ArticleBMJ open2024
Influence of learning stress on anxiety levels among high school students in China: the chain-mediated role of physical activity and mobile phone addiction.
Article in BMJ open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- Gender differences in smartphone addiction, physical activity, and quality of life: a cross-sectional study.BMC public health · 2026Article
- Breaking the cycle: how physical activity disrupts repetitive negative thinking in adolescents through positive affect and cognitive flexibility.BMC psychology · 2026Article
- The impact of school sports atmosphere on college students' social anxiety: the mediating role of exercise self-efficacy and the moderating effect of gender.Frontiers in public health · 2026Article
- Associations of academic stress with anxiety and depressive symptoms: the mediating role of emotional eating.Frontiers in nutrition · 2026Article
- Longitudinal relationships among early adolescent physical exercise, internalizing symptoms, and learning engagement: exploring within-person dynamics and the role of gender differences.Child and adolescent psychiatry and mental health · 2025Article
- A study on factors influencing digital sports participation among Chinese secondary school students based on explainable machine learning.Scientific reports · 2025Article
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Authors and funding
7 authors.
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Abstract
objectivesThe objectives are to explore the relationship between study stress and anxiety in high school students and the mediating role of physical activity and mobile phone addiction.
designA cross-sectional study.
setting129 high schools were randomly selected in 13 cities of Jiangsu province, China.
participantsHigh school students aged 16-19 years, age and gender balance. A total of 40 000 questionnaires were distributed, with 32 974 effectively recovered. PRIMARY AND SECONDARY OUTCOME MEASURES: Questionnaires were administered offline, covering four parts: General Demographics, Learning Stress Scale, International Physical Activity Questionnaire, Mobile Phone Addiction Scale and Generalized Anxiety Scale-7. Data analysis included path analysis and correlation analysis, along with descriptive statistics, independent sample t-test, correlation analysis and structural equation model.
resultsIn this study, the proportions of anxiety, high academic pressure, low physical activity level and high mobile phone addiction were 58.18%, 46.48%, 36.40% and 39.26%, respectively. Study stress was positively correlated with anxiety (r=0.130, p<0.01) and mobile phone addiction (r=0.049, p<0.01). Physical activity was negatively correlated with learning stress (r=-0.352, p<0.01), anxiety (r=-0.105, p<0.01) and mobile phone addiction (r=-0.040, p<0.01). The findings were tested by mediating effect analysis that the indirect effect size value of the path 'learning stress → physical activity level → anxiety path' was 0.461, 95% CI of Bootstrap (0.367, 0.554), the mediating effect was significant. The indirect effect size value of the path 'learning stress → mobile phone addiction → anxiety' was 0.072, 95% CI of Bootstrap (0.042, 0.102), and the mediating effect was significant. The indirect effect size value of the path 'learning stress → physical activity level → mobile phone addiction → anxiety' was 0.072, and the 95% CI of Bootstrap (0.226, 0.400), and the mediating effect was significant.
conclusionsHigh school students' learning stress can significantly positively predict anxiety levels. High school students learning stress indirectly predicts anxiety through the independent mediating effect of physical activity and mobile phone addiction, as well as the chain mediating effect of physical activity and mobile phone addiction.
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