Decision-making associated with anxiety and depression among emerging adults

Emerging adulthood is synonymous with high levels of stress and uncertainty, often resulting in anxiety and depression, which negatively impact mental health and well-being. Exploring the experiences of anxiety and depression symptomology in decisional situations enhances our understanding of their role in emerging adult mental health and well-being. This study examined whether decision-making styles predict anxiety and depression symptomology among emerging adults in South Africa. The cross-sectional study collected data using a secure, online platform. All data were analysed using R for descriptive and inferential statistics. Partial least squares structural equation modelling was performed using R seminr package. The sample consisted of 1411 emerging adults with a mean age of 21.81 years, who engaged in both adaptive and maladaptive decision-making. Among the participants, 74.2% were at risk of a clinical diagnosis for an anxiety disorder, and 37.3% for depression/mood disorder. Structural equation modelling indicated that adaptive decision-making led to a reduction in anxiety and depression symptomology, while maladaptive decision-making had the opposite effect. The findings highlight implications for emerging adult mental health, particularly how understanding the connections with decision-making can enhance intervention outcomes and improve mental health and mental health literacy among emerging adults in South Africa.