ArticleInternational journal of environmental research and public health2022
Myopia and Depression among Middle School Students in China-Is There a Mediating Role for Wearing Eyeglasses?
Article in International journal of environmental research and public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.
- Bidirectional Relationship Between Myopia and Mental Disorders.Depression and anxiety · 2025Pooled it
- Symptoms of Depression and Anxiety among Myopes: A Systematic Review and Meta-Analysis.The British and Irish orthoptic journal · 2026Review
- Knowledge, attitudes, and practices of ophthalmologists regarding myopia surgery.Scientific reports · 2025Article
- Causal relationships between depression, anxiety, and myopia: a two-sample Mendelian randomization study.Eye (London, England) · 2025Article
- Exploring the interrelationship between myopia, psychological resilience, and emotion regulation in adolescents using a network analysis.Scientific reports · 2025Article
- Article
- The association between myopia and mental health among Chinese children in primary and secondary school: a cross-sectional study.Frontiers in public health · 2025Article
- A survey of public eye-care behavior and myopia education.Frontiers in public health · 2025Article
- Impact of eyesight, BMI, and the use of screen-based devices on mental well-being.Pakistan journal of medical sciences · 2024Article
- Effects of myopia on health-related quality of life in adolescents: a population-based cross-sectional causal empirical survey.BMJ open ophthalmology · 2024Article
- Development of a risk score for myopia: A cohort study conducted among school-aged children in China.Indian journal of ophthalmology · 2024Article
- Stress events and stress symptoms in Chinese secondary school students: gender and academic year characteristics of the relationship.Frontiers in public health · 2024Article
- Quality of life and depression among patients with high myopia in Nigeria: a cross sectional study.International journal of ophthalmology · 2023Article
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
Abstract
Compared with non-myopic students, myopic students face more barriers to learning (e.g., inability to see the blackboard clearly) and socializing (e.g., being victims of teasing, social exclusion and violence), which may lead to increased stress, anxiety and frustration. The high prevalence of myopia and depression among school-age children naturally raises a question of great policy relevance: are myopic students more vulnerable to mental health problems such as depression? This paper sheds some light on this question by analyzing data from the China Education Panel Survey, a large-scale survey of China's middle school students. Our analysis first quantifies the association between myopia and sample students' depression status (measured by the widely adopted CES-D scale) adjusted for potential confounding factors. We then explore whether the myopia-depression relationship is mediated by wearing eyeglasses, a cost-effective means of vision correction. Based on data on 19,299 middle school students, our analysis reveals that myopic students scored 0.12 standard deviations higher on the CES-D scale than their non-myopic counterparts. The adverse effect of myopia is more severe for relatively disadvantaged students: older students (who are more likely to suffer from both myopia and depression), lower-performing students and students from poorer families. Further medication analysis shows that wearing eyeglasses suppresses the myopia-depression relationship but cannot completely offset the adverse effect of myopia.
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Registered trials
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