{"title":"The Mediating Role of Active Coping Strategies in the Relationship Between Academic Stressors and Stress Responses Among University Students.","authors":"Cristina Ruiz-Camacho, Margarita Gozalo, Inmaculada Sánchez Casado","doi":"10.3390/healthcare13141674","DOIUrl":null,"url":null,"abstract":"<p><p><b>Background/Objectives</b>: Academic stress is a major factor affecting university students' psychological well-being and overall functioning. This study examined whether three active coping strategies-positive reappraisal, social support seeking, and strategic planning-mediate the relationship between academic stressors and self-reported stress responses. <b>Methods</b>: A quantitative, cross-sectional, non-experimental design was employed. The sample comprised 1014 students from the University of Extremadura (M<i><sub>age</sub></i> = 20.56, SD = 3.50). Three subscales of the Academic Stress Questionnaire (CEA) were administered: Academic Stressors (E-CEA), Stress Responses (R-CEA), and Coping Strategies (A-CEA). Descriptive statistics, correlation analyses, and a multiple mediation model using structural equation modeling (SEM) tested direct and indirect effects, controlling for gender, study year, and academic field. <b>Results</b>: (1) Academic stressors were inversely related to positive reappraisal (<i>β</i> = -0.34, <i>p</i> < 0.001), planning (<i>β</i> = -0.12, <i>p</i> < 0.001), and social support seeking (<i>β</i> = -0.09, <i>p</i> < 0.01). (2) All three coping strategies were significantly associated with fewer stress symptoms, with positive reappraisal showing the strongest effect (<i>β</i> = -0.13, <i>p</i> < 0.001), followed by social support seeking (<i>β</i> = -0.06, <i>p</i> < 0.05) and planning (<i>β</i> = -0.03, <i>p</i> < 0.05). (3) Stressors had a strong positive direct effect on stress responses (<i>β</i> = 0.54, <i>p</i> < 0.001). (4) Coping strategies partially mediated the stressor-symptom link (total indirect effect: <i>β</i> = 0.12, <i>p</i> < 0.001, 95% CI [0.08, 0.16]). <b>Conclusions</b>: Active coping partially buffers the negative effects of academic stressors on perceived distress. Findings underscore the importance of enhancing students' coping skills and implementing institutional policies that reduce structural stress and support psychological well-being.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"13 14","pages":""},"PeriodicalIF":2.7000,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Healthcare","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.3390/healthcare13141674","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"HEALTH CARE SCIENCES & SERVICES","Score":null,"Total":0}
引用次数: 0
Abstract
Background/Objectives: Academic stress is a major factor affecting university students' psychological well-being and overall functioning. This study examined whether three active coping strategies-positive reappraisal, social support seeking, and strategic planning-mediate the relationship between academic stressors and self-reported stress responses. Methods: A quantitative, cross-sectional, non-experimental design was employed. The sample comprised 1014 students from the University of Extremadura (Mage = 20.56, SD = 3.50). Three subscales of the Academic Stress Questionnaire (CEA) were administered: Academic Stressors (E-CEA), Stress Responses (R-CEA), and Coping Strategies (A-CEA). Descriptive statistics, correlation analyses, and a multiple mediation model using structural equation modeling (SEM) tested direct and indirect effects, controlling for gender, study year, and academic field. Results: (1) Academic stressors were inversely related to positive reappraisal (β = -0.34, p < 0.001), planning (β = -0.12, p < 0.001), and social support seeking (β = -0.09, p < 0.01). (2) All three coping strategies were significantly associated with fewer stress symptoms, with positive reappraisal showing the strongest effect (β = -0.13, p < 0.001), followed by social support seeking (β = -0.06, p < 0.05) and planning (β = -0.03, p < 0.05). (3) Stressors had a strong positive direct effect on stress responses (β = 0.54, p < 0.001). (4) Coping strategies partially mediated the stressor-symptom link (total indirect effect: β = 0.12, p < 0.001, 95% CI [0.08, 0.16]). Conclusions: Active coping partially buffers the negative effects of academic stressors on perceived distress. Findings underscore the importance of enhancing students' coping skills and implementing institutional policies that reduce structural stress and support psychological well-being.
期刊介绍:
Healthcare (ISSN 2227-9032) is an international, peer-reviewed, open access journal (free for readers), which publishes original theoretical and empirical work in the interdisciplinary area of all aspects of medicine and health care research. Healthcare publishes Original Research Articles, Reviews, Case Reports, Research Notes and Short Communications. We encourage researchers to publish their experimental and theoretical results in as much detail as possible. For theoretical papers, full details of proofs must be provided so that the results can be checked; for experimental papers, full experimental details must be provided so that the results can be reproduced. Additionally, electronic files or software regarding the full details of the calculations, experimental procedure, etc., can be deposited along with the publication as “Supplementary Material”.