{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T19:18:28Z","timestamp":1788895108298,"version":"build-2803163510"},"reference-count":33,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,4,9]],"date-time":"2026-04-09T00:00:00Z","timestamp":1775692800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,4,9]],"date-time":"2026-04-09T00:00:00Z","timestamp":1775692800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of School Health"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Depression and anxiety are prevalent among Chinese adolescents, yet access to care is limited. This study evaluated a culturally adapted digital mental health literacy intervention for Chinese high school students.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In this randomized controlled trial, 390 students were assigned to a 12\u2010week digital intervention or control. The program integrated cognitive\u2010behavioral therapy principles. Primary outcomes were depression (PHQ\u2010A) and anxiety (GAD\u20107) scores at baseline and 12\u2009weeks.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Linear mixed\u2010effects models showed significant benefits. The intervention group demonstrated greater reductions in anxiety (\u22122.54 points,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001) and depression (\u22121.91 points,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001) compared to controls, with consistent effects across demographics.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications<\/jats:title>\n                    <jats:p>Culturally adapted digital programs offer scalable school\u2010based prevention. They effectively reduce internalizing symptoms amid service shortages. Schools should prioritize integrating such targeted, accessible curricula to maximize student mental health outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The digital intervention significantly reduced internalizing symptoms. This focused approach proves effective for universal prevention. Future research should assess long\u2010term sustainability and broader applicability.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/josh.70144","type":"journal-article","created":{"date-parts":[[2026,4,10]],"date-time":"2026-04-10T05:11:55Z","timestamp":1775797915000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Digital Mental Health Literacy Combined With Physical Activity for Depression and Anxiety in High School Students: A Randomized Controlled Trial"],"prefix":"10.1111","volume":"96","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-9324-7033","authenticated-orcid":false,"given":"Li","family":"Chen","sequence":"first","affiliation":[{"name":"Wuhan Huaxia Institute of Technology  Wuhan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guangde","family":"Zhao","sequence":"additional","affiliation":[{"name":"Physical Education Department Zhongnan University of Economics and Law  Wuhan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiujie","family":"Shi","sequence":"additional","affiliation":[{"name":"School of Physical Education Yanshan University  Qinhuangdao 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