ORIGINAL PAPER
The role of negative affects as mediators in the relationship between stress and mental health in Ecuadorian adolescents
 
More details
Hide details
1
Pontifical Catholic University of Ecuador, Ambato, Ecuador
 
2
University of Girona, Girona, Spain
 
3
Complutense University of Madrid, Madrid, Spain
 
4
Edith Cowan University, Joondalup, Australia
 
5
Technological University Indoamerica, Ambato, Ecuador
 
6
Higher Polytechnic School of the Litoral (ESPOL), Guayaquil, Ecuador
 
7
Camilo José Cela University, Madrid, Spain
 
 
Submission date: 2023-01-30
 
 
Final revision date: 2023-03-14
 
 
Acceptance date: 2023-04-20
 
 
Online publication date: 2023-06-26
 
 
Publication date: 2023-08-22
 
 
Corresponding author
Rodrigo Moreta-Herrera   

Pontifical Catholic University of Ecuador, Ambato, Ecuador
 
 
Health Psychology Report 2023;11(3):241–251
 
KEYWORDS
TOPICS
ABSTRACT
Background:
Stress and negative emotions have adverse consequences for the mental health of adolescents, an area that deserves further examination. These attributes are associated with each other and regularly interact in different ways. The way they exert an influence can be both direct and indirect, so the general objective is to elucidate the potential mediating effect of negative affects in the relationship between stress and mental health in Ecuadorian adolescents.

Participants and procedure:
An explanatory and mediation design based on structural equation modeling (SEM) was applied with 1154 high school students from Ecuador (67.7% women) aged 14 to 19 years (M = 15.69).

Results:
In our sample, the presence of stress and negative affect is moderate, while that of mental health problems is low. Accord-ing to our final model, these variables covary with and influence each other in the following way: stress (X) has a direct effect on mental health (Y) and also an indirect effect mediated by negative affect (M). The structural regression model pro-posed explains 63% of the variance in mental health.

Conclusions:
Stress exerts a relevant impact on mental health, both through direct and indirect pathways. The indirect pathway, mediat-ed by negative affect, opens the door to novel interventional strategies to foster mental health.

 
REFERENCES (53)
1.
Allan, S. M., Bealey, R., Birch, J., Cushing, T., Parke, S., Sergi, G., Bloomfield, M., & Meiser-Stedman, R. (2020). The prevalence of common and stress-related mental health disorders in healthcare workers based in pan-demic-affected hospitals: a rapid systematic review and meta-analysis. European Journal of Psychotraumatolo-gy, 11, 1810903. https://doi.org/10.1080/200081....
 
2.
Anderson, S., Sladek, M., & Doane, L. (2021). Negative affect reactivity to stress and internalizing symptoms over the transition to college for Latinx adolescents: Buffering role of family support. Development and Psycho-pathology, 33, 1322–1337. https://doi.org/10.1017/S09545....
 
3.
Anniko, M., Boersma, K., & Tillfors, M. (2019). Sources of stress and worry in the development of stress-related mental health problems: a longitudinal investigation from early-to mid-adolescence. Anxiety, Stress, & Coping, 32, 155–167. https://doi.org/10.1080/106158....
 
4.
Aponte-Zurita, G., & Moreta-Herrera, R. (2023). Impulsividad y Consumo de alcohol y problemas asociados en adolescentes del Ecuador [Impulsivity and alcohol consumption and associated problems in adolescents from Ecuador]. Revista de Psicología de la Salud, 11, 90–113. https://doi.org/10.21134/pssa.....
 
5.
Arbona, C., Fan, W., & Olvera, N. (2018). College stress, minority status stress, depression, grades, and persistence intentions among Hispanic female students: a mediation model. Hispanic Journal of Behavioral Sciences, 40, 414–430. https://doi.org/10.1177/073998....
 
6.
Bourke, C., & Neigh, G. (2011). Behavioral effects of chronic adolescent stress are sustained and sexually dimor-phic. Hormones and Behavior, 60, 112–120. https://doi.org/10.1016/j.yhbe....
 
7.
Bronsard, G., Alessandrini, M., Fond, G., Loundou, A., Auquier, P., Tordjman, S., & Boyer, L. (2016). The preva-lence of mental disorders among children and adolescents in the child welfare system: a systematic review and meta-analysis. Medicine, 95, e2622. https://doi.org/10.1097/MD.000....
 
8.
Brown, T. (2015). Confirmatory factor analysis for applied research (Vol. 2). Guilford Publications.
 
9.
Bruffaerts, R., Mortier, P., Kiekens, G., Auerbach, R. P., Cuijpers, P., Demyttenaere, K., Green, J. G., Nock, M. K., & Kessler, R. C. (2018). Mental health problems in college freshmen: Prevalence and academic functioning. Journal of Affective Disorders, 225, 97–103. https://doi.org/10.1016/j.jad.....
 
10.
Byrne, B. (2008). Testing for multigroup equivalence of a measuring instrument: a walk through the process. Psicothema, 20, 872–882.
 
11.
Caycho-Rodríguez, T., Tomás, J. M., Vilca, L. W., Carbajal-León, C., Cervigni, M., Gallegos, M., Martino, P., Barés, I., Calandra, M., Anacona, C. A. R., López-Calle, C., Moreta-Herrera, R., Chacón-Andrade, E. R., Lobos-Rivera, M. E., Del Carpio, P., Quintero, Y., Robles, E., Lombardo, M. P., Recalde, O. G., Figares, A. B., … Videla, C. B. (2021). Socio-demographic variables, fear of COVID-19, anxiety, and depression: Prevalence, relationships and explanatory model in the general population of seven Latin American countries. Frontiers in Psychology, 12, 695989. https://doi.org/10.3389/fpsyg.....
 
12.
Chiang, J. J., Kim, J. J., Almeida, D. M., Bower, J. E., Dahl, R. E., Irwin, M. R., McCreath, H., & Fuligni, A. J. (2017). Sleep efficiency modulates associations between family stress and adolescent depressive symptoms and nega-tive affect. The Journal of Adolescent Health, 61, 501–507. https://doi.org/10.1016/j.jado....
 
13.
Cho, H., Gonzalez, R., Lavaysse, L., Pence, S. F., & Gard, D. (2017). Do people with schizophrenia experience more negative emotion and less positive emotion in their daily lives? A meta-analysis of experience sampling studies. Schizophrenia Research, 183, 49–55. https://doi.org/10.1016/j.schr....
 
14.
Cohen, S., Kamarck, T., & Mermelstein, R. (1983). A global measure of perceived stress. Journal of Health and So-cial Behavior, 24, 385–396. https://doi.org/doi.org/10.230....
 
15.
de Figueiredo, C. S., Sandre, P. C., Portugal, L. C. L., Mázala-de-Oliveira, T., da Silva Chagas, L., Raony, Í., Ferreira, E. S., Giestal-de-Araujo, E., dos Santos, A. A., & Bomfim, P. O. S. (2021). COVID-19 pandemic impact on children and adolescents’ mental health: Biological, environmental, and social factors. Progress in Neuro-Psychopharmacology & Biological Psychiatry, 106, 110171. https://doi.org/10.1016/j.pnpb....
 
16.
Deb, S., Strodl, E., & Sun, H. (2015). Academic stress, parental pressure, anxiety and mental health among Indian high school students. International Journal of Psychology and Behavioral Science, 5, 26–34. https://doi.org/10.5923/j.ijpb....
 
17.
Dominguez-Lara, S. (2018). Propuesta de puntos de corte para cargas factoriales: una perspectiva de fiabilidad de constructo [Proposal for cut-offs for factor loadings: a construct reliability perspective]. Enfermería Clínica, 28, 401–402. https://doi.org/10.1016/j.enfc....
 
18.
Feiss, R., Dolinger, S. B., Merritt, M., Reiche, E., Martin, K., Yanes, J. A., Thomas, C. M., & Pangelinan, M. (2019). A systematic review and meta-analysis of school-based stress, anxiety, and depression prevention programs for adolescents. Journal of Youth and Adolescence, 48, 1668–1685. https://doi.org/10.1007/s10964....
 
19.
Fink, G. (2010). Stress: Definition and history. Encyclopedia of Neuroscience, 2009, 549–555. https://doi.org/10.1016/B978-0....
 
20.
Fink, G. (2016). Stress, definitions, mechanisms, and effects outlined: Lessons from anxiety. In G. Fink (Ed.), Stress: Concepts, cognition, emotion, and behavior (pp. 3–11). Academic Press.
 
21.
Fitzsimmons-Craft, E. E., Accurso, E. C., Ciao, A. C., Crosby, R. D., Cao, L., Pisetsky, E. M., Le Grange, D., Peter-son, C. B., Crow, S. J., Engel, S. G., Mitchell, J. E., & Wonderlich, S. A. (2015). Restrictive eating in anorexia ner-vosa: Examining maintenance and consequences in the natural environment. International Journal of Eating Disorders, 48, 923–931. https://doi.org/10.1002/eat.22....
 
22.
Gesualdo, C., & Pinquart, M. (2021). Expectancy challenge interventions to reduce alcohol consumption among high school and college students: a meta-analysis. Psychology of Addictive Behaviors, 35, 817–828. https://psycnet.apa.org/doi/10....
 
23.
Goldberg, D., & Hillier, V. (1979). A scaled version of the General Health Questionnaire. Psychological Medicine, 9, 139–145. https://doi.org/10.1017/s00332....
 
24.
Hao, Y., & Farah, M. J. (2020). The affective neuroscience of socioeconomic status: Implications for mental health. BJPsych Bulletin, 44, 202–207. https://doi.org/10.1192/bjb.20....
 
25.
Horiuchi, S., Tsuda, A., Yoneda, K., & Aoki, S. (2018). Mediating effects of perceived stress on the relationship of positivity with negative and positive affect. Psychology Research and Behavior Management, 11, 299–303. https://doi.org/doi.org/10.214....
 
26.
Jayanthi, P., Thirunavukarasu, M., & Rajkumar, R. (2015). Academic stress and depression among adolescents: a cross-sectional study. Indian Pediatrics, 52, 217–219. https://doi.org/10.1007/s13312....
 
27.
Kim, P., Evans, G. W., Angstadt, M., Ho, S. S., Sripada, C. S., Swain, J. E., Liberzon, I., & Phan, K. L. (2013). Effects of childhood poverty and chronic stress on emotion regulatory brain function in adulthood. Proceedings of the National Academy of Sciences, 110, 18442–18447. https://doi.org/10.1073/pnas.1....
 
28.
Lange, T., Hansen, K., Sørensen, R., & Galatius, S. (2017). Applied mediation analyses: a review and tutorial. Epi-demiology and Health, 39, e2017035. https://doi.org/10.4178/epih.e....
 
29.
Larzabal, A., & Ramos, M. (2019). Propiedades psicométricas de la Escala de Estrés Percibido (PSS-14) en estudiantes de bachillerato de la provincia de Tungurahua (Ecuador) [Psychometric properties of the Per-ceived Stress Scale (PSS-14) in high school students from the province of Tungurahua (Ecuador)]. Ajayu Órgano de Difusión Científica del Departamento de Psicología UCBSP, 17, 269–282.
 
30.
Larzabal-Fernandez, A., Pilco.K., Moreta-Herrera, R., & Rodas, J. (2023). Psychometric properties of the Kessler Psychological Distress Scale in a sample of adolescents from Ecuador. Child Psychiatry & Human Development. https://doi.org/10.1007/s10578....
 
31.
Li, C. H. (2016). Confirmatory factor analysis with ordinal data: Comparing robust maximum likelihood and di-agonally weighted least squares. Behavior Research Methods, 48, 936–949. https://doi.org/10.3758/s1342.
 
32.
Lobo, A., Pérez-Echeverría, M., & Artal, J. (1986). Validity of the scaled version of the General Health Question-naire (GHQ-28) in a Spanish population. Psychological Medicine, 16, 135–140. https://doi.org/10.1017/S00332....
 
33.
Mardia, K. (1970). Measures of multivariate skewness and kurtosis with applications measures of multivariate skewness and kurtosis with applications. Biometrika, 57, 519–530. https://doi.org/10.2307/233477....
 
34.
Moreta-Herrera, R., Dominguez-Lara, S., Vaca-Quintana, D., Zambrano-Estrella, J., Gavilanes-Gómez, D., Ruperti-Lucero, E., & Bonilla, D. (2021a). Psychometric properties of the General Health Questionnaire (GHQ-28) in Ecuadorian college students. Psihologijske Teme, 30, 573–590. https://doi.org/10.31820/pt.30....
 
35.
Moreta-Herrera, R., Perdomo-Pérez, M., Reyes-Valenzuela, C., Torres-Salazar, C., & Ramírez-Iglesias, G. (2021b). Invarianza factorial según nacionalidad y fiabilidad de la Escala de Afecto Positivo y Negativo (PANAS) en universitarios de Colombia y Ecuador [Factor invariance and reliability of Positive and Negative Affect Sched-ules (PANAS) in university students in Colombia and Ecuador. Anuario de Psicología, 51, 76–85. https://doi.org/10.1344/anpsic....
 
36.
Moreta-Herrera, R., Perdomo-Pérez, M., Vaca-Quintana, D., Sánchez-Vélez, H., Camacho-Bonilla, P., Vásquez de la Bandera, F., Dominguez-Lara, S., & Caycho-Rodríguez, T. (2022). New psychometric evidence of a bifactorial structure of the Emotional Regulation Questionnaire (ERQ) in Ecuadorian college students. Psy-chology in Russia: State of the Art, 15, 120–134. https://doi.org/10.11621/pir.2....
 
37.
Pila, E., Murray, S., Le Grange, D., Sawyer, S., & Hughes, E. (2019). Reciprocal relations between dietary restraint and negative affect in adolescents receiving treatment for anorexia nervosa. Journal of Abnormal Psychology, 128, 129–139. https://doi.org/10.1037/abn000....
 
38.
R Core Team (2019). R: a language and environment for statistical computing. R Foundation for Statistical Compu-ting.
 
39.
Romeo, R. (2017). The impact of stress on the structure of the adolescent brain: Implications for adolescent men-tal health. Brain Research, 1654, 185–191. https://doi.org/10.1016/j.brai....
 
40.
Sagone, E., & De Caroli, M. E. (2014). Relationships between psychological well-being and resilience in middle and late adolescents. Procedia-Social and Behavioral Sciences, 141, 881–887. https://doi.org/10.1016/j.sbsp....
 
41.
Saleh, D., Camart, N., & Romo, L. (2017). Predictors of stress in college students. Frontiers in Psychology, 8, 19. https://doi.org/10.3389/fpsyg.....
 
42.
Sánchez-Vélez, H., & Moreta-Herrera, R. (2022). Miedo y ansiedad al COVID-19, estrés y percepción de salud. Modelo de predicción en pacientes hospitalarios de atención primaria del Ecuador [Fear and anxiety of COVID-19, stress and perception of health. Prediction model in Ecuadorian primary care hospital patients]. Anales de Psicología, 38, 439–447. https://doi.org/10.6018/anales....
 
43.
Sandín, B., Chorot, P., Lostao, L., Joiner, T. E., Santed, M. A., & Valiente, R. M. (1999). Escalas PANAS de afecto positivo y negativo: Validación factorial y convergencia transcultural [PANAS scales of positive and negative affect: Factorial validation and cross-cultural convergence]. Psicothema, 11, 37–51.
 
44.
Schwartz, K. D., Exner-Cortens, D., McMorris, C. A., Makarenko, E., Arnold, P., Van Bavel, M., Williams, S., & Canfield, R. (2021). COVID-19 and student well-being: Stress and mental health during return-to-school. Ca-nadian Journal of School Psychology, 36, 166–185. https://doi.org/10.1177/082957....
 
45.
Taylor, S., Grove, T., Ellingrod, V., & Tso, I. (2019). The fragile brain: Stress vulnerability, negative affect and GA-BAergic neurocircuits in psychosis. Schizophrenia Bulletin, 45, 1170–1183. https://doi.org/10.1093/schbul....
 
46.
Valentine, S., & Shipherd, J. (2018). A systematic review of social stress and mental health among transgender and gender non-conforming people in the United States. Clinical Psychology Review, 66, 24–38. https://doi.org/10.1016/j.cpr.....
 
47.
Watson, D., Clark, L., & Tellegen, A. (1988). Development and validation of brief measures of positive and negative affect: The PANAS scales. Journal of Personality and Social Psychology, 54, 1063–1070. https://doi.org/10.1037/0022-3....
 
48.
Weinstein, E. (2018). The social media see-saw: Positive and negative influences on adolescents’ affective well-being. New Media & Society, 20, 3597–3623. https://doi.org/10.1177/146144....
 
49.
Whitney, D., & Peterson, M. (2019). US national and state-level prevalence of mental health disorders and dispari-ties of mental health care use in children. JAMA Pediatrics, 173, 389–391. https://doi.org/10.1001/jamape....
 
50.
Wolf, E., Harrington, K., Clark, S., & Miller, M. (2013). Sample size requirements for structural equation models: an evaluation of power, bias, and solution propriety. Educational and Psychological Measurement, 73, 913–934. https://doi.org/10.1177/001316....
 
51.
Young, K., Sandman, C., & Craske, M. (2019). Positive and negative emotion regulation in adolescence: Links to anxiety and depression. Brain Sciences, 9, 76. https://doi.org/10.3390/brains....
 
52.
Zhou, S. J., Zhang, L. G., Wang, L. L., Guo, Z. C., Wang, J. Q., Chen, J. C., Liu, M., Chen, X., & Chen, J. X. (2020). Prevalence and socio-demographic correlates of psychological health problems in Chinese adolescents during the outbreak of COVID-19. European Child & Adolescent Psychiatry, 29, 749–758. https://doi.org/10.1007/s00787....
 
53.
Zumba-Tello, D., & Moreta-Herrera, R. (2022). Afectividad, dificultades en la regulación emocional, estrés y salud mental en adolescentes del Ecuador en tiempos de pandemia del COVID-19 [Affectivity, difficulties in emo-tional regulation, stress and mental health in adolescents from Ecuador during the COVID-19 pandemic]. Revista Psicología de la Salud, 10, 116–129. https://doi.org/10.21134/pssa.....
 
Copyright: © Institute of Psychology, University of Gdansk This is an Open Access journal, all articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0) License (https://creativecommons.org/licenses/by-nc-sa/4.0/), allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material, provided the original work is properly cited and states its license.
eISSN:2353-5571
ISSN:2353-4184