REVIEW PAPER
Psychological strength as a mediator of the relationship between physical activity and depressive symptoms in young people: a literature review
 
More details
Hide details
1
Faculty of Medicine, University of Opole, Opole, Poland
 
 
Submission date: 2026-03-19
 
 
Final revision date: 2026-04-25
 
 
Acceptance date: 2026-04-28
 
 
Online publication date: 2026-05-07
 
 
Corresponding author
Nikodem Michalski   

Faculty of Medicine, University of Opole, Plac Kopernika 11a, 45-040 Opole, Poland
 
 
 
KEYWORDS
TOPICS
ABSTRACT
The aim of this study was to review literature and synthesize data published between 2023 and 2026 on the relationship between physical activity, psychological strength, and depressive symptoms in young people, with particular emphasis on the mediating role of psychological strength. A literature search was conducted in the Scopus, Web of Science, PubMed, PsycINFO, SPORTDiscus, ScienceDirect, and SpringerLink databases. The analysis included empirical cross-sectional, longitudinal, and interventional studies, as well as systematic reviews and meta-analyses examining the relationship between physical activity, constructs related to psychological strength, including resilience, and depressive symptoms. The results indicate a consistent inverse relationship between physical activity levels and the severity of depressive symptoms in young people. Longitudinal studies suggest a possible directional relationship, while interventional studies indicate a small to moderate antidepressant effect of physical exercise. Mediation analyses show that resilience may partially mediate the relationship between physical activity and mental health outcomes, accounting for a significant portion of the total effect in this age group. These results suggest that resilience is an important and potentially modifiable protective factor against depressive symptoms in young people and may be one of the important mechanisms through which physical activity supports mental health and prevention of depression.
REFERENCES (37)
1.
McGorry PD, Mei C, Dalal N, Alvarez-Jimenez M, Blakemore SJ, Browne V, et al. The Lancet Psychiatry Commission on youth mental health. Lancet Psychiatry. 2024; 11(9): 731-774. https://doi.org/10.1016/S2215-....
 
2.
OECD. Promoting good mental health in children and young adults: Best practices in public health. Paris: OECD Publishing; 2025. https://doi.org/10.1787/ebb8aa....
 
3.
Lu B, Lin L, Su X. Global burden of depression or depressive symptoms in children and adolescents: a systematic review and meta-analysis. J Affect Disord. 2024; 354: 553-562. https://doi.org/10.1016/j.jad.....
 
4.
Biddle SJH, Ciaccioni S, Thomas G, Vergeer I. Physical activity and mental health in children and adolescents: an updated review of reviews and an analysis of causality. Psychology of Sport and Exercise. 2019; 42: 146-155. https://doi.org/10.1016/j.psyc....
 
5.
Kandola A, Stubbs B. Exercise and Anxiety. In: Xiao J, editor. Physical exercise for human health. Advances in Experimental Medicine and Biology, vol. 1228. Singapore: Springer; 2020. p. 345-352. https://doi.org/10.1007/978-98....
 
6.
Pascoe M, Bailey AP, Craike M, Carter T, Patten R, Stepto N, et al. Physical activity and exercise in youth mental health promotion: a scoping review. BMJ Open Sport & Exercise Medicine. 2020; 6: e000677. https://doi.org/10.1136/bmjsem....
 
7.
Singh B, Bennett H, Miatke A, Dumuid D, Curtis R, Ferguson T, et al. Systematic um-brella review and meta-meta-analysis: effectiveness of physical activity in improving de-pression and anxiety in children and adolescents. J Am Acad Child Adolesc Psychiatry. 2026; 65(2): 171-186. https://doi.org/10.1016/j.jaac....
 
8.
Hou J, Deng Q, Sha L, Zhu J, Xiang R, Zhao X, et al. Physical activity and risk of de-pression in adolescents: A systematic review and meta-analysis of prospective observa-tional studies. J Affect Disord. 2025; 371: 279-288. https://doi.org/10.1016/j.jad.....
 
9.
White RL, Vella SA, Biddle SJH, Sutcliffe J, Guagliano JM, Uddin R, et al. Physical activity and mental health: a systematic review and best-evidence synthesis of mediation and moderation studies. Int J Behav Nutr Phys Act. 2024; 21: 134. https://doi.org/10.1186/s12966....
 
10.
Liu C, Liang X, Yang Y, Liu R, Arbour-Nicitopoulos K, Sit CH. Mechanisms linking physical activity with mental health in children and adolescents with neurodevelopmen-tal disorders: a systematic review. Am J Prev Med. 2024; 67(4): 592-605. https://doi.org/10.1016/j.amep....
 
11.
Li W, Liu Y, Deng J, Wang T. Influence of aerobic exercise on depression in young people: a meta-analysis. BMC Psychiatry. 2024; 24: 571. https://doi.org/10.1186/s12888....
 
12.
Cui Z, Li Z, Wang T, Li K, Zheng H, Yang C. The mediating effect of resilience and self-efficacy between physical activity and wellbeing: a meta-analytic structural equation modeling. Front Psychol. 2025; 16: 1621100. https://doi.org/10.3389/fpsyg.....
 
13.
Lin H, Zhu Y, Liu Q, Li S. The mediating effect of resilience between physical activity and mental health: a meta-analytic structural equation modeling approach. Front Public Health. 2024; 12: 1434624. https://doi.org/10.3389/fpubh.....
 
14.
Wu J, Shao Y, Zang W, Hu J. Is physical exercise associated with reduced adolescent social anxiety mediated by psychological resilience?: evidence from a longitudinal multi-wave study in China. Child Adolesc Psychiatry Ment Health. 2025; 19: 17. https://doi.org/10.1186/s13034....
 
15.
Yu X, Wu M, Wang J, Yang Y, Qiu Q, Yuan Y, et al. The relationship between physical activity and social adjustment in adolescents: the longitudinal mediating role of emotion-al resilience. BMC Public Health. 2026; 26: 734. https://doi.org/10.1186/s12889....
 
16.
World Health Organization. Physical activity [Internet]. Geneva: WHO; 2024 Jun 26 [access 2026 Feb 27]. Available from: https://www.who.int/news-room/....
 
17.
Recchia F, Bernal JDK, Fong DY, Wong SHS, Chung PK, Chan DKC, et al. Physical activity interventions to alleviate depressive symptoms in children and adolescents: a systematic review and meta-analysis. JAMA Pediatr. 2023; 177(2): 132-140. https://doi.org/10.1001/jamape....
 
18.
Li J, Zhou X, Huang Z, Shao T. Effect of exercise intervention on depression in chil-dren and adolescents: a systematic review and network meta-analysis. BMC Public Health. 2023; 23: 1918. https://doi.org/10.1186/s12889....
 
19.
Jiang W, Sun L, He Y, Liu W, Hua Y, Zheng X, et al. Association between physical ac-tivity and depressive symptoms in adolescents: a prospective cohort study. Psychiatry Res. 2023; 329: 115544. https://doi.org/10.1016/j.psyc....
 
20.
Kawai T, Yamagata Z. Association between physical activity duration and depressive symptoms in adolescents: a longitudinal study in a rural city in Japan. PLoS One. 2024; 19(5): e0304783. https://doi.org/10.1371/journa....
 
21.
Marquez J, Francis-Hew L, Humphrey N. Protective factors for resilience in adoles-cence: analysis of a longitudinal dataset using the residuals approach. Child Adolesc Psychiatry Ment Health. 2023; 17: 140. https://doi.org/10.1186/s13034....
 
22.
Ahmed KR, Horwood S, Kolbe-Alexander T, Khan A. Effects of a school-based physi-cal activity intervention on adolescents’ mental health: a cluster randomized controlled trial. J Phys Act Health. 2023; 20(12): 1102-1108. https://doi.org/10.1123/jpah.2....
 
23.
Bengtsson D, Svensson J, Wiman V, Stenling A, Lundkvist E, Ivarsson A. Health-related outcomes of youth sport participation: a systematic review and meta-analysis. Int J Behav Nutr Phys Act. 2025; 22: 89. https://doi.org/10.1186/s12966....
 
24.
Wei D, Xue J, Sun B. Team vs. individual sports in adolescence: gendered mechanisms linking emotion regulation, social support, and self-efficacy to psychological resilience. Front Psychol. 2025; 16: 1636707. https://doi.org/10.3389/fpsyg.....
 
25.
Ooms L, van Stam W, Sevdalis V, Overbye M, Algurén B, Heck S, et al. How do sports participation and sports settings influence the mental health of children and adolescents? A systematic review of qualitative studies. BMC Public Health. 2025; 26: 272. https://doi.org/10.1186/s12889....
 
26.
Rodriguez-Ayllon M, Neumann A, Hofman A, Voortman T, Lubans DR, Yang-Huang J, et al. Neurobiological, psychosocial, and behavioral mechanisms mediating associations between physical activity and psychiatric symptoms in youth in the Netherlands. JAMA Psychiatry. 2023; 80(5): 451-458. https://doi.org/10.1001/jamaps....
 
27.
Wang D, Chen W, Liao Y, Tang J. The mediating role of CRP in the relationship be-tween physical activity and depression: a nonlinear analysis. J Affect Disord. 2025; 390: 119827. https://doi.org/10.1016/j.jad.....
 
28.
Guo X, Le Y. The triangular relationship of physical activity, depression, and inflamma-tory markers: a large cross-sectional analysis with NHANES data. J Affect Disord. 2024; 367: 589-597. https://doi.org/10.1016/j.jad.....
 
29.
Jemni M, Zaman R, Carrick FR, Clarke ND, Marina M, Bottoms L, et al. Exercise im-proves depression through positive modulation of brain-derived neurotrophic factor (BDNF). A review based on 100 manuscripts over 20 years. Front Physiol. 2023; 14: 1102526. https://doi.org/10.3389/fphys.....
 
30.
Leahy AA, Diallo TMO, Eather N, Duncan MJ, Smith JJ, Morgan PJ, et al. Mediating effects of sleep on mental health in older adolescents: findings from the Burn 2 Learn randomized controlled trial. Scand J Med Sci Sports. 2023; 33(11): 2369-2380. https://doi.org/10.1111/sms.14....
 
31.
Zhang M, Jiang J, Peng W, Yang R, Liu Q, Li S, et al. A cross-sectional study of the as-sociation between physical activity and depressive symptoms among adolescents in southwest China stratified by parental absence: the mediating role of insomnia and the moderating role of resilience. BMJ Open. 2024; 14(9): e079531. https://doi.org/10.1136/bmjope....
 
32.
Hu S, Li X, Yang L. Effects of physical activity in child and adolescent depression and anxiety: role of inflammatory cytokines and stress-related peptide hormones. Front Neu-rosci. 2023; 17: 1234409. https://doi.org/10.3389/fnins.....
 
33.
Hermans EJ, Hendler T, Kalisch R. Building resilience: the stress response as a driving force for neuroplasticity and adaptation. Biol Psychiatry. 2025; 97(4): 330-338. https://doi.org/10.1016/j.biop....
 
34.
Cefis M, Chaney R, Wirtz J, Méloux A, Quirié A, Leger C, et al. Molecular mechanisms underlying physical exercise-induced brain BDNF overproduction. Front Mol Neurosci. 2023; 16: 1275924. https://doi.org/10.3389/fnmol.....
 
35.
Mao F, Huang F, Zhao S, Fang Q. Effects of cognitively engaging physical activity in-terventions on executive function in children and adolescents: a systematic review and meta-analysis. Front Psychol. 2024; 15: 1454447. https://doi.org/10.3389/fpsyg.....
 
36.
Lundgren O, Tigerstrand H, Lebena A, Löf M, Ludvigsson J. Impact of physical activi-ty on the incidence of psychiatric conditions during childhood: a longitudinal Swedish birth cohort study. Br J Sports Med. 2025; 59(14): 1001-1009. https://doi.org/10.1136/bjspor....
 
37.
UNESCO. Strategy on education for health and well-being. Paris: UNESCO; 2022. https://doi.org/10.54675/MSST2....
 
eISSN:2354-0265
ISSN:2353-6942
Journals System - logo
Scroll to top