The relationship of mental health with resilience among psychiatric nurses

  • Fazel Dehvan Department of Nursing, School of Nursing and Midwifery, Kurdistan University of Medical Sciences, Sanandaj, Iran
  • Peyman Kamangar Department of Nursing, Qods Hospital, Kurdistan University of Medical Sciences, Sanandaj, Iran
  • Sheno Baiezeedy Student Research Committee, Kurdistan University of Medical Sciences, Sanandaj, Iran
  • Daem Roshani Social Determinants of Health Research Center, Research Institute for Health Development, Kurdistan University
  • Reza Ghanei Gheshlagh* Department of Nursing, School of Nursing and Midwifery, Kurdistan University of Medical Sciences, Sanandaj, Iran
Keywords: resilience, mental health, psychiatric nurse


Background & Aim: Psychiatric wards are stressful environments. Resilience can help psychiatric nurses cope with their occupational stress. The aim of the study was to examine the relationship of mental health with resilience among psychiatric nurses.

Materials & Methods: This cross-sectional descriptive-correlational study was conducted in 2017 on a sample of sixty nurses purposively recruited from all wards of Qods psychiatric hospital, Sanandaj, Iran. Study data were collected using a demographic questionnaire, the 28-item General Health Questionnaire, and the 25-item Connor-Davidson Resilience Scale. The data were analyzed via the SPSS software v. 16.0 through conducting the independent-sample t test, the one-way analysis of variance, and the multiple linear regression analysis. The level of significance was set at less than 0.05.

Results: In total, sixty psychiatric nurses (34 males and 26 females) with a mean age of 33.23±5.45 participated in this study. The mean scores of their mental health and resilience were 57.35±11.12 and 63.9±14.05, respectively. Resilience had significant relationships with age (0.025), marital status (P = 0.013), and work shift (P = 0.005). Moreover, among the subscales of mental health, only the mean score of the anxiety and insomnia subscale had significant relationship with resilience, so that each one point increase in the mean score of this subscale was associated with a 1.029-point increase in the mean score of resilience (P = 0.036).

Conclusion: Psychiatric nurses’ resilience can be promoted through managing their stress and promoting their mental health 



Mazlom SR, Darban F, Vaghei S, Modarres gharavi M, Kashani lotfabadi M, Shad M. The effect of Stress Inoculation Program (SIP) on nurses’ Perceived stress in psychiatric wards. Evidence Based Care. 2012;2(1):35-44. [Persian]

Sharma J, Dhar RL, Tyagi A. Stress as a mediator between work–family conflict and psychological health among the nursing staff: Moderating role of emotional intelligence. Applied Nursing Research. 2016;30:268-75.

varasteh mogaddam Y, sadeg fard M, mohammadi H. Stressors and coping strategies of psychiatric nurses iin psychatric wards. Journal of Nursing Education. 2013;1(3):54-61 [Persian].

Wang SM, Lai CY, Chang YY, Huang CY, Zauszniewski JA, Yu CY. The relationships among work stress, resourcefulness, and depression level in psychiatric nurses. Archives of psychiatric nursing. 2015;29(1):64-70.

Khoshnazary S, Hosseini MA, Fallahi Khoshknab M, Bakhshi E. The Effect of Emotional Intelligence (EI) Training on Nurses' Resiliency in Department of Psychiatry. Iranian Journal of Psychiatric Nursing (IJPN). 2016;3(12):28-37. [Persian]

Pinquart M. Moderating effects of dispositional resilience on associations between hassles and psychological distress. Philipps University of Marburg2009. 53-60 p.

Rusch HL, Shvil E, Szanton SL, Neria Y, Gill JM. Determinants of psychological resistance and recovery among women exposed to assaultive trauma. Brain and behavior. 2015;5(4):e00322.

Connor KM, Davidson JR. Development of a new resilience scale: the Connor-Davidson Resilience Scale (CD-RISC). Depression and anxiety. 2003;18(2):76-82.

Reis SM, Colbert RD, Hébert TP. Understanding resilience in diverse, talented students in an urban high school. Roeper Review. 2004;27(2):110-20.

Garroway AM. Resilience in Parkinson's disease: An empirical examination of age-related components of the construct: Virginia Commonwealth University; 2015.

Ghimbulut O, Opre A. Assessing Resilience Using Mixed Methods: Youth Resilience Measure. Procedia - Social and Behavioral Sciences. 2013;78:310-4.

Samani S, Jokar B, Sahragard N. Effects of Resilience on Mental Health and Life Satisfaction. Iranian Journal of Psychiatry and Clinical Psychology. 2007;13(3):290-5. [Persian]

Momeni K, Hossini H, Karami S, Akbari M. The role of personality traits and resiliency in prediction of nurses'psychological well-being. International Journal of Behavioral Sciences. 2014;7(4):307-13. [Persian]

Jackson D, Firtko A, Edenborough M. Personal resilience as a strategy for surviving and thriving in the face of workplace adversity: a literature review. MIDIRS Midwifery Digest. 2008;18(1):129.

Ebrahimian A, Dehvan F. Evaluation of nurses job expectations in hospitals executing the efficiency improvement law in Semnan. koomesh Journal. 201 6;17(3):739-46. [Persian]

Hamid N, Dehghanizadeh Z. The relationship between spirituality, organizational commitment and general health with job performance of clinical nurses. Quarterly Journal of nursing management. 2012;1(2):20-8 . [Persian]

Mousavi SA, Aghayan S, Razavianzadeh N, Nourouzi N, Khosravi A. Depression and General Health Status in Type II Diabetic Patients. Knowledge and health. 2008;3:44-8. [Persian]

Hojati H, Jalalmanesh S, Fesharaki M. Sleeplessness effect on the general health of hospitals nightshift nurses in Gorgan, Iran. Journal of Gorgan University of Medical Sciences. 2009;11(3):70-5. [Persian]

Shayan Z, Pourmovahed Z, Najafipour F, Abdoli AM, Mohebpour F, Najafipour S. Factor structure of the General Health Questionnaire-28 (GHQ-28) from infertile women attending the Yazd Research and Clinical Center for Infertility. International journal of reproductive biomedicine (Yazd, Iran). 2015;13(12):801-8. [Persian]

Ebrahimi A, Molavi H, Moosavi G, Bornamanesh A, Yaghobi M. Psychometric Properties and Factor Structure of Generl Health Questionnaire 28 (GHQ-28) in Iranian Psychiatric Patients. Journal of Research in Behavioural Sciences. 2007;5(1):5-11. [Persian]

Pourafzal F, Seyedfatemi N, Inanloo M, Haghani H. Relationship between Perceived Stress with Resilience among Undergraduate Nursing Students. Hayat. 2013;19(1):41-52. [Persian]

Amini F. The Relationship between Resiliency and Burnout in Nurses. Journal of Research Development in Nursing and Midwifery. 2013;10(2):94-102. [Persian]

Bagherinia H, Yamini M, Ilderabadi E, Bagherinia F. Relationship Between Personality Traits And Mental Health With Resilience Mediation In Nurses. Journal of Sabzevar University of Medical Sciences. 2016;22(6):1063-70. [Persian]

Hernandez SH, Morgan BJ, Parshall MB. Resilience, Stress, Stigma, and Barriers to Mental Healthcare in U.S. Air Force Nursing Personnel. Nursing research. 2016;65(6):481-6.

McAllister M, McKinnon J. The importance of teaching and learning resilience in the health disciplines: a critical review of the literature. Nurse education today. 2009;29(4):371-9.

Lloyd C, Campion DP. Occupational stress and the importance of self-care and resilience: focus on veterinary nursing. Irish veterinary journal. 2017;70(30):1-7.

Najafi F, Kermansaravi F, Gangoozehi E. The Relationship between General Health and Quality of Work Life of Nurses Working in Zahedan Teaching Hospitals. Iranian Journal of Rehabilitation Research in Nursing. 2018;4(2):53-9. [Persian]

Joslin LE, Davis CR, Dolan P, Clark EM. Quality of life and neck pain in nurses. International journal of occupational medicine and environmental health. 2014;27(2):236-42.

Ghanei Gheshlagh R, Sayehmiri K, Ebadi A, Dalvandi A, Dalvand S, Maddah SSB, et al. The Relationship Between Mental Health and Resilience: A Systematic Review and Meta-Analysis. Iran Red Crescent Med J. 2017;19(6):e13537[Persian] .

Poursardar f, Abbaspour z, Abdi Zarrin s, Sangari aa. The effect of resilience on mental health and life satisfaction, one psychological model of well-being. Journal of Lorestan medical sciences. 2012;14(1):81-9. [Persian]

Mortazavi NS, Yarolahi NA. meta-analysis of the relationship between resilience and mental health. Journal of Fundamentals of Mental Health. 2015;17(3):103-8. [Persian]

Bonanno GA. Loss, trauma, and human resilience: have we underestimated the human capacity to thrive after extremely aversive events? The American psychologist. 2004;59(1):20-8.

Sood S, Bakhshi A, Devi P. An Assessment of Perceived Stress, Resilience and Mental Health of Adolescents Living in Border Areas. International Journal of Scientific and Research Publications. 2013;3(1):1-4.

Mardani Hamooleh M, Shahraky Vahed A, Ebrahimi E. Mental Health Status of Nursing Staff. Iran Journal of Nursing. 2012;24(74):28-35. [Persian]

Azizi K, Ahmadian H, Nazemi AR. Comparison of resiliency, procrastination, stress and burnout among nurses in psychiatric and non- psychiatric wards. Quarterly Journal of Nersing Management. 2017;5(3):80-91. [Persian]

Lazarus A. Relationships among indicators of child and family resilience and adjustment following the September 11, 2001 tragedy. The Emory center for myth and ritual in American life Available on: www marila emory edu/faculty/Lazarus htm. 2004;36:1-55.

Hjemdal O, Vogel PA, Solem S, Hagen K, Stiles TC. The relationship between resilience and levels of anxiety, depression, and obsessive-compulsive symptoms in adolescents. Clinical psychology & psychotherapy. 2011;18(4):314-21.

McMahon CA, Gibson FL, Allen JL, Saunders D. Psychosocial adjustment during pregnancy for older couples conceiving through assisted reproductive technology. Human reproduction (Oxford, England). 2007;22(4):1168-74.

Inzlicht M, Aronson J, Good C, McKay L. A particular resiliency to threatening environments. Journal of Experimental Social Psychology. 2006;42(3):323-36.

How to Cite
Dehvan F, Kamangar P, Baiezeedy S, Roshani D, Ghanei Gheshlagh* R. The relationship of mental health with resilience among psychiatric nurses. NPT. 5(4):368-374.
Original Article(s)