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Previous research has indicated the association of perceived stress with mental health problems. In China,
Confucian collectivism and an exam-centered culture encourage parents to have high educational expectations
that impose great pressure on their children�s learning. However, limited research has focused on
adolescents� perceptions of the negative consequences of academic stress stemming from their parents� educational
expectations. This study addressed this research gap by examining the direct effect of adolescents� perceptions of
academic stress on their depressive symptoms and the indirect effects of both parent-child communication and
interaction. We further explored the pathway differences between overweight and non-overweight adolescents.
By using a sample (n = 6,566) from the first two waves of the China Education Panel Survey, moderated mediation
analysis was performed to simultaneously analyze the mediating roles of parent-children communication and
parent-children interaction and the moderating role of adolescent overweight status. The results showed that
adolescents� perceived academic stress (W1) was positively associated with their depressive symptoms (W2). This
association was partially mediated by both parent-child communication (W1) and parent-child interaction (W1).
Moreover, adolescent overweight status significantly moderated the paths between the adolescents� perceived
academic stress and their depressive symptoms, between their perceived academic stress and parent-child
interaction, and the indirect relationship via parent-child interaction. The study�s findings identify the significant
roles of parent-child communication and parent-children interaction in contemporary China and indicate
overweight adolescents� susceptibility to stress.
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