ArticleFrontiers in psychology2025
Directionality of causal association between adolescent mental health and attention deficit: an empirical analysis using a hybrid network model.
Article in Frontiers in psychology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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Who cites it
1 citing paper in PubMed.
- The relationship between Tai Chi practice, Psychological Resilience, and depression in older adults: an integrated study of mediation and network analysis.Frontiers in public health · 2026Article
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10 authors.
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Abstract
Objective: By constructing undirected and Bayesian network models, this study overcomes the limitations of traditional correlation analyses, revealing the underlying causal relationships and operational mechanisms between adolescent mental health and attention deficits. Methods: A total of 19,157 valid responses (effective response rate: 96.92%) were collected from adolescents aged 11-20 (<0.1% aged 20) at secondary schools in a Hebei Province region via the Wenjuanxing platform. Mental health (10 dimensions) and attention problems (3 dimensions) were assessed using the Results: Undirected network analysis revealed the strongest associations between depression and anxiety, hyperactivity/impulsivity and oppositional defiant behavior, and paranoia and interpersonal sensitivity. Centrality metrics showed anxiety with the highest strength centrality, paranoia with the highest closeness centrality and betweenness centrality. In the Bayesian DAG, interpersonal sensitivity, anxiety, and paranoia occupied the top hierarchical level, connecting to intermediate nodes (e.g., hostility, emotional instability, sense of academic pressure) and ultimately to terminal nodes (attention deficit, oppositional defiant behavior, psychological imbalance, hyperactivity/impulsivity). Conclusion: This study demonstrates that adolescent mental health influences attention deficits through multiple distinct causal pathways: ① interpersonal sensitivity, anxiety, emotional instability, and hostility lead to inattention; ② anxiety, paranoia, depression, and hostility contribute to hyperactivity/impulsivity; ③ interpersonal sensitivity, hostility, depression, emotional instability, and sense of academic pressure result in oppositional defiant behaviors. These findings identify precise intervention targets for distinct dimensions of attention deficits in adolescents and provide mechanistic empirical evidence for understanding the multidimensional causal architecture through which psychological symptoms impact behavioral outcomes.
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