Evidence map›Paper›PMID 39838406›Full record

ArticleBMC public health2025

Longitudinal associations between informal caring, social network, and psychological distress among adolescents and young adults: modelling within-person effects.

Miharu Nakanishi, Satoshi Yamaguchi, Mai Sakai, Hatsumi Yoshii, Syudo Yamasaki, Atsushi Nishida, Takahiro Tabuchi

Abstract read
In one paragraph

Article in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Diet-related quality of life is associated with health-related quality of life: a nationwide online cohort study.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2026
    Article
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Miharu NakanishiDepartment of Public Health and Primary Care, Leiden University Medical Center, Hippocratespad 21, Gebouw 3, P.O. Box 9600, Leiden, 2300 RC, The Netherlands. mnakanishi-tky@umin.ac.jp.
Satoshi YamaguchiMental Health Promotion Unit, Research Center for Social Science & Medicine, Tokyo Metropolitan Institute of Medical Science, 2-1-6 Kamikitazawa, Setagaya-Ku, Tokyo, 156-8506, Japan.
Mai SakaiDepartment of Psychiatric Nursing, Tohoku University Graduate School of Medicine, 2-1 Seiryo-Machi, Aoba-Ku, Sendai-Shi, Miyagi, 980-8575, Japan.
Hatsumi YoshiiDepartment of Psychiatric Nursing, Tohoku University Graduate School of Medicine, 2-1 Seiryo-Machi, Aoba-Ku, Sendai-Shi, Miyagi, 980-8575, Japan.
Syudo YamasakiMental Health Promotion Unit, Research Center for Social Science & Medicine, Tokyo Metropolitan Institute of Medical Science, 2-1-6 Kamikitazawa, Setagaya-Ku, Tokyo, 156-8506, Japan.
Atsushi NishidaMental Health Promotion Unit, Research Center for Social Science & Medicine, Tokyo Metropolitan Institute of Medical Science, 2-1-6 Kamikitazawa, Setagaya-Ku, Tokyo, 156-8506, Japan.
Takahiro TabuchiDivision of Epidemiology, School of Public Health, Tohoku University Graduate School of Medicine, 2-1 Seiryo-Machi, Aoba-Ku, Sendai-Shi, Miyagi, 980-0872, Japan.

Funding

Health Labor Sciences Research 19FA1005, 23FA1004, 22FA1002, 22FA2001, 22FA1001; 22FA1010, 22JA1005, 23EA1001, and 23JA1003Japan Society for the Promotion of Science [JP17H03589, JP19K10671, JP19K10446, JP18H03107, JP18H03062, JP21H04856, JP20H00040, JP21H03203, JP23H03160, and JP23K07492Japan Society for the Promotion of Science JP23K21579JSPS Grant-in-Aid for Young Scientists JP19K19439Research Support Program to Apply the Wisdom of the University to Tackle COVID-19 Related Emergency Problems, University of Tsukuba Short-term type No.17]
6 · The paper itself

Abstract

backgroundInformal caring is associated with mental health deterioration among young people and impacts their help-seeking ability. Social network can provide social support and mitigate the impact of informal care. However, young carers may avoid identification and withdraw from social networks. Evidence regarding the reciprocal associations between caring, social network, and mental health is scarce. We aimed to investigate the directionality and specificity of the associations among the three factors in young people.

methodsThis study used three consecutive assessment data (2021-2023; T0-T2) from the Japan COVID-19 and Society Internet Survey. We included 5539 young persons aged ≤ 25 years and 25,445 adults aged 26-59 years. Social network was measured using the Lubben Social Network Scale. Psychological distress was evaluated using the Kessler Psychological Distress Scale. Caring status was retrospectively reported at T2. We employed a random intercept cross-lagged model to detect within-person prospective associations between informal caring, social network, and psychological distress.

resultsYoung persons showed significant directional relationships from increased social network and psychological distress at T0 to increased likelihood of caring at T1 (standardised coefficient: 0.131 and 0.176, respectively; 95% confidence interval, 0.015-0.247 and 0.071-0.282, respectively). Adults aged 26-59 years showed a reverse relationship from caring to increased psychological distress both from T0 to T1 (0.061, 0.009-0.112) and from T1 to T2 (0.042, 0.000-0.084).

conclusionsIncreased psychological distress and social network preceded the onset of informal caring among young persons. Incorporating psychological distress assessment may benefit the early identification of and support for young carers. The long-term interplay between social networking and informal caring needs further clarification.

Indexed as

CaregiversPsychological DistressSocial NetworkingSocial SupportStress, PsychologicalAdolescentAdultCOVID-19FemaleHumansJapanLongitudinal StudiesMaleMiddle AgedSurveys and QuestionnairesYoung AdultAdolescentsInformal caregivingPsychological distressSocial networkYoung adults

Identifiers

PMID39838406
PMCPMC11752962

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.