Agora: Red Deer Polytechnic Undergraduate Journal Volume 16:1 2025 Agora Conference Proceedings Move Your Mood: A Wholistic EvidenceBased Approach to Enhancing Physical and Mental Well-Being in Adolescence Jocelyn Wynnychuk Adolescence can be a very stressful period for many, as it is characterized by a multitude of physiological, social, and environmental changes (Binning et al., 2021; Bluth et al., 2016; Bluth & Eisenlohr-Moul, 2016; Ramseyer Winter et al., 2019). These changes may make adolescents vulnerable to developing mental health difficulties which can persist through adulthood (World Health Organization [WHO], 2021). With this in mind, adolescence is a pivotal period for developing healthy habits to defend against these issues (WHO, 2021). Move Your Mood is a program developed by Alberta Health Services (AHS) with the aim of encouraging individuals to engage in healthy lifestyle practices to improve well-being (Move Your Mood, 2011). Move Your Mood enhances well-being through four main pillars that touch on multiple aspects of an individual’s life; Practice Mindfulness, Move Your Body, Fuel Your Body, and Expand Your Mind. 268 During a typical Move Your Mood session, each of these pillars are addressed. For example, a program may begin with a brief mindfulness practice, followed by a movement activity to touch on the Move Your Body Pillar. This is usually followed by eating a healthy meal together to touch on the Fuel Your Body Pillar, and finishing with an activity that builds positive coping strategies to touch on the expand your mind pillar. Typically, programs are run for eight weeks during which each of the pillars are addressed in multiple ways. The value of Move Your Mood was supported by a research study conducted by Oddie and colleagues (2014) which found that 8 weeks of PA in Move Your Mood resulted in significantly reduced depressive symptoms, improved mood, improved coping ability, and increased motivation to exercise. In 2024, a studio solely devoted to Move Your Mood was opened, providing a space for sessions to be run in, and allowing children and adolescents accessing mental health services in the area to use the space. Move Your Mood serves many groups including children and youth, new mothers, and older adults (Move Your Mood, 2011). Each of the pillars and the accompanying activities to address them are built upon a body of supporting research evidence illustrating how they can enhance well-being in each of these groups. The current review focuses on how each of the pillar’s benefit adolescents, as this is one of Move Your 269 Mood’s most served populations. The program was initially developed based on evidence that supports the benefits of each of the pillars, however research is always evolving. As such, the current review focuses mainly on research that was published within the last 10 years (2015 and later) in order to reflect the current body of literature. Practice Mindfulness Mindfulness is often referred to as enhanced attention to current experiences, especially with an open sense of acceptance (Brown & Ryan, 2003). A strong relationship between mindfulness and well-being for adolescents has been reported in the literature. Multiple studies have shown a reduction in depression and anxiety symptoms among youth following a mindfulness program (Bluth et al., 2016a, 2016b). Being present in the moment and noticing internal physical sensations interrupts rumination and protects against negative thought cycles (Bluth & Eisenlohr-Moul, 2017; Galla, 2016). Practicing mindfulness can also decrease adolescents’ perceived stress and improve their ability to manage that stress (Bluth & EisenlohrMoul, 2017; Bluth et al., 2016b; Galla, 2016). Numerous studies have also shown that practicing mindfulness can build adolescent resiliency (e.g., Bluth & Eisenlohr-Moul, 2017). In addition, mindfulness has been associated with increased life 270 satisfaction and increased positive affect (Bluth et al., 2016b; Galla, 2016). Many programs aimed for increasing mindfulness have been created and are often originally aimed toward adults and later adapted to be more suitable for adolescent audiences (Bluth et al., 2016b; Bluth & Eisenlohr-Moul, 2017). However, research points to the importance of tailoring mindfulness programs to a more specific and tighter age range, as mindfulness programs delivered to younger adolescents have had mixed results, and mindfulness is often found to be more beneficial for older adolescents (Bluth & Eisenlohr-Moul, 2017; Johnson et al., 2017). Many researchers make suggestions for how to best suit mindfulness interventions to an adolescent group (Bluth et al., 2016a, 2016b; Coholic et al., 2023). Recommendations often highlight the importance of ensuring that adolescents feel safe (Bluth et al., 2016a), that the activities are designed to be fun (Coholic et al., 2023), and that techniques to incorporate mindfulness into daily routine are taught (Bluth et al., 2016b). Move Your Body Move Your Mood encourages daily physical activity (PA) and provides youth with multiple different fun and engaging ways to do so, providing youth with additional ways 271 to get active that they may otherwise not be exposed to through traditional physical education or organized sport. Multiple options for PA are important as they allow more opportunities for youth with varying interests and degrees of motivation to find activities that they enjoy. This is important as individuals are more likely to continue an exercise program if they find it enjoyable, and developing these habits during adolescence may lead to lifelong involvement in PA (Teixiera et al., 2022). The Canadian Society for Exercise Physiology (CSEP, 2023) recommends that children and youth aged 5 to 17 years old engage in at least 60 minutes of moderate- to vigorousphysical activity (MVPA) per day. Additionally, recommendations for several hours of light physical activity per day and limiting screen time are made. Evidence has suggested that overall, Canadian youth are failing to meet these guidelines, as only 39% were achieving the recommended amount of MVPA per day and only 4% of youth were meeting all of the movement guidelines laid out by the CSEP (ParticipACTION, 2024). Additionally, PA has been shown to decrease throughout adolescence, highlighting the importance of programs, such as Move Your Mood, which seek to increase PA among youth (Doré et al., 2019). Youth who engage in PA have been shown to fare better in terms of overall mental health (Doré et al., 2019). Specifically, 272 adolescents with higher levels of PA experience higher life satisfaction and higher self-esteem (Brown et al., 2021). Brown and colleagues (2021) showed that adolescents with a combination of higher MVPA and low sedentary time evidenced the highest well-being, with higher self-esteem, more resiliency, and more flourishing. The Move Your Mood studio is equipped with a number of different devices that pair gaming with exercise, referred to as exergames, which can provide youth with a new and fun way to increase their PA. Exergaming has been shown to be as effective as more traditional forms of PA and may also be a useful tool in motivating youth to get active (Finco et al., 2015). Fuel Your Body Move Your Mood encourages youth to develop and practice healthy food practices. This includes eating a variety of nutritious foods, preparing food at home rather than eating prepackaged meals, and enjoying food with others. As mentioned, the Move Your Mood studio is equipped with a kitchen to support this pillar, and sessions usually end with adolescents making and eating a nutritious snack together. The Canadian Government (2020) makes recommendations for food and nutrition which involves the suggestion of making half of each meal consist of fruits and vegetables, a quarter consist of whole 273 grains, and the last quarter consist of a source of protein. Programs which support positive food habits during adolescence are crucial as youth often gain more control over their food choices at this stage, and a nutritious diet is important in supporting the physical changes associated with this developmental period and promoting better health outcomes later in life (Jonsson et al., 2024). Evidence has shown that adolescents are not currently meeting the recommendations laid out by Canada’s food guide, and that eating habits tend to become poorer as adolescence progresses, further supporting the importance of Move Your Mood and the Fuel Your Body pillar (Hack et al., 2021). Both the types of food being eaten and the habits surrounding eating can play a large role in adolescent wellbeing. Maintaining a well-balanced diet, including a high consumption of fruits and vegetables has been associated with more positive self-concept, higher self-esteem, and better overall mental health for adolescents (Huang et al., 2019; Muros et al., 2017). In addition to the actual foods being eaten being important for well-being, the habits surrounding eating are important as well. Regularly eating breakfast and meals with family has consistently been shown to be beneficial for adolescent well-being (Geraets & Heinz, 2023; Jonsson et al., 2024; Ramseyer Winter et al., 2019). Engaging in these habits 274 has been associated with higher life satisfaction, more positive body image, decreased stress, fewer depressive symptoms, and more regular engagement in health promoting behaviors like regular PA and tooth brushing (Geraets & Heinz, 2023; Hong & Peltzer, 2017; Jonsson et al., 2024; Ramseyer Winter et al., 2019). Expand Your Mind In a typical Move Your Mood session, while the adolescents are eating together, they will do an activity that touches on the Expand Your Mind pillar. The Expand Your Mind pillar centers around simple, positive coping strategies that enhance an individual’s mental health (Move Your Mood, 2011). This pillar encompasses a wide variety of activities and practices which can be done both at home and within a Move Your Mood session. Four common and general ways that the Expand Your Mind pillar can be practiced are creativity, gratitude, affirmations, and kindness. Doing activities that engage an individual’s creativity, and performing acts of kindness are two simple ways to practice the Expand Your Mind pillar. Activities that engage an adolescent’s creativity, including drawing (Malboeuf-Hurtubise et al., 2021), writing poetry (Delamerced et al., 2021), and practicing improvisational theater (Felsman et al., 2019) have 275 been shown to increase adolescent well-being. Activities like these can be positive outlets to help adolescents through difficult times, which is promising as there are many simple and inexpensive ways to promote creativity. For example, Delamerced and colleagues (2021) found a short poetry practice to be effective in reducing fear, anger, and sadness among pediatric cancer patients. Similarly, a short-from of art therapy was found to be beneficial for students re-entering school amidst the COVID-19 pandemic (Malboeuf-Hurtubise et al., 2021). These examples demonstrate that even during challenging periods, expanding your mind through creative practices can be beneficial for maintaining well-being. Performing acts of kindness is another way that adolescents can expand their minds. Performing acts of kindness for others has been found to significantly increase adolescent’s positive affect, decrease their negative affect, and decrease their perceived stress (Tashijian et al., 2021). Another way in which the Expand Your Mind pillar is often practiced within Move Your Mood is through positive affirmations. Affirmations involve positive messages that an individual can say to themselves to build a strong mindset (Move Your Mood, 2011). Brief interventions in which adolescents practice positive affirmations have been shown to have academic benefits, with students who participate maintaining a 276 higher grade point average and enrolling in more challenging courses compared to their control group peers (Binning et al., 2021; Goyer et al., 2017). Additionally, students who engage in an affirmation intervention have been shown to have reduced incidences of behavioral misconduct at school (Binning et al., 2019). Evidence also suggests that self-affirmation may be an effective means of increasing adolescents’ physical activity by decreasing their anxiety and building their confidence that they would be able to effectively practice physical activity (Good et al., 2013). Lastly, practicing gratitude is a way that adolescents can expand their mind. Regularly practicing gratitude has been associated with improved perceived emotional well-being and self-worth, higher life satisfaction, and reduced negative affect (Bono et al., 2019; Shourie & Kaur, 2016). Practicing gratitude through concrete activities, such as writing letters to important people in their lives to express their gratitude have been shown to be effective ways to gain these benefits (Bono et al., 2020). Discussion Move Your Mood is an evidence-based program which supports individuals through the challenging period of adolescence through pillars of wellness. Each of the pillars is built on and continues to be backed by large bodies of research 277 supporting their efficacy. Because each of the pillars touches on different aspects of an adolescent’s life, they can provide a wellrounded sense of well-being to adolescents who practice them. Furthermore, learning about and practicing these healthy habits with others offers a social aspect to the program which is beneficial as well. A major strength of the Move Your Mood program is the fact that it is wholistic in nature. The pillars revolve around different aspects of an individual’s life, and therefore can provide opportunities to enhance well-being in several ways. The practice of each pillar improves overall well-being and can be used individually at different times in the adolescent’s daily life. For example, PA is an important stress release, but cannot always be done in the moment, therefore youth may choose to practice mindfulness in the moment and participate in PA later in the day. Although each pillar is distinct and has standalone benefits, the ways that each pillar can be practiced may often overlap. For example, while eating a nutritious snack at the end of a program, the group may engage in a mindful eating practice. Mindful eating simply involves approaching eating with a nonjudgmental awareness of sensations, both physical and emotional (Framson et al., 2009). There are also clear links between the Expand Your Mind pillar and the Practice Mindfulness pillar. Namely, practicing gratitude aligns closely 278 with both. Many mindfulness programs may include gratitude practices and have in fact been shown to increase gratitude (Bluth & Eisenlohr-Moul, 2017). Additionally, the Practice Mindfulness pillar and the Move Your Body pillar can relate to one another through yoga. Yoga involves PA and can contribute to muscle and joint strength and balance (Karisetty & Tiwari, 2019). It can also improve mindfulness, for example through practices involving drawing attention to the breath (Karisetty & Tiwari, 2019). Another clear link exists between the Move Your Body and the Fuel Your Body pillars. Maintaining healthy eating habits with a balanced diet supports PA. Studies have demonstrated that adolescents who have healthier eating habits, including regularly eating breakfast engage in more PA (Gereats & Heinz, 2022; Muros et al., 2017). Although it is not a distinct pillar, a major strength of Move Your Mood is its social element. In the previously discussed study assessing Move Your Mood, focus groups were also conducted to understand participant’s thoughts about the program (Oddie et al., 2014). The most predominant theme emerging from the focus groups was that the participants enjoyed the social element of the program. Participants not only reported that they enjoyed the opportunity to get to know new people, but also that they felt supported by the group and by the Move Your Mood coaches. Social support is an extremely 279 important aspect of an individual’s well-being, and especially for adolescents as social relationships often become more complex during this stage (Orben et al., 2020). It is also important that adolescents receive social support from a variety of sources including family, friends, and classmates (Mendonca & Simoes, 2019). Having adequate social support from multiple sources has been related to increases in perceived quality of life and life satisfaction, lower social anxiety, and lower depression among youth (Bi et al., 2021; Mendonca & Simoes, 2019). Move Your Mood provides an opportunity for adolescents to make new friends, expanding their social network further than simply the friends they can make in school. Additionally, Move Your Mood coaches may also act as an important source of social support for adolescents, especially those who may be lacking other positive adult role models. Research has shown that teachers and classmates are a particularly important source of social support, second only to support from family, but still being perceived as more important than support from friends (Bi et al., 2021). As Move Your Mood involves a coach that may act as a “teacher” and other participants that may act as “classmates” this suggests that the social support received during Move Your Mood is one of the major strengths of the program. 280 Conclusion Adolescence is a crucial time in an individual’s development which involves numerous changes that may give rise to a range of difficulties. Interventions aimed at helping adolescents develop healthy habits for the future and increase well-being are extremely important. The four main pillars of Move Your Mood enhance well-being in a variety of ways and are backed by a large body of evidence to support them. Regular PA, maintaining a nutrient rich and balanced diet, remaining mindful, and practicing positive coping strategies are all important ingredients in maintaining and enhancing well-being in adolescents. Further strengths of the program include its wholistic nature and the opportunity that it provides for enhanced social support. 281 References Bi, S., Stevens, G. W. J. M., Maes, M., Boer, M., Delaruelle, K., Eriksson, C., Brooks, F. M., Tesler, R., Van Der Schuur, W. A. & Finkenauer, C. (2021). Perceived social support from different sources and adolescent life satisfaction across 42 countries/regions: The moderating role of national-level generalized trust. Journal of Youth and Adolescence, 50(7), 1384-1409. https://doi.org/10.1007/s10964-021-01441-z Binning, K.R., Cook, J. E., Greenaway, V. P., Garcia, J., Apfel, N. Sherman, D. K., & Cohen, G. L. (2021). Securing self-integrity over time: Self-affirmation disrupts a negative cycle between psychological threat and academic performance. Journal of Social Issues, 77(3), 801-823. https://doi.org/10.1111/josi.12461 Bluth, K., Campo, R. A., Pruteanu-Malinici, S., Reams, A., Mullarkey, M. & Broderick, P. C. (2016a). A schoolbased mindfulness pilot study for ethnically diverse atrisk adolescents. Mindfulness, 7(1), 90-104. https://doi.org/10.1007/s12671-014-0376-1 Bluth, K. & Eisenlohr-Moul, T. A. (2017). Response to a mindful self-compassion intervention in teens: A within-person association of mindfulness, selfcompassion, and emotional well-being outcomes. 282 Journal of Adolescence, 57(1), 108-118. https://doi.org/10.1016/j.adolescence.2017.04.001 Bluth, K., Gaylord, S. A., Campo, R. A., Mullarkey, M. C. & Hobbs, L. (2016b). Making friends with yourself: A mixed methods pilot study of a mindful selfcompassion program for adolescents. Mindfulness, 7(2), 479-492. https://doi.org/10.1007/s12671-015-0476-6 Bono, G., Froh, J. J., Disabato, D., Blalock, D. McKnight, P. & Bausert, S. (2019). Gratitude’s role in adolescent antisocial and prosocial behavior: A 4-year longitudinal investigation. The Journal of Positive Psychology, 14(2), 230-243. https://doi.org/10.1080/17439760.2017.1402078 Brown, D. M. Y., Cairney, J. & Kwan, M. Y. (2021). Adolescent movement behavior profiles are associated with indicators of mental wellbeing. Mental health and physical activity, 20, 100387. https://doi.org/10.1016/j.mhpa.2021.100387 Brown, K. W. & Ryan, R. M. (2003). The benefits of being present: Mindfulness and its role in psychological wellbeing. Journal of Personality and Social Psychology, 84(4), 822-848. https://doi.org/10.1037/00223514.84.4.822 283 Canadian Society for Exercise Physiology. (2023, October 6). Canadian 24-Hour movement guidelines for the children and youth (5-17 years): An integration of physical activity, sedentary behaviour, and sleep. 24Hour Movement Guidelines – Canadian 24-Hour Movement Guidelines. Retrieved July 17, 2024, from https://csepguidelines.ca/ Coholic, D., Eys, M., Shaw, K. & Rienguette, M. (2023). Exploring the benefits of an arts-based mindfulness group intervention for youth experiencing challenges in schooling. SAGE Open, 13(3). https://doi.org/10.1177/21582440231192111 Delamerced, A., Panicker, C., Monteiro, K. & Chung, E. Y. (2021). Effects of a poetry intervention on emotional wellbeing in hospitalized pediatric patients. Hospital Pediatrics, 11(3), 263-269. https://doi.org/10.1542/hpeds.2020-002535 Doré, I., Sabiston, C. M., Sylvestre, M., Brunet, J., O’Loughlin, J., Nader, P. A., Gallant, F. & Belanger, M. (2019). Years participating in sports during childhood predicts mental health in adolescence: A 5-year longitudinal study. Journal of Adolescent Health, 64(6), 790-796. https://doi.org/10.1016/j.jadohealth.2018.11.024 284 Felsman, P., Seifert, C. M. & Himle, J. A. (2019). The use of improvisational theater training to reduce social anxiety in adolescents. The Arts in Psychotherapy, 63, 111-117. https://doi.org/10.1016/j.aip.2018.12.001 Finco, M. D., Reategui, E., Zaro, M. A., Sheehan, D. D. & Katz, L. (2015). Exergaming as an alternative for students unmotivated to participate in regular physical education classes. International Journal of Game-Based Learning, 5(3), 1-10. https://doi.org/10.4018/IJGBL.2015070101 Galla, B. M. (2016). Within-person changes in mindfulness and self-compassion predict enhanced emotional well-being in healthy, but stressed adolescents. Journal of Adolescence, 49(1), 204-217. https://doi.org/10.1016/j.adolescence.2016.03.016 Geraets, A. F. J. & Heinz, A. (2023). The associations of dietary habits with health, well-being, and behavior in adolescents: A cluster analysis. Child: Care, Health, and Development, 49(3), 497-507. https://doi.org/10.1111/cch.13064 Good, A., Harris, P. R., Jessop, D. & Abraham, C. (2015). Open-mindedness can decrease persuasion amongst adolescents: The role of self-affirmation. British 285 Journal of Health Psychology, 20(2), 228-242. https://doi.org/10.1111/bjhp.12090 Goyer, J. P., Garcia, J., Purdie-Vaughns, V., Binning, K. R., Cook, J. E., Reeves, S. L., Apfel, N., Taborsky-Barbara, S., Sherman, D. K. & Cohen, G. L. (2017). Selfaffirmation facilitates minority middle schoolers’ progress along college trajectories. Proceedings of the National Academy of Sciences, 114(29), 7594-7599. https://doi.org/10.1073/pnas.1617923114 Hack, S., Jessri, M. & L’Abbe, M. (2021). Nutritional quality of food choices of Canadian children. BMC Nutrition, 7(1), 16-26. https://doi.org/10.1186/s40795-021-004226 Hong, S. A. & Peltzer, K. (2017). Dietary behavior, psychological well-being and mental distress among adolescents in Korea. Child and Adolescent Psychiatry and Mental Health, 11(1), 56-69. https://doi.org/10.1186/s13034-017-0194-z Huang, P., O’Keeffe, M., Elia, C., Karamanos, A., Goff, L. M., Maynard, M., Cruickshank, J. K. & Harding, S. (2019). Fruit and vegetable consumption and mental health across adolescence: Evidence from a diverse urban British cohort study. International Journal of 286 Behavioral Nutrition and Physical Activity, 16(1), 1933. https://doi.org/10.1186/s12966-019-0780-y Johnson, C., Burke, C., Brinkman, S. & Wade, T. (2017). A randomized controlled evaluation of a secondary school mindfulness program for early adolescents: Do we have the recipe right yet? Behavior Research and Therapy, 99, 37-46. https://doi.org/10.1016/j.brat.2017.09.001 Jonsson, K. R., Bailey, C. K., Corell, M, Lofstedt, P. & Adjei, N. K. (2024). Associations between dietary behaviors and the mental and physical well-being of Swedish adolescents. Child and Adolescent Psychiatry and Mental Health, 18(1), 43-54. https://doi.org/10.1186/s13034-024-00733-z Karisetty, R. & Tiwari, S. (2019). Effect of yoga on mindfulness in school going adolescents: A comparative study. Yoga Mimamsa, 51(1), 31-33. https://doi.org/10.4103/ym.ym_7_19 Malboeuf-Hurtubise, C., Leger-Goodes, T., Mageau, G. A., Herba, C. M., Chadi, N. & Lefrancois, D. (2021). Online art therapy in elementary schools during COVID-19: Results from a randomized cluster pilot and feasibility study and impact on mental health. Child and Adolescent Psychiatry and Mental Health, 15(1). https://doi.org/10.1186/s13034-021-00367-5 287 Mendonca, C. & Simoes, F. (2019). Disadvantaged youths’ subjective well-being: The role of gender, age, and multiple social support attunement. Child Ind Res, 12(3), 769-789. https://doi.org/10.1007/s12187-0189554-3 Move Your Mood. (2011). About | Move Your Mood. https://www.moveyourmood.ca/about Muros, J. J., Cofre-Bolados, C., Arriscado, D., Zurita, F. & Knox, E. (2017). Mediterranean diet adherence is associated with lifestyle, physical fitness, and mental wellness among 10-y-olds in Chile. Nutrition, 35, 8792. https://doi.org/10.1016/j.nut.2016.11.002 Norris, S. A., Frongillo, E. A., Black, M. M., Dong, Y., Fall., C., Lampl, M., Liese, A. D., Naguib, M., Prentice, A., Rochat, T., Stephensen, C., B., Tinago, C. B., Ward, K. A., Wrottesley, S. V. & Patton, G. C. (2022). Nutrition in adolescent growth development. The Lancet, 399(10320), 172-184. https://doi.org/10.1016/S01406736(21)01590-7 Oddie, S., Fredeen, D., Williamson, B., DeClerck, D., Doe, S. & Moslenko, K. (2014). Can physical activity improve depression, coping & motivation to exercise in children and youth experiencing challenges to mental wellness? 288 Psychology, 5(19), 2147-2158. https://doi.org/10.4236/psych.2014.519217 Orben, A., Tomova, L., Blakemore, S. (2020). The effects of social deprivation on adolescent development and mental health. Lancet Child and Adolescent Health, 4(8), 634-640. https://doi.org/10.1016/j.neubiorev.2024.105820 ParticipACTION. (2024). Rallying for Resilience: Keeping Children and Youth Active in a Changing Climate. https://participactionmobile.cdn.prismic.io/participactio nmobile/ZjUHY0MTzAJOChhS_2024-Children-andYouth-Report-Card-Technical-Report.pdf Ramseyer Winter, V., Jones, A. & O’Neill, E. (2019). Eating breakfast and family meals in adolescence: The role of body image. Social Work in Public Health, 34(3), 230238. https://doi.org/10.1080/19371918.2019.1575314 Shourie, S & Kaur, H. (2016). Gratitude and forgiveness as correlates of well-being among adolescents. Indian Journal of Health and Wellbeing, 7(8), 827-833. Tashijian, S. M., Rahal, D., Karan, M., Eisenberger, N., Galvan, A., Cole, S. W. & Fuligni, A. J. (2021). Evidence from a randomized controlled trial that altruism moderates the effect of prosocial acts on adolescents’ well-being. Journal of Youth and 289 Adolescence, 50(1), 29-43. https://doi.org/10.1007/s10964-020-01362-3 Teixeira, D. S., Rodrigues, F., Cid, L., Monteiro, D. (2022). Enjoyment as a predictor of exercise habit, intention to continue exercising, and exercise frequency: The intensity traits discrepancy, moderation role. Frontiers in Psychology, 13, Article 780059. https://doi.org/10.3389/fpsyg.2022.780059 World Health Organization. (2021, November 17). Mental health of adolescents. https://www.who.int/newsroom/fact-sheets/detail/adolescent-mental-health 290