Moderation Analyses Research Articles

Breaking the Loop: A Meta‐Analysis on the Bidirectional Effects of Materialism on Social Well‐Being Outlining Future Research Directions

ABSTRACTThis meta‐analysis examines correlational and experimental research linking materialism—broadly understood as an excessive focus on acquiring wealth and possessions that convey status—and social well‐being—characterised by healthy interpersonal relationships and a sense of social support and integration. We identified 55 reports containing 72 independent studies and 123 effect sizes (N = 44,376). Meta‐analytic calculations yielded a pooled effect of r = −0.18, suggesting that the effects of materialism on social well‐being (e.g., loneliness or relationship satisfaction) may be greater than the effects of materialism on individual well‐being (e.g., self‐esteem or life satisfaction). Moderation analyses revealed that the effects are bi‐directional, consistent across genders and cultures and significantly stronger in children and adolescents. These findings emphasise the universal and reciprocal link between materialism and social well‐being and highlight the particular vulnerability of younger populations. Based on the results, we propose suggestions for further research to address the existing gaps and strengthen the current evidence, and recommend a sample size of 240 participants for correlational studies and 50 participants per group for experimental research. This work calls for targeted interventions and policies to tackle the adverse social effects of materialism, particularly among young populations.

A Sibling's Intuition: The Role of Sibling Approval for Romantic Relationships

Research has shown that family and peer relationships have an impact on the stability and quality of one's romantic relationships. According to family systems theory, family dyads are likely to impact the stability of romantic dyads within a system. Yet, little is known if and how one's sibling will impact the development and maintenance of that relationship. Therefore, the goal of this study is to understand how approval of a sibling's romantic relationship impacts the quality of that relationship. Participants ( N = 168) and their siblings ( N = 118) were recruited to participate in an online survey, which included questions regarding their current and previous romantic relationships, if applicable, their relationship with their sibling, and their approval of their sibling's previous and/or current relationship(s). Data was analyzed using moderation analyses and actor–partner interdependence models. Although regression results showed no effects of sibling approval for relationship quality for either current or past relationships, the path analyses revealed that when participants approved their siblings’ relationship, the satisfaction increased, but when the siblings approved of the participant's relationship, the satisfaction trended downward. Path analyses also showed that approval did not predict the satisfaction of either participant's or sibling's last relationship. In both models, sibling and participant approval significantly predicted each other. Last, sibling closeness was not found to moderate any of these relationships. These results show that sibling approval plays a role in romantic relationships, but the impacts vary depending on relationship context.

Applying the Theory of Planned Behavior in Sexuality Education: Educators’ Behavioral Intentions Toward Sexuality Issues

Grounded on Ajzen’s theory of planned behavior (1991), the current project in two studies (N = 402) examined Greek and Spanish pre-service early childhood educators’ behavioral intentions (i.e., approach and avoidance intentions) toward young children’s sexual curiosities. Specifically, the current research project aimed to examine whether Greek and Spanish pre-service early childhood educators’ views on sexuality education were linked to their behavioral intentions toward children’s sexual curiosities. The current research also examined whether conservative ideology (religiosity and right-wing political orientation) moderates the link between educators’ views and their behavioral intentions. This study’s findings showed that educators’ views influence their behavioral intentions toward children’s curiosity about sexual issues. In addition, moderation analysis showed religiosity’s role in avoidance intention. This result provides evidence that there are theoretical and empirical grounds to assume that conservative worldviews (i.e., religiosity) significantly influence behavioral intentions concerning sexuality education. The theory of planned behavior not only represents the factors influencing intention but also provides an opportunity to comprehend the impacts of contextual and individual background elements that may be relevant to a particular behavior.

Sense of belongingness, discrimination, and mental health: Associations and buffering effects of sense of belonging on mental health among Finnish native and immigrant-origin youth

A sense of belonging is crucial for mental health and well-being, but immigrants may find achieving a sense of belonging elusive. This study examined the relationship between sense of belonging and mental health among Finnish native, and first- and second-generation immigrant adolescents (N = 61 540) in Finland. Moreover, we estimated whether sense of belonging buffered the negative effect of experienced discrimination on mental health. Immigrants were split into two groups based on their countries of origin: Iraq, Iran, Somalia, and Afghanistan (MENAP, predominantly forced migration), and to immigrant adolescents from other countries (OCO, predominantly voluntary migration). Using structural equation modelling, we estimated the association of sense of belonging with symptoms of depression, generalized anxiety, and positive mental well-being. Finally, we conducted moderation analyses to estimate whether sense of belonging mitigated the negative effect of discrimination on mental health. Our findings revealed a strong negative link between sense of belonging and symptoms of depression, and anxiety, particularly among first-generation MENAP youth. The positive relation of sense of belonging with mental well-being was weaker among all groups, especially among first-generation. Importantly, sense of belonging buffered the negative effect of discrimination on mental health, mostly with similar estimates across groups. We discuss the possible reasons explaining the group differences and present possible actions needed for schools and mental health services in addressing the needs of immigrant youth.

Association between obesogenic environments and childhood overweight/obesity across the United States: Differences by rurality.

Childhood obesity is more prevalent in rural compared to urban communities and may be related to urban-rural differences in environmental factors known to affect obesity. However, understanding of how environmental factors impact childhood obesity in rural settings remains limited. This study aimed to address this gap by exploring the relationship between obesogenic environments and childhood overweight/obesity rates, including variations across the urban-rural continuum. This study analyzed data for counties in the United States (N = 3140). Linear regression models were employed to examine the relationship between the Childhood Obesogenic Environment Index, which consisted of ten variables from a variety of sources associated with physical activity and healthy eating, and childhood overweight/obesity rates estimates derived from the 2016 National Survey of Children's Health. County rurality was categorized using Rural-Urban Continuum Codes and a moderation analysis was conducted to identify potential variations by rurality. There was a significant positive association between the COEI and childhood overweight/obesity rates nationally, with notable variations across the urban-rural continuum for specific index components. Neighborhood walkability showed a significant positive association across rurality, indicating that childhood overweight/obesity rates were higher in less walkable communities. Full-service restaurants exhibited an inverse relationship with childhood overweight/obesity rates across all RUCC levels. These results underscore the obesogenic environmental factors associated with childhood overweight/obesity rates nationally and how they vary across the urban-rural continuum. This study highlights the importance of considering these variations when designing interventions to address childhood obesity.

The Impact of Board Gender and Nationality Diversity on Corporate Human Rights Performance in Different Institutional Contexts

ABSTRACTResearch Question/IssueThe duty of businesses to observe human rights (HR) is garnering great interest among corporations, researchers, and policymakers. However, little is known yet about the organizational drivers that make firms pursue higher levels of corporate human rights performance (CHRP). In an attempt to fill this gap, we present the first global study on the influence that board gender and nationality diversity have on CHRP.Research Findings/InsightsWe evaluate panel data of 548 companies worldwide from 2012 to 2021 by using the two‐step system generalized method of moments (GMM) and a moderation analysis. Our results show that board gender diversity has a positive effect on CHRP, but this impact is weaker in institutional settings where patriarchal stances prevail. We also find that board nationality diversity affects CHRP positively only in firms from countries with a network‐oriented approach toward corporate governance.Theoretical/Academic ImplicationsThese findings help to further differentiate CHRP drivers from generic sustainability antecedents and uncover the relevance of adopting an institutional lens when delving into the rationale of CHRP. In this regard, we make a call for future analyses in this field to acknowledge national gender equality levels and societies' corporate governance orientation as potential boundary conditions.Practitioner/Policy ImplicationsOur results may guide companies on how to reduce corporate risks associated with HR violations by incorporating women and foreigners on their boards. They may also encourage businesses and policymakers to boost gender equality both on corporate boards and within societal values as both these aspects may be key for safeguarding HR internationally.

Corporate Philanthropy and Corporate Reputation During a Global Health Crisis

The aim of the study is to examine the nexus between corporate philanthropy (CP) and corporate reputation (CR) from the perspective of a global health emergency, cultural orientation, and African context. The study adopted a cross-sectional survey design. A purposive sampling procedure was adopted in the selection of 200 respondents and data were collected from the 200 respondents (Recipients of palliatives) through a structured questionnaire. Considering organizations as the unit of analysis, the data were aggregated, averaged and analyzed through paired (dependent-sample) t-tests, multivariate regression and moderation analysis. The results demonstrate that corporate philanthropy before and during the pandemic had a positive effect on corporate reputation, there was a significant difference in the perceived corporate reputation before and during the COVID-19 pandemic while cultural orientation and COVID-19 health crisis orientation moderated the relationship between CP and CR during the pandemic. This study is the first of its kind to empirical examine the link between CP and CR from the lens of cultural milieu, global health emergency of COVID-19 and in African context. The study contributed to management theory and practice through critical findings from the dimension of a global health crisis.

The link between digital gaming and creativity: a meta analysis

ABSTRACT This study explored the relationship between digital gaming and creativity by conducting a meta-analysis of effect sizes using data from 78 effect sizes in 19 studies encompassing 3,172 samples. We employed a two-level multivariate model with a robust variance estimator and conducted separate analyses for between-subject and within-subject designs. For the between-subject designs, the mean effect size was r = .109, 95% [−0.036, 0.249], indicating non-significance. We conducted moderator analyses to explore potential sources of variation in the observed effects, including creativity test modality, creativity test type, divergent thinking index, analytical approach, age, gender, and year of publication. None of the examined moderators were found to be statistically significant. In contrast, we observed a significant mean effect size for within-subject designs based on 29 effects from seven studies (r = .772, 95% CI [0.595, 0.878]). Variation in mean effects by study design warrants caution when making inferences about the impact of digital gaming on creativity. The implications and limitations of the findings are discussed.

Modelling the effects of the reading medium on L2 Spanish reading emotions: The moderating role of individual difference variables

While existing research has documented that the reading medium significantly impacts language learners’ reading comprehension processes and outcomes, empirical evidence on how the reading medium influences reading emotions is lacking. The present study contributes to the field by investigating whether reading emotions (i.e. enjoyment, anxiety, and boredom) of learners of Spanish as a second language (L2) differ between mobile-assisted and paper-based reading processes. In addition, it explores whether individual difference variables (i.e. L2 Spanish proficiency and preferences for the reading medium) moderate the relationship between the reading medium and reading emotions. The instruments used are reading comprehension tests and questionnaire surveys administered to a sample of 245 first-year college students majoring in Spanish. Paired samples t-tests indicate that L2 Spanish learners perceive more enjoyment and less negative emotions when reading from a paper-based format than those from a mobile-assisted mode. In addition, moderation analyses indicate that both L2 Spanish proficiency and preferences for the medium are moderators of the relationships between the medium and reading emotions. More proficient L2 Spanish readers perceive more enjoyment and less anxiety and boredom when reading from paper than those from mobile phones; less proficient L2 readers demonstrate the opposite pattern. Students’ preference for mobile-assisted language reading would significantly enhance their reading enjoyment while reducing reading anxiety and boredom when they engage in such a type of reading mode. These results imply that individual differences are crucial factors in shaping students’ emotions across different reading modes. Reasons for differences in reading emotions across mediums and the moderating roles of individual variables are discussed.

The association of resilience with HbA1c and key psychosocial factors in emerging adults with type 1 diabetes.

Emerging adults (EAs) with type 1 diabetes (T1D) have difficulty meeting glycemic targets and have a high prevalence of mental health comorbidities. Resilience, the ability to harness resources needed to sustain one's emotional and physical well-being, may be a key factor impacting poor mental health and glycemic outcomes. We aimed to (a) evaluate the association between resilience, HbA1c, and key psychosocial factors and (b) explore whether resilience moderates the relationship between psychosocial factors (depression, diabetes-related distress, anxiety) and HbA1c in EAs with T1D. EAs with T1D (N = 233) (mean age = 19.9 years (SD = 1.6), range 16.8-24.7) seen at an EA-specific diabetes clinic completed resilience, diabetes-related distress, depression, and anxiety measures and had their HbA1c level evaluated. We used linear regression models and conducted moderation analyses for the resilience factor. Resilience was strongly associated with HbA1c, depression, diabetes-related distress, and anxiety in EAs with T1D. We did not find evidence that resilience moderates the relationship between depression, anxiety, or diabetes-related distress and HbA1c. This study found that resilience is a highly relevant psychological factor associated with HbA1c and a key mental health factor for EAs with T1D. Novel interventions are needed to ameliorate high diabetes-related distress and HbA1c, and bolstering resilience may be one avenue to explore. Future research on resilience should longitudinally characterize and evaluate whether resilience may be a mechanism underlying the relationship between poor psychosocial outcomes and not meeting glycemic targets in EAs with T1D.

ADHD and Risk of Precocious Puberty: Considering the Impact of MPH.

The complex association between attention-deficit/hyperactivity disorder (ADHD) and methylphenidate (MPH) with precocious puberty (PP) is still unclear. This study aims to investigate the association between ADHD, MPH, and PP. This is a nationwide cohort study including a total of 3,342,077 individuals, 186,681 with ADHD and 3,155,396 without. First, we compared the risk of PP between ADHD cases and non-ADHD cases. Second, we compared the risk of PP between MPH users and non-MPH users in patients with ADHD. Patients with ADHD were at a greater risk of PP (adjusted hazard ratio [aHR], 2.01 [95% CI, 1.91-2.11]). In our moderation analyses, the female gender was a positive additive effect modifier of the association between ADHD and PP, whereas tics and intellectual disability were negative effect modifiers. In patients with ADHD, MPH users had a significantly lower risk of PP (aHR, 0.63 [95% CI 0.57-0.70]), and females had a negative effect modification on the association between MPH and PP. Our study found that children with ADHD were at a greater risk of PP. Girls with ADHD were a group particularly vulnerable to PP. Comorbid tics or intellectual disability was associated with a lower risk of PP. Among patients with ADHD, MPH was protective against PP, especially in girls. However, these preliminary results need further validation due to the nature of them being from an electronic database study. Unmeasured confounding factors might affect the association between MPH and PP.

Role of distress tolerance, meaning in life and social support in the relationship between posttraumatic stress symptoms (PTSS) and posttraumatic growth (PTG) among Nigerian cancer patients

We examined the moderating roles of distress tolerance, meaning in life, and social support in the relationship between posttraumatic stress disorder (PTSD) and posttraumatic growth (PTG) among cancer patients. Participants included 301 cancer outpatients randomly selected from the oncology unit of a tertiary healthcare institution in Nigeria (female = 60.1%%; age range = 21 to 85 years, mean age = 52.30 years, SD = 12.64 years). They completed self-report measures on distress tolerance, meaning in life, social support, posttraumatic stress symptoms (PTSS), and PTG. Following series of moderation analysis using Hayes PROCESS macro for SPSS Model 1, results showed that higher PTSS was associated with lower PTG at low and moderate, but not at high levels of distress tolerance. Moreover, meaning in life and social support moderators the PTSS and PTG relationship for higher PTG. Therefore, intervention programmes to promote PTG among cancer patients should consider meaning in life, and social support for their protective potentials in improving positive posttraumatic outcome and recovery with distress tolerance.

Investigating inequalities in patient outcomes for first-episode psychosis.

Understanding inequalities in outcomes between demographic groups is a necessary step in addressing them in clinical care. Inequalities in treatment uptake between demographic groups may explain disparities in outcomes in people with first-episode psychosis (FEP). To investigate disparities between broad demographic groups in symptomatic improvement in patients with FEP and their relationship to treatment uptake. We used data from 6813 patients from the 2021-2022 National Clinical Audit of Psychosis data-set. Data were grouped by category type to obtain mean outcomes before adjustment to see whether disparities in outcomes remained after differences in treatment uptake had been accounted for. After matching, the average effect of each demographic variable in terms of outcome change was calculated. Moderator effects on specific treatments were investigated using interaction terms in a regression model. Observational results showed that patients aged 18-24 years were less likely to improve in outcome, unless adjusted for intervention uptake. Patients classified as Black and Black British were less likely to improve in outcome (moderation effect 0.04, 95% CI 0-0.07) after adjusting for treatment take-up and demographic factors. Regression analysis showed the general positive effect of supported employment interventions in improving outcomes (coefficient -0.13, 95% CI -0.07 to -0.18, P < 0.001), and moderator analysis suggested targeting particular groups for interventions. Inequalities in treatment uptake and psychotic symptom outcome of FEP by social and demographic factors require monitoring over time. Our analysis provides a framework for monitoring health inequalities across national clinical audits in the UK.

The multilevel determinants of overlapping membership on board committees: Evidence from Chinese banks

This study manually collects data on 4090 board committee members from 36 listed banks in 11 regions of China from 2007 to 2020, uses a hierarchical linear model, and integrates institutional and resource dependence theories to examine the multilevel determinants of overlapping membership on board committees. The results show that low legalization and the absence of chief risk officers promote overlapping membership on board committees. Directors who have financial expertise, are shorter-tenured, and do not have social relationships with senior leaders sit on more board committees. Further analysis shows that information and resource needs are more likely to drive overlapping membership on board monitoring committees, and independent directors with lower information acquisition costs sit on more board committees. The moderating analysis between multilevel factors shows that legalization and the presence of chief risk officers substitute for, while religion and board interlocks complement director-level information and resource needs.

Satisfaction with perinatal care providers and the childbirth experience: the moderating role of body mass index

BackgroundSatisfaction with birth and healthcare provider experiences have long-term effects for maternal health. Research has shown that mothers who report more trust, respect, and self-efficacy in their relationship with their healthcare providers are more likely to report positive birthing experiences. Further, individuals with obesity, including pregnant mothers, are more likely to experience weight-related stigma from healthcare providers which may negatively impact satisfaction with this relationship. Thus, the current study examines maternal pre-pregnancy body mass index (BMI) as a moderator between birth and provider satisfaction.MethodsA sample of 94 women (ages 16–38) were recruited during pregnancy. Participants completed surveys about their satisfaction with their birth experience, provider satisfaction, height, weight, and demographics including age and education. A moderation analysis was used to examine pre-pregnancy BMI as a moderator between birth and provider satisfaction.ResultsResults show that provider satisfaction is positively associated with birth satisfaction among mothers with moderate (overweight) to high (obese) pre-pregnancy BMI scores in our sample.ConclusionsFindings suggest that strengthening the patient-provider relationship may promote satisfaction with birth experiences.

On the Equivalence Test and Sample Size Procedures for Simple Linear Regressions with Applications to ANCOVA and Moderation Analysis

On the Equivalence Test and Sample Size Procedures for Simple Linear Regressions with Applications to ANCOVA and Moderation Analysis

Examining the Relationship Between Internet Use and Depressive Symptoms Among Older Adults: Analyses of Mediators and Moderators

ABSTRACT Objectives The study aimed to investigate the influence mechanism underlying the relationship between Internet use and depressive symptoms in Chinese older adults. Methods Data were derived from the 2018 wave of China Longitudinal Aging Social Survey. Mediation and moderation analyses were conducted using Ordinary list squares (OLS) regression analysis. To address potential endogenous issues, we employed the Propensity Score Matching (PSM) method to explore the association between Internet use and depressive symptoms. Results Our findings indicate that Internet use can significantly reduce depressive symptoms and enhance mental health of older adults. Loneliness mediated the relationship between Internet use and depressive symptoms among older adults, while socioeconomic status (SES) moderated this relationship. Furthermore, the four purposes of Internet use, namely online chatting, information searching, recreational activities, consumption and investment, were negatively associated with loneliness and depressive symptoms among older adults. Conclusions The findings emphasize the positive effects of Internet use on the mental health outcomes of older adults. Clinical Implications The proper use of the Internet possesses considerable promise for clinical rehabilitation, targeting the enhancement of the mental health outcomes of older adults during their later life.

Suicidal Thoughts and Behaviors Among Autistic Transgender or Gender-Nonconforming US College Students

Suicide risk is a global public health crisis, with suicide ranking as a consistent leading cause of death among adults in the US. Autistic individuals and transgender or gender-nonconforming (TGNC) individuals represent populations with notably elevated rates of suicidal thoughts and behaviors (STBs). To characterize suicidal thoughts and behaviors among TGNC and autistic individuals, using a large, nationally representative sample. This study is a secondary analysis of cross-sectional data from students at colleges and universities throughout the US who participated in the American College Health Association National College Health Assessment from 2019 to 2023. Autistic and TGNC identities were self-reported by participants. The frequency of intersectionality of autism and TGNC identities and whether those who had intersectional marginalized identities had increased likelihood of STBs were examined. STBs were self-reported by participants. A series of moderated regression analyses were performed to examine how the interaction between autism and possessing a marginalized gender identity (ie, TGNC status) was associated with STBs. The sample included 41 507 college students with a mean (SD) age of 23.35 (6.83) years. A total of 2410 participants (5.81%) identified as being TGNC. Overall, 326 TGNC participants (13.53%) also identified as autistic, whereas 625 of those who identified as cisgender (1.58%) also identified as autistic. Gender identity and autism were associated with greater odds of STBs. For suicidal ideation, gender identity had an odds ratio (OR) of 3.34 (95% CI, 2.99-3.73), and autism had an OR of 2.06 (95% CI, 1.76-2.42). For suicide attempts, gender identity had an OR of 2.74 (95% CI, 2.13-3.52), and autism had an OR of 2.39 (95% CI, 1.62-3.52). A significant interaction existed for attempts (OR, 0.51; 95% CI, 0.27-0.97); nonautistic cisgender individuals had the lowest attempt rate. This cross-sectional study addresses the dearth of information on how intersectionality in gender and autism status impacts the risk of STBs, and the results confirm the elevated risk of STBs among TGNC and autistic populations. Interventions are needed to support college students with these identities.

Mlambe economic and relationship-strengthening intervention for alcohol use decreases violence and improves relationship quality in couples living with HIV in Malawi

IntroductionA syndemic of unhealthy alcohol use, intimate partner violence (IPV), and economic insecurity threatens to derail progress towards UNAIDS 95-95-95 targets in sub-Saharan Africa. We developed a combined economic and relationship-strengthening intervention called Mlambe to reduce unhealthy alcohol use and increase adherence to antiretroviral therapy for couples in Malawi. This study evaluates the additional impact of Mlambe on IPV and relationship dynamics. MethodsIn a pilot randomized controlled trial, 78 married couples (156 individuals) living with HIV and reporting unhealthy alcohol use based on the AUDIT-C (at least one partner) were recruited from HIV care clinics in Zomba, Malawi. The intervention arm (39 couples) received a 10-month program consisting of incentivized savings accounts with financial literacy education, relationship education, and couples counseling sessions to build relationship skills. The control arm (39 couples) received enhanced usual care (EUC) with brief alcohol counseling. We used linear mixed-effects models to assess the effects of Mlambe on relationship quality (e.g., constructive communication, unity, sexual satisfaction) and IPV (physical, sexual, and emotional) by including fixed effects for treatment arm and a random effect for dyad, and tested whether effects on IPV and relationship quality differed by gender. ResultsAt 10- and 15-month follow-up visits, couples in the Mlambe arm showed greater increases in couple communication, unity, sexual satisfaction, intimacy, and trust (Cohen's d ranged from 0.36 to 0.56; p < 0.05) as compared to EUC. Couples in the Mlambe arm also showed significant decreases in physical and emotional IPV (Cohen's d ranged from 0.33 to 0.49; p < 0.05) as compared to EUC. Subsequent moderation analyses indicated that women reported significantly greater improvements in relationship quality than men, except for sexual satisfaction (p < 0.05), and greater declines in physical IPV than men (p < 0.05). ConclusionsMlambe resulted in significant improvements in relationship quality and decreased IPV in couples, particularly for women who as a group reported lower relationship quality at baseline. Economic and relationship-strengthening interventions have potential to disrupt harmful syndemics of violence, substance use, and poverty among couples living with HIV. Clinical trial numberNCT#04906616.

The hidden link: dysmenorrhea, emotion regulation, and attitudes toward marriage in female nursing students.

Menstrual pain, or dysmenorrhea, can cause physical discomfort and mood swings, potentially impacting the attitudes of female nursing students toward marriage. Effective emotion regulation strategies are essential for managing stress and shaping their perspectives on marriage. This study sought to investigate the relationship between dysmenorrhea, emotional regulation skills, and attitudes toward marriage among female nursing students. A cross-sectional survey was conducted using a stratified sample of 504 female nursing students from four academic years. The study used a combination of the Working Ability, Location, Intensity, Days of Pain, Dysmenorrhea (WaLIDD) Questionnaire, the Marital Attitude Scale, and the Emotion Regulation Questionnaire to assess various factors among the participants. The Pearson correlation coefficient was utilized to examine the relationships among the three primary variables. Additionally, linear regression analysis was employed to forecast attitudes toward marriage based on factors such as dysmenorrhea, residence, family type, regularity of the menstrual cycle, and age at menarche. The findings of the study are significant, revealing a negative correlation between dysmenorrhea and marital attitudes (r = -0.105, p = 0.019). Dysmenorrhea exhibited minimal and non-significant correlations with emotion regulation strategies, including cognitive reappraisal (r = -0.006, p = 0.898) and expressive suppression (r = 0.013, p = 0.774). In contrast, marital attitudes significantly influenced emotion regulation (β = -0.169, p < 0.001). Moderation analyses indicated significant effects of various factors on marital attitudes, including residence (β = -0.5136, p = 0.0478), family type (β = 5.9923, p = 0.0060), regularity of the menstrual cycle (β = 6.1262, p = 0.0014), and age at menarche (β = 1.5521, p = 0.0491). A significant negative correlation between dysmenorrhea and certain attitudes, specifically optimistic and realistic marital attitudes, was found. This indicates that higher levels of dysmenorrhea are associated with less favorable perspectives in these domains. Additionally, the study demonstrates that negative marital attitudes were linked to poorer emotional regulation. This suggests that individuals with more pessimistic views about marriage may face challenges in effectively managing their emotions. These results underscore the intricate connections between physical health, attitudes, and emotional well-being. They highlight the need to address dysmenorrhea within nursing education and practice, considering its broader psychological impact.