A cross-lagged network analysis of multisystemic factors influencing adolescent depressive symptoms: considering gender differences

Abstract Background Adolescent depression has become a pressing public health concern in China, with recent estimates indicating a prevalence rate of 26.17%. This mental health issue poses significant risks to adolescents’ psychological development and long-term well-being. The present study investi...

Full description

Saved in:
Bibliographic Details
Main Authors: Qiu Li, Xue-Ying Liu, Wei-Liang Wang, Fang Zhou
Format: Article
Language:English
Published: BMC 2025-07-01
Series:Child and Adolescent Psychiatry and Mental Health
Subjects:
Online Access:https://doi.org/10.1186/s13034-025-00945-x
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849333786460815360
author Qiu Li
Xue-Ying Liu
Wei-Liang Wang
Fang Zhou
author_facet Qiu Li
Xue-Ying Liu
Wei-Liang Wang
Fang Zhou
author_sort Qiu Li
collection DOAJ
description Abstract Background Adolescent depression has become a pressing public health concern in China, with recent estimates indicating a prevalence rate of 26.17%. This mental health issue poses significant risks to adolescents’ psychological development and long-term well-being. The present study investigates how multiple resilience-related factors across emotional, familial, school, and social domains interact with depressive symptoms over time, with particular attention to gender differences. Methods A cross-lagged network analysis was conducted using longitudinal data from 770 adolescents recruited from two middle schools in northern China. Participants completed various validated questionnaires measuring depression, emotional resilience, family resilience, teacher support, friendship quality, and social support at two time points. Results Network analysis revealed that teacher support had the highest out-expected influence for the overall sample, while friend support was central to in-expected influence. Gender differences were pronounced; male adolescents primarily relied on friendship quality, whereas female adolescents benefitted more from teacher support. Additionally, depression had a greater weakening effect on social support in males and on family support in females. Discussions This study highlights gender-specific pathways in the interaction between depressive symptoms and resilience factors among adolescents. The findings suggest that both teacher and peer support are critical in shaping these dynamics, with implications for developing targeted interventions aimed at enhancing emotional resilience and addressing depressive symptoms in a gender-sensitive manner.
format Article
id doaj-art-6aafaee93d9d4d8a9cd3af04ae8fe436
institution Kabale University
issn 1753-2000
language English
publishDate 2025-07-01
publisher BMC
record_format Article
series Child and Adolescent Psychiatry and Mental Health
spelling doaj-art-6aafaee93d9d4d8a9cd3af04ae8fe4362025-08-20T03:45:45ZengBMCChild and Adolescent Psychiatry and Mental Health1753-20002025-07-011911910.1186/s13034-025-00945-xA cross-lagged network analysis of multisystemic factors influencing adolescent depressive symptoms: considering gender differencesQiu Li0Xue-Ying Liu1Wei-Liang Wang2Fang Zhou3School of Nursing, Xuzhou Medical UniversitySchool of Nursing, Xuzhou Medical UniversitySchool of Nursing, Xuzhou Medical UniversitySchool of Nursing, Xuzhou Medical UniversityAbstract Background Adolescent depression has become a pressing public health concern in China, with recent estimates indicating a prevalence rate of 26.17%. This mental health issue poses significant risks to adolescents’ psychological development and long-term well-being. The present study investigates how multiple resilience-related factors across emotional, familial, school, and social domains interact with depressive symptoms over time, with particular attention to gender differences. Methods A cross-lagged network analysis was conducted using longitudinal data from 770 adolescents recruited from two middle schools in northern China. Participants completed various validated questionnaires measuring depression, emotional resilience, family resilience, teacher support, friendship quality, and social support at two time points. Results Network analysis revealed that teacher support had the highest out-expected influence for the overall sample, while friend support was central to in-expected influence. Gender differences were pronounced; male adolescents primarily relied on friendship quality, whereas female adolescents benefitted more from teacher support. Additionally, depression had a greater weakening effect on social support in males and on family support in females. Discussions This study highlights gender-specific pathways in the interaction between depressive symptoms and resilience factors among adolescents. The findings suggest that both teacher and peer support are critical in shaping these dynamics, with implications for developing targeted interventions aimed at enhancing emotional resilience and addressing depressive symptoms in a gender-sensitive manner.https://doi.org/10.1186/s13034-025-00945-xDepressionResilienceAdolescentNetwork analysis
spellingShingle Qiu Li
Xue-Ying Liu
Wei-Liang Wang
Fang Zhou
A cross-lagged network analysis of multisystemic factors influencing adolescent depressive symptoms: considering gender differences
Child and Adolescent Psychiatry and Mental Health
Depression
Resilience
Adolescent
Network analysis
title A cross-lagged network analysis of multisystemic factors influencing adolescent depressive symptoms: considering gender differences
title_full A cross-lagged network analysis of multisystemic factors influencing adolescent depressive symptoms: considering gender differences
title_fullStr A cross-lagged network analysis of multisystemic factors influencing adolescent depressive symptoms: considering gender differences
title_full_unstemmed A cross-lagged network analysis of multisystemic factors influencing adolescent depressive symptoms: considering gender differences
title_short A cross-lagged network analysis of multisystemic factors influencing adolescent depressive symptoms: considering gender differences
title_sort cross lagged network analysis of multisystemic factors influencing adolescent depressive symptoms considering gender differences
topic Depression
Resilience
Adolescent
Network analysis
url https://doi.org/10.1186/s13034-025-00945-x
work_keys_str_mv AT qiuli acrosslaggednetworkanalysisofmultisystemicfactorsinfluencingadolescentdepressivesymptomsconsideringgenderdifferences
AT xueyingliu acrosslaggednetworkanalysisofmultisystemicfactorsinfluencingadolescentdepressivesymptomsconsideringgenderdifferences
AT weiliangwang acrosslaggednetworkanalysisofmultisystemicfactorsinfluencingadolescentdepressivesymptomsconsideringgenderdifferences
AT fangzhou acrosslaggednetworkanalysisofmultisystemicfactorsinfluencingadolescentdepressivesymptomsconsideringgenderdifferences
AT qiuli crosslaggednetworkanalysisofmultisystemicfactorsinfluencingadolescentdepressivesymptomsconsideringgenderdifferences
AT xueyingliu crosslaggednetworkanalysisofmultisystemicfactorsinfluencingadolescentdepressivesymptomsconsideringgenderdifferences
AT weiliangwang crosslaggednetworkanalysisofmultisystemicfactorsinfluencingadolescentdepressivesymptomsconsideringgenderdifferences
AT fangzhou crosslaggednetworkanalysisofmultisystemicfactorsinfluencingadolescentdepressivesymptomsconsideringgenderdifferences