Abstract

Objectives This study is intended to investigate the effects of stress perception and experience of loneliness on depression change due to COVID-19 in adolescents and provide basic data to improve their mental health.
 Methods This study is a secondary analysis based on data from the '17th (2021) Korean Youth Health Behavior Survey'. Complex sample frequency analysis, descriptive statistics, and correlation analysis were conducted using SPSS/WIN 20. Additionally, the mediating effects of sleep for fatigue recovery and the experience of anxiety dis-orders were analyzed using SPSS AMOS 20.
 Results In this study, the mediating effects of fatigue recovery through sleep and the experience of anxiety dis-orders were analyzed in the context of stress perception and changes in depression levels. It was found that stress perception significantly influenced fatigue recovery through sleep (β=-.27, p=.003), experiences of anxiety dis-orders (β=.38, p=.006), and changes in depression (β=.09, p=.023). Similarly, when examining the effects of the experience of loneliness, significant influences were observed on fatigue recovery through sleep (β=-.13, p=.028), experiences of anxiety disorders (β=.36, p=.018), and changes in depression (β=.24, p=.008). Furthermore, fatigue recovery through sleep significantly impacted changes in depression (β=-.05, p=.009), as did experiences of anxiety disorders (β=.21, p=.011). Additionally, both fatigue recovery through sleep and experi-ences of anxiety disorders exerted indirect effects in the relationships between stress perception and changes in depression (β=.10, p=.002), as well as between experiences of loneliness and changes in depression (β=.08, p=.001), suggesting partial mediation.
 Conclusions Considering the impact of the COVID-19 pandemic on adolescents' depression and mental health, the development and implementation of programs aimed at enhancing sleep quality and alleviating anxiety are essential. These programs should incorporate strategies for reducing stress and promoting social interactions among adolescents.

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