Work

Exploring the relationship between mental health status and life events in children and adolescents: the role of mediating factors

Year: 2025

Type: article

Abstract: Background The mental health status of children and adolescents is significantly influenced by negative life events, yet there is a lack of comprehensive analysis on mediating factors. This study aims to examine the relationship between negative life events and symptoms of anxiety and depression in children and adolescents, as well as to identify potential mediating factors. Methods In May 2022, cluster-randomized sampling was used to select 8041 primary, middle, and high school students in Zhaoqing City, Guangdong Province, for the final analysis. The Adolescent Life Events Scale, Self-Rating Anxiety Scale, and Self-Rating Depression Scale were employed to assess negative life events, anxiety symptoms, and depressive symptoms, respectively. Pearson correlation analysis and linear regression analysis were utilized to identify risk factors, and the Bootstrap method was applied for mediation analysis. Results The study revealed that 80.52% of children and adolescents experienced negative life events, with 23.38% reporting anxiety symptoms and 42.57% reporting depressive symptoms. Significant positive correlations were observed between negative life events and anxiety symptoms (r = 0.32, p < 0.001), as well as depressive symptoms (r = 0.44, p < 0.001). Mediation analysis further demonstrated that anxiety and depressive symptoms acted as mutual mediators in the relationship between negative life events and each other. Conclusions This study underscores the complex interplay between anxiety, depression, and negative life events in children and adolescents. These findings can inform strategies to help mitigate the emotional impact of negative life events, enhance mental health, and provide a scientific basis for developing effective interventions.

Source: Frontiers in Psychiatry

DOI: 10.3389/fpsyt.2025.1520353

Authors: Jiemei Xie, Guoqiang Cheng, Mingliang Zhou, Qisheng Liang, Qianjin Wang

Institutions: Shantou University, Shandong University, Shandong Provincial Hospital, Second Xiangya Hospital of Central South University, Shandong First Medical University

Language: English

Topic: Child and Adolescent Psychosocial and Emotional Development

Subfield: Clinical Psychology

Field: Psychology

Domain: Social Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $3,801