ArticleEuropean journal of investigation in health, psychology and education2025
Sleep Disturbance as a Mediator Between Problematic Social Media Use and Depressive Symptoms Among Mexican Undergraduate Nursing Students: A Multicenter Study.
Article in European journal of investigation in health, psychology and education, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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Who cites it
1 citing paper in PubMed.
- Exposure to Conflict-Related News and Psychological Distress Among Nursing Students: The Mediating Role of Sleep Difficulties and Study Disruption.Healthcare (Basel, Switzerland) · 2026Article
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9 authors.
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Abstract
backgroundSocial media addiction is a growing concern among undergraduates, with nursing students particularly vulnerable as their stressful academic and clinical context may promote excessive use, impaired sleep, and higher depression risk. Therefore, we aimed to evaluate whether sleep disturbance mediates the association between problematic social media use and symptoms of depression among nursing students in Mexico.
methodsWe conducted a multicenter, cross-sectional, analytical study using a random sample of 638 nursing students from three Mexican public universities. Between August and December 2024, participants completed validated scales for social media addiction, sleep quality, and depression. Counterfactual causal mediation analysis was performed using logistic regression with robust errors.
resultsSleep disturbance affected 51.7% of students, and 27.5% reported depression. Social media addiction showed a dose-response association with both outcomes. Mediation analysis revealed a total effect on depression (OR = 2.19; 95% CI = 1.45-3.30) and an indirect effect via sleep disturbance (OR = 1.22; 95% CI = 1.01-1.38), explaining 31.4% of the effect.
conclusionsSleep disturbance partially mediates this association. Interventions addressing digital behavior and sleep hygiene may improve mental health in nursing students.
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