In the present study, a short instrument (eight-item self-report, five-point Likert scales) was developed and validated to assess self-perceived mental health problems in online learning. The participants were 398 Romanian university students from nine different faculties. The factor structure of the scale was assessed using Exploratory Factor Analysis (Principal Axis Factoring extraction method) and Confirmatory Factor Analysis. The high goodness-of-fit indices validated a second-order factor model of mental health problems, with two distinct but correlated sub-constructs, psychological distress, and online academic difficulties, integrated under a single higher-level factor. Psychological distress comprises indicators such as anxiety and stress, while online academic difficulties contain, for instance, indicators such as decreased performance, fatigue or lack of motivation. The results of applying multiple assessment criteria showed good reliability (e.g., McDonald's omega), as well as convergent validity (e.g., Average Variance Extracted) and discriminant validity (e.g., the heterotrait-monotrait ratio of correlations) of the scale. Also, correlations analysis between mental health problems occurred in online learning context and other measures indicated a strong negative relation with online course satisfaction and weak negative relations with subjective academic performance, perceived social competence, and perceived digital competence. In conclusion, the scale appears to be a valid instrument for measuring some negative mental health outcomes in online learning, perceived by university students. The implications of the results and limitations of this study are also discussed. In conclusion, the scale has multiple possible applications, the most important being (1) the assessment of mental health problems both in ordinary online learning situations and in emergency ones, which would allow the early detection of these issues, (2) the possibility of assessing relations between the sub-constructs of the scale and other psychological constructs of interest in scientific research, and (3) the feedback for teaching staff involved in the online learning system.
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http://dx.doi.org/10.3390/bs15010026 | DOI Listing |
HIV Res Clin Pract
December 2025
Division of Infectious Diseases and Global Public Health, School of Medicine, University of California San Diego (UCSD), La Jolla, CA, USA.
Background: HIV remains a major challenge in KwaZulu-Natal, South Africa, particularly for young women who face disproportionate risks and barriers to prevention and treatment. Most HIV cure trials, however, occur in high-income countries.
Objective: To examine the perspectives of young women diagnosed with acute HIV in a longitudinal study, focusing on their perceptions on ATI-inclusive HIV cure trials and the barriers and facilitators to participation.
J Clin Sleep Med
January 2025
Univ. Bordeaux, CNRS, SANPSY, UMR 6033, F-33000 Bordeaux, France.
Study Objectives: Both the (ICSD) and the sleep-wake disorders section of the (DSM) emphasize the importance of clinical judgment in distinguishing the normal from the pathological in sleep medicine. The fourth edition of the DSM (DSM-IV, 1994) introduced the clinical significance criterion (CSC) to standardize this judgment and enhance diagnostic reliability.
Methods: This review conducts a theoretical and historical content analysis of CSC presence, frequency, and formulation in the diagnostic criteria of sleep disorders.
Autism
January 2025
Indiana State Department of Corrections, USA.
In the United States, the COVID-19 Pandemic caused many autistic adults to be fearful and worried about their health. There is a lot of research that says that when autistic adults experience health distress it can worsen their mental health. We do not know, however, what might explain how experiencing health distress negatively affects mental health.
View Article and Find Full Text PDFStress
December 2025
Division of General Internal Medicine, Mayo Clinic, Jacksonville, Florida, USA.
In the current age of technological advancement, stress has emerged as a silent pandemic affecting individuals, especially young generations, globally. Factors such as increased competition, social pressures fueled by social media and smartphones, and a sense of diminished control in the face of modern challenges contribute to rising stress levels. In addition to the negative implications on mental well-being, stress affects physiological processes such as the menstrual cycle.
View Article and Find Full Text PDFMed Educ Online
December 2025
Computer Science and Information Engineering, National Central University, Taoyuan, Taiwan.
Background: Medical Humanities (MH) curricula integrate humanities disciplines into medical education to nurture essential qualities in future physicians. However, the impact of MH on clinical competencies during formative training phases remains underexplored. This study aimed to determine the influence of MH curricula on internship performance.
View Article and Find Full Text PDFEnter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!