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This study aims to test the mediating effect of psychological distress and bullying victimization on the relationship between alexithymia and fibromyalgia (FM) among school adolescents.

This study used cross-sectional, correlational design. Data was collected using self-administered questionnaire. The sample consisted of 1,000 school adolescents at Grade 9–12 who were recruited randomly using multistrategic sampling technique.

The analysis showed that alexithymia was a significant predictor of FM (odds ratio [OR] = 1.065). Psychological distress was also a significant predictor of FM; however, its mediating effect resulted in drop of OR to 1.041. The joined effect of bulling victimization and psychological distress found to be significant although OR dropped from 1.065 to 1.039.

The study highlights the significant role of school health nurses and mental health counselors to early detect and direct mental health interventions toward significant psychological problems among school adolescents.

I affirm this information has not been published or submitted for publication elsewhere. All authors approve the content of the manuscript and have contributed significantly to research involved/ the writing of the manuscript. The authors affirm their commitment to transfer copyright ownership to your journal if the manuscript is accepted for publication. The authors also affirm they will obtain any other copyright permission if deemed necessary within 30 days of acceptance for publication. All identifying information regarding the study participants has been omitted and this study was approved by the IRB at School of Nursing of the University of Jordan. The research conforms to the provisions of the Declaration of Helsinki in 1995 (as revised in Brazil, 2013). All participants gave informed consent for the research, and that their anonymity was preserved. None of the authors has financial or personal matters that may pose a conflict of interest.

Adolescence is a developmental stage of transition that is marked by multiple biopsychosocial changes that affect their well- and ill-being. This study aims to examine the multidimensional of well- and ill-being among adolescents, and to understand the relationship between well-being and depression using the PERMA model among school-age adolescents.

A descriptive, cross-sectional design was used to recruit 625 school-age adolescents (343 males and 282 females), using convenience sampling technique from the central district of Jordan. Self-administered questionnaire was used to collect data in relation to depression and well-being.

The analysis revealed that 32% had a well-being score below the median and 19% had severe depressive symptoms. Depression and well-being were moderately correlated, with the connectedness dimension being the most correlated to depression, whereas the engagement dimension was the least correlated. Females had higher scores on all subscales of depression and a significantly higher score on depression than males, whereas males had higher scores on all well-being dimensions and significantly higher scores on overall well-being than females.

Adolescents’ mental health is compromised and affected by their perception of well-being, and a comprehensive psychoeducation for adolescents on how to enhance well-being might combat development of depressive symptoms.

This study used all PERMA model components to provide an in-depth description of adolescents’ well-being, which is a crucial initial phase in better understanding how this age group experiences well-being and how it connects to their ill-being, as indicated by their depressive symptoms. The in-depth description of adolescents’ well-being will aid in planning early intervention and prevention programs for mental illness.