Background: Psychosocial and metacognitive factors play a critical role in cardiovascular health, influencing clinical outcomes and adherence to treatment after Cardiac Rehabilitation (CR). This study investigated the effects of an outpatient CR program on anxiety, depression, and Health-Related Quality of Life (HRQoL) in patients with established Cardiovascular Disease (CVD). Furthermore, it examined the contribution of depressive symptoms, anxiety, and dysfunctional metacognitions to patients' perceived HRQoL.
Methods: Data on demographic, psychological, and biomedical variables were obtained from 89 patients with CVD at baseline and upon completion of the CR program.
Results: Participation in CR was associated with significant reductions in depressive symptoms and improvements in perceived HRQoL. Importantly, reductions in dysfunctional metacognitive beliefs emerged as the strongest predictor of post-intervention HRQoL, outweighing the predictive contribution of changes in depression and anxiety.
Discussion: The results highlight the close interrelationship between psychological distress and maladaptive metacognitions, both of which are strongly associated with patients' perceived HRQoL during CR.
Conclusions: Addressing maladaptive metacognitive processes may represent a promising therapeutic target to optimize psychological adjustment and improve HRQoL in individuals undergoing CR.
{"title":"Exploring Psychological Factors and Metacognitive Beliefs in Cardiac Rehabilitation: A Single-Group Pre-Post Study.","authors":"Giada Pietrabissa, Giada Rapelli, Denise Bruno, Clarissa Volpi, Lia Crotti, Gianluca Castelnuovo","doi":"10.3390/ejihpe15110236","DOIUrl":"10.3390/ejihpe15110236","url":null,"abstract":"<p><strong>Background: </strong>Psychosocial and metacognitive factors play a critical role in cardiovascular health, influencing clinical outcomes and adherence to treatment after Cardiac Rehabilitation (CR). This study investigated the effects of an outpatient CR program on anxiety, depression, and Health-Related Quality of Life (HRQoL) in patients with established Cardiovascular Disease (CVD). Furthermore, it examined the contribution of depressive symptoms, anxiety, and dysfunctional metacognitions to patients' perceived HRQoL.</p><p><strong>Methods: </strong>Data on demographic, psychological, and biomedical variables were obtained from 89 patients with CVD at baseline and upon completion of the CR program.</p><p><strong>Results: </strong>Participation in CR was associated with significant reductions in depressive symptoms and improvements in perceived HRQoL. Importantly, reductions in dysfunctional metacognitive beliefs emerged as the strongest predictor of post-intervention HRQoL, outweighing the predictive contribution of changes in depression and anxiety.</p><p><strong>Discussion: </strong>The results highlight the close interrelationship between psychological distress and maladaptive metacognitions, both of which are strongly associated with patients' perceived HRQoL during CR.</p><p><strong>Conclusions: </strong>Addressing maladaptive metacognitive processes may represent a promising therapeutic target to optimize psychological adjustment and improve HRQoL in individuals undergoing CR.</p>","PeriodicalId":30631,"journal":{"name":"European Journal of Investigation in Health Psychology and Education","volume":"15 11","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12651875/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145606440","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
In recent years, network psychometrics has emerged as an alternative to the reflective latent variable model. This model conceptualizes traits as complex systems of behaviors mutually interacting with each other. Although this model offers important advantages compared to the reflective model, questions remain regarding the necessary sample size and the influence of factors such as the number of nodes and edges. This study aims to evaluate the psychometric network model performance under different conditions of sample size, number of nodes, and number of edges. The methodology involved a simulation with 1000 replicates for each combination of sample size, number of nodes, and the value of gamma parameter, which is used to determine the magnitude of the edges considered significant. The effect of these conditions on the accuracy of edge estimations and centrality indices (strength and expected influence) was assessed using sensitivity, specificity, and bias indicators. Results suggest that sample size and network complexity have a more significant impact than γ, methodological guidelines being proposed to support decision-making in applied research. In summary, this study provides empirically grounded recommendations that can guide applied researchers in designing robust psychometric network analyses and ensuring reliable estimation of model parameters.
{"title":"Psychometric Network Model Recovery: The Effect of Sample Size, Number of Items, and Number of Nodes.","authors":"Marcelo Ávalos-Tejeda, Carlos Calderón","doi":"10.3390/ejihpe15110235","DOIUrl":"10.3390/ejihpe15110235","url":null,"abstract":"<p><p>In recent years, network psychometrics has emerged as an alternative to the reflective latent variable model. This model conceptualizes traits as complex systems of behaviors mutually interacting with each other. Although this model offers important advantages compared to the reflective model, questions remain regarding the necessary sample size and the influence of factors such as the number of nodes and edges. This study aims to evaluate the psychometric network model performance under different conditions of sample size, number of nodes, and number of edges. The methodology involved a simulation with 1000 replicates for each combination of sample size, number of nodes, and the value of gamma parameter, which is used to determine the magnitude of the edges considered significant. The effect of these conditions on the accuracy of edge estimations and centrality indices (strength and expected influence) was assessed using sensitivity, specificity, and bias indicators. Results suggest that sample size and network complexity have a more significant impact than <i>γ</i>, methodological guidelines being proposed to support decision-making in applied research. In summary, this study provides empirically grounded recommendations that can guide applied researchers in designing robust psychometric network analyses and ensuring reliable estimation of model parameters.</p>","PeriodicalId":30631,"journal":{"name":"European Journal of Investigation in Health Psychology and Education","volume":"15 11","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12651093/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145606469","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Roi Estlein, Jennifer A Theiss, Kirsten M Weber, Hannah E Jones
This study applied relational turbulence theory to examine how relationship characteristics in the form of relational uncertainty and partner interdependence during the transition to parenthood are associated with more severe appraisals of irritations, features of communication during couple conflict, and perceptions of increased turbulence in the relationship. We conducted a longitudinal study of 78 couples who were surveyed three times during the transition to parenthood from pregnancy to six months after birth. Data were analyzed using multilevel modeling and examined both actor and partner effects. Results point to between-person and within-person actor effects, with actors' relational uncertainty and facets of interdependence predicting perceived severity of irritations and features of conflict episodes. In addition, actors' severity of irritations predicted conflict features and perceived relational turbulence. Partner effects emerged for relational uncertainty predicting communicative openness, conflict management, and relational turbulence, and facets of interdependence predicting most outcomes. The results are discussed in terms of their theoretical contributions and practical implications for first-time parents.
{"title":"A Relational Turbulence Theory Perspective on Interpersonal Conflict During the Transition to Parenthood.","authors":"Roi Estlein, Jennifer A Theiss, Kirsten M Weber, Hannah E Jones","doi":"10.3390/ejihpe15110237","DOIUrl":"10.3390/ejihpe15110237","url":null,"abstract":"<p><p>This study applied relational turbulence theory to examine how relationship characteristics in the form of relational uncertainty and partner interdependence during the transition to parenthood are associated with more severe appraisals of irritations, features of communication during couple conflict, and perceptions of increased turbulence in the relationship. We conducted a longitudinal study of 78 couples who were surveyed three times during the transition to parenthood from pregnancy to six months after birth. Data were analyzed using multilevel modeling and examined both actor and partner effects. Results point to between-person and within-person actor effects, with actors' relational uncertainty and facets of interdependence predicting perceived severity of irritations and features of conflict episodes. In addition, actors' severity of irritations predicted conflict features and perceived relational turbulence. Partner effects emerged for relational uncertainty predicting communicative openness, conflict management, and relational turbulence, and facets of interdependence predicting most outcomes. The results are discussed in terms of their theoretical contributions and practical implications for first-time parents.</p>","PeriodicalId":30631,"journal":{"name":"European Journal of Investigation in Health Psychology and Education","volume":"15 11","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12651603/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145606320","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Maria Francesca Trocino, Giovanni Schettino, Vincenza Capone
Teaching has always been recognized as one of the professions with the highest risk of burnout, thus highlighting the need to take into account how organizations could promote a "healthier" work life. Accordingly, literature has gone beyond the conceptualization of well-being as merely the "absence of illness" to concluding that it must be regarded as a state of complete health. The current study adopts this theoretical approach to address the limited literature on factors affecting the well-being of Italian primary school teachers. Specifically, responses to a self-report questionnaire completed by 142 Italian primary school teachers showed that work self-efficacy was positively associated with job satisfaction, which in turn was positively related to well-being. Consequently, job satisfaction fully mediated the relationship between self-efficacy and well-being. Furthermore, both work overload and work autonomy were found to be negatively associated with teacher well-being. These findings can inform the design of targeted interventions aimed at enhancing the performance and psychological health of primary school teachers by managing demands and fostering effective resources.
{"title":"Understanding Well-Being in the Classroom: A Study on Italian Primary School Teachers Using the JD-R Model.","authors":"Maria Francesca Trocino, Giovanni Schettino, Vincenza Capone","doi":"10.3390/ejihpe15110234","DOIUrl":"10.3390/ejihpe15110234","url":null,"abstract":"<p><p>Teaching has always been recognized as one of the professions with the highest risk of burnout, thus highlighting the need to take into account how organizations could promote a \"healthier\" work life. Accordingly, literature has gone beyond the conceptualization of well-being as merely the \"absence of illness\" to concluding that it must be regarded as a state of complete health. The current study adopts this theoretical approach to address the limited literature on factors affecting the well-being of Italian primary school teachers. Specifically, responses to a self-report questionnaire completed by 142 Italian primary school teachers showed that work self-efficacy was positively associated with job satisfaction, which in turn was positively related to well-being. Consequently, job satisfaction fully mediated the relationship between self-efficacy and well-being. Furthermore, both work overload and work autonomy were found to be negatively associated with teacher well-being. These findings can inform the design of targeted interventions aimed at enhancing the performance and psychological health of primary school teachers by managing demands and fostering effective resources.</p>","PeriodicalId":30631,"journal":{"name":"European Journal of Investigation in Health Psychology and Education","volume":"15 11","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12650849/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145606636","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Selahattin Semiz, Yüksel Büşra Yüksel Aykanat, Büşra Somuncu Çoksağır, Amira Mohammed Ali, Carlos Laranjeira, Murat Yıldırım
The escalating exposure of young children to digital gaming necessitates a critical examination of its behavioral impacts. However, evidence regarding its influence on aggressive behavior remains limited. This study investigated the relationship between digital play addiction tendency and our dimensions of aggression: physical aggression, relational aggression, self-directed aggression, and aggression against objects. This study employed a cross-sectional design, gathering data through parent assessments. The sample consisted of 744 children aged 4 to 6 years. The average age of the participants was 33.5, with 82% of the sample being female. The participants came from a lower (27%), middle (37%), and high (36%) socioeconomic background. The data were analyzed using a Structural Equation Modeling (SEM) approach to test the hypothesized relationships. The main findings from the SEM analysis indicated that a higher digital play addiction tendency was a significant positive predictor of all four dimensions of aggression. These results highlight the potential adverse effects of digital play addiction tendency on the development of maladaptive behaviors in early childhood. This study underscores the urgent need to develop strategies that foster healthier digital media consumption and mitigate the adverse effects of digital gaming on children's developmental outcomes.
{"title":"Digital Play Addiction Tendency and Aggressive Behaviors Among Turkish Preschoolers: Evidence from Parent Reports.","authors":"Selahattin Semiz, Yüksel Büşra Yüksel Aykanat, Büşra Somuncu Çoksağır, Amira Mohammed Ali, Carlos Laranjeira, Murat Yıldırım","doi":"10.3390/ejihpe15110233","DOIUrl":"10.3390/ejihpe15110233","url":null,"abstract":"<p><p>The escalating exposure of young children to digital gaming necessitates a critical examination of its behavioral impacts. However, evidence regarding its influence on aggressive behavior remains limited. This study investigated the relationship between digital play addiction tendency and our dimensions of aggression: physical aggression, relational aggression, self-directed aggression, and aggression against objects. This study employed a cross-sectional design, gathering data through parent assessments. The sample consisted of 744 children aged 4 to 6 years. The average age of the participants was 33.5, with 82% of the sample being female. The participants came from a lower (27%), middle (37%), and high (36%) socioeconomic background. The data were analyzed using a Structural Equation Modeling (SEM) approach to test the hypothesized relationships. The main findings from the SEM analysis indicated that a higher digital play addiction tendency was a significant positive predictor of all four dimensions of aggression. These results highlight the potential adverse effects of digital play addiction tendency on the development of maladaptive behaviors in early childhood. This study underscores the urgent need to develop strategies that foster healthier digital media consumption and mitigate the adverse effects of digital gaming on children's developmental outcomes.</p>","PeriodicalId":30631,"journal":{"name":"European Journal of Investigation in Health Psychology and Education","volume":"15 11","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12651813/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145606385","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Israel Vinueza-Fernández, Wilmer Esparza, Alexandra Martín-Rodríguez, Evelyn Sánchez-Cajas
Anxiety disorders affect over 280 million people globally and are associated with cognitive impairment. University students show a particularly high susceptibility, with studies reporting prevalent daily anxiety in this population. Physical activity (PA) has demonstrated efficacy in reducing stress and anxiety, potentially enhancing cognitive function. This scoping review examines existing evidence on the relationship between PA, anxiety symptoms, and academic performance in university students while identifying research gaps. Following PRISMA-ScR guidelines and Arksey and O'Malley's framework, we analyzed observational and experimental studies from PubMed, Cochrane, Web of Science, and Scopus. A descriptive-analytical approach assessed the effects of exercise on anxiety and academic outcomes. Out of 362 records screened, 27 met the inclusion criteria. Evidence suggests PA interventions across intensity levels may alleviate anxiety symptoms and improve academic performance. However, experimental studies specifically targeting this population remain scarce. Current findings indicate PA interventions may reduce anxiety and potentially enhance academic performance in university students. Further experimental research is required to establish causality and elucidate underlying mechanisms.
焦虑症影响着全球超过2.8亿人,并与认知障碍有关。大学生表现出特别高的易感性,研究报告称这一人群中普遍存在日常焦虑。体育活动(PA)已经证明了减轻压力和焦虑的功效,潜在地增强了认知功能。本研究对大学生PA、焦虑症状和学业成绩之间关系的现有证据进行了范围审查,同时确定了研究空白。根据PRISMA-ScR指南和Arksey和O'Malley的框架,我们分析了来自PubMed、Cochrane、Web of Science和Scopus的观察和实验研究。一种描述性分析方法评估了运动对焦虑和学业成绩的影响。在筛选的362份记录中,有27份符合纳入标准。有证据表明,跨强度水平的PA干预可能减轻焦虑症状并提高学习成绩。然而,专门针对这一人群的实验研究仍然很少。目前的研究结果表明,PA干预可能会减少大学生的焦虑,并有可能提高他们的学习成绩。需要进一步的实验研究来确定因果关系并阐明潜在的机制。
{"title":"Anxiety, Academic Performance, and Physical Activity in University Students: A Scoping Review.","authors":"Israel Vinueza-Fernández, Wilmer Esparza, Alexandra Martín-Rodríguez, Evelyn Sánchez-Cajas","doi":"10.3390/ejihpe15110231","DOIUrl":"10.3390/ejihpe15110231","url":null,"abstract":"<p><p>Anxiety disorders affect over 280 million people globally and are associated with cognitive impairment. University students show a particularly high susceptibility, with studies reporting prevalent daily anxiety in this population. Physical activity (PA) has demonstrated efficacy in reducing stress and anxiety, potentially enhancing cognitive function. This scoping review examines existing evidence on the relationship between PA, anxiety symptoms, and academic performance in university students while identifying research gaps. Following PRISMA-ScR guidelines and Arksey and O'Malley's framework, we analyzed observational and experimental studies from PubMed, Cochrane, Web of Science, and Scopus. A descriptive-analytical approach assessed the effects of exercise on anxiety and academic outcomes. Out of 362 records screened, 27 met the inclusion criteria. Evidence suggests PA interventions across intensity levels may alleviate anxiety symptoms and improve academic performance. However, experimental studies specifically targeting this population remain scarce. Current findings indicate PA interventions may reduce anxiety and potentially enhance academic performance in university students. Further experimental research is required to establish causality and elucidate underlying mechanisms.</p>","PeriodicalId":30631,"journal":{"name":"European Journal of Investigation in Health Psychology and Education","volume":"15 11","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12651330/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145606334","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Objective: This study aimed to identify psychological characteristics associated with suicidal ideation among Palestinian university students in the West Bank during a period of escalating regional violence (October 2023), with data collected prior to the end of the war, a period marked by intensified political violence and collective trauma. The goal was to identify empirically derived psychological profiles of distress and coping using Latent Profile Analysis. Method: A cross-sectional survey of 900 students assessed depression, anxiety, self-efficacy, resilience, help-seeking attitudes, and suicidal ideation during the past 12 months. Latent Profile Analysis (LPA), logistic regression, and moderated mediation analysis were employed to investigate the relationships between distress, self-efficacy, resilience, and suicidal ideation. Results: Results indicate that depression and anxiety are associated with increased 12-month suicidal ideation, but greater self-efficacy appears to reduce this risk. The mediation analysis revealed that self-efficacy partially explains the relationship between distress and suicidal ideation; however, resilience did not have a significant moderating effect. The LPA identified three distinct psychological profiles, with the highest-risk group exhibiting significant distress and low self-efficacy. Conclusions: These results highlight the significant mental health burden faced by Palestinian youth and underscore the importance of internal psychological resources, particularly self-efficacy, that are associated with lower levels of suicidal ideation. Enhancing self-efficacy may offer a culturally relevant approach for prevention efforts in politically unstable environments.
{"title":"Mental Health in the Shadow of Conflict: Psychological Profiles and Pathways to Suicidal Ideation in Conflict-Affected Students.","authors":"Sami Hamdan, Eyad Hallaq","doi":"10.3390/ejihpe15110232","DOIUrl":"10.3390/ejihpe15110232","url":null,"abstract":"<p><p><b>Objective:</b> This study aimed to identify psychological characteristics associated with suicidal ideation among Palestinian university students in the West Bank during a period of escalating regional violence (October 2023), with data collected prior to the end of the war, a period marked by intensified political violence and collective trauma. The goal was to identify empirically derived psychological profiles of distress and coping using Latent Profile Analysis. <b>Method:</b> A cross-sectional survey of 900 students assessed depression, anxiety, self-efficacy, resilience, help-seeking attitudes, and suicidal ideation during the past 12 months. Latent Profile Analysis (LPA), logistic regression, and moderated mediation analysis were employed to investigate the relationships between distress, self-efficacy, resilience, and suicidal ideation. <b>Results:</b> Results indicate that depression and anxiety are associated with increased 12-month suicidal ideation, but greater self-efficacy appears to reduce this risk. The mediation analysis revealed that self-efficacy partially explains the relationship between distress and suicidal ideation; however, resilience did not have a significant moderating effect. The LPA identified three distinct psychological profiles, with the highest-risk group exhibiting significant distress and low self-efficacy. <b>Conclusions:</b> These results highlight the significant mental health burden faced by Palestinian youth and underscore the importance of internal psychological resources, particularly self-efficacy, that are associated with lower levels of suicidal ideation. Enhancing self-efficacy may offer a culturally relevant approach for prevention efforts in politically unstable environments.</p>","PeriodicalId":30631,"journal":{"name":"European Journal of Investigation in Health Psychology and Education","volume":"15 11","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12651144/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145606553","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
José Ángel Hernández-Mariano, Ana Cristina Castañeda-Márquez, Gledy Manuela Olmos-Rivera, Rocío Castillo-Díaz, Fani Villa-Rivas, Edith Araceli Cano-Estrada, Yaneth Citlalli Orbe-Orihuela, Miguel Trujillo-Martínez, Monica Alethia Cureño-Díaz
Background: Social media addiction is a growing concern among undergraduates, with nursing students particularly vulnerable as their stressful academic and clinical context may promote excessive use, impaired sleep, and higher depression risk. Therefore, we aimed to evaluate whether sleep disturbance mediates the association between problematic social media use and symptoms of depression among nursing students in Mexico.
Methods: We conducted a multicenter, cross-sectional, analytical study using a random sample of 638 nursing students from three Mexican public universities. Between August and December 2024, participants completed validated scales for social media addiction, sleep quality, and depression. Counterfactual causal mediation analysis was performed using logistic regression with robust errors.
Results: Sleep disturbance affected 51.7% of students, and 27.5% reported depression. Social media addiction showed a dose-response association with both outcomes. Mediation analysis revealed a total effect on depression (OR = 2.19; 95% CI = 1.45-3.30) and an indirect effect via sleep disturbance (OR = 1.22; 95% CI = 1.01-1.38), explaining 31.4% of the effect.
Conclusions: Sleep disturbance partially mediates this association. Interventions addressing digital behavior and sleep hygiene may improve mental health in nursing students.
背景:社交媒体成瘾在大学生中越来越受到关注,护理专业的学生尤其容易受到影响,因为他们紧张的学术和临床环境可能会导致过度使用社交媒体、损害睡眠和更高的抑郁风险。因此,我们的目的是评估睡眠障碍是否介导了墨西哥护理专业学生有问题的社交媒体使用与抑郁症状之间的关联。方法:我们对来自墨西哥三所公立大学的638名护理专业学生进行了一项多中心、横断面、分析性研究。在2024年8月至12月期间,参与者完成了社交媒体成瘾、睡眠质量和抑郁的有效量表。采用具有稳健误差的逻辑回归进行反事实因果中介分析。结果:51.7%的学生有睡眠障碍,27.5%的学生有抑郁症。社交媒体成瘾与这两种结果都表现出剂量反应关系。中介分析显示对抑郁的总影响(OR = 2.19; 95% CI = 1.45-3.30)和通过睡眠障碍产生的间接影响(OR = 1.22; 95% CI = 1.01-1.38),解释了31.4%的影响。结论:睡眠障碍在一定程度上介导了这种关联。针对数字行为和睡眠卫生的干预措施可能会改善护生的心理健康。
{"title":"Sleep Disturbance as a Mediator Between Problematic Social Media Use and Depressive Symptoms Among Mexican Undergraduate Nursing Students: A Multicenter Study.","authors":"José Ángel Hernández-Mariano, Ana Cristina Castañeda-Márquez, Gledy Manuela Olmos-Rivera, Rocío Castillo-Díaz, Fani Villa-Rivas, Edith Araceli Cano-Estrada, Yaneth Citlalli Orbe-Orihuela, Miguel Trujillo-Martínez, Monica Alethia Cureño-Díaz","doi":"10.3390/ejihpe15110229","DOIUrl":"10.3390/ejihpe15110229","url":null,"abstract":"<p><strong>Background: </strong>Social media addiction is a growing concern among undergraduates, with nursing students particularly vulnerable as their stressful academic and clinical context may promote excessive use, impaired sleep, and higher depression risk. Therefore, we aimed to evaluate whether sleep disturbance mediates the association between problematic social media use and symptoms of depression among nursing students in Mexico.</p><p><strong>Methods: </strong>We conducted a multicenter, cross-sectional, analytical study using a random sample of 638 nursing students from three Mexican public universities. Between August and December 2024, participants completed validated scales for social media addiction, sleep quality, and depression. Counterfactual causal mediation analysis was performed using logistic regression with robust errors.</p><p><strong>Results: </strong>Sleep disturbance affected 51.7% of students, and 27.5% reported depression. Social media addiction showed a dose-response association with both outcomes. Mediation analysis revealed a total effect on depression (OR = 2.19; 95% CI = 1.45-3.30) and an indirect effect via sleep disturbance (OR = 1.22; 95% CI = 1.01-1.38), explaining 31.4% of the effect.</p><p><strong>Conclusions: </strong>Sleep disturbance partially mediates this association. Interventions addressing digital behavior and sleep hygiene may improve mental health in nursing students.</p>","PeriodicalId":30631,"journal":{"name":"European Journal of Investigation in Health Psychology and Education","volume":"15 11","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12651063/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145606597","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Zeinab Arees, Sergio Guntín, Francisca Fariña, Mercedes Novo
Artificial intelligence (AI) is generating a profound and quick transformation in several areas of knowledge, as well as in industry and society on a global scale, and is considered one of the most significant technological advances of the present era. Understanding citizens' attitudes toward AI is essential forguiding its development and implementation. To achieve this, valid and reliable instruments are needed to assess attitudesin different sociocultural contexts. With this objective, the General Attitudes towards Artificial Intelligence Scale (GAAIS) was adapted to Spanish. The sample comprised 644 participants: 327 men and 316 women, aged between 18 and 78 years (M = 33.06, SD = 14.91). The original two-factor structure (Positive GAAIS and Negative GAAIS) was validated using Confirmatory Factor Analysis (CFA). Both the fit indices and the internal consistency of the scale were adequate. Furthermore, the validity of the measure (i.e., convergent and discriminant) and the invariance of the model were confirmed. The analyses performed support the adequacy of the model and, therefore, the usefulness of the instrument, considering the ambivalence that people often experience regarding AI. The limitations of the study and the implications for the design of public policies and intervention strategies that promote the ethical, equitable, and socially responsible use of AI are discussed in this study.
{"title":"Spanish Adaptation and Validation of the General Attitudes Towards Artificial Intelligence Scale (GAAIS).","authors":"Zeinab Arees, Sergio Guntín, Francisca Fariña, Mercedes Novo","doi":"10.3390/ejihpe15110230","DOIUrl":"10.3390/ejihpe15110230","url":null,"abstract":"<p><p>Artificial intelligence (AI) is generating a profound and quick transformation in several areas of knowledge, as well as in industry and society on a global scale, and is considered one of the most significant technological advances of the present era. Understanding citizens' attitudes toward AI is essential forguiding its development and implementation. To achieve this, valid and reliable instruments are needed to assess attitudesin different sociocultural contexts. With this objective, the General Attitudes towards Artificial Intelligence Scale (GAAIS) was adapted to Spanish. The sample comprised 644 participants: 327 men and 316 women, aged between 18 and 78 years (<i>M</i> = 33.06, <i>SD</i> = 14.91). The original two-factor structure (Positive GAAIS and Negative GAAIS) was validated using Confirmatory Factor Analysis (CFA). Both the fit indices and the internal consistency of the scale were adequate. Furthermore, the validity of the measure (i.e., convergent and discriminant) and the invariance of the model were confirmed. The analyses performed support the adequacy of the model and, therefore, the usefulness of the instrument, considering the ambivalence that people often experience regarding AI. The limitations of the study and the implications for the design of public policies and intervention strategies that promote the ethical, equitable, and socially responsible use of AI are discussed in this study.</p>","PeriodicalId":30631,"journal":{"name":"European Journal of Investigation in Health Psychology and Education","volume":"15 11","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12651838/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145606585","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ying Zhou, Jinbo Hou, Chenling Liu, Chunyan Zhou, Jingjing Song, Lin Li
(1) Background: With the continuous expansion of graduate education, the mental health of postgraduates has become a growing concern for both academia and society. Understanding how family and institutional resources influence psychological outcomes is critical for developing effective support strategies; (2) Methods: A cross-sectional survey was conducted among 3998 postgraduate students across China, including 3393 master's students (51.78% female, M = 24.21, SD = 1.521) and 605 doctoral students (37.19% female, M = 27.77, SD = 2.841). Multi-group structural equation modeling was employed to examine how family functioning and supervisor-postgraduate relationships influenced mental health, research self-efficacy, and suicidal tendencies; (3) Results: The findings showed that although most structural relationships were consistent across groups, two critical pathways were nonsignificant at the doctoral stage, providing evidence of partial structural invariance; (4) Conclusions: The study suggests that while family and school support generally play a protective role, their influence varies across educational stages. Tailoring psychological interventions to the distinct needs of master's and doctoral students is essential, offering both theoretical insights into the dual role of contextual resources and practical guidance for targeted mental health support in graduate education.
{"title":"Protective or Pressuring? Multi-Group Structural Path Analysis of Family-School Support and Mental Health Among Postgraduates.","authors":"Ying Zhou, Jinbo Hou, Chenling Liu, Chunyan Zhou, Jingjing Song, Lin Li","doi":"10.3390/ejihpe15110227","DOIUrl":"10.3390/ejihpe15110227","url":null,"abstract":"<p><p>(1) Background: With the continuous expansion of graduate education, the mental health of postgraduates has become a growing concern for both academia and society. Understanding how family and institutional resources influence psychological outcomes is critical for developing effective support strategies; (2) Methods: A cross-sectional survey was conducted among 3998 postgraduate students across China, including 3393 master's students (51.78% female, <i>M</i> = 24.21, <i>SD</i> = 1.521) and 605 doctoral students (37.19% female, <i>M</i> = 27.77, <i>SD</i> = 2.841). Multi-group structural equation modeling was employed to examine how family functioning and supervisor-postgraduate relationships influenced mental health, research self-efficacy, and suicidal tendencies; (3) Results: The findings showed that although most structural relationships were consistent across groups, two critical pathways were nonsignificant at the doctoral stage, providing evidence of partial structural invariance; (4) Conclusions: The study suggests that while family and school support generally play a protective role, their influence varies across educational stages. Tailoring psychological interventions to the distinct needs of master's and doctoral students is essential, offering both theoretical insights into the dual role of contextual resources and practical guidance for targeted mental health support in graduate education.</p>","PeriodicalId":30631,"journal":{"name":"European Journal of Investigation in Health Psychology and Education","volume":"15 11","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12651922/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145606518","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}