Mozaffar Ghaffari - Department of Psychology, Faculty of Psychology and Educational Sciences, Payame Noor University (PNU), Tehran, Iran
Ahmad Esmali - Department of Psychology, Faculty of Humanities, Maraghe University, Maraghe, Iran
Reza Mohammadi - Applied Research Center, Deputy of Health, IRI Police Force, Tehran, Iran
Mahtab Aligolipour - Department of Nurses, Maraghe University of Medical Sciences, Maraghe, Iran
Zahra Ramazani Alalani - Department of Psychology, Faculty of Humanities, Islamic Azad University, Urmia, Iran

Background: Hospital nurses are more exposed to health anxiety due to close contact with patients.Objectives: This study aimed to determine the mediating role of mental toughness in the relationship between meta-emotion and co-rumination with nurses' health anxiety.Methods: The research method was structural equations type correlation. The statistical sample of the research included ۲۵۰ nurses from hospitals in West Azarbaijan province in ۲۰۲۲, who were selected by simple random sampling. Salkovskis and Warwick's (۲۰۰۲) health anxiety scale, Mitmansgruber et al.'s meta-emotion questionnaire (۲۰۰۹), Clough et al.'s (۲۰۰۲) mental toughness scale, and Davidson's co-rumination questionnaire (۲۰۱۴) were used to measure the variables. The data were analyzed using Pearson's correlation coefficient, Sobel test and bootstrap.Results: Findings indicated that the meta-emotion and co-rumination variable interact with the mediating role of mental toughness which has a role in explaining the nurses’ model of health anxiety. In total, ۳۸% of the variance of health anxiety was explained through the variables of negative and positive meta-emotion, co-rumination and psychological stability. The direct effect of positive meta-emotion (-۰.۳۲۷), negative meta-emotion (۰.۳۱۸), mental toughness (-۰.۴۵۲), and co-rumination (۰.۳۶۷) are significant in explaining the health anxiety model. Furthermore, the indirect effect of negative meta-emotion (۰.۱۵۸), positive meta-emotion (-۰.۱۶۱), and co-rumination (۰.۱۵۵) with the mediation of the role of mental toughness is significant.Conclusion: Considering the direct and indirect effects of meta-emotion, mental toughness and co-rumination variables on the level of health anxiety variable, it seems that by strengthening positive meta-emotion and mental toughness, and improving co-rumination and negative meta-emotion, the health anxiety in nurses can be reduced.

Health Anxiety, meta-emotion, mental Toughness, Co-Rumination, Hospital, Nurse