Partial Mediation Effect Research Articles

Evaluating alexithymia as a mediator of the relationship between sensory processing sensitivity and health anxiety

Highly sensitive individuals demonstrate heightened responses to environmental stimuli than their peers, often presenting with anxious and depressive symptomatology akin to those in alexithymic individuals. Alexithymia, referred to as difficulty in describing or identifying emotions, is of particular interest to use as a mediating variable between sensitivity to sensory processing and health anxiety. The present study aims to explore the relationship between sensory processing sensitivity (SPS) and alexithymia, and their collective impact on health anxiety, a correlation which, to the best of our knowledge, has not been previously examined, despite the common preoccupation with health among those affected. Health anxiety, defined by the fear of suffering from a serious and/or chronic illness, or of misinterpreting somatic symptoms as signs of illness, is the focal point of this investigation. The study recruited 814 adults (79.7% women and 20.3% men), with a mean age of 30 years old (standard deviation = 12.5 years), ranging from 18 to 76 years. Participants anonymously answered a questionnaire consisting of the French versions of the Highly Sensitive Person Scale (HSPS-FR), the Toronto Alexithymia Scale-20, and the Health Anxiety Questionnaire (HAQ). Statistical analyses, including correlations, ANOVA, linear regressions, and mediation analysis, were performed using SPSS and the SPSS macro PROCESS. Results revealed significant positive correlations among the three constructs (P < 0.001). Furthermore, both SPS and alexithymia were found to be predictive of health anxiety (P < 0.001). In addition, an indirect partial mediation effect between SPS and health anxiety through alexithymia was observed. This study highlights the intertwined relationship between sensitivity and alexithymia, shedding light on their collective impact on anxiety, particularly health anxiety. Moreover, it facilitates the examination of this relationship within a large population and amidst the specific context of COVID-19. Practical perspectives concerning support for highly sensitive people are discussed, taking into account their potential specific needs.

Trust in artificial intelligence, trust in engineers, and news media: Factors shaping public perceptions of autonomous drones through UTAUT2

Traditional trust in artificial intelligence (AI) scholarship has assumed trust as an attitude placed exclusively in the AI system. We offer a more articulated view of trust in AI, extending the extended Unified Theory of Acceptance and Use of Technology (UTAUT2) model by integrating news media attention, trust in AI system, trust in AI engineers, and attitude to examine factors predicting public's intention to use autonomous passenger drones. Based on an online survey of adult Singaporeans (N = 1002), results from hierarchical OLS regression analyses demonstrated the direct effects of news media attention, trust in AI system, and attitude, alongside several UTAUT2 constructs, on use intention. Results of subsequent mediation analyses using structural equation modelling between trust in AI system, trust in AI engineers and use intention through attitude were consistent with a partial and full mediation effect, respectively. Notably, both trust constructs were influenced by news media attention in comparable magnitudes. In this sense, trust placed in AI system can be seen separately from that placed in engineers responsible for AI development. Furthermore, we found support for including attitude in the UTAUT2 main model for emerging technologies in which information and practice remain largely inaccessible to the public. Theoretical and practical implications are discussed.

The effect of market orientation and technology orientation on industry 4.0 technologies and market performance: Role of innovation capability

Today, businesses are facing increasing demands from the customers and strong competitive pressure. Firms must continuously deliver value and satisfy customer demands to survive and maintain growth in the market. In this regard, organizations are implementing Industry 4.0 (I4) technologies to satisfy customer requirements, deliver value and sustain in the market. This study examines how strategic orientations (market and technology orientation) influence firms to adopt I4 technologies, and how I4 technologies can help to deliver customer value and improve firm performance. To this end, the study posits that adoption of I4 technologies develops innovation capability, which can lead to desired performance outcomes (innovation and market performance). The proposed model is examined using survey responses from 154 US industrial firms. Findings show that market and technology orientation have significant effect on adoption of I4 technologies, and partial mediation effect of technology orientation between market orientation and adoption of I4 technologies. Further, I4 technologies help to build innovation capability, which improves performance outcomes. The study provides implications for managers in industrial firms with regard to understanding the key facets of I4 technologies.

Mobile Network Operators’ Agency Banking Quality, Financial Inclusion Practices and the Sustainable Development Goals: Evidence from Cameroon

The Sustainable Development Goals were launched by the United Nations in 2015. Empirical evidence suggests that despite the excitement at their launching by the international community and other stakeholders, their attainment by enterprises is still poor. Thus, using the technology of agency banking and mediated by financial inclusion practices, this study sought to determine the role played by Telecommunication Companies (MNO) in the attainment of the Sustainable Development Goals in Cameroon. To attain this objective, the study mobilized the Baron and Kenny (1986) model in the analysis of partial mediation effect using Ordinary Least Squares Regression. The purposive sampling technique was used to engage 1,420 users of MNOs’ services from the Cameroon’s 10 regional capitals in the study. The results showed that the effect of agency banking quality on Sustainable Development goals via the financial inclusion practices (Adjusted R2) is higher for the agents of Commercial banks and Micro, Small and Medium Sized Enterprises (MSMEs) than Microfinance Institutions. Thus, we suggest that Cameroon’s public authorities should focus more on Commercial banks and MSMEs than Microfinance Institutions to increase financial inclusion and ease the attainment of the Sustainable Development Goals in Cameroon.

How Financial Literacy Impacts Financial Well-Being: The Influence of Financial and Technical Efficacy

The fundamental human resource that influences financial well-being is financial literacy. People are more likely to save and invest if they understand the time value of money, credit, insurance, and investments. Having a sound financial understanding lessens stress and increases financial well-being. This study used a structured survey questionnaire and back-translated it into Bangla to ease readability for the respondents. Four hundred thirty-five invitations were sent mainly to the Dhaka city dwellers’ and only 253 complete responses were retained for analysis. Partial least squares structural equation modeling (PLS-SEM) is used to assess the intercorrelations and validate the measurement model among the constructs (financial attitude, behavior, knowledge, self-efficacy, technological self-efficacy, and financial well-being) using SmartPLS version 4. The result found a full mediation effect among financial behavior, financial self-efficacy, and financial well-being. Partial mediation effects are found among financial attitudes toward financial self-efficacy, technological self-efficacy, and financial well-being.

Systemic Agility and Job Strain: A Mediation Model

While turbulent environments and crises have an impact on Job Strain and create stress within the companies, there are many approaches about how to adapt and thrive in an increasingly turbulent operating environment, however the extant literature on the subject is mainly qualitative. The case study examines the impact of VUCAness, defined as the level of turbulence in the operating environment (independent variable) on Job Strain (dependent variable), mediated by the Systemic Agility (mediating variable), defined as the level of cultural agility. The mediation variable is assessed using the significant domains that emerge from our review of the literature and quantifies the positioning of the observed organisations on a continuum between legacy and agile culture, between modern and postmodern perspectives. Job strain is measured by Karasek's established Job Content Questionnaire. The case study illustrates the partial mediation effect of the Systemic Agility, on Job Strain using 307 observations collected in a company group made of two distinct groups. The study confirms the partial mediation effect of Systemic Agility on Job Strain and suggests that, above a certain level of agility, the mediation effect turns from negative to positive, reducing the stress induced by the operating environment. This quantitative case study suggests that the agile culture mediates stress at the workplace under turbulent working conditions.

Exploring the Stimulus Organism Response (SOR) Framework that Shapes Impulse Buying in the Epoch of E-Wallets in the Philippines

In the progressing digital financial landscape of the Philippines, the surge in e-wallet applications has vastly captured the interest of Filipino users. As e-wallets restructure how consumers manage their finances, a crucial question emerges: Can they influence impulsive buying tendencies? Using the (S-O-R) framework, the study reconnoitered the factors that incite impulse buying, expanding prior models by integrating both intrinsic and extrinsic stimuli. A total of 828 active e-wallet users were gathered using homogenous purposive sampling. After employing a Partial Least Squares Structural Equation Modeling (PLS-SEM) analysis, the results elucidated five significant stimuli (i.e., perceived risk, visual appeal, subjective norms, convenience, and monetary savings) in shaping user satisfaction and perceived enjoyment. Conversely, information quality demonstrated statistical significance only in association with satisfaction. Moreover, the study highlighted those three factors (i.e., perceived enjoyment, subjective norms, and monetary savings) that directly impact impulse buying. Ultimately, it accentuates the full mediating role of perceived enjoyment in linking visual appeal with impulsive buying whilst showcasing a partial mediation effect in the relationship between cost savings and impulsive buying. Edifice on these findings, e-wallet providers have a strategic outlook to further invest in the following: (a) user-centric design strategies, (b) process enhancement for seamless user experience, and (c) optimization of user education.

Crafting Entrepreneurial Pet Brands: Unravelling the Influence of Media Exposure on COVID-19 Anxiety through the Lens of Pet Attachment

This study aims to investigate the impact of media exposure regarding COVID-19 on anxiety with the mediating role of risk perception and the moderating role of pet attachment. The target population of the study is pet owners in major cities of Pakistan. The results concluded that media exposure has a significant and positive impact on risk perception, and risk perception has a significant and positive impact on anxiety. Furthermore, pet attachment plays a moderating role between media exposure and risk perception, and there is a partial mediation effect of risk perception between media exposure and anxiety. The study suggests that pet attachment must be considered as a solution to reduce risk perception caused by media exposure to COVID-19. The effect of media exposure regarding COVID-19 on anxiety has not been widely studied in Pakistan, nor has the mediating role of risk perception and the moderating role of pet attachment; therefore, this study is a contribution towards filling this gap. The goal of the study is to find out how business owners in the pet sector strategically mold their brands and deal with the difficulties posed by the COVID-19 environment. It also explores how media exposure affects people's anxiety levels throughout the epidemic, with a focus on how people's attachment to their pets mediates this effect. When examining and interpreting the emotional and psychological components of people's reactions to COVID-19-related media messages in the context of their relationships with their pets, the lens of pet attachment offers a distinctive viewpoint. For future studies, the impact of media exposure on anxiety may be examined across various cities in Pakistan, with larger sample sizes. Managerial implications are discussed.

대학생의 내현적 자기애와 사회불안의 관계

Objectives The purpose of this study is to identify the effects of covert narcissism on social interaction anxiety in university students and also to verify the double effects of socially-prescribed perfectionism and self-concept clarity in the relationship between the covert narcissism and social interaction anxiety.
 Methods For this, survey has been conducted on 288 male and female university students in the use of covert narcissism scale(CNS), social interaction anxiety scale(SIAS), socially-prescribed perfectionism scale (HMPS), and self-concept clarity scale(SCCS). For collected data, correlation among variables has been verified by using SPSS 24.0 and Process Macro along with dual mediation effect. At the same time, bootstrapping was conducted to verify the significance of indirect effect.
 Results Results of the study are as follows. First of all, it turned out that there was a significant correlation among the covert narcissism, social anxiety, socially-prescribed perfectionism, and self-concept clarity. Covert narcissism turned out to be significantly positively correlated with socially-prescribed perfectionism and social anxiety but to be significantly negatively correlated with self-concept clarity. Socially-prescribed perfectionism turned out to be positively correlated with social anxiety but to be significantly correlated with self-concept clarity. Social-concept clarity turned out to be significantly correlated with social anxiety. Secondly, socially-prescribed perfectionism turned out to be correlated with the covert narcissism and social anxiety. Third, self-concept clarity turned out to have a partial mediation effect in the relationship between the covert narcissism and social anxiety. Fourth, there was a dual mediation effect on socially-prescribed perfectionism and self-concept clarity in the relationship between the covert narcissism and social anxiety.
 Conclusions This study is meaningful to suggest a direction of efficient consultative involvement for university students with high level of the covert narcissism who visit counseling center due to social anxiety.

Navigating Innovation Highways: Unraveling the Entrepreneurial Culture's Role with Knowledge Management as the Mediator in Automotive Technology Innovations

The electric vehicle (e-vehicle) automotive sector in India has been undergoing substantial expansion and metamorphosis, propelled by reasons like governmental regulations, ecological considerations, and technological progress. The objective of this study is to determine the impact of entrepreneurial Culture on technical innovation in the e-vehicle automobile business, while also examining the role of knowledge management as a mediator. Employing a cross-sectional design, data for analysis were gathered using a questionnaire technique from managers and employees of six e-vehicle automobile industries in India. Despite distributing 500 questionnaires, the study received responses from 53 managers and 332 employees. Utilizing the PLS-SEM approach, the research reveals the positive influence of an entrepreneurial culture on technological innovation. Moreover, it highlights the partial mediation effect of knowledge management in the relationship between entrepreneurial culture and technology innovation. These findings carry substantial implications for businesses in the e-vehicle sector aiming to enhance their innovation capabilities by fostering an entrepreneurial culture and implementing effective knowledge management techniques.

The Influence of Training and Educational Beackground on The Employee Performance of Bank Rakyat Indonesia Kanca Bukittinggi With The Meadiation of Job Satisfcation

The aim of this research is to analyze the factors that influence employee performance at work, including training and educational background on employee performance with the employee’s job satisfaction as a mediating variable. Employee performance is an important thing that must be considered by management of a company in achieving company’s goals. The population of this research were the employees of Bank Rakyat Indonesia Kanca Bukittinggi with a sample of 67 people who were employees with the job position of Mantri. The analytical methode used descriptive statical analysis and factor description analysis used SmartPLS 4.0. The result of this study shows that training and eductional background have a positive and significant effect on job satisfaction; training and educational background have a positive and significant effect on employee performance; job satisfaction as a mediating variable has a partial mediating effect in mediating training on employee performance and job satisfaction as mediating variables also has a partial mediation effect in mediated the relationship of educational background towards employee performance.

Teacher support, academic engagement and learning anxiety in online foreign language learning

AbstractPrevious studies have substantiated the pivotal role of emotions and teachers in student learning, but the underlying mechanism of teachers and emotions on academic engagement remains underexplored. The present study examined the mediating role of teacher support in the relationship between foreign language learning anxiety (FLLA) and academic engagement in online classrooms. Participants were 415 Chinese university students who completed an online questionnaire. The findings of structural equation modelling indicated that teacher support had a partial mediation effect between FLLA and academic engagement. FLLA exhibited a significant negative impact on academic engagement, both directly and indirectly via perceived teacher support. Through both direct and indirect effects, FLLA could explain 44.8% of the variation in academic engagement and the mediation effect accounted for 47.3% of the total effect. The practical implication is that foreign language teachers should extend more support for learners during online learning, and provide learners with feedback adapted to their emotions. Practitioner notesWhat is already known about this topic Emotions have a significant impact on learners' engagement, and positive academic emotions facilitate students' engagement in the class. Students will be more engaged in learning when they perceive support from their teachers. Teacher support was an influential external predictor of students' mood swings. What this paper adds The structural equation modelling shows that teacher support served as a partial mediator between foreign language learning anxiety and academic engagement. Students' social engagement and perceived emotional support were found to have a greater impact on online foreign language learning. This paper further corroborates the relationship among the presences in the CoI framework. Implications for practice and/or policy Mitigating foreign language learning anxiety and improving teacher support are necessary for effective foreign language learning in future online classes. Teachers need to ensure continued intellectual support and provide more emotional support for learners. Teachers are recommended to deliver feedback that aligns with students' emotional state.

Effect of Technology Self-Efficacy on The Relationship of Innovative Learning Skills and Learning Sustainability Among UAE Students

Amid the rapid adoption of Education 4.0 and the widespread shift to online learning in education, there is a critical concern about the readiness of high school students to navigate sustainable e-learning, prompting a study to investigate how Education 4.0's innovative learning skills affect their learning sustainability in the UAE and contribute valuable data for informed educational strategies. This research explores the inherent innovative learning skills of Education 4.0 and their influence on the sustainable acquisition of knowledge among high school students in the UAE. It examines the prevalent innovative learning skills, scrutinizes their impact on learning sustainability, and investigates the potential mediating role of technology self-efficacy in this dynamic. The study utilized a quantitative methodology, gathering data through distributed questionnaires among a selected group of 384 high school students in Abu Dhabi, UAE. The data was utilized to construct a mediation model exploring how Technology Self-Efficacy influences the relationship between Innovative Learning Skills and Learning Sustainability in UAE students. The analysis on the model found that the Technology Self-Efficacy has four partial mediation effects and one full mediation effect on the relationship between Innovative Learning Skills and Learning Sustainability among the five paths. The findings of this study contribute to the role of Education 4.0's innovative learning skills in improving high school students' learning sustainability in the UAE, providing actionable insights for educational policymakers and practitioners.

COVID-19 vaccine uptake, conspiracy theories, and health literacy among Black individuals in Canada: Racial discrimination, confidence in health, and COVID-19 stress as mediators.

Factors influencing vaccine uptake in Black individuals remain insufficiently documented. Understanding the role of COVID-19 related stress, conspiracy theories, health literacy, racial discrimination experiences, and confidence in health authorities can inform programs to increase vaccination coverage. We sought to analyze these factors and vaccine uptake among Black individuals in Canada. A representative sample of 2002 Black individuals from Ontario, Quebec, Alberta, Nova Scotia, New Brunswick, British Columbia, and Manitoba, aged 14 years or older completed questionnaires assessing vaccine uptake, health literacy, conspiracy theories, racial discrimination experiences, COVID-19-related stress, and confidence in health authorities. Mediation analyses were conducted to assess (1) the effect of health literacy on COVID-19 vaccination uptake through confidence and need, COVID-19 related traumatic stress, and racial discrimination, and (2) the effect of conspiracy beliefs on COVID-19 vaccination uptake through the same factors. Overall, 69.57% (95% confidence interval, 67.55%-71.59%) of the participants were vaccinated and 83.48% of them received two or more doses. Those aged 55 years and older were less likely to be vaccinated, as well as those residing in British Columbia and Manitoba. Mediation models showed that the association between health literacy and COVID-19 vaccine uptake was mediated by confidence in health authorities (B = 0.02, p < 0.001), COVID-19-related stress (B = -0.02, p < 0.001), and racial discrimination (B = -0.01, p = 0.032), but both direct and total effects were nonsignificant. Lastly, conspiracy beliefs were found to have a partial mediation effect through the same mediators (B = 0.02, p < 0.001, B = -0.02, p < 0.001, B = -0.01, p = 0.011, respectively). These findings highlight the need for targeted interventions to address vaccine hesitancy and inform approaches to improve access to vaccinations among Black communities.

학교스포츠클럽 참가에 따른 다문화 중학생의 또래 지지와 학교적응의 관계에서 다문화 수용의 매개효과

The purpose of this study was to mediation of multicultural acceptance on the association between peer support and school adjustment of the multicultural adolescents’s participation in school sports club. spss win ver 24.0 and amos 26.0 program were used to analyze the data. the results were First, it was found that peer support of the multicultural adolescents’s participation had a significant effect on the school adjustment. Second, it was found that peer support of the multicultural adolescents’s participation had a significant effect on the multicultural acceptance. Third, it was found that the multicultural acceptance of the multicultural adolescents’s participation had a significant effect on the school adjustment. Fourth, it was found that the multicultural acceptance of the multicultural adolescents’s participation i had a partial mediation effect between peer support and school adjustment.

Strategic enablers: Unveiling crucial drivers for managerial adoption of electronic resources planning

The rapid growth of the information technology industry has spurred corporate process digitalization. This study aims to examine how the Unified Theory of Acceptance and Use of Technology’s (UTAUT) major tenets – performance expectancy and effort expectancy – and trust affect managers’ acceptance of new e-fulfillment services. This study also considers Hofstede’s cultural dimension of long-term orientation as the major variable influencing management’s acceptance of the new fulfillment platform. This study employed a quantitative research methodology with a simple random sampling of 248 Indonesian Logistic Association members from various industries. The research finding shows that only effort expectancy does not significantly affect managers’ e-fulfillment platform usage. Both effort expectancy and performance expectancy have a significant impact on employee trust in using the new technology. In addition, performance expectancy, customer trust, and long-term orientation positively affect the managerial adoption of e-fulfillment services. The study also shows a full mediation effect of customer trust in the relationship of effort expectancy to managerial adoption and a partial mediation effect in the influence of performance expectancy into managerial adoption of electronic resources planning with trust as a mediating variable. AcknowledgmentThis study is conducted with the support from the Ministry of Education, Culture, Research, with the Contract No. 1170/LL3/AL.04/2023; 0059-RD-LPPM-UMN/P-JD/V/2023.

The examination of the relationship between learning motivation and learning effectiveness: a mediation model of learning engagement

In the past decade, China has entered the process of universalization of higher education, however, with the popularization of higher education, the issue of education quality has become more important than ever. Therefore, the main objective of this study was to explore the relationship between learning motivation and learning effectiveness, the mediation effect of learning engagement on learning motivation and learning effectiveness, and the moderation effect of students’ personality traits on the relationship between learning motivation and learning effectiveness. It was found that (1) Learning motivation had a significant positive impact on learning effectiveness; (2) Learning motivation had a significant positive effect on learning engagement; (3) Learning engagement had a significant positive impact on learning effectiveness; (4) Learning engagement had a partial mediation effect on learning motivation and learning effectiveness. (5) Personality traits had a moderation effect on the relationship between learning motivation and learning effectiveness. It was suggested that college students should stimulate their motivation for independent learning, enhance their motivation for learning, and cultivate the ability to learn independently in learning. At the same time, in the classroom, teachers should innovate teaching methods, mobilize students’ interest in learning, and cultivate students’ initiative. In addition, schools should actively carry out themed lectures to cultivate students’ correct learning attitudes. In terms of the influence of personality traits on the relationship between learning motivation and learning effectiveness should not be ignored, and appropriate attention should be paid to improving learning effectiveness. Different personality traits should be further explored.

When Does (Mis)Fit Between Customer Service Orientation and Internal Service Qualities Matter for Frontline Employees’ Pride in Membership and Their Behaviors?

The literature has paid little attention to the (mis)fit effect between customer service orientation (CSO) and internal service qualities (ISQ). Unlike past studies, we use a non-commensurate and complementary fit approach by adopting a distinctive CSO as a need dimension at the individual level and ISQ as a satisfaction dimension provided by the organization. We test a CSO–ISQ (mis)fit model and include pride in membership and internal ethics training programs as supplementary activators for frontline employee turnover intentions and affective commitment. Based on the polynomial, mediation, and moderation analyses, we found that enjoyment service orientation–ISQ (mis)fit effects on pride in membership show complete and partial mediation effects on turnover intentions and affective commitment, with a significant joint effect of the training program. We discuss the theoretical contributions of our findings. Findings suggest that enhancing pride in membership can buffer the misfit between frontline employees’ needs and their satisfaction with ISQ, leading to a lower turnover intention and a stronger affective commitment. Furthermore, this study suggests that internal ethics training programs can enhance the positive effect of pride in membership on turnover intentions and affective commitment.

Metamemory and executive function mediate the age-related decline in memory.

Although the effect of aging on episodic memory is relatively well studied, little is known about how aging influences metamemory. In addition, while executive function (EF) is known to mediate the age-related decline in episodic memory, the role of metamemory in aging-related memory differences beyond EF remains unknown. This study aimed to elucidate the effect of aging on metamemory and to clarify the role of metamemory in the age-related decline in memory. One hundred and four adults aged 18-79 years (50 M, 54 F) performed several EF tasks, as well as a face-scene paired-associate learning task that required them to make judgments of learning, feeling-of-knowing judgments, and retrospective confidence judgments. Aging was significantly associated with poor metamemory accuracy and increased confidence across metamemory judgment types, even after controlling for EF and memory performance. A parallel mediation analysis indicated that both confidence of learning and EF performance had significant partial mediation effects on the relationship between aging and memory, albeit in different ways. Specifically, poor EF explained the age-related decline in memory, whereas increased confidence of learning served to compensate for this memory decline. Aging is associated with general changes (i.e., poor inferences from cues) rather than specific changes (i.e., declined activation or utilization of certain cues) in metamemory monitoring. Also, changes in confidence of learning and in EF ability contribute to the preservation and decline of memory during aging, respectively. Therefore, boosting confidence during encoding and enhancing EF skills might be complementary memory intervention strategies for older adults.

Prognostic implications of thyroid hormones in acute aortic dissection: mediating roles of renal function and coagulation.

Thyroid hormones significantly influence cardiovascular pathophysiology, yet their prognostic role in acute aortic dissection (AAD) remains inadequately explored. This study assesses the prognostic value of thyroid hormone levels in AAD, focusing on the mediating roles of renal function and coagulation. We included 964 AAD patients in this retrospective cohort study. Utilizing logistic regression, restricted cubic splines, and causal mediation analysis, we investigated the association between thyroid hormones and in-hospital mortality and major adverse cardiovascular events (MACEs). In AAD patients overall, an increase of one standard deviation in FT4 levels was associated with a 31.9% increased risk of MACEs (OR 1.319; 95% CI 1.098-1.584) and a 36.1% increase in in-hospital mortality (OR 1.361; 95% CI 1.095-1.690). Conversely, a higher FT3/FT4 ratio was correlated with a 20.2% reduction in risk of MACEs (OR 0.798; 95% CI 0.637-0.999). This correlation was statistically significant predominantly in Type A AAD, while it did not hold statistical significance in Type B AAD. Key renal and coagulation biomarkers, including blood urea nitrogen, creatinine, cystatin C, prothrombin time ratio, prothrombin time, and prothrombin time international normalized ratio, were identified as significant mediators in the interplay between thyroid hormones and MACEs. The FT3/FT4 ratio exerted its prognostic influence primarily through the mediation of renal functions and coagulation, while FT4 levels predominantly impacted outcomes via a partial mediation effect on coagulation. FT4 levels and the FT3/FT4 ratio are crucial prognostic biomarkers in AAD patients. Renal function and coagulation mediate the association between the thyroid hormones and MACEs.