{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T18:51:00Z","timestamp":1791312660603,"version":"4.3.1"},"reference-count":29,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","license":[{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"\n BACKGROUND:<\/jats:title>\n Psychological factors, such as anxiety, depression, and self-esteem, can significantly impact nursing students\u2019 clinical self-efficacy. Hypochondriasis emerges as a critical yet understudied factor in the clinical competence of nursing students, warranting further investigation. This study aimed to investigate the relationship between hypochondriasis and clinical self-efficacy among nursing students.<\/jats:p>\n <\/jats:sec>\n \n MATERIALS AND METHODS:<\/jats:title>\n This cross-sectional study was conducted in nursing schools of West Mazandaran province in 2024. The sample size was 228 nursing students. Data were collected using a personal information form, the standard clinical self-efficacy questionnaire, and the hypochondriasis questionnaire during 2023\u20132024. Data were analyzed using univariable and multivariable logistic regression analyses performed in (Stata Corp LP, College Station, Texas, USA). Odds ratios (ORs) with 95% confidence intervals were calculated.<\/jats:p>\n <\/jats:sec>\n \n RESULTS:<\/jats:title>\n \n The mean hypochondriasis score among students was 23.43 \u00b1 10.81. The prevalence of hypochondriasis among nursing students was 54.3%. Univariable logistic regression analysis revealed a significant negative relationship between hypochondriasis and clinical self-efficacy (OR = 0.92,\n P<\/jats:italic>\n < 0.001). Multivariable logistic regression analysis highlights a significant association between gender (<0.001), academic year (0.021), lower self-efficacy (<0.001), and increased levels of hypochondriasis.\n <\/jats:p>\n <\/jats:sec>\n \n CONCLUSIONS:<\/jats:title>\n This study reveals a significant inverse link between hypochondriasis and clinical self-efficacy in nursing students, driven by gender, academic year, and GPA. These findings necessitate integrating mental health support and tailored academic strategies into nursing education to alleviate health-related anxieties, bolster clinical confidence, and ultimately improve patient care outcomes by fostering resilient, competent professionals.<\/jats:p>\n <\/jats:sec>","DOI":"10.4103\/jehp.jehp_155_25","type":"journal-article","created":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T14:00:30Z","timestamp":1788184830000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Relationship between hypochondriasis and clinical self-efficacy in nursing students: A cross-sectional multi-institutional study"],"prefix":"10.4103","volume":"15","author":[{"given":"Zahra","family":"Fotokian","sequence":"first","affiliation":[{"name":"Associate Professor, Nursing Care Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, I.R. Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mozhdeh","family":"Taheri Afshar","sequence":"additional","affiliation":[{"name":"Student Research Committee, Nursing Care Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, I.R. Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ali","family":"Zabihi","sequence":"additional","affiliation":[{"name":"Associate Professor, Social Determinants of Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, I.R. Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shakiba","family":"Lajmiri","sequence":"additional","affiliation":[{"name":"Master\u2019s Student in Pediatric Nursing, Shahrekord University of Medical Sciences, Shahrekord, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ali","family":"Pourhabib","sequence":"additional","affiliation":[{"name":"Assistant Professor, Nursing Care Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, I.R. 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