The main aim of this study is to explore problematic technology use among adolescents (Internet, video games, mobiles, and television) and its association with anxiety symptoms. Furthermore, we also analysed the possible moderating role of life satisfaction in this relationship during the COVID‐19 pandemic in Spain. A cross‐sectional survey of 4025 children and adolescents (52% females and 48% males) between 12 and 18 years old was carried out to explore problematic technology use and its correlation with anxiety and life satisfaction after pandemic lockdown. Four multivariate regressions containing the independent variable (problematic technology use), the moderator (life satisfaction), and their interaction were entered to predict the outcome (anxiety). The moderated models were examined using SPSS PROCESS macro software (Model 1). Analyses showed significant positive correlations with anxiety and negative correlations with life satisfaction regarding problematic technology use (mobile phone, television, and internet). Both gender and age had a significant direct effect on anxiety (showing that women and older participants had the greatest anxiety). In the moderation analysis, when life satisfaction was higher, the presence of anxiety symptoms depended to a greater extent on the problematic use of technology. Our results confirm that problematic technology use is related to higher levels of anxiety in adolescents, with differences by age and gender. The results also showed that life satisfaction mediated the relationship between technology abuse and anxiety, such that when life satisfaction was higher, the presence of anxiety symptoms was more dependent on problematic technology use. These findings have implications for health and education professionals.

Background: In the different published studies, there is no consensus on the efficacy of virtual reality as an adjuvant treatment of mood states. Aim: The aim of this study is to evaluate the impact of no immersive virtual reality with the Nintendo Switch device in rehabilitation treatment on mood, anxiety and depression in stroke patients admitted to neurorehabilitation units. Methods: Fifty-eight patients admitted to neurorehabilitation units underwent a 1:3 multicentre randomised clinical trial. The intervention group consisted of 17 patients and the control group of 41 patients. The intervention group performed 6 virtual reality sessions together with the conventional treatment, and the control group performed only the conventional rehabilitation sessions. Primary and secondary clinical outcomes were measured before and six weeks after the intervention. Results: Comparing the intervention group and control group, the anxiety levels of the intervention group decreased compared to the results observed in the control group (p = 0.01), as did the dependence of the intervention group (0.015). On the other hand, the results obtained after the intervention by the control group for anxiety (0.479) and depression (0.292) were not statistically significant. Conclusion: Rehabilitation VR used as an adjuvant treatment to conventional treatment has a beneficial impact on the neurological status and state of anxiety of stroke patients admitted to neurorehabilitation units. Trial registration: Registered in the https://clinicaltrials.gov/ repository (NTC NCT05143385). Protocol registration date 7 October 2021, retrospectively registered.

Background: The Spanish population presents higher levels of loneliness than citizens of countries in Northern Europe. Numerous studies have linked loneliness to increased morbidity and mortality, but very few studies have associated loneliness with healthy lifestyles. The objectives of this research are to identify the feeling of unwanted loneliness in various age and gender groups in the city of Alcalá de Henares (Madrid, Spain), to determine lifestyle habits in the areas of diet and physical exercise, and to examine the association between lifestyle habits and perceived loneliness. Methods: A cross-sectional, observational and analytical study on the perception of loneliness among men (59.06%) and women (60.06%) in a sample (n = 611) of the general population (N = 198,945), by means of random assignment of a health survey, was conducted. The data were collected using an ad hoc questionnaire. The data were stratified and analyzed with the IBM SSPS^® v.25 software package. Results: The frequency of loneliness is stratified by sex and age, and healthy lifestyle habits in terms of diet and physical exercise are analyzed. Conclusions: People with perceived loneliness do not have worse lifestyle habits. However, women living with other people have a higher perception of loneliness than those living alone. Specifically, the perception of loneliness in young adult women could suggest a low level of moderate physical exercise.

Objective: To contribute to the recognition of psychotherapeutic nursing (PTN) as a regulated advanced clinical practice (ACP) in Spain, as is the case in other countries.Background: Nurses are continually evolving to improve overall health outcomes. PTN has become a reality, with several authors describing it as an ACP. In Spain, psychotherapy is not officially regulated, which has led to a significant number of psychiatric nurses adopting an important ACP in this area without recognition.Sources of evidence: Evidence confirms that PTN possesses the attributes necessary to be considered an ACP. Nurses, like psychotherapists, independently address the complex needs of individuals and families within the context of therapeutic relationships, and there is a pressing need to advance formal processes of regulation and certification.Discussion: PTN has evolved at different rates depending on local initiatives, policies and various professional interests. In Spain, it is crucial to evaluate its outcomes, recognise it as an ACP and develop training plans for its regulation and accreditation.Conclusions: Mental health nurses in Spain have a strong interest in PTN being recognised as an ACP. To this end, they should join forces with other partners, scientific associations and international bodies such as the International Council of Nurses (ICN) to make PTN an internationally recognised ACP.Implications for nursing practice: Psychotherapeutic nurses could contribute to improving mental health outcomes, client satisfaction and health system efficiency, and their formal recognition is an opportunity to enhance their professional identity, competence and autonomy.Implications for nursing policy: Nursing policy needs to be reoriented towards strengthening psychotherapy as an ACP. Synergies and alliances between international nursing associations and the ICN can promote its development and implementation, while research, education and leadership are essential to achieving official regulation and accreditation.

Background: Adolescent mental health is a growing public health concern, with increasing prevalence of anxiety, depression, and emotional dysregulation. While nutrition is a recognized factor in physical health, its role in mental well-being, especially through holistic models, remains underexplored. Objectives: This study examines a moderated mediation model in which perceived healthy eating (self-rated diet quality) was associated with positive mental health (PMH) in adolescents, mediated by stress management and moderated by peer social support. Methods: A cross-sectional study was conducted with a sample of 505 adolescents aged 13 to 15 years (mean age 13.62). Using PROCESS Model 14, we tested a moderated mediation model where perceived nutrition served as the predictor, stress management as the mediator, and PMH as the outcome. Peer support was included as a moderator of the mediation pathway. Gender, age, nationality and educational variables were controlled for in the analysis. Results: The model explained 36% of the variance in PMH. Perceived healthy eating was significantly associated with better stress management (B = 0.20, p < 0.001), which in turn was related to higher levels of PMH (B = 6.38, p < 0.001). Peer support played a moderating role between stress management and PMH. Conclusions: These findings underscore the importance of promoting nutritional awareness and adolescents’ self-perception of healthy eating to support both physical and emotional well-being. Interventions should adopt a holistic approach that integrates emotional regulation strategies and leverages peer influence to enhance mental health outcomes. Given the alarming rates of mental health issues in youth, nutrition-based programs that incorporate psychosocial components may offer a promising avenue for prevention and promotion.

Background: Adolescence is a key period of development characterized by emotional, cognitive, and social changes that impact positive mental health (PMH). While social support is a well-established protective factor, cognitive and emotional processes, such as cognitive fusion and regulation of distress, also play a critical role. Objective: This study aimed to examine the relationship among various cognitive (i.e., cognitive fusion), emotional (i.e., regulation of distress), and social determinants (i.e., social support) in adolescents’ PMH, as their interplay could reflect theoretical models highlighting how these factors jointly shape adolescents’ mental health. Methods. A cross-sectional study was conducted with 505 adolescents (aged 13–15 years) in Spain. Participants completed online questionnaires assessing sociodemographic variables, cognitive fusion, regulation of distress, PMH, and social support from friends. Descriptive statistics, correlation analyses, and mediation and moderated mediation models were conducted, adjusting for relevant covariates. Results: Cognitive fusion was negatively correlated with regulation of distress, PMH, and social support, whereas regulation of distress showed a positive association with both PMH and social support. Mediation analysis indicated that regulation of distress significantly mediated the relationship between cognitive fusion and PMH. Furthermore, peer support moderated this mediated relationship: higher levels of support mitigated the negative impact of regulation of distress on PMH. Sociodemographic analyses revealed that girls, non-national students, and those receiving educational support showed less favorable outcomes. Conclusions: Cognitive, emotional, and social variables jointly influence adolescents’ PMH. Emotional regulation serves as a mediator of cognitive fusion and PMH, while social support from peers mediates the impact of psychological distress. Targeted interventions should prioritize emotional regulation strategies and enhancing peer support, especially among more vulnerable groups.