Self-esteem as a psychosocial pathway between reading ability and psychological distress in Chinese early adolescents
Background: Reading ability is associated with adolescents’ self-esteem, and self-esteem is, in turn, closely related to mental health outcomes. However, the psychological mechanisms linking these three constructs remain unclear.
Objective: This cross-sectional study aimed to explore the relationship between reading ability and general psychological distress among Chinese early adolescents and examine the mediating role of self-esteem, while controlling for literacy achievement.
Methods: A total of 373 seventh-grade students were recruited. Reading ability was assessed via a battery of tests. General psychological distress and self-esteem were measured using the Chinese version of the General Health Questionnaire (GHQ-12) and the Rosenberg Self-Esteem Scale, respectively. Data were analyzed with correlation analysis, mediation analysis, and latent profile analysis (LPA).
Results: Reading ability was positively correlated with self-esteem (r = 0.18), while self-esteem was significantly correlated with psychological distress (r = −0.60). The indirect association between reading ability and psychological distress through self-esteem was significant (indirect effect = −0.09, 95% confidence interval [−0.16, −0.02]), whereas the direct association was not significant. LPA identified poor readers (14.7%) and typical readers (85.3%); typical readers reported higher self-esteem (Cohen’s d = 0.29) and marginally better mental health (Cohen’s d = 0.26).
Conclusion: These findings suggest that self-esteem may represent an important psychosocial factor linking reading ability with general psychological distress among early adolescents. The results highlight the potential value of school-based support that attends to both reading-related difficulties and students’ self-evaluations. Given the cross-sectional design, the findings should be interpreted as associations rather than evidence of causal relationships.
- Wenren S, Ding W, Wang Z, Xia Y, Xie R, Li W. Reciprocal effects between reading comprehension and emotional cognitive ability. Learn Individ Differ. 2024;109:102398. doi: 10.1016/j.lindif.2023.102398
- Sun YJ, Sahakian BJ, Langley C, et al. Early-initiated childhood reading for pleasure: associations with better cognitive performance, mental well-being and brain structure in young adolescence. Psychol Med. 2024;54(2):359-373. doi: 10.1017/S0033291723001381
- Chall JS. Reading development in adults. Ann Dyslexia. 1987;37(1):240-251. doi: 10.1007/BF02648070
- Naylor EV, Antonuccio DO, Litt M, et al. Bibliotherapy as a treatment for depression in primary care. J Clin Psychol Med Settings. 2010;17(3):258-271. doi: 10.1007/s10880-010-9207-2
- Wenren S, Ding W, Xie R, Wang Z, Wu X, Wu X. An investigation of the bidirectional relationship between reading comprehension and internalizing and externalizing problems. J Appl Dev Psychol. 2025;96:101729. doi: 10.1016/j.appdev.2024.101729
- Boyes ME, Tebbutt B, Preece KA, Badcock NA. Relationships between reading ability and child mental health: Moderating effects of self-esteem. Aust Psychol. 2018;53(2):125-133. doi: 10.1111/ap.12281
- Donolato E, Cardillo R, Mammarella IC, Melby-Lervåg M. Language and specific learning disorders in children and their co-occurrence with internalizing and externalizing problems: A systematic review and meta-analysis. J Child Psychol Psychiatry. 2022;63(5):507-518. doi: 10.1111/jcpp.13536
- Francis DA, Caruana N, Hudson JL, McArthur GM. The association between poor reading and internalizing problems: A systematic review and meta-analysis. Clin Psychol Rev. 2019;67:45-60. doi: 10.1016/j.cpr.2018.09.002
- Morgan PL, Farkas G, Tufis PA, Sperling RA. Are reading and behavior problems risk factors for each other? J Learn Disabil. 2008;41(5):417-436. doi: 10.1177/0022219408321123
- Russell G, Ryder D, Norwich B, Ford T. Behavioural difficulties that co-occur with specific word reading difficulties: A UK population-based cohort study. Dyslexia. 2015;21(2):123-141. doi: 10.1002/dys.1496
- Yun Y, Zhao W, Li M. Mental health and reading achievement in Chinese elementary students. Int J Sch Educ Psychol. 2025;13(4):283-293. doi: 10.1080/21683603.2025.2558068
- Eisenberg N, Cumberland A, Spinrad TL. Parental socialization of emotion. Psychol Inq. 1998;9(4):241-273. doi: 10.1207/s15327965pli0904_1
- Gao H, Guan Y, Pei W, Gao Y, Mao J, Liao S, Zeng C. Emotion socialization under one roof: how parental response patterns shape adolescent emotional well-being. Behav Sci (Basel). 2025;15(8):999. doi: 10.3390/bs15080999
- Arslan G, Yıldırım M, Zangeneh M, Ak İ. Benefits of positive psychology-based story reading on adolescent mental health and well-being. Child Indic Res. 2022;15(3):781-793. doi: 10.1007/s12187-021-09891-4
- Orth U, Robins RW, Meier LL, Conger RD. Refining the vulnerability model of low self-esteem and depression: Disentangling the effects of genuine self-esteem and narcissism. J Pers Soc Psychol. 2016;110(1):133-149. doi: 10.1037/pspp0000038
- Yu X, Zhou Z, Fan G, Yu Y, Peng J. Collective and individual self-esteem mediate the effect of self-construal on subjective well-being of undergraduate students in China. Appl Res Qual Life. 2016;11(1):209-219. doi: 10.1007/s11482-014-9362-y
- Zhou Y, Han Q, Fan F. Latent growth curves and predictors of depressive symptoms among Chinese adolescent earthquake survivors. Pers Individ Dif. 2016;100:173-178. doi: 10.1016/j.paid.2016.02.009
- McArthur GM, Filardi N, Francis DA, Boyes ME, Badcock NA. Self-concept in poor readers: A systematic review and meta-analysis. PeerJ. 2020;8:e8772. doi: 10.7717/peerj.8772
- Zuppardo L, Serrano F, Pirrone C, Rodriguez-Fuentes A. More than words: Anxiety, self-esteem, and behavioral problems in children and adolescents with dyslexia. Learn Disabil Q. 2023;46(2):77-91. doi: 10.1177/07319487211041103
- Rosenberg M. Society and the Adolescent Self-Image. Princeton, NJ: Princeton University Press; 1965.
- Chen D, Zhang Q, Yu S, Chong ZY, Xu W. Longitudinal relations between adolescent self-esteem and mental health concerns: the mediation of self-control and moderation of parental autonomy support. J Adolesc. 2025;97(3):840-849. doi: 10.1002/jad.12458
- Mann M, Hosman CMH, Schaalma HP, de Vries NK. Self-esteem in a broad-spectrum approach for mental health promotion. Health Educ Res. 2004;19(4):357-372. doi: 10.1093/her/cyg041
- Preston AJ, Rew L. Connectedness, self-esteem, and prosocial behaviors protect adolescent mental health following social isolation: A systematic review. Issues Ment Health Nurs. 2021;43(1):32-41. doi: 10.1080/01612840.2021.1948642
- Crocker J, Wolfe CT. Contingencies of self-worth. Psychol Rev. 2001;108(3):593-623. doi: 10.1037/0033-295X.108.3.593
- Crocker J, Park LE. The costly pursuit of self-esteem. Psychol Bull. 2004;130(3):392-414. doi: 10.1037/0033-2909.130.3.392
- Bakkaloglu S, Pilten G. Examining the relationship between reading motivation and reading comprehension self-efficacy perception. Int J Psychol Educ Stud. 2023;10(1):144-158. doi: 10.52380/ijpes.2023.10.1.909
- Jerome AC, Fujiki M, Brinton B, James SL. Self-esteem in children with specific language impairment. J Speech Lang Hear Res. 2002;45(4):700-714. doi: 10.1044/1092-4388(2002/056)
- Susperreguy MI, Davis-Kean PE, Duckworth K, Chen M. Self-concept predicts academic achievement across levels of the achievement distribution: Domain specificity for math and reading. Child Dev. 2018;89(6):2196-2214. doi: 10.1111/cdev.12924
- Wilmot A, Pizzey H, Leitão S, Hasking P, Boyes M. Growing up with dyslexia: Child and parent perspectives on school struggles, self-esteem, and mental health. Dyslexia. 2022;29(1):40-54. doi: 10.1002/dys.1729
- Terras MM, Thompson LC, Minnis H. Dyslexia and psycho-social functioning: An exploratory study of the role of self-esteem and understanding. Dyslexia. 2009;15(4):304-327. doi: 10.1002/dys.386
- Alexander-Passe N. How dyslexic teenagers cope: An investigation of self-esteem, coping and depression. Dyslexia. 2006;12(4):256-275. doi: 10.1002/dys.318
- Yang JF, Zevin JD, Shu H, McCandliss BD, Li P. A triangle model of Chinese reading. Paper presented at: 28th Annual Meeting of the Cognitive Science Society; July 26-29, 2006; Vancouver, British Columbia, Canada.
- Davies J, Brember I. Self-esteem and national tests in years 2 and 6: A 4-year longitudinal study. Educ Psychol. 1999;19(3):337-345. doi: 10.1080/0144341990190307
- Zheng LR, Atherton OE, Trzesniewski K, Robins RW. Are self-esteem and academic achievement reciprocally related? Findings from a longitudinal study of Mexican-origin youth. J Pers. 2020;88(6):1058-1074. doi: 10.1111/jopy.12550
- Miller D, Topping K, Thurston A. Peer tutoring in reading: The effects of role and organization on two dimensions of self-esteem. Br J Educ Psychol. 2010;80(3):417-433. doi: 10.1348/000709909X481652
- Goldberg DP. The Detection of Psychiatric Illness by Questionnaire. Oxford, UK: Oxford University Press; 1972.
- Yang TZ, Huang L, Wu ZY. The application of Chinese health questionnaire for mental disorder screening in community settings in mainland China. Zhonghua Liu Xing Bing Xue Za Zhi. 2003;24(9):769-773. [In Chinese]
- Li X, Wu R, Wu MY, Zhu G. Changes and predictors of mental health of Chinese university students after the COVID-19 pandemic: A two-year study. J Affect Disord. 2024;352:1-9. doi: 10.1016/j.jad.2024.02.037
- Liang L, Ren H, Cao R, et al. The effect of COVID-19 on youth mental health. Psychiatr Q. 2020;91(3):841-852. doi: 10.1007/s11126-020-09744-3
- Wen H. Primary Scholar Chinese Reading Ability Scales: Development, Validity, and Reliability. Master's Thesis. Guangzhou, China: South China Normal University; 2005.
- Lei L, Pan J, Liu H, et al. Developmental trajectories of reading development and impairment from ages 3 to 8 years in Chinese children. J Child Psychol Psychiatry. 2011;52(2):212-220. doi: 10.1111/j.1469-7610.2010.02311.x
- Liu M. Tailoring for Children's Reading: Construction and Validation of Chinese Leveled Reading System. Doctoral Dissertation. Beijing, China: Beijing Normal University; 2024.
- Cheung HY. Factors affecting the state anxiety level of higher education students in Macau: The impact of trait anxiety and self-esteem. Assess Eval High Educ. 2006;31(6):709-725. doi: 10.1080/02602930600760934
- Rosenberg M, Pearlin LI. Social class and self-esteem among children and adults. Am J Sociol. 1978;84(1):53-77. Accessed October 8, 2021. http://www.jstor.org/stable/2777978
- Preacher KJ, Hayes AF. SPSS and SAS procedures for estimating indirect effects in simple mediation models. Behav Res Methods Instrum Comput. 2004;36(4):717-731. doi: 10.3758/BF03206553
- Nylund KL, Asparouhov T, Muthén BO. Deciding on the number of classes in latent class analysis and growth mixture modeling: A Monte Carlo simulation study. Struct Equ Modeling. 2007;14(4):535-569. doi: 10.1080/10705510701575396
- Asparouhov T, Muthén B. Auxiliary variables in mixture modeling: Using the BCH method in Mplus to estimate a distal outcome model and an arbitrary secondary model. Mplus Web Notes. No. 21. Version 11. Published May 14, 2014. Accessed October 8, 2021. https://www.statmodel.com/examples/webnotes/webnote21.pdf
- Bakk Z, Vermunt JK. Robustness of stepwise latent class modeling with continuous distal outcomes. Struct Equ Modeling. 2016;23(1):20-31. doi: 10.1080/10705511.2014.955104
- Huang C. Self-concept and academic achievement: a meta-analysis of longitudinal relations. J Sch Psychol. 2011;49:505-528. doi: 10.1016/j.jsp.2011.07.001
