In a comprehensive endeavor to understand the mental health challenges facing migrant adolescents in China, a cross-sectional questionnaire study published in BMJ Open has shed light on the interplay between acculturation, psychological adjustment, and mental health. The research, conducted by a team from Sun Yat-sen University and Georgetown University, offers pivotal insights into how integration into a new cultural environment can significantly affect the well-being of this vulnerable population.

Acculturation and Mental Health: A Close Connection

The DOI for the study, titled Impact of acculturation and psychological adjustment on mental health among migrant adolescents in Guangzhou, China, is 10.1136/bmjopen-2018-022712. The essence of the study revolved around examining the nuanced associations among acculturation factors such as language proficiency, social interaction, and lifestyle adjustments with the mental health outcomes of internal migrant adolescents.

In a society like China, where rapid urbanization and internal migration have become prevalent, understanding the needs of migrant populations is crucial. Adolescents, in particular, are at a critical stage where mental health can have long-lasting implications.

The study, which took place in six private migrant junior high schools in Guangzhou, highlights the experiences of 1,122 migrant children aged between 11 and 17. By using instruments like the Social Anxiety Scale for Children (SASC) and screening for major depression disorder (MDD), researchers could quantify the mental health status of these students.

Key Findings: Lifestyle Changes and Social Interaction Play Major Roles

Findings of the research revealed that psychological adjustment directly and positively affected both MDD and SASC scores, implying that those who adapted better psychologically exhibited more significant mental health challenges. Interestingly, lifestyle adjustments had a direct negative impact on SASC scores, suggesting that a change in lifestyle could potentially reduce social anxiety among migrant adolescents.

The study discovered that lifestyle changes had the most substantial impact on psychological adjustment, followed closely by social interaction and language proficiency. These components of acculturation represent the tangible and daily elements of integrating into a new society. Whether it’s navigating a new city, forming friendships, or communicating in a local dialect, these experiences are instrumental in shaping a young migrant’s mental health.

The Importance of Targeted Interventions

Given the complex relationship between acculturation and mental health, the study underscores the need for targeted interventions. Programs aimed at enhancing local language proficiency and social interaction opportunities for migrant adolescents could play a critical role in improving psychological adjustment and mental health outcomes.

Gender differences, too, were apparent in the scores, with boys showing somewhat higher averages in both MDD and SASC than girls. This finding prompts a gender-sensitive approach to addressing the mental health needs of migrant youths.

A Call for Inclusive Education and Policy Reform

The study has significant implications for educational institutions and policymakers. Migrant children often attend private schools that differ in resources and curriculum from public schools. An inclusive approach to education, offering equal opportunities and support services, can enhance not only academic outcomes but also mental health.

Institutional support, alongside family involvement, is paramount. As previous research suggests, the role of the family in the psychological well-being of adolescents cannot be overstated. Families navigating the challenges of migration together, who maintain a functional household dynamic, are better equipped to support their children through the arduous process of acculturation.

Challenges and Recommendations for Future Research

While this study sheds light on critical aspects of migrant mental health, the authors acknowledge the challenges of cross-sectional research and the need for longitudinal studies to track changes over time. Moreover, considering the specificity of the results to Guangzhou’s context, replication studies in other regions could provide more generalizable results.


The findings underscore a complex multiplicity of factors influencing the mental health of migrant adolescents. With the global urban migration trend showing no signs of slowing down, studies like this are invaluable. They not only broaden understanding but also pave the way for evidence-based interventions and policies that prioritize the mental health of some of society’s most vulnerable members.


1. Shi, L., et al. (2019). “Impact of acculturation and psychological adjustment on mental health among migrant adolescents in Guangzhou, China: a cross-sectional questionnaire study.” BMJ Open 9.5: e022712.
2. Lin, Y., et al. (2016). “Association between social integration and health among internal migrants in ZhongShan, China.” PLoS One 11: e0148397.
3. Peng, B.L., et al. (2018). “Association between health service utilisation of internal migrant children and parents’ acculturation in Guangdong, China: a cross-sectional study.” BMJ Open 8: e018844.
4. Chen, Y., & Feng, S. (2013). “Access to public schools and the education of migrant children in China.” China Economic Review 26: 75-88.
5. Zhou, H., et al. (2005). “Survey on the development and needs of migrant children in nine cities of China.” Youth Studies 2: 1-7.


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