Evidence map›Paper›PMID 41635674›Full record

ArticleDepression and anxiety2026

The Effect of Family Functioning on Depressive Symptoms in Adolescents: A Moderated Mediation Model.

Zhang Jiayuan, Zhang Hui, Li Yang, Zhou Yuqiu

Abstract read
In one paragraph

Article in Depression and anxiety, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
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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

4 authors.

Zhang JiayuanDepartment of Psychological Nursing, Harbin Medical University, Daqing, Heilongjiang Province, China, hrbmu.edu.cn.ORCID https://orcid.org/0000-0002-4599-8885
Zhang HuiDepartment of Psychological Nursing, Harbin Medical University, Daqing, Heilongjiang Province, China, hrbmu.edu.cn.ORCID https://orcid.org/0009-0008-0295-5042
Li YangDepartment of Psychological Nursing, Harbin Medical University, Daqing, Heilongjiang Province, China, hrbmu.edu.cn.ORCID https://orcid.org/0000-0003-1606-0529
Zhou YuqiuDepartment of Psychological Nursing, Harbin Medical University, Daqing, Heilongjiang Province, China, hrbmu.edu.cn.ORCID https://orcid.org/0000-0003-3951-8213

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Family dysfunction and insecure attachment are established risk factors for adolescent depressive symptoms, yet individual differences in sensory processing may influence vulnerability to these environmental stressors. Objective: To explore the mediating role of insecure attachment and the moderating effect of sensory processing sensitivity (SPS) in the relationship between family functioning and adolescent depressive symptoms. Methods: This study employed a cross-sectional design, with 503 adolescents recruited via convenience sampling in October 2023. Participants completed self-report questionnaires assessing family functioning, insecure attachment, SPS, and depressive symptoms. SPSS 26.0 was used to conduct moderated mediation analyses to examine the complex interactions among these variables. Results: The results showed that family functioning was directly associated with adolescent depressive symptoms and also was indirectly associated with depressive symptoms through insecure attachment. Additionally, SPS was found to statistically moderate both the direct and indirect pathways. Specifically, the negative association between poor family functioning and depressive symptoms and the statistical mediating pathway through insecure attachment were more pronounced in adolescents with higher SPS. Conclusion: Impaired family functioning and insecure attachment were associated with higher levels of depressive symptoms in adolescents. SPS appeared to strengthen these associations, highlighting the importance of considering individual differences in sensory sensitivity when addressing adolescent mental health. Tailoring interventions to strengthen family support and attachment security, especially for adolescents with heightened SPS, may help mitigate the risk of depressive symptoms. This study emphasizes the need for family-centered interventions to foster resilience against adolescent depressive symptoms.

Indexed as

DepressionFamily RelationsObject AttachmentAdolescentCross-Sectional StudiesFamily SupportFemaleHumansMaleMediation Analysisadolescentsdepressive symptomsfamily functioninginsecure attachmentsensory processing sensitivity

Identifiers

PMID41635674
PMCPMC12861822

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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.