ArticleBMC psychiatry2023
Prevalence and associated factors of depressive and anxiety symptoms among Chinese secondary school students.
Article in BMC psychiatry, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.
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26 citing papers in PubMed, 32 citations in OpenAlex.
- Metacognitive beliefs and academic performance in Chinese middle school students: A moderated mediation model of emotional dysregulation and anxiety.The British journal of educational psychology · 2026Article
- Emerging challenges and call to action for adolescent health in China.World journal of pediatrics : WJP · 2026Article
- Association Between Mental Health Literacy and Its Dimensions with Adolescent Depression and Anxiety: A Cross-Sectional Study Among 5759 Adolescents in China.Behavioral sciences (Basel, Switzerland) · 2026Article
- Prevalence and attributable risk of depressive and anxiety symptoms among secondary school students: the role of maternal mental health and other risk factors.BMC psychiatry · 2026Article
- Challenges faced and countermeasures implemented by county-level hospitals in China.Journal of global health · 2026Article
- Cumulative effects of excess weight, sleep quality, and depressive and anxiety symptoms in Chinese adolescents.BMC psychology · 2026Article
- Experiences of victimization, maladaptive schemas, and the mediating role of resilience in adolescents.BMC psychology · 2026Article
- Multidimensional psychosocial characteristics of adolescents with idiopathic scoliosis in China: a controlled cross-sectional study.BMC psychology · 2026Article
- Anxiety development trajectories in junior high students: effects of family functioning and gender, and prediction of non-suicidal self-injury.BMC psychology · 2026Article
- Peer bullying victimisation and depressive symptoms as serial mediators between attention-deficit/hyperactivity disorder symptoms and internet gaming disorder among Chinese adolescents: A three-wave longitudinal study.General psychiatry · 2026Article
- Developmental Change in Associations Between Mental Health and Academic Ability Across Grades in Adolescence: Evidence from IRT-Based Vertical Scaling.Behavioral sciences (Basel, Switzerland) · 2026Article
- Meaning in life and adolescent depression and anxiety in China: a large-scale study of dual pathways through life satisfaction and resilience.BMC psychology · 2026Article
- Aggression and emotional distress in adolescents: a cross-sectional chain mediation model of internet addiction and somatization.Frontiers in psychiatry · 2026Article
- Longitudinal association between negative life events and depression among Chinese senior high school students: the mediating role of psychological inflexibility and the moderating role of meaning in life.Frontiers in public health · 2026Article
- A Network Analysis of the Interrelationships Between Depression, Anxiety, Insomnia and Non-Suicidal Self-Injury in Middle School Students.Psychology research and behavior management · 2026Article
- Associations between muscle-strengthening exercise and depressive and anxiety symptoms in children and adolescents.BMC public health · 2025Article
- Internet gaming disorder and suicidal behaviors mediated by sleep disturbance: a large-scale school-based study in 135,174 Chinese middle school students.European child & adolescent psychiatry · 2025Article
- Trajectory of internet gaming disorder among Chinese adolescents: Course, predictors, and long-term mental health outcomes.Journal of behavioral addictions · 2025Article
- Sugar-sweetened beverage consumption and depressive symptoms among college students in northeastern China: The mediating role of mobile phone use addiction.Preventive medicine reports · 2025Article
- Latent profile analysis and influence factor study of well-being among nurses in China: a cross-sectional study.BMJ open · 2025Article
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Authors and funding
14 authors at 6 institutions in 1 country.
Funding
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Abstract
backgroundDepressive and anxiety symptoms affect about one-fourth of Chinese secondary school students. However, the prevalence and correlates of mental distress among secondary school students from Western China remain largely unexplored. This study aimed to examine the prevalence and associations of depressive and anxiety symptoms with demographic, family, school, life, and behavior factors in a large, representative sample of secondary school students in Zigong, a city in Western China.
methodsSecondary school students were recruited using cluster sampling. The 9-item Patient Health Questionnaire, the 7-item Generalized Anxiety Disorder Questionnaire, Multidimensional Peer-Victimization Scale, the Pittsburgh Sleep Quality Index, and Nine-Item Internet Gaming Disorder Scale-Short Form were used. Descriptive statistic was used to describe the sociodemographic characteristics of participants. The clustering effect was adjusted by the "survey" package of R to calculate weighted prevalence. Univariate and multivariate logistic regression were used to explore associated factors of depression and anxiety, respectively.
resultsA total of 63,205 participants were involved, in which the weighted prevalence of depression in all subjects was 23.0% (95% CI: 19.6- 27.0%), and the weighted prevalence of anxiety was 13.9% (95% CI: 11.2- 17.0%). Logistic regression results showed girls, being single-child, non-nuclear family, peer bullying, sleep disturbance, and internet gaming disorder symptoms were positively associated with depressive and anxiety symptoms.
conclusionDepressive and anxiety symptoms were prevalent among secondary school students in Western China. Our results can guide policy strategies for the assessment, prevention, and intervention of psychological status among Chinese secondary school students.
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