Health and University Students: The Mediator Role of Emotion Regulation Between Academic Stressors and Health Behaviors

Am J Health Promot. 2024 Nov 21:8901171241301969. doi: 10.1177/08901171241301969. Online ahead of print.

Abstract

Purpose: To determine the role of Health Behaviors and Cognitive Emotion Regulation Strategies in the relationship between Health and Academic Stress.

Design: A cross-sectional study with in-person administration of questionnaires.

Setting: Data collection took place at nine public and private universities in Peru, involving a diverse group of students from different faculties.

Sample: 1640 students, a majority of them female (61.8%), ranging in age between 18 and 30 years old (M = 20.72; SD = 2.22).

Measures: A sociodemographic form was used to collect participants' sociodemographic, academic, and health data. Academic stress was measured by the Inventory of Academic Stress (SISCO). Health habits were assessed using the University Students Lifestyle Questionnaire (CEVJU-Perú). The Cognitive Emotion Regulation Questionnaire (CER-Q) and the SF-36 Questionnaire were also used to evaluate cognitive emotion regulation strategies and health-related quality of life, respectively.

Results: The SEM model results (x2/df = 2.30, CFI = .95, RMSEA = .03, SRMR = .04) reveal that Academic Stress has direct and indirect effects on Health. Negative Emotional Regulation have a negative impact on Health, this effect is direct; while Positive Emotional Regulation has an effect on Health, this effect is direct and indirect, the latter is through Sleep Management, Physical Activity and Leisure Management. In addition, Academic Stress maintains a direct effect on only one health behavior, Sleep Management.

Conclusions: This study's findings contribute to a better understanding of the role played by emotion regulation, and by positive strategies in particular, in student health.

Keywords: academic stress; cognitive emotion regulation strategies; health; health behaviors; university students.