The Influence of Illness Perception on Emotional Disorders in Perimenopausal Women in Macau: The Serial Mediating Effect of Self-Esteem and Psychological Resilience

Jiaqi Li, Tulips Yiwen Wang (), Jenny C. Lok and Ruiting Shi
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Jiaqi Li: Institute of Analytical Psychology, Faculty of Health and Wellness, City University of Macau, Macau SAR, China
Tulips Yiwen Wang: Institute of Analytical Psychology, Faculty of Health and Wellness, City University of Macau, Macau SAR, China
Jenny C. Lok: Department of Innovative Social Work, Faculty of Health and Wellness, City University of Macau, Macau SAR, China
Ruiting Shi: Faculty of Humanities and Social Sciences, City University of Macau, Macau SAR, China

Social Sciences, 2025, vol. 14, issue 3, 1-11

Abstract: Studying the emotional disorders of perimenopausal women and their influencing factors from a psychological perspective is essential for developing targeted psychological interventions and support strategies. Such efforts can help middle-aged and elderly women better cope with the challenges of perimenopause and improve their overall quality of life. This study aimed to explore the chain mediating effect of self-esteem and psychological resilience on the relationship between illness perception and emotional disorders in perimenopausal women in Macau. A total of 617 postmenopausal women completed the Brief Illness Perception Questionnaire, Psychological Resilience Scale, Self-Esteem Scale, and Hospital Anxiety and Depression Scale. Results revealed a significant positive correlation between illness perception and emotional disorders. Illness perception was found to have a significant direct effect on emotional disorders and an indirect effect through the mediating roles of self-esteem and psychological resilience, both independently and sequentially. These findings indicate that illness perception directly influences emotional disorders in postmenopausal women in Macau and indirectly impacts them through self-esteem and psychological resilience, offering valuable insights for psychological intervention strategies.

Keywords: perimenopausal women; perimenopausal emotional disorders; illness perception; self-esteem; psychological resilience; Macau (search for similar items in EconPapers)
JEL-codes: A B N P Y80 Z00 (search for similar items in EconPapers)
Date: 2025
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