Association between physical activity and adolescent mental health in the post COVID-19: The chain mediating effect of self-esteem and social anxiety

PLoS One. 2024 May 17;19(5):e0301617. doi: 10.1371/journal.pone.0301617. eCollection 2024.

Abstract

Background: In order to gain a deeper understanding of the relationship between physical activity and adolescent mental health in the post COVID-19 pandemic era, self-esteem and social anxiety were used as mediating variables to explore the potential mechanisms by which physical activity affects adolescent mental health.

Methods: The study used the HELP-II Health Promoting Lifestyle Scale, the SPIN Social Phobia Scale, the Self-Esteem Scale, and the 10-item Kessler Psychological Distress Scale to administer questionnaires to 400 Chinese secondary school students, and SPSS 26.0 and PROCESS 3.3 were used to process the data.

Results: The findings showed that (1) physical activity was significantly and positively associated with mental health; (2) self-esteem and social anxiety played a fully mediating role between physical activity and adolescent mental health respectively; (3) self-esteem and social anxiety played a chain mediating role between physical activity and adolescent mental health.

Conclusion: This study reveals the relationship and influencing mechanism between physical activity and adolescent mental health in the post COVID-19 pandemic era. Appropriate interventions for physical activity, self-esteem, and social anxiety may be beneficial to adolescent mental health. The protective role of self-esteem in adolescent mental health should be the focus of future studies, and further investigations into the association between the COVID-19 and adolescent mental health are warranted.

MeSH terms

  • Adolescent
  • Anxiety* / psychology
  • COVID-19* / epidemiology
  • COVID-19* / psychology
  • China / epidemiology
  • Exercise* / psychology
  • Female
  • Humans
  • Male
  • Mental Health*
  • Pandemics
  • Phobia, Social / psychology
  • SARS-CoV-2
  • Self Concept*
  • Students / psychology
  • Surveys and Questionnaires

Grants and funding

The new funding information is: Shandong Province Social Science Planning and Research Project (20DTYJ04).