Tian Yuan
School of Journalism & Communication, Southwest University of Political Science and Law, Chongqing, 401120, People's Republic of China.
Psychol Res Behav Manag. 2025 Sep 4;18:1871-1882. doi: 10.2147/PRBM.S536362. eCollection 2025.
Increased subjective well-being (SWB) during adolescence significantly predicts higher levels of SWB, greater income, and more harmonious relationships in adulthood. However, addictive behaviors (including substance addictions and behavioral addictions) may trigger mental health problems, thereby adversely affecting adolescents' SWB. Therefore, this study aims to explore the mediating role of mental health problems in the process by which addictive behaviors affect adolescents' SWB.
We employed a cross - sectional study design, utilizing data from the 2017/18 Health Behavior in School-aged Children (HBSC) survey. The sample includes 76,261 adolescents aged 10 to 16 from multiple countries and regions in Europe and North America. In order to explore the relationship between addictive behaviors, mental health problems and SWB, the study used Pearson correlation analysis and structural equation modeling (SEM) for statistical analysis.
Based on the hypothesis, SEM results showed that mental health problems partially mediated the relationship between substance addiction and SWB (β = -0.044, 95% CI: -0.046--0.041). The mediation effect accounted for 59.46%. It also partially mediated the relationship between behavioral addiction and SWB (β = -0.362, 95% CI: -0.379--0.347). The mediation effect accounted for 89.16%.
This study found that mental health problems mediate the effect of addictive behavior on SWB. The results reveal the mechanism by which addictive behavior reduces SWB through mental health problems, providing a scientific basis for targeted interventions. It is recommended that multi-level coordinated interventions, including early screening, health education, family support, and policy regulation, be implemented to improve overall well-being.
青少年时期主观幸福感（SWB）的提升能显著预测成年后更高水平的主观幸福感、更高的收入以及更和谐的人际关系。然而，成瘾行为（包括物质成瘾和行为成瘾）可能引发心理健康问题，从而对青少年的主观幸福感产生不利影响。因此，本研究旨在探讨心理健康问题在成瘾行为影响青少年主观幸福感过程中的中介作用。
我们采用横断面研究设计，利用2017/18年学龄儿童健康行为（HBSC）调查的数据。样本包括来自欧洲和北美的多个国家和地区的76261名10至16岁的青少年。为了探究成瘾行为、心理健康问题与主观幸福感之间的关系，本研究采用Pearson相关分析和结构方程模型（SEM）进行统计分析。
基于假设，结构方程模型结果显示，心理健康问题部分中介了物质成瘾与主观幸福感之间的关系（β = -0.044，95%置信区间：-0.046--0.041）。中介效应占59.46%。它也部分中介了行为成瘾与主观幸福感之间的关系（β = -0.362，95%置信区间：-0.379--0.347）。中介效应占89.16%。
本研究发现心理健康问题介导了成瘾行为对主观幸福感的影响。研究结果揭示了成瘾行为通过心理健康问题降低主观幸福感的机制，为有针对性的干预提供了科学依据。建议实施包括早期筛查、健康教育、家庭支持和政策监管在内的多层次协调干预措施，以提高整体幸福感。
