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Gao W, Wu J, Liu Y, Wang J, Yang J, Deng H. The relationship between psychological resilience and hair cortisol in adolescents: The influence of family and school environments. Psychoneuroendocrinology 2025; 177:107471. [PMID: 40262265 DOI: 10.1016/j.psyneuen.2025.107471] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/09/2024] [Revised: 04/10/2025] [Accepted: 04/11/2025] [Indexed: 04/24/2025]
Abstract
Psychological resilience plays a crucial role in protecting individuals from mental health issues in the face of adverse life events. However, the neurobiological mechanisms through which resilience functions as a protective factor against mental disorders remain poorly understood. This study aims to investigate the neuroendocrinological mechanisms underlying psychological resilience by examining the relationship between endogenous cortisol and resilience in Chinese adolescents. Additionally, the study explores whether this relationship is moderated by parenting style, family cohesion and adaptability, school climate, and life events. A total of 270 adolescent students (mean age: 12.83 ± 0.60 years; 112 boys, 158 girls) were randomly recruited from a middle school in Jiangsu Province, China. Hair cortisol, a biomarker of chronic endogenous cortisol, was measured using liquid chromatography-tandem mass spectrometry. Resilience was assessed using a scale validated for Chinese adolescent populations, while family and school environmental factors were evaluated using questionnaires. The results showed significant negative correlations between hair cortisol levels and resilience, individual power, goal planning, family support, and positive thinking. However, no significant correlations were found between hair cortisol levels and parenting style, family cohesion and adaptability, school climate, or life events. Importantly, the associations between hair cortisol levels and resilience were stable and not significantly influenced by family or school environmental factors. In conclusion, adolescents with higher psychological resilience, greater individual power, better goal planning, stronger family support, and more positive thinking exhibited lower chronic hypothalamic-pituitary-adrenal (HPA) axis activity. These associations remained stable and were not significantly affected by family or school environments.
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Affiliation(s)
- Wei Gao
- School of Psychology, Nanjing Normal University, Nanjing 210024, China; Institute of Child Development and Education, Southeast University, Nanjing 211189, China.
| | - Jiayi Wu
- Institute of Child Development and Education, Southeast University, Nanjing 211189, China; Key Laboratory of Child Development and Learning Science (Southeast University), Ministry of Education, Nanjing 211189, China; Department of Medical Humanity, School of Humanities, Southeast University, Nanjing 211189, China
| | - Yapeng Liu
- Institute of Child Development and Education, Southeast University, Nanjing 211189, China; College of Pro-school Education, Nanjing Xiaozhuang University, Nanjing 211171, China
| | - Jiamo Wang
- School of Psychology, Nanjing Normal University, Nanjing 210024, China
| | - Jin Yang
- Institute of Child Development and Education, Southeast University, Nanjing 211189, China; Key Laboratory of Child Development and Learning Science (Southeast University), Ministry of Education, Nanjing 211189, China; School of Public Health, Southeast University, Nanjing 210009, China
| | - Huihua Deng
- Institute of Child Development and Education, Southeast University, Nanjing 211189, China; Key Laboratory of Child Development and Learning Science (Southeast University), Ministry of Education, Nanjing 211189, China; Department of Brain and Learning Science, School of Biological Science & Medical Engineering, Southeast University, Nanjing 211189, China.
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Niu B, Wan M, Zhou Y. Development of an explainable machine learning model for predicting depression in adolescent girls with non-suicidal self-injury: A cross-sectional multicenter study. J Affect Disord 2025; 379:690-702. [PMID: 40097108 DOI: 10.1016/j.jad.2025.03.080] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/19/2024] [Revised: 03/11/2025] [Accepted: 03/13/2025] [Indexed: 03/19/2025]
Abstract
Non-suicidal self-injury (NSSI) in adolescent girls is a critical predictor of subsequent depression and suicide risk, yet current tools lack both accuracy and clinical interpretability. We developed the first explainable machine learning model integrating multicenter psychosocial data to predict depression among Chinese adolescent girls with NSSI, addressing the critical need for culturally tailored risk stratification tools. In this cross - sectional observational study, our model was developed using data from 14 hospitals. We used five categories of data as predictors, including individual, family, school, psychosocial, and behavioral and lifestyle factors. We compared seven machine learning models and selected the best one to develop final model and the Shapley Additive exPlanations (SHAP) method were used to explain model prediction. The Random Forest (RF) model was compared against six other machine learning algorithms. We assessed the discrimination using the area under receiver operating characteristic (AUROC) with 95 % CIs. Using the development dataset (n = 1163) and predictive model building process, a simplified model containing only the top 20 features had similar predictive performance to the full model, the RF model outperformed six algorithms (AUROC = 0.964 [0.945-0.975]), demonstrating superior discriminative power and robustness. The top ten risk predictors were Borderline personality, Rumination, Perceived stress, Hopelessness, Self-esteem, Sleep quality, Loneliness, Resilience, Parental care, and Problem-focused coping. We developed a three-tiered, color-coded web-based clinical tool to operationalize predictions, enabling real-time risk stratification and personalized interventions. Our study bridges machine learning and clinical interpretability to advance precision mental health interventions for vulnerable adolescent populations.
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Affiliation(s)
- Ben Niu
- College of Management, Shenzhen University, Shenzhen, Guangdong, China
| | - Mengjie Wan
- College of Management, Shenzhen University, Shenzhen, Guangdong, China
| | - Yongjie Zhou
- Shenzhen Kangning Hospital, Guangdong, Shenzhen, China.
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Ji X, Feng N, Zhao T, Cui L. Protective and risk factors in problematic mobile phone use among adolescents: A three-wave longitude study. Addict Behav 2025; 165:108299. [PMID: 39970598 DOI: 10.1016/j.addbeh.2025.108299] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/31/2024] [Revised: 02/12/2025] [Accepted: 02/14/2025] [Indexed: 02/21/2025]
Abstract
Adolescents' problematic mobile phone use (PMPU) has become increasingly severe. This study examined the changes in relationships between dimensions of PMPU, protective (positive psychological capital, i.e., optimism, hope, resilience, core self-evaluation) and risk (psychological distress, i.e., anxiety, depression, loneliness, and stress) factors within the network, aiming to identify the most influential factors over time and find the longitudinal predictive relationships between the factors and PMPU. A total of 1,170 Chinese adolescents participated over three waves (T1: January 2023, T2: August 2023, T3: February 2024). Cross-section network analysis showed that "core self-evaluation", "depression", "hope", "loss of control", and "stress_P" were the central nodes. "Stress_N" (sense of losing control and negative affective reactions) in risk factors and "affect control" (ability to regulate emotions) in protective factors were the bridge symptoms in the network across three timepoints. As shown in network comparison, the global strength of the network remained stable from T1 to T2 but increased from T2 to T3. The edge strength between "family support", "anxiety" and the nodes of PMPU weakened across the time. While, correlations between "loneliness", "goal planning", "positive thinking", "affect control" and PMPU nodes strengthened. The relationship between "Stress_N" and PMPU initially increasing before decreasing. Longitudinal cross-lagged network analysis revealed that "negative life consequence" and "craving" in PMPU strongly predicted protective/risk factors, while "hope," "affect control," and "core self-evaluation" were most susceptible to prediction. The findings highlight the significant role of "core self-evaluation" and "stress_N" in the development of adolescents' PMPU and the negative results of PMPU. Additionally, the changes in the network over time suggest that the factors influencing PMPU evolve, with various protective/risk factors gaining or losing significance at different stages. The results of CLPN emphasize the negative outcome of PMPU. Therefore, targeting interventions on the internalized symptoms may help alleviate the severity of PMPU among adolescents.
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Affiliation(s)
- Xiaoqing Ji
- Shanghai Key Laboratory of Mental Health and Psychological Crisis Intervention, Institute of Brain and Education Innovation, School of Psychology and Cognitive Science, East China Normal University, Shanghai 200062, China
| | - Ningning Feng
- Shanghai Key Laboratory of Mental Health and Psychological Crisis Intervention, Institute of Brain and Education Innovation, School of Psychology and Cognitive Science, East China Normal University, Shanghai 200062, China; Shanghai Centre for Brain Science and Brain-Inspired Technology, Shanghai 200062, China
| | - Tong Zhao
- Shanghai Key Laboratory of Mental Health and Psychological Crisis Intervention, Institute of Brain and Education Innovation, School of Psychology and Cognitive Science, East China Normal University, Shanghai 200062, China
| | - Lijuan Cui
- Shanghai Key Laboratory of Mental Health and Psychological Crisis Intervention, Institute of Brain and Education Innovation, School of Psychology and Cognitive Science, East China Normal University, Shanghai 200062, China; Shanghai Centre for Brain Science and Brain-Inspired Technology, Shanghai 200062, China.
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Zuo L, Wang Y, Wang J, Yao Y, Yang G. Physical Activity Influences Negative Emotion Among College Students in China: The Mediating and Moderating Role of Psychological Resilience. Healthcare (Basel) 2025; 13:1170. [PMID: 40428006 PMCID: PMC12110846 DOI: 10.3390/healthcare13101170] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/26/2025] [Revised: 05/12/2025] [Accepted: 05/15/2025] [Indexed: 05/29/2025] Open
Abstract
Background/objective: Negative emotion, such as anxiety and depression, significantly impacts college students' academic performance, social relationships, and overall well-being. Given that, this study aims to explore the effect of physical activity on alleviating negative emotion among Chinese college students and to examine the mediating and moderating mechanisms of psychological resilience including individual power and supportive power. Methods: A cross-sectional survey was conducted with 596 college students from 10 universities in Guangdong Province (Mage = 20.32, SD = 1.47). Data were collected using the Physical Activity Rating Scale (PARS-3), Adolescent Psychological Resilience Scale (APRS), and Depression-Anxiety-Stress Scale (DASS-21). Descriptive and correlation analysis, hierarchical regression analysis, and PROCESS macro models were used to test the mediating and moderating effects. Results: (1) Physical activity (β = -0.312, p < 0.001) and supportive power (β = -0.391, p < 0.001) both significantly negatively predicted negative emotion; (2) Individual power played a partial mediating role between physical activity and negative emotion (indirect effect accounted for 31.4%, 95% CI [-0.395, -0.242]); (3) Supportive power moderated the relationship between physical activity and negative emotion (interaction effect β = 0.089, p < 0.01), with a stronger effect of physical exercise on reducing negative emotion under low supportive conditions (b = -0.401 vs. b = -0.224). Conclusions: Physical activity not only directly affects negative emotion but also indirectly influences negative emotion by enhancing psychological resilience (individual power), and supportive power could moderate this effect through a resource substitution mechanism. The present study provides a theoretical basis for designing targeted mental health interventions and emphasizes the synergistic effect of integrating physical activity and social support on college students' mental health.
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Affiliation(s)
- Lijun Zuo
- School of Physical Education, South China University of Technology, Guangzhou 510641, China; (L.Z.); (Y.W.); (J.W.)
| | - Yao Wang
- School of Physical Education, South China University of Technology, Guangzhou 510641, China; (L.Z.); (Y.W.); (J.W.)
| | - Jinfu Wang
- School of Physical Education, South China University of Technology, Guangzhou 510641, China; (L.Z.); (Y.W.); (J.W.)
| | - Yidi Yao
- School of Design, South China University of Technology, Guangzhou 510006, China
| | - Guan Yang
- School of Physical Education, South China University of Technology, Guangzhou 510641, China; (L.Z.); (Y.W.); (J.W.)
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Dong F, Bu Z, Jiang S, Liu Y, Lin J, Li J, Li J, Liu Y. Cross-lagged panel relationship between physical activity atmosphere, psychological resilience and mobile phone addiction on college students. Sci Rep 2025; 15:16599. [PMID: 40360737 PMCID: PMC12075604 DOI: 10.1038/s41598-025-97848-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/16/2024] [Accepted: 04/08/2025] [Indexed: 05/15/2025] Open
Abstract
Mobile phone addiction (MPA) is widespread on university campuses and has many negative effects on individuals. A good physical activity atmosphere (PAA) has been shown to be effective in improving individuals' mental health, including psychological resilience (PR), but it is not clear whether it can alleviate MPA. Therefore, this study investigates the effects of both on MPA through a longitudinal study and provides a theoretical basis for reference. A total of 964 international students from different countries were selected from 8 colleges and universities in Beijing, and 2 longitudinal follow-up surveys were conducted using the Physical Activity Atmosphere Scale, the Psychological Resilience Scale, and the Mobile Phone Addiction Scale. Correlation and path model analyses were conducted using Pearson and cross-lagged panel model (CLPM). The correlation results showed that T1-PAA, T2-PAA were significantly positively correlated with T1-PR, T2-PR (r = 0.577, 0.306, P < 0.001) and T1-PR, T2-PR were significantly negatively correlated with T1-MPA, T2-MPA (= -0.225, -0.236, P < 0.001). CLPM results showed that college student PAA stably positively predicted PR (t = 0.518, P < 0.001). PAA (t = -0.131, P < 0.001) and PR (t = -0.159, P < 0.001) negatively predicted MPA levels. (1) Improving PAA not only alleviates MPA in college students, but also improves PR levels. (2) PR also has an inhibitory effect on MPA, so increasing PR will enhance the effect of PAA. (3) PAA negatively predicts MPA and positively predicts PR in college students.
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Affiliation(s)
- Fuqiang Dong
- College of Physical Education, Minzu University of China, Beijing, China
| | - Zixia Bu
- School of lnternational Chinese Language Education, Beijing Normal University, Beijing, China
| | - Shan Jiang
- Department of Sports Science and Physical Education, Chinese University of Hong Kong, Shatin, Hong Kong
| | - Yueran Liu
- Department of Chinese and Chinese Literature, Sun Yat-sen University, Guangzhou, China
| | - Jinxia Lin
- Division of Sports Science and Physical Education, Tsinghua University, Beijing, China
| | - Jizhao Li
- School of Martial Art and Traditional Chinese Sport, Beijing Sport University, Beijing, China
| | - Jiyuan Li
- School of Marxism, Beijing Jiaotong University, Beijing, China
| | - Yutong Liu
- College of Physical Education and Sports, Beijing Normal University, Beijing, China.
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Qiu W, Huang C, Xiao H, Nie Y, Ma W, Zhou F, Liu C. The correlation between physical activity and psychological resilience in young students: a systematic review and meta-analysis. Front Psychol 2025; 16:1557347. [PMID: 40365624 PMCID: PMC12069377 DOI: 10.3389/fpsyg.2025.1557347] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/10/2025] [Accepted: 03/24/2025] [Indexed: 05/15/2025] Open
Abstract
Objective Against the backdrop of increasing social stress and a faster pace of life, psychological resilience as a key psychological attribute has become increasingly prominent. Physical activity is also a significant factor influencing the psychological resilience of young students. This study aims to systematically review the research progress on the relationship between physical activity and psychological resilience among young students. It analyzes the correlation between the two and the influencing factors, and explores the mechanisms by which physical activity among young students contributes to psychological resilience. The objective is to motivate young students to engage more actively in physical activities, thereby enhancing their psychological resilience. Methods Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement, an extensive literature search was conducted across six electronic databases: Web of Science, PubMed, ProQuest, Scopus, ScienceDirect, and EBSCOhost. The search spanned from January 1, 2000, to November 20, 2024. The selected studies were subjected to rigorous quality evaluation, and relevant methodological and outcome data were extracted using a standardized data extraction form. Subsequently, meta-analysis of the included studies was performed using Stata 18 software, including heterogeneity testing and assessment of publication bias. Results After literature screening, a total of 21 studies were included, exploring the correlation between physical activity and psychological resilience. These studies employed Pearson correlation analysis (14 studies), multiple regression analysis (13 studies), and structural equation modeling (SEM) (eight studies). Using a random-effects model to combine effect sizes, the average correlation coefficient was 0.249 (p < 0.001), the average standardized coefficient for the promotion of psychological resilience by physical activity was 0.195 (p < 0.001), and the average path coefficient for the enhancement of psychological resilience through physical activity was 0.205 (p < 0.001). Conclusion This study found a significant positive correlation between physical activity and psychological resilience among young students, with physical activity exerting a positive impact on psychological resilience. Similarly, psychological resilience plays a promotional role in the participation of young students in physical activities.
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Affiliation(s)
- Wentao Qiu
- College of Physical Education and Sports, Beijing Normal University, Beijing, China
- College of Education for the Future, Beijing Normal University, Zhuhai, China
| | - Chao Huang
- College of Physical Education and Sports, Beijing Normal University, Beijing, China
- College of Education for the Future, Beijing Normal University, Zhuhai, China
| | - Haibin Xiao
- College of Physical Education, Shangrao Normal University, Shangrao, China
| | - Yuyang Nie
- College of Physical Education and Sports, Beijing Normal University, Beijing, China
- College of Education for the Future, Beijing Normal University, Zhuhai, China
| | - Wenxue Ma
- College of Physical Education and Sports, Beijing Normal University, Beijing, China
- College of Education for the Future, Beijing Normal University, Zhuhai, China
| | - Fangbing Zhou
- College of Physical Education and Sports, Beijing Normal University, Beijing, China
- College of Education for the Future, Beijing Normal University, Zhuhai, China
| | - Cong Liu
- College of Physical Education and Sports, Beijing Normal University, Beijing, China
- College of Education for the Future, Beijing Normal University, Zhuhai, China
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Dai B, He Y, Peng M. Enhancing resilience in single-parent family adolescents in China: a randomized controlled trial based on home-school collaborative intervention. BMC Public Health 2025; 25:1573. [PMID: 40296030 PMCID: PMC12036202 DOI: 10.1186/s12889-025-22662-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/30/2024] [Accepted: 04/07/2025] [Indexed: 04/30/2025] Open
Abstract
BACKGROUND It remains unknown whether home-school collaborative strategies can improve the resilience of adolescents and children from single-parent families in China. OBJECTIVES This study addresses the gap in resilience interventions for single-parent family students by validating a 7-week home-school collaborative intervention strategy. METHODS The participants were 89 primary and secondary school children from China, randomly assigned to either the experimental group (20 single-parent and 27 non-single-parent students) or the control group (20 single-parent and 22 non-single-parent students). Both groups used the Adolescent Psychological Resilience Scale to report their resilience levels during the pre-test and post-test phases. Single-parent family parents also reported their collaborative participation using a behavior checklist. RESULTS The experimental group exhibited higher resilience gain scores compared to the control group. The intervention effects in the experimental group remained stable for one month after the intervention ended. Additionally, the intervention at the school level fostered greater collaborative involvement from single-parent families, particularly in terms of family support participation. CONCLUSIONS The Home-school collaborative intervention strategy is a valuable measure for enhancing the resilience of students from single-parent families and has the potential for application within both family and school contexts.
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Affiliation(s)
- Binrong Dai
- School of Education Science, Jiangsu Province Key Construction Laboratory of Big Data for Psychology and Cognitive Science, Yancheng Teachers University, Yancheng, Jiangsu, 224002, China
| | - Yujie He
- Xi'an Qujiang Kang Chiao School, Xi'an, Shaanxi, 710061, China
| | - Mei Peng
- School of Mental Health, Wenzhou Medical University, Wenzhou, Zhejiang, 325035, China.
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Ying J, Liu S, Shi J, Shi Q, Wu X. Emotion-driven or relationship-driven? Longitudinal associations between insecure parent-child attachment, perceived family support and depressive symptoms among Chinese adolescents. Br J Psychol 2025. [PMID: 40275522 DOI: 10.1111/bjop.12792] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/01/2025] [Accepted: 04/10/2025] [Indexed: 04/26/2025]
Abstract
Insecure parent-child attachment is often observed in adolescents with depressive symptoms. However, the directionality of the association between insecure parent-child attachment and depressive symptoms, as well as the potential mechanisms of family support, is not clearly understood. This study investigated the reciprocal longitudinal associations between insecure parent-child attachment (i.e. attachment avoidance and attachment anxiety), perceived family support, and depressive symptoms. A total of 1535 Chinese adolescents (52.6% being boys; baseline Mage = 13.19 years, SD = 0.51) participated in a four-wave longitudinal study with 6-month intervals. Random intercept cross-lagged panel models were employed to disentangle the between- and within-family effects. The results indicated that there was a vicious cycle in which attachment avoidance and depressive symptoms reinforced each other. Furthermore, an increase in depressive symptoms significantly predicted a decrease in perceived family support over time, subsequently leading to higher levels of both attachment avoidance and attachment anxiety. These findings suggest the coexistence of emotion-driven processes (from depressive symptoms to attachment avoidance) and relationship-driven processes (from attachment avoidance to depressive symptoms). Additionally, psychotherapists and family therapists are advised to enhance adolescents' perceived family support to nip depressive symptoms in the bud, therefore preventing subsequent insecure parent-child attachments.
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Affiliation(s)
- Jiefeng Ying
- Beijing Key Laboratory of Applied Experimental Psychology, National Demonstration Center for Experimental Psychology Education (Beijing Normal University), Faculty of Psychology, Beijing Normal University, Beijing, China
- School of Psychology, South China Normal University, Guangzhou, China
| | - Sihan Liu
- Key Laboratory of Adolescent Cyberpsychology and Behavior (CCNU), Ministry of Education, Key Laboratory of Human Development and Mental Health of Hubei Province, School of Psychology, Central China Normal University, Wuhan, China
| | - Jialin Shi
- Beijing Key Laboratory of Applied Experimental Psychology, National Demonstration Center for Experimental Psychology Education (Beijing Normal University), Faculty of Psychology, Beijing Normal University, Beijing, China
| | - Qian Shi
- Academy of Education Sciences at Huaihua, Huaihua, Hunan, China
| | - Xinchun Wu
- Beijing Key Laboratory of Applied Experimental Psychology, National Demonstration Center for Experimental Psychology Education (Beijing Normal University), Faculty of Psychology, Beijing Normal University, Beijing, China
- School of Applied Psychology, Beijing Normal University at Zhuhai, Zhuhai, Guangdong, China
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Ma C, Gao M, Qi Z, Che W, Qi S. The relationship between sports participation and bullying in elementary schools: the mediating role of mental toughness. Front Psychol 2025; 16:1463705. [PMID: 40271369 PMCID: PMC12017264 DOI: 10.3389/fpsyg.2025.1463705] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/29/2024] [Accepted: 02/24/2025] [Indexed: 04/25/2025] Open
Abstract
Purpose Previous research has shown a correlation between sports participation and bullying in schools. However, less attention has been paid to the factors influencing children's perpetrated bullying and victimized. Therefore, this study constructed a model of the role of influencing factors between sports participation, children's mental toughness, and school bullying to explore the link between sports participation and mental toughness on children's perpetrated bullying and victimized. Methods A sample of 861 students was randomly selected from five elementary schools in Shandong Province, China. After excluding invalid questionnaires with missing answers or consistent responses, 712 questionnaires were collected. The Physical Activity Rating Scale (PARS-3) was selected to assess sports participation, the Mental Toughness Scale to evaluate mental resilience, and the Chinese-adapted version of the Oweis Bullying Questionnaire (OBQ), which was revised by Chinese scholar Zhang Xinwen, to measure bullying experiences. All participants completed maturation scales on sports participation, mental toughness, and school bullying. Data were analyzed in SPSS 24.0, SPSSprocess 4.1, and AMOS 27. Results The results of this study are as follows: (1) According to the correlation test results, since p < 0.05 or p < 0.01, there is a correlation between sports participation and psychological resilience, bullying and being bullied. There is a correlation between mental resilience and bullying, being bullied. There is a correlation between bullying and being bullied. (2) Mental toughness plays a mediating role in the influence of sports participation on the perpetrated bullying and in the influence of sports participation on victimized. (3) In the pathways of sports participation, mental toughness, and school bullying, it suggested that mental toughness played a partial mediating role in this pathway. For the pathways of sports participation, mental toughness, and children's exposure to bullying. The mental toughness played a full mediating role in this pathway. Conclusion It is recommended that early intervention and support be given to promote children's physical mobility and increase their own levels of sports participation and mental toughness, thereby reducing the likelihood of children committing or experiencing bullying in schools and improving their physical and mental health.
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Affiliation(s)
- Changhao Ma
- College of Physical Education, University of Jinan, Jinan, China
| | - Mingze Gao
- College of Physical Education, University of Jinan, Jinan, China
| | - Ziyang Qi
- School of Education and Psychology, University of Jinan, Jinan, China
| | - Wen Che
- College of Physical Education, University of Jinan, Jinan, China
| | - Shenghua Qi
- College of Physical Education, University of Jinan, Jinan, China
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10
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Zhang J, Luo X, Yang W, Xu J, Deng P, Wu H, Guo J. Does the pursuit of perfection by Chinese people harm interpersonal relationships? Evidence from the Wenjuan. Front Psychol 2025; 16:1505595. [PMID: 40242744 PMCID: PMC11999950 DOI: 10.3389/fpsyg.2025.1505595] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/04/2024] [Accepted: 03/07/2025] [Indexed: 04/18/2025] Open
Abstract
Objective This study aims to explore the mechanisms of the relationship between Perfectionism and interpersonal relationships. Methods Data were collected and research was conducted using the online platform Wenjuanxing, which distributed the Psychological Resilience Scale, Core Self-Evaluation Scale, Interpersonal Sensitivity Questionnaire, Perfectionism Scale, and Peer Relationships Scale. Results Perfectionism not only directly and significantly predicts interpersonal sensitivity, but it can also mediate interpersonal sensitivity through dual or triple mediation paths formed by Psychological Resilience, Peer Relationships, and Core Self-Evaluation. Conclusion Perfectionism can directly and significantly predict interpersonal sensitivity and can also indirectly predict interpersonal sensitivity through Psychological Resilience, Peer Relationships, and Core Self-Evaluation. The traditional Confucian educational philosophy in China advocates core values such as "benevolence," "righteousness," "propriety," and "wisdom," emphasizing that individuals should constantly cultivate themselves and their families to achieve moral perfection. This can lead to heightened interpersonal sensitivity and severe psychological repression. Modern education should build on traditional educational values while promoting inclusivity and tolerance, encouraging individuals to focus on the present, accept their emotions and experiences, respect human freedom of development, and safeguard psychological health.
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Affiliation(s)
- Jun Zhang
- Department of Education, Sehan University, Yeongam County, Republic of Korea
| | - Xiaoyan Luo
- Department of Education, Sehan University, Yeongam County, Republic of Korea
| | - Wanshu Yang
- Department of Education, Sehan University, Yeongam County, Republic of Korea
| | - Jie Xu
- School of Business Administration, Tourism College of Zhejiang, Hangzhou, China
| | - Ping Deng
- Department of Criminal Justice, Zhejiang Police Vocational Academy, Hangzhou, China
| | - Hui Wu
- College of Tourism and Foreign Languages, Tourism College of Zhejiang, Hangzhou, China
| | - Junqiao Guo
- School of Educational Science, Anhui Normal University, Wuhu, China
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11
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Hu Y, Fei J, Yue J, Gao R, Song Q, Zhao X, Mei S. Emotional Abuse and Neglect, Depression: A Moderated Mediation Model of Neuroticism and Psychological Resilience. Psychiatry Investig 2025; 22:389-396. [PMID: 40262788 PMCID: PMC12022791 DOI: 10.30773/pi.2024.0108] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/27/2024] [Revised: 06/20/2024] [Accepted: 01/24/2025] [Indexed: 04/24/2025] Open
Abstract
OBJECTIVE There were associations between emotional abuse and neglect (EAN) and depression, but few studies had tested potential mechanisms underlying these relationships. We aimed to provide insights on how (the mediation role of neuroticism), and under what conditions (the moderator role of psychological resilience), led to a higher level of depression. METHODS This study was a cross-sectional study that used a random cluster sampling method. We randomly selected 3,993 participants from four junior middle schools in northern city of China. Participants were asked to complete four self-reported questionnaires, including the Childhood Trauma Questionnaire, Children Depression Inventory-Short Form, Chinese Big Five Personality Inventory Brief Version, and Chinese Resilience Scale. RESULTS The results showed that neuroticism mediated the associations between EAN and depression. In addition, the mediating effect of neuroticism was moderated by psychological resilience (p<0.05). CONCLUSION EAN and neuroticism could have an adverse impact on depression, and psychological resilience could alleviate these negative effects as a moderator. Our model suggested psychological resilience could be a particularly effective intervention point for victims of EAN.
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Affiliation(s)
- Yueyang Hu
- Department of Epidemiology, School of Public Health, Baotou Medical College, Baotou, China
| | - Junsong Fei
- Department of Social Medicine and Health Management, School of Public Health of Jilin University, Changchun, China
| | - Jingyi Yue
- Department of Social Medicine and Health Management, School of Public Health of Jilin University, Changchun, China
| | - Ren Gao
- Department of Social Medicine and Health Management, School of Public Health of Jilin University, Changchun, China
| | - Qianqian Song
- Department of Social Medicine and Health Management, School of Public Health of Jilin University, Changchun, China
| | - Xixi Zhao
- Department of Social Medicine and Health Management, School of Public Health of Jilin University, Changchun, China
| | - Songli Mei
- Department of Social Medicine and Health Management, School of Public Health of Jilin University, Changchun, China
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Jiang C, Wang K, Qin H. Physical exercise and children's resilience: mediating roles of self-efficacy and emotional intelligence. Front Psychol 2025; 16:1491262. [PMID: 40191570 PMCID: PMC11968682 DOI: 10.3389/fpsyg.2025.1491262] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/04/2024] [Accepted: 03/05/2025] [Indexed: 04/09/2025] Open
Abstract
Purpose This study aims to examine the inner relationship between children's physical exercise, self-efficacy, emotional intelligence, and resilience, and explore effective ways to promote the improvement of children's resilience. Methods Using measurement tools such as the Physical Activity Rating Scale (PARS-3), the General Self-Efficacy Scale (GSES), the Chinese version of the Emotional Intelligence Scale (EIS), and the Adolescents Resilience Scale, we conducted a questionnaire survey was conducted among 700 primary school students in 4 primary schools. The SPSS 22.0 software was used to process and analyze the data, including correlation analysis, regression analysis, and Bootstrap analysis, and AMOS 21.0 software was used to establish a structural equation model. Results (1) Physical exercise has a significant positive correlation with self-efficacy (r = 0.29, p < 0.001), emotional intelligence (r = 0.32, p < 0.001), and resilience (r = 0.37, p < 0.001), and there is also a significant positive correlation between emotional intelligence and resilience (r = 0.30, p < 0.001). (2) Physical exercise can directly and positively predict children's resilience (β1 = 0.38) and its five sub-dimensions, that is, physical exercise can positively predict goal concentration (β = 0.35, p < 0.001), emotional control (β = 0.29, p < 0.001), positive cognition (β = 0.20, p < 0.01), family support (β = 0.33, p < 0.001), interpersonal assistance (β = 0.31, p < 0.001), respectively. (3) Self-efficacy (SE = 0.10) and emotional intelligence (SE = 0.08) have partial mediating effects, respectively, on the relationship between physical exercise and resilience, and the chain mediation effect of self-efficacy and emotional intelligence also reaches a significant level (SE = 0.02). Conclusion Physical exercise can have a positive impact on children's resilience through self-efficacy and emotional intelligence, so schools or parents should attach importance to children's physical activities, which is an effective way to improve their resilience.
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Affiliation(s)
- Caixia Jiang
- Konggang Jiayuan Primary School, Chongqing, China
| | - Kun Wang
- College of Physical Education, Southwest University, Chongqing, China
| | - Hao Qin
- Rose City South Experimental Primary School, Chongqing, China
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13
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Liu C, Fan W, Tan Q, Yun K, Huang W. The relationship between belief in a just world and prosocial behavior: the role of psychological resilience and empathic capacity. Front Psychol 2025; 16:1520451. [PMID: 40160547 PMCID: PMC11949951 DOI: 10.3389/fpsyg.2025.1520451] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/31/2024] [Accepted: 02/20/2025] [Indexed: 04/02/2025] Open
Abstract
Objective This study investigated how belief in a just world (BJW) influences prosocial behavior tendency (PBT) through psychological resilience (PR), and examined how empathic capacity (EC) moderates this mediation process. Method Data were collected from 955 Chinese university students (Mage = 19.5 years, SD = 1.3; 65.6% female) using validated scales measuring BJW, PBT, PR, and EC. Results Three key findings emerged: (1) BJW positively predicted PBT both directly (β = 0.301, p < 0.001) and indirectly through PR; (2) EC moderated the relationship between BJW and PR, with the positive association being stronger for individuals with lower EC (b = 0.45, p < 0.001) compared to those with higher EC (b = 0.23, p < 0.01); (3) The indirect effect of BJW on PBT through PR was stronger for individuals with lower EC, indicating a moderated mediation effect. Conclusion These findings advance our understanding of prosocial behavior by identifying distinct pathways through which beliefs and emotional capacities interact. The results suggest that interventions to promote prosocial behavior should be tailored based on individual differences in empathic capacity, with different approaches needed for high versus low EC individuals.
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Affiliation(s)
- Cong Liu
- Sichuan Zhang Daqian Research Center, Neijiang Normal University, Neijiang, China
| | - Wenshu Fan
- Mental Health Education Center for College Students, Chengdu University of Traditional Chinese Medicine, Chengdu, China
| | - Qiuyu Tan
- Department of Basic Medicine, Chengdu University of Traditional Chinese Medicine, Chengdu, China
| | - Kai Yun
- School of Economics, Southwest Minzu University, Chengdu, China
| | - Wei Huang
- College of Preschool and Primary Education, China West Normal University, Nanchong, China
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14
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Li Y. Balanced time perspective, time management disposition, and resilience: a moderated mediation model of academic performance. Front Psychol 2025; 16:1484152. [PMID: 40134729 PMCID: PMC11933095 DOI: 10.3389/fpsyg.2025.1484152] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2024] [Accepted: 02/20/2025] [Indexed: 03/27/2025] Open
Abstract
Objective Time perspective and time management disposition are critical factors influencing academic achievement. Although balanced time perspective (BTP) has been associated with adaptive functioning across various life domains, its relationship with academic performance remains underexplored. This study proposes a moderated mediation model to examine the link between BTP and academic performance. Methods The study included 1,076 high school students (448 boys and 628 girls), aged 15 to 19 years. Participants completed self-report questionnaires assessing BTP, time management disposition, and resilience in their classrooms. Academic performance was measured using standardized test scores routinely administered by the school. The valid data were analyzed using the PROCESS macro for SPSS. Results BTP positively predicted academic performance, with time management disposition mediating this relationship. The indirect effect was further moderated by resilience, demonstrating a stronger effect among students with higher resilience levels. Conclusion These findings suggest that BTP may influence children's academic performance and offer novel strategies for promoting academic achievement in high school settings. In addition, the findings highlight the importance of fostering psychological traits like resilience to enhance academic performance. Future studies could explore educational interventions aimed at developing BTP and resilience, thereby enhancing students' psychological skills.
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Affiliation(s)
- Yan Li
- College of Educational Sciences, Luoyang Normal University, Luoyang, China
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15
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Yuan X, Mao Y, Xu X, Peng R, Tang M, Dai G, Tang X, Fu H, Zhong X, Zhang G, Wang B. The relationship between resilience and mental health: mobile phone dependence and its differences across levels of parent-child conflict among left-behind adolescents: a cross-sectional network analysis. BMC Public Health 2025; 25:940. [PMID: 40065295 PMCID: PMC11892170 DOI: 10.1186/s12889-025-22105-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/10/2024] [Accepted: 02/26/2025] [Indexed: 03/14/2025] Open
Abstract
BACKGROUND Mobile phone dependence and mental health problems have become increasingly prominent among left-behind adolescents in China. In recent years, some studies have focused on the important role of parent-child relationship and psychological resilience. Therefore, this study aims to explore the multidimensional relationships among resilience, mental health, and mobile phone dependence among left-behind adolescents, and to assess the impact of parent-child conflict level on these relationships. METHODS The Brief Symptom Inventory (BSI-18), the Chinese version of the Mobile Phone Addiction Index (MPAI), the Resilience Scale for Children and Adolescents (RSCA), and the Parent-Child Conflict Scale were used to investigate 2,100 left-behind adolescents in Sichuan Province, and R was run to make network analysis and network comparison. RESULTS (1) A structurally stable network relationship exists between left-behind adolescents' resilience, mental health, and mobile phone dependence; (2) BSI3 (Anxiety) is the most important node of the network model, followed by MPAI1 (the inability to control cravings subscale); (3) MPAI1 (the inability to control cravings subscale) and RSCA4 (family support) are key to connect resilience, mental health, and smartphone addiction in the study sample; (4) There was a significant difference in the network structure between the high- and low-level groups of parent-child conflict, no significant difference in the global strength of the network, and a significant difference in the centrality of strength and the centrality of bridge strength. CONCLUSIONS Chinese left-behind adolescents' resilience and mental health, mobile phone dependence are both independent and interact with each other to some extent. Specifically, high centrality dimensions such as anxiety, the inability to control cravings, and family support can be prioritised for intervention in related treatments, or reducing parent-child conflict and enhancing resilience to mitigate mobile phone dependence among left-behind adolescents, thus improving their mental health.
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Affiliation(s)
- Xiaoya Yuan
- Law School of Southwest University of Science and Technology, No.59, QingLong Avenue Fucheng District, Mianyang, Sichuan, 621010, China
- Psychosocial Service and Crisis Intervention Research Center, Southwest University of Science and Technology, East Building7-409, No. 59 of Qinglong Street, Fucheng District, Mianyang, Sichuan Province, 621010, China
| | - Yaxin Mao
- Law School of Southwest University of Science and Technology, No.59, QingLong Avenue Fucheng District, Mianyang, Sichuan, 621010, China
- Psychosocial Service and Crisis Intervention Research Center, Southwest University of Science and Technology, East Building7-409, No. 59 of Qinglong Street, Fucheng District, Mianyang, Sichuan Province, 621010, China
| | - Xiaomin Xu
- Law School of Southwest University of Science and Technology, No.59, QingLong Avenue Fucheng District, Mianyang, Sichuan, 621010, China
- Psychosocial Service and Crisis Intervention Research Center, Southwest University of Science and Technology, East Building7-409, No. 59 of Qinglong Street, Fucheng District, Mianyang, Sichuan Province, 621010, China
| | - Ruolan Peng
- Psychosocial Service and Crisis Intervention Research Center, Southwest University of Science and Technology, East Building7-409, No. 59 of Qinglong Street, Fucheng District, Mianyang, Sichuan Province, 621010, China
- School of Foreign Languages and Cultures, Southwest University of Science and Technology, East Building7-409, No. 59 of Qinglong Street, Fucheng District, Mianyang, Sichuan Province, 621010, China
| | - Min Tang
- Law School of Southwest University of Science and Technology, No.59, QingLong Avenue Fucheng District, Mianyang, Sichuan, 621010, China
- Psychosocial Service and Crisis Intervention Research Center, Southwest University of Science and Technology, East Building7-409, No. 59 of Qinglong Street, Fucheng District, Mianyang, Sichuan Province, 621010, China
| | - Gang Dai
- Law School of Southwest University of Science and Technology, No.59, QingLong Avenue Fucheng District, Mianyang, Sichuan, 621010, China
- Psychosocial Service and Crisis Intervention Research Center, Southwest University of Science and Technology, East Building7-409, No. 59 of Qinglong Street, Fucheng District, Mianyang, Sichuan Province, 621010, China
| | - Xinyi Tang
- Law School of Southwest University of Science and Technology, No.59, QingLong Avenue Fucheng District, Mianyang, Sichuan, 621010, China
- Psychosocial Service and Crisis Intervention Research Center, Southwest University of Science and Technology, East Building7-409, No. 59 of Qinglong Street, Fucheng District, Mianyang, Sichuan Province, 621010, China
| | - Haojie Fu
- Psychosocial Service and Crisis Intervention Research Center, Southwest University of Science and Technology, East Building7-409, No. 59 of Qinglong Street, Fucheng District, Mianyang, Sichuan Province, 621010, China
- Shanghai Research Institute for Intelligent Autonomous Systems, Tongji University, Shanghai, China
| | - Xiao Zhong
- Psychosocial Service and Crisis Intervention Research Center, Southwest University of Science and Technology, East Building7-409, No. 59 of Qinglong Street, Fucheng District, Mianyang, Sichuan Province, 621010, China
- School of Psychology, Beijing University of Sports, Beijing, China
| | - Guanzhi Zhang
- Psychosocial Service and Crisis Intervention Research Center, Southwest University of Science and Technology, East Building7-409, No. 59 of Qinglong Street, Fucheng District, Mianyang, Sichuan Province, 621010, China.
- School of Foreign Languages and Cultures, Southwest University of Science and Technology, East Building7-409, No. 59 of Qinglong Street, Fucheng District, Mianyang, Sichuan Province, 621010, China.
| | - Bin Wang
- Law School of Southwest University of Science and Technology, No.59, QingLong Avenue Fucheng District, Mianyang, Sichuan, 621010, China.
- Psychosocial Service and Crisis Intervention Research Center, Southwest University of Science and Technology, East Building7-409, No. 59 of Qinglong Street, Fucheng District, Mianyang, Sichuan Province, 621010, China.
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Liu B, You J, Fan Y, Xia Y, Wang H, Zhang X, Zhang Y. Effect of team-building sports games on the resilience of Chinese rural children: evidence from Nanxian county, Hunan province. Front Pediatr 2025; 13:1552597. [PMID: 40109283 PMCID: PMC11919669 DOI: 10.3389/fped.2025.1552597] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/28/2024] [Accepted: 02/18/2025] [Indexed: 03/22/2025] Open
Abstract
Purpose Participation in competitive sports has been shown to enhance children's mental health. However, evidence regarding the impact of group sports within traditional physical education on children's mental development is scarce. This study designed a team-building-focused physical education program and examined its effects on the resilience of rural students. Methods A total of 86 rural elementary school students (mean age: 11 years) were cluster-randomized into the intervention and control groups. Both groups participated in regular physical education classes three times per week. In the intervention group, the first 15-min warm-up period was replaced with sports games. From a social perspective, all games subtly encourage children to forge new social relationships by engaging in physical contact, interacting with new team members, and collaborating to achieve shared goals in a sportsmanlike manner. Resilience was assessed using the Resilience Scale for Chinese Adolescents before and after the 12-week intervention. Results After 12 weeks, the intervention group showed significant improvements in affect control, positive thinking, and help-seeking compared to the control group. Overall, both the individual and supportive dimensions of resilience improved following participation in team-building sports games. Conclusions Whether winning or losing as a team member, these experiences positively enhance children's emotional regulation, their understanding of their social roles within a team, and the development of help-seeking and concern for a distressed other. As a result, children may build new and broader social connections that extend beyond the physical education class, fostering a sportsmanlike civic virtue in their daily lives.
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Affiliation(s)
- Bo Liu
- College of Physical Education, Hunan Normal University, Changsha, China
| | - Jizhi You
- College of Optical and Electronic Technology, China Jiliang University, Hangzhou, China
| | - Yunxiang Fan
- College of Physical Education, Hunan Normal University, Changsha, China
| | - Yunping Xia
- College of Physical Education, Hunan Normal University, Changsha, China
| | - Hui Wang
- College of Educational Science, Hunan Normal University, Changsha, China
| | - Xiang Zhang
- College of Physical Education, Hunan Normal University, Changsha, China
| | - Yang Zhang
- Independent Researcher, Windermere, FL, United States
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Liu L, Chen C, Li S. Efficacy of cognitive behavioral group counseling in enhancing the psychological resilience and academic emotion of urban primary school students. BMC Psychol 2025; 13:189. [PMID: 40033450 PMCID: PMC11877887 DOI: 10.1186/s40359-025-02472-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/02/2023] [Accepted: 02/10/2025] [Indexed: 03/05/2025] Open
Abstract
This study explores the intricate relationship between psychological resilience and academic emotions in urban primary school students, highlighting the transformative effects of cognitive behavioral group counseling (CBGC) on enhancing resilience. Conducted in Huangshan City, Anhui Province, China, the research involved 575 students from five schools, utilizing questionnaires adapted from standard psychological instruments to assess their psychological resilience and academic emotions. Our findings reveal that robust psychological resilience significantly increases positive academic emotions (t = 0.374, 0.591, P < 0.01) and decreases negative ones (t= -0.541, -0.664, P < 0.01). Furthering our investigation, 36 students were selected and divided into experimental and control groups. The experimental group received a tailored CBGC program aimed at bolstering psychological resilience, while the control group engaged in after-school sports. The CBGC intervention, customized with culturally relevant content, age-appropriate language, and engaging activities, showed a significant post-intervention improvement in the experimental group's psychological resilience (t = 2.546, P < 0.05) and positive academic emotions (t = 2.546, 3.607, P < 0.01), alongside a notable reduction in negative emotions (t=-3.761,-2.038,P < 0.05).This study underscores the symbiotic relationship between psychological resilience and academic emotions among urban primary school students and demonstrates the efficacy of CBGC in fostering emotional balance and resilience. These insights have profound implications for educators and psychologists dedicated to nurturing a well-rounded and emotionally resilient student body.Trial Registration This study was registered in the Chinese Clinical Trial Registry (ChiCTR) on February 10, 2023, with registration number ChiCTR2300061594.
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Affiliation(s)
- Lili Liu
- Northwest Normal University, Lanzhou, China
- Hainan College of Foreign Studies, Hainan, China
| | - Chen Chen
- Northwest Normal University, Lanzhou, China
| | - Shuang Li
- School of Educational Science & Institute of Psychology, Jilin Normal University, Siping, Jilin Province, 136000, China.
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He M, Guo W, Sun Y, Meng J, Yu H. Meaning in life for migrant children in China: A latent profile analysis based on risks and resources. CHILD ABUSE & NEGLECT 2025; 161:107310. [PMID: 39961161 DOI: 10.1016/j.chiabu.2025.107310] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/16/2024] [Revised: 11/01/2024] [Accepted: 01/31/2025] [Indexed: 02/28/2025]
Abstract
BACKGROUND Meaning in life (MIL) can help safeguard the mental health of migrant children. However, most current studies employ variable-centered methodologies and frequently overlook population heterogeneity; they also fail to address how the combination of different risks and resources influences MIL. OBJECTIVE To explore the group heterogeneity of migrant children according to combinations of risks and resources and how the interaction of these factors affects their MIL. PARTICIPANTS AND SETTING Participants included a sample of 567 children of migrants. METHODS Participants completed questionnaires enquiring about risk factors (academic pressure, perceived discrimination, and parent-child alienation) and resource factors (parent-child communication, parent-child trust, perceived social support, and resilience). Latent profile analysis (LPA) was used to identify different groups according to the combinations of these risks and resources; we then identified the differences in MIL among these groups. RESULTS Four groups were identified: low-resource group (26 %), high-risk/low-endogenous-resource group (8 %), balanced group (43 %), and low-risk/high-resource group (23 %). MIL was highest among the low-risk/high-resource group and lowest among the low-resource group. The high-risk/low-endogenous-resource and balanced groups were in the middle. CONCLUSIONS Risks and resources associated with migrant children are combined in different ways; LPA revealed clear categorization trends. There were significant differences in MIL among the four categories we identified. Attention should be paid to increasing resources for migrant children, as these may have a stronger impact on their MIL than risks.
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Affiliation(s)
- Min He
- School of Education, Huazhong University of Science and Technology, Wuhan, China; Normal College, Shihezi University, Shihezi, China
| | - Wen Guo
- Normal College, Shihezi University, Shihezi, China
| | - Yajing Sun
- Normal College, Shihezi University, Shihezi, China
| | - Jie Meng
- The 22nd Middle School of Shihezi, Shihezi, China
| | - Haiqin Yu
- School of Education, Huazhong University of Science and Technology, Wuhan, China.
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Liang T, Ai Z, Zhong H, Xiao M, Xie M, Liang X, Li L. The impact of temperature changes on the health vulnerability of migrant workers: an empirical study based on the China family panel studies. Front Public Health 2025; 13:1519982. [PMID: 40078768 PMCID: PMC11897529 DOI: 10.3389/fpubh.2025.1519982] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/30/2024] [Accepted: 01/24/2025] [Indexed: 03/14/2025] Open
Abstract
Introduction Migrant workers constitute a significant portion of China's workforce, and their health directly affects labor supply and economic stability. Health vulnerability plays a crucial role in shaping the well-being of migrant workers, yet its determinants, particularly the impact of temperature change, remain underexplored. This study, based on the socio-ecological model, investigates how temperature variations influence the health vulnerability of migrant workers in China. Methods Using data from 2020, this study quantifies health vulnerability and examines the impact of temperature fluctuations across different seasons. Robustness checks, including dependent variable substitutions and model modifications, ensure the reliability of the findings. Furthermore, a mechanism analysis is conducted to explore the underlying pathways through which temperature change affects health vulnerability. Results The findings reveal that rising temperatures in spring, summer, and winter significantly exacerbate the health vulnerability of migrant workers, while increasing autumn temperatures mitigate it. Mechanism analysis identifies heightened psychological burden as a key channel through which temperature change worsens health vulnerability. Additionally, generational differences emerge: older migrant workers are more adversely affected by elevated spring temperatures, whereas younger workers exhibit greater sensitivity to rising summer temperatures. Discussion These results underscore the necessity of targeted health interventions and adaptive labor protection policies. By highlighting the seasonal and generational disparities in the effects of temperature change, this study offers theoretical and empirical support for enhancing the resilience of migrant workers to climate variations. The findings provide valuable insights for policymakers in designing strategies to safeguard the health and stability of the migrant workforce.
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Affiliation(s)
- Ting Liang
- School of Chinese Medicine, Hunan Brain Hospital, Hunan University of Chinese Medicine, Changsha, Hunan, China
- Hunan Engineering Technology Research Center for Medicinal and Functional Food, Changsha, Hunan, China
- Key Laboratory of TCM Heart and Lung Syndrome Differentiation & Medicated Diet and Dietotherapy, Changsha, Hunan, China
| | - Zilin Ai
- Department of Political Science and Public Administration, Guangxi Normal University, Guilin, Guangxi, China
| | - Hui Zhong
- School of Dental Medicine, Hunan University of Chinese Medicine, Changsha, Hunan, China
| | - Mengyan Xiao
- School of Chinese Medicine, Hunan Brain Hospital, Hunan University of Chinese Medicine, Changsha, Hunan, China
- Hunan Engineering Technology Research Center for Medicinal and Functional Food, Changsha, Hunan, China
- Key Laboratory of TCM Heart and Lung Syndrome Differentiation & Medicated Diet and Dietotherapy, Changsha, Hunan, China
| | - Mengzhou Xie
- School of Chinese Medicine, Hunan Brain Hospital, Hunan University of Chinese Medicine, Changsha, Hunan, China
- Hunan Engineering Technology Research Center for Medicinal and Functional Food, Changsha, Hunan, China
- Key Laboratory of TCM Heart and Lung Syndrome Differentiation & Medicated Diet and Dietotherapy, Changsha, Hunan, China
| | - Xiaoli Liang
- School of Chinese Medicine, Hunan Brain Hospital, Hunan University of Chinese Medicine, Changsha, Hunan, China
| | - Liang Li
- School of Chinese Medicine, Hunan Brain Hospital, Hunan University of Chinese Medicine, Changsha, Hunan, China
- Hunan Engineering Technology Research Center for Medicinal and Functional Food, Changsha, Hunan, China
- Key Laboratory of TCM Heart and Lung Syndrome Differentiation & Medicated Diet and Dietotherapy, Changsha, Hunan, China
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Yu Z, Liu W. The psychological resilience of teenagers in terms of their everyday emotional balance and the impact of emotion regulation strategies. Front Psychol 2025; 15:1381239. [PMID: 40052017 PMCID: PMC11883688 DOI: 10.3389/fpsyg.2024.1381239] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/03/2024] [Accepted: 07/15/2024] [Indexed: 03/09/2025] Open
Abstract
Objective Adolescents are also more vulnerable to the effects of everyday life stimuli and exhibit a range of negative emotional states that can develop into severe affective disorders. However, Psychological resilience maybe enable the prevention of emotional problems associated with daily stress rather than intervening treating the problem after it has occurred. Methods A total of 104 individuals (54 participants in the high psychological resilience group and 50 participants in the low psychological resilience group) were first identified. Then, the 8-day experiential sampling method was used to determine the characteristics of adolescents with different psychological resilience levels in terms of emotional balance under daily stress. Further combined with diary method research, a multilayered linear model was used to explore the predictive effects of six emotion regulation strategies on adolescents' emotional balance. Results The obtained Results show that high psychological resilience adolescents demonstrated higher levels of emotional balance and positive rates and lower rates of change in emotional balance than low psychological resilience adolescents. In terms of facilitating emotion regulation strategies, high psychological resilience was associated with greater use of cognitive reappraisal and social sharing strategies (which positively predicted emotional balance under daily stress) and less use of expression suppression and rumination strategies (which negatively predicted levels of emotional balance). Conclusion Adolescents with high psychological resilience exhibit good adaptive emotional states in daily stressful situations, which is closely related to their use of adaptive emotion regulation strategies such as cognitive reappraisal and social sharing and may be useful for further intervention research.
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Affiliation(s)
- Zengyan Yu
- School of Mental Health, Qiqihar Medical University, Qiqihar, China
- School of Psychology, Liaoning Normal University, Dalian, China
| | - Wen Liu
- School of Psychology, Liaoning Normal University, Dalian, China
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Li Q, Liu Z. Parental psychological control and adolescent smartphone addiction: roles of reactance and resilience. BMC Psychol 2025; 13:139. [PMID: 39972515 PMCID: PMC11841267 DOI: 10.1186/s40359-025-02477-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/22/2024] [Accepted: 02/11/2025] [Indexed: 02/21/2025] Open
Abstract
BACKGROUND Problematic smartphone use is a prevalent issue addressed in this study. The research delves into factors associated with problematic smartphone use, employing the self-determination theory. Specifically, the study analyzes the relationship between parental psychological control and problematic smartphone use and investigates psychological reactance as a mediating factor. Moreover, psychological resilience is considered a moderating factor in the relationship between parental psychological control and problematic smartphone use, based on the diathesis-stress model and cognitive model of resilience. METHODS A total of 1300 (M = 14.22, SD = 1.29) Chinese adolescents were surveyed in a cross-sectional study. They completed self-report questionnaires including the Parental Psychological Control Questionnaire, the Smartphone Addiction Scale, the Psychological Resistance Scale, and the Adolescent Resilience Scale. A moderated mediation model was examined to test predictions. RESULTS Correlation analysis reveals a positive correlation between parental psychological control, psychological reactance, and problematic smartphone use, and a negative correlation with psychological resilience. Moderation mediation analysis demonstrates that psychological resilience diminishes the direct association between parental psychological control, psychological reactance, and problematic smartphone use, thereby mitigating their relationship. CONCLUSIONS The findings support the moderation mediation model, indicating that psychological resilience plays a crucial role in safeguarding adolescents from the adverse effects of problematic smartphone use induced by parental psychological control.
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Affiliation(s)
- Qiangqiang Li
- School of Educational Science, Jiangsu Second Normal University, Nanjing, China
| | - Zixiao Liu
- Department of Social Work, School of Sociology and Political Science, Shanghai University, Shanghai, China.
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Kan Y, Wan B, Chen Y, Qiu X, Qiao Z, Zhou J, Hu X, Ke S, Qiao K, Liu X, Bu T, Zhang W, Yang Y. Longitudinal correlates of learning burnout among Chinese adolescents during the COVID-19 pandemic: A cross-lagged panel network analysis. J Affect Disord 2025; 369:125-134. [PMID: 39321978 DOI: 10.1016/j.jad.2024.09.137] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/12/2024] [Revised: 09/07/2024] [Accepted: 09/21/2024] [Indexed: 09/27/2024]
Abstract
BACKGROUND Learning burnout as a serious psychological distress problem among adolescents during the COVID-19 pandemic was investigated using the cross-lagged panel network models. METHODS A three-wave study using a sample of 11 to 18-year-olds in China was conducted, with baseline data collected in June 2020 (n = 4156) and follow-ups in December 2020 (n = 3209) and August 2021 (n = 2324). Two temporal cross-lagged panel network models were computed to analyze adolescent learning burnout over time. RESULTS The predictive pathway of adolescent learning burnout demonstrates significant temporal specificity. In the early outbreak period, Positive thinking, Appreciation of life and Depression are the most influential predictive symptoms. In the normalized epidemic prevention period, Goal planning, Affect control and Positive thinking are the most influential predictive symptoms. However, during this period, the extent to which adolescent learning burnout is predicted by other symptoms in the networks is significantly reduced. LIMITATIONS The samples used in this study are not expected to be nationally representative, and therefore the generalizability of the results may be limited. CONCLUSIONS These findings highlight the predictive roles of Positive thinking, Appreciation of life, and Depression in adolescent learning burnout and the importance of timely intervention on these symptoms in the early outbreak period of public health emergency similar to the COVID-19 pandemic. Findings also illustrate the essentiality of eliminate unstable factors in the school environment during the normalized epidemic prevention period.
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Affiliation(s)
- Yuecui Kan
- Psychology and Health Management Center, Harbin Medical University, Harbin, China
| | - Bowen Wan
- Psychology and Health Management Center, Harbin Medical University, Harbin, China
| | - Yu Chen
- Psychology and Health Management Center, Harbin Medical University, Harbin, China
| | - Xiaohui Qiu
- Psychology and Health Management Center, Harbin Medical University, Harbin, China
| | - Zhengxue Qiao
- Psychology and Health Management Center, Harbin Medical University, Harbin, China
| | - Jiawei Zhou
- Psychology and Health Management Center, Harbin Medical University, Harbin, China
| | - Xiaomeng Hu
- Psychology and Health Management Center, Harbin Medical University, Harbin, China
| | - Siyuan Ke
- Psychology and Health Management Center, Harbin Medical University, Harbin, China
| | - Kexin Qiao
- Psychology and Health Management Center, Harbin Medical University, Harbin, China
| | - Xuan Liu
- Psychology and Health Management Center, Harbin Medical University, Harbin, China
| | - Tianyi Bu
- Psychology and Health Management Center, Harbin Medical University, Harbin, China.
| | - Wenxin Zhang
- Department of Medical Affairs, The First Affiliated Hospital of Harbin Medical University, Harbin, China
| | - Yanjie Yang
- Psychology and Health Management Center, Harbin Medical University, Harbin, China.
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23
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Luo D, Foster K, White K. Conceptualisation and Measurement of Resilience of Adults With Cancer: An Umbrella Review. J Adv Nurs 2025. [PMID: 39812117 DOI: 10.1111/jan.16724] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/19/2024] [Revised: 12/11/2024] [Accepted: 12/17/2024] [Indexed: 01/16/2025]
Abstract
AIMS To (1) clarify the key components of resilience of adults with cancer; (2) summarise and analyse the resilience measures used in this population; and (3) discuss future evaluation directions. DESIGN An umbrella review. DATA SOURCES MEDLINE, Embase, CINAHL, PsycINFO, Scopus, Cochrane library and Epistemonikos were searched in December 2023. METHODS The Joanna Briggs Institute (JBI) guidelines were followed for undertaking this umbrella review. Systematic and narrative reviews that defined resilience of adults with cancer and reported resilience measures, published in English, were included. The methodological quality was assessed using the JBI appraisal tool. RESULTS Fourteen eligible reviews were included. Four key resilience components from various resilience conceptualisations were identified. Twenty resilience measures were used among cancer patients, with the 25-item Connor-Davidson Resilience Scale providing a relatively comprehensive assessment of individual resilience. Recommended future research with cancer patients includes assessing these resilience components: (1) available individual resources-key psychological factors that enhance individual resilience; (2) access to social resources-close interpersonal relationships, family cohesion and social support; (3) adaptive coping ability-problem-solving skills, emotional management strategies and experiences in managing adversity; (4) ability to regain mental health and well-being-the capacity to recover a relatively stable psychological state and promote positive psychological functioning. CONCLUSION The findings provide evidence for refining future resilience measurement in the adult cancer population. Examining the four key components of resilience with this population across cultures is warranted. IMPACT Understanding the key components of resilience of cancer patients can help healthcare professionals identify individuals who may need further support and facilitate early intervention or referral to psychosocial support services. The 25-item Connor-Davidson Resilience Scale is recommended over other tools for use in the cancer population. PATIENT OR PUBLIC CONTRIBUTION Patient or public involvement is not applicable in this study.
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Affiliation(s)
- Dan Luo
- The Daffodil Centre, Sydney, New South Wales, Australia
- Cancer Care Research Unit, Susan Wakil School of Nursing and Midwifery, University of Sydney, Sydney, New South Wales, Australia
| | - Kim Foster
- National School of Nursing, Midwifery & Paramedicine, Australian Catholic University, Melbourne, Victoria, Australia
| | - Kate White
- The Daffodil Centre, Sydney, New South Wales, Australia
- Cancer Care Research Unit, Susan Wakil School of Nursing and Midwifery, University of Sydney, Sydney, New South Wales, Australia
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Xu H, Chen ZH, Ji JJ, Qian HY, She J, Hou CT, Zhang YH. Behavioral and psychosocial factors associated with suicidal ideation in adolescents with depression: An ecological model of health behavior. J Psychiatr Res 2025; 181:411-416. [PMID: 39657566 DOI: 10.1016/j.jpsychires.2024.12.014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/25/2024] [Revised: 10/15/2024] [Accepted: 12/05/2024] [Indexed: 12/12/2024]
Abstract
BACKGROUND Although many studies have examined the relationship between suicidal ideation and psychosocial factors in adolescents, there are differences between the results. METHODS Adopting the ecological model of health behavior as a theoretical framework, this study assessed individual, interpersonal and organizational factors associated with the prevalence of suicidal ideation and preventive behaviors in 305 Chinese adolescents hospitalized with depression. Clinical and demographic data were collected by a self-administered questionnaire. The Hamilton Depression Scale (HAMD) and suicidal ideation were assessed by interview. RESULTS The prevalence of suicidal ideation among the sample was 75.7% (231/305). Logistic regression showed that the increase of suicide ideation was associated with woman (OR = 2.237, 95%CI = 1.074-4.659), degree of depression(moderate depression: OR = 10.198, 95%CI = 3.819-27.237; major depression: OR = 21.677, 95%CI = 7.006-67.076), and high emotion-oriented coping(OR = 1.985, 95%CI = 0.977-4.034). However, high psychological resilience had lower rates of suicidal ideation (OR = 0.384, 95%CI = 0.158-0.933). CONCLUSION These findings highlight the need to pay sufficient attention to individuals with these risk factors for suicidal ideation in clinical work and to prevent suicidal behaviors by increasing health promotion behaviors.
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Affiliation(s)
- Hua Xu
- Department of Adult Psychiatry, The Affiliated Brain Hospital of Nanjing Medical University, Nanjing, China
| | - Zhao-Hong Chen
- Department of Adult Psychiatry, The Affiliated Brain Hospital of Nanjing Medical University, Nanjing, China
| | - Jin-Jie Ji
- Department of Early Intervention, The Affiliated Brain Hospital of Nanjing Medical University, Nanjing, China
| | - Hua-Ying Qian
- Nanjing Child Mental Health Research Center, The Affiliated Brain Hospital of Nanjing Medical University, Nanjing, China
| | - Juan She
- Department of Adult Psychiatry, The Affiliated Brain Hospital of Nanjing Medical University, Nanjing, China
| | - Chun-Ting Hou
- Department of Early Intervention, The Affiliated Brain Hospital of Nanjing Medical University, Nanjing, China
| | - Yan-Hong Zhang
- Department of Nursing, The Affiliated Brain Hospital of Nanjing Medical University, Nanjing, China.
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Pan MR, Liu XY, Gao X, Fu ZF, Liu L, Li HM, Wang YF, Qian QJ. Feasibility, Acceptability, and Preliminary Efficacy of the Unified Protocol for Transdiagnostic Treatment of Emotional Disorders in Adolescents in China: A Pilot Study. Behav Ther 2025; 56:145-161. [PMID: 39814508 DOI: 10.1016/j.beth.2024.05.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/01/2023] [Revised: 03/23/2024] [Accepted: 05/15/2024] [Indexed: 01/18/2025]
Abstract
Currently, there is a lack of cost-effective and accessible intervention resources for Chinese adolescents with emotional disorders. The Unified Protocol for Transdiagnostic Treatment of Emotional Disorders in Adolescents (UP-A), which aims to apply transdiagnostic treatment principles to target core dysfunctions across a range of emotional disorders with a single protocol, could fill this gap. We first modified the UP-A for use in the Chinese cultural context and then assessed its feasibility, acceptability, and preliminary efficacy using a single-arm design. Twenty-four Chinese adolescents (14.1 ± 1.2 years old) with emotional disorders completed a 12-week group UP-A intervention along with their parents. Multiple outcomes were evaluated at five time points: pretreatment (T1), week 4 (T2), week 8 (T3), posttreatment (T4), and 3-month follow-up (T5). The results showed a low dropout rate (16.7%), high attendance (at 10.2 ± 1.6 sessions in adolescents and 10.7 ± 2.0 sessions in parents), and sufficient participant satisfaction. Adolescents exhibited significant decreases in emotional disorder severity (g = -1.298 to -1.341) and emotional symptoms (g = -0.440 to -1.988) and significant improvements in emotion regulation (ER) strategies, resilience, functional outcomes, and executive function. The efficacy of the intervention was significant starting at T2 and was maintained at T4 and T5. Exploratory analyses revealed that predictors of treatment outcomes included the presence of multiple comorbidities, the severity of emotional disorders, adaptive ER strategies, and resilience at T1. This study demonstrated the feasibility, acceptability, and preliminary efficacy of the Chinese version of the UP-A, and future randomized controlled trials are warranted.
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Affiliation(s)
- Mei-Rong Pan
- Peking University Sixth Hospital/Institute of Mental Health; NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital)
| | - Xue-Ying Liu
- Peking University Sixth Hospital/Institute of Mental Health; NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital)
| | - Xue Gao
- Peking University Sixth Hospital/Institute of Mental Health; NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital)
| | - Zhong-Fang Fu
- School of Psychological and Cognitive Sciences and Beijing Key Laboratory of Behavior and Mental Health, Peking University
| | - Lu Liu
- Peking University Sixth Hospital/Institute of Mental Health; NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital)
| | - Hai-Mei Li
- Peking University Sixth Hospital/Institute of Mental Health; NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital)
| | - Yu-Feng Wang
- Peking University Sixth Hospital/Institute of Mental Health; NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital)
| | - Qiu-Jin Qian
- Peking University Sixth Hospital/Institute of Mental Health; NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital).
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Huang W, Wu P, Li J, Zhou Y, Xiong Z, Su P, Wan Y, Tao F, Sun Y. Effectiveness of a universal resilience-focused intervention for children in the school setting: A randomized controlled trial. J Affect Disord 2025; 368:695-703. [PMID: 39299585 DOI: 10.1016/j.jad.2024.09.120] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/28/2024] [Revised: 09/05/2024] [Accepted: 09/16/2024] [Indexed: 09/22/2024]
Abstract
BACKGROUND Psychological resilience can be augmented through the acquisition of specific cognitive or emotional regulation skills, enabling children to adapt to or recover from stressful events, disadvantages, or adversities. We aimed to evaluate the efficacy of a Tianchang Resilience-focused inTervention program (TRT1 program) on resilience and mental health conditions of Chinese children. METHODS This study was a two-arm cluster-randomized controlled trial, performed in Tianchang, a county in China. Students from 20 classes in a local primary school (aged 8.7-11.2 years) were randomly allocated to receive a resilience-focused intervention or waitlist group. The intervention comprised weekly 40-min sessions for 14 weeks and co-led by lay counsellors. Measures of emotional symptoms, behavioral difficulties, and resilience were collected at pre-, post-intervention, 6-months, and 12-months follow-up. RESULTS Between June 16, 2022, and September 4, 2022, 775 eligible students were recruited (mean age 9.93 years; 420 [54.2 %] boys). Relative to the waitlist group (N = 391), the intervention group (N = 384) reported a significant reduction in depressive and anxiety symptoms at post-intervention (all p < 0.001), 6-months (p = 0.007; p = 0.002) and 12-months follow-up (p = 0.018; p = 0.018), respectively. The intervention group effects were also observed on resilience at post-intervention follow-up (p = 0.006), and remained stable over 6-months (p < 0.001) and 12-months follow-up (p = 0.022). CONCLUSIONS This study demonstrated that the TRT program, a universal resilience-focused intervention for children in the school setting, showed long-term effectiveness in improving resilience and mental health conditions. This minimally trained laypersons-delivered intervention might enhance the program's generalizability to other communities.
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Affiliation(s)
- Wenjuan Huang
- Department of Maternal, Child & Adolescent Health, School of Public Health, Anhui Medical University, Hefei, Anhui Province, China
| | - Peipei Wu
- Department of Maternal, Child & Adolescent Health, School of Public Health, Anhui Medical University, Hefei, Anhui Province, China
| | - Jing Li
- Department of Maternal, Child & Adolescent Health, School of Public Health, Anhui Medical University, Hefei, Anhui Province, China
| | - Yi Zhou
- Department of Maternal, Child & Adolescent Health, School of Public Health, Anhui Medical University, Hefei, Anhui Province, China
| | - Zhou Xiong
- Department of Maternal, Child & Adolescent Health, School of Public Health, Anhui Medical University, Hefei, Anhui Province, China
| | - Puyu Su
- Department of Maternal, Child & Adolescent Health, School of Public Health, Anhui Medical University, Hefei, Anhui Province, China; Key Laboratory of Population Health Across Life Cycle, Anhui Medical University, Ministry of Education of the People's Republic of China, Hefei, China; Anhui Provincial Key Laboratory of Environment and Population Health across the Life Course, Hefei, Anhui Province, China
| | - Yuhui Wan
- Department of Maternal, Child & Adolescent Health, School of Public Health, Anhui Medical University, Hefei, Anhui Province, China; Key Laboratory of Population Health Across Life Cycle, Anhui Medical University, Ministry of Education of the People's Republic of China, Hefei, China; Anhui Provincial Key Laboratory of Environment and Population Health across the Life Course, Hefei, Anhui Province, China
| | - Fangbiao Tao
- Department of Maternal, Child & Adolescent Health, School of Public Health, Anhui Medical University, Hefei, Anhui Province, China; Center for Big Data and Population Health of Institute of Health and Medicine, Anhui Medical University, Hefei, Anhui Province, China; Key Laboratory of Population Health Across Life Cycle, Anhui Medical University, Ministry of Education of the People's Republic of China, Hefei, China; Anhui Provincial Key Laboratory of Environment and Population Health across the Life Course, Hefei, Anhui Province, China
| | - Ying Sun
- Department of Maternal, Child & Adolescent Health, School of Public Health, Anhui Medical University, Hefei, Anhui Province, China; Center for Big Data and Population Health of Institute of Health and Medicine, Anhui Medical University, Hefei, Anhui Province, China; Key Laboratory of Population Health Across Life Cycle, Anhui Medical University, Ministry of Education of the People's Republic of China, Hefei, China; Anhui Provincial Key Laboratory of Environment and Population Health across the Life Course, Hefei, Anhui Province, China.
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Yang W, Lian K, Cheng YQ, Xu XF, Duan XC, You X. Network analysis of adolescent non-suicidal self-injury subgroups identified through latent profile analysis. World J Psychiatry 2024; 14:1936-1946. [PMID: 39704375 PMCID: PMC11622022 DOI: 10.5498/wjp.v14.i12.1936] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/13/2024] [Revised: 10/06/2024] [Accepted: 11/08/2024] [Indexed: 11/27/2024] Open
Abstract
BACKGROUND Non-suicidal self-injury (NSSI) is common among adolescents and frequently co-occurs with depression. Understanding the distinct patterns of NSSI behaviors, along with their associated risk and protective factors, is crucial for developing effective interventions. AIM To classify NSSI behaviors and examine interactions between risk and resilience factors in Chinese adolescents. METHODS A cross-sectional study involving 3967 Chinese students (51.7% female, mean age 13.58 ± 2.24 years) who completed questionnaires on parenting styles, bullying, childhood maltreatment, depression, resilience, and NSSI. Latent profile analysis (LPA) was used to identify NSSI subtypes, and network analysis explored interactions between risk and resilience factors. RESULTS Three NSSI subtypes were identified: NSSI with depression (18.8%), NSSI without depression (12.3%), and neither (68.9%). Bullying was the central risk factor across subtypes, while emotional control and family support were key protective factors. Statistical analyses showed significant differences between groups (P < 0.001). CONCLUSION This study identified three NSSI subtypes among Chinese adolescents. Bullying emerged as a central risk factor, while emotional control and family support were key protective factors. Targeting these areas may help reduce NSSI behaviors in this population.
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Affiliation(s)
- Wei Yang
- Department of Psychiatry, The First Affiliated Hospital of Kunming Medical University, Kunming 650032, Yunnan Province, China
| | - Kun Lian
- Department of Neurosurgery, The Second Affiliated Hospital of Kunming Medical University, Kunming 650101, Yunnan Province, China
| | - Yu-Qi Cheng
- Department of Psychiatry, The First Affiliated Hospital of Kunming Medical University, Kunming 650032, Yunnan Province, China
| | - Xiu-Feng Xu
- Department of Psychiatry, The First Affiliated Hospital of Kunming Medical University, Kunming 650032, Yunnan Province, China
| | - Xin-Cen Duan
- Department of Psychiatry, Zhongshan Hospital Affiliated to Fudan University, Shanghai 201100, China
| | - Xu You
- Department of Psychiatry, Honghe Second People's Hospital, Honghe 651400, Yunnan Province, China
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Zhou Y, Yu NX, Liang Z, Feng S, Zhang Q. Preadolescents' executive functions and resilience development: A cascade model of resilience resources and resilient functioning. J Adolesc 2024; 96:1929-1941. [PMID: 39183384 DOI: 10.1002/jad.12392] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/03/2024] [Revised: 07/29/2024] [Accepted: 08/04/2024] [Indexed: 08/27/2024]
Abstract
INTRODUCTION Executive functions (EF), encompassing inhibition, updating, and shifting, are widely acknowledged as cognitive factors that promote resilience. However, prior research examining the association between EF and resilience has been hampered by inconsistent conceptualizations of resilience and an overreliance on cross-sectional designs. We embraced a process-oriented conceptualization of resilience and employed a longitudinal approach to investigate how EF components interplay with the dynamic processes of resilience resources and resilient functioning. METHODS A total of 144 Chinese preadolescents (aged 10-12, 53.5% male) completed computer-based EF assessments at baseline and self-reported their resilience at three intervals during 2019-2020. The resilience evaluations encompassed resilience resources at individual, familial, and social levels, as measured by the Resilience Scale for Chinese Adolescents, and resilient functioning, operationalized as the residuals of socioemotional difficulties after accounting for stressful life events. RESULTS The findings emphasized the dynamic nature of resilience, unveiling a developmental cascade from resilience resources to resilient functioning and back to resilience resources. Furthermore, distinct effects of EF components on resilience development were found. Specifically, inhibition was associated with both concurrent and long-term resilience resources and functioning, while updating predicted long-term resilience resources, and shifting predicted long-term resilient functioning. CONCLUSION These results underscored the pivotal role of EF as a cognitive foundation in comprehending the dynamic resilience processes during preadolescence.
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Affiliation(s)
- Yanlin Zhou
- Department of Psychology and Behavioral Sciences, Zhejiang University, Hangzhou, China
- Department of Social and Behavioural Sciences, City University of Hong Kong, Hong Kong, China
| | - Nancy Xiaonan Yu
- Department of Social and Behavioural Sciences, City University of Hong Kong, Hong Kong, China
| | - Zhanhong Liang
- Department of Psychology and Behavioral Sciences, Zhejiang University, Hangzhou, China
| | | | - Qiong Zhang
- Department of Psychology and Behavioral Sciences, Zhejiang University, Hangzhou, China
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Xia Q, Liu Q, Qin G. The mediating role of psychological resilience in the relationship between physical exercise and sense of security among left-behind junior high school students: multi-group comparative analysis of only children and children with siblings. Front Psychol 2024; 15:1411175. [PMID: 39698385 PMCID: PMC11654250 DOI: 10.3389/fpsyg.2024.1411175] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/02/2024] [Accepted: 11/11/2024] [Indexed: 12/20/2024] Open
Abstract
Background This study aims to explore the mediating role of psychological resilience in the relationship between physical exercise and the sense of security among junior high school students, with a particular focus on variations based on only-child status. Methods A survey was conducted among 649 left-behind junior high school students in Gansu Province, China, utilizing the Physical Activity Rating Scale-3 (PARS-3), Security Questionnaire (SQ), and Resilience Scale for Chinese Adolescents (RSCA). Results Among the participants, the mean scores for physical exercise, psychological resilience, and sense of security were 40.78 ± 29.49, 51.14 ± 10.08, and 55.75 ± 14.35, respectively. A significant positive correlation was observed between physical exercise and sense of security (r = 0.210, p < 0.01), physical exercise and psychological resilience (r = 0.164, p < 0.01), and psychological resilience and sense of security (r = 0.443, p < 0.01). Mediation analysis revealed that psychological resilience partially mediates the effect of physical exercise on the sense of security, accounting for 33.9% of the total effect. Multi-group analysis indicated significant differences in this mediating effect between only children and children with siblings, with a stronger predictive role of psychological resilience for the sense of security among non-only children. Conclusion Participation in physical exercise can promote the improvement of sense of security through the individual power factor of improving the psychological resilience of left-behind junior high school students, and this improvement effect is more significant for non-only children.
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Affiliation(s)
- Qifei Xia
- School of Physical Education, Ankang College, Ankang, China
- Institute of Sports Training, Xi’an Institute of Physical Education, Xi’an, China
| | - Qi Liu
- Qingshui County No. 5 Middle School, Tianshui, China
| | - Guoyou Qin
- College of Physical Education, Hanjiang Normal University, Shiyan, China
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30
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Zhao Y, Xu J, Zhang J, Song J, Yang N, Fan H, Dong Z, Tan S. Study protocol for a randomized controlled trial evaluating the effectiveness of a mother-child intervention model of neurogenic tremor as an add-on to treatment for emotional disorders in adolescents. BMC Complement Med Ther 2024; 24:403. [PMID: 39574118 PMCID: PMC11580556 DOI: 10.1186/s12906-024-04650-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/19/2024] [Accepted: 09/20/2024] [Indexed: 11/24/2024] Open
Abstract
BACKGROUND Adolescents exhibit a high prevalence of mental health disorders, with more than half of all cases emerging before the age of 14 years. Since the advent of the COVID-19 pandemic, there has been a marked upsurge in anxiety and depression among adolescents across several nations. Emotional disorders often lead to severe outcomes, including school absenteeism, self-harm, and suicidal tendencies. The suboptimal efficacy of pharmacotherapy, compounded by limited availability and substantial costs associated with individual psychotherapy, underscores the critical need for identifying simple yet efficacious psychotherapeutic interventions suitable for both individual and group settings. Tension and Trauma Release Exercise (TRE) is a mind-body therapeutic approach that efficiently alleviates symptoms of anxiety and depression. This randomized controlled trial (RCT) aims to evaluate the effectiveness of a mother-child intervention model using TRE in enhancing the clinical management of adolescent patients diagnosed with emotional disorders. METHODS This study recruits 140 dyads of adolescents with emotional disorders and their mothers, randomly assigned to intervention or control groups. The intervention arm combines eight weeks of standard pharmacotherapy with an eight-week TRE group therapy, assessing at baseline, post-8-week treatment, and three-month follow-up. Initially, controls receive eight weeks of standard medication with parallel assessments, later transitioning to the same TRE intervention while maintaining continuous evaluation. The study further examines the influence of maternal emotional health on adolescent treatment response and investigates associated neurophysiological and psychological mechanisms. DISCUSSION This research endeavors to identify a straightforward and potent body-oriented psychological intervention that could improve the clinical outcomes for adolescent patients with emotional disorders. Such findings would carry profound implications not only for the healthy development of teenagers but also for potentially mitigating the burden on families, educational institutions, and society as a whole. TRIAL REGISTRATION ChiCTR2100044553, Registered March 24, 2021.
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Affiliation(s)
- Yanli Zhao
- Psychiatric Research Center, Beijing Huilongguan Hospital, Peking University Huilonguan Clinical Medical School, Beijing, IN, 100096, China
| | - Jiahua Xu
- Psychiatric Research Center, Beijing Huilongguan Hospital, Peking University Huilonguan Clinical Medical School, Beijing, IN, 100096, China
| | - Jie Zhang
- Psychiatric Research Center, Beijing Huilongguan Hospital, Peking University Huilonguan Clinical Medical School, Beijing, IN, 100096, China
| | - Jiaqi Song
- Psychiatric Research Center, Beijing Huilongguan Hospital, Peking University Huilonguan Clinical Medical School, Beijing, IN, 100096, China
| | - Ning Yang
- State Key Laboratory of Cognitive Neuroscience and Learning, Beijing Normal University, Beijing, IN, 100875, China
| | - Hongzhen Fan
- Psychiatric Research Center, Beijing Huilongguan Hospital, Peking University Huilonguan Clinical Medical School, Beijing, IN, 100096, China
| | - Zhe Dong
- Psychiatric Research Center, Beijing Huilongguan Hospital, Peking University Huilonguan Clinical Medical School, Beijing, IN, 100096, China
| | - Shuping Tan
- Psychiatric Research Center, Beijing Huilongguan Hospital, Peking University Huilonguan Clinical Medical School, Beijing, IN, 100096, China.
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Wendel F, Bender S, Breitinger E, Coenen M, Hummel J, Immich G, Kirschneck M, Klünder V, Kunzler AM, Lieb K, Movsisyan A, Li LY, Ravens-Sieberer U, Rehfuess E, Voss S, Jung-Sievers C. Interventions to build resilience and to ameliorate negative psychosocial effects of the COVID-19 pandemic on children and adolescents: a systematic review and meta-analysis. Eur Child Adolesc Psychiatry 2024; 33:3707-3726. [PMID: 37573565 PMCID: PMC11588790 DOI: 10.1007/s00787-023-02280-y] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/06/2023] [Accepted: 08/03/2023] [Indexed: 08/15/2023]
Abstract
The psychosocial health of children and adolescents has been particularly affected by the COVID-19 pandemic. Containment measures have restricted social development, education and recreational activities, may have increased family conflicts and, in many cases, led to feelings of loneliness, sleep disturbances, symptoms of anxiety and depression. We conducted a systematic review to identify interventions that seek to ameliorate these detrimental effects of the COVID-19 pandemic and to build resilience in children and adolescents. Literature searches were conducted in the databases MEDLINE, EMBASE, PsycINFO, CENTRAL, WHO COVID-19 Global literature on coronavirus disease and Cochrane COVID-19 Study Register (up to 30 June 2022). The searches retrieved 9557 records of which we included 13 randomized-controlled trials (RCTs) for evidence synthesis. Included studies predominantly implemented online group sessions for school-aged children with either a psychological component, a physical activity component, or a combination of both. A meta-analysis of seven studies on anxiety and five on depressive symptoms provided evidence for a positive effect of interventions by reducing anxiety (Standardized Mean Difference (SMD) (95% CI): - 0.33 (- 0.59; - 0.06)) and depressive symptoms (SMD (95% CI): - 0.26 (- 0.36; - 0.16)) compared to the control interventions. Studies also showed improvements in positive mental health outcomes, such as resilience (n = 2) and mental and psychological wellbeing (n = 2). Exploratory subgroup analyses suggested a greater effectiveness of interventions that (i) are of higher frequency and duration, (ii) enable personal interaction (face-to-face or virtually), and (iii) include a physical activity component. Almost all studies were judged to be at high risk of bias and showed considerable heterogeneity. Further research may focus on the contribution of different intervention components or distinct subgroups and settings, and should examine children and adolescents over longer follow-up periods.
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Affiliation(s)
- Flora Wendel
- Institute for Medical Information Processing, Biometry and Epidemiology IBE, Faculty of Medicine, Chair of Public Health and Health Services Research, LMU Munich, Munich, Germany.
- Pettenkofer School of Public Health, Munich, Germany.
| | - Stephan Bender
- Department of Child and Adolescent Psychiatry, Psychosomatics, and Psychotherapy, University of Cologne, Faculty of Medicine and University Hospital Cologne, Cologne, Germany
| | - Eva Breitinger
- Department of Child and Adolescent Psychiatry, Psychosomatics, and Psychotherapy, University of Cologne, Faculty of Medicine and University Hospital Cologne, Cologne, Germany
| | - Michaela Coenen
- Institute for Medical Information Processing, Biometry and Epidemiology IBE, Faculty of Medicine, Chair of Public Health and Health Services Research, LMU Munich, Munich, Germany
- Pettenkofer School of Public Health, Munich, Germany
| | - Julia Hummel
- Institute for Medical Information Processing, Biometry and Epidemiology IBE, Faculty of Medicine, Chair of Public Health and Health Services Research, LMU Munich, Munich, Germany
- Pettenkofer School of Public Health, Munich, Germany
| | - Gisela Immich
- Institute for Medical Information Processing, Biometry and Epidemiology IBE, Faculty of Medicine, Chair of Public Health and Health Services Research, LMU Munich, Munich, Germany
- Pettenkofer School of Public Health, Munich, Germany
| | - Michaela Kirschneck
- Institute for Medical Information Processing, Biometry and Epidemiology IBE, Faculty of Medicine, Chair of Public Health and Health Services Research, LMU Munich, Munich, Germany
- Pettenkofer School of Public Health, Munich, Germany
| | - Vera Klünder
- Institute for Medical Information Processing, Biometry and Epidemiology IBE, Faculty of Medicine, Chair of Public Health and Health Services Research, LMU Munich, Munich, Germany
- Pettenkofer School of Public Health, Munich, Germany
| | - Angela M Kunzler
- Leibniz Institute for Resilience Research (LIR), Mainz, Germany
- Institute for Evidence in Medicine, Faculty of Medicine, Medical Center - University of Freiburg, University of Freiburg, Freiburg, Germany
| | - Klaus Lieb
- Leibniz Institute for Resilience Research (LIR), Mainz, Germany
| | - Ani Movsisyan
- Institute for Medical Information Processing, Biometry and Epidemiology IBE, Faculty of Medicine, Chair of Public Health and Health Services Research, LMU Munich, Munich, Germany
- Pettenkofer School of Public Health, Munich, Germany
| | - Lydia Y Li
- Department of Child and Adolescent Psychiatry, Psychotherapy, and Psychosomatics, Research Unit Child Public Health, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
| | - Ulrike Ravens-Sieberer
- Department of Child and Adolescent Psychiatry, Psychotherapy, and Psychosomatics, Research Unit Child Public Health, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
| | - Eva Rehfuess
- Institute for Medical Information Processing, Biometry and Epidemiology IBE, Faculty of Medicine, Chair of Public Health and Health Services Research, LMU Munich, Munich, Germany
- Pettenkofer School of Public Health, Munich, Germany
| | - Stephan Voss
- Institute for Medical Information Processing, Biometry and Epidemiology IBE, Faculty of Medicine, Chair of Public Health and Health Services Research, LMU Munich, Munich, Germany
- Pettenkofer School of Public Health, Munich, Germany
| | - Caroline Jung-Sievers
- Institute for Medical Information Processing, Biometry and Epidemiology IBE, Faculty of Medicine, Chair of Public Health and Health Services Research, LMU Munich, Munich, Germany
- Pettenkofer School of Public Health, Munich, Germany
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Black MH, Helander J, Segers J, Ingard C, Bervoets J, de Puget VG, Bölte S. Resilience in the face of neurodivergence: A scoping review of resilience and factors promoting positive outcomes. Clin Psychol Rev 2024; 113:102487. [PMID: 39178757 DOI: 10.1016/j.cpr.2024.102487] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2024] [Revised: 05/06/2024] [Accepted: 08/13/2024] [Indexed: 08/26/2024]
Abstract
Neurodivergent individuals, including a range of conditions impacting neurological function, are at an increased likelihood of poor life outcomes, such as in functional adaptation, mental health, and well-being. Yet, many live meaningful and fulfilling lives. Resilience may provide some explanation for the heterogeneity in outcomes observed in neurodivergent populations. We conducted a scoping review embedded in a neurodiversity-affirmative approach to provide an understanding of resilience in neurodivergent populations. A total of 176 articles were included in this review and were synthesized using a two-phased process. First, findings were synthesized narratively to examine how resilience has been conceptualized and explored in neurodivergent populations. Second, to identify the bio-psycho-social factors important for resilience in neurodivergent individuals, we converted concepts identified in articles to the nomenclature of the World Health Organizations' International Classification of Functioning, Disability and Health (ICF) using a standardized linking process. We find considerable variability in how resilience is conceptualized and measured in neurodivergent populations. We identified 83 unique ICF categories representing resilience factors, of which only 20 appeared in more than 5% of the articles. Identified ICF categories highlight the importance of support systems such as families and friends, community participation and acceptance, and individual capabilities for resilience.
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Affiliation(s)
- Melissa H Black
- Center of Neurodevelopmental Disorders (KIND), Department of Women's and Children's Health, Centre for Psychiatry Research, Karolinska Institutet & Region Stockholm, Stockholm, Sweden.
| | - Johan Helander
- Center of Neurodevelopmental Disorders (KIND), Department of Women's and Children's Health, Centre for Psychiatry Research, Karolinska Institutet & Region Stockholm, Stockholm, Sweden; Habilitation and Health, Stockholm Health Care Services, Region Stockholm, Stockholm, Sweden
| | - Julie Segers
- Parenting and Special Education Research Unit, Faculty of Psychology and Educational Sciences, KU Leuven, Leuven, Belgium
| | - Cecilia Ingard
- Faculty of Health and Occupational Studies, Department of Social Work and Criminology, University of Gävle, Gävle, Sweden
| | - Jo Bervoets
- University of Antwerp, Department of Philosophy, Compost Collective, Belgium
| | | | - Sven Bölte
- Center of Neurodevelopmental Disorders (KIND), Department of Women's and Children's Health, Centre for Psychiatry Research, Karolinska Institutet & Region Stockholm, Stockholm, Sweden; Child and Adolescent Psychiatry, Stockholm Health Care Services, Region Stockholm, Stockholm, Sweden; Curtin Autism Research Group, Curtin School of Allied Health, Curtin University, Perth, Australia
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Zhou J, Wei X, Xue L. Father presence, adolescent girls' resilience, psychological security, and achievement goal orientation: examining direct and indirect associations. Front Psychol 2024; 15:1403403. [PMID: 39430898 PMCID: PMC11488148 DOI: 10.3389/fpsyg.2024.1403403] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/10/2024] [Accepted: 08/19/2024] [Indexed: 10/22/2024] Open
Abstract
In the developmental research, studies on the importance of fathers in the parent-child relationship is insufficient, especially the father-daughter relationship. Thus far, a few studies have investigated whether father presence influences adolescent daughters' resilience. Therefore, this study investigated the extent to which intermediary factors affect the relationship between father presence and daughters' resilience. A total of 718 Chinese female high school students participated in a questionnaire survey. The results showed father presence was positively related to resilience in female high school students. Additionally, psychological security fully mediated the relationship between father presence and daughters' resilience, whereas achievement goal orientation partially mediated this relationship; specifically, the mastery-approach and performance-approach orientations. The results highlight the importance of considering the meaning and implications of father presence and daughter's resilience in Chinese culture.
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Yang XH, Wang R, Li Y, Zhou HL, Zhou L, Sun M. Characteristics and factors associated with psychotic-like experiences in remission: a cross-sectional study of 4208 college students in China. BMJ Open 2024; 14:e084141. [PMID: 39353694 PMCID: PMC11448162 DOI: 10.1136/bmjopen-2024-084141] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/10/2024] [Accepted: 09/06/2024] [Indexed: 10/04/2024] Open
Abstract
OBJECTIVES Previous research has extensively explored the factors associated with psychotic-like experiences (PLEs). However, the characteristics and associated factors of remitted PLEs, which refer to the absence of current PLEs following previous PLEs, remain unclear. Therefore, this study aims to describe the characteristics of adolescents who reported remitted PLEs. DESIGN Cross-sectional study. SETTING The survey was conducted from October to December 2020 in three colleges located in Guangzhou, China. PARTICIPANTS A total of 4208 college freshmen aged from 15 to 24 participated in our survey. PRIMARY AND SECONDARY OUTCOME MEASURES The 15-item positive subscale of the Community Assessment of the Psychic Experience was used to assess both lifetime and current PLEs. Multivariate logistic regression models were used to examine the associations between remitted PLEs and a range of demographic factors, lifestyle, psychosocial factors, lifetime affective symptoms and sleep problems. RESULTS Three groups of PLEs were observed: non-PLEs (47.27% of the sample), remitted PLEs (40.42%) and current PLEs (12.31%). Several factors have been identified as shared correlates of remission and absence of PLEs, including fewer recent adverse life events, greater resilience, fewer symptoms of depression and anxiety, and early waking. Furthermore, higher levels of social support (OR 1.48, 95% CI 1.01 to 2.17; OR 1.53, 95% CI 1.18 to 1.97) was a specific factor associated with the remission of PLEs. Compared with individuals without PLEs, those with remitted PLEs were more likely to be female (OR 1.50, 95% CI 1.28 to 1.75), less likely to be younger (OR 0.88, 95% CI 0.81 to 0.95) and prone to have more chronic physical illness (OR 1.67, 95% CI 1.29 to 2.16), habitual alcohol intake (OR 1.85, 95% CI 1.19 to 2.88), more childhood trauma (OR for low vs high=0.72, 95% CI 0.57 to 0.91) and the sleep problems of waking up easily (OR 1.36, 95% CI 1.12 to 1.65). CONCLUSION These findings suggest that remitted PLEs play a vital, unique role among three groups and provide preliminary targets for the intervention for adolescents at risk of mental health problems. Further investigation may shed light on the causality of the relationship between remitted PLEs and associated factors.
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Affiliation(s)
- Xin-Hu Yang
- Department of Social Psychiatry, Affiliated Brain Hospital, Guangzhou Medical University, Guangzhou, Guangdong, China
- Key Laboratory of Neurogenetics and Channelopathies of Guangdong Province and the Ministry of Education of China, Guangzhou Medical University, Guangzhou, Guangdong, China
| | - Rui Wang
- Department of Social Psychiatry, Affiliated Brain Hospital, Guangzhou Medical University, Guangzhou, Guangdong, China
- Key Laboratory of Neurogenetics and Channelopathies of Guangdong Province and the Ministry of Education of China, Guangzhou Medical University, Guangzhou, Guangdong, China
| | - Yue Li
- Department of Social Psychiatry, Affiliated Brain Hospital, Guangzhou Medical University, Guangzhou, Guangdong, China
- Key Laboratory of Neurogenetics and Channelopathies of Guangdong Province and the Ministry of Education of China, Guangzhou Medical University, Guangzhou, Guangdong, China
| | - Hong-Ling Zhou
- Department of Social Psychiatry, Affiliated Brain Hospital, Guangzhou Medical University, Guangzhou, Guangdong, China
- Key Laboratory of Neurogenetics and Channelopathies of Guangdong Province and the Ministry of Education of China, Guangzhou Medical University, Guangzhou, Guangdong, China
| | - Liang Zhou
- Department of Social Psychiatry, Affiliated Brain Hospital, Guangzhou Medical University, Guangzhou, Guangdong, China
- Key Laboratory of Neurogenetics and Channelopathies of Guangdong Province and the Ministry of Education of China, Guangzhou Medical University, Guangzhou, Guangdong, China
| | - Meng Sun
- Department of Social Psychiatry, Affiliated Brain Hospital, Guangzhou Medical University, Guangzhou, Guangdong, China
- Key Laboratory of Neurogenetics and Channelopathies of Guangdong Province and the Ministry of Education of China, Guangzhou Medical University, Guangzhou, Guangdong, China
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Li J, Li J, Hou Y, Zhang W, Wang G, Qu Z. Underlying mechanisms of change in the effects of cognitive behavior therapy on posttraumatic stress disorders among Chinese children: Results from a randomized controlled trial. CHILD ABUSE & NEGLECT 2024; 156:107023. [PMID: 39243585 DOI: 10.1016/j.chiabu.2024.107023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/24/2024] [Revised: 08/20/2024] [Accepted: 08/31/2024] [Indexed: 09/09/2024]
Abstract
BACKGROUND Evidence for the effectiveness of group-based trauma-focused cognitive behavior therapy (TF-CBT) has existed, but little is known about how group-based TF-CBT works in the treatment of children with PTSD. The purpose of the present study is to explore the mediators for the reduction of PTSD severity in group-based TF-CBT. METHOD We analyzed data from a randomized controlled trial conducted in China. In this trial, 234 children with PTSD were randomly assigned to the TF-CBT group or the treatment as usual (TAU) group. The primary outcome (reduction in severity of PTSD symptoms) and possible mediators (trauma memory quality, emotion regulation strategies, and resilience) were assessed at baseline and posttreatment. The mediation analysis was performed to investigate the indirect effects of possible mediators on treatment outcomes. RESULTS The mediation model revealed that changes in trauma memory quality, maladaptive emotion regulation strategies, and resilience mediated the relationship between the group (TF-CBT vs. TAU) and PTSD at post-treatment. Adaptive emotion regulation strategies were not a key mechanism underlying PTSD reduction in group-based TF-CBT. CONCLUSION Group-based TF-CBT might affect PTSD by reducing risk factors, like trauma memory quality and maladaptive emotion strategies. Group-based TF-CBT also might affect PTSD by increasing protective factors, like resilience. Thus, monitoring these mediators throughout treatment might be an important factor in optimizing treatment outcomes.
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Affiliation(s)
- Jina Li
- School of Sociology, Beijing Normal University, Beijing 100875, China.
| | - Jia Li
- School of Sociology, Beijing Normal University, Beijing 100875, China
| | - Yi Hou
- School of Sociology, Beijing Normal University, Beijing 100875, China
| | - Weijun Zhang
- School of Sociology, Beijing Normal University, Beijing 100875, China.
| | - Gengchao Wang
- State Key Laboratory of Liver Research, University of Hong Kong, Hong Kong 999077, China
| | - Zhiyong Qu
- School of Sociology, Beijing Normal University, Beijing 100875, China.
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Wei X, Lai Z, Tan Z, Ou Z, Feng X, Xu G, Ai D. The effect of physical activity on depression in university students: the mediating role of self-esteem and positive psychological capital. Front Psychol 2024; 15:1485641. [PMID: 39380753 PMCID: PMC11458536 DOI: 10.3389/fpsyg.2024.1485641] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/24/2024] [Accepted: 09/09/2024] [Indexed: 10/10/2024] Open
Abstract
Objective This study aimed to investigate the relationship between physical exercise and depression among college students, focusing on the mediating role of self-esteem and positive psychological capital. Methods Group psychological measurements were conducted on 579 students using various scales, including the Physical Activity Rating Scale (PARS-3), Self-Esteem Scale (SES), Positive Psychological Capital Questionnaire (PPQ), and Self-rating Depression Scale (SDS). The data was analyzed using SPSS 26.0 and bootstrap methods to test and analyze the effects. Results A negative correlation between physical exercise and depressive mood, with physical exercise significantly predicting college students' depressive mood. Additionally, physical exercise was found to positively predict self-esteem and positive psychological capital, both of which are negatively predictive of depressive mood. Self-esteem and positive psychological capital were identified as significant mediators between physical exercise and depressive mood, with three mediating paths: physical exercise, self-esteem, and depressed mood (Path 1), exhibited an indirect effect of 0.017, with the bootstrap 95% confidence interval excluding 0 (LLCI = -0.051, ULCI = -0.004) and accounting for 8.30% of the total effect. Physical exercise, positive psychological capital, and depression emotion (Path 2), had an indirect effect of 0.049, with the bootstrap 95% confidence interval also not containing 0 (LLCI = -0.088, ULCI = -0.011) and contributing to 23.90% of the total effect. Physical exercise, self-esteem, positive psychological capital, depressed mood (Path 3), demonstrated an indirect effect of 0.006, with the bootstrap 95% confidence interval excluding 0 (LLCI = -0.011, ULCI = -0.001) and representing 2.90% of the total effect. Conclusion Physical exercise negatively predicts depressive mood among college students and has a mediating effect through self-esteem and positive psychological capital, creating a chain-like impact on their depressive symptoms.
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Affiliation(s)
- Xiaolong Wei
- School of Physical Education and Sport Science, Fujian Normal University, Fuzhou, China
| | - Zhijie Lai
- School of Physical Education, Guangzhou College of Commerce, Guangzhou, China
| | - Zhaowen Tan
- School of Physical Education, Nanjing Xiaozhuang University, Nanjing, China
| | - Ziyue Ou
- Department of Sports and Health, Guangzhou Sport University, Guangzhou, China
| | - Xueyou Feng
- School of Clinical Medicine, Hainan Vocational University of Science and Technology, Haikou, China
| | - Guoqin Xu
- Department of Sports and Health, Guangzhou Sport University, Guangzhou, China
| | - Dongsheng Ai
- School of Physical Education, Guangzhou College of Commerce, Guangzhou, China
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Qu T, Gu Q, Yang H, Wang C, Cao Y. The association between expressive suppression and anxiety in Chinese left-behind children in middle school: serial mediation roles of psychological resilience and self-esteem. BMC Psychiatry 2024; 24:574. [PMID: 39256755 PMCID: PMC11389532 DOI: 10.1186/s12888-024-05997-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/27/2024] [Accepted: 08/01/2024] [Indexed: 09/12/2024] Open
Abstract
BACKGROUND Left-behind children (LBC) have become a special population to be concerned due to the negative consequences of parental absence during their physical and psychological development in China. Expressive suppression (ES) is a response-focused emotion regulation and may be frequently used by LBC to suppress their emotions resulting in different forms of internalizing problems. The objective of the present study was to investigate the role of ES as an emotion regulation strategy on anxiety in Chinese left-behind children in middle school (LBC-MS) by considering the mediating role(s) of psychological resilience and self-esteem. METHODS 820 middle school students aged between 12 and 17 years from a middle school in Xiangtan, Hunan Province, participated in the study. Screen for Child Anxiety Related Emotional Disorders (SCARED), Emotion Regulation Questionnaire (ERQ), Resilience Scale for Chinese Adolescents (RSCA), and Rosenberg Self-Esteem Scale (SES) were administered. Variables measured using the above scales in left-behind children in middle school (LBC-MS) and non-left-behind children in middle school (non-LBC-MS) were compared, and descriptive statistics were used to present the overall characteristics. Then the PROCESS macro of SPSS was used to conduct regression-based statistical mediation for the data of 211 left-behind children. RESULTS This study revealed that LBC-MS had higher anxiety and ES scores and lower psychological resilience and self-esteem scores than non-LBC-MS (Ps < 0.01). ES was found positively associated with anxiety in LBC-MS and negatively associated with psychological resilience and self-esteem (Ps < 0.05 - 0.01). Specifically, both psychological resilience and self-esteem significantly mediated the association between ES and anxiety, accounting for 7.50% and 10.68%, respectively, of the total associations. Moreover, psychological resilience and self-esteem had a chain mediating effect between ES and anxiety in LBC-MS. CONCLUSION The findings indicated that LBC-MS in China may frequently engage in the use of ES which correlated with higher level of anxiety. Psychological interventions should be dedicated to this underserved group. Intervention approaches that improve emotion regulation strategies (i.e., decrease the use of ES) and increase psychological resilience and self-esteem may help to alleviate anxiety in LBC-MS.
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Affiliation(s)
- Tingting Qu
- Department of Psychiatry, National Center for Mental Disorders, National Clinical Research Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Changsha, Hunan, 410011, China
| | - Qiwen Gu
- Department of Psychology, University of Washington, Seattle, WA, 98195, USA
| | - Huan Yang
- Department of Psychiatry, National Center for Mental Disorders, National Clinical Research Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Changsha, Hunan, 410011, China
- Department of Psychiatry and Clinical Psychology, The Seventh Affiliated Hospital, Sun Yat- Sen University, Shenzhen, Guangdong, 518107, China
| | - Chennan Wang
- Department of Psychiatry, National Center for Mental Disorders, National Clinical Research Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Changsha, Hunan, 410011, China
| | - Yuping Cao
- Department of Psychiatry, National Center for Mental Disorders, National Clinical Research Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Changsha, Hunan, 410011, China.
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Huang L, Hou D, Xiao Q, Huang X. Associations Among Psychological Resilience, Self-Esteem, Social Support, and Non-Suicidal Self-Injury Behaviors in Adolescents Receiving Inpatient Psychiatric Care. J Psychosoc Nurs Ment Health Serv 2024; 62:47-54. [PMID: 38451118 DOI: 10.3928/02793695-20240301-01] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/08/2024]
Abstract
PURPOSE To explore associations among psychological resilience, self-esteem, social support, and non-suicidal self-injury (NSSI) behaviors in adolescents receiving inpatient psychiatric care. METHOD In this cross-sectional study, 505 Chinese adolescents (aged 10 to 19 years) receiving inpatient psychiatric care completed a general characteristics questionnaire, the Psychological Resilience Scale (PRS), Self-Esteem Scale (SES), and Child and Adolescent Social Support Scale (CASSS). Statistical tests were used to compare NSSI incidence, scale scores, and factors influencing NSSI. RESULTS The incidence rate of NSSI was 77.82% (n = 393). Total and dimension scores on the PRS, SES, and CASSS in the NSSI group were significantly lower than those in the non-NSSI group (p < 0.01). Binary logistic multifactorial regression analysis showed that participants who were female and aged 10 to 14 years were more prone to NSSI behavior (p < 0.05). Having close friends, high parental expectations, and moderate to high self-esteem were protective factors for NSSI behavior (p < 0.05). CONCLUSION Nursing personnel should prioritize enhancing psychological resilience, self-esteem, and social support in adolescents receiving inpatient psychiatric care to mitigate the risk of NSSI and ensure the safety of hospitalized individuals. [Journal of Psychosocial Nursing and Mental Health Services, 62(9), 47-54.].
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Dai W, Lv J, Wang H, Wei X. Cyber dating abuse perpetration and victimization among Chinese college students with a history of peer phubbing: psychological resilience moderates the indirect effect of rejection sensitivity. BMC Psychol 2024; 12:425. [PMID: 39103971 PMCID: PMC11299398 DOI: 10.1186/s40359-024-01924-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/15/2024] [Accepted: 07/25/2024] [Indexed: 08/07/2024] Open
Abstract
BACKGROUND As emerging adults are increasingly reliant on instant messaging applications for communication with romantic partners, cyber dating abuse perpetration (CDAP) and victimization (CDAV) have proliferated. This has aroused the high attention of researchers. This study aimed to explore the mechanism of the influence of peer phubbing on CDAP and CDAV in Chinese context. METHODS 566 Chinese college students (average age of 19.31 years, 47.7% females) were investigated with the generic scale of being phubbed, rejection sensitivity questionnaire, Chinese version of resilience scale and cyber dating abuse questionnaire. The data were analyzed by using a moderated mediation model with SPSS and the PROCESS. RESULTS The results revealed that: (1) peer phubbing had a significant positive predictive effect on CDAP (β = .32, p < .001) and CDAV (β = .43, p < .001) respectively. (2) Rejection sensitivity played a partial mediating role both between peer phubbing and CDAP (indirect effect = .12, 95% CI = [.05, .18], accounting for 37.5%) and CDAV (indirect effect = .09, 95% CI = [.05, .14], accounting for 20.9%. (3) The first half (β = - .27, p < .001) of the indirect effect of peer phubbing on CDAP and CDAV are weakened by psychological resilience, and the direct paths were also weakened by psychological resilience(β = - .13, p < .001;β = - .16, p < .001). CONCLUSION These findings highlight the importance of discerning the mechanisms moderating the mediated paths linking peer phubbing to CDAP and CDAV. The results also underline the importance of implementing measures and interventions to use the protective role of psychological resilience on college students' CDAP and CDAV.
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Affiliation(s)
- Wenwu Dai
- School of Humanities and Social Sciences, Beijing Forestry University, Beijing, China
| | - Jiaojiao Lv
- Department of Psychology, Shanxi Datong University, Datong, China
| | - Hongxia Wang
- School of Humanities and Social Sciences, Beijing Forestry University, Beijing, China.
| | - Xiuchao Wei
- College of Education, Hebei Normal University, Shijiazhuang, China.
- Qinhuangdao No.1 High School, Qinhuangdao, China.
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Jiang R. The mediating role of emotional intelligence between self-efficacy and resilience in Chinese secondary vocational students. Front Psychiatry 2024; 15:1382881. [PMID: 39045555 PMCID: PMC11263935 DOI: 10.3389/fpsyt.2024.1382881] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/06/2024] [Accepted: 05/29/2024] [Indexed: 07/25/2024] Open
Abstract
Purpose This study aimed to explore the relationship between self-efficacy and resilience in Chinese secondary vocational students and examine the mediating effect of emotional intelligence. Methods In September 2023, a cross-sectional survey was conducted in 282 Chinese students from three secondary vocational schools by using a voluntary and anonymous structured questionnaire, which included a general self-efficacy scale (GSES), emotional intelligence scale (EIS), and resilience scale (RS). The data were analyzed using SPSS 26.0 software and macro PROCESS. Results The scores of self-efficacy, emotional intelligence, and resilience of Chinese secondary vocational students were above the average level. Correlations among the self-efficacy, emotional intelligence, and resilience levels of students were significant. The analyses of mediating effect showed that emotional intelligence partially mediated the influence of self-efficacy on resilience of secondary vocational students. Conclusion Self-efficacy was positively associated with resilience. Self-efficacy not only has a direct effect on the resilience of secondary vocational students but it also indirectly affects the resilience through the mediating role of emotional intelligence. These findings valuable for designing the secondary vocational school programs aimed at improving students' psychological resilience.
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Affiliation(s)
- Ruichen Jiang
- School of Teacher Education, Anqing Normal University, Anqing, China
- Institute of Educational Neuroscience, Anqing Normal University, Anqing, China
- Affective Computing and Intelligent Learning Cognitive Psychology Experimental Center, Anqing Normal University, Anqing, China
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Yang M, Guo K, Liu W, Fang X, Liu T. Coping Tendency as a Mediator in the Relationship Between Psychological Resilience and Health Problems Among College Students. Psychol Res Behav Manag 2024; 17:2619-2630. [PMID: 39006887 PMCID: PMC11244630 DOI: 10.2147/prbm.s466150] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/15/2024] [Accepted: 06/26/2024] [Indexed: 07/16/2024] Open
Abstract
Purpose The study aimed to explore the status of four common health problems (ie, smoking, internet addiction, physical inactivity, psychological disorder) among college students and analyze the relationship between psychological resilience, coping tendency and health problems. Participants and Methods The convenience sampling method was used to recruit 500 college students from four universities. The General Information Questionnaire, Adolescent Psychological Resilience Scale, Simplified Coping Style Questionnaire and Health Risk Behavior Questionnaire were used for survey. Results Among the students, there were 71 smokers (15.4%) and 61 internet addicts (13.2%). Over a third of the students reported physical inactivity (35.9%) and a minority had psychological disorder (6.3%). The psychological resilience score differed between students who smoked, had internet addiction, physical inactivity, psychological disorder and those without these health-risk behaviors. Logistic regression analysis showed that negative coping tendency was the common contributing factor of physical inactivity, internet addiction and psychological disorder. Coping tendency played a partial mediating effect in the relationship between psychological resilience and health problems, with a mediating effect of 37.93%. Conclusion Psychological resilience can not only affect health problems directly but also influence health problems indirectly through coping tendency. Educators and administrators in universities can apply effective measures to improve psychological resilience and positive coping to prevent or reduce health problems among undergraduates.
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Affiliation(s)
- Mengjie Yang
- School of Nursing, Qingdao University, Qingdao, Shandong, People's Republic of China
| | - Kun Guo
- School of Nursing, Qingdao University, Qingdao, Shandong, People's Republic of China
| | - Wenjing Liu
- School of Nursing, Qingdao University, Qingdao, Shandong, People's Republic of China
| | - Xiuqing Fang
- School of Nursing, Qingdao University, Qingdao, Shandong, People's Republic of China
| | - Ting Liu
- School of Nursing, Qingdao University, Qingdao, Shandong, People's Republic of China
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42
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Wu JX, Jia L, Li Y, Liu Q, Zhang YY, Zhang J, Jia YR, Fan Z. The interplay of psychological resilience and adolescent mobile phone addiction in Henan province, China: insights from latent class analysis. Front Public Health 2024; 12:1386500. [PMID: 38966703 PMCID: PMC11223649 DOI: 10.3389/fpubh.2024.1386500] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/15/2024] [Accepted: 04/17/2024] [Indexed: 07/06/2024] Open
Abstract
Background The aim of this study was to classify distinct subgroups of adolescents based on the severity levels of their mobile phone addiction and to investigate how these groups differed in terms of their psychosocial characteristics. We surveyed a total of 2,230 adolescents using three different questionnaires to assess the severity of their mobile phone addiction, stress, anxiety, depression, psychological resilience, and personality. Latent class analysis was employed to identify the subgroups, and we utilized Receiver Operating Characteristic (ROC) curves and multinomial logistic regression for statistical analysis. All data analyses were conducted using SPSS 26.0 and Mplus 8.5. Methods We classified the subjects into subgroups based on their mobile phone addiction severity, and the results revealed a clear pattern with a three-class model based on the likelihood level of mobile phone addiction (p < 0.05). We examined common trends in psychosocial traits such as age, grade at school, parental education level, anxiety levels, and resilience. ROC analysis of sensitivity versus 1-specificity for various mobile phone addiction index (MPAI) scores yielded an area under the curve (AUC) of 0.893 (95% CI, 0.879 to 0.905, p < 0.001). We also determined diagnostic value indices for potential cutoff points ranging from 8 to 40. The optimal cutoff value for MPAI was found to be >14, which corresponded to the maximum Youden index (Youden index = 0.751). Results The latent classification process in this research confirmed the existence of three distinct mobile phone user groups. We also examined the psychosocial characteristics that varied in relation to the severity levels of addiction. Conclusion This study provides valuable insights into the categorization of adolescents based on the severity of mobile phone addiction and sheds light on the psychosocial characteristics associated with different addiction levels. These findings are expected to enhance our understanding of mobile phone addiction traits and stimulate further research in this area.
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Affiliation(s)
- Jun Xiao Wu
- School of Nursing, Nanyang Medical College, Nanyang, Henan, China
| | - Lin Jia
- Faculty of Business, Economics and Law, The University of Queensland, St Lucia, QLD, Australia
| | - Yan Li
- School of Nursing, Nanyang Medical College, Nanyang, Henan, China
| | - Qian Liu
- School of Nursing, Nanyang Medical College, Nanyang, Henan, China
| | - Ying Ying Zhang
- School of Nursing, Nanyang Medical College, Nanyang, Henan, China
| | - Jin Zhang
- School of Nursing, Nanyang Medical College, Nanyang, Henan, China
| | | | - Zhen Fan
- School of Nursing, Nanyang Medical College, Nanyang, Henan, China
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43
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Song P, Cai X, Qin D, Wang Q, Liu X, Zhong M, Li L, Yang Y. Analyzing psychological resilience in college students: A decision tree model. Heliyon 2024; 10:e32583. [PMID: 38961892 PMCID: PMC11219503 DOI: 10.1016/j.heliyon.2024.e32583] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/05/2023] [Revised: 05/27/2024] [Accepted: 06/05/2024] [Indexed: 07/05/2024] Open
Abstract
In the evolving landscape of higher education, particularly in the post-pandemic era, it is crucial for college students to face societal challenges and achieve success by understanding and predicting psychological resilience. To deepen our understanding of psychological resilience, this study used a decision tree model to explore influencing factors. We surveyed 776 college students and collected data on demographic information, self-esteem, sense of school belonging, pro-environmental behavior, subjective well-being, internet game addiction, life autonomy, and academic procrastination using several scales. The decision tree model identified eight key predictors of psychological resilience, which are as follows in order of importance: self-esteem, sense of school belonging, pro-environmental behavior, subjective well-being, academic procrastination, life autonomy, internet game addiction, and academic achievement. This model's accuracy reached 73.985 %, emphasizing its potential utility in educational settings. The findings not only provide a novel and data-driven perspective to understand psychological resilience in college students compared to existing research but also provide practical guidance for educational practitioners and policymakers on how to develop psychological resilience in college students.
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Affiliation(s)
- Pu Song
- Department of Preschool and Early Education, Guiyang Preschool Education College, Guizhou, China
| | - Xuan Cai
- Wenzhou Business College, Zhejiang, China
| | - Dan Qin
- Faculty of Educational Studies, University Putra Malaysia, Kuala Selangor, Malaysia
| | - Qingqing Wang
- Guizhou Aerospace Vocational and Technical College, Guizhou, China
| | - Xiangwei Liu
- School of Distance Education, Universiti Sains Malaysia, Penang, Malaysia
| | - Mengmeng Zhong
- Trade and Tourism Management School, Liuzhou Vocational & Technical College, Liuzhou, Guangxi Province, China
| | - Linying Li
- Division of Multi/Interdisciplinary Studies, Graduate School, Srinakharinwirot University, Thailand
| | - Yan Yang
- Research Institute of Higher Education, Yunnan University, China
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Lin H. Physical Activity and Interpersonal Adaptation in Chinese Adolescents After COVID-19: The Mediating Roles of Self-Esteem and Psychological Resilience. Psychol Rep 2024; 127:1156-1174. [PMID: 36314269 PMCID: PMC9618912 DOI: 10.1177/00332941221137233] [Citation(s) in RCA: 7] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/17/2023]
Abstract
Previous studies have implied that physical activity profoundly influences interpersonal adaptation. However, this effect and its mechanisms have not been directly verified, especially for adolescents. This study examines the association between physical activity and interpersonal adaptation in adolescents through self-esteem and psychological resilience after the coronavirus disease 2019 (COVID-19) pandemic. Participants included 542 Chinese adolescents (aged 13-18 years; 242 boys and 300 girls). Adolescents in China anonymously completed a series of questionnaires, including the PARS-3 Scale of PE Activity Grade (PARS-3), the Self-esteem Scale (SES), the Resilience Scale for Adolescents (RSCA), and the Interpersonal Adaptation Scale. The results showed that physical activity positively correlated with self-esteem, psychological resilience, and interpersonal adaptation. Additionally, self-esteem and psychological resilience serially mediated the impact of physical activity on interpersonal adaptation. The findings highlight the positive impact of physical activity on adolescent interpersonal adaptation by strengthening positive psychological resources in the post-pandemic era.
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Affiliation(s)
- Huiru Lin
- School of Physical Education, Central China Normal University, Wuhan, China
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45
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Wu X, Liang J, Chen J, Dong W, Lu C. Physical activity and school adaptation among Chinese junior high school students: chain mediation of resilience and coping styles. Front Psychol 2024; 15:1376233. [PMID: 38737951 PMCID: PMC11082357 DOI: 10.3389/fpsyg.2024.1376233] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2024] [Accepted: 04/12/2024] [Indexed: 05/14/2024] Open
Abstract
Background As a crucial juncture in students' educational journey, junior high school presents challenges that profoundly influence well-being and academic performance. Physical activity emerges as a pivotal factor shaping the holistic development of junior high school students. Beyond its recognized impact on physical and mental health, engaging in regular physical activity proves effective in augmenting students' adaptability to school life. Despite its importance, the mechanisms through which physical activity influences school adaptation in junior high school students remain understudied in academic research. Objective In exploring the potential mechanisms, this study aims to validate the mediating roles of resilience and coping styles by examining the association between physical activity and school adaptation among junior high school students. Methods This study employed cross-sectional survey approach among junior high school students in China. Through the convenience sampling, 1,488 participants aged from 12 to 16 years old (Average age = 13.59, SD = 1.017) from two Junior high schools in Changsha City, Hunan Province were recruited to complete the Physical Activity Scale, School Adaptation Questionnaire for Junior High School Students, Resilience Scale for Adolescents, and Simple Coping Styles Questionnaire. For data analysis, the SPSS 26.0 and Amos 26.0 were used for statistical processing. Results The results showed that physical activity exhibited a significant correlation with school adaptation (r = 0.656, p < 0.001). Resilience, positive coping style and negative coping style played partial mediating roles between physical activity and school adaptation, with the effect size were 0.229, 0.170, 0.171. The chain mediation effect size of resilience and positive coping style was 0.042, while the chain mediation effect size of resilience and negative coping style was 0.050. Conclusion Physical activity positively predicts Chinese junior high school students' school adaptation through resilience and coping styles, suggesting that junior high school students should engage in regular physical activity, so as to improve their resilience and positive coping styles, mitigating negative coping styles, thus promoting their school adaptation.
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Affiliation(s)
| | | | | | - Weixin Dong
- Department of Sport Education, Hunan Normal University, Changsha, Hunan, China
| | - Chunxia Lu
- Department of Sport Education, Hunan Normal University, Changsha, Hunan, China
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46
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Tian Z, Kuang K, Wilson SR, Buzzanell PM, Ye J, Mao X, Wei H. Measuring resilience for Chinese-speaking populations: a systematic review of Chinese resilience scales. Front Psychol 2024; 15:1293857. [PMID: 38605848 PMCID: PMC11007233 DOI: 10.3389/fpsyg.2024.1293857] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/13/2023] [Accepted: 03/11/2024] [Indexed: 04/13/2024] Open
Abstract
Introduction Despite the rapid growth of interdisciplinary resilience research in Chinese contexts, no study has systematically reviewed individual-level measurement scales for Chinese-speaking populations. We report a systematic review of scales developed for or translated/adapted to Chinese-speaking contexts, where we assessed how widely used scales fare in terms of their psychometric qualities. Methods Studies included in this review must have been published in peer-reviewed English or Chinese journals between 2015-2020 and included self-reported resilience scales in Chinese-speaking populations. Searches were conducted in PsycINFO, CNKI (completed in May 2021), and PubMed (completed in January 2024). We developed coding schemes for extracting relevant data and adapted and applied an existing evaluation framework to assess the most frequently used resilience scales by seven methodological criteria. Results Analyses of 963 qualified studies suggested that Chinese resilience scales were used in a diverse range of study contexts. Among 85 unique kinds of resilience measures, we highlighted and evaluated the three most frequently used translated scales and three locally developed scales (nine scales in total including variations such as short forms). In short, resilience studies in Chinese contexts relied heavily on the translated 25-item Connor-Davidson Resilience Scale, which scored moderately on the overall quality. The locally developed Resilience Scale for Chinese Adolescents and Essential Resilience Scale received the best ratings but could use further development. Discussion We discussed how future work may advance widely used scales, and specified seven methodological recommendations for future resilience scale development with existing and new scales in and beyond the Chinese study contexts. We further addressed issues and challenges in measuring resilience as a process and called on researchers to further develop/evaluate process measures for Chinese-speaking populations.
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Affiliation(s)
- Zhenyu Tian
- Department of Communication Studies, College of Wooster, Wooster, OH, United States
| | - Kai Kuang
- School of Journalism and Communication, Tsinghua University, Beijing, China
| | - Steven R. Wilson
- Department of Communication, University of South Florida, Tampa, FL, United States
| | - Patrice M. Buzzanell
- Department of Communication, University of South Florida, Tampa, FL, United States
| | - Jinyi Ye
- School of Journalism and Communication, Tsinghua University, Beijing, China
| | - Xinyue Mao
- School of Journalism and Communication, Tsinghua University, Beijing, China
| | - Hai Wei
- School of Journalism and Communication, Tsinghua University, Beijing, China
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Zhang S, Wang L, He Y, Liu JD. The Divergent Effects of Resilience Qualities and Resilience Support in Predicting Pre-Competition Anxiety and Championship Performance. RESEARCH QUARTERLY FOR EXERCISE AND SPORT 2024; 95:101-109. [PMID: 36689551 DOI: 10.1080/02701367.2022.2156446] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/24/2022] [Accepted: 12/01/2022] [Indexed: 06/17/2023]
Abstract
Purpose: Psychological resilience is vital to the development of sport talents. Qualitative research has consistently demonstrated that sport resilience encapsulates a mixed package of resilience qualities (reflecting positive traits and characteristics) and resilience support (reflecting perceived support and related resources). Ironically, sport resilience research adopting quantitative methods has been assessing resilience as a unidimensional construct, with little attention to the multi-facet nature of resilience and its effects on performance. In the present research, we tested a novel proposition that resilience qualities predict reduced pre-competition cognitive anxiety and contribute to performance more than resilience support. Methods & Results: Across two samples of competitive table tennis players (Study 1: N = 196 competing at province level; Study 2: N = 106 competing at national level), we consistently found resilience qualities, rather than resilience support, predicted lower levels of pre-competition cognitive anxiety and superior performance at a national championship. Results also suggest that pre-competition cognitive anxiety mediated the relationship between resilience qualities and performance. Conclusion: The findings provide the first evidence supporting the divergent effects of resilience qualities and resilience support in predicting pre- competition anxiety and championship performance and call for the consideration of such a distinction when designing and delivering resilience programs.
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Affiliation(s)
| | - Ling Wang
- University of Derby
- Hunan University of Science and Technology
| | - Yang He
- Hunan University of Science and Technology
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48
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Ma Y, Li Y, Zhang Y, Xie X, Lin X, Fu H, Huang M, Zhou W, Ji JS, Chen R, Liu S, Yu Y, Tang J. Labor Migration of Parents and Aggression Among Their Offspring in China. JAMA Netw Open 2024; 7:e2355315. [PMID: 38329753 PMCID: PMC10853836 DOI: 10.1001/jamanetworkopen.2023.55315] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/11/2023] [Accepted: 12/16/2023] [Indexed: 02/09/2024] Open
Abstract
Importance In China, parental labor migration often leaves children behind and is potentially adversely associated with children's health. However, the association between parental migration and aggression among their offspring remains largely underexplored. Objective To investigate the associations of parental labor migration with total and subtypes of aggression among their offspring as well as potential sex differences therein. Design, Setting, and Participants This cross-sectional study was conducted from February to October 2015 among students aged 11 to 20 years from 45 public middle and high schools across 5 provinces of China. Data analysis was performed from December 1, 2022, to August 1, 2023. Exposures Parental migration, including migration status (yes or no), pattern (father, mother, or both), and the child's age at the initial parent-child separation. Main Outcomes and Measures Total and subtypes of aggression (including physical aggression [PA], verbal aggression [VA], indirect aggression [IA], anger, and hostility) were measured using the Chinese version of the Buss-Warren Aggression Questionnaire. Binomial logistic regression analyses were used separately to estimate adjusted odds ratios (aORs) and 95% CIs of parental migration by total and subtypes of aggression. Results A total of 15 301 participants (7900 [51.6%] male and 7401 [48.4%] female) aged 11 to 20 years (mean [SD] age, 15.1 [1.8] years) were included. Of these participants, 5961 (39.0%) experienced parental migration; 2451 (16.0%) met the criteria for total aggression, 2407 (15.7%) for PA, 2283 (14.9%) for VA, 2899 (18.9%) for IA, 2307 (15.1%) for anger, and 2564 (16.8%) for hostility. Parental migration was associated with total aggression (aOR, 1.11; 95% CI, 1.01-1.22); no significant association between parental migration and subtypes of aggression was found except for PA (aOR, 1.14; 95% CI, 1.03-1.25). Compared with children whose parents did not migrate, the aORs for total aggression and PA for participants whose father migrated were 1.12 (95% CI, 1.01-1.28) and 1.15 (95% CI, 1.03-1.29), respectively; for participants with both parents having migrated, the aORs were 1.16 (95% CI, 1.02-1.31) and 1.12 (95% CI, 1.04-1.24), respectively. Compared with children whose parents did not migrate, children who experienced initial separation from 1 or both parents at adolescence had an aOR for total aggression of 1.20 (95% CI, 1.04-1.36), children who experienced initial separation from 1 or both parents at school age or adolescence had an aOR for PA of 1.15 (95% CI, 1.01-1.32) and 1.26 (95% CI, 1.04-1.51), respectively. No sex differences were found in these associations. Conclusions and Relevance In this cross-sectional study of Chinese children and adolescents, we found that parental migration, mainly of the father or both parents or an initial separation at adolescence or school age from 1 or both parents, was associated with higher odds of total aggression and PA among offspring. These associations were similar between male and female participants.
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Affiliation(s)
- Ying Ma
- Department of Child Healthcare, Guangzhou Women and Children’s Medical Center, Guangzhou Medical University, Guangzhou, PR China
| | - Yanqi Li
- Department of Preventive Medicine, School of Public Health, Guangzhou Medical University, Xinzao, Panyu District, Guangzhou, PR China
| | - Yi Zhang
- Department of Preventive Medicine, School of Public Health, Guangzhou Medical University, Xinzao, Panyu District, Guangzhou, PR China
| | - Xinyi Xie
- Department of Preventive Medicine, School of Public Health, Guangzhou Medical University, Xinzao, Panyu District, Guangzhou, PR China
| | - Xiaoyi Lin
- Department of Preventive Medicine, School of Public Health, Guangzhou Medical University, Xinzao, Panyu District, Guangzhou, PR China
| | - Huihang Fu
- Department of Preventive Medicine, School of Public Health, Guangzhou Medical University, Xinzao, Panyu District, Guangzhou, PR China
| | - Mengxin Huang
- Department of Preventive Medicine, School of Public Health, Guangzhou Medical University, Xinzao, Panyu District, Guangzhou, PR China
| | - Weiju Zhou
- Vanke School of Public Health, Tsinghua University, Beijing, China
| | - John S. Ji
- Vanke School of Public Health, Tsinghua University, Beijing, China
| | - Ruoling Chen
- Faculty of Education, Health & Wellbeing, University of Wolverhampton, Wolverhampton, United Kingdom
| | - Shun Liu
- Department of Adolescent & Maternal and Child Healthcare, School of Public Health, Guangxi Medical University, Qingxiu District, Nanning, PR China
| | - Yizhen Yu
- Department of Maternal and Child Healthcare, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Hankou District, Wuhan, PR China
| | - Jie Tang
- Department of Preventive Medicine, School of Public Health, Guangzhou Medical University, Xinzao, Panyu District, Guangzhou, PR China
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Cui Z, Xue H, Liu H, Liu F, Feng S, Chen H, Huang C, Wang J, Liu D. A latent class analysis of depressive symptoms among rural Chinese adolescents and their association with psychological resilience. Prev Med Rep 2024; 38:102625. [PMID: 38375174 PMCID: PMC10874837 DOI: 10.1016/j.pmedr.2024.102625] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/17/2023] [Revised: 01/18/2024] [Accepted: 01/19/2024] [Indexed: 02/21/2024] Open
Abstract
Numerous studies have demonstrated the heterogeneity of depressive symptoms, but few studies have focused on the heterogeneity of depressive symptoms among rural Chinese adolescents. In November to December 2022, multistage sampling was employed to administer questionnaires to 1,816 rural adolescents aged 11-19 years from six schools in Henan Province, China. Depressive symptoms were measured using the Chinese version of the Children's Depression Inventory Scale. Latent class analysis (LCA) was utilized to identify subgroups of depressive symptoms. The investigation of subgroup characteristics and associated factors was conducted through χ2 tests, ANOVA, and multinomial logistic regression analyses. The findings revealed a 24.24 % detection rate of depressive symptoms among Chinese rural adolescents. LCA analysis of responses to the 27 items in the Depressive Symptoms Scale led to the classification of depressive symptoms into four subgroups based on severity: "no depressive symptoms group" (22.5 %), a "low depressive symptoms group" (35.7 %), a "transition group" (31.6 %), and a "high depressive symptoms group" (10.2 %). Gender, grade level, academic performance, academic stress, family environment, and level of psychological resilience are associated factors for subgroups of depressive symptoms among rural adolescents. There should be increased training of rural educators to enable early recognition of depressive characteristics and risk factors, facilitating targeted prevention and intervention strategies.
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Affiliation(s)
- Zhenxiang Cui
- The College of Nursing and Health of Zhengzhou University, Henan, Zhengzhou, China
| | - Huijuan Xue
- The College of Nursing and Health of Zhengzhou University, Henan, Zhengzhou, China
| | - Haoran Liu
- School of Stomatology, Zhengzhou University, Henan, Zhengzhou, China
| | - Fan Liu
- The College of Nursing and Health of Zhengzhou University, Henan, Zhengzhou, China
| | - Siyuan Feng
- The College of Nursing and Health of Zhengzhou University, Henan, Zhengzhou, China
| | - Hui Chen
- The First Affiliated Hospital of Henan University of Chinese Medicine, Henan, Zhengzhou, China
| | - Caihui Huang
- The College of Nursing and Health of Zhengzhou University, Henan, Zhengzhou, China
| | - Jingjing Wang
- The College of Nursing and Health of Zhengzhou University, Henan, Zhengzhou, China
| | - Dongling Liu
- The College of Nursing and Health of Zhengzhou University, Henan, Zhengzhou, China
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50
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Zhang J, Wang Y, Mao Y, Leong C, Yuan Z. Shared Minds, Shared Feedback: tracing the influence of parental feedback on shared neural patterns. Cereb Cortex 2024; 34:bhad489. [PMID: 38163444 DOI: 10.1093/cercor/bhad489] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/28/2023] [Revised: 11/27/2023] [Accepted: 11/28/2023] [Indexed: 01/03/2024] Open
Abstract
Parental feedback affects children in multiple ways. However, little is known about how children, family, and feedback types affect parental feedback neural mechanisms. The current study used functional near-infrared spectroscopy-based hyperscanning to observe 47 mother-daughter pairs's (mean age of mothers: 35.95 ± 3.99 yr old; mean age of daughters: 6.97 ± 0.75 yr old) brain synchronization in a jigsaw game under various conditions. Between parental negative feedback and praise conditions, mother-daughter brain in supramarginal gyrus, left dorsolateral prefrontal cortex, right inferior frontal gyrus, and right primary somatic (S1) differed. When criticized, conformity family-communication-patterned families had much worse brain synchronization in S1, left dorsolateral prefrontal cortex, and right Wernicke's region than conversational families. Resilient children had better mother-child supramarginal gyrus synchronicity under negative feedback. This study supports the importance of studying children's neurological development in nurturing environments to assess their psychological development.
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Affiliation(s)
- Juan Zhang
- Faculty of Education, University of Macau, Avenida da Universidade, Taipa, Macau, China
- Centre for Cognitive and Brain Sciences, University of Macau, Avenida da Universidade, Taipa, Macau, China
| | - Yihui Wang
- Faculty of Education, University of Macau, Avenida da Universidade, Taipa, Macau, China
- Centre for Cognitive and Brain Sciences, University of Macau, Avenida da Universidade, Taipa, Macau, China
| | - Yidi Mao
- Faculty of Education, University of Macau, Avenida da Universidade, Taipa, Macau, China
- Centre for Cognitive and Brain Sciences, University of Macau, Avenida da Universidade, Taipa, Macau, China
| | - Chantat Leong
- Centre for Cognitive and Brain Sciences, University of Macau, Avenida da Universidade, Taipa, Macau, China
- Faculty of Health Sciences, University of Macau, Avenida da Universidade, Taipa, Macau, China
| | - Zhen Yuan
- Centre for Cognitive and Brain Sciences, University of Macau, Avenida da Universidade, Taipa, Macau, China
- Faculty of Health Sciences, University of Macau, Avenida da Universidade, Taipa, Macau, China
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