Evidence map›Paper›PMID 41357828›Full record

ArticleFrontiers in sports and active living2025

How depression affects school social adaptation: the mediating role of sleep quality and the buffering effect of physical activity.

Chuan Chen, Kaihua Liu, Zhidong Zhou

Abstract read
In one paragraph

Article in Frontiers in sports and active living, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Article
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

3 authors.

Chuan ChenSchool of Sports Science, Jishou University, Jishou, China.
Kaihua LiuSchool of Sports Science, Jishou University, Jishou, China.
Zhidong ZhouSchool of Sports Science, Jishou University, Jishou, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and objectives: The negative impact of depression on adolescents' school social adaptation has been widely confirmed. However, the underlying mechanisms, particularly the synergistic roles of sleep quality and physical activity, remain inadequately explored. This study aims to construct a moderated mediation model to examine the mediating effect of sleep quality between depression and school social adaptation, as well as the moderating effect of physical activity in this pathway. Methods: A cross-sectional survey design was employed, with 2,354 adolescents (1,098 male, 1,256 female) from six provinces in China participating via convenience sampling. The Patient Health Questionnaire (PHQ-9), Pittsburgh Sleep Quality Index (PSQI), School Belonging Scale (SBS), and Physical Activity Rating Scale (PARS-3) were used to assess depression, sleep quality, school social adaptation, and physical activity, respectively. Mediation and moderation effects were tested using the SPSS PROCESS macro. Results: Correlation analysis revealed a significant negative correlation between depression and school social adaptation ( Conclusions: Sleep quality is a crucial mediating mechanism through which depression affects school social adaptation, while physical activity plays a positive moderating role in this process. The findings suggest that encouraging adolescents to engage in regular physical activity may serve as an effective intervention strategy to improve sleep quality, alleviate depressive symptoms, and ultimately enhance their school social adaptation. As a primary goal, the abstract should render the general significance and conceptual advance of the work clearly accessible to a broad readership. References should not be cited in the abstract. Leave the Abstract empty if your article does not require one-please see the "Article types" on every Frontiers journal page for full details.

Indexed as

adolescentsdepressionmoderated mediation modelphysical activityschool social adaptationsleep quality

Identifiers

PMID41357828
PMCPMC12675383

What Socratic holds

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Registered trials

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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.