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Li J, Huang L, Dun M. A Hybrid SEM-ANN Approach to Investigate the Internet Addiction Among University Students Based on Psychological Resilience Theory and Cognitive-Behavioral Theory. Psychol Rep 2025:332941251330549. [PMID: 40151978 DOI: 10.1177/00332941251330549] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/29/2025]
Abstract
The internet is now essential in college students' lives, but its overuse is turning into a worldwide issue, notably with rising internet addiction among students. Earlier studies have mainly explored the risk factors of internet addiction, yielding various findings. This study aims to delve into the key factors affecting internet addiction among university students by integrating the theory of psychological resilience with cognitive-behavioral theory. It thoroughly analyzes how self-control, emotional regulation, social support, perceived stress, and psychological resilience influence internet addiction and explores their interactions and underlying mechanisms. The study conveniently selected 999 university students for a survey to measure their self-reported ratings on six constructs: self-control, emotional regulation, perceived stress, psychological resilience, social support, and internet addiction. Employing a Structural Equation Modeling - Artificial Neural Network (SEM-ANN) approach, the study unveiled complex and non-linear relationships between predictors and internet addiction. Results indicated that self-control and psychological resilience significantly reduce internet addiction, while perceived stress notably increases the risk. Notably, emotional regulation and social support did not directly lower the risk of internet addiction. Further analysis revealed that psychological resilience plays a mediating role between self-control, emotional regulation, social support, and internet addiction. Additionally, multilayer perceptron analysis of normalized importance showed self-control as the most critical predictive factor (100%), followed by emotional regulation (9.1%), social support (8.4%), and psychological resilience (5.4%). The study contributes theoretical and practical insights into internet addiction among university students.
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Affiliation(s)
- Jinyu Li
- School of Marxism, Yangzhou University, Yangzhou, China
- Department of Art and Sports, Huanghe Science and Technology University, Zhengzhou, China
| | - Ling Huang
- School of English Studies, Jiangxi College of Foreign Studies, Nanchang, China
| | - Minqi Dun
- Fanli Business School, Nanyang Institute of Technology, Nanyang, China
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Doğrusever C, Bilgin M. From family social support to problematic internet use: a serial mediation model of hostility and depression. BMC Psychol 2025; 13:178. [PMID: 40022216 PMCID: PMC11871736 DOI: 10.1186/s40359-025-02535-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/07/2024] [Accepted: 02/24/2025] [Indexed: 03/03/2025] Open
Abstract
Internet usage has become an inevitable part of daily life. Adolescents who are developmentally vulnerable due to family dynamics or who suffer psychological distress are at greater risk of problematic Internet use. This study aims to reveal the intricate psychological pathways linking family social support to problematic Internet use among adolescents and the mediating roles of hostility and depression. The study uses serial mediation analyses and Hayes PROCESS macro to examine a large sample of 2,047 adolescents (1,182 females and 865 males). Results revealed a significant negative association between family social support and problematic Internet use. Both hostility and depression were found to be critical mediators, functioning independently and sequentially in the relationship between family social support and problematic Internet use. The findings highlight the protective role of family social support against problematic Internet use among adolescents by reducing hostility and depressive symptoms. This investigation contributes to the extant literature by elucidating the psychological mechanisms underlying problematic Internet use. It suggests that interventions targeting family support systems, feelings of hostility, and depression may effectively mitigate problematic Internet use among adolescent populations.
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Affiliation(s)
- Caner Doğrusever
- Faculty of Education, Psychological Counseling and Guidance Program, Siirt University, Siirt, Türkiye, Turkey.
| | - Mehmet Bilgin
- Faculty of Education, Psychological Counseling and Guidance Program, Çukurova University, Adana, Türkiye, Turkey
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Ran F, Wu R, Luo Y, Ren P, Liu Y, Luo X, Yang X, Gu M, Yan Z, Tuo A. Internet addiction and social support in the association between learning burnout and emotional behavioral problems among returned migrant middle school students: a serial multiple mediations analysis. BMC Public Health 2024; 24:3383. [PMID: 39639256 PMCID: PMC11622628 DOI: 10.1186/s12889-024-20912-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/16/2024] [Accepted: 12/02/2024] [Indexed: 12/07/2024] Open
Abstract
OBJECTIVE The objectives of this study were to explore emotional behavioral problems (EBP) associated with learning burnout (LB) among returned migrant middle school students. In addition, the mediating mechanism of internet addiction (IA) and social support (SS) in this relationship was investigated. We also verified the chain-mediating effect of IA and SS on the EBP of returned migrant middle school students and LB. METHODS This study used the sample data collected from the "Health Status Survey of Middle School Students in Guizhou Province, China" conducted by the research group. The baseline survey of 36 secondary schools from December 2021 to January 2022 in Guizhou Provine, China. Based on this sample data, middle school students who met the following conditions were selected as study subjects. 2020 returned migrant secondary school students were finally obtained as the subjects of this study. The Strength and Difficulty Questionnaire (SDQ), Adolescent Student Burnout Scale (ASBI), Internet Addiction Test (IAT), and Social Support Scale (SSS) were used to assess EBP, LB, IA, and SS among returned migrant secondary school students. Serial multiple mediation analysis and the bootstrap method were used to investigate the mediation effects of IA and SS (PROCESS model 6). RESULTS Prevalence of EBP was classified in the abnormal (11.9%) or borderline (17.1%) categories based on the total difficulties scores among returned migrant middle school students. A serial multiple mediation model was generated. The mediation effect of IA and SS on the pathway from LB to EBP was 31.25% (direct effect = 0.373, total indirect effect = 0.170). The association between LB and SS was partially mediated by IA (direct effect=-0.356, indirect effect=-0.065). The proposed model fits the data well. CONCLUSION This study found that lower IA and higher SS can effectively reduce EBP caused by LB among returned migrant middle school students. It is suggested that parents, schools, and government departments pay attention to IA and SS problems caused by LB in returned migrant middle school students, and prevent and avoid EBP. Returned migrant middle school students should take the initiative to identify the factors that harm their physical and mental health for self-regulation, and establish reliable SS, rather than meet psychological needs through IA, to reduce the occurrence of EBP.
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Affiliation(s)
- Fengjiao Ran
- Department of Epidemiology and Health Statistics, School of Public Health, Guizhou Medical University, Guiyang, Guizhou, People's Republic of China
| | - Rong Wu
- Department of Epidemiology and Health Statistics, School of Public Health, Guizhou Medical University, Guiyang, Guizhou, People's Republic of China
| | - Yuan Luo
- The Peoples Hospital of Liupanshui City, Liupanshui, China
| | - Pengyu Ren
- Guizhou Medical Products Administration, Guiyang, China
| | - Yu Liu
- Guizhou Medical Products Administration, Guiyang, China
| | - Xi Luo
- Department of Epidemiology and Health Statistics, School of Public Health, Guizhou Medical University, Guiyang, Guizhou, People's Republic of China
| | - Xiantao Yang
- Department of Epidemiology and Health Statistics, School of Public Health, Guizhou Medical University, Guiyang, Guizhou, People's Republic of China
| | - Manting Gu
- Department of Epidemiology and Health Statistics, School of Public Health, Guizhou Medical University, Guiyang, Guizhou, People's Republic of China
| | - Zheng Yan
- Department of Epidemiology and Health Statistics, School of Public Health, Guizhou Medical University, Guiyang, Guizhou, People's Republic of China.
| | - Anxie Tuo
- School of Medical Humanities, Guizhou Medical University, Guiyang, China.
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Chen M, Zhang X. Factors influencing internet addiction among university students: The mediating roles of self-control and anxiety. Acta Psychol (Amst) 2024; 250:104535. [PMID: 39442385 DOI: 10.1016/j.actpsy.2024.104535] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/27/2024] [Revised: 10/14/2024] [Accepted: 10/14/2024] [Indexed: 10/25/2024] Open
Abstract
This study aims to explore the key factors affecting internet addiction among college students, analyzing how stress, social support, self-efficacy, self-control, and anxiety influence internet addiction and their interrelationships and mechanisms. A structured survey was administered to 538 students from Zhengzhou Vocational University of Information and Technology, Henan University of Chinese Medicine, Henan Polytechnic, employing a two-stage Structural Equation Modeling-Artificial Neural Network (SEM-ANN) to uncover non-compensatory and non-linear relationships. The findings indicate stress, self-control, pleasure, anxiety, self-efficacy, and social support as significant predictors of internet addiction, providing theoretical and practical insights into mitigating internet addiction.
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Affiliation(s)
- Man Chen
- Research Center of Continuing Education and Digitalization, Henan Open University, Zhengzhou 450046, China.
| | - Xinyu Zhang
- Research Center of Continuing Education and Digitalization, Henan Open University, Zhengzhou 450046, China
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Liu X, Liu J, Flores DD, McDonald CC. Family factors related to adolescent screen media use and mental health outcomes: A systematic review and recommendation for practices. J Adolesc 2024; 96:1401-1427. [PMID: 38922966 DOI: 10.1002/jad.12367] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/29/2024] [Revised: 06/11/2024] [Accepted: 06/12/2024] [Indexed: 06/28/2024]
Abstract
INTRODUCTION Screen media serves an essential role in adolescents' lives, posing growth opportunities and mental health challenges. Family plays a crucial role in mitigating these challenges. This systematic review offers a comprehensive analysis of the family factors related to adolescent screen media use and mental health. METHODS A systematic search was conducted in PubMed, CINAHL, PsycINFO, Scopus, and Embase, adhering to Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines using the following inclusion criteria: English, peer-reviewed, observational design, and published since 2013; adolescent samples aged 10-17 years; and examining screen media use, family factors, and internalizing problems. The role of family factors as predictors, moderators, and mediators was also examined. RESULTS Of the 3587 records, 32 met the inclusion criteria. These studies, primarily cross-sectional, presented a global perspective of 14 countries. A heterogeneous range of family factors, screen media use, and mental health outcomes were examined, revealing significant associations between elevated screen media use and internalizing problems. Positive family processes and democratic media-specific parenting mitigate such association. A few studies underscored family socioeconomic status (SES), noting elevated screen media use and mental health risks among adolescents in families of low SES. CONCLUSIONS Accumulating evidence supports the important role of positive family contexts in fostering balanced screen media use and mental health in adolescents, accentuating the need for professional screening and education to promote positive screen media use among adolescents and families. Further research requires refinement in measurement and methodology to better capture the intricate relationship between family dynamics, screen media use, and adolescent mental health.
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Affiliation(s)
- Xiaoxuan Liu
- Department of Family and Community Health, University of Pennsylvania School of Nursing, Philadelphia, Pennsylvania, USA
| | - Jianghong Liu
- Department of Family and Community Health, University of Pennsylvania School of Nursing, Philadelphia, Pennsylvania, USA
| | - Dalmacio D Flores
- Department of Family and Community Health, University of Pennsylvania School of Nursing, Philadelphia, Pennsylvania, USA
| | - Catherine C McDonald
- Department of Family and Community Health, University of Pennsylvania School of Nursing, Philadelphia, Pennsylvania, USA
- Penn Injury Science Center, University of Pennsylvania, Philadelphia, Pennsylvania, USA
- Center for Injury Research Prevention at the Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA
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Wang S, Zhu C, Dai H. Left-behind experience and mobile phone addiction among college students: A moderated mediation of social anxiety and sex. Heliyon 2024; 10:e35452. [PMID: 39170196 PMCID: PMC11336711 DOI: 10.1016/j.heliyon.2024.e35452] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/11/2023] [Revised: 07/08/2024] [Accepted: 07/29/2024] [Indexed: 08/23/2024] Open
Abstract
Background With the popularity of smartphone among Chinese college students, mobile phone addiction (MPA) is emerging a remarkable behavior problem in this population. Thus, the present study was aimed at investigating a moderated mediation model of left-behind experience (LBE) affecting MPA via social anxiety moderated by sex difference. Methods A total of 1268 college students (Mage = 20.74, SD = 2.21) were recruited to complete self-administered questionnaires of mobile phone addiction index (MPAI) and interaction anxiousness scale (IAS). The participants also reported their sex, grade, and childhood and juvenile LBE. Results The results indicated that LBE increased the level of MPA among college students via mediation by social anxiety. Furthermore, sex moderated the influence of social anxiety on MPA in the mediating model. Specifically, social anxiety affects male college students more strongly than female ones in terms of MPA. Conclusion Our findings support that LBE, social anxiety, and sex difference should be critically included into consideration when performing interventions to buffer MPA among college students.
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Affiliation(s)
- Suyan Wang
- Center for Mental Health Guidance, Jinzhou Medical University, Jinzhou, 121001, Liaoning, PR China
| | - Chunmei Zhu
- Center for Health Management, The First Affiliated Hospital, Jinzhou Medical University, Jinzhou, 121001, Liaoning, PR China
| | - Hongliang Dai
- School of Nursing, Jinzhou Medical University, Jinzhou, 121001, Liaoning, PR China
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Miao S, Xu L, Gao S, Bai C, Huang Y, Peng B. The association between anxiety and internet addiction among left-behind secondary school students: the moderating effect of social support and family types. BMC Psychiatry 2024; 24:406. [PMID: 38811914 PMCID: PMC11138066 DOI: 10.1186/s12888-024-05855-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/13/2023] [Accepted: 05/17/2024] [Indexed: 05/31/2024] Open
Abstract
BACKGROUND The left-behind children (LBC), children and adolescents aged 0-18 whose parents have migrated for economic purposes for extended periods exceeding three months, present a unique social concern. These children remain in their place of household registration, often under the guardianship of relatives, while receiving compulsory education. LBC with growing Internet addiction (IA) have made it urgent to take a close look at the mechanisms and effective interventions for them. Anxiety has been proven to be correlated with IA in adolescents; however, the mechanisms of addiction in this population are less well-fully grasped. Based on the current theories and empirical results, the study examined whether and how social support (SS) and family types moderated the associations between anxiety and IA among left-behind secondary students. METHODS Stratified cluster sampling survey. A questionnaire was administered to 5290 secondary school children (2553 classified as left-behind) to explore the relationships between anxiety, IA, left-behind types, family types, and social support. This cross-sectional study employed a stratified cluster sampling survey of students in the ethnic areas of southeast Chongqing. The study sought to appraise the relationships between anxiety and IA in different types of left-behind children and to assess the potential moderating effect of SS on the relationship among the population and its family types differences. RESULTS The relationship between anxiety and IA was moderated significantly by social support and family types. Notably, the impact of social support on the moderating effect between IA and anxiety varied among students from both family types. For students from families where both parents had migrated, social support weakened the association between IA and anxiety. Conversely, for students from single-parent families where the parent had migrated, social support seemed to strengthen the relationships between these two issues. CONCLUSIONS The moderating effects of SS on the relationship between anxiety and IA differs based on family type among various groups of left-behind secondary students. Gaining insights into the IA mechanisms can guide the development of targeted intervention strategies aimed at minimizing IA among diverse groups of left-behind students.
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Affiliation(s)
- Siwei Miao
- Centre for Medical Big Data and Artificial Intelligence, Southwest Hospital of Third Military Medical University, Chongqing, 400038, China
| | - Lu Xu
- School of Pharmacy, Chongqing Medical and Pharmaceutical College, Chongqing, 401331, China
| | - Sihong Gao
- Chongqing Fuling District Center for Disease Control and Prevention, Chongqing, 408000, China
| | - Cuiping Bai
- Xiushan Traditional Chinese Medicine Hospital, Chongqing, 409900, China
| | - Yan Huang
- Chongqing Traditional Chinese Medicine Hospital, Chongqing, 400021, China.
| | - Bin Peng
- Department of Health Statistics, School of Public Health, Chongqing Medical University, Chongqing, 400016, China.
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Öztekin GG. Associations between internet addiction and school engagement among Turkish college students: mediating role of psychological distress. Front Psychol 2024; 15:1367462. [PMID: 38487659 PMCID: PMC10937731 DOI: 10.3389/fpsyg.2024.1367462] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/08/2024] [Accepted: 02/20/2024] [Indexed: 03/17/2024] Open
Abstract
Introduction Internet addiction has become a subject of growing concern with adverse consequences. This study aimed to investigate the mediating effect of psychological distress in the relationship between internet addiction and school engagement. Methods Data were obtained from 732 Turkish college students (M = 20.98, SD = 2.58). The data were collected through Young's Internet Addiction Test, Depression, Stress and Anxiety Scale (DASS21)-Short Form, and University Student Engagement Inventory. Mediation analysis was performed to investigate the mediating effects of depression, anxiety, and stress in the association between internet addiction and school engagement. Results The results of the study showed that internet addiction was positively associated with psychological distress and negatively associated with school engagement, whereas psychological distress had a negative relationship with school engagement. This study also found that depression, anxiety, and stress acted as mediators in the relationship between internet addiction and behavioral engagement, emotional engagement, and cognitive engagement. Conclusion This study has provided evidence that young adults with tendency of internet addiction may experience school engagement problems as well as psychological problems. Our findings underscore the need for special educational intervention programs aimed at encouraging college youth to limit their internet use for their future due to its negative consequences and raising awareness in this vulnerable group and their families.
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Affiliation(s)
- Gülçin Güler Öztekin
- Department of Psychology, Faculty of Science and Letters, Agri Ibrahim Cecen University, Agri, Türkiye
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Yao L, Liang K, Zhang Q, Chi X. Unhealthy Eating Habits and Insomnia Symptoms are Associated with Internet Addiction in Chinese Left-Behind Children: The Gender Difference. Psychol Res Behav Manag 2023; 16:4871-4881. [PMID: 38077169 PMCID: PMC10704918 DOI: 10.2147/prbm.s432626] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2023] [Accepted: 11/11/2023] [Indexed: 10/16/2024] Open
Abstract
Purpose This study aimed to evaluate the associations between unhealthy eating habits and insomnia symptoms with Internet addiction (IA) among Chinese left-behind children (LBC) based on potential gender difference. Methods This cross-sectional study was conducted in junior high schools from an economically disadvantaged area of China in May 2020. Participants were asked to complete the information and scales of socio-demographic characteristics, eating habits (the frequency of eating carbohydrates, fruits, vegetables, protein, and breakfast), insomnia severity and IA. A total of 3156 LBCs (43.9% males and 56.1% females, aged 14.2 years in average) were used for final analyses. Associations between eating habits and insomnia symptoms with IA were analyzed by generalized linear model with binary logistic regression. Results The study found that left-behind children (LBCs) had unhealthy eating habits, particularly among females. Females reported more insomnia symptoms than males. The prevalence of IA was similar across genders. Consuming fewer fruits and vegetables and skipping breakfast were linked to increased IA risk, especially in females. Insomnia was significantly associated with higher IA risk in both genders. Conclusion In LBCs, unhealthy eating and sleep were notably linked to IA, especially in females. Addressing these factors might reduce the prevalence of IA among LBCs.
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Affiliation(s)
- Liqing Yao
- School of Pharmacy, Guangdong Pharmaceutical University, Guangzhou, People’s Republic of China
- Faculty of Medicine, Medical Sciences Division, Macau University of Science and Technology, Macau, People’s Republic of China
| | - Kaixin Liang
- School of Psychology, Shenzhen University, Shenzhen, People’s Republic of China
- The Shenzhen Humanities & Social Sciences Key Research Bases of the Center for Mental Health, Shenzhen University, Shenzhen, People’s Republic of China
| | - Qiu Zhang
- The Center for Health Economics and Health Promotion Research, Guangdong Pharmaceutical University, Guangzhou, People’s Republic of China
| | - Xinli Chi
- School of Psychology, Shenzhen University, Shenzhen, People’s Republic of China
- The Shenzhen Humanities & Social Sciences Key Research Bases of the Center for Mental Health, Shenzhen University, Shenzhen, People’s Republic of China
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Zurita-Ortega F, Alonso-Vargas JM, Puertas-Molero P, González-Valero G, Ubago-Jiménez JL, Melguizo-Ibáñez E. Levels of Physical Activity, Family Functioning and Self-Concept in Elementary and High School Education Students: A Structural Equation Model. CHILDREN (BASEL, SWITZERLAND) 2023; 10:163. [PMID: 36670713 PMCID: PMC9856633 DOI: 10.3390/children10010163] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 12/19/2022] [Revised: 01/10/2023] [Accepted: 01/12/2023] [Indexed: 01/18/2023]
Abstract
In the adolescent population there is great concern about low levels of physical activity and low levels of family awareness of the benefits of physical exercise on physical and mental health. This study aims to determine the influence of physical activity levels, family functioning and self-concept in primary and secondary school students, as well as to develop a structural equation model as a function of weekly physical activity time. A descriptive, cross-sectional, comparative study was conducted on whether students engage in more than three hours of physical activity per week. To collect the data, instruments validated by the scientific community were used, such as the Adaptability, Partnership, Growth, Affection, and Resolve family questionnaire (APGAR) and the self-concept questionnaire form 5. The results show that those students who engage in more than 3 h of physical activity per week have higher levels of family functioning than those who do not meet this sport criterion. In addition, physically active students show higher scores on all dimensions of self-concept than those who practice less than 3 h of physical activity per week. Finally, as a conclusion, it can be affirmed that the amount of physical activity practice brings benefits to student's mental health.
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Affiliation(s)
| | - José Manuel Alonso-Vargas
- Department of Didactics of Musical, Plastic and Corporal Expression, University of Granada, 18071 Granada, Spain
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