ea5f167d2abd1829d6d3b08685baa58c healthcare-14-02571.pdf 5c3b589b633845e7ec97381ab4f053a548f2e49d healthcare-14-02571.pdf 529099dd8840db6f1da2eca89b5a6090fd879771d78877992b163f9ed5533fd6 healthcare-14-02571.pdf Title: School Bullying, Self-Esteem, and Emotional Intelligence Among Primary Education Students: A Gender-Based Pretest Analysis from a School Nursing Perspective Subject: Background: School bullying represents a major public health challenge associated with adverse emotional and psychosocial outcomes during childhood. Self-esteem and perceived emotional intelligence may be relevant factors associated with bullying involvement. This study aimed to examine the relationships among school bullying, self-esteem, and perceived emotional intelligence in Primary Education students and to explore the indirect statistical associations between emotional intelligence dimensions and bullying involvement through self-esteem. Methods: A multicenter cross-sectional pretest study was conducted among 507 students from five educational centers in Madrid, Spain. School bullying was assessed using the Peer Harassment Questionnaire (PHQ), self-esteem using the Self-Esteem Questionnaire for Primary Education (A-EP), and perceived emotional intelligence using the Trait Meta-Mood Scale-24 (TMMS-24). Descriptive analyses, group comparisons, Pearson correlations, multiple linear regression, and exploratory mediation analyses were performed. Regression and mediation analyses were based on complete matched records. Results: Moderate bullying involvement was the predominant profile (51.3%), while 12.8% of students were classified as having high bullying involvement. School bullying was negatively correlated with self-esteem (r = -0.42, p < 0.001), emotional attention (r = -0.18, p = 0.002), emotional clarity (r = -0.37, p < 0.001), and emotional repair (r = -0.41, p < 0.001). In the adjusted regression model, self-esteem was the strongest variable independently associated with bullying involvement ( = -0.407, p < 0.001). Significant indirect effects through self-esteem were identified for emotional attention (B = -0.080, 95% CI: -0.133 to -0.027), emotional clarity (B = -0.188, 95% CI: -0.259 to -0.125), and emotional repair (B = -0.193, 95% CI: -0.270 to -0.125). Conclusions: School bullying involvement was associated with lower self-esteem and poorer perceived emotional competencies. Self-esteem statistically accounted for part of the associations between the three emotional intelligence dimensions and bullying involvement within the proposed exploratory models. Given the cross-sectional design, these findings should not be interpreted as evidence of causal or temporal relationships. Keywords: school bullying; self-esteem; emotional intelligence; school nursing; primary education; mental health; bullying prevention; emotional health; gender differences Author: Malena Barba-Muñoz, María Pilar Molés-Julio and José Antonio Zafra-Agea Creator: LaTeX with hyperref Producer: pdfTeX-1.40.25; modified using OpenPDF 1.4.2 CreationDate: Mon Aug 17 10:26:59 2026 CEST ModDate: Mon Aug 17 10:34:55 2026 CEST Custom Metadata: yes Metadata Stream: no Tagged: no UserProperties: no Suspects: no Form: none JavaScript: no Pages: 21 Encrypted: no Page size: 595.276 x 841.89 pts (A4) Page rot: 0 File size: 549844 bytes Optimized: no PDF version: 1.7 name type encoding emb sub uni object ID ------------------------------------ ----------------- ---------------- --- --- --- --------- DLDAIS+URWPalladioL-Roma Type 1 Custom yes yes yes 117 0 ZCJVEK+CMSY10 Type 1 Builtin yes yes yes 118 0 JXPXXJ+EURM10 Type 1 Builtin yes yes yes 119 0 LNDLRB+URWPalladioL-Ital Type 1 Custom yes yes yes 120 0 IQPKWJ+URWPalladioL-Bold Type 1 Custom yes yes yes 121 0 DUJUUF+PazoMath-Italic Type 1 Builtin yes yes yes 241 0 QLBIEB+URWPalladioL-BoldItal Type 1 Custom yes yes yes 279 0 PYTLFY+EURB10 Type 1 Builtin yes yes yes 280 0 MJIIIE+PalatinoLinotype TrueType WinAnsi yes yes no 312 0 Jhove (Rel. 1.28.0, 2023-05-18) Date: 2026-09-26 03:59:47 CEST RepresentationInformation: healthcare-14-02571.pdf ReportingModule: PDF-hul, Rel. 1.12.4 (2023-03-16) LastModified: 2026-09-25 05:47:59 CEST Size: 549844 Format: PDF Version: 1.7 Status: Well-Formed and valid SignatureMatches: PDF-hul MIMEtype: application/pdf PDFMetadata: Objects: 471 FreeObjects: 1 IncrementalUpdates: 0 DocumentCatalog: ViewerPreferences: HideToolbar: false HideMenubar: false HideWindowUI: false FitWindow: true CenterWindow: false DisplayDocTitle: false NonFullScreenPageMode: UseNone Direction: L2R ViewArea: CropBox ViewClip: CropBox PrintArea: CropBox PageClip: CropBox PageLayout: SinglePage PageMode: UseNone Outlines: Item: Title: Introduction Item: Title: Materials and Methods Children: Item: Title: Study Design Item: Title: Study Population Item: Title: Inclusion Criteria Item: Title: Sample Size and Participants Item: Title: Ethical Procedures Item: Title: Instruments Children: Item: Title: Peer Harassment Questionnaire (PHQ) Item: Title: Self-Esteem Questionnaire for Primary Education (A-EP) Item: Title: Trait Meta-Mood Scale (TMMS-24) Item: Title: Data Collection Procedure Item: Title: Statistical Analysis Item: Title: Results Item: Title: Discussion Item: Title: Conclusions Item: Title: References Info: Title: School Bullying, Self-Esteem, and Emotional Intelligence Among Primary Education Students: A Gender-Based Pretest Analysis from a School Nursing Perspective Author: Malena Barba-Muñoz, María Pilar Molés-Julio and José Antonio Zafra-Agea Subject: Background: School bullying represents a major public health challenge associated with adverse emotional and psychosocial outcomes during childhood. Self-esteem and perceived emotional intelligence may be relevant factors associated with bullying involvement. This study aimed to examine the relationships among school bullying, self-esteem, and perceived emotional intelligence in Primary Education students and to explore the indirect statistical associations between emotional intelligence dimensions and bullying involvement through self-esteem. Methods: A multicenter cross-sectional pretest study was conducted among 507 students from five educational centers in Madrid, Spain. School bullying was assessed using the Peer Harassment Questionnaire (PHQ), self-esteem using the Self-Esteem Questionnaire for Primary Education (A-EP), and perceived emotional intelligence using the Trait Meta-Mood Scale-24 (TMMS-24). Descriptive analyses, group comparisons, Pearson correlations, multiple linear regression, and exploratory mediation analyses were performed. Regression and mediation analyses were based on complete matched records. Results: Moderate bullying involvement was the predominant profile (51.3%), while 12.8% of students were classified as having high bullying involvement. School bullying was negatively correlated with self-esteem (r = -0.42, p < 0.001), emotional attention (r = -0.18, p = 0.002), emotional clarity (r = -0.37, p < 0.001), and emotional repair (r = -0.41, p < 0.001). In the adjusted regression model, self-esteem was the strongest variable independently associated with bullying involvement ( = -0.407, p < 0.001). Significant indirect effects through self-esteem were identified for emotional attention (B = -0.080, 95% CI: -0.133 to -0.027), emotional clarity (B = -0.188, 95% CI: -0.259 to -0.125), and emotional repair (B = -0.193, 95% CI: -0.270 to -0.125). Conclusions: School bullying involvement was associated with lower self-esteem and poorer perceived emotional competencies. Self-esteem statistically accounted for part of the associations between the three emotional intelligence dimensions and bullying involvement within the proposed exploratory models. Given the cross-sectional design, these findings should not be interpreted as evidence of causal or temporal relationships. 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