Table 1_The correlation between resilience and mental health of adolescents and young adults: a systematic review and meta-analysis.docx

BackgroundAdolescents and young adults (AYAs) aged 10–25 exhibit an increased prevalence of mental health disorders. Resilience has been well established as a positive factor in promoting and protecting mental health. This systematic review and meta-analysis aimed to quantify the correlation between resilience and mental health in AYAs by including relevant observational studies. Additionally, it explored potential moderators such as percentage of female participants, sample regions, and resilience measurements.
MethodsA comprehensive search of the PubMed, Embase, Cochrane Library, Web of Science and Scopus databases was conducted until September 2024. CMA 3.0 software was used to perform meta-analysis, publication bias and sensitivity analysis of the included studies, and the moderating effect was verified by meta-analysis of variance (ANOVA).
ResultNineteen studies involving a total of 17,746 participants were included, and the summary effect sizes from the random effect model showed that resilience among AYAs had a correlation coefficient of -0.391 with negative indicators of mental health (95% CI: - 0.469, - 0.308, p < 0.001), and a correlation coefficient of 0.499 with positive indicators of mental health (95% CI: 0.400, 0.586, p < 0.001). Additionally, sample regions and resilience measurements significantly moderated the correlation between resilience and positive indicators of mental health.
ConclusionResilience in AYAs showed a moderately negative correlation with negative indicators of mental health and a moderately strong positive correlation with positive indicators of mental health. The findings strengthened the basis for future resilience research in AYAs aged 10–25, highlighting the potential of resilience to help mitigate the increasing mental health challenges faced by this population.

背景：10~25岁的青少年与青年（Adolescents and Young Adults, AYAs）精神障碍患病率呈上升趋势。心理弹性（resilience）已被证实是促进与维护心理健康的积极因素。本系统综述与荟萃分析旨在纳入相关观察性研究，量化该群体心理弹性与心理健康间的关联，并探讨潜在调节变量，如女性参与者占比、样本来源地区及心理弹性测量工具。
方法：本研究全面检索了截至2024年9月的PubMed、Embase、Cochrane Library、Web of Science及Scopus数据库。采用CMA 3.0软件对纳入研究开展荟萃分析、发表偏倚检验及敏感性分析，并通过方差元分析（meta-analysis of variance, ANOVA）验证调节效应。
结果：本研究共纳入19项研究，涉及17746名参与者。随机效应模型的合并效应量结果显示，AYAs的心理弹性与心理健康负性指标的相关系数为-0.391（95%置信区间：-0.469~-0.308，p<0.001），与心理健康正性指标的相关系数为0.499（95%置信区间：0.400~0.586，p<0.001）。此外，样本来源地区及心理弹性测量工具对心理弹性与心理健康正性指标的关联存在显著调节作用。
结论：AYAs的心理弹性与心理健康负性指标呈中等程度负相关，与心理健康正性指标呈中等偏强程度正相关。本研究结果为后续针对10~25岁AYAs的心理弹性研究夯实了理论基础，并凸显了心理弹性在缓解该群体日益严峻的心理健康挑战方面的潜在价值。