The Quality of Life and Its Relationship With Systemic Family Dynamics and Mental Health in Senior High School Students From Shaanxi, China

ObjectiveTo explore the quality of life (QoL) status of senior high school students in the Shaanxi Province and the relationship of the QoL with systemic family dynamics and mental health.MethodsThis was a cross-sectional observational study in a sample of 1,402 senior high school students; students...

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Main Authors: Zhe Yang, Yijiang Shang, Ying Liang, Haiyue Zhang, Yifan Yang, Yue Wang, Lei Shang, Yuhai Zhang
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-03-01
Series:Frontiers in Public Health
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2022.833561/full
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author Zhe Yang
Yijiang Shang
Ying Liang
Haiyue Zhang
Yifan Yang
Yue Wang
Lei Shang
Yuhai Zhang
author_facet Zhe Yang
Yijiang Shang
Ying Liang
Haiyue Zhang
Yifan Yang
Yue Wang
Lei Shang
Yuhai Zhang
author_sort Zhe Yang
collection DOAJ
description ObjectiveTo explore the quality of life (QoL) status of senior high school students in the Shaanxi Province and the relationship of the QoL with systemic family dynamics and mental health.MethodsThis was a cross-sectional observational study in a sample of 1,402 senior high school students; students were asked to complete a questionnaire which comprised the 36-item Short Form Health Survey (SF-36) to assess the QoL, the Self-rating Scale of Systemic Family Dynamics (SSFD) for assessing family functioning, the Symptom Checklist-90-Revised (SCL-90-R) for assessing mental health and general demographic variables.ResultsGrades of senior high school students were defined as Grade 1 (first year), Grade 2 (second year), and Grade 3 (third year). Compared to Grade 3 students, Grade 1 students had higher scores in physical functioning, role-emotional, bodily pain, and reported health transition of the QoL over the last 1 year (P < 0.05). Multiple linear regression showed that the place of residence, subscales of systemic family dynamics, somatization, and depression significantly affected the total QoL score. The results of SEM show that the SCL-90-R score fully mediated the association between the SSFD score and SF-36 score (indirect effect coefficient 0.055; 95% CI, 0.012–0.106; P = 0.042).ConclusionThe QoL score of senior high school students was low, particularly that of Grade 3 students, who consequently need more emotional support. By improving and enhancing systemic family dynamics, the QOL of high school students will improve and discovering and addressing their mental health problems will be easier.
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spelling doaj.art-9535b8a74c5d405791d6dea1c3a047f82022-12-21T18:19:58ZengFrontiers Media S.A.Frontiers in Public Health2296-25652022-03-011010.3389/fpubh.2022.833561833561The Quality of Life and Its Relationship With Systemic Family Dynamics and Mental Health in Senior High School Students From Shaanxi, ChinaZhe Yang0Yijiang Shang1Ying Liang2Haiyue Zhang3Yifan Yang4Yue Wang5Lei Shang6Yuhai Zhang7Department of Health Statistics and Ministry of Education Key Lab of Hazard Assessment and Control in Special Operational Environment, Fourth Military Medical University, Xi'an, ChinaAcademy of Arts, Xi'an University of Architecture and Technology, Xi'an, ChinaDepartment of Health Statistics and Ministry of Education Key Lab of Hazard Assessment and Control in Special Operational Environment, Fourth Military Medical University, Xi'an, ChinaDepartment of Health Statistics and Ministry of Education Key Lab of Hazard Assessment and Control in Special Operational Environment, Fourth Military Medical University, Xi'an, ChinaDepartment of Health Statistics and Ministry of Education Key Lab of Hazard Assessment and Control in Special Operational Environment, Fourth Military Medical University, Xi'an, ChinaDepartment of Health Statistics and Ministry of Education Key Lab of Hazard Assessment and Control in Special Operational Environment, Fourth Military Medical University, Xi'an, ChinaDepartment of Health Statistics and Ministry of Education Key Lab of Hazard Assessment and Control in Special Operational Environment, Fourth Military Medical University, Xi'an, ChinaDepartment of Health Statistics and Ministry of Education Key Lab of Hazard Assessment and Control in Special Operational Environment, Fourth Military Medical University, Xi'an, ChinaObjectiveTo explore the quality of life (QoL) status of senior high school students in the Shaanxi Province and the relationship of the QoL with systemic family dynamics and mental health.MethodsThis was a cross-sectional observational study in a sample of 1,402 senior high school students; students were asked to complete a questionnaire which comprised the 36-item Short Form Health Survey (SF-36) to assess the QoL, the Self-rating Scale of Systemic Family Dynamics (SSFD) for assessing family functioning, the Symptom Checklist-90-Revised (SCL-90-R) for assessing mental health and general demographic variables.ResultsGrades of senior high school students were defined as Grade 1 (first year), Grade 2 (second year), and Grade 3 (third year). Compared to Grade 3 students, Grade 1 students had higher scores in physical functioning, role-emotional, bodily pain, and reported health transition of the QoL over the last 1 year (P < 0.05). Multiple linear regression showed that the place of residence, subscales of systemic family dynamics, somatization, and depression significantly affected the total QoL score. The results of SEM show that the SCL-90-R score fully mediated the association between the SSFD score and SF-36 score (indirect effect coefficient 0.055; 95% CI, 0.012–0.106; P = 0.042).ConclusionThe QoL score of senior high school students was low, particularly that of Grade 3 students, who consequently need more emotional support. By improving and enhancing systemic family dynamics, the QOL of high school students will improve and discovering and addressing their mental health problems will be easier.https://www.frontiersin.org/articles/10.3389/fpubh.2022.833561/fullquality of lifesystemic family dynamicsmental healthsenior high school studentsstructural equation modeling
spellingShingle Zhe Yang
Yijiang Shang
Ying Liang
Haiyue Zhang
Yifan Yang
Yue Wang
Lei Shang
Yuhai Zhang
The Quality of Life and Its Relationship With Systemic Family Dynamics and Mental Health in Senior High School Students From Shaanxi, China
Frontiers in Public Health
quality of life
systemic family dynamics
mental health
senior high school students
structural equation modeling
title The Quality of Life and Its Relationship With Systemic Family Dynamics and Mental Health in Senior High School Students From Shaanxi, China
title_full The Quality of Life and Its Relationship With Systemic Family Dynamics and Mental Health in Senior High School Students From Shaanxi, China
title_fullStr The Quality of Life and Its Relationship With Systemic Family Dynamics and Mental Health in Senior High School Students From Shaanxi, China
title_full_unstemmed The Quality of Life and Its Relationship With Systemic Family Dynamics and Mental Health in Senior High School Students From Shaanxi, China
title_short The Quality of Life and Its Relationship With Systemic Family Dynamics and Mental Health in Senior High School Students From Shaanxi, China
title_sort quality of life and its relationship with systemic family dynamics and mental health in senior high school students from shaanxi china
topic quality of life
systemic family dynamics
mental health
senior high school students
structural equation modeling
url https://www.frontiersin.org/articles/10.3389/fpubh.2022.833561/full
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