{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T11:57:52Z","timestamp":1785412672103,"version":"3.56.0"},"reference-count":57,"publisher":"MDPI AG","issue":"8","license":[{"start":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T00:00:00Z","timestamp":1784764800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100004488","name":"Croatian Science Foundation","doi-asserted-by":"publisher","award":["IP-2020-02-6925"],"award-info":[{"award-number":["IP-2020-02-6925"]}],"id":[{"id":"10.13039\/501100004488","id-type":"DOI","asserted-by":"publisher"}]},{"award":["IP-2020-02-6925"],"award-info":[{"award-number":["IP-2020-02-6925"]}],"id":[{"id":"https:\/\/ror.org\/03n51vw80","id-type":"ROR","asserted-by":"publisher"}]},{"name":"European Union programme NextGeneration EU","award":["01\/08-73\/23-2519-12"],"award-info":[{"award-number":["01\/08-73\/23-2519-12"]}]},{"award":["01\/08-73\/23-2519-12"],"award-info":[{"award-number":["01\/08-73\/23-2519-12"]}],"id":[{"id":"https:\/\/ror.org\/019w4f821","id-type":"ROR","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Eur. J. Investig. Health Psychol. Educ.","EJIHPE"],"abstract":"<jats:p>Adolescence is a developmental period characterized by increased exposure to stress and elevated vulnerability to mental health problems. The present study examined the structure of perceived stress, its longitudinal stability, and its associations with mental health in adolescents. Data were collected from a probabilistic sample of 1679 Croatian adolescents who were in the first or second year of high school at baseline and were followed across three measurement waves approximately six months apart. Perceived stress was assessed across six domains (school, future, parents, friends, romantic partners, and self), and structural equation modeling was used to test factor structure, measurement invariance across time and sex, and temporal stability. Competing models supported a hierarchical structure comprising six domain-specific factors and a higher-order general perceived stress factor. The measure demonstrated strong longitudinal and sex invariance. General perceived stress showed high stability across the three waves, despite being assessed as a current subjective experience. Perceived stress was moderately to strongly associated with depression, generalized anxiety, internalizing and externalizing symptoms, life satisfaction, and happiness, with no evidence of sex differences in these associations. These findings suggest that adolescent perceived stress is best conceptualized as a hierarchical and highly stable construct that is closely linked to multiple indicators of mental health and well-being.<\/jats:p>","DOI":"10.3390\/ejihpe16080109","type":"journal-article","created":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T15:05:42Z","timestamp":1784819142000},"page":"109","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Perceived Stress in Adolescence: Structure, Stability, and Its Relationship with Mental Health"],"prefix":"10.3390","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0051-4063","authenticated-orcid":false,"given":"Maja","family":"Ribar","sequence":"first","affiliation":[{"name":"Institute of Social Sciences \u201cIvo Pilar\u201d, 10000 Zagreb, Croatia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2633-3271","authenticated-orcid":false,"given":"Josip","family":"Razum","sequence":"additional","affiliation":[{"name":"Institute of Social Sciences \u201cIvo Pilar\u201d, 10000 Zagreb, Croatia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7202-3338","authenticated-orcid":false,"given":"Goran","family":"Milas","sequence":"additional","affiliation":[{"name":"Institute of Social Sciences \u201cIvo Pilar\u201d, 10000 Zagreb, Croatia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,7,23]]},"reference":[{"key":"ref_1","unstructured":"Brown, T. A. (2015). Confirmatory factor analysis for applied research, Guilford Publications."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"78","DOI":"10.1007\/s10964-016-0608-x","article-title":"The role of perceived stress and self-efficacy in young people\u2019s life satisfaction: A longitudinal study","volume":"46","author":"Burger","year":"2017","journal-title":"Journal of Youth and Adolescence"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"393","DOI":"10.1016\/j.adolescence.2006.04.004","article-title":"Profiles of adolescent stress: The development of the adolescent stress questionnaire (ASQ)","volume":"30","author":"Byrne","year":"2006","journal-title":"Journal of Adolescence"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"464","DOI":"10.1080\/10705510701301834","article-title":"Sensitivity of goodness of fit indexes to lack of measurement invariance","volume":"14","author":"Chen","year":"2007","journal-title":"Structural Equation Modeling"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"745","DOI":"10.1007\/s10490-023-09871-y","article-title":"Reporting reliability, convergent and discriminant validity with structural equation modeling: A review and best-practice recommendations","volume":"41","author":"Cheung","year":"2023","journal-title":"Asia Pacific Journal of Management"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"385","DOI":"10.2307\/2136404","article-title":"A global measure of perceived stress","volume":"24","author":"Cohen","year":"1983","journal-title":"Journal of Health and Social Behavior"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"939","DOI":"10.1037\/bul0000110","article-title":"Coping, emotion regulation, and psychopathology in childhood and adolescence: A meta-analysis and narrative review","volume":"143","author":"Compas","year":"2017","journal-title":"Psychological Bulletin"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1196\/annals.1308.001","article-title":"Adolescent brain development: A period of vulnerabilities and opportunities. Keynote address","volume":"1021","author":"Dahl","year":"2004","journal-title":"Annals of the New York Academy of Sciences"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"253","DOI":"10.1038\/s41562-018-0307-6","article-title":"Advances in subjective well-being research","volume":"2","author":"Diener","year":"2018","journal-title":"Nature Human Behaviour"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"39","DOI":"10.1016\/j.adolescence.2018.02.011","article-title":"Taking on the stress-depression link: Meaning as a resource in adolescence","volume":"65","author":"Dulaney","year":"2018","journal-title":"Journal of Adolescence"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"1235","DOI":"10.1007\/s10566-024-09795-8","article-title":"Systematic review of the psychometric evidence supporting use of the depression anxiety stress scales, short form (DASS-21) with youth","volume":"53","author":"Dwight","year":"2024","journal-title":"Child & Youth Care Forum"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"386","DOI":"10.1002\/da.20919","article-title":"The impact of stressful life events on relapse of generalized anxiety disorder","volume":"29","author":"Francis","year":"2012","journal-title":"Depression and Anxiety"},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"308","DOI":"10.1007\/s10862-013-9391-0","article-title":"Depression anxiety stress scales-21: Factor structure and test-retest invariance, and temporal stability and uniqueness of latent factors in older adults","volume":"36","author":"Gomez","year":"2014","journal-title":"Journal of Psychopathology and Behavioral Assessment"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"173","DOI":"10.1080\/0954026021000046137","article-title":"The strengths and difficulties questionnaire: A pilot study on the validity of the self-report version","volume":"15","author":"Goodman","year":"1998","journal-title":"International Review of Psychiatry"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1080\/1047840X.2014.940781","article-title":"Emotion regulation: Current status and future prospects","volume":"26","author":"Gross","year":"2015","journal-title":"Psychological Inquiry"},{"key":"ref_16","first-page":"441","article-title":"Stress and diathesis\u2013stress models in depression","volume":"Vol. 1","author":"Harkness","year":"2026","journal-title":"APA handbook of depression: Classification, co-occurring conditions, and etiological processes"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"277","DOI":"10.1037\/abn0000619","article-title":"The role of stress phenotypes in understanding childhood adversity as a transdiagnostic risk factor for psychopathology","volume":"132","author":"Hostinar","year":"2023","journal-title":"Journal of Psychopathology and Clinical Science"},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1080\/10705519909540118","article-title":"Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives","volume":"6","author":"Hu","year":"1999","journal-title":"Structural Equation Modeling"},{"key":"ref_19","first-page":"675","article-title":"Is longer always better? A comparison of the validity of single-item versus multiple-item measures of life satisfaction","volume":"15","year":"2018","journal-title":"Applied Research in Quality of Life"},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"837","DOI":"10.1176\/ajp.156.6.837","article-title":"Causal relationship between stressful life events and the onset of major depression","volume":"156","author":"Kendler","year":"1999","journal-title":"American Journal of Psychiatry"},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"539","DOI":"10.1037\/0022-006X.73.3.539","article-title":"Mental illness and\/or mental health? Investigating axioms of the complete state model of health","volume":"73","author":"Keyes","year":"2005","journal-title":"Journal of Consulting and Clinical Psychology"},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"606","DOI":"10.1046\/j.1525-1497.2001.016009606.x","article-title":"The PHQ-9: Validity of a brief depression severity measure","volume":"16","author":"Kroenke","year":"2001","journal-title":"Journal of General Internal Medicine"},{"key":"ref_23","unstructured":"Lazarus, R., and Folkman, S. (1984). Stress, appraisal, and coping, Springer."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"120810","DOI":"10.1016\/j.jad.2025.120810","article-title":"Temporal bidirectional dynamics of momentary stress and affect: Dynamic structural equation modelling of ecological momentary assessments","volume":"396","author":"Le","year":"2026","journal-title":"Journal of Affective Disorders"},{"key":"ref_25","unstructured":"Little, T. D. (2024). Longitudinal structural equation modeling, The Guilford Press. [2nd ed.]."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"335","DOI":"10.1016\/0005-7967(94)00075-U","article-title":"The structure of negative emotional states: Comparison of the depression anxiety stress scales (DASS) with the Beck depression and anxiety inventories","volume":"33","author":"Lovibond","year":"1995","journal-title":"Behaviour Research and Therapy"},{"key":"ref_27","doi-asserted-by":"crossref","unstructured":"Luko\u0161evi\u010di\u016bt\u0117, J., Gariepy, G., Mabelis, J., Gaspar, T., Joff\u0117-Luinien\u0117, R., and \u0160migelskas, K. (2022). Single-item happiness measure features adequate validity among adolescents. Frontiers in Psychology, 13.","DOI":"10.3389\/fpsyg.2022.884520"},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"128","DOI":"10.1177\/10888683221104002","article-title":"The stressful personality: A meta-analytical review of the relation between personality and stress","volume":"27","author":"Luo","year":"2023","journal-title":"Personality and Social Psychology Review"},{"key":"ref_29","unstructured":"Lupo, C. V. (2023). The relationship between adolescent stress in five domains and depression: Rumination as a moderator. [Doctoral dissertation, Walden University]. Available online: https:\/\/scholarworks.waldenu.edu\/dissertations\/12446\/."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"1409","DOI":"10.1007\/s00787-017-0996-9","article-title":"Stressful life events during adolescence and risk for externalizing and internalizing psychopathology: A meta-analysis","volume":"26","author":"Mezquita","year":"2017","journal-title":"European Child & Adolescent Psychiatry"},{"key":"ref_31","doi-asserted-by":"crossref","unstructured":"Milas, G., \u0106avar, F., and Ribar, M. (2024). How much stressful life events really matter? Conceptual and methodological difficulties in assessing the impact of self-reported events on adolescents\u2019 subjective stress. Stress and Health, 40, (3).","DOI":"10.1002\/smi.3335"},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"217","DOI":"10.1002\/smi.2854","article-title":"Socioeconomic status, social-cultural values, life stress, and health behaviors in a national sample of adolescents","volume":"35","author":"Milas","year":"2019","journal-title":"Stress and Health"},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"339","DOI":"10.1007\/s11205-014-0842-0","article-title":"The association between school stress, life satisfaction and depressive symptoms in adolescents: Life satisfaction as a potential mediator","volume":"125","author":"Moksnes","year":"2016","journal-title":"Social Indicators Research"},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"790","DOI":"10.1080\/17439760.2021.1940250","article-title":"Stress\u2019s association with subjective well-being around the globe, and buffering by affluence and prosocial behavior","volume":"17","author":"Ng","year":"2022","journal-title":"The Journal of Positive Psychology"},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"400","DOI":"10.1111\/j.1745-6924.2008.00088.x","article-title":"Rethinking rumination","volume":"3","author":"Wisco","year":"2008","journal-title":"Perspectives on Psychological Science"},{"key":"ref_36","doi-asserted-by":"crossref","unstructured":"\u00d8ster\u00e5s, B., Sigmundsson, H., and Haga, M. (2018). Psychometric properties of the Perceived Stress Questionnaire (PSQ) in 15\u201316 years old Norwegian adolescents. Frontiers in Psychology, 9.","DOI":"10.3389\/fpsyg.2018.01850"},{"key":"ref_37","unstructured":"R Core Team (2026, January 12). R: A language and environment for statistical computing (Version 4.6.1) [Computer software], Available online: https:\/\/www.R-project.org\/."},{"key":"ref_38","unstructured":"Revelle, W. (2026, January 12). Psych: Procedures for personality and psychological research (Version 2.3.9) [Compute software], Available online: http:\/\/cran.r-project.org\/package=psych."},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"1","DOI":"10.18637\/jss.v048.i02","article-title":"lavaan: An R package for structural equation modeling","volume":"48","author":"Rosseel","year":"2012","journal-title":"Journal of Statistical Software"},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"33","DOI":"10.1007\/s10902-008-9104-7","article-title":"Stressed and happy? Investigating the relationship between happiness and perceived stress","volume":"11","author":"Schiffrin","year":"2008","journal-title":"Journal of Happiness Studies"},{"key":"ref_41","unstructured":"Seiffge-Krenke, I. (1995). Stress, coping, and relationships in adolescence, Lawrence Erlbaum Associates, Inc."},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"259","DOI":"10.1111\/j.1467-8624.2008.01258.x","article-title":"Changes in stress perception and coping during adolescence: The role of situational and personal factors","volume":"80","author":"Aunola","year":"2009","journal-title":"Child Development"},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"258","DOI":"10.1177\/0165025412444643","article-title":"Differences in agency? How adolescents from 18 countries perceive and cope with their futures","volume":"36","author":"Persike","year":"2012","journal-title":"International Journal of Behavioral Development"},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"588","DOI":"10.1016\/j.jad.2023.01.050","article-title":"Associations of stressful life events with subthreshold depressive symptoms and major depressive disorder: The moderating role of gender","volume":"325","author":"Shi","year":"2023","journal-title":"Journal of Affective Disorders"},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"87","DOI":"10.1002\/smi.3165","article-title":"Why is subjective stress severity a stronger predictor of health than stressor exposure? A preregistered two-study test of two hypotheses","volume":"39","author":"Shields","year":"2022","journal-title":"Stress and Health"},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"daw038","DOI":"10.1093\/heapro\/daw038","article-title":"Stress and adolescent well-being: The need for an interdisciplinary framework","volume":"32","author":"Sigfusdottir","year":"2016","journal-title":"Health Promotion International"},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"486","DOI":"10.1590\/s1679-45082016ao3732","article-title":"Short version of the Depression Anxiety Stress Scale-21: Is it valid for Brazilian adolescents?","volume":"14","author":"Silva","year":"2016","journal-title":"Einstein (S\u00e3o Paulo)"},{"key":"ref_48","doi-asserted-by":"crossref","unstructured":"Silva, S. A., Silva, S. U., Ronca, D. B., Gon\u00e7alves, V. S. S., Dutra, E. S., and Carvalho, K. M. B. (2020). Common mental disorders prevalence in adolescents: A systematic review and meta-analyses. PLoS ONE, 15, (4).","DOI":"10.1371\/journal.pone.0232007"},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"286","DOI":"10.1016\/j.copsyc.2021.10.005","article-title":"Stress and adolescence: Vulnerability and opportunity during a sensitive window of development","volume":"44","author":"Sisk","year":"2021","journal-title":"Current Opinion in Psychology"},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"828","DOI":"10.1037\/a0017925","article-title":"Intraindividual change and variability in daily stress processes: Findings from two measurement-burst diary studies","volume":"24","author":"Sliwinski","year":"2009","journal-title":"Psychology and Aging"},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"236","DOI":"10.1016\/j.conb.2010.01.006","article-title":"Developmental neurobiology of cognitive control and motivational systems","volume":"20","author":"Somerville","year":"2010","journal-title":"Current Opinion in Neurobiology"},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"1092","DOI":"10.1001\/archinte.166.10.1092","article-title":"A brief measure for assessing generalized anxiety disorder: The GAD-7","volume":"166","author":"Spitzer","year":"2006","journal-title":"Archives of Internal Medicine"},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"83","DOI":"10.1146\/annurev.psych.52.1.83","article-title":"Adolescent development","volume":"52","author":"Steinberg","year":"2001","journal-title":"Annual Review of Psychology"},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"93","DOI":"10.1521\/scpq.19.2.93.33313","article-title":"Does life satisfaction moderate the effects of stressful life events on psychopathological behavior during adolescence?","volume":"19","author":"Suldo","year":"2004","journal-title":"School Psychology Quarterly"},{"key":"ref_55","first-page":"231","article-title":"Strengths and difficulties in Croatian preschool children: Validation of the strengths and difficulties questionnaire","volume":"53","author":"Vlah","year":"2017","journal-title":"Croatian Review of Rehabilitation Research"},{"key":"ref_56","doi-asserted-by":"crossref","first-page":"363","DOI":"10.1080\/10615800903377264","article-title":"The role of neuroticism and extraversion in the stress\u2013anxiety and stress\u2013depression relationships","volume":"23","author":"Uliaszek","year":"2010","journal-title":"Anxiety, Stress, & Coping"},{"key":"ref_57","doi-asserted-by":"crossref","first-page":"96","DOI":"10.1111\/cdep.12112","article-title":"Development of maladaptive coping: A functional adaptation to chronic, uncontrollable stress","volume":"9","author":"Wadsworth","year":"2015","journal-title":"Child Development Perspectives"}],"container-title":["European Journal of Investigation in Health, Psychology and Education"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2254-9625\/16\/8\/109\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,25]],"date-time":"2026-07-25T04:27:32Z","timestamp":1784953652000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2254-9625\/16\/8\/109"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,23]]},"references-count":57,"journal-issue":{"issue":"8","published-online":{"date-parts":[[2026,8]]}},"alternative-id":["ejihpe16080109"],"URL":"https:\/\/doi.org\/10.3390\/ejihpe16080109","relation":{},"ISSN":["2254-9625"],"issn-type":[{"value":"2254-9625","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,23]]}}}