ArticleJournal of research in health sciences2020
Academic Stress and Adolescents Mental Health: A Multilevel Structural Equation Modeling (MSEM) Study in Northwest of Iran.
Article in Journal of research in health sciences, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed, 34 citations in OpenAlex.
- Effects of a Cognitive-Behavioral Group Counseling Program on Weight Bias Internalization and Psychological Outcomes Among Obese Youth in Mahasarakham University, Thailand.Journal of research in health sciences · 2024Trial
- Physical Activity, Academic Stress, and Motivation in Physical Education: A Cross-Sectional Analysis by Sex and Grade Level.Healthcare (Basel, Switzerland) · 2026Article
- Comparison of stress sources and coping strategies in children practicing judo and their non-training peers.BMC sports science, medicine & rehabilitation · 2026Article
- Comparative Trends in the Burden of Depressive Disorders in China and Globally, 1990-2021: Evidence From the Global Burden of Disease 2021.Alpha psychiatry · 2026Article
- The impact of ADHD symptoms on insomnia severity in adolescents: the mediating role of emotion dysregulation, self-compassion, and experiential avoidance.BMC psychiatry · 2026Article
- Mental health status of children (14-17 years) in conflict with law residing in the correction homes in Bagmati Province, Nepal: a mixed method study.BMC psychiatry · 2025Article
- Mobile phone addiction was the mediator and physical activity was the moderator between bullying victimization and sleep quality.BMC public health · 2025Article
- Social network site addiction, sleep quality, depression and adolescent difficulty describing feelings: a moderated mediation model.BMC psychology · 2025Article
- National trends in adolescents' mental health by income level in South Korea, pre- and post-COVID-19, 2006-2022.Scientific reports · 2024Article
- Reasons for academic cheating in a cohort of nursing students in Saudi Arabia: a cross-sectional study.Journal of medicine and life · 2024Article
- Adolescent short video addiction in China: unveiling key growth stages and driving factors behind behavioral patterns.Frontiers in psychology · 2024Article
- Clustering of Activity-Related Behaviors in Relation to Self-Reported Causes of Stress among Pre-Adolescents: Results from a National Epidemiological Study.Life (Basel, Switzerland) · 2023Article
- Family Background Issues as Predictors of Mental Health Problems for University Students.Healthcare (Basel, Switzerland) · 2023Article
- The Impact of Socioeconomic Inequality on Mental Health among Adolescents in Qazvin, Iran: Blinder-Oaxaca Decomposition Method.Medical journal of the Islamic Republic of Iran · 2023Article
- Using Multilevel Structural Equation Modeling (MSEM) to Identify the Predictors and Influencing Mechanism of Technology Use Among Chinese Physicians: An Example from Des-Gamma-Carboxy Prothrombin (DCP).Risk management and healthcare policy · 2022Article
- Effects of Lifestyle and Environmental Factors on the Risk of Acute Myeloid Leukemia: Result of a Hospital-based Case-Control Study.Journal of research in health sciences · 2021Article
- Mental Health Problems and the Associated Family and School Factors in Adolescents: A Multilevel Analysis.Iranian journal of psychiatry · 2021Article
- Problems and Factors that may be Associated with Mental Health Problems Leading University Students to Seek Assistance at the Counseling Clinic of the Primary Care Unit of Khon Kaen University.Indian journal of community medicine : official publication of Indian Association of Preventive & Social MedicineArticle
Corrections and comments
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Authors and funding
5 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundWe aimed to determine the relation of different sources of academic stress and adolescents´ mental health through mediator variables on the student and school levels. STUDY
designA cross-sectional study.
methodsOverall, 1724 students aged 12-19 yr were selected from 53 high schools in Qazvin City, central Iran through stratified cluster sampling. The sources of academic stress include family conditions, education system, future concerns, academic competitions, interaction with teachers, school disciplines, peer pressure, parental involvement, and financial problems. Academic self-efficacy and self-concept were the mediator constructs. The students and schools´ information were considered on levels 1 and 2, respectively. A Multilevel Structural Equation Modeling (MSEM) analysis was done.
resultsHigh value of academic stress was associated with reduction of mental health. On the student level, the academic stress caused by the families 0.31 (95% CI: 0.28, 0.34), peers 0.29 (95% CI: 0.27, 0.32), and the education system 0.21 (95% CI: 0.18, 0.24) had the highest impact on the adolescents' mental health, respectively. There was a direct and indirect relation between academic stress and mental health through the self-concept. On the school level, only family conditions stress had a relation with mental health (P=0.015, b=1.08). Academic self-efficacy showed no significant relation in the model.
conclusionThe stress from the family is the most important source of stress associated with adolescent mental health. Self-concept unlike academic self-efficacy had an important mediating role in the relation between different sources of academic stress and adolescents' mental health.
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