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      Is physical exercise associated with reduced adolescent social anxiety mediated by psychological resilience?: evidence from a longitudinal multi-wave study in China

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          Abstract

          Objective

          The study aims to investigate whether physical exercise is associated with psychological resilience, thereby significantly affecting adolescent social anxiety, and to analyze the longitudinal cross-temporal stability between these three interrelated factors.

          Methods

          The methodology involved a survey utilizing the International Physical Activity Questionnaire (IPAQ), the Connor-Davidson Resilience Scale (CD-RISC), and the Social Anxiety Scale (SAS) across various regions in China, including Sichuan, Guangdong, Shanxi Province, and Beijing. A total of 1259 participants were recruited from primary, middle, and high schools, with an average age of 13.7 years. The sample comprised 626 males and 633 females. A longitudinal tracking survey approach was implemented, commencing in June 2023, with follow-up rounds scheduled every three months, culminating in a total of four rounds.

          Results

          The results are as follows: (1) Physical exercise was significantly positively correlated with psychological resilience (r = 0.35, p < 0.001) and significantly negatively correlated with social anxiety (r = − 0.26, p < 0.001); (2) Physical exercise could significantly negatively predict social anxiety in the next period (PET1 → SAT2: β = − 0.31, p < 0.001); (3) Psychological resilience played a mediating role in the association between physical exercise on social anxiety (PET1 → PRT2: β = 0.42, PRT2 → SAT3: β = − 0.38, p-values < 0.001).

          Conclusion

          Physical exercise, psychological resilience, and social anxiety exhibit cross-temporal stability, and physical exercise has a significant lagged effect on psychological resilience and social anxiety. Physical exercise may indirectly reduce social anxiety through its association with enhanced psychological resilience in adolescents.

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          Most cited references98

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          The Efficacy of Cognitive Behavioral Therapy: A Review of Meta-analyses.

          Cognitive behavioral therapy (CBT) refers to a popular therapeutic approach that has been applied to a variety of problems. The goal of this review was to provide a comprehensive survey of meta-analyses examining the efficacy of CBT. We identified 269 meta-analytic studies and reviewed of those a representative sample of 106 meta-analyses examining CBT for the following problems: substance use disorder, schizophrenia and other psychotic disorders, depression and dysthymia, bipolar disorder, anxiety disorders, somatoform disorders, eating disorders, insomnia, personality disorders, anger and aggression, criminal behaviors, general stress, distress due to general medical conditions, chronic pain and fatigue, distress related to pregnancy complications and female hormonal conditions. Additional meta-analytic reviews examined the efficacy of CBT for various problems in children and elderly adults. The strongest support exists for CBT of anxiety disorders, somatoform disorders, bulimia, anger control problems, and general stress. Eleven studies compared response rates between CBT and other treatments or control conditions. CBT showed higher response rates than the comparison conditions in 7 of these reviews and only one review reported that CBT had lower response rates than comparison treatments. In general, the evidence-base of CBT is very strong. However, additional research is needed to examine the efficacy of CBT for randomized-controlled studies. Moreover, except for children and elderly populations, no meta-analytic studies of CBT have been reported on specific subgroups, such as ethnic minorities and low income samples.
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            The International Physical Activity Questionnaire (IPAQ): a study of concurrent and construct validity.

            The International Physical Activity Questionnaire (IPAQ) was developed to measure health-related physical activity (PA) in populations. The short version of the IPAQ has been tested extensively and is now used in many international studies. The present study aimed to explore the validity characteristics of the long-version IPAQ. Forty-six voluntary healthy male and female subjects (age, mean +/- standard deviation: 40.7 +/- 10.3 years) participated in the study. PA indicators derived from the long, self-administered IPAQ were compared with data from an activity monitor and a PA log book for concurrent validity, and with aerobic fitness, body mass index (BMI) and percentage body fat for construct validity. Strong positive relationships were observed between the activity monitor data and the IPAQ data for total PA (rho = 0.55, P < 0.001) and vigorous PA (rho = 0.71, P < 0.001), but a weaker relationship for moderate PA (rho = 0.21, P = 0.051). Calculated MET-h day(-1) from the PA log book was significantly correlated with MET-h day(-1) from the IPAQ (rho = 0.67, P < 0.001). A weak correlation was observed between IPAQ data for total PA and both aerobic fitness (rho = 0.21, P = 0.051) and BMI (rho = 0.25, P = 0.009). No significant correlation was observed between percentage body fat and IPAQ variables. Bland-Altman analysis suggested that the inability of activity monitors to detect certain types of activities might introduce a source of error in criterion validation studies. The long, self-administered IPAQ questionnaire has acceptable validity when assessing levels and patterns of PA in healthy adults.
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              Advances in testing the statistical significance of mediation effects.

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                Author and article information

                Contributors
                18781483387@163.com
                Journal
                Child Adolesc Psychiatry Ment Health
                Child Adolesc Psychiatry Ment Health
                Child and Adolescent Psychiatry and Mental Health
                BioMed Central (London )
                1753-2000
                5 March 2025
                5 March 2025
                2025
                : 19
                : 17
                Affiliations
                [1 ]School of Physical Education, Leshan Normal University, ( https://ror.org/036cvz290) 778 Binhe Road, Shizhong District, Leshan, 614000 Sichuan China
                [2 ]Xiangshui Teacher Development Center, Yancheng, China
                [3 ]Postgraduate School, Harbin Sport University, Harbin, China
                Article
                867
                10.1186/s13034-025-00867-8
                11884043
                40045423
                772f33d8-8d2c-4dbd-9adb-2203c3c36362
                © The Author(s) 2025

                Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.

                History
                : 5 November 2024
                : 8 February 2025
                Funding
                Funded by: Research on the Knowledge-Action Discrepancy and Ecological Compensation Mechanism of Adolescent Physical Activity
                Award ID: 2052-20165
                Funded by: The Joint Effect of Exercise Atmosphere and Self-Efficacy on College Students' Exercise Behavior
                Award ID: YXJKCB-2022-18
                Funded by: The Trajectory Effect of Family Accumulated Risk on Adolescent Home-Based Physical Activity
                Award ID: 23CDTXQ004
                Categories
                Research
                Custom metadata
                © BioMed Central Ltd., part of Springer Nature 2025

                Clinical Psychology & Psychiatry
                physical exercise,adolescents,psychological resilience,social anxiety,longitudinal,cross-lagged,association

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