{"title":"Validation of the Alcohol Use Questionnaire (AUQ) in the Italian Context: A Measure for Assessing Alcohol Intake and Binge Drinking.","authors":"Eleonora Topino, Alessio Gori","doi":"10.3390/ejihpe15070137","DOIUrl":"10.3390/ejihpe15070137","url":null,"abstract":"<p><p>An accurate assessment of alcohol consumption is essential for identifying at-risk individuals and informing prevention and intervention strategies. The present study aimed to validate the Italian version of the Alcohol Use Questionnaire (AUQ), a self-report instrument designed to assess both general alcohol intake and binge drinking patterns. A sample of 378 Italian participants (54.5% female; <i>M<sub>age</sub></i> = 26.76 years, <i>SD</i> = 8.44) completed the AUQ along with additional measures assessing binge eating and psychological vulnerabilities related to addiction. Confirmatory factor analysis supported a bifactor model reflecting two distinct but related dimensions: general intake and binge drinking. Network analysis highlighted the central role of perceived frequency of intoxication within the structure of alcohol-related behaviors. Both AUQ indices showed good internal consistency and significant associations with external variables, particularly impulsivity, dissociation, and affect dysregulation, supporting construct validity. The Italian AUQ emerges as a valid and reliable tool for assessing alcohol use patterns and may be useful in both research and clinical practice.</p>","PeriodicalId":30631,"journal":{"name":"European Journal of Investigation in Health Psychology and Education","volume":"15 7","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12293804/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144709179","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}
Mirko Duradoni, Giulia Colombini, Camilla Barucci, Veronica Zagaglia, Andrea Guazzini
{"title":"Psychopathological Correlates of Dysfunctional Smartphone and Social Media Use: The Role of Personality Disorders in Technological Addiction and Digital Life Balance.","authors":"Mirko Duradoni, Giulia Colombini, Camilla Barucci, Veronica Zagaglia, Andrea Guazzini","doi":"10.3390/ejihpe15070136","DOIUrl":"10.3390/ejihpe15070136","url":null,"abstract":"<p><p>Current technological development has made the Internet and new technologies increasingly present in people's lives, expanding their opportunities but also potentially posing risks for dysfunctional use. This study aims to identify psychopathological factors associated with dysfunctional ICT use, extending the evidence beyond the well-established relationships with mood disorders to include personality disorders (i.e., cluster C in particular). A total of 711 participants (75.70% female; Mage = 28.33 years, SD = 12.30) took part in the data collection. Firstly, the results showed positive correlations between higher levels of addictive patterns for the Internet, social networks, smartphones and applications, and video games and higher levels of borderline symptoms as assessed by the Borderline Symptom List 23-Short Version. Moreover, scores reflecting high addictive patterns also positively correlated with general narcissistic traits as indicated by the total score of the Narcissistic Personality Inventory 13-Short Version and those specifically described by its Entitlement/Exploitativeness dimension, as well as with higher levels of almost all the personality traits assessed by the Personality Inventory for DSM 5-Brief Form (i.e., negative affectivity, detachment, disinhibition, and psychoticism). These findings broaden the still scarce body of evidence on the relationship between personality disorders and dysfunctional ICT use, which, however, needs to be further explored.</p>","PeriodicalId":30631,"journal":{"name":"European Journal of Investigation in Health Psychology and Education","volume":"15 7","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12294652/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144709227","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}
Ana Agrelo-Fernández, Lucía Fernández-Arce, Ana Llaneza-Folgueras, Ana Isabel Encinas-Muñiz, María Olivo Del Valle, Alberto Lana
{"title":"Coping Strategies and Health-Related Quality of Life in Breast Cancer Survivors.","authors":"Ana Agrelo-Fernández, Lucía Fernández-Arce, Ana Llaneza-Folgueras, Ana Isabel Encinas-Muñiz, María Olivo Del Valle, Alberto Lana","doi":"10.3390/ejihpe15070139","DOIUrl":"10.3390/ejihpe15070139","url":null,"abstract":"<p><p><b>Background:</b> The aim was to explore the association between coping strategies (CSs) and health-related quality of life (HRQoL) in breast cancer (BC) survivors and to analyze the role of relevant sociodemographic and clinical variables. <b>Methods:</b> A cross-sectional study involving 305 women under follow-up for surgically treated BC in Spain. CSs were measured using the Brief Coping Orientation to Problems Experienced Scale and the HRQoL with the Short-Form Health Survey (SF-12). <b>Results:</b> The mean age at BC diagnosis for participants was 57.4 years, with 60.3% of diagnoses at the local stage. Most frequent complementary treatments were radiotherapy (53.4%) and chemotherapy (33.1%). Adaptative CS scores were positively associated both with higher physical HRQoL (adjusted regression coefficient: 2.19; 95% confidence interval: 0.11; 4.27, <i>p</i>-value: 0.039) and mental HRQoL scores (coef.: 2.65: 95%CI: 0.25; 5.04, <i>p</i>-value: 0.030). Maladaptive CS scores were inversely associated with mental HRQoL scores (coef.: -3.92; 95%CI: -6.62; -1.22, <i>p</i>-value: 0.005). The effects were stronger among women with a favorable BC prognosis. <b>Conclusions:</b> Adaptive CSs positively affected the physical and mental HRQoL, while maladaptive CSs negatively affected the mental HRQoL. Therefore, psychosocial interventions that promote adaptive CSs and avoid maladaptive ones could improve the well-being of women with a favorable BC prognosis.</p>","PeriodicalId":30631,"journal":{"name":"European Journal of Investigation in Health Psychology and Education","volume":"15 7","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12295898/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144709211","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":"The Mediating Role of Self-Efficacy in the Relationship Between Locus of Control and Resilience in Primary School Students.","authors":"Asimenia Papoulidi, Katerina Maniadaki","doi":"10.3390/ejihpe15070138","DOIUrl":"10.3390/ejihpe15070138","url":null,"abstract":"<p><p>Resilience refers to an enduring and yet fluid characteristic that enhances children's adaptation. It is a dynamic developmental process that is highly promoted by individuals' internal characteristics, such as self-efficacy and locus of control. The present study examined whether self-efficacy mediates the relationship between locus of control and resilience among Greek primary school students. Participants were 690 students aged 9-12 years who were enrolled at primary schools in Greece in Grades 4, 5, and 6. Participants completed a questionnaire including measures assessing resilience, locus of control, and self-efficacy. Structural equation modeling using AMOS 26.0 was used to analyze the data. The results indicated that locus of control and self-efficacy function as significant predictors for all dimensions of resilience, while demographic characteristics such as gender and grade only predict some dimensions of resilience. The hypothesized model was a good fit to the data, and self-efficacy partially mediates the relationship between locus of control and resilience. Psychologists, instructors, and practitioners can develop and apply intervention programs in order to strengthen children's resilience by enhancing their self-efficacy and helping them adopt an internal locus of control.</p>","PeriodicalId":30631,"journal":{"name":"European Journal of Investigation in Health Psychology and Education","volume":"15 7","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12295466/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144709175","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}
Belén Pascual-Vera, Guy Doron, Mujgan Inozu, Fernando García, Amparo Belloch
{"title":"The Mediating Role of Misinterpretations and Neutralizing Responses to Unwanted Intrusive Thoughts in Obsessive-Compulsive Spectrum Disorders.","authors":"Belén Pascual-Vera, Guy Doron, Mujgan Inozu, Fernando García, Amparo Belloch","doi":"10.3390/ejihpe15070135","DOIUrl":"10.3390/ejihpe15070135","url":null,"abstract":"<p><p><b>Background.</b> Cognitive-behavioral theories suggest that obsessions in obsessive-compulsive disorder (OCD) develop from maladaptive misinterpretations and coping strategies of unwanted intrusive thoughts (UITs). Models of Body Dysmorphic Disorder (BDD) and Illness Anxiety Disorder (IAD) propose that these symptoms stem from similar misinterpretations of common UITs relating to perceived defects in appearance and illness. This study examines whether maladaptive misinterpretations and control strategies leading to the escalation of obsessional UITs to OCD symptoms also have a similar effect on the development of BDD and IAD. More specifically, we examined whether misinterpretations and neutralizing responses mediate the associations between the frequency of disorder-specific UITs and symptoms of these disorders. <b>Method.</b> A total of 625 non-clinical participants from four countries completed the Questionnaire of Unpleasant Intrusive Thoughts (QUIT) that assesses OCD, BDD and IAD-related UITs and their associated misinterpretations and neutralizing strategies, as well as self-report measures of OCD, BDD, and IAD symptoms. Parallel multiple mediation models were conducted. <b>Results</b>. The frequency of OCD, BDD and IAD-related UITs predicted symptoms of each disorder. Dysfunctional appraisals and neutralizing behaviors mediated the associations between disorder-specific UITs and symptoms in OCD and IAD. The IAD model accounted for a smaller proportion of variance than the OCD model. No mediating effects were found for BDD symptoms. <b>Conclusions</b>. Experiencing disturbing UITs is a transdiagnostic risk factor of OCD, BDD and IAD, and is associated with symptoms of these disorders. Maladaptive interpretation of UITs and neutralizing strategies should be specific targets in the assessment and treatment of OCD and IAD. The absence of mediation effects for BDD could be due to the limitations observed on the self-report used to assess BDD symptoms and/or the low relevance of the misinterpretations and control strategies assessed by the QUIT, which are more typically endorsed by individuals with OCD.</p>","PeriodicalId":30631,"journal":{"name":"European Journal of Investigation in Health Psychology and Education","volume":"15 7","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12294069/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144709232","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":"Occupational Health and Performance Among Chinese University Teachers: A COR Theory Model of Health-Promoting Leadership and Burnout.","authors":"Xiaohua Sha, Yulin Chang","doi":"10.3390/ejihpe15070134","DOIUrl":"10.3390/ejihpe15070134","url":null,"abstract":"<p><p>With the rapid expansion of higher education in China, university teachers are facing increasing workloads and mounting performance pressures, posing significant threats to their occupational health. Consequently, how to enhance job performance while safeguarding faculty well-being has become a critical issue for higher education administrators. This study aims to explore the role of health-promoting leadership (HPL) in addressing the dual challenge of enhancing university teachers' job performance while maintaining their occupational health. Drawing on the Conservation of Resources (COR) theory, this study conceptualizes job burnout as both a core indicator of occupational health and a mediating variable, as well as proposing a dual-path model to examine the direct and indirect effects of HPL on teachers' job performance. A survey of 556 university teachers in Jiangxi Province, China, was conducted; the data were analyzed using IBM SPSS Statistics version 22.0 and AMOS version 26.0 (IBM Corp., Armonk, NY, USA). The findings suggest that HPL is positively associated with job performance, both directly and indirectly through reduced burnout, supporting a dual-pathway mechanism consistent with COR theory. These results contribute to a better understanding of the potential role of HPL in balancing teacher well-being and performance in the context of Chinese higher education. This study also extends the cross-cultural application of COR theory and provides theoretical and practical insights into how HPL may help alleviate teacher burnout and support the development of health-promoting universities.</p>","PeriodicalId":30631,"journal":{"name":"European Journal of Investigation in Health Psychology and Education","volume":"15 7","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12293935/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144709215","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}
Mónica Roncancio-Moreno, Rita Patricia Ocampo-Cepeda, Arcadio de Jesús Cardona-Isaza
{"title":"Exploring the Social Determinants of Mental Health in Colombian Young Adults.","authors":"Mónica Roncancio-Moreno, Rita Patricia Ocampo-Cepeda, Arcadio de Jesús Cardona-Isaza","doi":"10.3390/ejihpe15070133","DOIUrl":"10.3390/ejihpe15070133","url":null,"abstract":"<p><strong>Background: </strong>The prevalence of mental health problems among young adults has increased exponentially worldwide, with significant implications for public health. This study explores the structural and intermediate social determinants of health associated with emotional well-being and distress in Colombian young adults.</p><p><strong>Methods: </strong>A cross-sectional study was conducted with 1232 university students aged 18-28 years residing in Cali, Colombia. The Social Determinants of Mental Health Questionnaire for Young Adults (SDMH) was administered to assess structural and intermediate determinants. Participants were categorized into two groups: those with mental health diagnoses (n = 252) and those without (n = 980). Descriptive, comparative association and predictive analyses were conducted.</p><p><strong>Results: </strong>Significant differences were found between groups, with diagnosed participants showing higher exposure to violence and suicidal ideation. Women with diagnoses predominantly presented anxiety and depression, while men showed more externalizing symptoms. Violence experiences emerged as the strongest predictors of emotional distress in both groups. Psychosocial life skills and perceived social support were the most robust protective factors for emotional well-being, regardless of diagnostic status.</p><p><strong>Conclusions: </strong>This study reveals that multiple risk factors accumulate rather than single extreme factors characterizing mental health vulnerability. Violence prevention, life skills development, and social support enhancement should be prioritized in public health interventions for young adults. The findings emphasize the need for multisectoral approaches addressing social determinants to promote youth mental health.</p>","PeriodicalId":30631,"journal":{"name":"European Journal of Investigation in Health Psychology and Education","volume":"15 7","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12294809/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144709213","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}
Jesús Herrera-Imbroda, Vera Carbonell-Aranda, Gloria Guerrero-Pertiñez, Pilar Basnestein-Fonseca, Peter Anderberg, Esperanza Varela-Moreno, Antonio Cuesta-Vargas, Maite Garolera, Evi Lemmens, Johan Sanmartin Berglund, Fermin Mayoral-Cleries, Jessica Marian Goodman-Casanova, Jose Guzman-Parra
{"title":"Temporal Associations Between Cognitive Impairment and Depression in Older Adults: A Longitudinal Analysis.","authors":"Jesús Herrera-Imbroda, Vera Carbonell-Aranda, Gloria Guerrero-Pertiñez, Pilar Basnestein-Fonseca, Peter Anderberg, Esperanza Varela-Moreno, Antonio Cuesta-Vargas, Maite Garolera, Evi Lemmens, Johan Sanmartin Berglund, Fermin Mayoral-Cleries, Jessica Marian Goodman-Casanova, Jose Guzman-Parra","doi":"10.3390/ejihpe15070132","DOIUrl":"10.3390/ejihpe15070132","url":null,"abstract":"<p><p>Depression and cognitive impairment frequently co-occur in older adults, but their temporal relationship remains unclear. While depression is often considered a risk factor for cognitive decline, evidence is mixed, particularly in individuals with mild cognitive impairment or early dementia (MCI/ED). This study analyzed longitudinal data from 1086 participants (M = 74.49, SD = 7.24) in the SMART4MD clinical trial, conducted in Spain and Sweden over 18 months, with assessments every six months. Cognitive impairment was measured using the Mini-Mental State Examination, and depression was assessed with the Geriatric Depression Scale-15. Findings revealed a concurrent association between depressive symptoms and cognitive impairment. In regression mixed analysis, depression levels predicted increased cognitive decline over time, but no evidence was found for cognitive impairment predicting future depression. These associations were confirmed using a bivariate latent growth curve model with cross-lagged paths, which revealed early but attenuating bidirectional effects between depression and cognition. These results highlight depression as a medium-term risk factor for cognitive decline, emphasizing the importance of addressing depressive symptoms to mitigate cognitive deterioration in MCI/ED populations.</p>","PeriodicalId":30631,"journal":{"name":"European Journal of Investigation in Health Psychology and Education","volume":"15 7","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12293492/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144709228","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}
Ananda Zeas-Sigüenza, Andreas Voldstad, Pablo Ruisoto, Ana Ganho-Ávila, Raquel Guiomar, Raúl Cacho, Ferran Muntané, Joan Benach
{"title":"Loneliness as a Public Health Challenge: A Systematic Review and Meta-Analysis to Inform Policy and Practice.","authors":"Ananda Zeas-Sigüenza, Andreas Voldstad, Pablo Ruisoto, Ana Ganho-Ávila, Raquel Guiomar, Raúl Cacho, Ferran Muntané, Joan Benach","doi":"10.3390/ejihpe15070131","DOIUrl":"10.3390/ejihpe15070131","url":null,"abstract":"<p><p>Loneliness is a recognized public health risk factor associated with increased morbidity and mortality. However, the effectiveness of interventions targeting loneliness remains unclear-particularly in relation to baseline severity. This systematic review and meta-analysis assessed intervention effectiveness and the influence of baseline severity and intervention characteristics. A total of 25 studies were included, of which 16 randomized controlled trials (RCTs; <i>k</i> = 21) were meta-analyzed. Interventions produced a moderate pooled effect at post-intervention (Hedge's <i>g</i> = 0.65, 95% CI [0.05, 1.26], <i>p</i> = 0.037), though with high heterogeneity. Sensitivity analyses confirmed a moderate effect (<i>g</i> = 0.55, 95% CI [0.22, 0.88], <i>p</i> = 0.003). Higher baseline loneliness predicted greater intervention effects (<i>b</i> = 0.04, 95% CI [0.02, 0.07], <i>Z</i> = 3.36, <i>p</i> < 0.001), with cognitive-behavioral therapy (CBT) showing the largest effect size (<i>g</i> = 0.73). No significant effects were observed at follow-up. These findings underscore the need for dual strategies: targeted psychological interventions (e.g., CBT) for individuals with severe loneliness, and universal, context-based approaches for the broader population. This aligns with Geoffrey Rose's distinction between individual-level treatment and population-level prevention and highlights the urgency of embedding loneliness interventions into public health frameworks and policy agendas focused on promoting social connectedness and equity.</p>","PeriodicalId":30631,"journal":{"name":"European Journal of Investigation in Health Psychology and Education","volume":"15 7","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12293955/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144709214","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}
Jonathan Martínez-Líbano, María-Mercedes Yeomans-Cabrera, Axel Koch, Roberto Iturra Lara, Patrícia Torrijos Fincias
{"title":"Clarity and Emotional Regulation as Protective Factors for Adolescent Well-Being: A Moderated Mediation Model Involving Depression.","authors":"Jonathan Martínez-Líbano, María-Mercedes Yeomans-Cabrera, Axel Koch, Roberto Iturra Lara, Patrícia Torrijos Fincias","doi":"10.3390/ejihpe15070130","DOIUrl":"10.3390/ejihpe15070130","url":null,"abstract":"<p><strong>Introduction: </strong>Adolescent well-being is influenced by emotional regulation and clarity, particularly in contexts of depression, stress, and anxiety.</p><p><strong>Objective: </strong>This study explores how depression mediates the relationship between emotional regulation and well-being and whether emotional clarity moderates this interaction, providing a comprehensive model to understand adolescent mental health.</p><p><strong>Methodology: </strong>A cross-sectional study was conducted with 636 Chilean adolescents aged 10-18. Emotional clarity and regulation were assessed using the TMMS-24 scale, depression with the DASS-21 scale, and subjective well-being with the Personal Well-Being Index (PWI). Statistical analyses included descriptive statistics, Pearson correlations, and moderated mediation models (PROCESS Macro, Models 4 and 7).</p><p><strong>Results: </strong>Emotional regulation positively correlated with subjective well-being (r = 0.373, <i>p</i> < 0.01) and negatively with depression (r = -0.251, <i>p</i> < 0.01). Depression partially mediated the relationship between emotional regulation and well-being (B = 0.149, 95% CI [0.082, 0.225]), with regulation explaining 86.41% of the effect. Emotional clarity moderated the regulation-depression link, with higher clarity amplifying the protective impact of regulation (index = 0.008, 95% CI [0.0017, 0.0149]).</p><p><strong>Conclusions: </strong>Emotional regulation and clarity are vital for adolescent well-being and enhance the protective role of regulation against depression. Interventions targeting both constructs could improve mental health outcomes in vulnerable populations.</p>","PeriodicalId":30631,"journal":{"name":"European Journal of Investigation in Health Psychology and Education","volume":"15 7","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12294056/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144709209","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}