Assessment and Intervention for Mental Health in Teenagers and Young Adults

A special issue of Behavioral Sciences (ISSN 2076-328X). This special issue belongs to the section "Child and Adolescent Psychiatry".

Deadline for manuscript submissions: 31 July 2025 | Viewed by 14092

Special Issue Editor


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Guest Editor
School of Nursing, China Medical University, Taichung 406040, Taiwan
Interests: mental health; psychiatric nursing; health promotion; anxiety; physical activity; dementia; screening; at-risk mental state

Special Issue Information

Dear Colleagues,

This Special Issue delves into the intricate interplay of psychological symptoms, emphasizing the significance of recognizing prodromal symptoms and the imperative nature of early treatment for teenager and young adults or individuals with at-risk mental state. This Special Issue serves as a multidimensional exploration of mental health, encompassing diverse aspects from prodromal symptoms to early treatment and health promotion. Additionally, it places a strong emphasis on health promotion initiatives tailored to mitigating the prevalence of psychiatric symptoms. Through the lens of preventive strategies and early treatment, the included studies explore novel avenues for enhancing mental health on a societal level, promoting resilience and fostering a holistic approach to well-being. In conclusion, this issue aims to provide a comprehensive overview of psychological and prodromal symptoms to bridge the gap between early signs and effective intervention strategies and foster a proactive paradigm in mental healthcare that underscores the importance of early treatment.

Prof. Dr. Wei-Fen Ma
Guest Editor

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Keywords

  • anxiety
  • depression
  • insomnia
  • prodromal symptoms
  • ultra-high risk
  • at-risk mental state
  • health promotion
  • mental health
  • psychiatric symptoms

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Published Papers (8 papers)

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Research

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15 pages, 1205 KiB  
Article
Effects of Different Traditional Chinese Mind–Body Exercises on Learning Abilities, Executive Functions, and Brain Connectivity in Children with Learning Difficulties
by Xiaoyan Wang and Haojie Li
Behav. Sci. 2025, 15(3), 303; https://doi.org/10.3390/bs15030303 - 4 Mar 2025
Viewed by 230
Abstract
This study examines the effects of three traditional Chinese mind–body exercises—Tai Chi (TC), Baduanjin (BD), and Health Qigong Yijinjing (YJJ)—on learning abilities, executive functions, and prefrontal brain connectivity in children with learning difficulties. Seventy-two children (aged 9–11) with learning difficulties were randomly assigned [...] Read more.
This study examines the effects of three traditional Chinese mind–body exercises—Tai Chi (TC), Baduanjin (BD), and Health Qigong Yijinjing (YJJ)—on learning abilities, executive functions, and prefrontal brain connectivity in children with learning difficulties. Seventy-two children (aged 9–11) with learning difficulties were randomly assigned to TC, BD, YJJ, or a control group (CON). Intervention groups practiced for 12 weeks (45 min, three times per week), while the control group maintained their regular physical education. Assessments included Academic Performance Ranking (APR), Pupil Rating Scale (PRS), and executive functions. Granger causality analyses were conducted on the functional near-infrared spectroscopy data to derive the effective connectivity at the brain region levels. Post-intervention, all intervention groups showed significant improvements over the control group in PRS and APR scores (p < 0.05), with the TC group achieving higher PRS scores than the BD group. The TC group also demonstrated superior improvements in executive functions, particularly in inhibition and working memory. Additionally, the TC group exhibited significantly enhanced effective connectivity from the left and right dorsolateral prefrontal cortex to Brodmann area 8, indicating improved brain communication. Traditional Chinese mind–body exercises, particularly Tai Chi, improve academic performance, executive functions, and prefrontal cortex connectivity in children with learning difficulties. Tai Chi demonstrates superior outcomes, supporting its potential as an effective intervention for cognitive and academic development. Full article
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19 pages, 367 KiB  
Article
Mental Health and Lifestyle Factors Among Higher Education Students: A Cross-Sectional Study
by Raquel Simões de Almeida, Andreia Rodrigues, Sofia Tavares, João F. Barreto, António Marques and Maria João Trigueiro
Behav. Sci. 2025, 15(3), 253; https://doi.org/10.3390/bs15030253 - 23 Feb 2025
Viewed by 530
Abstract
This study aimed to describe the lifestyle factors and mental health levels among higher education students and identify their predictors. A cross-sectional study with a sample of 745 students was conducted with students from the Polytechnic of Porto using the Depression Anxiety Stress [...] Read more.
This study aimed to describe the lifestyle factors and mental health levels among higher education students and identify their predictors. A cross-sectional study with a sample of 745 students was conducted with students from the Polytechnic of Porto using the Depression Anxiety Stress Scales (DASS-21), Clinical Outcomes in Routine Evaluation (CORE)-18, and FANTASTICO Lifestyle Questionnaire. The findings indicate that while students generally exhibited a positive lifestyle, they also experienced mild levels of depression, anxiety, and stress, nearing the moderate threshold. The DASS-21 Depression subscale was a significant predictor of both CORE-18 and FANTASTICO scores, underscoring the strong relationship between depression and overall well-being. Anxiety and stress were also predictors of CORE-18 scores, reflecting the negative impact of stress on students’ psychological well-being. Perceived health status and the male sex were associated with better outcomes on the DASS-21 and CORE-18, while the female sex predicted a healthier lifestyle, as measured by FANTASTICO. These findings highlight the importance of targeted interventions that address mental health and promote healthy lifestyle choices in educational settings. Full article
14 pages, 1432 KiB  
Article
Family Functioning and Adolescent Mental Health: The Mediating Role of Bullying Victimization and Resilience
by Juan Zhang, Xiang Duan, Yiwen Yan, Yuxin Tan, Taimin Wu, Yaofei Xie, Bing Xiang Yang, Dan Luo and Lianzhong Liu
Behav. Sci. 2024, 14(8), 664; https://doi.org/10.3390/bs14080664 - 1 Aug 2024
Cited by 2 | Viewed by 4350
Abstract
This study aimed to understand the current state of adolescent mental health, explore the mediating effect of bullying victimization and resilience in the relationship between adolescent family functioning and mental health, and investigate gender differences in this association. A total of 4319 students [...] Read more.
This study aimed to understand the current state of adolescent mental health, explore the mediating effect of bullying victimization and resilience in the relationship between adolescent family functioning and mental health, and investigate gender differences in this association. A total of 4319 students (2347 boys and 1972 girls) completed the questionnaire. Mediating effects were analyzed using the framework of structural equation modeling and bootstrapping. The results revealed that family functioning is significantly associated with adolescent mental health, and that bullying victimization and resilience have significant independent and chain mediating effects on this relationship. Multiple group analysis revealed that the independent mediating role of resilience was more significant for male adolescents. Furthermore, the chain-mediated effects of bullying victimization and resilience were observed only in the relationship between family functioning and mental health in male adolescents. To improve the mental health of adolescents, special attention should be given to the impact of family life on adolescents’ school life. Early detection and intervention for adolescents with poor family functioning are also important to effectively prevent bullying victimization and reduce the emergence of mental health problems. Full article
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17 pages, 870 KiB  
Article
The Impact of Research Pressure on Depression Tendency among Chinese Doctoral Students: The Mediating Effect of Familial Financial Support
by Xiaoqing Xu, Guandong Song, Bin Xiao and Shuangjia Lin
Behav. Sci. 2024, 14(8), 662; https://doi.org/10.3390/bs14080662 - 1 Aug 2024
Viewed by 1420
Abstract
Objective: This study aims to explore the impact of research pressure on depression tendency among Chinese doctoral students and analyze the mediating effect of familial financial support in this relationship. Methods: Based on the ecological systems theory, this study employs a mediating effect [...] Read more.
Objective: This study aims to explore the impact of research pressure on depression tendency among Chinese doctoral students and analyze the mediating effect of familial financial support in this relationship. Methods: Based on the ecological systems theory, this study employs a mediating effect model and OLS regression model for empirical analysis. Through an online questionnaire, 2815 valid data from Chinese doctoral students were successfully collected. Conclusion: The study finds that research pressure has a significant positive impact on depression tendency among doctoral students (t = 18.347, p < 0.01). Married doctoral students show relatively lower depression tendency, indicating a negative impact of marital status on depression tendency (t = 12.579, p < 0.01). In terms of gender, female doctoral students are more prone to depression compared to their male counterparts (t = −2.921, p < 0.01). Additionally, as the doctoral year progresses, depression tendency also tends to increase (t = 3.690, p < 0.01). Importantly, familial financial support is proven to be a significant mediator between research pressure and depression tendency, explaining 32.116% of the relationship. Suggestion: This study not only provides a multi-dimensional perspective for understanding the mental health issues of doctoral students but also offers a scientific basis for universities and related educational departments to formulate more precise mental health intervention strategies. Full article
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11 pages, 251 KiB  
Article
The Effect of Psychoeducation on Attitudes toward Violence and Risky Behaviors among Refugee Adolescents
by Derya Atik, Ayşe İnel Manav and Edanur Tar Bolacalı
Behav. Sci. 2024, 14(7), 549; https://doi.org/10.3390/bs14070549 - 28 Jun 2024
Viewed by 1070
Abstract
This study was conducted to examine the effect of psychoeducation on attitudes toward violence and risky behaviors among refugee adolescents. This was a randomized controlled experimental study conducted with refugee adolescents (n = 101) studying in a high school in southern Turkey. After [...] Read more.
This study was conducted to examine the effect of psychoeducation on attitudes toward violence and risky behaviors among refugee adolescents. This was a randomized controlled experimental study conducted with refugee adolescents (n = 101) studying in a high school in southern Turkey. After psychoeducation, it was determined that there was a significant decrease in the prevalence of antisocial behaviors, alcohol use, suicidal thoughts, unhealthy eating habits, and school dropout thoughts among adolescents according to the subdimensions of the risky behavior scale. Psychoeducation was found to be effective in reducing attitudes toward violence and preventing risky behaviors among refugee adolescents. Full article
10 pages, 263 KiB  
Article
The Comparison of Lifestyles, Mental Risks, and Physical Indices among Individuals with Ultra-High Risk of Psychosis, Patients with Schizophrenia, and the General Public
by Ching-Lun Tsai, Chi-Ming Chu, Hsien-Yuan Lane, Shiah-Lian Chen, Cheng-Hao Tu and Wei-Fen Ma
Behav. Sci. 2024, 14(5), 395; https://doi.org/10.3390/bs14050395 - 9 May 2024
Cited by 1 | Viewed by 1879
Abstract
(1) Background: Early interventions may effectively reduce the risk of mental disorders in individuals with ultra-high risk. Specifying the health needs of individuals with ultra-high risk is crucial before the implementation of successful early intervention. This study aimed to explore the differences in [...] Read more.
(1) Background: Early interventions may effectively reduce the risk of mental disorders in individuals with ultra-high risk. Specifying the health needs of individuals with ultra-high risk is crucial before the implementation of successful early intervention. This study aimed to explore the differences in lifestyles, mental risks, and physical indices among individuals with ultra-high risk, patients with schizophrenia, and healthy subjects. (2) Methods: A cross-section design applying seven questionnaires with physical examinations for 144 participants aged 13–45 years old was conducted in this study. The questionnaires included one about personal data, four on mental risks, and two for lifestyles. (3) Results: The individuals with ultra-high risk scored similarly in many dimensions as the patients with schizophrenia, but they displayed lower positive symptoms, lower negative symptoms, lower prodromal symptoms, higher interpersonal deficits, lower nutrition intake, and higher levels of exercise than the patients with schizophrenia. Female individuals with ultra-high risk had lower self-esteem, higher positive symptoms, lower nutrition intake, and higher exercise levels than male ones. (4) Conclusions: The study pinpointed specific health needs with interpersonal deficits, nutrition intake, and physical activity for the individuals with ultra-high risk. Future interventions targeted on improving social function, dietary pattern, and exercise will be beneficial. Full article
20 pages, 1995 KiB  
Article
How Coparenting Is Linked to Depression among Chinese Young Girls and Boys: Evidence from a Network Analysis
by Demao Zhao, Xin Gao, Wei Chen and Quan Zhou
Behav. Sci. 2024, 14(4), 297; https://doi.org/10.3390/bs14040297 - 4 Apr 2024
Viewed by 1496
Abstract
This study aimed to explore the relationship between parental coparenting and depression among Chinese young adolescents and potential gender differences via network analysis. Thus, 793 fourth-grade students (girls: 281 (35.40%), Mage = 9.99 years, SD = 0.59 years) were recruited from three primary [...] Read more.
This study aimed to explore the relationship between parental coparenting and depression among Chinese young adolescents and potential gender differences via network analysis. Thus, 793 fourth-grade students (girls: 281 (35.40%), Mage = 9.99 years, SD = 0.59 years) were recruited from three primary schools in Northern China. The young adolescents rated their depression and perceived paternal and maternal coparenting. Network analysis was used to detect the central nodes and bridge mechanisms among coparenting and depressive components. The results indicated that paternal and maternal consistency as well as maternal conflict were the most central components in the coparenting–depression network. Paternal consistency, maternal conflict and paternal disparagement in coparenting, as well as somatic complaints and positive affect in adolescents’ depression, exhibited high bridge strengths, suggesting those constructs served as vital bridges to connect the two subnetworks. Moreover, paternal consistency showed a higher bridge strength in the boys’ network than the girls’ one, whereas the edge linking adolescents’ positive affect to paternal disparagement and integrity was stronger in the girls’ network. This study contributes to the understanding of associations between parental coparenting and young adolescents’ depression and offered insights into targeted interventions for early adolescent depression by enhancing parental coparenting. Full article
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Review

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15 pages, 670 KiB  
Review
A Systematic Review of Resilience in At-Risk Youth for Psychotic Disorders: An Analysis of Protective and Risk Factors from Recent Literature
by Adriana Cojocaru, Adina Braha, Cătălina Mihaela Anastasescu, Roxana Folescu, Meda-Ada Bugi, Maria Puiu, Carmen Lacramioara Zamfir, Lavinia Hogea, Codrina Mihaela Levai, Felix Bratosin, Alexandra Ioana Danila and Laura Nussbaum
Behav. Sci. 2024, 14(10), 898; https://doi.org/10.3390/bs14100898 - 3 Oct 2024
Viewed by 1913
Abstract
Psychotic disorders in youth pose significant challenges for mental health services, necessitating a detailed understanding of the interplay between risk factors and resilience. This systematic review aimed to assess how resilience factors might buffer the adverse effects of risk factors on the development [...] Read more.
Psychotic disorders in youth pose significant challenges for mental health services, necessitating a detailed understanding of the interplay between risk factors and resilience. This systematic review aimed to assess how resilience factors might buffer the adverse effects of risk factors on the development of psychosis among youth, thereby informing targeted interventions. Studies were selected based on criteria including a focus on individuals aged up to 25 years old at risk for psychosis, the examination of both risk factors and resilience, and the use of validated instruments for measuring outcomes. Literature searches were conducted across several databases, such as PubMed, Scopus, and Web of Science. Data extraction emphasized odds ratios (ORs) and hazard ratios (HRs) for risk factors, including familial, developmental, and socio-environmental influences. The review included and analyzed nine studies, encompassing a diverse sample of 140,972 participants. Significant findings indicate that highly supportive familial and community environments significantly reduce the risk of psychosis onset. For instance, children with strong family support and engagement in structured activities demonstrated a 40% lower incidence of developing psychotic symptoms [p < 0.05]. Furthermore, the presence of neurobehavioral deficits, such as impaired verbal memory and attention, emerged as significant predictors of psychosis, with these children exhibiting a threefold increase in risk compared to their peers [OR = 3.2, 95% CI: 2.1–4.8, p < 0.01]. Resilience factors play a critical role in mitigating the impact of psychosocial and neurobiological risks in the development of psychosis among youths. Interventions enhancing resilience could potentially alter the trajectory of psychosis development, emphasizing the need for early and targeted psychosocial interventions to support at-risk populations. This study underscores the importance of fostering resilience through both individual-focused and community-based strategies to prevent the onset of psychotic disorders in vulnerable young populations. Full article
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