{"title":"Mindfulness and anxiety among medicine college students: a moderated mediation model of intolerance of uncertainty and neuroticism.","authors":"Zhenglin Ji, Yujie Zhang, Xiaoxiao Xu, Xiaofan Yan, Bicheng Gao, Qi Sun, Linkai Wu, Hailong Mu, Mengxue Zhao","doi":"10.1080/13548506.2025.2539932","DOIUrl":null,"url":null,"abstract":"<p><p>Anxiety is commonly present in medical students. Mindfulness can effectively treat anxiety, but the mechanisms are poorly understood. This study aimed to investigate the association between mindfulness and anxiety, and the mediation roles of intolerance of uncertainty (IU) and neuroticism. This cross-sectional study enrolled medical students from the Army Medical University in April 2023. The Mindfulness Attention Awareness Scale, Intolerance of Uncertainty Scale, the 7-Item Generalized Anxiety Disorder Scale, and the Eysenck Personality Scale-Neurotic Dimension were used. The moderated mediation model was examined using SPSS PROCESS models 1, 4, 7, 14, and 58. A total of 314 participants (212 males and a mean age of 19.67 ± 1.61 years old) were included. Neuroticism was significantly negatively correlated with anxiety (<i>r</i> = -0.453, <i>p</i> < 0.01). IU played a mediating role in the relationship between mindfulness and anxiety, with a total standardized mediation effect value of -0.1348 (95% CI: -0.2071, -0.0760, P). When neuroticism was low, IU had a positive effect on anxiety (neuroticism = M-1SD) (<i>B</i> = 0.2887, <i>t</i> = 5.2043, <i>p</i> < 0.001). When neuroticism was moderate (<i>B</i> = 0.1244, <i>t</i> = 0.0479, <i>p</i> < 0.01), IU had a positive effect on anxiety. When neuroticism was high, the moderation effect was not significant (<i>B</i> = -0.0399, <i>t</i> = -0.6247, <i>p</i> > 0.050). Among medical college students, mindfulness influences anxiety through the mediating effect of IU. Neuroticism moderates this mediating pathway in the second stage.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-17"},"PeriodicalIF":1.9000,"publicationDate":"2025-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Psychology Health & Medicine","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1080/13548506.2025.2539932","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
引用次数: 0
Abstract
Anxiety is commonly present in medical students. Mindfulness can effectively treat anxiety, but the mechanisms are poorly understood. This study aimed to investigate the association between mindfulness and anxiety, and the mediation roles of intolerance of uncertainty (IU) and neuroticism. This cross-sectional study enrolled medical students from the Army Medical University in April 2023. The Mindfulness Attention Awareness Scale, Intolerance of Uncertainty Scale, the 7-Item Generalized Anxiety Disorder Scale, and the Eysenck Personality Scale-Neurotic Dimension were used. The moderated mediation model was examined using SPSS PROCESS models 1, 4, 7, 14, and 58. A total of 314 participants (212 males and a mean age of 19.67 ± 1.61 years old) were included. Neuroticism was significantly negatively correlated with anxiety (r = -0.453, p < 0.01). IU played a mediating role in the relationship between mindfulness and anxiety, with a total standardized mediation effect value of -0.1348 (95% CI: -0.2071, -0.0760, P). When neuroticism was low, IU had a positive effect on anxiety (neuroticism = M-1SD) (B = 0.2887, t = 5.2043, p < 0.001). When neuroticism was moderate (B = 0.1244, t = 0.0479, p < 0.01), IU had a positive effect on anxiety. When neuroticism was high, the moderation effect was not significant (B = -0.0399, t = -0.6247, p > 0.050). Among medical college students, mindfulness influences anxiety through the mediating effect of IU. Neuroticism moderates this mediating pathway in the second stage.
焦虑常见于医学生。正念可以有效地治疗焦虑，但其机制尚不清楚。本研究旨在探讨正念与焦虑的关系，以及不确定性不耐受（IU）和神经质的中介作用。这项横断面研究于2023年4月招收了陆军医科大学的医学生。采用正念注意意识量表、不确定性不耐受量表、7项广泛性焦虑障碍量表和艾森克人格量表-神经质维度。采用SPSS PROCESS模型1、4、7、14和58检验有调节的中介模型。共纳入314例受试者，其中男性212例，平均年龄19.67±1.61岁。神经质与焦虑呈显著负相关（r = -0.453, p B = 0.2887, t = 5.2043, p B = 0.1244, t = 0.0479, p B = -0.0399, t = -0.6247, p > 0.050）。在医学生中，正念通过IU的中介作用影响焦虑。神经质在第二阶段调节了这一中介途径。
期刊介绍：
Psychology, Health & Medicine is a multidisciplinary journal highlighting human factors in health. The journal provides a peer reviewed forum to report on issues of psychology and health in practice. This key publication reaches an international audience, highlighting the variation and similarities within different settings and exploring multiple health and illness issues from theoretical, practical and management perspectives. It provides a critical forum to examine the wide range of applied health and illness issues and how they incorporate psychological knowledge, understanding, theory and intervention. The journal reflects the growing recognition of psychosocial issues as they affect health planning, medical care, disease reaction, intervention, quality of life, adjustment adaptation and management.
For many years theoretical research was very distant from applied understanding. The emerging movement in health psychology, changes in medical care provision and training, and consumer awareness of health issues all contribute to a growing need for applied research. This journal focuses on practical applications of theory, research and experience and provides a bridge between academic knowledge, illness experience, wellbeing and health care practice.
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