou 510515, Guangdong, China. zhaoxs0609@163.com.
authors.forename: Xiaoshan
authors.initials: X
authors.lastname: Zhao
authors.affiliation: School of Traditional Chinese Medicine, Southern Medical University, Guangzhou 510515, Guangdong, China. siyecao2015@163.com.
authors.forename: Yanyan
authors.initials: Y
authors.lastname: Liu
mesh_terms: D000328:Adult; D002681:China; D003430:Cross-Sectional Studies; D005260:Female; D006304:Health Status; D006801:Humans; D008297:Male; D008875:Middle Aged; D008962:Models, Theoretical; D009042:Motivation; D011613:Psychotherapy; D013315:Stress, Psychological / Q000628:therapy*; D011795:Surveys and Questionnaires
keywords: purpose in life; self-rated health; stress management