This two-wave longitudinal study investigated the relationships between belief in others (i.e., teacher support, peer support, and family coherence) and social anxiety symptoms among rural adolescents, with self-esteem as a mediator and gender as a moderator. A total of 3,043 adolescents participated in the study across two waves. Results from both waves indicated that belief in others was negatively associated with social anxiety symptoms. Self-esteem mediated the relationship between the three sources of support (teacher support, peer support, and family coherence) and social anxiety symptoms. However, a suppressing effect was observed for self-esteem in its mediating role between peer support and family coherence and social anxiety symptoms. Gender differences were observed, with the mediation effect being stronger for girls than for boys. These findings suggest that all types of social support play crucial roles in alleviating social anxiety symptoms, particularly for girls. They also highlight the importance of considering self-esteem when designing interventions to prevent and mitigate Chinese rural adolescents’ social anxiety symptoms.
APA. (2015). Anxiety disorders: DSM-5® selections. American Psychiatric Pub.
2.
Boudreault-BouchardA. M.DionJ.HainsJ.VandermeerschenJ.LabergeL.PerronM. (2013). Impact of parental emotional support and coercive control on adolescents' self-esteem and psychological distress: Results of a four-year longitudinal study. Journal of Adolescence, 36(4), 695–704. https://doi.org/10.1016/j.adolescence.2013.05.002
3.
CalveteE. (2014). Emotional abuse as a predictor of early maladaptive schemas in adolescents: Contributions to the development of depressive and social anxiety symptoms. Child Abuse & Neglect, 38(4), 735–746. https://doi.org/10.1016/j.chiabu.2013.10.014
4.
CavanaughA. M.BuehlerC. (2016). Adolescent loneliness and social anxiety: The role of multiple sources of support. Journal of Social and Personal Relationships, 33(2), 149–170. https://doi.org/10.1177/0265407514567837
5.
ChangC. W.YuanR.ChenJ. K. (2018). Social support and depression among Chinese adolescents: The mediating roles of self-esteem and self-efficacy. Children and Youth Services Review, 88, 128–134. https://doi.org/10.1016/j.childyouth.2018.03.001
6.
CoyleS.MaleckiC. K. (2018). The association between social anxiety and perceived frequency and value of classmate and close friend social support. School Psychology Review, 47(3), 209–225. https://doi.org/10.17105/SPR-2017-0067.V47-3
7.
CoyleS.MaleckiC. K.EmmonsJ. (2021). Keep your friends close: Exploring the associations of bullying, peer social support, and social anxiety. Contemporary School Psychology, 25(2), 230–242. https://doi.org/10.1007/s40688-019-00250-3
8.
Di BlasiM.PaviaL.CavaniP.Lo VersoG.SchimmentiA. (2015). Cannabis use and social anxiety in adolescence: The role of facilitation expectancies. Journal of Child & Adolescent Substance Abuse, 24(6), 397–404. https://doi.org/10.1080/1067828X.2013.872066
9.
DongZ.ZhouS.CaseA. S.ZhouW. (2022). The relationship between perceived parenting style and social anxiety: A meta-analysis of mainland Chinese students. Child Psychiatry & Human Development, 55(1), 247–261. https://doi.org/10.1007/s10578-022-01399-4
10.
DuBoisD. L.Burk-BraxtonC.SwensonL. P.TevendaleH. D.LockerdE. M.MoranB. L. (2002). Getting by with a little help from self and others: Self-esteem and social support as resources during early adolescence. Developmental Psychology, 38(5), 822–839. https://doi.org/10.1037/0012-1649.38.5.822
11.
ElizabethJ.KingN.OllendickT. H.GulloneE.TongeB.WatsonS.MacdermottS. (2006). Social anxiety disorder in children and youth: A research update on aetiological factors. Counselling Psychology Quarterly, 19(2), 151–163. https://doi.org/10.1080/09515070600811790
12.
FahyA. E.StansfeldS. A.SmukM.SmithN. R.CumminsS.ClarkC. (2016). Longitudinal associations between cyberbullying involvement and adolescent mental health. Journal of Adolescent Health, 59(5), 502–509. https://doi.org/10.1016/j.jadohealth.2016.06.006
13.
FurlongM. J.YouS.RenshawT. L.SmithD. C.MalleyM. D. (2014). Preliminary development and validation of the social and emotional health survey for secondary school students. Social Indicators Research, 117(3), 1011–1032. https://doi.org/10.1007/s11205-013-0373-0
14.
García-RodríguezL.RedínC. I.AbaituaC. R. (2022). Teacher-student attachment relationship, variables associated, and measurement: A systematic review. Educational Research Review, 38(33), 100488. https://doi.org/10.1016/j.edurev.2022.100488
15.
GoldsmithR. E. (1986). Dimensionality of the Rosenberg self-esteem scale. Journal of Social Behavior and Personality, 1(2), 253.
16.
Gruenenfelder-SteigerA. E.HarrisM. A.FendH. A. (2016). Subjective and objective peer approval evaluations and self-esteem development: A test of reciprocal, prospective, and long-term effects. Developmental Psychology, 52(10), 1563–1577. https://doi.org/10.1037/dev0000147
GuoX.ZhangY.ChenY.ZhangL. (2022). School victimization and self-esteem: Reciprocal relationships and the moderating roles of peer support and teacher support. Aggressive Behavior, 48(2), 187–196. https://doi.org/10.1002/ab.22009
19.
HairJ.BlackW.BabinB.AndersonR.TathamR. (2010). Multivariate data analysis (6th ed.). Prentice-Hall.
20.
HakamiR. M.MahfouzM. S.AdawiA. M.MahhaA. J.AthathiA. J.DaghreeriH. H.NajmiH. H.AreeshiN. A. (2017). Social anxiety disorder and its impact in undergraduate students at Jazan University, Saudi Arabia. Mental Illness, 9(2), 42–47. https://doi.org/10.1108/mi.2017.7274
21.
HarrisM. A.OrthU. (2020). The link between self-esteem and social relationships: A meta-analysis of longitudinal studies. Journal of Personality and Social Psychology, 119(6), 1459–1477. https://doi.org/10.1037/pspp0000265
22.
HouS.TwayigiraM.LuoX.SongL.CuiX.XieQ.ShenY.YangF.YuanX. (2023). The relationship between emotional neglect and non-suicidal self-injury among middle school students in China: The mediating role of social anxiety symptoms and insomnia. BMC Psychiatry, 23(1), 248. https://doi.org/10.1186/s12888-023-04735-7
23.
HuangH.WanX.LiangY.ZhangY.PengQ.DingY.LuG.ChenC. (2022). Correlations between social support and loneliness, self-esteem, and resilience among left-behind children in mainland China: A meta-analysis. Frontiers in Psychiatry, 13, 874905. https://doi.org/10.3389/fpsyt.2022.874905
24.
HuangY.XuH.GuH.WangT.LiX. (2020). Classmate relationship, teacher-student relationship and social anxiety in high school freshmen: The mediating role of sense of security. Chinese Journal of Clinical Psychology, 28(4), 853–856. https://doi.org/10.16128/j.cnki.1005-3611.2020.04.042
25.
JohnsonJ. G.CohenP.DohrenwendB. P.LinkB. G.BrookJ. S. (1999). A longitudinal investigation of social causation and social selection processes involved in the association between socioeconomic status and psychiatric disorders. Journal of Abnormal Psychology, 108(3), 490–499. https://doi.org/10.1037/0021-843X.108.3.490
26.
La GrecaA. M.LopezN. (1998). Social anxiety among adolescents: Linkages with peer relations and friendships. Journal of Abnormal Child Psychology, 26(2), 83–94. https://doi.org/10.1023/A:1022684520514
27.
LakeyB.CohenS. (2000). Social support theory and measurement. In Social support measurement and intervention: A guide for health and social scientists.
28.
LearyM. R. (2012). Sociometer theory. Handbook of theories of social psychology (Vol. 2, pp. 151–159). SAGE.
29.
LearyM. R.BaumeisterR. F. (2000). The nature and function of self-esteem: Sociometer theory. In CohenS. (Ed.), Advances in experimental social psychology (Vol. 32, pp. 1–62). Elsevier. https://doi.org/10.1016/S0065-2601(00)80003-9
30.
LearyM. R.TerryM. L. (2013). Self-evaluation and self-esteem. In CarlstonD. (Ed.), The Oxford handbook of social cognition (pp. 534–547). Oxford Library of Psychology.
31.
LevineD. S.TaylorR. J.NguyenA. W.ChattersL. M.HimleJ. A. (2015). Family and friendship informal support networks and social anxiety disorder among African Americans and Black Caribbeans. Social Psychiatry and Psychiatric Epidemiology, 50(7), 1121–1133. https://doi.org/10.1007/s00127-015-1023-4
32.
LiL. (2010). Relationship among social anxiety, attachment and mental health of college students. China Journal of Health Psychology, 18(2), 186–189. https://doi.org/10.13342/j.cnki.cjhp.2010.02.042
33.
LiM.RenY.JiangF. (2019). A meta-analysis of social anxiety in left-behind children in rural areas of China. Chinese Mental Health Journal, 33(11), 839–844. https://doi.org/10.3969/j.issn.1000-6729.2019.11.008
34.
LiuY.WangM.VillbergJ.TorsheimT.TynjäläJ.LvY.KannasL. (2012). Reliability and validity of Family Affluence Scale (FAS II) among adolescents in Beijing, China. Child Indicators Research, 5(2), 235–251. https://doi.org/10.1007/s12187-011-9131-5
35.
MannM.HosmanC. M.SchaalmaH. P.De VriesN. K. (2004). Self-esteem in a broad-spectrum approach for mental health promotion. Health Education Research, 19(4), 357–372. https://doi.org/10.1093/her/cyg041
36.
Moksnes, U. K., & Reidunsdatter, R. J. (2019). Self-esteem and mental health in adolescents-level and stability during a school year. Norsk Epidemiologi, 28(1-2), 59–67. http://doi.org/10.5324/nje.v28i1-2.3052
37.
PanW.LiB.LongY.CaoC. (2024). The relationship between perceived social support and social anxiety in Chongqing rural secondary school students: The chain mediating effect of core self-evaluation and shyness. BMC Psychology, 12(1), 708. https://doi.org/10.1186/s40359-024-02229-z
38.
PoudelK.SubediP. (2020). Impact of COVID-19 pandemic on socioeconomic and mental health aspects in Nepal. International Journal of Social Psychiatry, 66(8), 748–755. https://doi.org/10.1177/0020764020942247
39.
RapeeR. M.HeimbergR. G. (1997). A cognitive-behavioral model of anxiety in social phobia. Behaviour Research and Therapy, 35(8), 741–756. https://doi.org/10.1016/S0005-7967(97)00022-3
40.
RapeeR. M.SpenceS. H. (2004). The etiology of social phobia: Empirical evidence and an initial model [Review]. Clinical Psychology Review, 24(7), 737–767. https://doi.org/10.1016/j.cpr.2004.06.004
41.
RenY.LiM. (2020). Influence of physical exercise on social anxiety of left-behind children in rural areas in China: The mediator and moderator role of perceived social support. Journal of Affective Disorders, 266(8), 223–229. https://doi.org/10.1016/j.jad.2020.01.152
42.
RifqohF.FarozinM.AstutiB. (2024). Peer support in forming self esteem in the millennial era. Journal of Insan Mulia Education, 2(1), 31–36. https://doi.org/10.59923/joinme.v2i1.106
43.
RoseA. J.RudolphK. D. (2006). A review of sex differences in peer relationship processes: Potential trade-offs for the emotional and behavioral development of girls and boys. Psychological Bulletin, 132(1), 98–131. https://doi.org/10.1037/0033-2909.132.1.98
44.
SpenceS. H.RapeeR. M. (2016). The etiology of social anxiety disorder: An evidence-based model [Article]. Behaviour Research and Therapy, 86, 50–67. https://doi.org/10.1016/j.brat.2016.06.007
SuldoS. M.FriedrichA. A.WhiteT.FarmerJ.MinchD.MichalowskiJ. (2009). Teacher support and adolescents’ subjective well-being: A mixed-methods investigation. School Psychology Review, 38(1), 67–85. https://doi.org/10.1080/02796015.2009.12087850
47.
TangX. F.LiuQ. W.CaiF. T.TianH.ShiX. C.TangS. Q. (2022). Prevalence of social anxiety disorder and symptoms among Chinese children, adolescents and young adults: A systematic review and meta-analysis. Frontiers in Psychology, 13, 792356. https://doi.org/10.3389/fpsyg.2022.792356
48.
WangH.AbbeyC.KennedyT.FengE.LiR.LiuF.ZhuA.ShenS.WadhavkarP.RozelleS. (2023). The association between screen time and outdoor time on adolescent mental health and academic performance: Evidence from rural China. Risk Management and Healthcare Policy, 16, 369–381. https://doi.org/10.2147/RMHP.S384997
49.
WangX.WangX.L.MaH. (1999). Mental health assessment scale manual. Chinese Mental Health Journal Supplement, 13, 194–195.
50.
WenX.ZhaoC.KishimotoT.QianM. (2020). Effect of perceived social support on the efficacy of online cognitive behavioral therapy for social anxiety disorder. Beijing Da Xue Xue Bao, 56(3), 571–578. https://doi.org/10.13209/j.0479-8023.2020.025
51.
WeymouthB. B.BuehlerC. (2018). Early adolescents’ relationships with parents, teachers, and peers and increases in social anxiety symptoms [Article; Proceedings Paper]. Journal of Family Psychology, 32(4), 496–506. https://doi.org/10.1037/fam0000396
52.
WuX.QiJ.ZhenR. (2021). Bullying victimization and adolescents’ social anxiety: Roles of shame and self-esteem. Child Indicators Research, 14(2), 769–781. https://doi.org/10.1007/s12187-020-09777-x
XinS.PengH.ShengL. (2022). Changes of social anxiety in Chinese adolescents during 2002∼ 2020: An increasing trend and its relationship with social change. Children and Youth Services Review, 142(9), 106614. https://doi.org/10.1016/j.childyouth.2022.106614
56.
YouS.FurlongM.FelixE.O'MalleyM. (2015). Validation of the Social and Emotional Health Survey for five sociocultural groups: Multigroup invariance and latent mean analyses. Psychology in the Schools, 52(4), 349–362. https://doi.org/10.1002/pits.21828
57.
YuG.LiJ.WangQ. (2018). Ecological systems theory and adolescents’ mental health education. Educational Research, 39(3), 110–117. https://doi.org/CNKI:SUN:JYYJ.0.2018-03-014
58.
YuvarajK.KumarG. D.PriyanS.YaminiM.KumarS. G.SubithaL. (2018). Prevalence and associated factors for social phobia among school-going adolescents in a rural area of Puducherry, South India. International Journal of Adolescent Medicine and Health, 33(1), 20180037. https://doi.org/10.1515/ijamh-2018-0037
59.
ZhangR.QiuZ.LiY.LiuL.ZhiS. (2021). Teacher support, peer support, and externalizing problems among left-behind children in rural China: Sequential mediation by self-esteem and self-control. Children and Youth Services Review, 121105824. https://doi.org/10.1016/j.childyouth.2020.105824
ZhangY.LiS.YuG. (2019). The relationship between self-esteem and social anxiety: A meta-analysis with Chinese students. Advances in Psychological Science, 27(6), 1005–1018. https://doi.org/10.3724/SP.J.1042.2019.01005
62.
ZhaoX.ChenJ.ChenM. C.LvX. L.JiangY. H.SunY. H. (2014). Left-behind children in rural China experience higher levels of anxiety and poorer living conditions. Acta Paediatrica, 103(6), 665–670. https://doi.org/10.1111/apa.12602
