Evidence map›Paper›PMID 42568614›Full record

ArticleFrontiers in psychiatry2026

Maternal education and adolescent psychological symptom severity: the synergistic reversal trade-offs between perceived maternal support and parental educational expectations.

Cui Xu, Yiwen Zhang, Nianyu Du, Huiying Peng, Shijiu Yin

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In one paragraph

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

What it found

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2 · The registry

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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

5 authors.

Cui XuSchool of Statistics and Data Science, Qufu Normal University, Qufu, China.
Yiwen ZhangInternational College, Yunnan Agricultural University, Kunming, China.
Nianyu DuSchool of Economics, Qufu Normal University - Rizhao Campus, Rizhao, China.
Huiying PengSchool of Economics, Qufu Normal University - Rizhao Campus, Rizhao, China.
Shijiu YinSchool of Health and Elderly Care, Shandong Women's University, Jinan, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Adolescence is a critical period with a high incidence of psychological and behavioral problems. In China, adolescent mental health presents a severe challenge. The family serves as the core environment for adolescent development, within which maternal education is a key factor influencing adolescent mental health. Methods: Based on the data from the "Database of Youth Health" (DYH), this study employed a cross-sectional design and used a quadratic regression model to examine the impact of maternal education on adolescent psychological symptom severity (APSS), with a focus on testing for non-linear effects. The robustness of the findings was verified through a U-test for non-linearity and an instrumental variable approach. Additionally, mediation and moderation analyses were conducted to explore the underlying mechanisms and heterogeneity involved. Results: Regression analysis revealed an inverted U-shaped relationship between maternal education and APSS (higher SCL-90 scores indicate greater severity), with the peak occurring at 6.442 years of maternal education. This non-linear relationship emerged from synergistic reversal trade-offs between perceived maternal support and parental educational expectations. Heterogeneity analysis indicated that before the educational inflection point, non-only children exhibited significantly lower APSS, whereas beyond this point, only children demonstrated a steeper reduction in symptom severity. Conclusion: This study reveals an inverted U-shaped relationship, driven by a "synergistic reversal trade-off" mechanism: as maternal education increases, both perceived maternal support and parental educational expectations simultaneously shift from risk to protective factors. The dual-pathway reversal is amplified in only-child families, revealing steeper risks at low education levels and stronger protective benefits at high levels. These findings offer empirical evidence for differentiated, mechanism-driven family interventions.

Indexed as

adolescent psychological symptom severity (APSS)Database of Youth Healthinverted U-shaped curvematernal educationsynergistic reversal trade-offs

Identifiers

PMID42568614
PMCPMC13447437

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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.