Purpose: The purpose of this study was to investigate the mediating role of spiritual well-being in the relationship between health-promoting lifestyle and psychological distress in during the COVID-19 prevalence.
Materials and Methods: The research method was correlation of the type structural equation modeling. The population of this study included all Undergraduate students Poldokhtar Higher Education Center who were studying in the academic year 2020-2021. The statistical sample size was determined based on the rules of thumb Kline equal to 230 people, which was done by available sampling method and online questionnaire. The instruments used in this study were Health Promoting Lifestyle Profile (HPLP), Kessler Psychological Distress Scale (KPDS-10), and Spiritual Well-Being Scale (SWBS). Data analysis was performed using Path analysis statistical method and by the SPSS-22, and AMOS-24 software. Bootstrapping method was used to examine the mediating role of the variables in Amos software.
Findings: The results showed that health-promoting lifestyle and spiritual health have a direct negative effect on students' psychological distress. The results of structural equation modeling also showed that spiritual health has a mediating role in the relationship between health-promoting lifestyle and psychological distress.
Conclusion: The results of this study indicate that spiritual health can act as a mediating factor in the relationship between health-promoting lifestyle and psychological distress, so it should be used as a cornerstone to maintain good health