J Korean Acad Nurs. 2014 Aug;44(4):361-370. Korean.
Published online Aug 29, 2014.
© 2014 Korean Society of Nursing Science
Original Article

Mediating Effect of Self-efficacy in the Relationship between Anger and Functional Health of Homeless Men

Su In Park,1 and Sunah Kim2
    • 1Nursing Policy Research Institute, College of Nursing, Yonsei University, Seoul, Korea.
    • 2College of Nursing, Yonsei University; Nursing Policy Research Institute, College of Nursing, Yonsei University, Seoul, Korea.
Received March 25, 2014; Revised April 08, 2014; Accepted June 18, 2014.

This is an Open Access article distributed under the terms of the Creative Commons Attribution NoDerivs License. (http://creativecommons.org/licenses/by-nd/4.0/) If the original work is properly cited and retained without any modification or reproduction, it can be used and re-distributed in any format and medium.

Abstract

Purpose

The purpose of this study was to examine the mediation of self-efficacy in the relationship between anger and the functional health of homeless men in order to provide a basis for planning nursing interventions to improve the functional health of homeless persons.

Methods

The participants were 137 homeless men who lived in homeless shelters or visited one center serving free meals for homeless persons in Seoul. Data were collected using self-report questionnaires and analyzed with the SPSS-WIN 20.0 program. The instruments were the Functional Health Pattern Screening Assessment Tool (FHPAST), Self-efficacy Scale (SES), and State-trait Anger Expression Inventory-Korean version (STAXI-K).

Results

The mean score for functional health was 2.41. Overall self-efficacy was 70.82. state anger was 16.53, trait anger was 19.54, and anger expression was 25.31. There were signigicant correlations among the 3 variables, functional health, self-efficacy, and anger. Also, self-efficacy had a complete mediating effect in the relationship between anger and functional health.

Conclusion

Based on the findings of this study, health management programs focusing on anger management and self-efficacy improvement are highly recommended to promote functional health in homeless persons.

Keywords
Functional health; Self-efficacy; Anger; Homeless persons

Tables

Table 1
General Characteristics of Participants (N=137)

Table 2
Level of Anger, Self-efficacy, and Functional Health (N=137)

Table 3
Relationships among Anger, Self-efficacy, and Functional Health (N=137)

Table 4
Mediating Effect of Self-efficacy in the Relationship between Anger and Functional Health (N=137)

Notes

This manuscript is a revision of the first author's master's thesis from Yonsei University.

References

    1. Ministry of Health & Welfare. Welfare projects of the homeless in 2013. Seoul: Author; 2013.
    1. Park YC. Homelessness issues and policy challenges in Seoul city government. Law Adm Rev 2001;8:311–339.
    1. Nyamathi A. Developing nursing theory and science in vulnerable populations research; The 9th International Nursing Conference & 3rd World Academy of Nursing Science; 2013 October 16-18; The-K Seoul Hotel. Seoul: Korean Society of Nursing Science; 2013. pp. 56-60.
    1. Crawley J, Kane D, Atkinson-Plato L, Hamilton M, Dobson K, Watson J. Needs of the hidden homeless-no longer hidden: A pilot study. Public Health 2013;127(7):674–680.
    1. Ram U. Roots of anger and aggression: Indian wisdom from the Bhagawad Gita. Korean J Health Psychol 2000;5(2):171–180.
    1. Evans S, Giosan C, Patt I, Spielman L, Difede J. Anger and its association to distress and social/occupational functioning in symptomatic disaster relief workers responding to the September 11, 2001, World Trade Center disaster. J Trauma Stress 2006;19(1):147–152.
    1. Smith TW, Glazer K, Ruiz JM, Gallo LC. Hostility, anger, aggressiveness, and coronary heart disease: An interpersonal perspective on personality, emotion, and health. J Pers 2004;72(6):1217–1270.
    1. Spielberger CD. In: Professional manual for the state-trait anger expression inventory-2 (STAXI-2). Odessa, FL: Psychological Assessment Resources; 1988.
    1. Kim KH, Chon KK. Effects of anger, hostility, and stress on physical health. Korean J Health Psychol 1997;2(1):79–95.
    1. Williams JE, Nieto FJ, Sanford CP, Couper DJ, Tyroler HA. The association between trait anger and incident stroke risk: The atherosclerosis risk in communities (ARIC) study. Stroke 2002;33(1):13–19.
    1. Pender N, Murdaugh CL, Parsons MA. In: Health promotion in nursing practice. 6th ed. Upper Saddle River, NJ: Pearson/Prentice-Hall; 2010.
    1. Oh H, Jeong H, Seo W. Integrative smoking cessation stage model for Chinese students studying in Korea. Asian Nurs Res 2013;7(4):182–190.
    1. Bandura A. In: Self-efficacy: The exercise of control. New York, NY: Worth Publishers; 1997.
    1. Yoo H, Kim CJ, Jang Y, You MA. Self-efficacy associated with self-management behaviours and health status of South Koreans with chronic diseases. Int J Nurs Pract 2011;17(6):599–606.
    1. Yeom HE. Association among ageing-related stereotypic beliefs, self-efficacy and health-promoting behaviors in elderly Korean adults. J Clin Nurs 2014;23(9-10):1365–1373.
    1. Han JY. In: The effects of anger expression mode of high school student on depression and self-efficacy [master's thesis]. Seoul: Hankuk University of Foreign Studies; 2007.
    1. Park HS, Koo HY. A study of anger and health status in middle aged women. J Korean Acad Psychiatr Ment Health Nurs 2004;13(3):245–256.
    1. Faul F, Erdfelder E, Buchner A, Lang AG. Statistical power analyses using G*Power 3.1: Tests for correlation and regression analyses. Behav Res Methods 2009;41(4):1149–1160.
    1. Chon KK, Hahn DW, Lee CH. Korean adaptation of the state-trait anger expression inventory (STAXI-K): The case of college students. Korean J Health Psychol 1998;3(1):18–32.
    1. Sherer M, Maddux JE, Mercandante B, Prentice-dunn S, Jacobs B, Rogers RW. The self-efficacy scale: Construction and validation. Psychol Rep 1982;51(2):663–671.
    1. Hong HY. In: The relationship of perfectionism, self-efficacy and depression [master's thesis]. Seoul: Ewha Womans University; 1995.
    1. Jones D. Establishing the psychometric properties of the FHPAST: Use in practice. J Jpn Soc Nurs Diagn 2002;7(1):12–17.
    1. Keum R, Kim S. Perceived functional health patterns and recovery in people with schizophrenia spectrum disorders. J Korean Acad Psychiatr Ment Health Nurs 2012;21(3):238–249.
    1. Baron RM, Kenny DA. The moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. J Pers Soc Psychol 1986;51(6):1173–1182.
    1. Ministry of Health & Welfare, Korean Centers for Disease Control & Prevention. Korea national health and nutrition examination survey, 2011. Seoul: Ministry of Health & Welfare; 2012.
    1. Hwang RI, Yoon JW. The predictors of anger expression of the homeless in the shelters. J Korean Acad Community Health Nurs 2011;22(1):22–32.
    1. Park YJ, Baik S, Shin HJ, Yoon JW, Chun SH, Moon S. Anger, cardiovascular health and depression in middle-aged Korean men: The mediating effect of social support. J Korean Acad Nurs 2006;36(5):863–871.
    1. Kim S, Kim SY. A study on aging anxiety and self-efficacy of middle aged adults. J Korean Acad Psychiatr Ment Health Nurs 2008;17(3):281–291.
    1. Tollett JH, Thomas SP. A theory-based nursing intervention to instill hope in homeless veterans. ANS Adv Nurs Sci 1995;18(2):76–90.
    1. Epel ES, Bandura A, Zimbardo PG. Escaping homelessness: The influences of self-efficacy and time perspective on coping with homelessness. J Appl Soc Psychol 2006;29(3):575–596.

Metrics
Share
Tables

1 / 4

PERMALINK