Socio-ecological domains and adolescent mental health: An application of the dual-factor model

doi:10.1111/jora.70029

. 2025 Jun;35(2):e70029.

doi: 10.1111/jora.70029.

Socio-ecological domains and adolescent mental health: An application of the dual-factor model

Collaborators, Affiliations

Collaborators

ECHO Cohort Consortium:
P Brian Smith, L Kristin Newby, Linda Adair, Lisa P Jacobson, Diane Catellier, Monica McGrath, Christian Douglas, Priya Duggal, Emily Knapp, Amii Kress, Courtney K Blackwell, Maxwell A Mansolf, Jin-Shei Lai, Emily Ho, David Cella, Richard Gershon, Michelle L Macy, Suman R Das, Jane E Freedman, Simon A Mallal, John A McLean, Ravi V Shah, Meghan H Shilts, Akram N Alshawabkeh, Jose F Cordero, John Meeker, Leonardo Trasande, Carlos A Camargo, Kohei Hasegawa, Zhaozhong Zhu, Ashley F Sullivan, Dana Dabelea, Wei Perng, Traci A Bekelman, Greta Wilkening, Sheryl Magzamen, Brianna F Moore, Anne P Starling, Deborah J Rinehart, Daphne Koinis Mitchell, Viren D'Sa, Sean C L Deoni, Hans-Georg Mueller, Cristiane S Duarte, Catherine Monk, Glorisa Canino, Jonathan Posner, Tenneill Murray, Claudia Lugo-Candelas, Anne L Dunlop, Patricia A Brennan, Christine Hockett, Amy Elliott, Assiamira Ferrara, Lisa A Croen, Monique M Hedderson, John Ainsworth, Leonard B Bacharier, Casper G Bendixsen, James E Gern, Diane R Gold, Tina V Hartert, Daniel J Jackson, Christine C Johnson, Christine L M Joseph, Meyer Kattan, Gurjit K Khurana Hershey, Robert F Lemanske, Susan V Lynch, Rachel L Miller, George T O'Connor, Carole Ober, Dennis Ownby, Katherine Rivera-Spoljaric, Patrick H Ryan, Christine M Seroogy, Anne Marie Singh, Robert A Wood, Edward M Zoratti, Rima Habre, Shohreh Farzan, Frank D Gilliland, Irva Hertz-Picciotto, Deborah H Bennett, Julie B Schweitzer, Rebecca J Schmidt, Janine M LaSalle, Alison E Hipwell, Catherine J Karr, Nicole R Bush, Kaja Z LeWinn, Sheela Sathyanarayana, Qi Zhao, Frances Tylavsky, Kecia N Carroll, Christine T Loftus, Leslie D Leve, Jody M Ganiban, Jenae M Neiderhiser, Scott T Weiss, Augusto A Litonjua, Cindy T McEvoy, Eliot R Spindel, Robert S Tepper, Craig J Newschaffer, Kristen Lyall, Heather E Volk, Rebecca Landa, Sally Ozonoff, Joseph Piven, Heather Hazlett, Juhi Pandey, Robert Schultz, Steven Dager, Kelly Botteron, Daniel Messinger, Wendy Stone, Jennifer Ames, Thomas G O'Connor, Richard K Miller, Emily Oken, Michele R Hacker, Tamarra James-Todd, T Michael O'Shea, Rebecca C Fry, Jean A Frazier, Rachana Singh, Caitlin Rollins, Angela Montgomery, Ruben Vaidya, Robert M Joseph, Lisa K Washburn, Semsa Gogcu, Kelly Bear, Julie V Rollins, Stephen R Hooper, Genevieve Taylor, Wesley Jackson, Amanda Thompson, Julie Daniels, Michelle Hernandez, Kun Lu, Michael Msall, Madeleine Lenski, Rawad Obeid, Steven L Pastyrnak, Elizabeth Jensen, Christina Sakai, Hudson Santos, Jean M Kerver, Nigel Paneth, Charles J Barone, Michael R Elliott, Douglas M Ruden, Chris Fussman, Julie B Herbstman, Amy Margolis, Susan L Schantz, Sarah Dee Geiger, Andrea Aguiar, Karen Tabb, Rita Strakovsky, Tracey Woodruff, Rachel Morello-Frosch, Amy Padula, Joseph B Stanford, Christina A Porucznik, Angelo P Giardino, Rosalind J Wright, Robert O Wright, Brent Collett, Nicole Baumann-Blackmore, Ronald Gangnon, Daniel J Jackson, Chris G McKennan, Jo Wilson, Matt Altman, Judy L Aschner, Annemarie Stroustrup, Stephanie L Merhar, Paul E Moore, Gloria S Pryhuber, Mark Hudak, Ann Marie Reynolds Lyndaker, Andrea L Lampland, Burton Rochelson, Sophia Jan, Matthew J Blitz, Michelle W Katzow, Zenobia Brown, Codruta Chiuzan, Timothy Rafael, Dawnette Lewis, Natalie Meirowitz, Brenda Poindexter, Tebeb Gebretsadik, Sarah Osmundson, Jennifer K Straughen, Amy Eapen, Andrea Cassidy-Bushrow, Ganesa Wegienka, Alex Sitarik, Kim Woodcroft, Audrey Urquhart, Albert Levin, Tisa Johnson-Hooper, Brent Davidson, Tengfei Ma, Emily S Barrett, Martin J Blaser, Maria Gloria Dominguez-Bello, Daniel B Horton, Manuel Jimenez, Todd Rosen, Kristy Palomares, Lyndsay A Avalos, Yeyi Zhu, Kelly J Hunt, Roger B Newman, Michael S Bloom, Mallory H Alkis, James R Roberts, Sunni L Mumford, Heather H Burris, Sara B DeMauro, Lynn M Yee, Aaron Hamvas, Antonia F Olidipo, Andrew S Haddad, Lisa R Eiland, Nicole T Spillane, Kirin N Suri, Stephanie A Fisher, Jeffrey A Goldstein, Leena B Mithal, Raye-Ann O DeRegnier, Nathalie L Maitre, Ruby H N Nguyen, Meghan M JaKa, Abbey C Sidebottom, Michael J Paidas, JoNell E Potter, Natale Ruby, Lunthita Duthely, Arumugam Jayakumar, Karen Young, Isabel Maldonado, Meghan Miller, Jonathan L Slaughter, Sarah A Keim, Courtney D Lynch, Kartik K Venkatesh, Kristina W Whitworth, Elaine Symanski, Thomas F Northrup, Hector Mendez-Figueroa, Ricardo A Mosquera, Margaret R Karagas, Juliette C Madan, Debra M MacKenzie, Johnnye L Lewis, Brandon J Rennie, Bennett L Leventhal, Young Shin Kim, Somer Bishop, Sara S Nozadi, Li Luo, Barry M Lester, Carmen J Marsit, Todd Everson, Cynthia M Loncar, Elisabeth C McGowan, Stephen J Sheinkopf, Brian S Carter, Jennifer Check, Jennifer B Helderman, Charles R Neal, Lynne M Smith

Affiliations

¹ School of Social Work, University of Maryland Baltimore, Baltimore, Maryland, USA.
² Department of Psychological and Brain Sciences, George Washington University, Washington, DC, USA.
³ Department of Psychology, Washington State University, Pullman, Washington, USA.
⁴ Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.
⁵ Department of Psychiatry and Behavioral Sciences, University of California, San Francisco, San Francisco, California, USA.
⁶ Autism Institute, Drexel University, Philadelphia, Pennsylvania, USA.
⁷ Department of Pediatrics, University of South Dakota Sanford School of Medicine, Sioux Falls, South Dakota, USA.
⁸ Department of Pediatrics, Oregon Health and Science University, Portland, Oregon, USA.
⁹ Department of Psychiatry and Pediatrics, UMass Chan Medical School, Worcester, Massachusetts, USA.
¹⁰ Charles Stewart Mott Department of Public Health, Michigan State University, Flint, Michigan, USA.
¹¹ Department of Pediatrics, Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA.

PMID: 40400085
PMCID: PMC12095899
DOI: 10.1111/jora.70029

Socio-ecological domains and adolescent mental health: An application of the dual-factor model

Theda Rose et al. J Res Adolesc. 2025 Jun.

. 2025 Jun;35(2):e70029.

doi: 10.1111/jora.70029.

Authors

Collaborators

ECHO Cohort Consortium:
P Brian Smith, L Kristin Newby, Linda Adair, Lisa P Jacobson, Diane Catellier, Monica McGrath, Christian Douglas, Priya Duggal, Emily Knapp, Amii Kress, Courtney K Blackwell, Maxwell A Mansolf, Jin-Shei Lai, Emily Ho, David Cella, Richard Gershon, Michelle L Macy, Suman R Das, Jane E Freedman, Simon A Mallal, John A McLean, Ravi V Shah, Meghan H Shilts, Akram N Alshawabkeh, Jose F Cordero, John Meeker, Leonardo Trasande, Carlos A Camargo, Kohei Hasegawa, Zhaozhong Zhu, Ashley F Sullivan, Dana Dabelea, Wei Perng, Traci A Bekelman, Greta Wilkening, Sheryl Magzamen, Brianna F Moore, Anne P Starling, Deborah J Rinehart, Daphne Koinis Mitchell, Viren D'Sa, Sean C L Deoni, Hans-Georg Mueller, Cristiane S Duarte, Catherine Monk, Glorisa Canino, Jonathan Posner, Tenneill Murray, Claudia Lugo-Candelas, Anne L Dunlop, Patricia A Brennan, Christine Hockett, Amy Elliott, Assiamira Ferrara, Lisa A Croen, Monique M Hedderson, John Ainsworth, Leonard B Bacharier, Casper G Bendixsen, James E Gern, Diane R Gold, Tina V Hartert, Daniel J Jackson, Christine C Johnson, Christine L M Joseph, Meyer Kattan, Gurjit K Khurana Hershey, Robert F Lemanske, Susan V Lynch, Rachel L Miller, George T O'Connor, Carole Ober, Dennis Ownby, Katherine Rivera-Spoljaric, Patrick H Ryan, Christine M Seroogy, Anne Marie Singh, Robert A Wood, Edward M Zoratti, Rima Habre, Shohreh Farzan, Frank D Gilliland, Irva Hertz-Picciotto, Deborah H Bennett, Julie B Schweitzer, Rebecca J Schmidt, Janine M LaSalle, Alison E Hipwell, Catherine J Karr, Nicole R Bush, Kaja Z LeWinn, Sheela Sathyanarayana, Qi Zhao, Frances Tylavsky, Kecia N Carroll, Christine T Loftus, Leslie D Leve, Jody M Ganiban, Jenae M Neiderhiser, Scott T Weiss, Augusto A Litonjua, Cindy T McEvoy, Eliot R Spindel, Robert S Tepper, Craig J Newschaffer, Kristen Lyall, Heather E Volk, Rebecca Landa, Sally Ozonoff, Joseph Piven, Heather Hazlett, Juhi Pandey, Robert Schultz, Steven Dager, Kelly Botteron, Daniel Messinger, Wendy Stone, Jennifer Ames, Thomas G O'Connor, Richard K Miller, Emily Oken, Michele R Hacker, Tamarra James-Todd, T Michael O'Shea, Rebecca C Fry, Jean A Frazier, Rachana Singh, Caitlin Rollins, Angela Montgomery, Ruben Vaidya, Robert M Joseph, Lisa K Washburn, Semsa Gogcu, Kelly Bear, Julie V Rollins, Stephen R Hooper, Genevieve Taylor, Wesley Jackson, Amanda Thompson, Julie Daniels, Michelle Hernandez, Kun Lu, Michael Msall, Madeleine Lenski, Rawad Obeid, Steven L Pastyrnak, Elizabeth Jensen, Christina Sakai, Hudson Santos, Jean M Kerver, Nigel Paneth, Charles J Barone, Michael R Elliott, Douglas M Ruden, Chris Fussman, Julie B Herbstman, Amy Margolis, Susan L Schantz, Sarah Dee Geiger, Andrea Aguiar, Karen Tabb, Rita Strakovsky, Tracey Woodruff, Rachel Morello-Frosch, Amy Padula, Joseph B Stanford, Christina A Porucznik, Angelo P Giardino, Rosalind J Wright, Robert O Wright, Brent Collett, Nicole Baumann-Blackmore, Ronald Gangnon, Daniel J Jackson, Chris G McKennan, Jo Wilson, Matt Altman, Judy L Aschner, Annemarie Stroustrup, Stephanie L Merhar, Paul E Moore, Gloria S Pryhuber, Mark Hudak, Ann Marie Reynolds Lyndaker, Andrea L Lampland, Burton Rochelson, Sophia Jan, Matthew J Blitz, Michelle W Katzow, Zenobia Brown, Codruta Chiuzan, Timothy Rafael, Dawnette Lewis, Natalie Meirowitz, Brenda Poindexter, Tebeb Gebretsadik, Sarah Osmundson, Jennifer K Straughen, Amy Eapen, Andrea Cassidy-Bushrow, Ganesa Wegienka, Alex Sitarik, Kim Woodcroft, Audrey Urquhart, Albert Levin, Tisa Johnson-Hooper, Brent Davidson, Tengfei Ma, Emily S Barrett, Martin J Blaser, Maria Gloria Dominguez-Bello, Daniel B Horton, Manuel Jimenez, Todd Rosen, Kristy Palomares, Lyndsay A Avalos, Yeyi Zhu, Kelly J Hunt, Roger B Newman, Michael S Bloom, Mallory H Alkis, James R Roberts, Sunni L Mumford, Heather H Burris, Sara B DeMauro, Lynn M Yee, Aaron Hamvas, Antonia F Olidipo, Andrew S Haddad, Lisa R Eiland, Nicole T Spillane, Kirin N Suri, Stephanie A Fisher, Jeffrey A Goldstein, Leena B Mithal, Raye-Ann O DeRegnier, Nathalie L Maitre, Ruby H N Nguyen, Meghan M JaKa, Abbey C Sidebottom, Michael J Paidas, JoNell E Potter, Natale Ruby, Lunthita Duthely, Arumugam Jayakumar, Karen Young, Isabel Maldonado, Meghan Miller, Jonathan L Slaughter, Sarah A Keim, Courtney D Lynch, Kartik K Venkatesh, Kristina W Whitworth, Elaine Symanski, Thomas F Northrup, Hector Mendez-Figueroa, Ricardo A Mosquera, Margaret R Karagas, Juliette C Madan, Debra M MacKenzie, Johnnye L Lewis, Brandon J Rennie, Bennett L Leventhal, Young Shin Kim, Somer Bishop, Sara S Nozadi, Li Luo, Barry M Lester, Carmen J Marsit, Todd Everson, Cynthia M Loncar, Elisabeth C McGowan, Stephen J Sheinkopf, Brian S Carter, Jennifer Check, Jennifer B Helderman, Charles R Neal, Lynne M Smith

Affiliations

¹ School of Social Work, University of Maryland Baltimore, Baltimore, Maryland, USA.
² Department of Psychological and Brain Sciences, George Washington University, Washington, DC, USA.
³ Department of Psychology, Washington State University, Pullman, Washington, USA.
⁴ Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.
⁵ Department of Psychiatry and Behavioral Sciences, University of California, San Francisco, San Francisco, California, USA.
⁶ Autism Institute, Drexel University, Philadelphia, Pennsylvania, USA.
⁷ Department of Pediatrics, University of South Dakota Sanford School of Medicine, Sioux Falls, South Dakota, USA.
⁸ Department of Pediatrics, Oregon Health and Science University, Portland, Oregon, USA.
⁹ Department of Psychiatry and Pediatrics, UMass Chan Medical School, Worcester, Massachusetts, USA.
¹⁰ Charles Stewart Mott Department of Public Health, Michigan State University, Flint, Michigan, USA.
¹¹ Department of Pediatrics, Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA.

PMID: 40400085
PMCID: PMC12095899
DOI: 10.1111/jora.70029

Abstract

Comprehensive assessment of mental health includes wellbeing and psychopathology. Using the dual-factor model of mental health, this study explored associations between socioecological domains and mental health profiles and subsequent moderations by sex, race and ethnicity, and age. Cross-sectional data were from the Environmental influences on Child Health Outcomes (ECHO) Cohort (N = 2826). Adolescents were 11-17 years old (mean age 14.4 ± 2.1), 55.3% non-Hispanic White, and 48% girls. Using latent profile analysis, four mental health groups were identified: positive mental health; parent-endorsed symptoms, but content; vulnerable; and troubled. Latent regression analyses showed that, overall, better family, peer, and teacher-school relationships were found in the positive mental health group compared with other groups. No significant moderations were observed. Implications for practice and policy are discussed.

Keywords: adolescent; cross‐sectional studies; dual‐factor model; latent profile analysis; mental health; socioecological domains; wellbeing.

PubMed Disclaimer

Conflict of interest statement

The authors have no conflicts of interest to disclose.

Figures

**FIGURE 2**
Mean T‐scores of dual‐factor model indicators for the four‐profile model.

See this image and copyright information in PMC

References

1. Achenbach, T. M. , & Rescorla, L. A. (2001). Manual for the ASEBA school‐age forms & profiles. University of Vermont, Research Center for Children, Youth, & Families.
1. Antaramian, S. (2015). Assessing psychological symptoms and wellbeing: Application of a dual‐factor mental health model to understand college student performance. Journal of Psychoeducational Assessment, 33(5), 419–429. 10.1177/0734282914557727 - DOI
1. Antaramian, S. P. , Scott Huebner, E. , Hills, K. J. , & Valois, R. F. (2010). A dual‐factor model of mental health: Toward a more comprehensive understanding of youth functioning. American Journal of Orthopsychiatry, 80(4), 462–472. 10.1111/j.1939-0025.2010.01049.x - DOI - PubMed
1. Apsley, H. B. , & Padilla‐Walker, L. M. (2020). Longitudinal links between parents' mental health, parenting, and adolescents' mental health: Moderation by adolescent sex. Journal of Family Psychology, 34(7), 886–892. 10.1037/fam0000788 - DOI - PubMed
1. Archer, C. , Jiang, X. , Thurston, I. , & Floyd, R. (2019). The differential effects of perceived social support on adolescent hope: Testing the moderating effects of age and gender. Child Indicators Research, 12(6), 2079–2094. 10.1007/s12187-019-9628-x - DOI

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[1] Achenbach, T. M. , & Rescorla, L. A. (2001). Manual for the ASEBA school‐age forms & profiles. University of Vermont, Research Center for Children, Youth, & Families.

[2] Achenbach, T. M. , & Rescorla, L. A. (2001). Manual for the ASEBA school‐age forms & profiles. University of Vermont, Research Center for Children, Youth, & Families.

[3] Antaramian, S. (2015). Assessing psychological symptoms and wellbeing: Application of a dual‐factor mental health model to understand college student performance. Journal of Psychoeducational Assessment, 33(5), 419–429. 10.1177/0734282914557727 - DOI

[4] Antaramian, S. (2015). Assessing psychological symptoms and wellbeing: Application of a dual‐factor mental health model to understand college student performance. Journal of Psychoeducational Assessment, 33(5), 419–429. 10.1177/0734282914557727 - DOI

[5] Antaramian, S. P. , Scott Huebner, E. , Hills, K. J. , & Valois, R. F. (2010). A dual‐factor model of mental health: Toward a more comprehensive understanding of youth functioning. American Journal of Orthopsychiatry, 80(4), 462–472. 10.1111/j.1939-0025.2010.01049.x - DOI - PubMed

[6] Antaramian, S. P. , Scott Huebner, E. , Hills, K. J. , & Valois, R. F. (2010). A dual‐factor model of mental health: Toward a more comprehensive understanding of youth functioning. American Journal of Orthopsychiatry, 80(4), 462–472. 10.1111/j.1939-0025.2010.01049.x - DOI - PubMed

[7] Apsley, H. B. , & Padilla‐Walker, L. M. (2020). Longitudinal links between parents' mental health, parenting, and adolescents' mental health: Moderation by adolescent sex. Journal of Family Psychology, 34(7), 886–892. 10.1037/fam0000788 - DOI - PubMed

[8] Apsley, H. B. , & Padilla‐Walker, L. M. (2020). Longitudinal links between parents' mental health, parenting, and adolescents' mental health: Moderation by adolescent sex. Journal of Family Psychology, 34(7), 886–892. 10.1037/fam0000788 - DOI - PubMed

[9] Archer, C. , Jiang, X. , Thurston, I. , & Floyd, R. (2019). The differential effects of perceived social support on adolescent hope: Testing the moderating effects of age and gender. Child Indicators Research, 12(6), 2079–2094. 10.1007/s12187-019-9628-x - DOI

[10] Archer, C. , Jiang, X. , Thurston, I. , & Floyd, R. (2019). The differential effects of perceived social support on adolescent hope: Testing the moderating effects of age and gender. Child Indicators Research, 12(6), 2079–2094. 10.1007/s12187-019-9628-x - DOI

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Socio-ecological domains and adolescent mental health: An application of the dual-factor model

Collaborators

Affiliations

Socio-ecological domains and adolescent mental health: An application of the dual-factor model

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