Associations among neuroticism, self-efficacy, resilience and psychological distress in freshman nursing students: a cross-sectional study in China

Objectives The current study examines the mediating roles of resilience and self-efficacy and the moderating role of gender in the association between neuroticism and psychological distress in Chinese freshman nursing students (FNSs).Methods A total of 1220 FNSs were enrolled from the Be Resilient t...

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Main Authors: Xiaoxiao Mei, Huiyuan Wang, Xinqin Wang, Xiaona Wu, Jieyi Wu, Zengjie Ye
Format: Article
Language:English
Published: BMJ Publishing Group 2022-06-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/12/6/e059704.full
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author Xiaoxiao Mei
Huiyuan Wang
Xinqin Wang
Xiaona Wu
Jieyi Wu
Zengjie Ye
author_facet Xiaoxiao Mei
Huiyuan Wang
Xinqin Wang
Xiaona Wu
Jieyi Wu
Zengjie Ye
author_sort Xiaoxiao Mei
collection DOAJ
description Objectives The current study examines the mediating roles of resilience and self-efficacy and the moderating role of gender in the association between neuroticism and psychological distress in Chinese freshman nursing students (FNSs).Methods A total of 1220 FNSs were enrolled from the Be Resilient to Nursing Career (ChiCTR2000038693) Programme and the following instruments were administered to them: NEO Five-Factor Inventory, General Self-Efficacy Scale, Connor-Davidson Resilience Scale and Kessler Psychological Distress Scale. A moderated mediation analysis and a generalised additive model analysis were performed.Results The direct and indirect effects of neuroticism on psychological distress were significantly mediated by self-efficacy (B = 0.200, 95% CI 0.001 to 0.039), resilience (B = 0.021, 95% CI 0.007 to 0.038) and the interaction between self-efficacy and resilience (B = 0.016, 95% CI 0.005 to 0.028). The interactions between neuroticism and gender (β = 0.102, 95% CI 0.001 to 0.203, p<0.05) and between resilience and gender were significant (β = 0.160, 95% CI 0.045 to 0.275, p<0.01). A non-linear and positive association was confirmed between neuroticism and psychological distress.Conclusions Self-efficacy and resilience significantly mediate the relationship between neuroticism and psychological distress. Gender moderates the relationships between neuroticism and resilience and between resilience and psychological distress.
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spelling doaj-art-ccae6cf1ee8f49e0ac3bccb7e22ecf672025-01-24T14:55:09ZengBMJ Publishing GroupBMJ Open2044-60552022-06-0112610.1136/bmjopen-2021-059704Associations among neuroticism, self-efficacy, resilience and psychological distress in freshman nursing students: a cross-sectional study in ChinaXiaoxiao Mei0Huiyuan Wang1Xinqin Wang2Xiaona Wu3Jieyi Wu4Zengjie Ye5School of Nursing, Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, ChinaSchool of Nursing, Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, ChinaSchool of Nursing, Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, ChinaSchool of Nursing, Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, ChinaSchool of Nursing, Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, ChinaSchool of Nursing, Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, ChinaObjectives The current study examines the mediating roles of resilience and self-efficacy and the moderating role of gender in the association between neuroticism and psychological distress in Chinese freshman nursing students (FNSs).Methods A total of 1220 FNSs were enrolled from the Be Resilient to Nursing Career (ChiCTR2000038693) Programme and the following instruments were administered to them: NEO Five-Factor Inventory, General Self-Efficacy Scale, Connor-Davidson Resilience Scale and Kessler Psychological Distress Scale. A moderated mediation analysis and a generalised additive model analysis were performed.Results The direct and indirect effects of neuroticism on psychological distress were significantly mediated by self-efficacy (B = 0.200, 95% CI 0.001 to 0.039), resilience (B = 0.021, 95% CI 0.007 to 0.038) and the interaction between self-efficacy and resilience (B = 0.016, 95% CI 0.005 to 0.028). The interactions between neuroticism and gender (β = 0.102, 95% CI 0.001 to 0.203, p<0.05) and between resilience and gender were significant (β = 0.160, 95% CI 0.045 to 0.275, p<0.01). A non-linear and positive association was confirmed between neuroticism and psychological distress.Conclusions Self-efficacy and resilience significantly mediate the relationship between neuroticism and psychological distress. Gender moderates the relationships between neuroticism and resilience and between resilience and psychological distress.https://bmjopen.bmj.com/content/12/6/e059704.full
spellingShingle Xiaoxiao Mei
Huiyuan Wang
Xinqin Wang
Xiaona Wu
Jieyi Wu
Zengjie Ye
Associations among neuroticism, self-efficacy, resilience and psychological distress in freshman nursing students: a cross-sectional study in China
BMJ Open
title Associations among neuroticism, self-efficacy, resilience and psychological distress in freshman nursing students: a cross-sectional study in China
title_full Associations among neuroticism, self-efficacy, resilience and psychological distress in freshman nursing students: a cross-sectional study in China
title_fullStr Associations among neuroticism, self-efficacy, resilience and psychological distress in freshman nursing students: a cross-sectional study in China
title_full_unstemmed Associations among neuroticism, self-efficacy, resilience and psychological distress in freshman nursing students: a cross-sectional study in China
title_short Associations among neuroticism, self-efficacy, resilience and psychological distress in freshman nursing students: a cross-sectional study in China
title_sort associations among neuroticism self efficacy resilience and psychological distress in freshman nursing students a cross sectional study in china
url https://bmjopen.bmj.com/content/12/6/e059704.full
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