{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,31]],"date-time":"2025-10-31T05:32:21Z","timestamp":1761888741000,"version":"build-2065373602"},"reference-count":34,"publisher":"Korean Academy of Child Health Nursing","issue":"4","license":[{"start":{"date-parts":[[2025,10,30]],"date-time":"2025-10-30T00:00:00Z","timestamp":1761782400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/3.0\/"}],"funder":[{"DOI":"10.13039\/501100002624","name":"Jesus University","doi-asserted-by":"publisher","award":["2025-1-6"],"award-info":[{"award-number":["2025-1-6"]}],"id":[{"id":"10.13039\/501100002624","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["e-chnr.org"],"crossmark-restriction":true},"short-container-title":["Child Health Nurs Res"],"published-print":{"date-parts":[[2025,10,31]]},"abstract":"<jats:p>Purpose: This study aimed to examine whether perceived parental alienation mediates the relationship between parental and adolescent depressive symptoms, and, if so, whether parents\u2019 subjective health moderates this indirect effect.Methods: This cross-sectional study utilized secondary data from the 2021 wave of the Panel Study on Korean Children, enrolling 541 parent\u2013child dyads. Parental depression was measured using the Kessler Psychological Distress Scale-6, a self-rated health item, the Korean version of the Center for Epidemiological Studies Depression Scale for Children, and a 6-item perceived alienation scale. Descriptive statistics, Pearson correlations, and variance inflation factor checks were conducted, followed by mediation and moderated mediation analyses using PROCESS Models 4 and 7 with 10,000 bootstraps in IBM SPSS ver. 27.0.Results: Parental depression did not directly predict adolescent depression (B=.02, t=.87) but was significantly related to perceived alienation (B=.16, p&lt;.001), which in turn predicted higher adolescent depression (B=.20, p&lt;.001). The indirect effect of alienation was also significant (B=.039; 95% confidence interval, 0.005\u20130.066). Subjective health moderated the depression\u2013alienation link (interaction B=.19, p&lt;.001), with stronger indirect effects observed among parents with better health.Conclusion: Parental depression symptoms indirectly increase adolescent depression through perceived alienation, particularly when parents viewed their health positively. These results suggest that interventions targeting parental mental health and fostering open-family communication may help reduce adolescent depression.<\/jats:p>","DOI":"10.4094\/chnr.2025.028","type":"journal-article","created":{"date-parts":[[2025,10,31]],"date-time":"2025-10-31T03:44:13Z","timestamp":1761882253000},"page":"248-256","update-policy":"https:\/\/doi.org\/10.4094\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Mediating role of parental alienation and moderating effect of subjective health in the link between parental and adolescent depression in South Korea: a cross-sectional study"],"prefix":"10.4094","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0004-6448-2555","authenticated-orcid":true,"given":"Shinil","family":"Lim","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2912-8927","authenticated-orcid":true,"given":"Yunmi","family":"Kim","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2568","reference":[{"key":"ref1","volume-title":"A study on psychosocial characteristics, environmental variables and mental health variables of adolescents. 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