Psychological Mattering and Well-being in Adolescents: A Systematic Review
Abstract
This systematic review aimed to explore how psychological mattering (i.e., feeling valued and adding value in social contexts) and mental health outcomes are assessed in adolescent populations and summarize the overall trends in their relationship. Using the PICOS framework, eligibility criteria included: participants aged 10 to 19 years, a quantitative assessment of mattering or antimattering, and outcomes related to any mental health indicators (e.g., depression, anxiety, self-esteem), cross-sectional and longitudinal study designs, and published between 1980 and 2024. Studies were excluded if conducted across multiple social contexts. PubMed, APA PsychINFO, Web of Science, and CINAHL databases were used to identify studies. Additionally, any studies identified from the initial search were reviewed for relevant references. Unpublished, or ‘grey’ literature was not considered. Study quality and risk of bias were assessed using tools from the National Institutes of Health and the Joanna Briggs Institute. The literature search identified 19 articles that quantitatively assessed psychological mattering and mental health in adolescents aged 10 to 19 years. Findings from these studies showed consistent positive associations between mattering and reduced stress and anxiety, along with increased wellness. However, the review also highlighted methodological limitations such as modified instruments without rationale, and an over reliance on small convenience samples, indicating a need for higher-quality research in this area. This synthesis underscores the importance of a specific research focus on psychological mattering and mental health in adolescents to better inform evidence-based decisions and interventions for this population. Study Registration: CRD42023405065. The review found varying tools for assessing mattering, with GMS and MTOQ most used, though some lacked clear validation. Depression was the most assessed outcome, followed by self-esteem. Stress, anxiety, wellness, and suicide ideation were less studied. Studies linked increased mattering to improved self-esteem and wellness and lower depression, anxiety, and stress.