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

BackgroundThe 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 c...

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Main Authors: Jiemei Xie, Guoqiang Cheng, Mingliang Zhou, Qisheng Liang, Qianjin Wang
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-02-01
Series:Frontiers in Psychiatry
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Online Access:https://www.frontiersin.org/articles/10.3389/fpsyt.2025.1520353/full
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author Jiemei Xie
Jiemei Xie
Guoqiang Cheng
Mingliang Zhou
Qisheng Liang
Qianjin Wang
Qianjin Wang
Qianjin Wang
author_facet Jiemei Xie
Jiemei Xie
Guoqiang Cheng
Mingliang Zhou
Qisheng Liang
Qianjin Wang
Qianjin Wang
Qianjin Wang
author_sort Jiemei Xie
collection DOAJ
description BackgroundThe 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.MethodsIn 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.ResultsThe 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.ConclusionsThis 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.
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spelling doaj-art-fdd8cdb0cbe44ba891bd553bfa8d06d82025-02-11T11:45:43ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402025-02-011610.3389/fpsyt.2025.15203531520353Exploring the relationship between mental health status and life events in children and adolescents: the role of mediating factorsJiemei Xie0Jiemei Xie1Guoqiang Cheng2Mingliang Zhou3Qisheng Liang4Qianjin Wang5Qianjin Wang6Qianjin Wang7Department of Psychiatry, Zhaoqing Third People’s Hospital, Zhaoqing, Guangdong, ChinaDepartment of Psychiatry, Shantou University, Shantou, Guangdong, ChinaDepartment of Psychiatry, Zhaoqing Third People’s Hospital, Zhaoqing, Guangdong, ChinaDepartment of Psychiatry, Zhaoqing Third People’s Hospital, Zhaoqing, Guangdong, ChinaDepartment of Psychiatry, Zhaoqing Third People’s Hospital, Zhaoqing, Guangdong, ChinaDepartment of Psychiatry, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, Shandong, ChinaDepartment of Psychiatry, Shandong Provincial Hospital, Shandong University, Jinan, Shandong, ChinaDepartment of Psychiatry, National Clinical Research Center for Mental Disorders, and National Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Changsha, Hunan, ChinaBackgroundThe 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.MethodsIn 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.ResultsThe 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.ConclusionsThis 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.https://www.frontiersin.org/articles/10.3389/fpsyt.2025.1520353/fullnegative life eventsdepressive symptomsanxiety symptomschildren and adolescentsmediation analysis
spellingShingle Jiemei Xie
Jiemei Xie
Guoqiang Cheng
Mingliang Zhou
Qisheng Liang
Qianjin Wang
Qianjin Wang
Qianjin Wang
Exploring the relationship between mental health status and life events in children and adolescents: the role of mediating factors
Frontiers in Psychiatry
negative life events
depressive symptoms
anxiety symptoms
children and adolescents
mediation analysis
title Exploring the relationship between mental health status and life events in children and adolescents: the role of mediating factors
title_full Exploring the relationship between mental health status and life events in children and adolescents: the role of mediating factors
title_fullStr Exploring the relationship between mental health status and life events in children and adolescents: the role of mediating factors
title_full_unstemmed Exploring the relationship between mental health status and life events in children and adolescents: the role of mediating factors
title_short Exploring the relationship between mental health status and life events in children and adolescents: the role of mediating factors
title_sort exploring the relationship between mental health status and life events in children and adolescents the role of mediating factors
topic negative life events
depressive symptoms
anxiety symptoms
children and adolescents
mediation analysis
url https://www.frontiersin.org/articles/10.3389/fpsyt.2025.1520353/full
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