Abstract：
BACKGROUND: Given the high prevalence of adolescent mental health problems, promoting understanding and implementation of protective factors is crucial for prevention and intervention efforts addressing adolescent mental health problems. This study aims to investigate whether consistency and inconsistency in protective factors are associated with adolescent mental health problems and to inform adolescent mental health interventions that target the unique needs of adolescents and promote adolescent mental health.
METHODS: We used multistage cluster sampling to conduct psychological resilience, social support, and mental health questionnaires from April to June 2023 among 10,653 Chinese adolescents (52.3 % were boys). Data were analyzed using polynomial regressions with response surface analysis.
RESULTS: The higher levels of psychological resilience and social support in adolescents were associated with fewer mental health problems (anxiety: a1 = -1.83, P < 0.001; depression: a1 = -2.44, P < 0.001; and perceived stress: a1 = -1.20, P < 0.001). When the level of psychological resilience was greater than social support, the greater the discrepancy the higher the perceived stress among adolescents (a3 = 1.19, P < 0.001). Moreover, the consistency of psychological resilience and social support had a greater impact on girls\' mental health (anxiety: a1 = -1.97, P < 0.001; depression: a1 = -2.71, P < 0.001; perceived stress: a1 = -1.23, P < 0.001).
CONCLUSIONS: The cross-sectional study design limited the inference of causal relationships between variables.
CONCLUSIONS: These results emphasize that adolescents need a balanced development of protective factors and targeted intervention programs for different mental health problems.
METHODS: We used multistage cluster sampling to conduct psychological resilience, social support, and mental health questionnaires from April to June 2023 among 10,653 Chinese adolescents (52.3 % were boys). Data were analyzed using polynomial regressions with response surface analysis.
RESULTS: The higher levels of psychological resilience and social support in adolescents were associated with fewer mental health problems (anxiety: a1 = -1.83, P < 0.001; depression: a1 = -2.44, P < 0.001; and perceived stress: a1 = -1.20, P < 0.001). When the level of psychological resilience was greater than social support, the greater the discrepancy the higher the perceived stress among adolescents (a3 = 1.19, P < 0.001). Moreover, the consistency of psychological resilience and social support had a greater impact on girls\' mental health (anxiety: a1 = -1.97, P < 0.001; depression: a1 = -2.71, P < 0.001; perceived stress: a1 = -1.23, P < 0.001).
CONCLUSIONS: The cross-sectional study design limited the inference of causal relationships between variables.
CONCLUSIONS: These results emphasize that adolescents need a balanced development of protective factors and targeted intervention programs for different mental health problems.
摘要：
背景：鉴于青少年心理健康问题的高患病率，促进对保护因素的理解和实施对于解决青少年心理健康问题的预防和干预工作至关重要。本研究旨在调查保护因素的一致性和不一致性是否与青少年心理健康问题相关，并为青少年心理健康干预措施提供信息，以针对青少年的独特需求并促进青少年心理健康。
方法：我们使用多阶段整群抽样进行心理弹性，社会支持,2023年4月至6月，对10657名中国青少年(52.3%为男孩)进行了心理健康问卷调查。使用具有响应面分析的多项式回归对数据进行分析。
结果：青少年较高的心理弹性和社会支持水平与较少的心理健康问题相关（焦虑：a1=-1.83，P<0.001；抑郁：a1=-2.44，P<0.001；感知压力：a1=-1.20，P<0.001）。当心理弹性水平大于社会支持时，差异越大，青少年的感知压力越高（a3=1.19，P<0.001）。此外，心理韧性和社会支持的一致性对女生心理健康影响较大(焦虑:a1=-1.97,P<0.001;抑郁:a1=-2.71,P<0.001;感知压力:a1=-1.23,P<0.001)。
结论：横断面研究设计限制了变量之间因果关系的推断。
结论：这些结果强调青少年需要针对不同心理健康问题的保护因素和有针对性的干预计划的平衡发展。
方法：我们使用多阶段整群抽样进行心理弹性，社会支持,2023年4月至6月，对10657名中国青少年(52.3%为男孩)进行了心理健康问卷调查。使用具有响应面分析的多项式回归对数据进行分析。
结果：青少年较高的心理弹性和社会支持水平与较少的心理健康问题相关（焦虑：a1=-1.83，P<0.001；抑郁：a1=-2.44，P<0.001；感知压力：a1=-1.20，P<0.001）。当心理弹性水平大于社会支持时，差异越大，青少年的感知压力越高（a3=1.19，P<0.001）。此外，心理韧性和社会支持的一致性对女生心理健康影响较大(焦虑:a1=-1.97,P<0.001;抑郁:a1=-2.71,P<0.001;感知压力:a1=-1.23,P<0.001)。
结论：横断面研究设计限制了变量之间因果关系的推断。
结论：这些结果强调青少年需要针对不同心理健康问题的保护因素和有针对性的干预计划的平衡发展。
