Evidence map›Paper›PMID 41799822›Full record

ArticleFrontiers in psychiatry2026

The correlation between different types of negative life events and the mental health status of Han ethnic adolescents in Sichuan Province.

Shoukang Zou, Yangling Li, Wenli Tan, Meijiang Jin, Maojia Ran, Zhujun Wang, Hang Zhang, Hanmei Xu, Yuanmei Tao, Xian Tang and 25 more

Abstract read
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Article in Frontiers in psychiatry, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

35 authors.

Shoukang Zou *Mental Health Center, West China Hospital of Sichuan University, Chengdu, Sichuan, China.
Yangling Li *Department of Gastroenterology, West China Hospital of Sichuan University, Chengdu, Sichuan, China.
Wenli TanChengdu Research Institute of Education Science, Chengdu, Sichuan, China.
Meijiang JinMental Health Center, West China Hospital of Sichuan University, Chengdu, Sichuan, China.
Maojia RanMental Health Center, West China Hospital of Sichuan University, Chengdu, Sichuan, China.
Zhujun WangMental Health Center, West China Hospital of Sichuan University, Chengdu, Sichuan, China.
Hang ZhangMental Health Center, West China Hospital of Sichuan University, Chengdu, Sichuan, China.
Hanmei XuMental Health Center, West China Hospital of Sichuan University, Chengdu, Sichuan, China.
Yuanmei TaoMental Health Center, West China Hospital of Sichuan University, Chengdu, Sichuan, China.
Xian TangCenter for Disease Control and Prevention, Chengdu, Sichuan, China.
Ping XiongChengdu Engineering Technical Vocational School, Chengdu, Sichuan, China.
Huiping HuangSichuan Bright Foreign Language School, Emeishan, Sichuan, China.
Ying HuangSichuan Bright Foreign Language School, Emeishan, Sichuan, China.
Ling LiSichuan Bright Foreign Language School, Emeishan, Sichuan, China.
Wenjuan YangChengdu Shishi Jincheng Foreign Language School, Chengdu, Sichuan, China.
Hongping ZengSichuan Chengdu Zhonghe Vocational High School, Chengdu, Sichuan, China.
Gui LiuChengdu Eldo Primary School, Chengdu, Sichuan, China.
Xiaosu ShenMajiahe Primary School of Chengdu, Chengdu, Sichuan, China.
Hongqin ZhaoMajiahe Primary School of Chengdu, Chengdu, Sichuan, China.
Ying ChenChengdu Huaxi Primary School, Chengdu, Sichuan, China.
Kangling YaoShude Xiejin High School, Chengdu, Sichuan, China.
Jingyi ZhaoChengdu Wuhou Experimental Middle School Primary School, Chengdu, Sichuan, China.
Wenwen HanYinxing Primary School, Chengdu, Sichuan, China.
Jingmiao ZhouYinxing Primary School, Chengdu, Sichuan, China.
Jianmin HouSouthwest Jiaotong University Affiliated Middle School, Chengdu, Sichuan, China.
Shikun PengTianfu Number 4 High School, Chengdu, Sichuan, China.
Yadan WangTianfu Number 4 High School, Chengdu, Sichuan, China.
Yunzhen YangChengdu Primary School Affiliated To Beijing International Studies University, Chengdu, Sichuan, China.
Yi FengChengdu Shuangqing Primary School, Chengdu, Sichuan, China.
Lin ChenChengdu Shuangqing Primary School, Chengdu, Sichuan, China.
Xiting YangChengdu Shayan Primary School, Chengdu, Sichuan, China.
Shuangshuang LiChengdu Xin Qiao Primary School, Chengdu, Sichuan, China.
Xue LuoChengdu Xin Qiao Primary School, Chengdu, Sichuan, China.
Yan WangChengdu Xin Qiao Primary School, Chengdu, Sichuan, China.
Li YinMental Health Center, West China Hospital of Sichuan University, Chengdu, Sichuan, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: Although many studies have shown a significant association between negative life events and mental health problems among adolescents, few studies have explored whether there are differences in the impact of different types of negative life events on mental health problems among adolescents. We hope to further explore and analyze this issue through a cross-sectional study of Han ethnic adolescents in Sichuan Province. Methods: Cluster sampling was adopted to analyze anxiety symptoms, depressive symptoms and suicidal ideation and their influencing factors among 9,982 students from 4 middle schools in Sichuan Province, western China. We used the Adolescent Life Events Scale to evaluate the negative life events experienced by adolescent students in the past year. we use the Generalized Structural Equation Model (GSEM) to calculate the chain mediation effect between the negative life events and mental health status. The influence of different negative life events on different mental health problems was explored through binary logistic regression. Results: A higher level of core self-evaluation was a protective factor for anxiety symptoms, depressive symptoms and suicidal ideation among adolescent students. Adequate sleep was a protective factor for depressive symptoms and suicidal ideation among adolescent students. Vocational high school education and sufficient exercise were the protective factors for anxiety symptoms among adolescent students. After controlling for gender, age, school type, and exercise, sleep and core self-evaluation exhibited a significant chain mediating effect in the relationship between negative life events and anxiety symptoms/depressive symptoms (effect value: 0.0131, p<0.001, 95% CI: 0.0086- 0.0177; effect value:0.0116, p<0.001, 95% CI: 0.0076- 0.0155). For negative life events, interpersonal stress and adaptation problem were risk factors for anxiety symptoms, depressive symptoms and suicidal ideation among adolescent students (OR = 1.179, p<0.001, 95% CI 1.149-1.209; OR = 1.187, p<0.001, 95% CI 1.153-1.222; OR = 1.074, p<0.001, 95% CI 1.048-1.100; OR = 1.163, p<0.001, 95% CI 1.128-1.199; OR = 1.229, p<0.001, 95% CI 1.188-1.271; OR = 1.044, p=0.002, 95% CI 1.016-1.073). Loss was a risk factor for depressive symptoms and suicidal ideation among adolescent students (OR = 1.050, p<0.001, 95% CI 1.022-1.079; OR = 1.030, p=0.009, 95% CI 1.008-1.054). Punishment was the risk factor for depressive symptoms among adolescent students (OR = 1.037, p=0.012, 95% CI 1.008-1.067). Academic stress was the risk factor for anxiety symptoms among adolescent students (OR = 1.077, p<0.001, 95% CI 1.051-1.104). Conclusion: Sleep and core self-evaluation are important mediating factors in the relationship between negative life events and mental health status. Interpersonal stress and adaptation problem in negative life events were the main risk factors for mental health problems among adolescent students. We expect to provide data to support the early prevention and intervention of mental health problems among adolescents. Special attention should be given to the mental health status of adolescent students with interpersonal relationship problems and maladaptation.

Indexed as

Han ethnic adolescentsinfluencing factorsmediation effectmental health statusnegative life events

Identifiers

PMID41799822
PMCPMC12961804

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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.