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Cross-lagged analysis of adolescent peer relationships ssociated with depression and anxiety
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Xiao-yong JIANG1, 2, Zhuo CHEN2, Li ZHAO3, Jun-min ZHOU3, Zhu NING2, Hong WANG1
Modern Preventive Medicine | 2025, 52(11) : 1986 - 1991
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Modern Preventive Medicine | 2025, 52(11): 1986-1991
Child and Adolescent Health, Maternal and Child Health
Cross-lagged analysis of adolescent peer relationships ssociated with depression and anxiety
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Xiao-yong JIANG1, 2, Zhuo CHEN2, Li ZHAO3, Jun-min ZHOU3, Zhu NING2, Hong WANG1
Affiliations
  • School of Public Health/Center for Medical and Social Development Research, Chongqing Medical University, Chongqing,401331, China
Published: 2025-06-10 doi: 10.20043/j.cnki.MPM.202501298
Outline
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Objective

To explore the reciprocal predictive relationship between adolescent peer relationships and depression and anxiety, providing a basis for the implementation of mental health education for adolescents.

Methods

A longitudinal survey was conducted using the Center for Epidemiologic Studies Depression Scale (CES-D) and the Screen for Child Anxiety Related Emotional Disorders (SCARED) among 3 840 students in grades 1-8 in Chengdu, Sichuan Province, over four waves spanning three years. The Random Intercept Cross-Lagged Panel Model (RI-CLPM) was employed to investigate the bidirectional relationships between peer relationships and depression and anxiety.

Results

Among the participants, there were 1 877 boys, accounting for 48.9%. The age distribution was as follows: 1 100 individuals aged 6 to 8 years (28.7%), 1 768 individuals aged 9 to 11 years (46.1%), and 965 individuals aged 12 to 16 years (25.2%). In terms of grade distribution, there were 1 400 students in grades 1 to 3 (36.5%), 1 702 students in grades 4 to 6 (44.3%), and 738 students in grades 7 to 8 (19.2%). The results of the cross-lagged model indicated a significant negative correlation between peer relationships and depression and anxiety at the individual level (β=-0.71, P<0.001; β=-0.45, P<0.001). At the individual level, peer relationships at the previous time point significantly negatively predicted depression and anxiety at the subsequent time point, except for the fourth wave. Additionally, depression and anxiety at the previous time point significantly negatively predicted peer relationships at all follow-up time points.

Conclusion

This study reveals a complex bidirectional predictive relationship between adolescent peer relationships and depression and anxiety, offering theoretical insights and practical significance for adolescent mental health care and preventive interventions.

Adolescents  /  Peer relationships  /  Depression and anxiety  /  Association rules  /  Cross-lagged analysis
Xiao-yong JIANG, Zhuo CHEN, Li ZHAO, Jun-min ZHOU, Zhu NING, Hong WANG. Cross-lagged analysis of adolescent peer relationships ssociated with depression and anxiety[J]. Modern Preventive Medicine, 2025 , 52 (11) : 1986 -1991 . DOI: 10.20043/j.cnki.MPM.202501298
Year 2025 volume 52 Issue 11
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doi: 10.20043/j.cnki.MPM.202501298
  • Receive Date:2025-01-17
  • Online Date:2026-03-18
  • Published:2025-06-10
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  • Received:2025-01-17
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    School of Public Health/Center for Medical and Social Development Research, Chongqing Medical University, Chongqing,401331, China
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红菇科 Russulaceae 3 23 11.00 小皮伞属 Marasmius 6 2.87
小菇属 Mycena 11 5.26
光柄菇属 Pluteus 5 2.39
红菇属 Russula 17 8.13
栓菌属 Trametes 5 2.39
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