Investigating the Mediating Role of Distress Between Nomophobia and Student Mindfulness: A Cross-Sectional Study
Abstract
1. Introduction
1.1. Conceptual Framework and Hypothesis
1.1.1. Nomophobia and Student Focus
1.1.2. Nomophobia and Distress
1.1.3. Distress and Student Focus
1.1.4. Mediating Role of Distress
1.2. Goals of This Study
2. Materials and Methods
2.1. Research Design
2.2. Sample Size Determination and Power Analysis
2.3. Setting and Participants
2.3.1. Eligibility Criteria
2.3.2. Recruitment and Data Collection Procedure
2.4. Ethical Consideration
2.5. Measures
2.6. Analysis
2.6.1. Rationale for PLS-SEM vs. CB-SEM
2.6.2. Measurement Model Evaluation Criteria
2.6.3. Structural Model Evaluation and Inference
2.6.4. Common Method Bias Checks
2.6.5. Control Variables
2.6.6. Correlations Among Mediators
3. Results
3.1. Demographic Analysis
3.2. Descrptive Statistics
3.3. Convergent Validity and Reliability
3.4. Discriminant Validity and Reliability
3.5. Model Fit
3.6. Hypothesis Testing
4. Discussion
4.1. Summary of Findings
4.2. Comparison with Prior Research
4.3. Theoretical Implications
4.4. Practical Implications
4.5. Limitations and Future Directions
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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Characteristics | Categories | N | % |
---|---|---|---|
Gender | Male | 452 | 62.5% |
Female | 271 | 37.5% | |
Education | Bachelor’s Program | 625 | 86.44% |
Master’s Program | 98 | 13.6% | |
Age (years) | 18–21 | 473 | 65.4% |
22–25 | 116 | 16.0% | |
26–30 | 62 | 8.6% | |
31 and above | 72 | 10.0% | |
Mobile Phone Use (in hours) | 1–2 | 19 | 2.6% |
3–4 | 171 | 23.7% | |
5–6 | 271 | 37.5% | |
7–8 | 262 | 36.2% | |
Living Situation | On-campus hostel | 10 | 1.4% |
Off-campus with family | 586 | 81.1% | |
Off-campus with roommates | 52 | 7.2% | |
Alone | 75 | 10.4% |
Constructs | Mean (M) | SD | Severity Threshold (Cut-Off) | % Above Threshold |
---|---|---|---|---|
Nomophobia (NMP-Q total) | 96.4 | 22.7 | Severe > 100 | 35% |
Depression | 13.8 | 8.2 | Severe ≥ 21 | 18% |
Anxiety | 12.9 | 7.6 | Severe ≥ 15 | 22% |
Stress | 15.5 | 8.9 | Severe ≥ 26 | 14% |
Mindfulness (MAAS) | 3.58 | 0.74 | — | — |
Factors | FL | CA | CR | AVE | Factors | FL | CA | CR | AVE |
---|---|---|---|---|---|---|---|---|---|
Anxiety | 0.915 | 0.919 | 0.662 | Information | 0.871 | 0.893 | 0.719 | ||
ANXI1 | 0.753 | INFO1 | 0.894 | ||||||
ANXI2 | 0.831 | INFO2 | 0.870 | ||||||
ANXI3 | 0.835 | INFO3 | 0.779 | ||||||
ANXI4 | 0.854 | INFO4 | 0.844 | ||||||
ANXI5 | 0.834 | Mindfulness | 0.979 | 0.980 | 0.774 | ||||
ANXI6 | 0.797 | MIND1 | 0.826 | ||||||
ANXI7 | 0.784 | MIND10 | 0.894 | ||||||
Communication | 0.878 | 0.908 | 0.612 | MIND11 | 0.846 | ||||
COMM1 | 0.799 | MIND12 | 0.898 | ||||||
COMM2 | 0.819 | MIND13 | 0.916 | ||||||
COMM3 | 0.702 | MIND14 | 0.878 | ||||||
COMM4 | 0.826 | MIND15 | 0.916 | ||||||
COMM5 | 0.722 | MIND2 | 0.868 | ||||||
COMM6 | 0.817 | MIND3 | 0.874 | ||||||
Connectedness | 0.887 | 0.949 | 0.687 | MIND4 | 0.881 | ||||
CONN1 | 0.814 | MIND5 | 0.875 | ||||||
CONN2 | 0.849 | MIND6 | 0.873 | ||||||
CONN3 | 0.903 | MIND7 | 0.885 | ||||||
CONN4 | 0.74 | MIND8 | 0.889 | ||||||
CONN5 | 0.831 | MIND9 | 0.87 | ||||||
Convenience | 0.870 | 0.888 | 0.656 | Stress | 0.886 | 0.898 | 0.594 | ||
CONV1 | 0.767 | STRS1 | 0.722 | ||||||
CONV2 | 0.815 | STRS2 | 0.788 | ||||||
CONV3 | 0.87 | STRS3 | 0.819 | ||||||
CONV4 | 0.796 | STRS4 | 0.828 | ||||||
CONV5 | 0.799 | STRS5 | 0.807 | ||||||
Depression | 0.886 | 0.889 | 0.595 | STRS6 | 0.695 | ||||
DEPR1 | 0.74 | STRS7 | 0.723 | ||||||
DEPR2 | 0.805 | ||||||||
DEPR3 | 0.787 | ||||||||
DEPR4 | 0.78 | ||||||||
DEPR5 | 0.81 | ||||||||
DEPR6 | 0.715 | ||||||||
DEPR7 | 0.76 |
ANXI | COMM | CONN | CONV | DEPR | INFO | MIND | STRS | |
---|---|---|---|---|---|---|---|---|
ANXI | ||||||||
COMM | 0.225 | |||||||
CONN | 0.248 | 0.678 | ||||||
CONV | 0.313 | 0.654 | 0.786 | |||||
DEPR | 0.786 | 0.251 | 0.339 | 0.330 | ||||
INFO | 0.301 | 0.637 | 0.815 | 0.820 | 0.318 | |||
MIND | 0.369 | 0.119 | 0.149 | 0.232 | 0.456 | 0.191 | ||
STRS | 0.880 | 0.189 | 0.211 | 0.313 | 0.795 | 0.265 | 0.407 |
ANXI | COMM | CONN | CONV | DEPR | INFO | MIND | STRS | |
---|---|---|---|---|---|---|---|---|
ANXI | 0.813 | |||||||
COMM | 0.219 | 0.782 | ||||||
CONN | 0.231 | 0.592 | 0.829 | |||||
CONV | 0.277 | 0.562 | 0.676 | 0.810 | ||||
DEPR | 0.714 | 0.228 | 0.304 | 0.288 | 0.772 | |||
INFO | 0.271 | 0.537 | 0.720 | 0.761 | 0.275 | 0.848 | ||
MIND | −0.359 | −0.126 | −0.148 | −0.222 | −0.428 | −0.183 | 0.880 | |
STRS | 0.800 | 0.173 | 0.189 | 0.270 | 0.704 | 0.230 | −0.391 | 0.771 |
Saturated Model | Estimated Model | |
---|---|---|
SRMR | 0.052 | 0.052 |
d_ULS | 4.272 | 4.272 |
d_G | 1.586 | 1.586 |
Chi-square | 6084.242 | 6084.242 |
NFI | 0.890 | 0.890 |
# | Coefficients | p Values | 95% CI | Decision |
---|---|---|---|---|
Direct Impacts | ||||
Nomophobia → Mindfulness | −0.052 | 0.168 | [−0.12, 0.03] | H1 Rejected |
Nomophobia → Depression | 0.327 | 0.000 | [0.25, 0.41] | H2a Accepted |
Nomophobia → Anxiety | 0.294 | 0.000 | [0.20, 0.38] | H2b Accepted |
Nomophobia → Stress | 0.259 | 0.000 | [0.15, 0.35] | H2c Accepted |
Depression → Mindfulness | −0.293 | 0.000 | [−0.37, −0.21] | H3a Accepted |
Anxiety → Mindfulness | 0.006 | 0.933 | [−0.09, 0.10] | H3b Rejected |
Stress → Mindfulness | −0.173 | 0.011 | [−0.30, −0.04] | H3c Accepted |
Indirect Impacts | ||||
Nomophobia → Depression → Mindfulness | −0.096 | 0.000 | [−0.14, −0.06] | H4a Accepted |
Nomophobia → Anxiety → Mindfulness | 0.002 | 0.934 | [−0.04, 0.05] | H4b Rejected |
Nomophobia → Stress → Mindfulness | −0.045 | 0.020 | [−0.08, −0.01] | H4c Accepted |
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Alnasser, B.; Kumar, R. Investigating the Mediating Role of Distress Between Nomophobia and Student Mindfulness: A Cross-Sectional Study. Healthcare 2025, 13, 2512. https://doi.org/10.3390/healthcare13192512
Alnasser B, Kumar R. Investigating the Mediating Role of Distress Between Nomophobia and Student Mindfulness: A Cross-Sectional Study. Healthcare. 2025; 13(19):2512. https://doi.org/10.3390/healthcare13192512
Chicago/Turabian StyleAlnasser, Badr, and Rakesh Kumar. 2025. "Investigating the Mediating Role of Distress Between Nomophobia and Student Mindfulness: A Cross-Sectional Study" Healthcare 13, no. 19: 2512. https://doi.org/10.3390/healthcare13192512
APA StyleAlnasser, B., & Kumar, R. (2025). Investigating the Mediating Role of Distress Between Nomophobia and Student Mindfulness: A Cross-Sectional Study. Healthcare, 13(19), 2512. https://doi.org/10.3390/healthcare13192512