{"id":"https://openalex.org/W7204144998","doi":"https://doi.org/10.1038/s41598-026-80098-9","title":"Interpersonal distress mediates and self-efficacy moderates the association between family functioning and anxiety in college students in China","display_name":"Interpersonal distress mediates and self-efficacy moderates the association between family functioning and anxiety in college students in China","publication_year":2026,"publication_date":"2026-11-11","ids":{"openalex":"https://openalex.org/W7204144998","doi":"https://doi.org/10.1038/s41598-026-80098-9"},"language":"en","primary_location":{"id":"doi:10.1038/s41598-026-80098-9","doi":"https://doi.org/10.1038/s41598-026-80098-9","is_oa":true,"landing_page_url":"https://doi.org/10.1038/s41598-026-80098-9","pdf_url":"https://www.nature.com/articles/s41598-026-80098-9_reference.pdf","source":{"id":"https://openalex.org/S196734849","display_name":"Scientific Reports","issn_l":"2045-2322","issn":["2045-2322"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","doaj","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310319908","host_organization_name":"Nature Portfolio","host_organization_lineage":["https://openalex.org/P4310319908","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Nature Portfolio","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Scientific Reports","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://www.nature.com/articles/s41598-026-80098-9_reference.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5055144410","display_name":"Yuanzhi Guo","orcid":"https://orcid.org/0000-0003-4892-1522","observed_orcids":["https://orcid.org/0000-0003-4892-1522"]},"institutions":[{"id":"https://openalex.org/I120825670","display_name":"Yunnan Normal University","ror":"https://ror.org/00sc9n023","country_code":"CN","type":"education","lineage":["https://openalex.org/I120825670"]}],"countries":["CN"],"is_corresponding":true,"raw_author_name":"Guo Yuanzhi","raw_affiliation_strings":["Mental Health Education and Counseling Center, Yunnan Normal University, Kunming, 650500, China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Mental Health Education and Counseling Center, Yunnan Normal University, Kunming, 650500, China","institution_ids":["https://openalex.org/I120825670"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5148039299","display_name":"Zhang Chengju","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4405282135","display_name":"Kunming Preschool Education College","ror":"https://ror.org/05ch39h11","country_code":"CN","type":"education","lineage":["https://openalex.org/I4405282135"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Zhang Chengju","raw_affiliation_strings":["College of Preschool Education, Kunming Preschool Education College, Kunming, 651700, China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"College of Preschool Education, Kunming Preschool Education College, Kunming, 651700, China","institution_ids":["https://openalex.org/I4405282135"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5104252078","display_name":"Yuqi Yao","orcid":"https://orcid.org/0009-0003-4774-2968","observed_orcids":["https://orcid.org/0009-0003-4774-2968"]},"institutions":[{"id":"https://openalex.org/I4405282135","display_name":"Kunming Preschool Education College","ror":"https://ror.org/05ch39h11","country_code":"CN","type":"education","lineage":["https://openalex.org/I4405282135"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Yao Yuqi","raw_affiliation_strings":["College of Preschool Education, Kunming Preschool Education College, Kunming, 651700, China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"College of Preschool Education, Kunming Preschool Education College, Kunming, 651700, China","institution_ids":["https://openalex.org/I4405282135"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5147966560","display_name":"Yang Yupei","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4387155165","display_name":"Henan College of Transportation","ror":"https://ror.org/01gng0007","country_code":"CN","type":"education","lineage":["https://openalex.org/I4387155165"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Yang Yupei","raw_affiliation_strings":["Mental Health Education Center for College Students, Henan College of Transportation, Zhengzhou, 450000, China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Mental Health Education Center for College Students, Henan College of Transportation, Zhengzhou, 450000, China","institution_ids":["https://openalex.org/I4387155165"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5147919476","display_name":"Xiao Tian","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I120825670","display_name":"Yunnan Normal University","ror":"https://ror.org/00sc9n023","country_code":"CN","type":"education","lineage":["https://openalex.org/I120825670"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Xiao Tian","raw_affiliation_strings":["Mental Health Education and Counseling Center, Yunnan Normal University, Kunming, 650500, China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Mental Health Education and Counseling Center, Yunnan Normal University, Kunming, 650500, China","institution_ids":["https://openalex.org/I120825670"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5100376680","display_name":"Hongyan Chen","orcid":"https://orcid.org/0000-0003-2264-3034","observed_orcids":["https://orcid.org/0000-0003-2264-3034"]},"institutions":[{"id":"https://openalex.org/I120825670","display_name":"Yunnan Normal University","ror":"https://ror.org/00sc9n023","country_code":"CN","type":"education","lineage":["https://openalex.org/I120825670"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Chen Hongyan","raw_affiliation_strings":["Mental Health Education and Counseling Center, Yunnan Normal University, Kunming, 650500, China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Mental Health Education and Counseling Center, Yunnan Normal University, Kunming, 650500, China","institution_ids":["https://openalex.org/I120825670"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5101570792","display_name":"Fang Liu","orcid":"https://orcid.org/0000-0002-4646-7875","observed_orcids":["https://orcid.org/0000-0002-4646-7875","https://orcid.org/0000-0002-7611-7876"]},"institutions":[{"id":"https://openalex.org/I120825670","display_name":"Yunnan Normal University","ror":"https://ror.org/00sc9n023","country_code":"CN","type":"education","lineage":["https://openalex.org/I120825670"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Liu Fang","raw_affiliation_strings":["Mental Health Education and Counseling Center, Yunnan Normal University, Kunming, 650500, China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Mental Health Education and Counseling Center, Yunnan Normal University, Kunming, 650500, China","institution_ids":["https://openalex.org/I120825670"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":["https://openalex.org/A5055144410"],"corresponding_institution_ids":["https://openalex.org/I120825670"],"apc_list":{"value":2690,"currency":"USD","value_usd":2690},"apc_paid":{"value":2690,"currency":"USD","value_usd":2690},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T14085","display_name":"Student Stress and Coping","score":0.9423999786376953,"subfield":{"id":"https://openalex.org/subfields/3204","display_name":"Developmental and Educational Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T14085","display_name":"Student Stress and Coping","score":0.9423999786376953,"subfield":{"id":"https://openalex.org/subfields/3204","display_name":"Developmental and Educational Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10853","display_name":"Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes","score":0.03790000081062317,"subfield":{"id":"https://openalex.org/subfields/3205","display_name":"Experimental and Cognitive Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10182","display_name":"Child and Adolescent Psychosocial and Emotional Development","score":0.008700000122189522,"subfield":{"id":"https://openalex.org/subfields/3203","display_name":"Clinical Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/family-functioning","display_name":"family functioning","score":1.0},{"id":"https://openalex.org/keywords/anxiety","display_name":"anxiety","score":0.7440000176429749},{"id":"https://openalex.org/keywords/interpersonal-distress","display_name":"interpersonal distress","score":0.7760000228881836},{"id":"https://openalex.org/keywords/self-efficacy","display_name":"self-efficacy","score":0.9980000257492065},{"id":"https://openalex.org/keywords/college-students","display_name":"university students","score":0.7390000224113464},{"id":"https://openalex.org/keywords/moderated-mediation","display_name":"moderated mediation","score":0.8050000071525574},{"id":"https://openalex.org/keywords/family-dynamics","display_name":"family dynamics","score":0.6830000281333923},{"id":"https://openalex.org/keywords/chinese-students","display_name":"Chinese students","score":0.6460000276565552},{"id":"https://openalex.org/keywords/anxiety-prevention","display_name":"anxiety prevention","score":0.6549999713897705}],"concepts":[{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.7868000268936157},{"id":"https://openalex.org/C558461103","wikidata":"https://www.wikidata.org/wiki/Q154430","display_name":"Anxiety","level":2,"score":0.5985999703407288},{"id":"https://openalex.org/C164850336","wikidata":"https://www.wikidata.org/wiki/Q3685487","display_name":"Interpersonal communication","level":2,"score":0.5586000084877014},{"id":"https://openalex.org/C139265228","wikidata":"https://www.wikidata.org/wiki/Q5283089","display_name":"Distress","level":2,"score":0.5550000071525574},{"id":"https://openalex.org/C70410870","wikidata":"https://www.wikidata.org/wiki/Q199906","display_name":"Clinical psychology","level":1,"score":0.52920001745224},{"id":"https://openalex.org/C179420905","wikidata":"https://www.wikidata.org/wiki/Q223871","display_name":"Mediation","level":2,"score":0.46560001373291016},{"id":"https://openalex.org/C82793941","wikidata":"https://www.wikidata.org/wiki/Q1046024","display_name":"Path analysis (statistics)","level":2,"score":0.445499986410141},{"id":"https://openalex.org/C91034043","wikidata":"https://www.wikidata.org/wiki/Q223642","display_name":"Interpersonal relationship","level":2,"score":0.4056999981403351},{"id":"https://openalex.org/C24614281","wikidata":"https://www.wikidata.org/wiki/Q17086331","display_name":"Moderated mediation","level":2,"score":0.3905999958515167},{"id":"https://openalex.org/C2780665704","wikidata":"https://www.wikidata.org/wiki/Q959298","display_name":"Intervention (counseling)","level":2,"score":0.3603000044822693},{"id":"https://openalex.org/C138496976","wikidata":"https://www.wikidata.org/wiki/Q175002","display_name":"Developmental psychology","level":1,"score":0.3370000123977661},{"id":"https://openalex.org/C2778755073","wikidata":"https://www.wikidata.org/wiki/Q10858537","display_name":"Scale (ratio)","level":2,"score":0.3280999958515167},{"id":"https://openalex.org/C86772948","wikidata":"https://www.wikidata.org/wiki/Q1413287","display_name":"Social skills","level":2,"score":0.326200008392334},{"id":"https://openalex.org/C3020031316","wikidata":"https://www.wikidata.org/wiki/Q6817452","display_name":"Psychological distress","level":3,"score":0.30889999866485596},{"id":"https://openalex.org/C2777545354","wikidata":"https://www.wikidata.org/wiki/Q3557657","display_name":"Social anxiety","level":3,"score":0.30820000171661377},{"id":"https://openalex.org/C71104824","wikidata":"https://www.wikidata.org/wiki/Q1476639","display_name":"Structural equation modeling","level":2,"score":0.30160000920295715},{"id":"https://openalex.org/C46363204","wikidata":"https://www.wikidata.org/wiki/Q7170571","display_name":"Personal distress","level":3,"score":0.2865999937057495},{"id":"https://openalex.org/C53059260","wikidata":"https://www.wikidata.org/wiki/Q374758","display_name":"Multilevel model","level":2,"score":0.2784000039100647}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.1038/s41598-026-80098-9","doi":"https://doi.org/10.1038/s41598-026-80098-9","is_oa":true,"landing_page_url":"https://doi.org/10.1038/s41598-026-80098-9","pdf_url":"https://www.nature.com/articles/s41598-026-80098-9_reference.pdf","source":{"id":"https://openalex.org/S196734849","display_name":"Scientific Reports","issn_l":"2045-2322","issn":["2045-2322"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","doaj","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310319908","host_organization_name":"Nature Portfolio","host_organization_lineage":["https://openalex.org/P4310319908","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Nature Portfolio","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Scientific Reports","raw_type":"journal-article"},{"id":"doi:10.21203/rs.3.rs-10422951/v1","doi":"https://doi.org/10.21203/rs.3.rs-10422951/v1","is_oa":true,"landing_page_url":"https://doi.org/10.21203/rs.3.rs-10422951/v1","pdf_url":"https://www.researchsquare.com/article/rs-10422951/latest.pdf","source":{"id":"https://openalex.org/S4306525896","display_name":"Research Square","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Research Square","raw_type":"posted-content"}],"best_oa_location":{"id":"doi:10.1038/s41598-026-80098-9","doi":"https://doi.org/10.1038/s41598-026-80098-9","is_oa":true,"landing_page_url":"https://doi.org/10.1038/s41598-026-80098-9","pdf_url":"https://www.nature.com/articles/s41598-026-80098-9_reference.pdf","source":{"id":"https://openalex.org/S196734849","display_name":"Scientific Reports","issn_l":"2045-2322","issn":["2045-2322"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","doaj","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310319908","host_organization_name":"Nature Portfolio","host_organization_lineage":["https://openalex.org/P4310319908","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Nature Portfolio","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Scientific Reports","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":0.8199999928474426,"display_name":"Good health and well-being"},{"id":"https://metadata.un.org/sdg/4","score":0.5385000109672546,"display_name":"Quality education"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[{"id":"https://openalex.org/F4320327681","display_name":"Yunnan Normal University","ror":"https://ror.org/00sc9n023"}],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7204144998.pdf","grobid_xml":"https://content.openalex.org/works/W7204144998.grobid-xml"},"referenced_works_count":49,"referenced_works":["https://openalex.org/W1966079923","https://openalex.org/W1969153346","https://openalex.org/W1970165113","https://openalex.org/W1970325005","https://openalex.org/W1970550905","https://openalex.org/W1973678931","https://openalex.org/W1976130246","https://openalex.org/W1992036396","https://openalex.org/W1998614904","https://openalex.org/W2003446212","https://openalex.org/W2006411320","https://openalex.org/W2010396508","https://openalex.org/W2010866424","https://openalex.org/W2012297979","https://openalex.org/W2016780901","https://openalex.org/W2017949252","https://openalex.org/W2024306642","https://openalex.org/W2040777164","https://openalex.org/W2043705607","https://openalex.org/W2071384312","https://openalex.org/W2072500831","https://openalex.org/W2082234728","https://openalex.org/W2085067959","https://openalex.org/W2106096361","https://openalex.org/W2109120348","https://openalex.org/W2109163956","https://openalex.org/W2134049139","https://openalex.org/W2153403719","https://openalex.org/W2170467533","https://openalex.org/W2256253289","https://openalex.org/W2279971152","https://openalex.org/W2743813619","https://openalex.org/W2770627866","https://openalex.org/W2806368475","https://openalex.org/W2938824171","https://openalex.org/W2960575796","https://openalex.org/W3033660958","https://openalex.org/W3129005096","https://openalex.org/W4223967647","https://openalex.org/W4378173562","https://openalex.org/W4388802656","https://openalex.org/W4392641680","https://openalex.org/W4396640608","https://openalex.org/W4399353699","https://openalex.org/W4400673168","https://openalex.org/W4405412088","https://openalex.org/W4409150772","https://openalex.org/W4410775069","https://openalex.org/W4411039892"],"related_works":["https://openalex.org/W7165108976","https://openalex.org/W7140229341","https://openalex.org/W2365514204","https://openalex.org/W4399353699","https://openalex.org/W2801258867","https://openalex.org/W4404489286","https://openalex.org/W3200849146","https://openalex.org/W4414764243","https://openalex.org/W7171658845","https://openalex.org/W4297348615"],"abstract_inverted_index":{"Abstract":[0],"Family":[1],"functioning":[2,32,87,109,165],"has":[3],"been":[4],"consistently":[5],"associated":[6,111],"with":[7,95,112,122,169,234],"anxiety":[8,123],"symptoms":[9],"in":[10,77,241],"college":[11,48],"students,":[12],"yet":[13],"the":[14,28,82,119,138,147,160,170,194,203],"underlying":[15],"associations":[16],"remain":[17],"incompletely":[18],"understood.":[19],"This":[20],"cross-sectional":[21],"study":[22],"examined":[23],"whether":[24,36],"interpersonal":[25,63,114,167,222],"distress":[26,115,134,223],"mediates":[27],"association":[29,121,141,145,162,171,207],"between":[30,85,163],"family":[31,61,86,98,108,139,164,205],"and":[33,35,66,88,97,116,166,184,190,228],"anxiety,":[34,117],"self-efficacy":[37,89,151,174,198,229],"moderates":[38],"this":[39],"indirect":[40,144],"association.":[41],"A":[42,68],"convenience":[43],"sample":[44],"of":[45,60,150],"1,120":[46],"Chinese":[47],"students":[49],"(82.1%":[50],"female;":[51],"mean":[52,148],"age":[53],"=":[54,152,179,214,217],"20.30":[55],"years)":[56],"completed":[57],"self-report":[58],"measures":[59],"functioning,":[62],"distress,":[64,168],"self-efficacy,":[65,192],"anxiety.":[67],"latent":[69,83],"moderated":[70,159,211],"structural":[71],"equations":[72],"(LMS)":[73],"approach":[74],"was":[75,110,124,199,208],"employed":[76],"Mplus":[78],"8.3":[79],"to":[80,127],"estimate":[81],"interaction":[84],"while":[90],"accounting":[91],"for":[92,129,137,237],"measurement":[93],"error,":[94],"gender":[96],"economic":[99],"status":[100],"included":[101],"as":[102,173,224,230],"covariates.":[103],"Results":[104],"indicated":[105],"that":[106],"poorer":[107],"higher":[113],"although":[118],"direct":[120,204],"not":[125,200,209],"robust":[126],"controlling":[128],"common":[130],"method":[131],"variance.":[132],"Interpersonal":[133],"partially":[135],"accounted":[136],"functioning\u2013anxiety":[140,206],"(unstandardized":[142,176],"conditional":[143],"at":[146,187,196],"level":[149],"-0.114,":[153],"95%":[154],"CI":[155],"[-0.160,":[156],"-0.068]).":[157],"Self-efficacy":[158],"first-stage":[161],"weakening":[172],"increased":[175],"simple":[177],"slopes":[178],"\u2212":[180,182,185],"0.255,":[181],"0.164,":[183],"0.074":[186],"low,":[188],"mean,":[189],"high":[191,197],"respectively;":[193],"slope":[195],"significant);":[201],"however,":[202],"significantly":[210],"(":[212],"\u03b2":[213],"0.042,":[215],"p":[216],"0.113).":[218],"These":[219],"findings":[220],"highlight":[221],"a":[225,231],"key":[226],"correlate":[227],"moderating":[232],"factor,":[233],"potential":[235],"implications":[236],"mental":[238],"health":[239],"services":[240],"university":[242],"settings.":[243]},"counts_by_year":[],"updated_date":"2026-11-12T12:28:57.059296","created_date":"2026-08-25T00:00:00"}
