{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T02:41:36Z","timestamp":1792377696077,"version":"4.4.0"},"reference-count":26,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2026,9,20]],"date-time":"2026-09-20T00:00:00Z","timestamp":1789862400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,9,20]],"date-time":"2026-09-20T00:00:00Z","timestamp":1789862400000},"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":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>This study examined associations between school\u2010based social relationship quality (school belonging, peer support, teacher\u2013student interaction) and mental health outcomes among high school students in Iran, identifying protective and risk factors for depression, anxiety, and stress.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A cross\u2010sectional survey was conducted in 2024 among 1200 students from 32 public and private high schools in Tehran\u2010Iran. Standardized measures were used to assess school belonging, perceived peer support from friends, teacher\u2013student relationship quality, and symptoms of depression, anxiety, and stress. Data were analyzed in R using multilevel mixed\u2010effects models, quantile regression (50th and 90th percentiles), and LASSO\u2010based variable selection (glmnet).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Higher school\u2010based relationship quality was associated with lower depression, anxiety, and stress. Effects were stronger in public schools than private schools: Depression\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u2009=\u2009\u22121.727 versus \u22120.966; Anxiety\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u2009=\u2009\u22121.513 versus \u22120.819; Stress\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u2009=\u2009\u22121.601 versus \u22120.868. Academic stress was the strongest risk factor (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u2009\u2248\u2009+1.60), followed by social media use (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u2009\u2248\u2009+0.33). Socioeconomic status (SES) showed protective effects (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u2009\u2248\u2009\u22120.72\u20130.81). Gender and age were minor; quantile regression showed stability.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications for School Health Policy<\/jats:title>\n                    <jats:p>Strengthening school belonging, peer support, and teacher\u2013student relationships, reducing academic stress, and supporting low\u2010SES students may improve mental health.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>School relationships are key protective factors, with stronger effects in public schools, supporting school\u2010based interventions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/josh.70234","type":"journal-article","created":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T04:35:24Z","timestamp":1789965324000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["School\u2010Based Social Relationships and Adolescent Mental Health: A Multilevel and\n                    <scp>LASSO<\/scp>\n                    \u2010Based Analysis"],"prefix":"10.1111","volume":"96","author":[{"given":"Mahdi","family":"Naeim","sequence":"first","affiliation":[{"name":"Department of Psychology, Faculty of Educational Sciences and Psychology University of Mohaghegh Ardabili  Ardabil Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4671-3893","authenticated-orcid":false,"given":"Mohammad","family":"Narimani","sequence":"additional","affiliation":[{"name":"Department of Psychology, Faculty of Educational Sciences and Psychology University of Mohaghegh Ardabili  Ardabil Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Niloofar","family":"Mikaeili","sequence":"additional","affiliation":[{"name":"Department of Psychology, Faculty of Educational Sciences and Psychology University of Mohaghegh Ardabili  Ardabil Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3697-1883","authenticated-orcid":false,"given":"Saghar","family":"Seifi","sequence":"additional","affiliation":[{"name":"Department of Psychology, Ard.C Islamic Azad University  Ardabil Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,20]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj-2021-069213"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10964-024-02095-3"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/10598405221096802"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ssmmh.2021.100033"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/15248380211036393"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.5093\/pi2022a13"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpp.13908"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13034-022-00469-8"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph19116768"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2021.10.021"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/pits.22869"},{"key":"e_1_2_11_13_1","volume-title":"Manual for the Depression Anxiety Stress Scales","author":"Lovibond S. 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