Abstract
This cross-sectional study explored the relationship between emotional regulation, the Big Five personality traits, and happiness among 411 nursing students in Saudi Arabia, with an average age of 19.6. The Oxford Happiness Inventory, Big Five Personality Test, and Emotional Regulation Inventory were used as research instruments through selfadministered questionnaires. The findings revealed that nursing students had a moderate level of happiness (mean = 3.5), with students in their third year being happier than those in their first year. The most expressed personality traits among the students were agreeableness (79%) and conscientiousness (69%). Furthermore, the study discovered that cognitive reappraisal was higher among single students and those aged 19 or younger. Finally, the study identified extraversion, agreeableness, conscientiousness, neuroticism, and cognitive reappraisal as predictors of happiness level (adjusted R 2 = 57%). The study suggests that improving emotional regulation could enhance the happiness and well-being of nursing students.
Plain language summary
This study examined the relationship between the Big Five personality traits, happiness, and emotional regulation among nursing students. A cross-sectional study was employed to collect data from nursing students using three research instruments: the Oxford Happiness Inventory, the Big Five Personality Test, and the Emotional Regulation Inventory. Data were collected from April to June 2022 and a response rate of 41% was achieved. It was found that the nursing students had a moderate. The predictors of happiness were extraversion, agreeableness, conscientiousness, neuroticism, and cognitive reappraisal [F(6, 404) = 87.8, p < .001, adjusted R 2 = 57%]. The study has revealed that personality traits, happiness, and emotional regulation are interconnected and suggests that improving emotional regulation may help improve nursing students’ happiness levels. Furthermore, these results may provide useful information for nursing educators aiming to improve the overall well-being of their students.
Introduction
Personality traits have been linked with domains of human behavior, particularly emotional regulation, and happiness. Despite this, the exploration of the nuanced influence of an individual’s traits remains relatively uncharted in the realm of the Big Five personality traits (Barańczuk, 2019; Husain & Carvalho, 2020; McCabe & Fleeson, 2016). Diverse psychological perspectives have shed light on personality traits. For instance, individuals exhibiting higher levels of subjective well-being tend to score prominently in the Big Five domains of conscientiousness, extraversion, and agreeableness (Soto, 2015). Moreover, the connection between optimism and agreeableness, conscientiousness, and openness has been established (Akhtar & Saleem, 2020).
Emotional regulation (ER), a crucial concept in clinical and academic contexts, involves explicit attempts to shape emotional experiences. This aspect has significant implications for human psychological functioning (Kobylińska & Kusev, 2019). Strategies for ER, including cognitive reappraisal, have also been associated with happiness (Purnamaningsih, 2017; Troy et al., 2018). As well as various dimensions of well-being (Aldao et al., 2014; Conklin et al., 2015). Demonstrating positive ER tendencies is linked to academic success, well-being, higher socioeconomic status, and resilience against mental health issues (Behrouian et al., 2021; Côté et al., 2010; Joormann & Stanton, 2016; Merkebu, 2019).
Notably, studies on happiness among university students have unveiled significant findings. Happiness has been correlated with personality traits, efficacy beliefs, self-esteem, and academic success (Demirtaş, 2020; Flynn & MacLeod, 2015; Lee & Padilla, 2016; Ziapour et al., 2018). Particularly, cognitive reappraisal emerges as a significant contributor to student happiness (Demirtaş, 2018). Highlighting the importance of exploring factors that contribute to positive youth development.
Against this backdrop, this study aims to examine personality traits, happiness levels, and ER among nursing students in the Kingdom of Saudi Arabia, an area yet to be explored in published studies. Given the potential impacts of these associations on undergraduate students, investigating these variables becomes paramount. The research addresses the following questions: (1) What are the Big Five personality traits among students? (2) What is the level of happiness among students? (3) What is the level of ER among students? and (4) What predictor variables contribute to happiness? The suggested hypotheses for the study were First, it is expected that there will be positive correlations between specific Big Five personality traits (conscientiousness, extraversion, agreeableness, and optimism) and nursing student happiness levels. Second, a positive association is found between the use of positive emotional regulation strategies, particularly cognitive reappraisal, and increased levels of happiness in nursing students. Finally, In terms of demographic variables, there is a predicted significant relation between factors such as age, gender, marital status, and program year and happiness levels among nursing students.
Methods
Site and Setting
A cross-sectional study was conducted at the College of Nursing, Imam Abdulrahman Bin Faisal University (IAU) in the Eastern Region of Saudi Arabia, from April to June 2022. The College offers Bachelor’s and Master’s degree programs in nursing.
Sampling Technique and Size
The students enrolled in the College of Nursing were the target population of this study. The accessible population comprised the first to fifth-year (the internship year) nursing students in the College. According to the Yamane method, the required number of participants was calculated to be 267. The following equation was used:
Considering the drop-down, we aimed to have 300 students involved in this study (Louangrath, 2017). Convenient sampling was utilized to collect data.
Survey Instrument
Three instruments were used in this study to achieve the goal of the study:
Oxford Happiness Inventory (OHI): The OHI was used to evaluate the level of happiness of the study participants. The instrument included 29 items rated on a Likert scale from 1 (strongly disagree) to 5 (strongly agree) (Argyle et al., 1995). Validity and reliability for the Arabic version were measured, and Cronbach’s alpha ranged from .91 to .89 for the subscales (Al-Dababi et al., 2019). After reverse coding for some items, the total marks were added and then divided by 29. In this study, reverse coding was done for the negative items, and Cronbach’s alpha was .89. The construct validity of each item was evaluated using the Pearson correlation analysis by comparing the results to the critical value table and comparing them to the total value. The findings are, therefore, valid and significant; the r value ranged from .168 to .743. The level of happiness was divided into three levels: low (1–2.33), moderate (2.34–3.67), and high (3.68–5).
The Big Five Inventory: The Big Five personality traits were assessed using the short version of the Big Five Inventory, which included 44 items categorized on the Likert scale varying from 1 (strongly disagree) to 5 (strongly agree). The scale included five sub-scales: Openness, Conscientiousness, Extraversion, Agreeableness, and Neuroticism (John et al., 1991). Validity and reliability for the Arabic version were tested, and Cronbach’s alpha ranged from .84 to .68 for all subscales (Al-Dababi et al., 2019). In this study, reverse coding was done for the negative items, and Cronbach’s alpha was .72. The construct validity of each item was also evaluated using the Pearson correlation analysis by comparing the results to the critical value table and comparing them to the total value. The findings are, therefore, valid and significant. The r value ranged from .044 to .601.
Emotional Regulation Questionnaire: ER was evaluated using the Emotion Regulation Questionnaire (ERQ). It included 10 Items divided into two subscales; Reappraisal and Suppression. The items were rated on a Likert scale from 1 (strongly disagree) to 5 (strongly agree) (Gross & John, 2003). Validity and reliability for the Arabic version were measured, and Cronbach’s alpha ranged from .87 to .75 for the subscales (Abdelrahman & Khaldoun, 2019). In this study, reverse coding was done for the negative items, and Cronbach’s alpha was .76. The construct validity of each item was evaluated using the Pearson correlation analysis by comparing the results to the critical value table and comparing them to the total value. The findings are, therefore, valid and significant. The r value ranged from .386 to .633.
Ethical Consideration
The study was conducted with ethical approval from the Institutional Review Board (IRB) at Imam Abdulrahman Bin Faisal University (IAU), with the approval number IRB-2022-04-306. The study procedure and surveys had received prior approval from the IRB before initiating participant recruitment. The participants were nursing students at the College of Nursing at IAU. Prior to participation, students were provided with a comprehensive information sheet and verbal instructions, which explained the voluntary nature of participation and the right to withdraw from the study without providing any reason, with no effect on the student’s teaching or rights. The participants were also provided with a detailed explanation of the study, including the risks and benefits of participation, and were given the opportunity to ask questions before providing verbal consent. Participants were assured that their confidentiality and privacy would be protected throughout the study, in accordance with the study’s guidelines. The information sheet also outlined the research goals, significance, and advantages of the study.
Data Collection Procedure
Data for this study was collected during lectures, with students given 30 min to complete the self-administered questionnaire containing 83 questions, including demographic variables. The questionnaire used statements or scenarios on a Likert scale to gather responses, allowing for quantitative analysis of the collected data.
Data Analysis
Data was collected and analyzed using SPSS (version 22). Categorical variables were evaluated using frequencies and percentages, while continuous variables were expressed using means and standard deviations. Scales were evaluated for reliability using Cronbach’s Alpha coefficients. The normality of data was examined using the Shapiro-Wilk test. Parametric test was used for the normally distributed data, and a non-parametric test was used for the non-normally distributed data to find the difference between groups and relationships between the variables. Correlation analysis was used to evaluate the relationship between different variables. To predict happiness levels, a Multiple Stepwise regression analysis was conducted on personality traits, including extraversion, agreeableness, conscientiousness, and neuroticism, as well as the cognitive reappraisal strategy. A p-value was considered statistically significant if it was <.05.
Missing data, which was more than 20% of the total, were removed, and the residual was replaced with the mean for the continuous variables and the median for the categorical variables. Mahalanobis Distance was used to evaluate the outliers, and the results showed that values greater than 26.124 should be removed (df = 8, p = .001, X 2 = 26.124). Two outliers were consequently removed from the data set. The relationships between the dependent (DV) and the independent (IV) variables was examined for multicollinearity using the Pearson correlation. The findings showed that the data satisfied the assumption of a lack of multicollinearity except for age and suppression, which were eliminated since they had no relationship with DV.
Based on the large sample size in our study, we assume that the data is normally distributed. To support this assumption, we conducted Shapiro-Wilk tests on our variables. The results of the Shapiro-Wilk tests showed that the variables “Happiness,” “Extraversion,” “Conscientiousness,” and “Neuroticism” have Shapiro-Wilk test statistics close to 1 and p-values greater than .05, indicating normal distribution. However, the variables “Agreeableness,” “Openness,” “Cognitive Reappraisal,” and “Suppression” have Shapiro-Wilk test statistics with p-values less than .05, indicating non-normal distribution. Nonetheless, the large sample size in our study suggests that violations of the normality assumption are unlikely to cause serious problems (Allende-Alonso et al., 2019; Bachrach et al., 2007; Pallant, 2020).
Results
Demographic Characteristics
The response rate in the study was 41%. The sample consisted of 411 nursing students with an average age of 19.6 (SD 1.7), comprising 231 men with an average age of 19.3 (SD 1.5) and 180 women with an average age of 20.1 (SD 1.5). More than half of the participants were males (56.2%), and their age was equal to or less than 19 years (55.0%). Most were single (94.9%), and 47% were in their first year (Table 1).
Demographic Characteristics of Participants.
The happiness level among the student was 3.5 (70% out of 100). The highest-scored personality traits were agreeableness (79%) and conscientiousness (69%). On the other hand, the lowest-scored trait was neuroticism (57%). For ER, cognitive reappraisal had the highest level (70%) compared to suppression (61%) (Table 2).
Level of Happiness, Personality Trait, and Emotional Regulation.
Difference Between Groups for Happiness Level
Students in the third year were happier than those in the first year (p = .024) using post hoc with ANOVA. Other variables did not significantly differ between the groups (Table 3).
The Difference Between Demographic Characteristics of Students and Happiness.
Tukey HSD test: 1st versus 2nd year, p < .037.
Difference Between Groups for ER
Cognitive reappraisal was higher among single (p = .010) students and students aged 19 years or less (p < .001). The first-year students had lower cognitive reappraisal compared to the fourth-year students (p < .032) and interns (.017). Suppression was higher among males (p < .001), single (p = .015) students and those aged 19 years or less (p < .001). Interns had higher suppression compared to the first (p < .001), second (p < .001), and third (p < .041) year students (Table 4).
The Difference Between Demographic Characteristics of Students and Emotional.
Tukey HSD test: 1st versus 4th year, p < .032; 1st versus Intern, p < .017.
Tukey HSD test: 1st versus Intern, p < .001; 2nd versus Intern, p < .001; 3rd versus Intern, p < .041.
Difference Between Groups for Personality Traits
Extraversion was higher among males (p = .04) than females. On the other hand, the students in the first year had higher agreeableness than those in the third year (p < .02). Conscientiousness was higher among females (p = .029), and the students in the first year had higher conscientiousness compared to the students in the second year (p < .041). Furthermore, neuroticism was higher among females (p < .001) than males (Table 5).
The Difference Between Demographic Characteristics of Students and Trait of Personality.
Tukey HSD test: 1st versus 3rd year, p < .02.
Tukey HSD test: 1st versus 2nd year, p < .041.
Correlation Between Variables
Happiness was highly significantly related to all variables except suppression. Personality traits were significantly related to each other. And the emotional subscales were highly significantly related to one another as well (Table 6).
Correlations Between Happiness, Personality Traits, Emotional Regulation and Age.
Correlation is significant at the .05 level (2-tailed). **Correlation is significant at the .01 level (2-tailed).
Multiple regression was performed to evaluate the predictive ability of personality and ER on happiness. Extraversion, agreeableness, conscientiousness, neuroticism, and cognitive reappraisal statistically significantly predicted happiness level, F(6, 404) = 87.8, p < .001, accounting for 75.2% of the variability in happiness with adjusted R 2 = 57%. For example, for each unit of increase in extraversion, happiness increased by 0.02 to 0.033 points. Furthermore, for each unit increase in neuroticism, happiness decreased by 0.033 to 0.021 points. Openness did not show any significant relation with happiness (Table 7).
The Predictors Variables of Happiness Among Students.
p < .01.
Discussion
The study found that nursing students had a moderate level of happiness, which is consistent with several previous studies (Milić et al., 2019; Shafiq et al., 2015; Shiv et al., 2021; Ziapour et al., 2018). However, the result of the study is inconsistent with some studies (Amani Nezhad et al., 2022; Amiri et al., 2018; Ebadi et al., 2017). The difference in the level of happiness between the current study and previous studies can be explained by different influential factors related to students’ family relationships, cultural norms, lifestyles, and environment (Amiri et al., 2018).
The current study found that students in higher academic years reported a higher level of happiness than those in lower academic years. This finding is supported by Kumar et al. (2022), who reported similar results in Indian students. In contrast, other studies conducted in Iran (Amani Nezhad et al., 2022) and Thailand (Saito et al., 2011) have reported opposing results. This finding can be rationalized by the fact that first-year students may struggle with their grades initially because academic life is new to them, and the psychological well-being of students depends on their grades (Kim, 2011). Additionally, the high happiness levels among third-year students can be explained by the fact that they have generally settled down in the university environment by then, become familiar with study requirements, and formed good friendships as their academic year has progressed (Chakraborty et al., 2019; Kumar et al., 2022).
This study found that the personality traits most commonly expressed by students were agreeableness and conscientiousness. This result is consistent with the study done by Milić et al. (2019). In addition, the study findings have shown that the extraversion trait was higher among males, whereas neuroticism was higher among females. This is similar to what was found among Egyptian university students (Abdel-Khalek, 2021; Abdel-Khalek et al., 2022). However, it is inconsistent with another study in Iran (Abedi et al., 2013). The result of the current study of high levels of neuroticism among females can be explained by the fact that Arab women’s personalities are generally more introverted and reserved compared to Arab men’s personalities (Abdel-Khalek et al., 2022). Additionally, differences in results between the current study and previous studies may be explained by cultural differences among the students and the use of different measuring tools.
This study has revealed that cognitive reappraisal was higher among single students and those aged 19 years or less. This result is supported by several studies (Amani Nezhad et al., 2022; Ghahramani et al., 2019; Sahraian et al., 2011). However, some studies have reported that age was weakly positively correlated with subjective happiness (Milić et al., 2019). This result can be explained by the effect of socioeconomic status, as in developing countries with increasing age, happiness decreases, while in developed countries, happiness stays stable throughout an individual’s lifespan (Morgan et al., 2015).
In addition, this study found that cognitive reappraisal was higher among single students. This finding is supported by prior studies (Amani Nezhad et al., 2022; Kobau et al., 2013; Milić et al., 2019). However, some studies have reported no relationship between happiness and students’ marital status (Lesani et al., 2016; Rahdar et al., 2019). It has been reported that marriage enhances social relationships, reinforces positive feelings, and improves psychological well-being, leading to increased individual happiness (Khodarahimi, 2015). Therefore, the result of the current study should be interpreted with caution since around 95% of the students were single, and only 5% were married.
The current study found that the predictors of happiness level were extraversion, agreeableness, conscientiousness, neuroticism, and cognitive reappraisal. Several studies have reported similar results, such as the predictors of happiness level being extraversion (Furnham & Christoforou, 2007; Jalil et al., 2017; Robbins et al., 2010; Ziapour et al., 2018), agreeableness (Aziz et al., 2014; Ziapour et al., 2018), conscientiousness (Chamorro-Premuzic et al., 2007; Ghaderi & Ghaderi, 2012; Robbins et al., 2008; Ziapour et al., 2018), neuroticism (Salimi, 2014), and cognitive reappraisal (Salimi, 2014; Ziapour et al., 2018). However, some studies have shown contradictory results, such as conscientiousness predicting happiness (Chamorro-Premuzic et al., 2007; Momeni et al., 2011; Soto et al., 2013), and the positive relationship between extraversion and happiness being disputed (Momeni et al., 2011; Salimi, 2014).
It has been suggested that extraversion increases personal social activities, enjoyment of life, sharing of feelings with others, and goal setting for achievement instead of focusing on negative life experiences (Das Gupta & Kumar, 2010). Furthermore, it has been confirmed that students’ time spent participating in leisure activities and with their families was related to their happiness levels (Reddy, 2023). Therefore, future studies should explore the effect of family bonds and leisure activities on nursing students’ happiness levels.
Moreover, happiness among nursing students was predicted by cognitive reappraisal, which is supported by a study conducted in Indonesia by Purnamaningsih (2017). Reappraisal is a method of cognitive change that involves interpreting a potentially triggering emotion in a situation differently and altering its emotional impact. Therefore, emotions play a vital role in maintaining health, and in daily life, they must be appropriately regulated (Liliana & Nicoleta, 2014). Cognitive reappraisal is predicted to lead to emotional stability, which would result in higher levels of happiness among nursing students.
Limitations of the Study
It is the first research of its kind that has investigated the link between nursing students’ personality traits, ER, and happiness in Saudi Arabia. Nonetheless, the study has certain limitations that must be acknowledged when analyzing the results. Firstly, the research did not explore factors that might have influenced the happiness of the subjects, such as their general health, stress levels, or religious convictions. Secondly, although the sample size was adequate, it was limited to a single nursing college at a public university, so the findings should be cautiously extrapolated to other institutions. Thirdly, the study used a self-reported cross-sectional methodology, which makes it difficult to establish cause-and-effect relationships between variables. Future research should employ a longitudinal and mixed-methods approach to monitor the students’ progress over different academic years. Lastly, the use of convenience sampling might have introduced bias, which could limit the applicability of the results. Future studies might consider using a structural equation modeling (SEM) design, with a particular focus on emotional regulation as a potential mediating variable. This approach could shed light on the underlying mechanisms linking personality traits, emotional regulation, and happiness in nursing students.
Conclusion
The outstanding qualities of agreeableness and conscientiousness among the personality traits expressed illustrate the special character of nursing students. These traits, often associated with empathy and hard work, align with the demands and expectations of the nursing profession. Emotional regulation, an essential aspect of nursing students’ psychological well-being, also emerged as a noteworthy dimension. Crucially, extraversion, agreeableness, conscientiousness, neuroticism, and cognitive reappraisal collectively predict happiness levels and account for a significant portion of the variability. This statistical finding highlights the connection between personality traits and emotional regulation in influencing nursing students’ overall happiness. These findings suggest that personality traits, happiness, and emotional regulation are interrelated elements in a nursing student’s life. The results signal an opportunity for nursing educators to consider the complexity of well-being in their teaching approaches. Promoting emotional regulation strategies could potentially lead to improvements in happiness levels, thereby promoting a conducive learning environment and overall student satisfaction. This study advances our understanding of the complex interplay between individual characteristics, emotional experiences, and the pursuit of happiness in nursing students. The implications extend beyond just academia.
Footnotes
Acknowledgements
We acknowledge sincerely grateful for student cooperation in carrying out this study.
Declaration of Conflicting Interests
The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
Funding
The author(s) received no financial support for the research, authorship, and/or publication of this article.
Ethical Approval
Ethical approval was gained from the Institutional Review Board (IRB) at IAU University. The study procedure and surveys were approved prior to initiating any participant recruitment. Students were given a comprehensive information sheet along with verbal instructions. It explained in detail the voluntary nature of participation and the right to withdraw from the study without providing any reason, with no effect on the student’s teaching or rights. It also outlined the study’s research goals, significance, and advantages.
Data Availability Statement
Research data are available with the study’s researchers based on reasonable request.
