ArticleFrontiers in public health2026
Existential distress and social alienation in adolescents with allergic rhinitis: the serial mediating roles of psychological inflexibility and experiential avoidance.
Article in Frontiers in public health, 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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Abstract
The chronic symptoms of allergic rhinitis not only compromise patients' physical health but also exert detrimental effects on sleep quality, social engagement, and emotional wellbeing, particularly among adolescents. Although previous research has established that existential distress in patients with chronic diseases adversely affects social functioning, few studies have examined the relationship between existential distress and social alienation or the underlying mechanisms in adolescent patients with allergic rhinitis. To address this gap in the existing literature, the present study recruited 425 adolescent patients with allergic rhinitis from three tertiary Grade-A hospitals in Sichuan Province, China, between December 2025 and February 2026. The survey battery comprised the Existential Distress Scale, the Psychological Inflexibility Scale, the Experiential Avoidance Scale, the Social Alienation Scale, and requisite sociodemographic items. Results indicated that existential distress was significantly and positively associated with social alienation among adolescent patients with allergic rhinitis (
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