Negative emotions and quality of life among adolescents: A moderated mediation model
Open accessAbstract
Depression, anxiety and stress are known as negative emotions. Previous studies have shown that negative emotions were associated with quality of life. There are a lot of researches on quality of life. However, previous studies mainly focused on health-related quality of life among patients. This study aims to examine the relationship between negative emotions and quality of life as well as the underlying psychological mechanism among community-based samples. We surveyed 6,401 adolescents (age: 9-15 years old). Participants were assessed using the Depression Anxiety Stress Scale, Resilience Scale for Chinese Adolescent, Perceived Social Support Scale and the Pediatric Quality of Life Inventory 4.0 Generic Scale for Negative Emotions, Resilience, Social Support and Quality of Life. Results revealed that negative emotions were negatively associated with quality of life, and resilience mediated the relationship between negative emotions and quality of life. Social support moderated all the paths among negative emotions, resilience and quality of life. Adolescents’ quality of life was indirectly affected by negative emotions via resilience, and less affected by negative emotions and more affected by resilience with the improvement of social support. The theoretical and practical implications of these results are discussed. Estrés, ansiedad y depresión son emociones negativas. Estudios previos mostraron que las emociones negativas se asocian con la calidad de vida. Existen numerosas investigaciones centradas en la calidad de vida, sin embargo, los estudios se centran en la calidad de vida de pacientes en relación con su salud. En este estudio se examina la relación entre emociones negativas y calidad de vida, y los mecanismos psicológicos subyacentes. Encuestamos a 6.401 adolescentes (9-15 años). Los participantes fueron evaluados con la Depression Anxiety Stress Scale, la Resilience Scale for Chinese Adolescent, la Perceived Social Support Scale y el Pediatric Quality of Life Inventory 4.0 Generic Scale for Negative Emotions, Resilience, Social Support and Quality of Life. Las emociones negativas fueron negativamente asociadas con la calidad de vida, y la resiliencia medió la relación entre emociones negativas y calidad de vida. El apoyo social moderó todas las vías entre emociones negativas, resiliencia y calidad de vida. La calidad de vida de los adolescentes fue indirectamente afectada por las emociones negativas mediante la resiliencia, menos afectada por emociones negativas y más afectada por la resiliencia con la mejora en el apoyo social. Se discuten las implicaciones teóricas y prácticas de estos resultados.
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Higher psychological flexibility is positively associated with an increase in well-being and quality of life.
“Higher psychological flexibility is positively associated with an increase in well-being and quality of life [44]”
From Gender Differences in Psychological Stress Factors of Physical Therapy Degree Students in the COVID-19 Pandemic: A Cross-Sectional Study (2022) · cites this paper as [44]
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Cites
(2013) · Cited by 44,563 · see citing works
Lovibond, P. F., & Lovibond, S. H. (1995) · Behaviour Research and Therapy · doi:10.1016/0005-7967(94)00075-u · Cited by 14,523 · see citing works
The Multidimensional Scale of Perceived Social Support
Zimet, G. D., Dahlem, N. W., Zimet, S. G., & Farley, G. K. (1988) · Journal of Personality Assessment · doi:10.1207/s15327752jpa5201_2 · Cited by 13,339 · see citing works
The Construct of Resilience: A Critical Evaluation and Guidelines for Future Work
Luthar, S. S., Cicchetti, D., & Becker, B. (2000) · Child Development · doi:10.1111/1467-8624.00164 · Cited by 9,381 · see citing works
Social Relationships and Health
House, J. S., Landis, K. R., & Umberson, D. (1988) · Science · doi:10.1126/science.3399889 · Cited by 7,073 · see citing works
Social support as a moderator of life stress
Cobb, S. (1976) · Psychosomatic Medicine · doi:10.1097/00006842-197609000-00003 · Cited by 6,936 · see citing works
Henry, J. D., & Crawford, J. R. (2005) · British Journal of Clinical Psychology · doi:10.1348/014466505x29657 · Cited by 5,801 · see citing works
Psychometric Characteristics of the Multidimensional Scale of Perceived Social Support
Zimet, G. D., Powell, S. S., Farley, G. K., Werkman, S., & Berkoff, K. A. (1990) · Journal of Personality Assessment · doi:10.1080/00223891.1990.9674095 · Cited by 4,855 · see citing works
Social Relationships and Health.
Cohen, S. (2004) · American Psychologist · doi:10.1037/0003-066x.59.8.676 · Cited by 4,852 · see citing works
The construct of resilience: implications for interventions and social policies
LUTHAR, S. S., & CICCHETTI, D. (2000) · Development and Psychopathology · doi:10.1017/s0954579400004156 · Cited by 2,374 · see citing works
Prevalence of mental disorders in China: a cross-sectional epidemiological study
Huang, Y., Wang, Y., Wang, H., Liu, Z., Yu, X., Yan, J., Yu, Y., Kou, C., Xu, X., Lu, J., et al. (2019) · The Lancet Psychiatry · doi:10.1016/s2215-0366(18)30511-x · Cited by 2,335 · see citing works
Meta-Analysis of the Relationships Between Social Support and Well-Being in Children and Adolescents
Chu, P. S., Saucier, D. A., & Hafner, E. (2010) · Journal of Social and Clinical Psychology · doi:10.1521/jscp.2010.29.6.624 · Cited by 962 · see citing works
Stress and Quality of Life Among University Students: A Systematic Literature Review
Ribeiro, Í. J. S., Pereira, R., Freire, I. V., de Oliveira, B. G., Casotti, C. A., & Boery, E. N. (2018) · Health Professions Education · doi:10.1016/j.hpe.2017.03.002 · Cited by 684 · see citing works
Frison, E., & Eggermont, S. (2016) · Social Science Computer Review · doi:10.1177/0894439314567449 · Cited by 519 · see citing works
Kleiman, E. M., & Liu, R. T. (2013) · Journal of Affective Disorders · doi:10.1016/j.jad.2013.01.033 · Cited by 450 · see citing works
Masten, A. S., & Tellegen, A. (2012) · Development and Psychopathology · doi:10.1017/s095457941200003x · Cited by 424 · see citing works
Extraversion, social support processes, and stress
Swickert, R. J., Rosentreter, C. J., Hittner, J. B., & Mushrush, J. E. (2002) · Personality and Individual Differences · doi:10.1016/s0191-8869(01)00093-9 · Cited by 376 · see citing works
Development and Psychometric Validity of the Resilience Scale for Chinese Adolescents
HU, Y.-Q. (2008) · Acta Psychologica Sinica · doi:10.3724/sp.j.1041.2008.00902 · Cited by 365 · see citing works
Saklofske, D. H., Austin, E. J., Mastoras, S. M., Beaton, L., & Osborne, S. E. (2011) · Learning and Individual Differences · doi:10.1016/j.lindif.2011.02.010 · Cited by 343 · see citing works
Fisher, P. A., Gunnar, M. R., Dozier, M., Bruce, J., & Pears, K. C. (2006) · Annals of the New York Academy of Sciences · doi:10.1196/annals.1376.023 · Cited by 303 · see citing works
Role of Social Support in Adolescent Suicidal Ideation and Suicide Attempts
Miller, A. B., Esposito-Smythers, C. L., & Leichtweis, R. N. (2015) · Journal of Adolescent Health · doi:10.1016/j.jadohealth.2014.10.265 · Cited by 302 · see citing works
Aging and the HPA axis: Stress and resilience in older adults
Gaffey, A. E., Bergeman, C. S., Clark, L. A., & Wirth, M. M. (2016) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2016.05.036 · Cited by 273 · see citing works
The Biology of Human Resilience: Opportunities for Enhancing Resilience Across the Life Span
Feder, A., Fred-Torres, S., Southwick, S. M., & Charney, D. S. (2019) · Biological Psychiatry · doi:10.1016/j.biopsych.2019.07.012 · Cited by 269 · see citing works
Boosting Family Income to Promote Child Development
Duncan, G., Magnuson, K., & Votruba-Drzal, E. (2015) · The Future of children · doi:10.1353/foc.2014.0008 · Cited by 258 · see citing works
The impact of developmental timing for stress and recovery
Gee, D. G., & Casey, B. J. (2015) · Neurobiology of Stress · doi:10.1016/j.ynstr.2015.02.001 · Cited by 245 · see citing works
Anyan, F., & Hjemdal, O. (2016) · Journal of Affective Disorders · doi:10.1016/j.jad.2016.05.031 · Cited by 243 · see citing works
Dozier, M., Lindhiem, O. J., Lewis‐Morrarty, E., Bick, J. R., Bernard, K., & Peloso, E. D. (2009) · Child and Adolescent Social Work Journal · doi:10.1007/s10560-009-0165-1 · Cited by 224 · see citing works
Dias, R., Santos, R. L., de Sousa, M. F. B., Nogueira, M. M. L., Torres, B., Belfort, T. T., & Dourado, M. C. N. (2015) · Trends in Psychiatry and Psychotherapy · doi:10.1590/2237-6089-2014-0032 · Cited by 203 · see citing works
García-León, M. Á., Pérez-Mármol, J. M., Gonzalez-Pérez, R., García-Ríos, M. D. C., & Peralta-Ramírez, M. I. (2019) · Physiology & Behavior · doi:10.1016/j.physbeh.2019.02.001 · Cited by 197 · see citing works
Lee, D. (2019) · Journal of Affective Disorders · doi:10.1016/j.jad.2019.06.036 · Cited by 196 · see citing works
Suicidal Behavior, Depression, and Conduct Disorder in Hospitalized Adolescents
Apter, A. S., Bleich, A., Plutchik, R., MENDELSOHN, S., & Tyano, S. (1988) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-198811000-00005 · Cited by 175 · see citing works
Emotional intelligence, coping and exam-related stress in Canadian undergraduate students
Austin, E. J., Saklofske, D. H., & Mastoras, S. M. (2010) · Australian Journal of Psychology · doi:10.1080/00049530903312899 · Cited by 174 · see citing works
The ability of older people to overcome adversity: A review of the resilience concept
van Kessel, G. (2013) · Geriatric Nursing · doi:10.1016/j.gerinurse.2012.12.011 · Cited by 163 · see citing works
The Relationship Between Psychological Buffers, Hopelessness, and Suicidal Ideation
Chioqueta, A. P., & Stiles, T. C. (2007) · Crisis · doi:10.1027/0227-5910.28.2.67 · Cited by 160 · see citing works
The Importance of Early Experiences for Neuro-Affective Development
Tottenham, N. (2013) · Current topics in behavioral neurosciences · doi:10.1007/7854_2013_254 · Cited by 133 · see citing works
The effects of social support on maternal anxiety and depression after stillbirth
Cacciatore, J., Schnebly, S. M., & Frøen, J. F. (2008) · Health & Social Care in the Community · doi:10.1111/j.1365-2524.2008.00814.x · Cited by 131 · see citing works
The Importance of Early Experiences for Neuro-Affective Development
Tottenham, N. (2013) · Current topics in behavioral neurosciences · doi:10.1007/978-3-662-45758-0_254 · Cited by 128 · see citing works
Mackin, D. M., Perlman, G., Davila, J., Kotov, R., & Klein, D. N. (2017) · Psychological Medicine · doi:10.1017/s0033291716003275 · Cited by 127 · see citing works
Resilience, stress, and life quality in older adults living with HIV/AIDS
Fang, X., Vincent, W., Calabrese, S. K., Heckman, T. G., Sikkema, K. J., Humphries, D. L., & Hansen, N. B. (2015) · Aging & Mental Health · doi:10.1080/13607863.2014.1003287 · Cited by 126 · see citing works
Social support as a predictor of perceived health status in patients with multiple sclerosis
Krokavcova, M., van Dijk, J. P., Nagyová, I., Rosenberger, J., Gavelova, M., Middel, B., Gdovinová, Z., & Groothoff, J. W. (2008) · Patient Education and Counseling · doi:10.1016/j.pec.2008.03.019 · Cited by 120 · see citing works
Ruiz‐Robledillo, N., Andrés-García, S. D., Pérez‐Blasco, J., González‐Bono, E., & Moya‐Albiol, L. (2014) · Research in Developmental Disabilities · doi:10.1016/j.ridd.2013.12.007 · Cited by 119 · see citing works
Dryman, M., Gardner, S., Weeks, J. W., & Heimberg, R. (2016) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2015.12.003 · Cited by 112 · see citing works
Disclosures about important life events on Facebook: Relationships with stress and quality of life
Bevan, J. L., Gomez, R., & Sparks, L. (2014) · Computers in Human Behavior · doi:10.1016/j.chb.2014.07.021 · Cited by 109 · see citing works
Educational psychology and resilience: New concept, new opportunities
Toland, J., & Carrigan, D. (2011) · School Psychology International · doi:10.1177/0143034310397284 · Cited by 97 · see citing works
Depression, anxiety and stress among patients with dialysis and the association with quality of life
Bujang, M. A., Musa, R., Liu, W. J., Chew, T. F., Lim, C. T. S., & Morad, Z. (2015) · Asian Journal of Psychiatry · doi:10.1016/j.ajp.2015.10.004 · Cited by 96 · see citing works
Wu, M., Yang, Y., Zhang, D., Zhao, X., Sun, Y., Xie, H., Jia, J., Su, Y., & Li, Y. (2017) · Quality of Life Research · doi:10.1007/s11136-017-1730-2 · Cited by 92 · see citing works
The level of anxiety, depression and quality of life among patients with heart failure in Greece
Aggelopoulou, Z., Fotos, N. V., Chatziefstratiou, A. A., Giakoumidakis, K., Elefsiniotis, I., & Brokalaki, H. (2017) · Applied Nursing Research · doi:10.1016/j.apnr.2017.01.003 · Cited by 86 · see citing works
Social support, stress, health, and academic success in Ghanaian adolescents: A path analysis
Glozah, F. N., & Pevalin, D. J. (2014) · Journal of Adolescence · doi:10.1016/j.adolescence.2014.03.010 · Cited by 85 · see citing works
Gao, K., Su, M., Sweet, J. A., & Calabrese, J. R. (2018) · Journal of Affective Disorders · doi:10.1016/j.jad.2018.09.063 · Cited by 81 · see citing works
Nourbakhsh, B., Julian, L. J., & Waubant, E. L. (2016) · European Journal of Neurology · doi:10.1111/ene.13102 · Cited by 79 · see citing works
Sim, A. L., Bowes, L., & Gardner, F. E. M. (2019) · Prevention Science · doi:10.1007/s11121-019-0983-0 · Cited by 78 · see citing works
Li, Y., Shapiro, B. B., Kim, J. C., Zhang, M., Pórszász, J., Bross, R., Feroze, U., Upreti, R., MARTIN, D. J., Kalantar‐Zadeh, K., et al. (2016) · Chronic Diseases and Translational Medicine · doi:10.1016/j.cdtm.2016.09.004 · Cited by 68 · see citing works
Depression and quality of life in patients with epilepsy in Northwest Greece
Siarava, E., Hyphantis, T. N., Katsanos, A. H., Pelidou, S., Kyritsis, A. P., & Markoula, S. (2019) · Seizure · doi:10.1016/j.seizure.2019.02.012 · Cited by 57 · see citing works
Khan, A. A., Hamdan, A. R., Ahmad, R., Mustaffa, M. S., & Mahalle, S. (2015) · Community Mental Health Journal · doi:10.1007/s10597-015-9937-6 · Cited by 54 · see citing works
Effects of resilience on quality of life in patients with bipolar disorder
Lee, D., Cha, B., Park, C., Kim, B., Lee, C.-S., Lee, S.-J., Seo, J.-Y., Cho, Y. A., Ha, J.-H., & Choi, J.-W. (2016) · Journal of Affective Disorders · doi:10.1016/j.jad.2016.08.075 · Cited by 50 · see citing works
Pakpour, A. H., Chen, C., Lin, C., Strong, C., Tsai, M., & Lin, Y.-C. (2018) · International Journal of Clinical and Health Psychology · doi:10.1016/j.ijchp.2018.06.002 · Cited by 48 · see citing works
Longitudinal associations between resilience and quality of life in eating disorders
Calvete, E., Hayas, C. L., & del Barrio, A. G. (2017) · Psychiatry Research · doi:10.1016/j.psychres.2017.11.031 · Cited by 44 · see citing works
Well-being in major depression and social phobia with and without comorbidity
Wersebe, H., Lieb, R., Meyer, A. H., Miché, M., Mikoteit, T., Imboden, C., Hoyer, J., Bader, K., Hatzinger, M., & Gloster, A. T. (2018) · International Journal of Clinical and Health Psychology · doi:10.1016/j.ijchp.2018.06.004 · Cited by 41 · see citing works
Song, C., Fu, Z., & Wang, J. (2018) · Child Indicators Research · doi:10.1007/s12187-018-9577-9 · Cited by 39 · see citing works
Oliva, A., García-Cebrián, J. M., Calatayud, E. F., et al. (2018) · Maturitas · doi:10.1016/j.maturitas.2018.11.012 · Cited by 24 · see citing works
Cau-Bareille, D. (2011) · Work · doi:10.3233/wor-2011-1265 · Cited by 23 · see citing works
Jalali, D., Abdolazimi, M., Alaei, Z., & Solati, K. (2019) · IJC Heart & Vasculature · doi:10.1016/j.ijcha.2019.100356 · Cited by 23 · see citing works
Komachi, M. H., & Kamibeppu, K. (2018) · Mental Health & Prevention · doi:10.1016/j.mhp.2018.01.001 · Cited by 18 · see citing works
The association of clinical insight and depression with quality of life in schizophrenia
Arrarás, J. I., Ibáñez, B., Pereda, N., Iribarren, S., & Basterra, I. (2019) · Psychiatry Research · doi:10.1016/j.psychres.2019.02.069 · Cited by 15 · see citing works
Kisić-Tepavčević, D., Pekmezovic, T. D., Stojsavljević, N., Kostić, J., Dujmović, I., Mesaroš, Š., & Drulovic, J. S. (2013) · Acta Neurologica Belgica · doi:10.1007/s13760-013-0191-9 · Cited by 14 · see citing works
Relationship between adaptability and depressive symptoms among adolescent students
Jiu-ling, L., Chen, X., & al, Z. C.-H. E. (2017) · doi:10.11847/zgggws2017-33-05-31 · Cited by 5 · see citing works
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Self-citationBermejo-Franco, A., Sánchez-Sánchez, J. L., Gaviña-Barroso, M. I., Atienza-Carbonell, B., Balanzá-Martínez, V., & Clemente-Suárez, V. J. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph19020810 · Cited by 45 · see citing works
“Higher psychological flexibility is positively associated with an increase in well-being and quality of life [44], whereas avoidance behaviours are directly proportional to psychological disorders [2].”
BackgroundFernandes, M. D. S. V., Silva, T. M. V. D., Noll, P. R. E. S., Almeida, A. A. D., & Noll, M. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph19063735 · Cited by 21 · see citing works
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“Increased well-being and quality of life are positively correlated with greater psychological flexibility [37], whereas avoidance behaviors are directly proportional to psychological distress [38,39].”
Background
- Authors
- Geng, Y., Gu, J., Zhu, X., Yang, M., Shi, D., Shang, J., & Zhao, F.
- Affiliations
- Zhengzhou University (CN)
- Corresponding author
- Yang, Minqi
- Venue
- International Journal of Clinical and Health Psychology
- Publisher
- Elsevier BV
- Published
- 2020-05
- Volume
- 20
- Issue
- 2
- Pages
- 118-125
- ISSN
- 1697-2600 (ISSN-L)
- PMC
- PMC7296238
- OpenAlex
- W3014744606
- Cited by
- 74
- References
- 67
- Citations by year
- 2026: 11 · 2025: 11 · 2024: 14 · 2023: 15 · 2022: 13 · 2021: 8 · 2020: 2
- FWCI
- 3.80
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- International Journal of Clinical and Health Psychology (publishedVersion, cc-by-nc-nd)
- PubMed Central (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- Funders
- Zhengzhou University
- Topics
- Social Sciences › Psychology › Clinical Psychology › Resilience and Mental Health
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Social Sciences › Psychology › Clinical Psychology › Health and Well-being Studies
- Keywords
- negative emotions, quality of life, adolescents, depression, anxiety, stress, resilience, social support, moderated mediation, psychological well-being, perceived social support, children's quality of life, Chinese adolescents, mental health education, mental health services for adolescents
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