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This research aims to determine if self-esteem mediates the relationship between perceived social support and mental health difficulties in youth.

The mediating role of self-esteem in the association between perceived social support and youth mental health difficulties

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Randomized trial shows self-esteem mediates perceived social support and mental health in youth, indicating pathways for improvement.

This research aims to determine if self-esteem mediates the relationship between perceived social support and mental health difficulties in youth.
Included 312 school-recruited youths and clinically referred inpatient and outpatient youths; mean age 14.36 years.
Used a covariate-adjusted mediation model with perceived social support, self-esteem, and mental health difficulties as primary variables.
Conducted exploratory hierarchical clustering based on Strengths and Difficulties Questionnaire profiles.
Higher perceived social support is linked to higher self-esteem (B = 0.26, 95% CI [0.20, 0.31], p < 0.001).
Higher self-esteem correlates with fewer mental health difficulties (B = −0.43, 95% CI [−0.50, −0.35], p < 0.001).
The indirect effect via self-esteem shows partial mediation (B = −0.11, 95% CI [−0.14, −0.08], p < 0.001).

Földi et al. (2026) studied this question.

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