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Network analysis of anxiety, depression and perceived stress with eating behaviors in adolescents
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Jingbo HE, Yiyang ZHANG, Baoyi LIAO, Xianxian DENG, Mingjun SUN, Ziyi ZHANG, Yankun WU, Jiahong XIE, Yisong YAO*, Na YONG*
Chinese Journal of School Health | 2025, 46(6) : 821 - 826
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Chinese Journal of School Health | 2025, 46(6): 821-826
• Mental Health •
Network analysis of anxiety, depression and perceived stress with eating behaviors in adolescents
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Jingbo HE, Yiyang ZHANG, Baoyi LIAO, Xianxian DENG, Mingjun SUN, Ziyi ZHANG, Yankun WU, Jiahong XIE, Yisong YAO*, Na YONG*
Affiliations
  • Mental Health Center, Affiliated Hospital of North Sichuan Medical College, Nanchong (637000), Sichuan Province, China
Published: 2025-06-25 doi: 10.16835/j.cnki.1000-9817.2025185
Outline
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Objective

To explore the network structure of eating behaviors with anxiety, depression and perceived stress in adolescents, so as to provide a basis for effective prevention and intervention of eating behavior problems and negative emotions in adolescents.

Methods

Based on the Psychology and Behavior Investigation of Chinese Residents (2021) database, the study was conducted among 3 087 adolescents. Sakata Eating Behavior Scale Short From(EBS-SF) was used to investigate their eating behaviors. The Patient Health Questionnaire-9(PHQ-9), Generalized Anxiety Disorder Scale-7 Item(GAD-7), and Perceived Stress Questionnaire-3 Item (PSQ-3) were used to evaluate their depression, anxiety and perceived stress. Network analysis method was applied to construct a network of eating behaviors and negative emotional symptoms among adolescents, so as to evaluate the centrality, bridge strength, stability and accuracy of each item.

Results

The total scores of eating behaviors, depression, anxiety and stress perception in adolescents were 17.41±4.53, 6.95±6.08, 4.86±5.03, 9.34±3.80, respectively. The symptom with the highest intensity and expected impact was "I am only satisfied when I buy more food than I need", with a node intensity and expected impact value of 4.37. The nodes Depression and Anxiety were the most closely connected(weight=0.87). There were no statistically significant differences in the network structure(M=0.13, 0.11) and network connection strength(female and male: 4.16, 4.06, s=0.10;urban and rural areas: 4.08, 4.07, s=0.01) between different sexes and residents (P>0.05).

Conclusion

The negative impact of comorbidities such as anxiety, depression, perceived stress and eating behaviors among adolescents can be reduced through targeted prevention and intervention of core symptoms and bridging symptoms.

Anxiety  /  Depression  /  Pressure  /  Food habits  /  Mental health  /  Adolescent
何景波, 张熠扬, 廖宝仪, 邓仙仙, 孙鸣均, 张子怡, 吴衍坤, 谢佳宏, 姚依松, 雍那. 青少年焦虑抑郁感知压力与饮食行为的网络分析. 中国学校卫生, 2025 , 46 (6) : 821 -826 . DOI: 10.16835/j.cnki.1000-9817.2025185
Jingbo HE, Yiyang ZHANG, Baoyi LIAO, Xianxian DENG, Mingjun SUN, Ziyi ZHANG, Yankun WU, Jiahong XIE, Yisong YAO, Na YONG. Network analysis of anxiety, depression and perceived stress with eating behaviors in adolescents[J]. Chinese Journal of School Health, 2025 , 46 (6) : 821 -826 . DOI: 10.16835/j.cnki.1000-9817.2025185
Year 2025 volume 46 Issue 6
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Article Info
doi: 10.16835/j.cnki.1000-9817.2025185
  • Receive Date:2025-02-17
  • Online Date:2026-11-06
  • Published:2025-06-25
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History
  • Received:2025-02-17
  • Revised:2025-04-12
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    Mental Health Center, Affiliated Hospital of North Sichuan Medical College, Nanchong (637000), Sichuan Province, China
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表12种不同金属材料的力学参数
科
Family
属数
Number of
genus
种数
Number of
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Percentage of
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Genus
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Number of
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鹅膏菌科Amanitaceae 2 11 5.26 鹅膏菌属 Amanita 10 4.78
小菇科 Mycenaceae 2 12 5.74 丝盖伞属 Inocybe 5 2.39
多孔菌科 Polyporaceae 8 14 6.70 蜡蘑属 Laccaria 5 2.39
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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