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Original Articles
- The Moderated Moderation Effect of ADHD Symptoms and Self-Esteem on the Relationship between Daily Life Stress and Depression among Adolescents
- RaeHyuck Lee
- STRESS. 2026;34(1):34-42. Published online March 30, 2026
- DOI: https://doi.org/10.17547/kjsr.2026.34.1.34
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Abstract
PDF - Background
This study examined the moderated moderation effect of attention deficit/hyperactivity disorder (ADHD) symptoms and self-esteem on the relationship between daily life stress and depression among adolescents.
Methods
Data from 5,937 school-attending adolescents, obtained from the 2021 Mental Health Survey of Adolescents, were analyzed using the PROCESS Macro.
Results
First, daily life stress had a significantly positive influence on depression. Second, ADHD symptoms moderated the relationship between daily life stress and depression such that higher levels of ADHD symptoms amplified the deleterious effect of stress on depression. Third, a moderated moderation effect was confirmed, indicating that self-esteem further conditioned the moderating influence of ADHD symptoms. Specifically, higher levels of self-esteem mitigated the synergistic risk effect of stress and ADHD symptoms on depression.
Conclusions
Based on these findings, this study suggests strategies to enhance psychological protective factors to prevent depression among adolescents with ADHD.
- Moderated Mediating Effect of Anxiety by Household Type on the Relationship between Daily Life Stress and Non-Suicidal Self-Injury among Adolescents
- RaeHyuck Lee
- STRESS. 2024;32(4):188-195. Published online December 27, 2024
- DOI: https://doi.org/10.17547/kjsr.2024.32.4.188
- 2,785 View
- 73 Download
- 4 Citations
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Abstract
PDF
- Background
This study examined the impact of adolescents’ daily life stress on non-suicidal self-injury among adolescents, focusing on the mediating role of anxiety and the moderated mediating effect of anxiety by household type (two-parent vs. single-parent households).
Methods
This study utilized data from the Korean Teenagers’ Mental Health Study, conducted by the National Youth Policy Institute and applied the PROCESS macro method for analysis.
Results
First, daily life stress significantly increased the likelihood of non-suicidal self-injury among adolescents. Second, anxiety played a full mediating role. Third, no significant difference was observed in the direct impact of daily life stress on non-suicidal self-injury between adolescents from two-parent and single-parent households. Fourth, the mediating effect of anxiety on the relationship between daily life stress and non-suicidal self-injury was more pronounced among adolescents in single-parent households than those in two-parent households.
Conclusions
The findings highlight the need for tailored interventions to deal with non-suicidal self-injuries among adolescents, particularly in the context of household type. -
Citations
Citations to this article as recorded by
- Association Between Physical Activity and Perceived Stress Among Adolescents Across Urbanicity Levels: Korea Youth Risk Behavior Survey, 2018-2023
Eunhui Kim, Chae-Been Kim, Seungho Ryu
The Asian Journal of Kinesiology.2026; 28(1): 139. CrossRef - Assessing the prevalence, characteristics and psychosocial correlates of nonsuicidal self-injury among Vietnamese adolescent psychiatric outpatients: a cross-sectional study
Hoang Yen Nguyen, Xuan Thang Pham, Cong Thien Le, Thi Thu Ha Le, Thi Thu Ha Tran, Thi Hue Doan, Thien Thang Tran, Tuan Khiem Ngo, Thi Nguyet Nga Pham, Thi Ha An Tran, Van Tuan Nguyen
Frontiers in Psychiatry.2026;[Epub] CrossRef - The Influence of Attention-Deficit/Hyperactivity on School Adjustment among Adolescents: Focusing on the Moderated Mediation Effect of Depression by Household Economic Status
RaeHyuck Lee
STRESS.2025; 33(1): 13. CrossRef - The Influence of School Maladjustment on Non-Suicidal Self-Injury among Adolescents: Focusing on the Moderated Mediating Effect of Anxiety According to Single-Parent Family Status
RaeHyuck Lee, Jaekyoung Lee
STRESS.2025; 33(3): 155. CrossRef
- Association Between Physical Activity and Perceived Stress Among Adolescents Across Urbanicity Levels: Korea Youth Risk Behavior Survey, 2018-2023
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