Association of Lifestyle Patterns With Depressive and Anxiety Symptoms Among Chinese Adolescents: A Mediating Effect of Mental Health Literacy.
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| Title: | Association of Lifestyle Patterns With Depressive and Anxiety Symptoms Among Chinese Adolescents: A Mediating Effect of Mental Health Literacy. |
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| Authors: | Zeng, Xue (AUTHOR), Tan, Wenyan (AUTHOR), Tang, Zhitao (AUTHOR), Ke, Yunfei (AUTHOR), He, Hongbo (AUTHOR), Wang, Shi-Bin (AUTHOR), Manthey, Marie Kristin (AUTHOR) |
| Source: | Depression & Anxiety (1091-4269). 3/12/2026, Vol. 2026, p1-12. 12p. |
| Subjects: | Lifestyles, Mental health education, Latent class analysis (Statistics), Anxiety, Adolescent health, Chinese people, Psychological well-being, Mental depression |
| Abstract: | Background: Adolescence represents a critical developmental period during which lifestyle behaviors exert a profound influence on psychological well‐being. This study aimed to identify lifestyle patterns among Chinese adolescents and evaluate their associations with depressive and anxiety symptoms, while also examining the mediating role of mental health literacy (MHL). Methods: In this cross‐sectional study, data were derived from the Guangdong Adolescents Mental Health Literacy Survey (GAMHLS) conducted between September and December 2023, which included 5759 adolescents. Latent class analysis (LCA) was employed to identify distinct lifestyle patterns based on seven lifestyle indicators. Multivariate logistic regression was used to assess associations between lifestyle patterns and symptoms of depression and anxiety. Structural equation modeling was applied to test the mediating effect of MHL. Results: LCA identified four lifestyle patterns: relatively healthy (57.2%), inactive/screen‐dependent/myopic (9.5%), sleep‐deprived/fatigued (22.9%), and multidimensional unhealthy (10.4%). Compared to the relatively healthy group, the multidimensional unhealthy group exhibited the highest risks of depression (OR = 13.472, 95% confidence interval [CI]: 8.860–20.485) and anxiety (OR = 9.300, 95% CI: 7.245–11.939). MHL significantly mediated the relationship between lifestyle patterns and both depressive and anxiety symptoms. Conclusion: Distinct lifestyle patterns are significantly associated with mental health symptoms among Chinese adolescents. MHL serves as a meaningful mediator in these relationships. Interventions should target clusters of lifestyle behaviors and incorporate strategies to enhance MHL for improved psychological outcomes. [ABSTRACT FROM AUTHOR] |
| Copyright of Depression & Anxiety (1091-4269) is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
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