ArticleBMC psychiatry2025
The association between positive school climate and school identification and probable depression among Chinese adolescents: serial mediation mechanisms via resilience, mindfulness, and loneliness.
Article in BMC psychiatry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- School Identification Alleviates Depressive Mood Among Chinese College Students: The Chain Mediating Role of Social Exclusion and Sense of Control.Behavioral sciences (Basel, Switzerland) · 2026Article
- The mediating role of self-compassion and growth mindset in the relationships between multifaceted factors and youth suicidality in Hong Kong.BMC psychiatry · 2026Article
- Association Between Internet Addiction and Comorbid Anxiety and Depression in Chinese Children and Adolescents: A Latent Profile Analysis and Network Analysis.Healthcare (Basel, Switzerland) · 2026Article
- Editorial: Public health strategies to improve mental health in the education sector: perspectives and applications.Frontiers in public health · 2026Article
- Association between perceived school climate and employment anxiety among medical undergraduates: the mediating role of intentional self-regulation and the moderating role of perceived employability.Frontiers in psychiatry · 2026Article
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Authors and funding
9 authors.
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Abstract
backgroundAdolescent depression is a significant public health issue. Both environmental factors (e.g., school climate and school identification) and personal factors (e.g., resilience, mindfulness, and loneliness) are associated with depression.
methodsAn anonymous cross-sectional study (n = 7,554) was conducted among secondary school students in Taizhou, China from February to March 2022. Probable depression was defined as the 9-item Patient Health Questionnaire (PHQ-9) score ≥ 10.
resultsThe prevalence of probable depression was 18.81%. It was negatively associated with school climate, school identification, resilience, and mindfulness, and positively associated with loneliness. The negative association between school climate and probable depression was significantly/fully mediated by three single-mediator indirect paths (involving resilience, self-compassion, and loneliness, respectively) and two two-mediator indirect paths (first via resilience then via loneliness, and first via self-compassion then via loneliness, respectively). The mediation effect sizes for the five paths were 17.05%, 6.82%, 39.20%, 7.39%, And 3.52%, respectively. Similar significant mediation paths were identified regarding the association between school identification and probable depression, although these exhibited relatively small mediation effect sizes of < 10%.
conclusionsThis study observed high prevalence of probable depression among Chinese secondary school students. School climate and school identification at the environmental level were directly and indirectly (via personal factors of resilience, mindfulness, and loneliness) associated with adolescent depression. Future studies are needed to confirm the above findings and pilot interventions to modify these factors.
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