Evidence map›Paper›PMID 42745003›Full record

ArticleNature human behaviour2026

Loneliness and desire for thinness explain sex differences in adolescent internalizing problems.

Zui C Narita, Gemma Knowles, Susan M Sawyer, Syudo Yamasaki, Darío Moreno-Agostino, Jordan DeVylder, Junko Niimura, Naomi Nakajima, Satoshi Yamaguchi, Mariko Hosozawa and 20 more

Abstract read
PubMed Publisher
In one paragraph

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

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

30 authors.

Zui C NaritaDepartment of Behavioral Medicine, National Institute of Mental Health, National Center of Neurology and Psychiatry, Tokyo, Japan. zuinarita@ncnp.go.jp.ORCID http://orcid.org/0000-0001-7022-2141
Gemma KnowlesEconomic and Social Research Council Centre for Society and Mental Health and Health Service and Population Research Department, Institute of Psychiatry, Psychology, and Neuroscience, King's College London, London, UK.
Susan M SawyerDepartment of Paediatrics, The University of Melbourne, Melbourne, Victoria, Australia.
Syudo YamasakiUnit for Mental Health Promotion, Research Center for Social Science and Medicine, Tokyo Metropolitan Institute of Medical Science, Tokyo, Japan. yamasaki-sd@igakuken.or.jp.ORCID http://orcid.org/0000-0002-9016-6404
Darío Moreno-AgostinoCentre for Longitudinal Studies, UCL Social Research Institute, University College, London, UK.
Jordan DeVylderUnit for Mental Health Promotion, Research Center for Social Science and Medicine, Tokyo Metropolitan Institute of Medical Science, Tokyo, Japan.ORCID http://orcid.org/0000-0001-5873-4582
Junko NiimuraUnit for Mental Health Promotion, Research Center for Social Science and Medicine, Tokyo Metropolitan Institute of Medical Science, Tokyo, Japan.
Naomi NakajimaUnit for Mental Health Promotion, Research Center for Social Science and Medicine, Tokyo Metropolitan Institute of Medical Science, Tokyo, Japan.
Satoshi YamaguchiUnit for Mental Health Promotion, Research Center for Social Science and Medicine, Tokyo Metropolitan Institute of Medical Science, Tokyo, Japan.ORCID http://orcid.org/0000-0002-3988-1330
Mariko HosozawaUnit for Mental Health Promotion, Research Center for Social Science and Medicine, Tokyo Metropolitan Institute of Medical Science, Tokyo, Japan.
Miharu NakanishiUnit for Mental Health Promotion, Research Center for Social Science and Medicine, Tokyo Metropolitan Institute of Medical Science, Tokyo, Japan.ORCID http://orcid.org/0000-0001-6200-9279
Yutaka SawaiUnit for Mental Health Promotion, Research Center for Social Science and Medicine, Tokyo Metropolitan Institute of Medical Science, Tokyo, Japan.ORCID http://orcid.org/0009-0005-4440-8272
Daiki NagaokaUnit for Mental Health Promotion, Research Center for Social Science and Medicine, Tokyo Metropolitan Institute of Medical Science, Tokyo, Japan.ORCID http://orcid.org/0000-0001-6054-3363
Ryo SasakiUnit for Mental Health Promotion, Research Center for Social Science and Medicine, Tokyo Metropolitan Institute of Medical Science, Tokyo, Japan.
Rui ZhouUnit for Mental Health Promotion, Research Center for Social Science and Medicine, Tokyo Metropolitan Institute of Medical Science, Tokyo, Japan.ORCID http://orcid.org/0000-0002-3172-690X
Naho YamaneUnit for Mental Health Promotion, Research Center for Social Science and Medicine, Tokyo Metropolitan Institute of Medical Science, Tokyo, Japan.
Jacqueline CosseSilver School of Social Work, New York University, New York City, NY, USA.ORCID http://orcid.org/0000-0001-8079-7766
Daniel StanyonUnit for Mental Health Promotion, Research Center for Social Science and Medicine, Tokyo Metropolitan Institute of Medical Science, Tokyo, Japan.
Haruka GotoEconomic and Social Research Council Centre for Society and Mental Health and Health Service and Population Research Department, Institute of Psychiatry, Psychology, and Neuroscience, King's College London, London, UK.ORCID http://orcid.org/0009-0008-0054-4055
Riki TanakaDepartment of Neuropsychiatry, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Akito UnoDepartment of Neuropsychiatry, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Satoshi UsamiGraduate School of Education, The University of Tokyo, Tokyo, Japan.
Shuntaro AndoUnit for Mental Health Promotion, Research Center for Social Science and Medicine, Tokyo Metropolitan Institute of Medical Science, Tokyo, Japan.ORCID http://orcid.org/0000-0003-1595-693X
Mariko Hiraiwa-HasegawaSchool of Advanced Science, SOKENDAI (Graduate University for Advanced Studies), Kanagawa, Japan.
Toshi A FurukawaDepartment of Health Promotion and Human Behavior, School of Public Health, Kyoto University Graduate School of Medicine, Kyoto, Japan.ORCID http://orcid.org/0000-0003-2159-3776
Tomohiro ShinozakiInterfaculty Initiative in Information Studies and Department of Biostatistics, School of Public Health, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Kiyoto KasaiSilver School of Social Work, New York University, New York City, NY, USA.
Vikram PatelDepartment of Global Health and Social Medicine, Harvard Medical School, Boston, MA, USA.ORCID http://orcid.org/0000-0003-1066-8584
Atsushi NishidaUnit for Mental Health Promotion, Research Center for Social Science and Medicine, Tokyo Metropolitan Institute of Medical Science, Tokyo, Japan.ORCID http://orcid.org/0000-0001-6451-7699
Bridging Divides Young Persons Advisory Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Girls are at higher risk of internalizing problems than boys. This disparity has widened in recent decades, but the underlying mechanisms remain understudied. Here we analysed data from 3,171 adolescents (46.9% girls) within the Tokyo Teen Cohort, assessed at ages 12, 14 and 16 years. At age 16, girls showed higher prevalence of internalizing problems than boys: depressive symptoms (15.9% versus 8.2%) and suicidal ideation (29.8% versus 18.1%). Coproduction with young people suggested loneliness and desire for thinness as candidate pathways. Using the mediational g-formula, we estimated that the effect through these factors at age 14 relative to the total effect of female sex was 34.7% for depressive symptoms and 46.3% for suicidal ideation at age 16. These findings suggest that social intermediates may contribute to the higher prevalence of internalizing problems among girls in this cohort, highlighting potential targets for interventions and policies informed by young people.

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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.