Evidence map›Paper›PMID 40450365›Full record

ArticleBMC psychology2025

Chain-mediation effect of cognitive flexibility and depression on the relationship between physical activity and insomnia in adolescents.

Zhenxiu Yi, Lifeng Wei, Lei Xu, Wenju Pang, Yang Liu

Abstract read
In one paragraph

Article in BMC psychology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Zhenxiu YiSchool of Sports Training, Chengdu Sport University, Chengdu, China.
Lifeng WeiSchool of Economics and Management, Chengdu Sport University, Chengdu, China.
Lei XuSchool of Physical Education, Shanxi University of Finance and Economics, Taiyuan, China.
Wenju PangInstitute of Physical Education and Health, Yulin Normal University, Yulin, China. 42902085@qq.com.
Yang LiuJishou University, Jishou, China. ldyedu@foxmail.com.

Funding

Key Research Base of Humanities and Social Sciences in Guangxi Universities "Research Center for Cultural Construction and Social Governance in Ethnic Regions" 2023YJJDZD03
6 · The paper itself

Abstract

backgroundPhysical activity has positive benefits in promoting the physical and mental health of adolescents. This study focuses on the importance of adolescent mental health issues, exploring the relationship between physical activity and insomnia in adolescents, as well as the mediating roles and pathways of cognitive flexibility and depression.

methodsA cross-sectional study was conducted using self-reports to collect data on physical activity, insomnia, cognitive flexibility, and depression. A total of 501 valid questionnaires were collected from two middle schools in the western region of Hunan Province.

resultsPhysical activity directly and significantly predicted insomnia negatively (β =-0.153, SE = 0.047, p < 0.01). However, the predictive effect of physical activity on insomnia was no longer significant in the indirect effect analysis (β =-0.053, SE = 0.041, p > 0.05). Serial mediation analyses identified significant indirect effects through cognitive flexibility and depression in sequence (β =-0.029, 95% CI [-0.053,-0.011]), accounting for 18.95% of the total effect.

conclusionsThe study strengthens evidence for the associations between adolescent physical activity, insomnia, cognitive flexibility and depression, demonstrating that the beneficial effects of physical activity on insomnia are sequentially mediated through cognitive flexibility and depression. Given the dual benefits of physical activity for both sleep quality and mental health, we recommend implementing targeted physical activity interventions for adolescents, with particular emphasis on activities designed to enhance cognitive flexibility.

Indexed as

CognitionDepressionExerciseSleep Initiation and Maintenance DisordersAdolescentChinaCognitive FlexibilityCross-Sectional StudiesFemaleHumansMaleMediation AnalysisSelf ReportSurveys and QuestionnairesAdolescentsCognitive flexibilityDepressionInsomniaPhysical activity

Identifiers

PMID40450365
PMCPMC12125753

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.