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    <subfield code="2">doi</subfield>
    <subfield code="a">10.1093/eurpub/ckad160.1603</subfield>
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    <subfield code="a">eng</subfield>
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  <datafield tag="100" ind1=" " ind2=" ">
    <subfield code="a">Méndez-López, F.</subfield>
    <subfield code="u">Universidad de Zaragoza</subfield>
    <subfield code="0">(orcid)0000-0002-6409-9041</subfield>
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  <datafield tag="245" ind1=" " ind2=" ">
    <subfield code="a">Relationships between problematic ICT use, anxiety, psychological, and behavioral aspects</subfield>
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    <subfield code="c">2023</subfield>
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    <subfield code="a">Access copy available to the general public</subfield>
    <subfield code="f">Unrestricted</subfield>
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    <subfield code="a">Background
Anxiety is a substantial and developing health issue with significant consequences for psychosocial functioning and quality of life. The onset and severity of mental health problems have been linked to a number of biological, psychological, and behavioral factors.
               
Purpose
The aim of this study is to investigate the relationship between the degree of anxiety, problematic information and communications technology (ICT) use, and certain related personal characteristics and adult health behavior. It also investigates the impact of personal characteristics in the moderating role of the association between problematic ICT use and anxiety.
               
Patients and Methods
Descriptive, bivariate, multivariate, and moderation analyzes of data from 391 participants of 35-74 years old in primary healthcare centers located in Aragón, in northern Spain were performed between July 2021 and July 2022. The primary outcome was the severity of anxious symptoms as continuous variable (GAD-7).
               
Results
Low self-esteem (β = −0.120; p= 0.012), low self-efficacy (β = −0.092; p=0.004), and high problematic use of ICT (β = 0.169; p = 0.001), are predictors of having more severe anxious symptoms. Moderation analyzes were significant in the effect of self-efficacy (b = −0.040, p = 0.001) and resilience (b = −0.024, p = 0.033) on the relationship between problematic ICT use and anxiety.
               
Conclusions
The problematic use of ICT and personal factors are related to anxious symptomatology. Adults with low resilience and self-efficacy have worse severity of anxiety associated with the problematic use of ICTs. These findings allow for a new approach to preventive identification and early care measures among people at risk and their families.</subfield>
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    <subfield code="u">https://creativecommons.org/licenses/by-nc/4.0/deed.es</subfield>
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    <subfield code="b">73 / 408 = 0.179</subfield>
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    <subfield code="a">PUBLIC, ENVIRONMENTAL &amp; OCCUPATIONAL HEALTH</subfield>
    <subfield code="b">73 / 408 = 0.179</subfield>
    <subfield code="c">2023</subfield>
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    <subfield code="a">Public Health, Environmental and Occupational Health</subfield>
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    <subfield code="a">Dominguez-Gárcía, M.</subfield>
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  <datafield tag="700" ind1=" " ind2=" ">
    <subfield code="a">León-Herrera, S.</subfield>
    <subfield code="u">Universidad de Zaragoza</subfield>
    <subfield code="0">(orcid)0000-0002-1200-5904</subfield>
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  <datafield tag="700" ind1=" " ind2=" ">
    <subfield code="a">Mártinez-Pecharroman, M.M.</subfield>
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    <subfield code="a">Samper-Pardo, M.</subfield>
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  <datafield tag="700" ind1=" " ind2=" ">
    <subfield code="a">Aguilar-Latorre, A.</subfield>
    <subfield code="u">Universidad de Zaragoza</subfield>
    <subfield code="0">(orcid)0000-0003-2683-7346</subfield>
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  <datafield tag="710" ind1="2" ind2=" ">
    <subfield code="1">1006</subfield>
    <subfield code="2">255</subfield>
    <subfield code="a">Universidad de Zaragoza</subfield>
    <subfield code="b">Dpto. Fisiatría y Enfermería</subfield>
    <subfield code="c">Área Enfermería</subfield>
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  <datafield tag="710" ind1="2" ind2=" ">
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    <subfield code="a">Universidad de Zaragoza</subfield>
    <subfield code="b">Dpto. Psicología y Sociología</subfield>
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    <subfield code="g">33, Suppl. 2 (2023), ckad160.1603 [1 pp.]</subfield>
    <subfield code="p">Eur. j. public health</subfield>
    <subfield code="t">European Journal of Public Health</subfield>
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