{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T04:27:21Z","timestamp":1787027241788,"version":"build-2736575974"},"reference-count":49,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,10,16]],"date-time":"2025-10-16T00:00:00Z","timestamp":1760572800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Psychol."],"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>By constructing undirected and Bayesian network models, this study overcomes the limitations of traditional correlation analyses, revealing the underlying causal relationships and operational mechanisms between adolescent mental health and attention deficits.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A total of 19,157 valid responses (effective response rate: 96.92%) were collected from adolescents aged 11\u201320 (&amp;lt;0.1% aged 20) at secondary schools in a Hebei Province region via the Wenjuanxing platform. Mental health (10 dimensions) and attention problems (3 dimensions) were assessed using the\n                      <jats:italic>Mental Health Scale for Secondary School Students<\/jats:italic>\n                      in China (MSSMHS; 60 items,\n                      <jats:italic>\u03b1<\/jats:italic>\n                      \u202f=\u202f0.976) and the\n                      <jats:italic>Swanson, Nolan, and Pelham Rating Scale-IV<\/jats:italic>\n                      (SNAP-IV-26; 26 items, \u03b1\u202f=\u202f0.942). In R Studio, an undirected network was constructed using the EBICglasso algorithm (with regularization and 1,000 bootstrap tests), and centrality analysis identified core variables. A directed acyclic graph (DAG) was generated via Bayesian network analysis (hill-climbing algorithm) with 50 random restarts, 100 perturbations, and 100 bootstrap validations (edge stability threshold: 0.85; edges retained only if present in \u226585% of subsamples), elucidating causal pathways between mental health and attention deficits.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Undirected network analysis revealed the strongest associations between depression and anxiety, hyperactivity\/impulsivity and oppositional defiant behavior, and paranoia and interpersonal sensitivity. Centrality metrics showed anxiety with the highest strength centrality, paranoia with the highest closeness centrality and betweenness centrality. In the Bayesian DAG, interpersonal sensitivity, anxiety, and paranoia occupied the top hierarchical level, connecting to intermediate nodes (e.g., hostility, emotional instability, sense of academic pressure) and ultimately to terminal nodes (attention deficit, oppositional defiant behavior, psychological imbalance, hyperactivity\/impulsivity).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This study demonstrates that adolescent mental health influences attention deficits through multiple distinct causal pathways: \u2460 interpersonal sensitivity, anxiety, emotional instability, and hostility lead to inattention; \u2461 anxiety, paranoia, depression, and hostility contribute to hyperactivity\/impulsivity; \u2462 interpersonal sensitivity, hostility, depression, emotional instability, and sense of academic pressure result in oppositional defiant behaviors. These findings identify precise intervention targets for distinct dimensions of attention deficits in adolescents and provide mechanistic empirical evidence for understanding the multidimensional causal architecture through which psychological symptoms impact behavioral outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpsyg.2025.1658007","type":"journal-article","created":{"date-parts":[[2025,10,16]],"date-time":"2025-10-16T04:16:54Z","timestamp":1760588214000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":2,"title":["Directionality of causal association between adolescent mental health and attention deficit: an empirical analysis using a hybrid network model"],"prefix":"10.3389","volume":"16","author":[{"given":"Miaomiao","family":"Li","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jing","family":"Lv","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shaoxiong","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Congcong","family":"Liu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ziyan","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zheng","family":"Liu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Huan","family":"Liu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xuan","family":"Liu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuru","family":"Du","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Youdong","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2025,10,16]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"020035","DOI":"10.1063\/5.0099793","article-title":"Hill climbing algorithm for Bayesian network structure","volume":"2479","author":"Adhitama","year":"2022","journal-title":"AIP Conference Proceed."},{"key":"ref2","doi-asserted-by":"publisher","first-page":"1215","DOI":"10.1016\/j.biopsych.2004.10.020","article-title":"Attention-deficit\/hyperactivity disorder: a selective overview","volume":"57","author":"Biederman","year":"2005","journal-title":"Biol. Psychiatry"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"508","DOI":"10.1111\/papt.12385","article-title":"The journey of adolescent paranoia: a qualitative study with patients attending child and adolescent mental health services","volume":"95","author":"Bird","year":"2022","journal-title":"Psychol. Psychother."},{"key":"ref4","doi-asserted-by":"publisher","first-page":"1089","DOI":"10.1002\/jclp.20503","article-title":"Psychometric perspectives on diagnostic systems","volume":"64","author":"Borsboom","year":"2008","journal-title":"J. Clin. Psychol."},{"key":"ref5","doi-asserted-by":"publisher","first-page":"2334","DOI":"10.1177\/00332941221146711","article-title":"Using Bayesian networks to investigate psychological constructs: the case of empathy","volume":"127","author":"Briganti","year":"2024","journal-title":"Psychol. Rep."},{"key":"ref6","doi-asserted-by":"publisher","first-page":"947","DOI":"10.1037\/met0000479","article-title":"A tutorial on bayesian networks for psychopathology researchers","volume":"28","author":"Briganti","year":"2023","journal-title":"Psychol. Methods"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"244","DOI":"10.1038\/s41398-024-02890-3","article-title":"Improving the efficacy and effectiveness of evidence-based psychosocial interventions for attention-deficit\/hyperactivity disorder (ADHD) in children and adolescents","volume":"14","author":"Chacko","year":"2024","journal-title":"Transl. Psychiatry"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"137","DOI":"10.1017\/S0140525X09991567","article-title":"Comorbidity: a network perspective","volume":"33","author":"Cramer","year":"2010","journal-title":"Behav. Brain Sci."},{"key":"ref9","doi-asserted-by":"publisher","first-page":"636","DOI":"10.1038\/nrn3313","article-title":"Understanding adolescence as a period of social-affective engagement and goal flexibility","volume":"13","author":"Crone","year":"2012","journal-title":"Nat. Rev. Neurosci."},{"key":"ref10","doi-asserted-by":"publisher","first-page":"101486","DOI":"10.1016\/j.lanwpc.2025.101486","article-title":"The prevalence and associated disability burden of mental disorders in children and adolescents in China: a systematic analysis of data from the global burden of disease study","volume":"55","author":"Dong","year":"2025","journal-title":"Lancet Regional Health. Western Pacific"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"1450935","DOI":"10.3389\/fpubh.2024.1450935","article-title":"Severity of inattention symptoms, experiences of being bullied, and school anxiety as mediators in the association between excessive short-form video viewing and school refusal behaviors in adolescents","volume":"12","author":"Du","year":"2024","journal-title":"Front. Public Health"},{"key":"ref12","doi-asserted-by":"publisher","first-page":"195","DOI":"10.3758\/s13428-017-0862-1","article-title":"Estimating psychological networks and their accuracy: a tutorial paper","volume":"50","author":"Epskamp","year":"2018","journal-title":"Behav. Res. Methods"},{"key":"ref13","doi-asserted-by":"publisher","first-page":"841","DOI":"10.1016\/j.jaac.2016.06.016","article-title":"Long-term outcomes of attention-deficit\/hyperactivity disorder and conduct disorder: a systematic review and meta-analysis","volume":"55","author":"Erskine","year":"2016","journal-title":"J. Am. Acad. Child Adolesc. Psychiatry"},{"key":"ref14","doi-asserted-by":"crossref","first-page":"215","DOI":"10.1016\/0378-8733(78)90021-7","article-title":"Centrality in social networks conceptual clarification","volume":"1","author":"Freeman","year":"1979","journal-title":"Soc. Networks"},{"key":"ref15","doi-asserted-by":"publisher","first-page":"106","DOI":"10.1007\/s10618-010-0178-6","article-title":"Learning Bayesian networks by hill climbing: efficient methods based on progressive restriction of the neighborhood","volume":"22","author":"G\u00e1mez","year":"2011","journal-title":"Data Min. Knowl. Disc."},{"key":"ref16","doi-asserted-by":"publisher","first-page":"308","DOI":"10.1186\/s12916-020-01738-z","article-title":"Comorbidity between depression and anxiety: assessing the role of bridge mental states in dynamic psychological networks","volume":"18","author":"Groen","year":"2020","journal-title":"BMC Med."},{"key":"ref17","doi-asserted-by":"publisher","first-page":"1258","DOI":"10.1177\/1073191119842255","article-title":"The validity of the SNAP-IV in children displaying ADHD symptoms","volume":"27","author":"Hall","year":"2020","journal-title":"Assessment"},{"key":"ref18","doi-asserted-by":"crossref","first-page":"197","DOI":"10.1023\/A:1022623210503","article-title":"Learning Bayesian networks: the combination of knowledge and statistical data","volume":"20","author":"Heckerman","year":"1995","journal-title":"Mach. Learn."},{"key":"ref19","first-page":"30","article-title":"Response inhibition and emotional reactivity in attention-deficit\/hyperactivity disorder comorbid with disruptive, impulse-control and conduct disorders (in Chinese)","volume":"39","author":"Jiang","year":"2019","journal-title":"J. Southern Medical University"},{"key":"ref20","doi-asserted-by":"publisher","first-page":"5351","DOI":"10.1007\/s10462-022-10351-w","article-title":"A survey of Bayesian network structure learning","volume":"56","author":"Kitson","year":"2023","journal-title":"Artif. Intell. Rev."},{"key":"ref21","doi-asserted-by":"publisher","first-page":"1447207","DOI":"10.3389\/fpsyg.2024.1447207","article-title":"A systematic review of the effects of rumination-focused cognitive behavioral therapy in reducing depressive symptoms","volume":"15","author":"Li","year":"2024","journal-title":"Front. Psychol."},{"key":"ref22","doi-asserted-by":"publisher","first-page":"10866","DOI":"10.3390\/ijerph191710866","article-title":"A systematic review of multiple family factors associated with oppositional defiant disorder","volume":"19","author":"Lin","year":"2022","journal-title":"Int. J. Environ. Res. Public Health"},{"key":"ref23","doi-asserted-by":"publisher","first-page":"3432","DOI":"10.3390\/ijerph18073432","article-title":"Mental health of children and adolescents amidst COVID-19 and past pandemics: a rapid systematic review","volume":"18","author":"Meherali","year":"2021","journal-title":"Int. J. Environ. Res. Public Health"},{"key":"ref24","doi-asserted-by":"publisher","first-page":"222","DOI":"10.1016\/j.paid.2014.11.058","article-title":"Emotion dysregulation mediates the relationship between traumatic exposure and aggression in healthy young women","volume":"76","author":"Miles","year":"2015","journal-title":"Personal. Individ. Differ."},{"key":"ref25","doi-asserted-by":"publisher","first-page":"425","DOI":"10.1146\/annurev-clinpsy-050718-095625","article-title":"Adolescent suicide as a failure of acute stress-response systems","volume":"15","author":"Miller","year":"2019","journal-title":"Annu. Rev. Clin. Psychol."},{"key":"ref26","year":"2023"},{"key":"ref27","year":""},{"key":"ref28","year":""},{"key":"ref29","doi-asserted-by":"publisher","first-page":"40","DOI":"10.1016\/S0010-4655(02)00201-1","article-title":"The structure and function of complex networks","volume":"147","author":"Newman","year":"2003","journal-title":"Comput. Phys. Commun."},{"key":"ref30","doi-asserted-by":"publisher","first-page":"411","DOI":"10.16719\/j.cnki.1671-6981.2007.02.041","article-title":"Functional structure and assessment of adolescent self-consciousness (in Chinese)","volume":"30","author":"Nie","year":"2007","journal-title":"J. Psycholog. Sci."},{"key":"ref31","doi-asserted-by":"publisher","first-page":"130","DOI":"10.1111\/wvn.12566","article-title":"Mental health effects prevalence in children and adolescents during the COVID-19 pandemic: a systematic review","volume":"19","author":"Oliveira","year":"2022","journal-title":"Worldviews Evid.-Based Nurs."},{"key":"ref32","doi-asserted-by":"publisher","first-page":"236","DOI":"10.1016\/j.neubiorev.2020.11.025","article-title":"Attention-deficit\/hyperactivity disorder (ADHD), antisociality and delinquent behavior over the lifespan","volume":"120","author":"Retz","year":"2021","journal-title":"Neurosci. Biobehav. Rev."},{"key":"ref33","doi-asserted-by":"publisher","first-page":"1595","DOI":"10.1007\/s10964-023-01767-w","article-title":"Predicting adolescent mental health outcomes across cultures: a machine learning approach","volume":"52","author":"Rothenberg","year":"2023","journal-title":"J. Youth Adolesc."},{"key":"ref34","doi-asserted-by":"publisher","first-page":"129","DOI":"10.1111\/sjop.12270","article-title":"Aggression, anger and hostility: evaluation of moral disengagement as a mediational process","volume":"57","author":"Rubio-Garay","year":"2016","journal-title":"Scand. J. Psychol."},{"key":"ref35","doi-asserted-by":"publisher","first-page":"232","DOI":"10.1007\/s13278-024-01388-6","article-title":"Normalized strength-degree centrality: identifying influential spreaders for weighted network","volume":"14","author":"Sadhu","year":"2024","journal-title":"Soc. Netw. Anal. Min."},{"key":"ref36","doi-asserted-by":"publisher","first-page":"48","DOI":"10.1186\/s13052-023-01456-1","article-title":"The global prevalence of ADHD in children and adolescents: a systematic review and meta-analysis","volume":"49","author":"Salari","year":"2023","journal-title":"Ital. J. Pediatr."},{"key":"ref37","doi-asserted-by":"publisher","first-page":"127","DOI":"10.1186\/s40359-023-01166-7","article-title":"The associations between screen time and mental health in adolescents: a systematic review","volume":"11","author":"Santos","year":"2023","journal-title":"BMC Psychol."},{"key":"ref38","doi-asserted-by":"publisher","first-page":"207","DOI":"10.1016\/j.artmed.2012.12.006","article-title":"Identifying significant edges in graphical models of molecular networks","volume":"57","author":"Scutari","year":"2013","journal-title":"Artif. Intell. Med."},{"key":"ref39","doi-asserted-by":"publisher","first-page":"1065","DOI":"10.16835\/j.cnki.1000-9817.2024229","article-title":"Focus on co-exposure to social and natural environments to advance research on risk factors for psychological and behavioral problems in children and adolescents (in Chinese)","volume":"45","author":"Wan","year":"2024","journal-title":"Chin. J. School Health"},{"key":"ref40","first-page":"15","article-title":"Development and standardization of the mental health inventory for Chinese middle-school students (in Chinese)","volume":"4","author":"Wang","year":"1997","journal-title":"Soc. Psychol. Sci."},{"key":"ref41","doi-asserted-by":"publisher","first-page":"226","DOI":"10.19723\/j.issn.1671-167X.2007.03.004","article-title":"Theories and findings on cognitive impairments in attention deficit hyperactivity disorder (in Chinese)","volume":"3","author":"Wang","year":"2007","journal-title":"J. Peking Univ. Health Sci."},{"key":"ref42","volume-title":"Mental health China. Geneva, Switzerland: World Health Organization","year":"2025"},{"key":"ref43","doi-asserted-by":"publisher","first-page":"49","DOI":"10.6040\/j.issn.1671-7554.0.2024.0641","article-title":"Network analysis of depressive disorders and multiple psycho-behavioral problems in adolescents (in Chinese)","volume":"62","author":"Xie","year":"2024","journal-title":"J. Shandong University (Health Sciences)"},{"key":"ref44","doi-asserted-by":"publisher","first-page":"835","DOI":"10.1002\/pchj.756","article-title":"Bridging the relationship between physical exercise and mental health in adolescents based on network analysis","volume":"13","author":"Yang","year":"2024","journal-title":"PsyCh J."},{"key":"ref45","doi-asserted-by":"publisher","first-page":"20","DOI":"10.14138\/j.1001-4519.2022.04.002013","article-title":"Prevalence of mental health problems among Chinese students and implications for education (in Chinese)","volume":"43","author":"Yu","year":"2022","journal-title":"Tsinghua J. Educ."},{"key":"ref46","first-page":"110","article-title":"Ecosystem theory and adolescent mental health education (in Chinese)","volume":"39","author":"Yu","year":"2018","journal-title":"Aust. Educ. Res."},{"key":"ref47","doi-asserted-by":"publisher","first-page":"sbaf026","DOI":"10.1093\/schbul\/sbaf026","article-title":"Clarifying fundamental role of symbol coding in cognitive networks in schizophrenia and healthy controls leveraging Gaussian graphical models and Bayesian networks","author":"Zhang","year":"2025","journal-title":"Schizophr. Bull."},{"key":"ref48","author":"Zhao","year":"2015"},{"key":"ref49","first-page":"424","article-title":"Reliability and validity of the Chinese version of the SNAP-IV rating scale\u2013parent form for attention-deficit\/hyperactivity disorder (in Chinese)","volume":"27","author":"Zhou","year":"2013","journal-title":"Chin. Ment. Health J."}],"container-title":["Frontiers in Psychology"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpsyg.2025.1658007\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,16]],"date-time":"2025-10-16T04:16:59Z","timestamp":1760588219000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpsyg.2025.1658007\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10,16]]},"references-count":49,"alternative-id":["10.3389\/fpsyg.2025.1658007"],"URL":"https:\/\/doi.org\/10.3389\/fpsyg.2025.1658007","relation":{},"ISSN":["1664-1078"],"issn-type":[{"value":"1664-1078","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,10,16]]},"article-number":"1658007"}}