European Journal of Investigation in Health Psychology and Education最新文献

{"title":"Closing Editorial: Subjective Time-Cognition, Emotion and Beyond.","authors":"Quentin Hallez, Sandrine Gil","doi":"10.3390/ejihpe16070104","DOIUrl":"10.3390/ejihpe16070104","url":null,"abstract":"<p><p>Time is a peculiar object for psychological science [...].</p>","PeriodicalId":30631,"journal":{"name":"European Journal of Investigation in Health Psychology and Education","volume":"16 7","pages":""},"PeriodicalIF":3.7,"publicationDate":"2026-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13409376/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148593642","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}

{"title":"Artificial Intelligence Self-Efficacy, Technostress, and Critical Thinking: Evidence from Peruvian University Students.","authors":"Heyner Yuliano Marquez-Yauri, Sandra Lizzette León Luyo, Moises David Reyes-Perez, César Pol Arévalo-Aranda, Luisa Angélica Orejuela Guerrero, Carlos José Sandoval Reyes, Angelica María Minchola Vásquez, Marco Agustín Arbulú Ballesteros, Roger Ernesto Alarcón García","doi":"10.3390/ejihpe16070105","DOIUrl":"10.3390/ejihpe16070105","url":null,"abstract":"<p><p>The rapid integration of artificial intelligence (AI) into higher education has renewed concern that technology-related strain may erode students' higher-order thinking. Drawing on a social-cognitive framework, this study tested whether AI self-efficacy and technostress predict critical thinking in 340 Peruvian undergraduates, who completed three validated scales (Yoon's Critical Thinking Disposition Inventory; the brief General Self-Efficacy Scale for AI, GSE-6AI; and the RED-Technostress scale). Data were modeled with PLS-SEM, with significance from 5000 bootstrap resamples and an out-of-sample predictive assessment (PLSpredict, CVPAT). AI self-efficacy was a robust positive predictor of critical thinking (β = 0.42, <i>p</i> < 0.001), whereas technostress had no direct effect (β = -0.06, <i>p</i> = 0.50); AI self-efficacy was associated with higher technostress (β = 0.24, <i>p</i> < 0.001), but that path did not carry over to critical thinking (no mediation). A hypothesized moderation (AI self-efficacy mattering more at higher technostress) was not confirmed: it reached significance under the two-stage method but not under a stricter bootstrap, and the hypothesis was therefore not supported. The model explained a modest share of variance in critical thinking (R² = 0.17) and was invariant across public and private universities. These findings reposition technostress as, at most, a distal correlate and identify confident, literate engagement with AI, rather than the absence of strain, as the more promising lever for cultivating critical thinking.</p>","PeriodicalId":30631,"journal":{"name":"European Journal of Investigation in Health Psychology and Education","volume":"16 7","pages":""},"PeriodicalIF":3.7,"publicationDate":"2026-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13409663/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148593630","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}

{"title":"When Education Pays Less: Psychological Well-Being, Financial Strain, and Social Support Among Deaf Adults.","authors":"Jeffrey Levi Palmer, Carrie Lou Bloom, Mary Sanderson, Linling Shen","doi":"10.3390/ejihpe16070103","DOIUrl":"10.3390/ejihpe16070103","url":null,"abstract":"<p><p>Education is a well-established determinant of health and well-being, yet its benefits may not be equally distributed across populations. This study examines whether educational attainment predicts psychological well-being, financial difficulty, and social support among deaf adults and whether these associations differ from those observed among hearing adults. Using nationally representative data from the U.S. Household Pulse Survey, we analyzed a weighted sample of adults aged 25-54 (<i>N</i> = 36,810), employing multivariate linear regression models that included education, hearing status, their interaction, and demographic covariates. Higher education was generally associated with more favorable outcomes among deaf adults, particularly in psychological well-being and social and emotional support, though effects were modest and less consistent for financial difficulty. Hearing adults reported significantly better outcomes across all domains, and interaction effects indicated that the benefits of education were significantly larger for hearing adults than for deaf adults. These findings suggest that while education remains beneficial for deaf people, its protective effects are limited, likely due to persistent structural and communication barriers. Given the importance of education, improving access alone will not eliminate disparities in well-being without concurrent efforts to address structural and social inequities.</p>","PeriodicalId":30631,"journal":{"name":"European Journal of Investigation in Health Psychology and Education","volume":"16 7","pages":""},"PeriodicalIF":3.7,"publicationDate":"2026-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13408913/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148593461","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}

{"title":"Health-Promoting Lifestyle Scores, Academic Stress, and Health-Professional Advice Seeking Among Undergraduate Nursing Students: A Cross-Sectional Study.","authors":"Alexis Emmanuel Salinas-Santoyo, Gabriela Luna-Hernández, Victor Horacio Orozco-Covarrubias, Janvier Andre Martinez-Godinez, Jaime Briseno-Ramírez, Cecilia Alejandra Zamora-Figueroa","doi":"10.3390/ejihpe16070101","DOIUrl":"10.3390/ejihpe16070101","url":null,"abstract":"<p><p>Undergraduate nursing students are trained to promote health in clinical and community settings, but their own health-promoting behaviors occur in the context of academic demands, clinical training, work responsibilities, and limited time for self-care. The primary objective of this cross-sectional analytic study was to estimate the adjusted association between health-professional advice seeking and global Health-Promoting Lifestyle Profile II (HPLP-II) scores among 506 undergraduate nursing students at the Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara. Secondary analyses described HPLP-II scores, stress ratings, information sources, subscale-specific associations, and propensity-score sensitivity analyses; exploratory analyses evaluated HPLP-II psychometrics, level-based lifestyle profiles, and stress-by-advice-seeking interaction. The overall median HPLP-II score was 2.40 (IQR: 2.06, 2.79). Internal consistency was high for the global scale (Cronbach's alpha = 0.961) and ranged from acceptable to high across subscales (alpha = 0.812-0.900). Ordinal exploratory factor analysis using polychoric correlations supported exploratory use of the theoretical six-domain structure but did not provide confirmatory validation; parallel analysis suggested eight factors. Two level-based lifestyle profiles were identified: Low HPLP (58.1%) and High HPLP (41.9%), reflecting broad score-level separation rather than distinct validated phenotypes. In the primary HC3 robust model, health-professional advice seeking was associated with higher global HPLP-II scores (<i>b</i> = 0.242, 95% CI: 0.140, 0.344; <i>p</i> < 0.001), whereas academic stress and vacation-period stress showed small inverse adjusted associations with HPLP-II scores. Sensitivity analyses, including IPTW, a modified HPLP-II score excluding Health Responsibility, and a model excluding willingness to improve lifestyle, showed advice-seeking coefficients in the same positive direction. The exploratory stress-by-advice-seeking interaction was not statistically significant. Findings should be interpreted as associations rather than causal effects.</p>","PeriodicalId":30631,"journal":{"name":"European Journal of Investigation in Health Psychology and Education","volume":"16 7","pages":""},"PeriodicalIF":3.7,"publicationDate":"2026-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13407694/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148593822","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}

{"title":"Evaluation of the Results of a Multicomponent Emotional Health Intervention in a School Setting.","authors":"Eva-María Barroso-Márquez, María-de-Los-Ángeles Merino-Godoy, Izaro Eraña-Méndez, David Gómez-Asencio, Yeray Cabrera-Arana, Cristina Arana-Álvarez, Francisco-Javier Gago-Valiente, Eva-María Carrasco-Barroso","doi":"10.3390/ejihpe16070102","DOIUrl":"10.3390/ejihpe16070102","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;The global prevalence of anxiety and internalizing disorders in adolescence has increased epidemiologically over the past decade, compounded by the impact of the COVID-19 pandemic and the expansion of digital social networks. Despite the availability of empirically based interventions, their systematic implementation in Spanish educational settings-especially in socioeconomically vulnerable environments-remains insufficient. This study aimed to assess the emotional symptomatology profile in a sample of adolescents enrolled in the 2nd year of Compulsory Secondary Education (CSE) and to describe the changes in symptomatology observed after implementation of a multicomponent intervention program in an ordinary school setting.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;a quasi-experimental single-group repeated-measures design was used, with pretest-posttest measurements (T1-T2). The sample included 79 participants (age in completed years: M = 13.28 years, SD = 0.64; range: 12-15; 49.4% female, 44.3% male, 6.3% undisclosed), selected by convenience at IES Estuaria (Huelva). The assessment instrument was the Revised Child Anxiety and Depression Scale (RCADS-47), which measures total anxiety, total internalization, and six clinical subdimensions aligned with DSM-5: generalized anxiety disorder (GAD), major depressive disorder (MDD), panic disorder (PD), separation anxiety (SA), social phobia (SP), and obsessive-compulsive disorder (OCD). The intervention consisted of five multicomponent group workshops (45 min/session; three class groups) integrating emotional psychoeducation, receptive music therapy, cognitive-behavioral emotional regulation, assertive communication, and body expression/mindfulness.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;At pretest, Social Phobia (SP) showed the highest clinical impairment, significantly affecting more females (66.67%) than males (20.00%). Generalized Anxiety Disorder (GAD) also presented high impairment in females. Significant correlations between pairs of subdimensions revealed a high comorbidity pattern. Following the intervention, reductions in clinically significant levels were observed across all dimensions. Matched-pairs Wilcoxon signed-rank tests confirmed statistically significant score reductions from T1 to T2 in Total Anxiety, Total Internalization, Social Phobia, and Generalized Anxiety Disorder (all &lt;i&gt;p&lt;/i&gt; &lt; 0.05), with the largest effect for Social Phobia (r = 0.46); no significant change was detected for Panic Disorder, Separation Anxiety, Major Depressive Disorder, or Obsessive-Compulsive Disorder, although the direction of change favored improvement in all cases.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;The multicomponent intervention program produced improvements in emotional symptomatology over the short-term follow-up period, although without achieving complete clinical remission in any subdimension. The persistent sex differences-with greater residual impairment in the female group afte","PeriodicalId":30631,"journal":{"name":"European Journal of Investigation in Health Psychology and Education","volume":"16 7","pages":""},"PeriodicalIF":3.7,"publicationDate":"2026-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13408880/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148593819","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}

{"title":"Positive Affect and Academic Skill Development Through ChatGPT in Higher Education.","authors":"Bonginkosi A Thango, Lerato Matshaka, Alaa M S Azazz, Ibrahim A Elshaer","doi":"10.3390/ejihpe16070100","DOIUrl":"10.3390/ejihpe16070100","url":null,"abstract":"<p><p>This study investigates how positive affect during ChatGPT-4 use is associated with perceived academic skill development in higher education, emphasising the mediating role of attitudes toward ChatGPT and the moderating role of learning orientation, grounded in Broaden-and-Build Theory and the Technology Acceptance Model. The enrichment of academic skills through ChatGPT is proposed to be maximised when students who experience positive affect develop positive attitudes toward the tool and channel their interactions through deep learning orientations. This study uses quantitative analysis with n = 12,035 active ChatGPT-using students from 135 countries. PLS-SEM using bootstrapping with 200 resamples is employed for data analysis. The results confirm that positive affect is positively associated with perceived academic skill development (H1: β = 0.199, <i>p</i> < 0.001) and attitude (H2: β = 0.267, <i>p</i> < 0.001), and that attitude is significantly associated with skill development (H3: β = 0.354, <i>p</i> < 0.001). Attitude partially mediates the positive affect to skill development relationship (H4: β = 0.095, t = 24.923, <i>p</i> < 0.001). Learning orientation negatively moderates both the attitude skill development (H5: β = -0.021) and positive affect skill development (H6: β = -0.045) pathways, indicating a desirable difficulty effect: when learning orientation is high, less evaluative scaffolding is needed for skill acquisition, consistent with cognitive challenge theory. What this implies for practice is that access alone is not enough. Institutions need to cultivate AI interactions that feel emotionally positive and, alongside them, a learning-oriented form of engagement; only when the two are developed together does ChatGPT's potential for academic skill development carry across the diverse global contexts of higher education.</p>","PeriodicalId":30631,"journal":{"name":"European Journal of Investigation in Health Psychology and Education","volume":"16 7","pages":""},"PeriodicalIF":3.7,"publicationDate":"2026-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13409473/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148593378","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}

{"title":"Materialism and Subjective Well-Being Among Chinese Higher Vocational College Students: The Mediating Role of Basic Psychological Need Satisfaction and the Moderating Role of Self-Compassion.","authors":"Zhengqi Wei, Hualing Miao, Cheng Guo","doi":"10.3390/ejihpe16070099","DOIUrl":"10.3390/ejihpe16070099","url":null,"abstract":"<p><p>Subjective well-being is a crucial indicator of higher vocational college students' mental health, while materialistic values may be associated with poorer well-being. This study examined the mechanisms through which materialism is related to subjective well-being among Chinese higher vocational college students, with subjective well-being operationalized using life satisfaction and depressive symptoms, focusing on the mediating role of basic psychological need satisfaction (BPNS) and the moderating role of self-compassion. The final analytic sample included 4012 higher vocational college students from southwestern China (<i>M</i>_age = 18.79 years, <i>SD</i> = 0.96, 37.1% male), and the data were analyzed using structural equation modeling with robust maximum likelihood estimation and latent moderated structural equations. Results indicated that materialism was associated with lower life satisfaction and higher depressive symptoms. BPNS partially mediated the associations between materialism and both outcomes. Self-compassion moderated the associations between BPNS and both life satisfaction and depressive symptoms, but the moderated mediation effect was significant only for depressive symptoms. Specifically, self-compassion weakened the indirect association between materialism and depressive symptoms through BPNS. These findings contribute to SDT-based research by integrating vulnerability and resilience perspectives and suggest that self-compassion may be particularly relevant to lower depressive symptoms associated with lower BPNS among higher vocational college students.</p>","PeriodicalId":30631,"journal":{"name":"European Journal of Investigation in Health Psychology and Education","volume":"16 7","pages":""},"PeriodicalIF":3.7,"publicationDate":"2026-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13409601/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148593035","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}

{"title":"Rethinking Communication Barriers: Educational Attainment in Cervical Cancer Screening Among American Sign Language Users.","authors":"Hiruni Hewapathiranage-Mayadunne, Erika Bergeron, Poorna Kushalnagar","doi":"10.3390/ejihpe16070097","DOIUrl":"10.3390/ejihpe16070097","url":null,"abstract":"<p><p>Deaf, deafblind, and hard-of-hearing (DDBHH) American Sign Language (ASL) users assigned female at birth experience disparities in cervical cancer screening. There is a need to further clarify the roles of education status and English proficiency in adherence to the U.S. Preventive Services Task Force (USPSTF) screening guidelines. Using the NCI Health Information National Trends Survey in ASL, we surveyed participants; those who reported being female and within the USPSTF age-eligible range (21-65) were included in analyses. Associations were determined using Pearson Chi-squared tests. A two-sided <i>p</i> ≤ 0.05 was considered significant. Six hundred and forty-three participants, recruited between July 2023 and October 2025, answered questions in ASL and English, with 65% self-reporting screening adherence. Chi-square results indicated that more years of education were significantly associated with screening adherence [X2 (2) = 9.72, <i>p</i> = 0.008]. Consistent with the results, English proficiency was not a significant predictor of screening adherence [Fisher's exact <i>p</i> = 0.267]. Those who self-report as HS graduates and/or have left college demonstrate lower adherence as well. These findings suggest that educational attainment may be an important factor associated with screening adherence among DDBHH ASL users and warrants further investigation in efforts to improve adherence toward Healthy People 2030 targets.</p>","PeriodicalId":30631,"journal":{"name":"European Journal of Investigation in Health Psychology and Education","volume":"16 7","pages":""},"PeriodicalIF":3.7,"publicationDate":"2026-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13408963/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148593483","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}

{"title":"A Noisy Self Goes Online: Intraindividual Personality Variability and Self-Coherence in Digital Engagement.","authors":"Giuseppe Forte, Elena Cilloco, Micaela Ambalagi, Ilaria Corbo, Renata Tambelli, Maria Casagrande, Francesca Favieri","doi":"10.3390/ejihpe16070098","DOIUrl":"10.3390/ejihpe16070098","url":null,"abstract":"<p><p>Personality research has traditionally focused on stable trait differences, but increasing attention has been devoted to the internal organization of personality traits within individuals. The present study examined whether intraindividual variability in the Big Five traits, operationalized as the within-person standard deviation across trait scores (iSD_BFI), is associated with problematic digital engagement in young adults. A sample of 316 participants completed the Big Five Inventory and selected subscales of the Behavioral Addiction Questionnaire assessing smartphone use, internet use and video gaming. Pearson correlations, hierarchical regression and independent samples <i>t</i>-tests were conducted to evaluate associations between personality trait-profile dispersion and digital behaviors. Results showed that higher iSD_BFI was weakly but significantly associated with greater problematic smartphone use (r = 0.115, <i>p</i> = 0.044) and internet use (r = 0.141, <i>p</i> = 0.012), whereas no significant association emerged with video gaming (r = 0.029, <i>p</i> = 0.764). Hierarchical regression analyses further indicated that iSD_BFI explained a small but statistically significant additional proportion of variance in smartphone use (ΔR² = 0.014, <i>p</i> = 0.023) and internet use (ΔR² = 0.019, <i>p</i> = 0.008) beyond age, sex, and the five Big Five traits, but not in video gaming. Participants in the problematic smartphone use group exhibited significantly higher iSD_BFI than those in the moderate risk group. Rather than representing a direct measure of self-coherence or identity fragmentation, iSD_BFI was considered an exploratory structural indicator of personality profile dispersion. Accordingly, a more heterogeneous personality profile may be associated with a greater approach to digitally mediated environments, possibly because these environments provide predictability, feedback, and reinforcement. Overall, the study highlights the importance of exploring intraindividual personality configuration as a complementary dimension to traditional trait-based approaches.</p>","PeriodicalId":30631,"journal":{"name":"European Journal of Investigation in Health Psychology and Education","volume":"16 7","pages":""},"PeriodicalIF":3.7,"publicationDate":"2026-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13408269/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148593723","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}

{"title":"Sleep Characteristics and Insomnia Severity in Relation to Mediterranean Lifestyle Adherence and Psychosocial Wellbeing: Findings from the MEDIET4ALL International Survey.","authors":"Achraf Ammar, Atef Salem, Khaled Trabelsi, Martha Montalvan, Bassem Bouaziz, Mohamed Ali Boujelbane, Mohamed Kerkeni, Liwa Masmoudi, Hadeel Ali Ghazzawi, Adam Tawfiq Amawi, Bekir Erhan Orhan, Raynier Zambrano-Villacres, Juliane Heydenreich, Christiana Schallhorn, Tarak Driss, Evelyn Frias-Toral, Giuseppe Grosso, Piotr Zmijewski, Haitham Jahrami, Waqar Husain, Hamdi Chtourou, Wolfgang I Schöllhorn","doi":"10.3390/ejihpe16070096","DOIUrl":"10.3390/ejihpe16070096","url":null,"abstract":"<p><p>Sleep is a multidimensional health domain influenced by behavioural, psychological, and lifestyle factors. However, multinational evidence integrating insomnia severity and multiple sleep outcomes within the Mediterranean lifestyle framework remains limited. This study examined correlates of insomnia severity and key sleep outcomes in adults from Mediterranean and neighbouring countries participating in the MEDIET4ALL survey. Data were collected from 4010 adults (59.5% female) across 10 countries using a standardized multilingual e-survey. Insomnia severity was assessed as primary outcome using the Insomnia Severity Index (ISI), while sleep characteristics were assessed using sleep duration, sleep latency, sleep efficiency, and subjective sleep quality. Regression analyses examined sociodemographic, health-related, Mediterranean dietary, movement-related, psychological, and social correlates. Exploratory statistical indirect association analyses involving life satisfaction were also conducted. Insomnia severity showed the highest explained variance among sleep outcomes (adjusted R² ≈ 0.29). Higher insomnia severity was associated with female sex, higher body mass index, and greater depression, anxiety, and stress (β ≈ 0.15-0.17), whereas lower insomnia severity was associated with older age, better self-reported health status, higher life satisfaction, and greater adherence to Mediterranean dietary consumption patterns (β ≈ -0.04 to -0.11). Models for secondary sleep outcomes explained more modest variance and should be interpreted as exploratory. Across these outcomes, psychological well-being and distress showed the most consistent associations, while Mediterranean dietary dimensions and social participation showed smaller and outcome-specific associations. Exploratory indirect association analyses showed small but statistically significant indirect associations involving life satisfaction between Mediterranean dietary dimensions, social participation, and selected sleep outcomes, particularly sleep quality and insomnia severity. The findings confirm and contextualize established associations between sleep, psychological well-being, distress, Mediterranean lifestyle-related behaviours, and regional context within a large multinational sample. Psychological well-being and distress emerged as the most consistent correlates. Insomnia severity was the most robustly explained sleep outcome, whereas secondary sleep dimensions reflected more modest exploratory correlational profiles.</p>","PeriodicalId":30631,"journal":{"name":"European Journal of Investigation in Health Psychology and Education","volume":"16 7","pages":""},"PeriodicalIF":3.7,"publicationDate":"2026-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13409072/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148593502","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}