{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T11:01:40Z","timestamp":1791198100985,"version":"4.1.0"},"reference-count":26,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,3,14]],"date-time":"2025-03-14T00:00:00Z","timestamp":1741910400000},"content-version":"vor","delay-in-days":13,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Evidence Based Medicine"],"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To investigate and report the psychosocial health status from a survey of adolescent populations in Zigong City, Sichuan Province, China, and analyze the overall condition of adolescent mental health in economically less\u2010developed prefecture\u2010level urban areas of China.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A survey on the mental health status of 95,455 adolescents in Zigong was conducted using eight scales: the Strengths and Difficulties Questionnaire for Students, the Pre\u2010psychosis Questionnaire, the Patient Health Questionnaire, the Generalized Anxiety Disorder Scale, the Children's Revised Impact of Event Scale, the Pittsburgh Sleep Quality Index, the Internet Gaming Disorder Scale Short Form, and the Warwick\u2010Edinburgh Mental Well\u2010Being Scale. The survey assessed mental health across eight dimensions: emotional and behavioral problems, prodromal psychosis risk, depression, anxiety, stress reactions, sleep quality, internet addiction, and positive mental health. The statistical significance of the results was validated using the Kruskal\u2013Wallis test, Mann\u2013Whitney\n                      <jats:italic>U<\/jats:italic>\n                      test, and Chi\u2010square test.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Overall, 76.14% of adolescents in Zigong exhibited normal psychosocial health status, indicating no immediate cause for concern. Approximately 5.58% of students were identified as being in a state of extremely high\u2010risk psychosocial alertness, necessitating prompt intervention measures. Among all educational stages, middle\u2010school students displayed the most severe psychosocial health issues, with approximately 8.39% classified as being in an extremely high\u2010risk psychosocial alertness state. Furthermore, female adolescents exhibited more pronounced mental health issues compared with their male counterparts.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The prominence of psychological issues among Chinese adolescents in less\u2010developed cities underscores the urgent need for normalized and systematic intervention measures. Particular attention should be directed toward implementing targeted interventions for middle\u2010school students and female students to address their psychosocial well\u2010being.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jebm.70010","type":"journal-article","created":{"date-parts":[[2025,3,14]],"date-time":"2025-03-14T08:04:00Z","timestamp":1741939440000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Statistical Analysis of a Large\u2010Scale Mental Health Survey Among Adolescents in Zigong, a Less\u2010Developed City in China"],"prefix":"10.1111","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0561-2316","authenticated-orcid":false,"given":"Tao","family":"Zhou","sequence":"first","affiliation":[{"name":"Big Data Research Center University of Electronic Science and Technology of China  Chengdu China"},{"name":"Computational Education Lab Seeking Tao Tech. Inc.  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Ltd  Chengdu China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-1255-851X","authenticated-orcid":false,"given":"Hao","family":"Wang","sequence":"additional","affiliation":[{"name":"National Pilot School of Software Yunnan University  Kunming China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,3,14]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-244X-10-113"},{"issue":"1","key":"e_1_2_6_3_1","first-page":"293","article-title":"What Are the Barriers, Facilitators and Interventions Targeting Help\u2010seeking Behaviours for Common Mental Health Problems in Adolescents? A Systematic Review","volume":"20","author":"Cruz I. S. 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