Chain mediating role of family care and emotional management between social support and anxiety in primary school students.
10.7499/j.issn.1008-8830.2503191
- Author:
Zhan-Wen LI
1
;
Jian-Hui WEI
1
;
Ke-Bin CHEN
1
;
Xiao-Rui RUAN
1
;
Yu-Ting WEN
1
;
Cheng-Lu ZHOU
1
;
Jia-Peng TANG
1
;
Ting-Ting WANG
1
;
Ya-Qing TAN
2
;
Jia-Bi QIN
Author Information
1. Hunan Provincial Center for Disease Control and Prevention, Changsha 410153, China.
2. School of Public Health, Kunming Medical University, Kunming 650500, China.
- Publication Type:Journal Article
- Keywords:
Anxiety;
Emotional management;
Family care;
Primary school student;
Social support
- MeSH:
Humans;
Female;
Male;
Social Support;
Anxiety/etiology*;
Child;
Students/psychology*;
Emotions;
Logistic Models
- From:
Chinese Journal of Contemporary Pediatrics
2025;27(10):1176-1184
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVES:To investigate the chain mediating role of family care and emotional management in the relationship between social support and anxiety among rural primary school students.
METHODS:A questionnaire survey was conducted among students in grades 4 to 6 from four counties in Hunan Province. Data were collected using the Social Support Rating Scale, Family Care Index Scale, Emotional Intelligence Scale, and Generalized Anxiety Disorder -7. Logistic regression analysis was used to explore the influencing factors of anxiety symptoms. Mediation analysis was conducted to assess the chain mediating effects of family care and emotional management between social support and anxiety.
RESULTS:A total of 4 141 questionnaires were distributed, with 3 874 valid responses (effective response rate: 93.55%). The prevalence rate of anxiety symptoms among these students was 9.32% (95%CI: 8.40%-10.23%). Significant differences were observed in the prevalence rates of anxiety symptoms among groups with different levels of social support, family functioning, and emotional management ability (P<0.05). The total indirect effect of social support on anxiety symptoms via family care and emotional management was significant (β=-0.137, 95%CI: -0.167 to -0.109), and the direct effect of social support on anxiety symptoms remained significant (P<0.05). Family care and emotional management served as significant chain mediators in the relationship between social support and anxiety symptoms (β=-0.025,95%CI:-0.032 to -0.018), accounting for 14.5% of the total effect.
CONCLUSIONS:Social support can directly affect anxiety symptoms among rural primary school students and can also indirectly influence anxiety symptoms through the chain mediating effects of family care and emotional management. These findings provide scientific evidence for the prevention of anxiety in primary school students from multiple perspectives.
