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. 2021 Aug 23:12:740094.
doi: 10.3389/fpsyt.2021.740094. eCollection 2021.

The Mediating Role of Loneliness Between Social Support and Depressive Symptoms Among Chinese Rural Adolescents During COVID-19 Outbreak: A Comparative Study Between Left-Behind and Non-left-behind Students

Tianya Hou  1 , Yawei Xie  1 , Xiaofei Mao  1 , Ying Liu  1 , Jianguo Zhang  1 , Jing Wen  1 , Yan Chen  1 , Zhechao Luo  2 , Wenpeng Cai  1
Affiliations

The Mediating Role of Loneliness Between Social Support and Depressive Symptoms Among Chinese Rural Adolescents During COVID-19 Outbreak: A Comparative Study Between Left-Behind and Non-left-behind Students

Tianya Hou et al. Front Psychiatry. .

Abstract

Introduction: The COVID-19 pandemic has greatly impacted people's life across the globe. In a public health crisis, rural adolescents are more prone to mental health problems. The current study aimed to investigate the prevalence of depressive symptoms among Chinese rural adolescents during the COVID-19 outbreak, and examine the association between perceived social support and depressive symptoms and its underlying mechanisms. Method: Perceived Social Support Scale, UCLA Loneliness Scale, Patient Health Questionnaire-9 were administrated to 826 rural adolescents from Anhui Province, China, amid the COVID-19 crisis. Mackinnon's four-step procedure was employed to examine the mediating effect, while Hayes PROCESS macro was utilized to test the moderated mediation model. Results: The results showed the rate of depressive symptoms among rural adolescents in China was 77.6% during the outbreak of COVID-19. Female left-behind students and non-left-behind students from disrupted families experienced more depressive symptoms (all P < 0.05). Loneliness mediated the association between perceive social support and depressive symptoms and the indirect effect was stronger in left-behind adolescents in comparison to non-left-behind adolescents during the COVID-19 pandemic. Conclusion: Depressive symptoms are extremely prevalent among Chinese rural adolescents during the COVID-19 outbreak, and perceived social support plays a protective role against depressive symptoms. Chinese rural adolescents, especially left-behind students, could benefit from the interventions aimed at enhancing the perceived social support and reducing loneliness during the COVID-19 pandemic.

Keywords: COVID-19; depression; left-behind students; loneliness; non-left-behind students; perceived social support.

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Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Figures

Figure 1
Figure 1
Conceptual model.
Figure 2
Figure 2
Left-behind status as a moderator of the association between perceived social support and loneliness.
See this image and copyright information in PMC

References

    1. Essau CA, de la Torre-Luque A. Adolescent psychopathological profiles and the outcome of the COVID-19 pandemic: longitudinal findings from the UK Millennium Cohort Study. Prog Neuropsychopharmacol Biol Psychiatry. (2021) 110:110330. 10.1016/j.pnpbp.2021.110330 - DOI - PMC - PubMed
    1. Hou T, Yin Q, Xu Y, Gao J, Bin L, Li H, et al. . The mediating role of perceived social support between resilience and anxiety 1 year after the COVID-19 pandemic: disparity between high-risk and low-risk nurses in China. Front Psychiatry. (2021) 12:733. 10.3389/fpsyt.2021.666789 - DOI - PMC - PubMed
    1. WHO . Coronavirus Disease (COVID-19) Pandemic. Available online at https://www.who.int/emergencies/diseases/novel-coronavirus-2019 (accessed July 12, 2021).
    1. Meade J. Mental health effects of the COVID-19 pandemic on children and adolescents: a review of the current research. Pediatr Clin N Am. (2021). 10.1016/j.pcl.2021.05.003 - DOI - PMC - PubMed
    1. Allen KA, McKenzie VL. Adolescent mental health in an australian context and future interventions. Int J Ment Health. (2015) 44:80–93. 10.1080/00207411.2015.1009780 - DOI

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