Search Results (182)

Vocational high school students represent a substantial yet understudied population in school-based mental health research. Drawing on positive psychology and bioecological theory, this study examined whether personal growth initiative (PGI) shows a statistical indirect effect with respect to the relationships between multidimensional school climate and mental health outcomes among Chinese vocational students. Participants were 14,006 students from 112 vocational high schools. Two-level path models simultaneously entered different climate dimensions to estimate their unique associations with PGI, depressive symptoms, and Subjective well-being (SWB) at the within- and between-school levels, controlling for gender and socioeconomic status. Within schools, Safety, Interpersonal Relationships, Rules and Norms/Career Development Support, and Teaching and Learning/Diversity were positively associated with PGI, which in turn was associated with lower depressive symptoms and higher SWB. Wald tests indicated that Safety showed the strongest overall association with depressive symptoms, whereas Interpersonal Relationships showed the strongest overall association with SWB. At the between-school level, school-average climate and school-average PGI were associated with both outcomes, although these findings should be interpreted cautiously given the limited between-school power and substantial overlap among aggregated climate indicators. Overall, the findings are consistent with PGI being an important student-level pathway linking school climate to mental health in vocational education. Full article

Background and Objectives: Rates of obesity have been consistently increasing in recent years across all age groups, with a notable rise among young people. Obesity represents a persistent inflammatory condition and a key contributor to various chronic health problems, such as cardiovascular disorders, metabolic abnormalities, cancer, and psychological conditions. The move from high school to university is a transitional phase accompanied by specific pressures that can affect both body weight control and mental health in students. This cross-sectional investigation aimed to investigate potential associations between excess weight and the presence of depressive and anxiety symptoms in university populations. Methods: This cross-sectional analysis included 5298 students enrolled at universities across ten geographic areas of Greece. Participants filled out questionnaires concerning demographic information and lifestyle behaviors. Levels of depression and anxiety were measured using the Beck Depression Inventory (BDI-II) and the short form of the State Anxiety Inventory (STAI-6), respectively. Measurements of height and body weight were obtained to compute Body Mass Index (BMI). Results: The presence of overweight or obesity among students was significantly and independently related to female sex, urban residence, living independently, tobacco use, and lower academic performance (p = 0.0103, p = 0.0102, p = 0.0203, p = 0.0075, and p = 0.0168, respectively). Individuals reporting insufficient physical activity had 85% higher odds of being overweight or obese (p = 0.0068). Similarly, participants experiencing depressive or anxious symptomatology had more than double odds of excess body weight compared with those without such symptoms (p = 0.0015 and p = 0.0012, respectively). Furthermore, poor Mediterranean diet adherence was linked to more than a twofold increase in the odds of overweight or obesity (p = 0.0005). Conclusions: These findings offer considerable evidence that symptoms of depression and anxiety may serve as significant contributors to the development of overweight and obesity among university students. Additional longitudinal studies are strongly encouraged to substantiate these observations. Full article

Objectives: With the rapid development of digital technology, the risk of internet addiction among adolescents has increased. However, the influence mechanism of emotional eating behavior on internet addiction remains unclear. This study aimed to explore the association pathway of emotional eating on internet addiction in junior high school students and test the chain-mediating effects of sleep quality (sleep quality was measured using the PSQI, with higher scores indicating poorer sleep quality) and depression. Methods: Based on data from 3245 junior high school students in Shenzhen, China, internet addiction was measured using Young’s questionnaire, and emotional eating was assessed via the Dutch Eating Behavior Questionnaire’s subscale. The PROCESS macro (Model 6) was used to test the chain-mediating effects. Results: Emotional eating was positively but modestly associated with internet addiction (β = 0.024, p < 0.01). Three significant mediating pathways were identified: (1) emotional eating → sleep quality → internet addiction (β = 0.0062, 14.52% of total effect); (2) emotional eating → depression → internet addiction (β = 0.0084, 19.67%); and (3) emotional eating → sleep quality → depression → internet addiction (β = 0.0041, 9.60%). Conclusions: Based on cross-sectional data, this study found that emotional eating is associated with internet addiction through the independent and chain-mediating effects of sleep quality and depression, revealing a statistical mediation pathway of “maladaptive emotion regulation → circadian disruption → psychopathology → addictive behavior.” These findings provide a basis for interventions targeting sleep management and emotional regulation. Full article

Light exposure profoundly influences human emotions and physiology. Yet, adolescents spend considerable time under artificial indoor lighting. Reduced daytime light exposure delays the circadian clock, negatively affecting sleep, cognition, and mood. This pilot study examined whether 470–490 nm enhanced LED lighting modulates mood, sleep quality, and attention among 65 male Korean high school students (mean age = 15.4 years) who participated in a two-week intervention. Both groups were exposed to natural daylight, but the experimental group additionally used LED lighting enriched in the 470–490 nm wavelength range, whereas the control group used LED lighting without modified spectral characteristics. Students were exposed to the assigned lighting from 08:00 to 17:00 during regular school hours for two consecutive weeks. To evaluate the effects of the two-week intervention, pre- and post-assessments included the Beck Depression Inventory (BDI-II), the Richards–Campbell Sleep Questionnaire (RCSQ), the Epworth Sleepiness Scale (ESS), the Perceived Stress Scale (PSS), and the Frankfurter Attention Inventory (FAIR), administered twice at each assessment point. The linear mixed-effect model showed a significant time × group interaction for line errors in the first FAIR trial (F (1, 52) = 5.21, p = 0.027, η² partial = 0.09), suggesting a greater relative reduction in attentional errors in the experimental group compared with the control group. No significant effects were observed for sleep- or mood-related outcomes. These results indicate the potential relevance of wavelength-optimized lighting in educational settings where sustained attention is critical. Future studies with larger samples and longer interventions are required to confirm and extend these findings. Full article

Considering the high prevalence of adolescent depression and anxiety, the profound functional consequences of untreated early psychosis and suicide being the number one cause of death in Australia among 15–19-year-olds, ensuring that teachers are literate about these disorders should be a high priority. Teachers’ disorder-specific literacy is a pragmatic response to healthcare system constraints. This scoping review aimed to map the evidence of teacher mental health literacy training programs, specifically for depression, anxiety, early psychosis and suicide risk. PRISMA-ScR guidelines were followed. Included studies were published in English between 2000 and 2024, focused on teachers working with students in Year 7–12 and measured teachers’ knowledge of depression, anxiety, psychosis or suicide risk. Studies were appraised for quality. Eighteen studies met the inclusion criteria. Nine evaluated knowledge of student depression, five evaluated knowledge of anxiety and five evaluated knowledge of psychosis, while nine studies focused on suicide risk. Providing disorder-specific training and evaluation, rather than general mental health literacy training, is recommended for future research. When healthcare systems lack the capacity to provide care for ill adolescents, schools often function as frontline sites for recognition and triage. Disorder-specific literacy is recommended for teachers so they can manage their real-world, health-system compensation role. Full article

Adolescence is a critical life period connected with the initiation of substance use. Exploring the prevalence of and contributors to adolescents’ smoking, drinking, and drug use is essential for developing effective health education programs. This study aims to detect prevalence rates of adolescent substance use and their association with sociodemographics and a set of psychological, social, and school-related variables. Participants were high school students (9th graders, N = 1590; 694 males, 896 females) in Békés county, Hungary. The lifetime prevalence rates were the following: smoking (47.2%), alternative smoking (49.2%), drinking (85.7%), cannabis use (7.6%), sedative use (7.0%), and designer drug (herbal) use (3.7%), with gender differences (a surplus of girls) found only in smoking and sedative use. Using bivariate logistic regression analyses, depressive and psychosomatic symptoms and internet addiction increased the odds of all types of substance use, life satisfaction, future orientation, and social support from the family, while school achievement and school satisfaction showed odds-reducing effects. In multivariate analyses, the various types of substance use were predicted by different variables, while psychosomatic symptoms, social support from the family, and school achievement seemed to be the most relevant contributors. Health education programs should also incorporate fostering mental health to prevent adolescent substance use. Full article

There is a global documented rise in depressive symptoms among adolescents. The cross-sectional assessments in representative samples of adolescents would help explore their correlates, which may serve as resources for intervention. Our cross-sectional survey entitled “Békés County Youth Study 2024” involved a representative sample of grade-9 high school students (N = 1590, aged 15–17 years, 56.4% females) from public high schools in the region, Hungary. Besides depressive symptoms (measured by a validated, shortened version of the Children’s Depression Inventory, CDI), a set of psychosocial variables (psychosomatic symptoms, internet addiction, future orientation, social support from family and friends, marks, gender, school satisfaction, and religiosity) was included in the survey. Gender differences in the summary score for CDI were significant: t(1588) = −12.062, p < 0.001, showing a higher rate of females. A total of 22.6% (males: 13% and females: 30%) belonged to the group at risk of depression. All potential predictors proved significant, with the strongest contribution of psychosomatic symptoms (Beta = 0.306, p < 0.001), and the most relevant protective role of family support (Beta = −0.265, p < 0.001). Other than further exploring contextual factors that increase risk for and protect against adolescent depression, mental health promotion in schools should include well-being training. Full article

The refugee population is increasing worldwide, and in South Korea, the refugee population, including children and adolescents, is also rapidly increasing. This study aimed to compare the psychological problems of North Korean refugee adolescents with those of South Korean adolescents and to evaluate their mental health characteristics. Methods: This cross-sectional comparative study assessed psychological problems using the Korean version of the Youth Self-Report Scale (K-YSR) among 206 South Korean adolescents and 130 North Korean refugee adolescents enrolled in middle and high schools in Gyeonggi Province. The inclusion criteria included adolescents aged 13–18 years at middle or high school and residing in South Korea for at least 6 months (for North Korean refugees). Data were collected in October 2025. Results: North Korean refugee adolescents showed significantly higher scores of anxiety/depression (F = 11.304, p < 0.001, η² = 0.033), somatic symptoms (F = 20.997, p < 0.001, η² = 0.060), social immaturity (F = 11.083, p < 0.001, η² = 0.032), rule-breaking behavior (F = 12.851, p < 0.001, η² = 0.037), and aggressive behavior (F = 50.386, p < 0.001, η² = 0.132). Notably, the largest effect size (η² = 0.132) was observed in the aggressive behavior domain, while the somatic symptoms also showed a moderate effect size (η² = 0.060). In the ANCOVA analysis, controlling for gender and age as covariates, female students scored higher in the anxiety/depression and somatic symptoms domains, while male students scored higher in the rule-breaking behavior and aggressive behavior domains. Conclusions: North Korean refugee adolescents experience various psychological difficulties during their adaptation to South Korean society. These results can be used as basic data to detect mental health problems in North Korean adolescent refugees early and develop customized support plans. Full article

Background/Objectives: The frequent and uncontrolled use of digital devices has resulted in phenomena such as technological addiction and problematic ICT use, especially after the pandemic. This has been associated with several factors related to psychological distress in young adults, but less is known about the subject in adolescents. Thus, the aim of this study is to analyze the relationship between problematic Internet use and psychological distress factors in high school students and examine whether these variables differed when gender and academic grade level were considered. Methods: A quantitative, cross-sectional, and descriptive–correlational study was employed. A total of 2048 students from the Basque Country, aged between 11 and 17 years old, completed an online self-report questionnaire composed of demographics and ad hoc items, the Problematic Internet Use Scale (PIUS), and selected subscales from the Child and Adolescent Assessment System (anxiety, social anxiety, and depression). Descriptive statistics, Pearson correlation analyses, independent-sample ANOVA, Bonferroni post hoc tests, and independent-sample t tests were conducted. Results: Even though no differences were found between males and females when PIUS was analyzed, significant differences were found between students from different academic grade levels, whereby those from higher levels presented higher rates of problematic Internet use. Significant correlations were found between PIUS and depression, anxiety, and social anxiety. Furthermore, those who showed more problematic Internet use also presented higher anxiety, social anxiety, and depression levels. Conclusions: Adolescents in higher grade levels tend to exhibit a higher incidence of problematic Internet use. Consequently, intensive and uncontrolled Internet usage has been linked to poorer mental health. The findings underline the importance of promoting digital literacy among adolescents. These results highlight the importance of approaching psychological distress through prevention initiatives and emphasize the protective role that both schools and families play in promoting healthier and more balanced Internet use among adolescents. Full article

Background: Medical students are at high risk for depressive symptoms, but few longitudinal studies have examined changes over time, especially among those repeating academic years. The aim of this study was to assess the prevalence and temporal trends of depressive symptoms and self-rated health among Hungarian medical students, examining the influence of demographic and lifestyle factors and the independent impact of academic repetition on mental health risk. Methods: In a four-year cohort study at the University of Pécs Medical School, students were classified as original-entry cohort (progressing according to the standard curriculum) or repeaters (those who began studies before 2016). Sample size was N = 196 in the first semester of the first year, N = 192 in the second semester of the first year, N = 157 in the second year, N = 147 in the third year, and N = 155 in the fourth year. Data were collected at five time points on lifestyle factors and depressive symptoms using the Beck Depression Inventory and a self-rated health questionnaire. Multivariate logistic regression identified risk and protective factors. Results: In the original-entry cohort, depressive symptoms peaked in the first two years (up to 52.6%), then declined to 24.6% by year four. Compared to age-matched peers, students had 3.1-fold higher odds of depressive symptoms at entry (OR = 3.10, CI: 2.007–4.773; p < 0.001), rising to 5.2-fold after the first exam period (OR = 5.20, CI: 3.375–8.000; p < 0.001). Among repeaters, odds of depressive symptoms remained over threefold higher than the general population (OR = 3.64, CI: 1.888–7.022, year IV/1), and self-rated health was significantly lower (p < 0.001). Financial hardship increased risk, while regular physical activity was protective. Conclusions: This study highlights the elevated and persistent mental health risks among repeaters and medical students with financial difficulties. Stratifying by academic progression reveals unique vulnerabilities, underscoring the need for targeted support in medical training. Full article

Background: Mental health conditions are a growing public health concern among U.S. adolescents, particularly high school students. Emerging data show a strong link between exposure to neighborhood violence and increased risk of poor mental health outcomes, such as depression, anxiety, and persistent sadness. Objective: This study examined the relationship between neighborhood violence exposure and mental health outcomes among high school students. Method: This is a cross-sectional study using the 2023 Youth Risk Behavior Survey. The sample included 19,910 students in grades 9–12 across gender and race. Mental health status and exposure to neighborhood violence were analyzed using chi-square tests and logistic regression models. Results: Students exposed to neighborhood violence had significantly higher odds of reporting poor mental health outcomes (AOR = 1.789, 95% CI: 1.573–2.035, p < 0.001) than the unexposed. Additionally, female, Hispanic/Latino, and multiracial students reported higher rates of mental health disorders than the male students. Conclusions: Neighborhood violence exposure was significantly associated with poor mental health outcomes among high school students. These findings signify the need for targeted interventions to support affected students and reduce neighborhood violence exposure, particularly in marginalized communities. The findings will inform public health professionals, educators, and policymakers to make targeted school-based mental health interventions and community-centered policies addressing neighborhood safety and adolescent mental health. Full article

Background/Objectives: Adolescents’ screen time has increased alongside rising rates of depression and suicidal ideation and behavior. This study examined associations between excessive screen time and mental health among U.S. high school students, and explored whether social image factors (overweight perception, sports team participation, and academic performance) mitigate these associations. Methods: We analyzed data from the 2019 Youth Risk Behavior Surveillance System (YRBSS) (N = 13,677). Screen time was categorized as <2, 2–3, ≥4 h per day for television watching and digital device use (excluding school-related use). Multivariate logistic regression analyses estimated adjusted odds ratios (AORs) and 95% confidence intervals (CIs) for associations between screen time and mental health outcomes, adjusting for demographic and social image factors. Results: Overall, 31.7% of students reported using digital devices for ≥4 h per day, compared with 10.2% who watched television for ≥4 h per day. Using digital devices for ≥4 h per day was significantly associated with difficulty concentrating (AOR = 1.68), insufficient sleep (AOR = 1.43), feeling sad or hopeless (AOR = 1.86), and suicidal ideation (AOR = 1.69 for considering suicide; AOR = 1.77 for planning suicide) compared with using digital devices for <2 h per day, after adjusting for demographic and social image factors. Significant associations between television viewing and mental health outcomes appeared to be largely explained by social image factors. Female students and certain racial/ethnic groups were more likely to report mental health difficulties. Students with a positive social image reported lower odds of poor mental health outcomes and excessive screen time. Conclusions: Excessive digital device use is associated with poor mental health and suicidal ideation among high school students, with female students particularly vulnerable. Social image factors were also associated with screen time and mental health outcomes. Interventions that promote school engagement, sports team participation, and a positive social image may help mitigate the adverse effects of excessive screen time. Full article

With the widespread use of the internet, cyberbullying has become a significant issue affecting adolescents’ mental health and quality of life. This study utilized propensity score matching (PSM) and network analysis to compare the mental health and quality of life symptom networks of Chinese high school students who had experienced cyberbullying and those who had not. A total of 9066 students were assessed using the Symptom Checklist (SCL-90) and the Chinese Quality of Life Scale for Primary and Secondary School Students (QLSCA). Network comparison tests revealed significant structural differences (M = 0.2136, p < 0.05), with the cyberbullying group showing higher global network strength (11.985 vs. 10.700, p < 0.05), indicating a more densely connected symptom network. In both groups, “self-satisfaction” was the most central node, but the cyberbullying group exhibited higher centrality for “negative emotion” and “self-concept” compared to anxiety and depression in the non-cyberbullying group. Key bridging symptoms differed: “academic attitude” in the non-cyberbullying group and “opportunity for activity” in those who had experienced cyberbullying. Moreover, the connection strength between “interpersonal sensitivity” and “negative emotion” was stronger in the cyberbullying group. These findings suggest that targeted interventions should focus on emotional regulation and social activity to disrupt the symptom network cycle. Full article

Study objective: Electronic vapor product (EVP) use remains prevalent among adolescents in the United States. EVP use may be associated with high-risk substance use behaviors. This study investigates the association between current EVP use and current opioid misuse in high school students. Methods: We conducted a secondary analysis of the 2021 Youth Risk Behavior Survey (YRBS) (n = 7471). We first examined the prevalence rates of current prescription opioid misuse between participants ages 14 to 19 who reported any EVP use compared to those who did not report any EVP use. We conducted an adjusted Poisson regression analysis to determine whether EVP use was associated with prescription opioid misuse after controlling for multiple variables, including age, biological sex, race, ethnicity, alcohol use, other tobacco use, marijuana use, and depressive symptoms. Results: Among participants, 17.2% (95% confidence interval (CI): 15.4–19.1%) reported current EVP use. The prevalence of current opioid misuse was higher in the group of students who use EVPs (13.3%) as compared to students who do not use EVPs (3.2%) (p < 0.0001). Compared to participants who did not use EVPs, those with EVP use had an 80% greater prevalence of opioid misuse, after adjusting in regression analyses (adjusted prevalence rate ratio: 1.8, 95% CI: 1.4–2.3, p < 0.0001). Conclusions: Our findings highlight the significantly increased prevalence of opioid misuse among this population and the need to educate adolescents about the additional risks associated with nicotine and EVP use. Longitudinal studies are needed to test causal relationships and better understand the biobehavioral mechanisms that connect EVP use and opioid misuse. Full article

Background: The rise of problematic social media use among children and adolescents is often associated with significant physical and psychosocial effects. In China, QQ, a popular social media platform among youth, has become a major mental health concern due to its excessive use. The present study aimed to explore the association between QQ addiction and negative mental health through a Latent Class Analysis (LCA). Methods: The study data were collected from a sample of 1006 Chinese school students (49.8% male; age M = 13.32, SD = 1.34 years) through a paper-pencil survey using the convenience sampling technique. Results: LCA identified three latent groups based on QQ addiction symptom scores: No-risk (77.2%), At-risk (16.8%), and High-risk (6.0%). The analysis revealed that children and adolescents in the High-risk class exhibited significantly higher levels of depression, anxiety, emotional problems, conduct issues, hyperactivity, and peer problems, as well as lower life satisfaction and prosocial behaviors compared to the No-risk and At-risk groups (p < 0.05), signifying a strong association between problematic QQ use and poor mental health. Conclusions: Mental health professionals would benefit from designing intervention plans to mitigate the negative mental health among the High-risk and At-risk classes of problematic QQ users. Full article