ArticleBMC family practice2013
Understanding the relationship between stress, distress and healthy lifestyle behaviour: a qualitative study of patients and general practitioners.
Article in BMC family practice, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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Who cites it
20 citing papers in PubMed.
- The Effects of Occupational Stress and Stress Management on the Performance of Frontline Healthcare Service Workers.Healthcare (Basel, Switzerland) · 2026Article
- Canadian Workers' Well-Being During the Beginning of the COVID-19 Pandemic: A Latent Profile Analysis.International journal of applied positive psychology · 2024Article
- Coping with COVID-19 Pandemic and Sustained Health Behavior: A Cross-Sectional Study in Bangladesh.Epidemiologia (Basel, Switzerland) · 2023Article
- Participation in the Global Corporate ChallengeInternational journal of environmental research and public health · 2023Article
- Psychological distress, perceived stress and nocebo effect (multifood adverse reaction) in irritable bowel syndrome patients.Journal of education and health promotion · 2023Article
- The psychosocial experiences of healthcare workers (HCWs) during COVID-19 quarantine: a qualitative study.Postepy psychiatrii neurologii · 2022Article
- Article
- Examining the associations between self-care practices and psychological distress among nursing students during the COVID-19 pandemic.Nurse education today · 2021Article
- Factors associated with psychological stress and distress among Korean adults: the results from Korea National Health and Nutrition Examination Survey.Scientific reports · 2020Article
- Article
- Self-reported domain-specific and accelerometer-based physical activity and sedentary behaviour in relation to psychological distress among an urban Asian population.The international journal of behavioral nutrition and physical activity · 2018Article
- Psychological symptoms and subsequent healthy lifestyle after a colorectal cancer diagnosis.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2018Article
- Do singles or couples live healthier lifestyles? Trends in Queensland between 2005-2014.PloS one · 2018Article
- Understanding knee osteoarthritis from the patients' perspective: a qualitative study.BMC musculoskeletal disorders · 2017Article
- Prospective Changes in Healthy Lifestyle Among Midlife Women: When Psychological Symptoms Get in the Way.American journal of preventive medicine · 2016Article
- Assessment of healthy behaviors for metabolic syndrome among Korean adults: a modified information-motivation-behavioral skills with psychological distress.BMC public health · 2016Article
- Health behaviors in family members of patients completing cancer treatment.Oncology nursing forum · 2015Article
- Understanding the patient multidimensional experience: a qualitative study on coping in hospitals of Assistance Publique-Hôpitaux de Paris, France.Patient preference and adherence · 2015Article
- Do We Know What We Do not Know? A Response to Celine Bonnet.International journal of health policy and management · 2013Article
- An Epigenetics-Based, Lifestyle Medicine-Driven Approach to Stress Management for Primary Patient Care: Implications for Medical Education.American journal of lifestyle medicineArticle
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe process of initiating and maintaining healthy lifestyle behaviours is complex, includes a number of distinct phases and is not static. Theoretical models of behaviour change consider psychological constructs such as intention and self efficacy but do not clearly consider the role of stress or psychological distress. General practice based interventions addressing lifestyle behaviours have been demonstrated to be feasible and effective however it is not clear whether general practitioners (GPs) take psychological health into consideration when discussing lifestyle behaviours. This qualitative study explores GPs' and patients' perspectives about the relationship between external stressors, psychological distress and maintaining healthy lifestyle behaviours.
methodsSemi-structured telephone interviews were conducted with 16 patients and 5 GPs. Transcripts from the interviews were thematically analysed and a conceptual model developed to explain the relationship between external stressors, psychological distress and healthly lifestyle behaviours.
resultsParticipants were motivated to maintain a healthy lifestyle however they described a range of external factors that impacted on behaviour in both positive and negative ways, either directly or via their impact on psychological distress. The impact of external factors was moderated by coping strategies, beliefs, habits and social support. In some cases the process of changing or maintaining healthy behaviour also caused distress. The concept of a threshold level of distress was evident in the data with patients and GPs describing a certain level of distress required before it negatively influenced behaviour.
conclusionMaintaining healthy lifestyle behaviours is complex and constantly under challenge from external stressors. Practitioners can assist patients with maintaining healthy behaviour by providing targeted support to moderate the impact of external stressors.
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