Evidence map›Paper›PMID 41333301›Full record

ArticleFrontiers in psychology2025

The role of anxiety and trauma in predicting school avoidance among students: a structural equation modeling analysis.

Haoyu Wang, Qixiu Qin

Abstract read
In one paragraph

Article in Frontiers in psychology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

2 authors.

Haoyu WangChina West Normal University, School of Foreign Languages, Nanchong, China.
Qixiu QinChina West Normal University, School of Foreign Languages, Nanchong, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This study investigated how anxiety and traumatic experiences contribute to adolescents' school avoidance by constructing a dual-path mediation model. In this model, emotion regulation was tested as a mediator linking anxiety to school avoidance, while psychological resilience was examined as a mediator linking traumatic experiences to school avoidance. A total of 500 school students from eastern China participated in the survey. Structural equation modeling (SEM) was used to analyze the direct and interactive effects of the two risk factors, assess two mediating pathways, and investigate potential group differences by gender and grade level. The research employed a combination of methods-including questionnaire surveys, descriptive statistics, correlation analysis, multiple regression, and model fitting-to comprehensively evaluate five key variables: anxiety, trauma, emotion regulation, resilience, and school avoidance. The results showed that both anxiety and traumatic experiences were significant predictors of school avoidance, and their interaction further intensified avoidance behavior. Emotion regulation partially mediated the effect of anxiety on school avoidance, while psychological resilience served as a protective mediator between trauma and avoidance. This study is the first to integrate anxiety and trauma into a single analytical framework, highlighting the complex interactions between risk and protective factors. It also contributes new empirical insights into gender and grade-level variations. These findings underscore the importance of incorporating emotion regulation and resilience-building strategies into school curricula and teacher training programs. This study is the first to place anxiety and trauma within a single analytical framework, underscoring how risk and protective factors interact to shape school avoidance. It further offers empirical evidence of variations by gender and grade level. Taken together, the results highlight the value of incorporating emotion regulation and resilience training into school curricula and teacher preparation, while also providing a solid foundation for developing more precise and sustainable school-based mental health services.

Indexed as

adolescent anxietyeducational psychologyemotion regulationmental health interventionschool avoidance behaviorstructural equation modelingtraumatic experiences

Identifiers

PMID41333301
PMCPMC12667185

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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.