1
|
Xu Y, Ni Y, Yang J, Wu J, Lin Y, Li J, Zeng W, Zeng Y, Huang D, Wu X, Shao J, Li Q, Zhu Z. The relationship between the psychological resilience and post-traumatic growth of college students during the COVID-19 pandemic: a model of conditioned processes mediated by negative emotions and moderated by deliberate rumination. BMC Psychol 2024; 12:357. [PMID: 38890704 DOI: 10.1186/s40359-024-01853-z] [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: 02/27/2024] [Accepted: 06/12/2024] [Indexed: 06/20/2024] Open
Abstract
BACKGROUND The mental health of university students during the COVID-19 pandemic has attracted the attention of researchers. For the present study researchers constructed a mediation model to explore the relationship between psychological resilience and post-traumatic growth, the mediating role of negative emotions and the moderating role of deliberate rumination in students. METHODS The Psychological Resilience Scale, Posttraumatic Growth Inventory, Depression-Anxiety-Stress Scale (DASS-21) and Event Related Rumination Inventory were used in a survey of 881 college students. The data were analyzed using SPSS 26.0 and the PROCESS plugin (version 3.3). RESULTS (1) Psychological resilience is positively related with post-traumatic growth. Deliberate rumination is positively related to psychological resilience, posttraumatic growth, and negative emotions. Psychological resilience, post-traumatic growth and negative emotions are negatively related. (2) Negative emotions mediated the relationship between psychological resilience and post-traumatic growth. (3) Deliberate rumination plays a moderating role in psychological resilience affecting negative emotions. Deliberate rumination plays a moderating role in the extent to which psychological resilience influences PTG through negative emotions. CONCLUSIONS Psychological resilience affects post-traumatic growth directly and also indirectly through negative emotions. With the increase of mental resilience, the level of negative emotion tended to decrease. When individuals are experiencing negative emotions, high levels of active rumination are more likely to promote post-traumatic growth. This study helps to explore the factors affecting the mental health of college students during the epidemic, thus providing guidance for appropriate mental health interventions.
Collapse
Affiliation(s)
- Yanhua Xu
- School of Geography and Environment, Jiangxi Normal University, Nanchang, China
| | - Yonghui Ni
- School of Geography and Environment, Jiangxi Normal University, Nanchang, China
| | - Jiayan Yang
- School of Geography, South China Normal University, Tianhe District, Guangzhou, 510631, China
| | - Jiamin Wu
- School of Geography, South China Normal University, Tianhe District, Guangzhou, 510631, China
| | - Yating Lin
- School of Geography, South China Normal University, Tianhe District, Guangzhou, 510631, China
| | - Jialu Li
- School of Geography, South China Normal University, Tianhe District, Guangzhou, 510631, China
| | - Wei Zeng
- School of Geography, South China Normal University, Tianhe District, Guangzhou, 510631, China.
| | - Yuqing Zeng
- School of Geography, South China Normal University, Tianhe District, Guangzhou, 510631, China
| | - Dongtao Huang
- School of Geography, South China Normal University, Tianhe District, Guangzhou, 510631, China
| | - Xingrou Wu
- School of Geography, South China Normal University, Tianhe District, Guangzhou, 510631, China
| | - Jinlian Shao
- School of Geography, South China Normal University, Tianhe District, Guangzhou, 510631, China
| | - Qian Li
- School of Geography, South China Normal University, Tianhe District, Guangzhou, 510631, China
| | - Ziqi Zhu
- Office of International Cooperation and Exchange, Dongguan University of Technology, Dongguan, China
| |
Collapse
|
2
|
Wang J, Wang T, Cheng Y. Resilience as a moderator of the relationship between stress and different symptom dimensions of depression in adolescents with a history of childhood maltreatment: A multi-wave longitudinal study. CHILD ABUSE & NEGLECT 2024; 154:106888. [PMID: 38850746 DOI: 10.1016/j.chiabu.2024.106888] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/05/2023] [Revised: 05/21/2024] [Accepted: 06/03/2024] [Indexed: 06/10/2024]
Abstract
BACKGROUND Although childhood maltreatment is a key risk factor for the development of psychopathology including depression in later life, not all children who have been maltreated subsequently become depressed. OBJECTIVE The study aimed to examine the potentially moderating influence of resilience on the relationship between daily stress and different symptom dimensions of depression in adolescents with a history of childhood maltreatment. PARTICIPANTS AND SETTING A sample of students (n = 999) aged 12-16 years from middle schools with a history of childhood maltreatment participated in this study. METHODS A multi-wave longitudinal study was conducted over 12 months. At baseline, adolescent participants completed standardized self-report measures of resilience, depression, and daily stress. The measures of depression and stress were re-administered every three months for the subsequent 12 months. Multi-level modeling was undertaken to analyze the data. RESULTS In adolescents with a history of childhood maltreatment, lower resilience scores were associated with greater increases in depressed affect, absence of positive affect and somatic symptom, but not the interpersonal concerns symptom dimensions of depression following daily stress. Resilience is therefore as one explanation for the discrepant findings regarding the relationship between stress and different symptom dimensions of depression, especially with regard to the stress-related depressive dimensions. CONCLUSION Resilience appears to moderate the relationship between daily stress and depression and protect against developing depression in children who have been maltreated. Findings provide potential explanation for the effectiveness of resilience-related therapy in treating depressive symptoms.
Collapse
Affiliation(s)
- Junyi Wang
- School of Teacher Education, Nanjing University of Information Science & Technology, Nanjing 210044, China.
| | - Tingting Wang
- Shanghai Xingzhi Experimental Middle School, Shanghai, China
| | - Yuqin Cheng
- Shenzhen Kangning Hospital, Shenzhen, Guangdong, China
| |
Collapse
|
3
|
Liu W, Zhang R, Wang H, Rule A, Wang M, Abbey C, Singh MK, Rozelle S, She X, Tong L. Association between anxiety, depression symptoms, and academic burnout among Chinese students: the mediating role of resilience and self-efficacy. BMC Psychol 2024; 12:335. [PMID: 38849921 PMCID: PMC11162059 DOI: 10.1186/s40359-024-01823-5] [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: 09/18/2023] [Accepted: 05/27/2024] [Indexed: 06/09/2024] Open
Abstract
BACKGROUND To explore the associations between anxiety and depression symptoms and academic burnout among children and adolescents in China, and to examine the role of resilience and self-efficacy in addressing academic burnout. METHODS A total of 2,070 students in grades 4-8 were recruited from two primary and three middle schools in Shanghai, completed the Elementary School Student Burnout Scale (ESSBS), the Multidimensional Anxiety Scale for Children-Chinese (MASC-C), the Center for Epidemiological Studies Depression Scale (CES-D), the Connor-Davidson Resilience Scale (CD-RISC), and the General Self-Efficacy Scale (GSES), with 95.04% effective response rate. Multivariable regression analyses examining the associations between anxiety / depression symptoms and academic burnout (as well as the associations between resilience / self-efficacy and academic burnout) were performed using STATA 16.0 and SmartPLS 3.0. RESULTS Anxiety symptoms (β = 0.124, p < 0.01) and depression symptoms (β = 0.477, p < 0.01) were positively correlated with academic burnout. Resilience partially mediated the association between depression symptoms and academic burnout (β = 0.059, p < 0.01), with a mediation rate of 12.37%. Self-efficacy partially mediated the associations between anxiety symptoms and academic burnout (β = 0.022, p < 0.01) and between depression symptoms and academic burnout (β = 0.017, p < 0.01), with mediation rates of 17.74% and 3.56%, respectively. Resilience and self-efficacy together (β = 0.041, p < 0.01) formed a mediating chain between depression symptoms and academic burnout, with a mediation rate of 8.6%. CONCLUSIONS Anxiety and depression symptoms were positively associated with academic burnout. Resilience and self-efficacy were found to mediate the associations partially.
Collapse
Affiliation(s)
- Wanqing Liu
- Department of Maternal, Child and Adolescent Health, School of Public Health, Key Laboratory of Public Health Safety, Fudan University, Ministry of Education of China, 138 Yixueyuan Road, P.O. Box 244, Shanghai, 200032, China
| | - Ruiyun Zhang
- Department of Maternal, Child and Adolescent Health, School of Public Health, Key Laboratory of Public Health Safety, Fudan University, Ministry of Education of China, 138 Yixueyuan Road, P.O. Box 244, Shanghai, 200032, China
| | - Huan Wang
- Stanford Center of China's Economy and Institutions, Freeman Spogli Institute of International Studies, Stanford University, Stanford, Palo Alto, CA, 94305, USA
| | - Andrew Rule
- Stanford Center of China's Economy and Institutions, Freeman Spogli Institute of International Studies, Stanford University, Stanford, Palo Alto, CA, 94305, USA
| | - Min Wang
- Stanford Center of China's Economy and Institutions, Freeman Spogli Institute of International Studies, Stanford University, Stanford, Palo Alto, CA, 94305, USA
| | - Cody Abbey
- Stanford Center of China's Economy and Institutions, Freeman Spogli Institute of International Studies, Stanford University, Stanford, Palo Alto, CA, 94305, USA
| | | | - Scott Rozelle
- Stanford Center of China's Economy and Institutions, Freeman Spogli Institute of International Studies, Stanford University, Stanford, Palo Alto, CA, 94305, USA
| | - Xinshu She
- Stanford University School of Medicine, Stanford, Palo Alto, CA, 94305, USA.
- Department of Pediatrics, Stanford University School of Medicine, 453 Quarry Road, Mail Code 5660, Stanford, Palo Alto, CA, 94305, USA.
| | - Lian Tong
- Department of Maternal, Child and Adolescent Health, School of Public Health, Key Laboratory of Public Health Safety, Fudan University, Ministry of Education of China, 138 Yixueyuan Road, P.O. Box 244, Shanghai, 200032, China.
| |
Collapse
|
4
|
İme Y. The mediating role of self-efficacy, social support, and hope in the relation between mental health and resilience among 2023 Türkiye earthquake survivors. DEATH STUDIES 2024:1-8. [PMID: 38768037 DOI: 10.1080/07481187.2024.2355240] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/22/2024]
Abstract
This research aims to investigate the mediating role of self-efficacy, social support, and hope in the relationship between depression, anxiety, stress, and resilience in 2023 Türkiye earthquake survivors (N = 491). The findings from a multi-mediation analysis showed the indirect effect of depression, anxiety, and stress on resilience through self-efficacy, social support, and hope. Thus, self-efficacy, social support, and hope may be protective factors for resilience in earthquake survivors. Strategies to improve self-efficacy and hope in earthquake survivors and social support may be necessary in reducing the stress factors caused by earthquakes.
Collapse
Affiliation(s)
- Yakup İme
- Counseling Psychology, Necmettin Erbakan University, Konya, Turkey
| |
Collapse
|
5
|
Vaillant-Coindard E, Briet G, Lespiau F, Gisclard B, Charbonnier E. Effects of three prophylactic interventions on French middle-schoolers' mental health: protocol for a randomized controlled trial. BMC Psychol 2024; 12:204. [PMID: 38615007 PMCID: PMC11016224 DOI: 10.1186/s40359-024-01723-8] [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: 03/21/2024] [Accepted: 04/09/2024] [Indexed: 04/15/2024] Open
Abstract
Adolescence is a strategic developmental stage in terms of preventing later difficulties and ensuring good mental health. Prophylactic interventions, which are conducted before the onset, prolongation, or worsening of difficulties, and aim to prevent or reduce symptoms or to promote wellbeing, therefore appear particularly appropriate for adolescents. However, existing prophylactic interventions conducted with adolescents have several weaknesses, including sparse theoretical frameworks, ambivalent evidence of their efficacy, and implementation and dissemination difficulties. In addition, no data are currently available on the effectiveness of such interventions in France. To fill this gap, a four-arm randomized controlled trial will be performed to assess the effectiveness of three prophylactic interventions targeting reactive, proactive and interpersonal adaptation in fourth-grade middle-school students, together with participants' experience and perception of the interventions. Based on existing knowledge about adolescents, their learning mechanisms, and field constraints, these three interventions have been designed to promote their learning and receptiveness to interventions. Compared with baseline (i.e., before the intervention), we expect to observe a significant decrease in the level of distress (anxiety and depressive symptoms, functional impairment, and psychosocial difficulties) and a significant increase in the level of wellbeing after the intervention, across the three intervention groups, but not in the control group. In addition, we expect to observe post-intervention improvements in the processes targeted by the reactive adaptation intervention (operationalized as coping strategy use and flexibility), those targeted by the proactive adaptation intervention (operationalized as the tendency to engage in committed actions and general self-efficacy), and those targeted by the interpersonal adaptation intervention (operationalized as assertiveness in interactions), but only in the corresponding groups, with no change in any of these processes in the control group. The results of this research will not only enrich our knowledge of the processes involved in adolescents' distress and wellbeing, but also provide clues as to the best targets for intervention. Moreover, the material for these interventions will be freely available in French on request to the corresponding author, providing access to innovative and fully assessed interventions aimed at promoting adolescents' mental health in France.This clinical trial is currently being registered under no. 2023-A01973-42 on https://ansm.sante.fr/ . This is the first version of the protocol.
Collapse
Affiliation(s)
| | - Gaëtan Briet
- UNIV. NIMES, APSY-V, F-30021, Nîmes Cedex 1, France
| | | | | | | |
Collapse
|
6
|
Jiang Z, Hou S, Zhang Y, Zong L. The mediating and moderating effects of resilience on the relationship between sleep quality and psychological distress in Chinese women with infertility. BMC Womens Health 2024; 24:192. [PMID: 38515092 PMCID: PMC10956316 DOI: 10.1186/s12905-024-03018-x] [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: 06/15/2023] [Accepted: 03/12/2024] [Indexed: 03/23/2024] Open
Abstract
BACKGROUND Research has widely indicated that the psychological distress experienced by infertile patients during fertility treatments may have a negative effect on the results of assisted reproduction. Although numerous studies have shown that psychological resilience and sleep quality are important influencing factors for psychological distress, the mediating mechanisms of psychological resilience in the relationship between sleep quality and psychological distress for Chinese women in particular remain unclear. Therefore, the current study investigates the association between sleep quality, resilience, and psychological distress in Chinese women with infertility and examines the mediating and moderating roles of resilience on the relationship between sleep quality and psychological distress. METHODS In this cross-sectional study, a total of 595 women with infertility who were undergoing IVF-ET were recruited at the Reproductive Medicine, Shandong University, from April to November 2019. Participants were instructed to complete four questionnaires, including a questionnaire about socio-demographic and clinical-related information, the Pittsburgh Sleep Quality Index (PSQI), the 10-item Connor-Davidson Resilience Scale (CD-RISC-10), and the Kessler-10 (K10). Pearson's correlation analysis was conducted preliminarily to describe the relationships between sleep quality, resilience, and psychological distress. A mediation model and a moderated model were constructed and analyzed using the PROCESS macro for SPSS. The Johnson-Neyman (J-N) technique was then used to identify the regions of significance across the levels of moderator values. RESULTS Patients in the sample had a high prevalence of psychological distress (48.6%, K10 scores > 22), and mediation analysis indicated that resilience played a partially mediating role in the relationship between sleep quality and psychological distress (indict effect = 0.072, P < 0.001). Moderation analysis indicated that resilience also moderated the association between sleep quality and psychological distress. CONCLUSIONS Resilience may play a key role in the relationship between sleep quality and psychological distress. Our findings imply that resilience training may therefore be an effective component of psychological distress intervention in women with infertility.
Collapse
Affiliation(s)
- Zhenhua Jiang
- The Affiliated Hospital of Shandong University of Traditional Chinese Medicine, Jingshi Road, Jinan, 250014, Shandong, China
| | - Sen Hou
- The Affiliated Hospital of Shandong University of Traditional Chinese Medicine, Jingshi Road, Jinan, 250014, Shandong, China
| | - Yajie Zhang
- Jinan Maternity and Child Care Hospital, Jingsan Road, Jinan, 250000, Shandong, China
| | - Liping Zong
- Jinan Maternity and Child Care Hospital, Jingsan Road, Jinan, 250000, Shandong, China.
| |
Collapse
|
7
|
Muris P, Fernández-Martínez I, Otgaar H. On the Edge of Psychopathology: Strong Relations Between Reversed Self-compassion and Symptoms of Anxiety and Depression in Young People. Clin Child Fam Psychol Rev 2024:10.1007/s10567-024-00471-w. [PMID: 38472504 DOI: 10.1007/s10567-024-00471-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/02/2024] [Indexed: 03/14/2024]
Abstract
Self-compassion is assumed to have a protective role in the etiology of emotional problems in adolescents. This assumption is primarily based on correlational data revealing negative correlations between the total score on the Self-Compassion Scale (SCS) and symptom measures of anxiety and depression. Recently, however, the SCS has been criticized because this scale not only consists of items measuring compassionate self-responding (i.e., self-kindness, common humanity, and mindfulness), but also includes 'reversed' items measuring uncompassionate self-responding (i.e., self-criticism, isolation, and overidentification), which would undermine the validity of the scale as an index of a protective construct. The present article used two methods to demonstrate that compassionate (positive) and uncompassionate (negative) self-responding have differential effects on emotional problems in youths. In the first part, a meta-analysis based on 16 relevant studies demonstrated a modest protective effect of positive self-compassion on anxiety/depression and a large (and significantly stronger) vulnerability effect of negative self-compassion on such emotional symptoms. In the second part, network analyses were conducted on three previously collected data sets and these analyses again showed that negative self-compassion is more closely connected to young people's symptoms of anxiety and depression than positive self-compassion. It is argued that the observed differential effects should not be discarded as a subversive fallacy, but rather offer an opportunity for studying the role of self-compassion in adolescents' emotional psychopathology in a more sophisticated way, taking into account both protection and vulnerability.
Collapse
Affiliation(s)
- Peter Muris
- Department of Clinical Psychological Science, Faculty of Psychology and Neuroscience, Maastricht University, P.O. Box 616, 6200 MD, Maastricht, The Netherlands.
- Stellenbosch University, Stellenbosch, South Africa.
| | | | - Henry Otgaar
- Department of Clinical Psychological Science, Faculty of Psychology and Neuroscience, Maastricht University, P.O. Box 616, 6200 MD, Maastricht, The Netherlands
- Catholic University Leuven, Leuven, Belgium
| |
Collapse
|
8
|
Duan A, Zhao H, Zhou C. The Effects of a Healthy Lifestyle on Depressive Symptoms in Older Chinese Adults: The Mediating Role of Psychological Resilience. Cureus 2024; 16:e57258. [PMID: 38686246 PMCID: PMC11057559 DOI: 10.7759/cureus.57258] [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] [Accepted: 03/30/2024] [Indexed: 05/02/2024] Open
Abstract
Objectives This study aimed to validate the interrelationships and potential pathways of influence between healthy lifestyles, psychological resilience, and depressive symptoms in the Chinese elderly population. Methods We utilized data from the Chinese Elderly Health Influential Factors Tracking Survey 2018 and included 9448 samples for the study after screening according to the qualifying conditions. The interrelationships among healthy lifestyles, psychological resilience and depressive symptoms were analyzed using stepwise regression, and the robustness of mediation effects was assessed using Sobel and Bootstrap test. Results Among Chinese older adults, healthy lifestyles were negatively associated with depressive symptoms (β = -0.310, 95% CI: -0.405, -0.215), positively associated with psychological resilience (β = 0.137, 95% CI:0.071, 0.023), and psychological resilience was negatively associated with depressive symptoms (β = -1.014, 95% CI: -1.037, -0.990). Conclusions Psychological resilience partially mediated the association between healthy lifestyles and depressive symptoms, with the mediating effect accounting for 44.8% of the total effect. Our study contributes to the understanding of the relationship between healthy lifestyles and depressive symptoms in the elderly population and emphasizes the important role of psychological resilience. It is recommended that the government and policymakers improve depressive symptoms among older adults through comprehensive measures such as promoting healthy lifestyles and education, providing psychological support services, and creating a favorable environment.
Collapse
Affiliation(s)
- Ailing Duan
- Public Health, Chongqing Medical University, Chongqing, CHN
| | - Hang Zhao
- Public Health, Chongqing Medical University, Chongqing, CHN
| | - Chunmin Zhou
- Public Health, Chongqing Medical University, Chonqing, CHN
| |
Collapse
|
9
|
Ji L. Childhood emotional abuse and depression among Chinese adolescent sample: A mediating and moderating dual role model of rumination and resilience. CHILD ABUSE & NEGLECT 2024; 149:106607. [PMID: 38154376 DOI: 10.1016/j.chiabu.2023.106607] [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: 08/17/2023] [Revised: 12/11/2023] [Accepted: 12/13/2023] [Indexed: 12/30/2023]
Abstract
BACKGROUND Childhood emotional abuse (CEA) has been identified as a distal risk factor for later depression in adolescents. However, the underlying psychological mechanisms between CEA and adolescent depression are still poorly understood. OBJECTIVES This study aimed to explore the roles of rumination and resilience played in the association between CEA and depression among Chinese adolescents. PARTICIPANTS AND SETTING The sample included 919 students (52.56 % boys) with an average age of 13.47 years from a central province in China. METHODS Participants completed multiple measurements of CEA, rumination, resilience, and depression. Multivariate path analysis was applied to examine the relations among these variables. RESULTS Results showed (a) CEA was significantly positively related to adolescent depression; (b) Rumination partially mediated the relationship between CEA and depression and moderated the relationship between resilience and depression; (c) Resilience partially mediated the relationship between CEA and depression and moderated the relationship between rumination and depression. CONCLUSIONS The results revealed that both rumination and resilience played not only mediating but also moderating roles in the relationship between CEA and depression among Chinese adolescent sample, suggesting that the indirect effects of CEA on depression via resilience and rumination are dependent on each other. Hence, these findings deepened the understanding of the psychological mechanisms between CEA and depression and had several practical implications.
Collapse
Affiliation(s)
- Lingkai Ji
- Department of Psychology, Normal School, Hubei University, Wuhan 430062, People's Republic of China.
| |
Collapse
|
10
|
Li W, Song Y, Zhou Z. Trade-offs of praise and criticism: Parents' responses to children's performance and children's resilience and depression. FAMILY PROCESS 2024. [PMID: 38196149 DOI: 10.1111/famp.12964] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/26/2022] [Revised: 12/09/2023] [Accepted: 12/13/2023] [Indexed: 01/11/2024]
Abstract
In contrast to cognitive outcomes, parental success-oriented responses to children's performance enhanced the emotional well-being of children. Conversely, parental failure-oriented responses had the opposite impact. Thus, it remains unclear which response or combination of responses parents should employ to maximize their children's development. This research aimed to examine the combined effect of children's perceptions of parental success- and failure-oriented responses on children's depression, with a focus on the mediating role of resilience. A total of 651 pupils (44.7% female, Mage = 10.31, range = 8-12) were investigated in China using polynomial regression and response surface analyses. Our findings suggest that when success- and failure-oriented responses are congruent, failure-oriented responses counteract the protective effect of success-oriented responses against children's depression. The two equally matched responses demonstrated a curvilinear main effect on resilience, indicating that higher resilience was associated with the upper-middle range of the two responses. Moreover, children who reported more success-oriented responses than failure-oriented responses showed greater resilience and decreased depression. Resilience acted as a mediator for the combined effects of parental success and failure-oriented responses on children's depression. The study addressed the parenting dilemma, specifically the trade-off between success- and failure-oriented responses in promoting children's optimal development.
Collapse
Affiliation(s)
- Weina Li
- Key Laboratory of Adolescent Cyberpsychology and Behavior (Central China Normal University), Ministry of Education, Wuhan, China
- Department of Management, Hunan Police Academy, Changsha, China
- School of Psychology, Central China Normal University, Wuhan, China
| | - Youzhi Song
- Key Laboratory of Adolescent Cyberpsychology and Behavior (Central China Normal University), Ministry of Education, Wuhan, China
- School of Psychology, Central China Normal University, Wuhan, China
| | - Zongkui Zhou
- Key Laboratory of Adolescent Cyberpsychology and Behavior (Central China Normal University), Ministry of Education, Wuhan, China
- School of Psychology, Central China Normal University, Wuhan, China
| |
Collapse
|
11
|
Mondolin V, Karlsson H, Tuulari JJ, Pelto J, Karlsson L, Nordenswan E, Kataja EL. Childhood maltreatment, trait resilience and prenatal distress among expecting mothers and fathers in the FinnBrain Birth Cohort Study. J Affect Disord 2024; 344:41-47. [PMID: 37820954 DOI: 10.1016/j.jad.2023.10.026] [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: 05/29/2023] [Revised: 09/21/2023] [Accepted: 10/08/2023] [Indexed: 10/13/2023]
Abstract
BACKGROUND In this study we examined the association between childhood maltreatment exposure (CME) and psychological distress, including symptoms of depression and anxiety, during pregnancy. Additionally, we explored the potential moderating effect of trait resilience on these associations. METHODS The study is part of the ongoing FinnBrain Birth Cohort Study. The sample consisted of 3016 mothers and 1934 fathers. The data were collected using self-report questionnaires, including EPDS, SCL-90, CD-RISC-10 and TADS. We conducted ANOVAs and linear logistic regression analyses to examine the associations between depression, anxiety, resilience, and CMEs. RESULTS CMEs were associated with increased psychological distress, including depression symptoms and anxiety, and decreased trait resilience among both mothers and fathers. Additionally, trait resilience had a moderating effect on the association between fathers' CMEs and psychological distress, while no significant moderating effect was found among mothers. Furthermore, among both mothers and fathers, higher trait resilience was associated with decreased anxiety and depressive symptoms. LIMITATIONS Due to cross-sectionality, it is not possible to establish a causal relationship between CMEs, resilience, and parental distress. Additionally, the study does not provide insights into the underlying factors or processes that contribute to the development of trait resilience. CONCLUSIONS Trait resilience may have a positive impact on parents' mental health during pregnancy. This study is the first to investigate the significance of fathers' trait resilience during pregnancy. In clinical settings, it is essential to identify parents with low levels of resilience and provide them with appropriate support, recognizing them as a vulnerable group.
Collapse
Affiliation(s)
- Viivi Mondolin
- FinnBrain Birth Cohort Study, Turku Brain and Mind Center, Department of Clinical Medicine, University of Turku, Turku, Finland; Department of Psychiatry, Helsinki University Hospital, University of Helsinki, Finland.
| | - Hasse Karlsson
- FinnBrain Birth Cohort Study, Turku Brain and Mind Center, Department of Clinical Medicine, University of Turku, Turku, Finland; Department of Psychiatry, Turku University Hospital & University of Turku, Turku, Finland; Centre for Population Health Research, Turku University Hospital and University of Turku, Turku, Finland
| | - Jetro J Tuulari
- FinnBrain Birth Cohort Study, Turku Brain and Mind Center, Department of Clinical Medicine, University of Turku, Turku, Finland; Centre for Population Health Research, Turku University Hospital and University of Turku, Turku, Finland; Turku Collegium for Science, Medicine and Technology, University of Turku, Turku, Finland
| | - Juho Pelto
- FinnBrain Birth Cohort Study, Turku Brain and Mind Center, Department of Clinical Medicine, University of Turku, Turku, Finland; Department of Mathematics and Statistics, University of Turku, Turku, Finland
| | - Linnea Karlsson
- FinnBrain Birth Cohort Study, Turku Brain and Mind Center, Department of Clinical Medicine, University of Turku, Turku, Finland; Centre for Population Health Research, Turku University Hospital and University of Turku, Turku, Finland; Department of Clinical Medicine, Pediatrics and Adolescent Medicine, Turku University Hospital and University of Turku, Finland
| | - Elisabeth Nordenswan
- FinnBrain Birth Cohort Study, Turku Brain and Mind Center, Department of Clinical Medicine, University of Turku, Turku, Finland
| | - Eeva-Leena Kataja
- FinnBrain Birth Cohort Study, Turku Brain and Mind Center, Department of Clinical Medicine, University of Turku, Turku, Finland; Centre for Population Health Research, Turku University Hospital and University of Turku, Turku, Finland
| |
Collapse
|
12
|
Fernández-Fillol C, Hidalgo-Ruzzante N, Perez-Garcia M, Hyland P, Shevlin M, Karatzias T. The role of resilience in the relationship between intimate partner violence severity and ICD-11 CPTSD severity. Eur J Psychotraumatol 2023; 15:2285671. [PMID: 38156874 PMCID: PMC10763906 DOI: 10.1080/20008066.2023.2285671] [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: 05/29/2023] [Accepted: 10/19/2023] [Indexed: 01/03/2024] Open
Abstract
Background: Resilience is a modulating factor in the development of PTSD and CPTSD after exposure to traumatic events. However, the relationship between resilience and ICD-11 CPTSD is not adequately understood in survivors of intimate partner violence (IPV).Objective: The aim of this study is to determine whether resilience has a mediating role in the relationship between severity of violence and severity of CPTSD symptoms.Method: A sample of 202 women IPV survivors completed self-rated questionnaires to assess CPTSD, severity of violence and resilience.Results: Mediation analyses indicated that there was a direct relationship between the severity of violence and the severity of CPTSD symptoms (β = .113, p < .001) and that there was a significantly inverse relationship between levels of resilience and the severity of CPTSD symptoms (β = -.248, p < .001). At the same time, there was no significant relationship between the severity of violence and resilience (β = -.061, p = .254).Conclusions: These findings suggest that resilience does not mediate the relationship between violence severity and CPTSD severity. Directions for future research are discussed.
Collapse
Affiliation(s)
- Carmen Fernández-Fillol
- Department of Health Sciences, Valencian International University, Valencia, Spain
- Faculty of Health Sciences, Isabel I University, Burgos, Spain
- Mind, Brain and Behavior Research Center (CIMCYC), University of Granada, Granada, Spain
| | - Natalia Hidalgo-Ruzzante
- Mind, Brain and Behavior Research Center (CIMCYC), University of Granada, Granada, Spain
- Department of Developmental and Educational Psychology, University of Granada, Granada, Spain
- Faculty of Education, Campus de Cartuja, Granada, Spain
| | - Miguel Perez-Garcia
- Mind, Brain and Behavior Research Center (CIMCYC), University of Granada, Granada, Spain
- Department of Personality, Assessment and Psychological Treatment, University of Granada, Granada, Spain
- Faculty of Psychology, Campus Universitario de Cartuja, Granada, Spain
| | - Philip Hyland
- Department of Psychology, Maynooth University, Kildare, Ireland
- Centre for Global Health, Trinity College Dublin, Dublin, Ireland
- Education House, Maynooth University, Kildare, Ireland
| | - Mark Shevlin
- School of Psychology, Ulster University, Londonderry, Northern Ireland
| | - Thanos Karatzias
- School of Health & Social Care, Edinburgh Napier University, Edinburgh, UK
- NHS Lothian, Rivers Centre for Traumatic Stress, Edinburgh, UK
- School of Health & Social Care, Edinburgh Napier University, Edinburgh, UK
| |
Collapse
|
13
|
Zhang X, Brown AM, Rhubart DC. Can Resilience Buffer the Effects of Loneliness on Mental Distress Among Working-Age Adults in the United States During the COVID-19 Pandemic? A Latent Moderated Structural Modeling Analysis. Int J Behav Med 2023; 30:790-800. [PMID: 36631701 PMCID: PMC9838440 DOI: 10.1007/s12529-022-10151-0] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/27/2022] [Indexed: 01/13/2023]
Abstract
BACKGROUND The profound health consequences of loneliness are well-established. However, less is known about the protective factors which may alleviate the effects of loneliness on mental health especially among working-age adults amidst the COVID-19 pandemic. We draw on the social ecology of resilience and examine whether resilience factors can buffer the effects of loneliness on mental distress. METHODS Data came from the National Well-being Survey-a national study of a demographically representative sample of U.S. working-age adults (N = 4014). We used (a) structural equation models with latent variables to examine the main effects of loneliness, psychological resilience, and perceived social support on mental distress, and (b) latent moderated structural equations to estimate the latent interaction effects. RESULTS Results revealed that (a) loneliness was positively associated with mental distress and psychological resilience was negatively related to mental distress, and (b) psychological resilience and perceived social support moderated the strength of the relationship between loneliness and mental distress. CONCLUSIONS Our study highlights the importance of psychological resilience and perceived social support as two protective factors in the relationship between loneliness and mental distress. Given that loneliness significantly predicts worse mental and physical health and higher mortality, identifying protective factors that might disrupt these connections is vital. As such, public health efforts to strengthen and expand familial and community social support networks and foster psychological resilience are urgently needed to support mental health among working-age adults during additional waves of the pandemic or future similar stressors.
Collapse
Affiliation(s)
- Xiaoyan Zhang
- Department of Human Development and Family Science, Falk College of Sport and Human Dynamics, Syracuse University, Syracuse, USA.
| | - Austin McNeill Brown
- Lerner Center for Public Health Promotion, Maxwell School of Citizenship and Public Affairs, Syracuse University, Syracuse, USA
| | - Danielle C Rhubart
- Department of Biobehavioral Health, The Pennsylvania State University, State College, USA
| |
Collapse
|
14
|
Singh P, Mishra N. Exploration of a Psychological Defensive Syndrome Against Depressive Symptomatology in a Community Sample of Indian Women. Psychol Rep 2023; 126:2237-2265. [PMID: 35466799 DOI: 10.1177/00332941221092657] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/23/2023]
Abstract
The prevalence of depressive symptomatology in Indian women and the associated treatment gap are alarming and require interventions at a community level. Such interventions may succeed if the specific risk and protective factors are appropriately identified and addressed. Identifying such factors may suggest a Psychological Defensive Syndrome (PDS) against depressive symptomatology, and inculcating this PDS through specific interventions may help individuals manage depressive symptomatology. For evaluating the feasibility of such an idea, a two-phase research project was initiated, and the current paper presents findings of its first phase. The primary aim of the first phase was to explore the predictive relationship between depressive symptomatology and rumination, reappraisal, resilience, self-efficacy, neuroticism, and extraversion. A total of 671 women (Mage = 23.71) responded to standardized questionnaires in a semi-structured interview setting. The obtained data were subjected to correlational, regression, and path analysis. The findings support all the hypotheses; women, who reported less engagement in rumination and more in reappraisal, who scored low on neuroticism and high on extraversion, resilience and self-efficacy, showed less severe depressive symptoms than their counterparts. This pattern can be thought of as a PDS against depressive symptoms in Indian women. These results highlight the importance of addressing these factors in preventing and assuaging depressive symptomatology in Indian women.
Collapse
Affiliation(s)
- Parwinder Singh
- Department of Humanities and Social Science, Indian Institute of Technology Ropar, Rupnagar, India
| | - Navneet Mishra
- Department of Humanities and Social Science, Indian Institute of Technology Ropar, Rupnagar, India
| |
Collapse
|
15
|
Zhou H, Zhu Z, Feng X, Zhang R. Low mindfulness is related to poor sleep quality from middle adolescents to emerging adults: a process model involving resilience and emotional dysfunction. BMC Psychiatry 2023; 23:626. [PMID: 37641001 PMCID: PMC10463593 DOI: 10.1186/s12888-023-05092-1] [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: 02/22/2023] [Accepted: 08/08/2023] [Indexed: 08/31/2023] Open
Abstract
OBJECTIVES Transitions from middle adolescence into merging adulthood, a life stage between age 15-25, has a high prevalence of sleep problems. Mindfulness is a trait defined as being attentive to the present moment which positively relates to sleep quality. In this study, we aimed to investigate how resilience and emotional dysfunction may influence the relationship between trait mindfulness and sleep quality. METHODS The Five Facet Mindfulness Questionnaire, Connor-Davidson Resilience Scale, Pittsburgh Sleep Quality Index and Depression Anxiety Stress Scales were used to measure the key variables through an online survey of 497 participants between middle adolescence and emerging adults (317 females, mean age 18.27 ± 0.76 years). A process model was built to investigate the mediating roles of resilience and emotional dysfunction in the impact of trait mindfulness on sleep quality, together with the relationships between their specific components. RESULTS We found a positive association between mindfulness and sleep quality through resilience and through emotional dysfunction, and through the sequential pathway from resilience to emotional dysfunction. Of note, acting with awareness (mindfulness facet) showed significant indirect effects on sleep quality, mediated by resilience and emotional dysfunction. CONCLUSIONS Our findings may unveil the underlying mechanisms of how low mindfulness induces poor sleep quality. The findings indicate that conceiving mindfulness as a multifaceted construct facilitates comprehension of its components, relationships with other variables, and underscores its potential clinical significance given its critical implications for mental health.
Collapse
Affiliation(s)
- Huaiyuan Zhou
- Cognitive Control and Brain Healthy Laboratory, Department of Psychology, School of Public Health, Southern Medical University, Guangzhou, China
| | - Ziqing Zhu
- Cognitive Control and Brain Healthy Laboratory, Department of Psychology, School of Public Health, Southern Medical University, Guangzhou, China
| | - Xiangang Feng
- Cognitive Control and Brain Healthy Laboratory, Department of Psychology, School of Public Health, Southern Medical University, Guangzhou, China.
- Department of Psychiatry, Zhujiang Hospital, Southern Medical University, Guangzhou, China.
| | - Ruibin Zhang
- Cognitive Control and Brain Healthy Laboratory, Department of Psychology, School of Public Health, Southern Medical University, Guangzhou, China.
- Department of Psychiatry, Zhujiang Hospital, Southern Medical University, Guangzhou, China.
| |
Collapse
|
16
|
Kim S, Munten S, Stafford S, Kolla NJ. Can mindfulness play a role in building social-emotional capacities among youth exposed to screens? Front Psychiatry 2023; 14:1165217. [PMID: 37426093 PMCID: PMC10325623 DOI: 10.3389/fpsyt.2023.1165217] [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: 02/13/2023] [Accepted: 06/06/2023] [Indexed: 07/11/2023] Open
Abstract
Introduction Increased screen time coupled with public safety restrictions may pose a serious challenge to adequate social-emotional development in youth during the pandemic. Social-emotional competence (resilience, self-esteem, and self-compassion) are essential for youth to adapt to the "new normal" in the prolonged pandemic timeline. The current study investigated the efficacy of a mindfulness-based intervention on youth social-emotional capacity while accounting for screen time. Methods One hundred and seventeen youth participated in a 12-week, online mindfulness-based program and completed pre-, post- and follow-up surveys across five cohorts during the COVID-19 pandemic (spring 2021 to spring 2022). Changes in youths' resilience (RS), self-esteem (SE), and self-compassion (SC) between the three-time points were examined using linear regression analyses (unadjusted, partially adjusted for screen time, and fully adjusted for demographic and screen time variables). The regression models accounted for demographic (age, sex), baseline mental health status, and screen time (passive, social media, video games, and educational types of screen-based behaviours) factors. Results In an unadjusted regression model, resilience [β = 3.68, 95%CI = 1.78-5.50, p < 0.001], self-compassion [β = 0.50, 95%CI = 0.34-0.66, p < 0.001], and self-esteem [β = 2.16, 95%CI = 0.98-3.34, p < 0.001] significantly increased after the mindfulness program, and the effects were maintained in the follow-up. The efficacy of the mindfulness program persisted after controlling for five types of screen time [RS: β = 2.73, 95%CI = 0.89-4.57, p < 0.01; SC: β = 0.50, 95%CI = 0.32-0.67, p < 0.001; SE: β = 1.46, 95%CI = 0.34-2.59, p < 0.01] and in a fully adjusted model which additionally accounted for the baseline mental health status and demographic factors [RS: β = 3.01, 95%CI = 1.20, p < 0.01; SC: β = 0.51, 95%CI = 0.33-0.68, p < 0.001; SE: β = 1.64, 95%CI = 0.51-2.77, p < 0.01] and maintained its impact in the follow-up. Discussion Our findings reinforce the evidence base on the efficacy of mindfulness and support the use of online mindfulness programs in building social-emotional competencies (i.e., self-compassion, self-esteem, and resilience) among youth exposed to screens during the pandemic.
Collapse
Affiliation(s)
- Soyeon Kim
- Waypoint Centre for Mental Health Care, Waypoint Research Institute, Penetanguishene, ON, Canada
- Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, ON, Canada
| | - Stephanie Munten
- Waypoint Centre for Mental Health Care, Waypoint Research Institute, Penetanguishene, ON, Canada
| | - Shavon Stafford
- Waypoint Centre for Mental Health Care, Waypoint Research Institute, Penetanguishene, ON, Canada
| | - Nathan J. Kolla
- Waypoint Centre for Mental Health Care, Waypoint Research Institute, Penetanguishene, ON, Canada
- Centre for Addiction and Mental Health, University of Toronto, Toronto, ON, Canada
| |
Collapse
|
17
|
Burke LA, Chijioke S, Le TP. Gendered racial microaggressions and emerging adult Black women's social and general anxiety: Distress intolerance and stress as mediators. J Clin Psychol 2023; 79:1051-1069. [PMID: 36413584 DOI: 10.1002/jclp.23460] [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: 03/23/2022] [Revised: 10/21/2022] [Accepted: 11/04/2022] [Indexed: 11/23/2022]
Abstract
There is robust evidence that gendered racial microaggressions affect Black women's mental health. However, few studies have examined how this form of discrimination affects Black women's social anxiety in addition to their general anxiety, as well as the underlying mechanisms related to gendered racial microaggressions and anxiety. OBJECTIVE The purpose of this study was to examine the associations between gendered racial microaggressions stress (GRMS) and gendered racial microaggressions frequency (GRMF), and Black women's social anxiety and general anxiety symptoms. We also examined the mediating roles of distress intolerance and stress in these associations. METHOD One hundred and sixty-three Black women, between the ages of 18 and 25 years old, completed a cross-sectional survey. Regression analyses were used to examine the associations between gendered racial microaggressions and social anxiety and general anxiety, and mediation analyses examined the indirect effect of gendered racial microaggressions on the outcome variables through distress intolerance and stress. RESULTS GRMS was associated with greater social and general anxiety through the mechanisms of distress intolerance and stress. GRMF was associated with reduced social anxiety and was not associated with general anxiety. CONCLUSIONS Intervention efforts should be aimed to prevent the experience of gendered racial microaggressions to prevent subsequent stress and mental health outcomes for Black women.
Collapse
Affiliation(s)
- Lindsey A Burke
- Department of Psychology, The University of Maryland, College Park, Maryland, USA
| | - Sandra Chijioke
- Department of Psychology, The University of Maryland, College Park, Maryland, USA
| | - Thomas P Le
- Department of Psychology, The University of Maryland, College Park, Maryland, USA
| |
Collapse
|
18
|
Chang YH, Yang CT, Hsieh S. Social support enhances the mediating effect of psychological resilience on the relationship between life satisfaction and depressive symptom severity. Sci Rep 2023; 13:4818. [PMID: 36964160 PMCID: PMC10036971 DOI: 10.1038/s41598-023-31863-7] [Citation(s) in RCA: 8] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/13/2022] [Accepted: 03/20/2023] [Indexed: 03/26/2023] Open
Abstract
Psychosocial factors, including life satisfaction, resilience, and social support, have been proposed to influence depressive symptom severity in adults because the age of onset of depressive disorders, i.e. adolescence to early adulthood, is associated with various impairments in psychosocial functioning. In this study, a psychosocial model was constructed to verify these relationships to prevent depression. For this study, 370 participants were recruited from the community via poster or online advertisements. They completed several questionnaires to assess depressive symptom severity: the Connor-Davidson Resilience Scale (CD-RISC), Satisfaction with Life Scale (SwLS), Peace of Mind (PoM) scale, Social Support Questionnaire (SSQ), and Beck Depression Inventory (BDI-II). A negative association was found between depressive symptom severity and all other variables, including PoM and CD-RISC scores, life satisfaction, and social support. Such factors can be considered protective against increased depressive symptom severity. In addition, indirect effects of PoM and resilience on the negative association between SwLS scores and depressive symptom severity were observed. Moreover, social support was found to mediate the correlation between PoM and resilience, implying that social support mediates the relationship between state of mind and resilience. The psychosocial model suggested that depressive symptom severity is influenced by internal factors (an individual's state of mind, subjective view of events and their life) and external factors (including social support).
Collapse
Affiliation(s)
- Yun-Hsuan Chang
- Institute of Gerontology, College of Medicine, National Cheng Kung University, No. 1, University Road, Tainan City, 701, Taiwan, ROC.
- Institute of Behavioral Medicine, College of Medicine, National Cheng Kung University, Tainan City, 701, Taiwan, ROC.
- Department of Psychology, National Cheng Kung University, No.1, University Road, Tainan City, 701, Taiwan, ROC.
- Institute of Genomics and Bioinformatics, College of Life Sciences, National Chung Hsing University, Taichung City, 402, Taiwan, ROC.
| | - Cheng-Ta Yang
- Department of Psychology, National Cheng Kung University, No.1, University Road, Tainan City, 701, Taiwan, ROC
- Graduate Institute of Mind, Brain and Consciousness, Taipei Medical University, Taipei, 110, Taiwan, ROC
- Institute of Allied Health Sciences National Cheng Kung University, Tainan City, 701, Taiwan, ROC
| | - Shulan Hsieh
- Department of Psychology, National Cheng Kung University, No.1, University Road, Tainan City, 701, Taiwan, ROC.
- Institute of Allied Health Sciences National Cheng Kung University, Tainan City, 701, Taiwan, ROC.
- Department of Public Health, National Cheng Kung University, Tainan City, 701, Taiwan, ROC.
| |
Collapse
|
19
|
Yang SL, Tan CX, Li J, Zhang J, Chen YP, Li YF, Tao YX, Ye BY, Chen SH, Li HY, Zhang JP. Negative life events and aggression among Chinese rural left-behind adolescents: do self-esteem and resilience mediate the relationship? BMC Psychiatry 2023; 23:167. [PMID: 36922776 PMCID: PMC10015683 DOI: 10.1186/s12888-023-04587-1] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/12/2022] [Accepted: 02/03/2023] [Indexed: 03/17/2023] Open
Abstract
BACKGROUND Left-behind adolescents (LBAs) are adolescents aged 11-18 years who are separated from their parents and left behind in local cities by one or both parents for a period of more than 6 months. LBAs in rural areas are likely to engage in aggressive behavior, which can affect interpersonal relationships, reduce academic performance, and even lead to anxiety and depression. To our knowledge, no studies have examined the mediating effect of resilience and self-esteem on the relationship between negative life events and aggression among Chinese rural LBAs. Therefore, this study aimed to explore the relationship between negative life events and aggression among Chinese rural LBAs and how self-esteem and resilience mediate the association. METHODS Using a stratified random sampling method, 1344 LBAs in Hunan Province of China were investigated. Information was collected by a self-designed sociodemographic questionnaire, Adolescent Self-Rating Life Events Checklist, Resilience Scale Chinese Adolescent, Rosenberg Self-Esteem Scale and Aggression Scales to assess the psychology of LBAs. Data analysis was conducted using descriptive statistics, Pearson correlation, and regression analysis to estimate direct and indirect effects using bootstrap analysis. RESULTS Negative life events were significantly related to self-esteem (r = - 0.338), resilience (r = - 0.359), and aggression (r = 0.441). Aggression was directly affected by self-esteem (β = - 0.44) and resilience (β = - 0.34). Negative life events were not only directly related to aggression (β = 0.34, 95% CI: 0.275 ~ 0.398) but also showed an indirect effect on aggression through self-esteem and resilience. The direct effect, total effect and indirect effect of negative life events on aggression through self-esteem and resilience were 0.3364, 0.4344 and 0.0980, respectively. The mediating effect of self-esteem and resilience accounted for 22.56% of the relationship between negative life events and aggression. CONCLUSIONS We found that self-esteem and resilience mediated most negative life events on aggression. It is imperative for educators and families to improve LBAs' self-esteem and resilience to reduce the occurrence of aggression. Future intervention studies should be designed to strengthen self-esteem and resilience.
Collapse
Affiliation(s)
- Si Lan Yang
- grid.411870.b0000 0001 0063 8301The First Hospital of Jiaxing, Affiliated Hospital of Jiaxing University, Zhejiang, China
| | - Chu Xia Tan
- grid.216417.70000 0001 0379 7164Xiangya Nursing School of Central South University, 172 Tong Zi Po Road, Changsha, 410000 Hunan China
| | - Juan Li
- grid.216417.70000 0001 0379 7164Xiangya Nursing School of Central South University, 172 Tong Zi Po Road, Changsha, 410000 Hunan China
| | - Jie Zhang
- grid.216417.70000 0001 0379 7164Xiangya Nursing School of Central South University, 172 Tong Zi Po Road, Changsha, 410000 Hunan China
| | - Yi Ping Chen
- grid.216417.70000 0001 0379 7164Xiangya Nursing School of Central South University, 172 Tong Zi Po Road, Changsha, 410000 Hunan China
| | - Yi Fei Li
- grid.216417.70000 0001 0379 7164Xiangya Nursing School of Central South University, 172 Tong Zi Po Road, Changsha, 410000 Hunan China
| | - Ying Xiang Tao
- grid.216417.70000 0001 0379 7164Xiangya Nursing School of Central South University, 172 Tong Zi Po Road, Changsha, 410000 Hunan China
| | - Bi Yun Ye
- grid.216417.70000 0001 0379 7164Xiangya Nursing School of Central South University, 172 Tong Zi Po Road, Changsha, 410000 Hunan China
| | - Shi Hao Chen
- grid.216417.70000 0001 0379 7164Xiangya Nursing School of Central South University, 172 Tong Zi Po Road, Changsha, 410000 Hunan China
| | - Hui Yuan Li
- grid.10784.3a0000 0004 1937 0482The Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong Kong, Shatin, N.T., Hong Kong SAR, China
| | - Jing Ping Zhang
- grid.216417.70000 0001 0379 7164Xiangya Nursing School of Central South University, 172 Tong Zi Po Road, Changsha, 410000 Hunan China
| |
Collapse
|
20
|
Liu Y, Yu H, Shi Y, Ma C. The effect of perceived stress on depression in college students: The role of emotion regulation and positive psychological capital. Front Psychol 2023; 14:1110798. [PMID: 36993881 PMCID: PMC10040740 DOI: 10.3389/fpsyg.2023.1110798] [Citation(s) in RCA: 6] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2022] [Accepted: 02/22/2023] [Indexed: 03/18/2023] Open
Abstract
Introduction College students have become a high prevalence group and vulnerable group of depression. The present study aims to explore the effect of perceived stress on depression in a sample of Chinese college students and proposes that both emotion regulation and positive psychological capital play a moderating role between the two, so as to provide rational intervention for the prevention of potential depression among college students. Method In this study, 1,267 college students (46.4% female) from a university in western China were selected for the study using a whole-group convenience sampling method. Results After controlling for gender, this study found that both cognitive reappraisal and positive psychological capital positively moderated the relationship between perceived stress and depression, and both significantly inhibited depression in high and low stress perceivers, and the inhibitory effect was more pronounced in high stress perceivers, but expression inhibition did not moderate the relationship between perceived stress and depression. Discussion The results suggest that college students can be helped to cope with the negative effects of perceived stress on depression by increasing the frequency of their use of cognitive reappraisal strategies and encouraging the accumulation of positive psychological capital. This study provides theoretical and practical implications for rational interventions for depression among college students.
Collapse
Affiliation(s)
- Yafei Liu
- Normal College, Shihezi University, Shihezi, China
| | - Haibo Yu
- Normal College, Shihezi University, Shihezi, China
| | - Yaohui Shi
- Normal College, Shihezi University, Shihezi, China
| | - Chao Ma
- Normal College, Shihezi University, Shihezi, China
- Center of Application of Psychological Research, Shihezi University, Shihezi, China
| |
Collapse
|
21
|
Ding X, Ma S, Liu H, Wang H, Li N, Song Q, Su W, Liang M, Guo X, Sun L, Qin Q, Chen M, Sun Y. The relationships between sleep disturbances, resilience and anxiety among preschool children: A three-wave longitudinal study. J Psychosom Res 2023; 168:111203. [PMID: 36868111 DOI: 10.1016/j.jpsychores.2023.111203] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/17/2022] [Revised: 02/09/2023] [Accepted: 02/20/2023] [Indexed: 02/24/2023]
Abstract
OBJECTIVE This study, based on a three-wave longitudinal study, aimed to examine bidirectional relationships between sleep disturbances, resilience and anxiety symptoms among preschool children. METHODS In total, 1169 children in the junior class of preschools were investigated three times with an interval of one year, in Anhui Province, China. Children's sleep disturbances, resilience and anxiety symptoms were all assessed in the three-wave surveys. Then, 906 children at baseline (T1), 788 children in the first follow-up study (T2), and 656 children in the second follow-up study (T3) were included in the analysis. Autoregressive cross-lagged modeling analyses were performed to examine bidirectional relationships between sleep disturbances, resilience and anxiety symptoms using Mplus 8.3. RESULTS The mean age of the children was 3.6 ± 0.4 years at T1, 4.6 ± 0.4 years at T2, and 5.6 ± 0.4 years at T3, respectively. The results indicated that sleep disturbances at T1 significantly predicted anxiety symptoms at T2 (β = 0.111, P = 0.001); and sleep disturbances at T2 significantly predicted anxiety symptoms at T3 (β = 0.108, P = 0.008). Resilience only at T2 significantly predicted anxiety symptoms at T3 (β = -0.120, P = 0.002). Anxiety symptoms did not significantly predict the two variables (sleep disturbances and resilience) at any wave. CONCLUSION This study suggests that more sleep disturbances are longitudinally associated with subsequent high anxiety symptoms; inversely, high resilience will alleviate subsequent anxiety symptoms. These findings highlight the importance that early screening for sleep disturbances and anxiety, and strengthening resilience are beneficial to prevent preschool children from developing higher anxiety symptoms.
Collapse
Affiliation(s)
- Xiuxiu Ding
- Department of Epidemiology and Health Statistics, School of Public Health, Anhui Medical University, No. 81 Meishan Road, Hefei 230032, Anhui, China
| | - Shaodi Ma
- Department of Epidemiology and Health Statistics, School of Public Health, Anhui Medical University, No. 81 Meishan Road, Hefei 230032, Anhui, China
| | - Haixia Liu
- Department of Epidemiology and Health Statistics, School of Public Health, Anhui Medical University, No. 81 Meishan Road, Hefei 230032, Anhui, China
| | - Hao Wang
- Department of Epidemiology and Health Statistics, School of Public Health, Anhui Medical University, No. 81 Meishan Road, Hefei 230032, Anhui, China
| | - Ning Li
- Department of Epidemiology and Health Statistics, School of Public Health, Anhui Medical University, No. 81 Meishan Road, Hefei 230032, Anhui, China
| | - Qiuxia Song
- Department of Epidemiology and Health Statistics, School of Public Health, Anhui Medical University, No. 81 Meishan Road, Hefei 230032, Anhui, China
| | - Wanying Su
- Department of Epidemiology and Health Statistics, School of Public Health, Anhui Medical University, No. 81 Meishan Road, Hefei 230032, Anhui, China
| | - Mingming Liang
- Department of Epidemiology and Health Statistics, School of Public Health, Anhui Medical University, No. 81 Meishan Road, Hefei 230032, Anhui, China
| | - Xianwei Guo
- Department of Epidemiology and Health Statistics, School of Public Health, Anhui Medical University, No. 81 Meishan Road, Hefei 230032, Anhui, China
| | - Liang Sun
- Fuyang Center for Disease Control and Prevention, No.19, Zhongnan Avenue, Fuyang 236069, Anhui, China
| | - Qirong Qin
- Ma'anshan Center for Disease Control and Prevention, No.849, Jiangdong Avenue, Ma'anshan 243011, Anhui, China
| | - Mingchun Chen
- Changfeng Center for Disease Control and Prevention, Hefei 231199, Anhui, China
| | - Yehuan Sun
- Department of Epidemiology and Health Statistics, School of Public Health, Anhui Medical University, No. 81 Meishan Road, Hefei 230032, Anhui, China; Chaohu Hospital, Anhui Medical University, No. 64 Chaohubei Road, Hefei 238000, Anhui, China.
| |
Collapse
|
22
|
Liu K, Zhang Q. Parent-child perception differences in home-based parental involvement and children's mental health in China: The effects of peer support and teacher emotional support. Psych J 2023; 12:280-296. [PMID: 36717280 DOI: 10.1002/pchj.630] [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: 07/20/2022] [Accepted: 12/21/2022] [Indexed: 02/01/2023]
Abstract
Parents' perception of parental involvement or that of children has been found to be associated with the mental health of children. Rather than scrutinizing whether parents' perception or children's perception matters more, this study investigated whether and how parent-child perception differences (parents' perceptions minus their children's perceptions) in home-based parental involvement were related to anxiety, depression, and stress in children. We surveyed 2219 adolescents (approximately 12-14 years old) and their parents in nine middle schools in eastern China. Findings indicate that parent-child perception differences in parental daily involvement (e.g., Depression: β = .065, p < .01) and parent-child communication (e.g., Depression: β = .107, p < .001) were detrimental to the mental health of children, and that perceived peer support and perceived teacher emotional support might mitigate the adverse effects.
Collapse
Affiliation(s)
- Keqiao Liu
- School of Public Finance and Public Administration, Jiangxi University of Finance and Economics, Nanchang, China
| | - Qiang Zhang
- School of Preschool Education, Shandong Yingcai University, Jinan, China
| |
Collapse
|
23
|
Fu W, Zhu Y, Wang J, Dong H. Parent–child conflict and friendship quality of Chinese adolescence: the mediating role of resilience. CURRENT PSYCHOLOGY 2023. [DOI: 10.1007/s12144-022-04195-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/20/2023]
|
24
|
Li Y, Zeng X, Zhou H. Relationship between anxiety and drug abstention motivation in men with substance use disorders: a cross-sectional study of compulsory isolation rehabilitation in China. J Ethn Subst Abuse 2023; 22:189-212. [PMID: 34543152 DOI: 10.1080/15332640.2021.1923103] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
Studies have found that anxiety is among the common negative emotions in individuals with substance use disorders. Anxiety affects drug abstention motivation, but the mechanism underlying this effect is still unclear. The current study aimed to examine the relationship among anxiety, regulatory emotional self-efficacy, psychological resilience and drug abstention motivation in an attempt to explore the mechanism underlying drug abstention motivation. The participants were 732 men with substance use disorders who were sent to compulsory rehabilitation in China. All participants completed measures of anxiety, regulatory emotional self-efficacy, psychological resilience and drug abstention motivation through questionnaires. The results indicated that anxiety negatively predicts drug abstention motivation. Regulatory emotional self-efficacy mediates the relationship between anxiety and drug abstention motivation. In addition, psychological resilience moderates the mediation between anxiety and regulatory emotional self-efficacy. The current results are not only helpful for understanding the relationship between anxiety and drug abstention motivation from the perspective of emotion but also of great significance for guiding individuals with substance use disorders in enhancing their drug abstention motivation by reducing negative emotion.
Collapse
Affiliation(s)
- Yeqing Li
- Jiangxi Normal University, Nanchang, China
| | - Xiaoqing Zeng
- Jiangxi Normal University, Nanchang, China.,Jiangxi Key Laboratory of Psychology and Cognition, Nanchang, China
| | | |
Collapse
|
25
|
Resilience Among Gifted Students: Are they Prone to Anxiety During Pandemic? Scand J Child Adolesc Psychiatr Psychol 2022; 10:153-162. [PMID: 36687264 PMCID: PMC9828212 DOI: 10.2478/sjcapp-2022-0016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/01/2023] Open
Abstract
Background Resilience is an important protective factor for psychological wellbeing. According to the previous literature, physical activity level and digital game playing are likely to impact anxiety level. Objective The present study aimed to identify the role of resilience, doing physical activity, and playing digital games on gifted children's anxiety levels during the Pandemic period in 2021 in Turkey. Method The sample consisted of 199 gifted students. Anxiety was measured using the Spielberger's State Anxiety Inventory. Resilience was measured using The Brief Resilience Scale. The physical activity and online/digital game-playing were measured using two open-ended questions. Results Results provided evidence that resilience had a strong negative association with anxiety among gifted students during the Pandemic period (β = -.59, p<.001). Doing physical activity was associated with anxiety among gifted boys (β = -.16, p<.001) but not girls. Finally, digital game playing was associated with anxiety among neither girls nor boys. Conclusions These results reflected the importance of resilience for anxiety.
Collapse
|
26
|
Chen SY, Yan SR, Zhao WW, Gao Y, Zong W, Bian C, Cheng Y, Zhang YH. The mediating and moderating role of psychological resilience between occupational stress and mental health of psychiatric nurses: a multicenter cross-sectional study. BMC Psychiatry 2022; 22:823. [PMID: 36564737 PMCID: PMC9786521 DOI: 10.1186/s12888-022-04485-y] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/02/2022] [Accepted: 12/19/2022] [Indexed: 12/25/2022] Open
Abstract
BACKGROUND The particular occupational stress of psychiatric nurses has a negative impact on their mental health. There is evidence that psychological resilience can promote mental health; however, the relationship between resilience in occupational stress and mental health of psychiatric nurses is unclear, and mental health was assessed from a psychopathological perspective, neglecting the role of positive psychology. Therefore, this study was based on a dual-factor model of mental health, describing mental health in terms of both positive well-being and psychiatric symptoms. We aimed to investigate the level of psychiatric nurses' mental health and whether resilience plays a mediating or moderating role between occupational stress and mental health in psychiatry nurses. METHODS A cross sectional survey of 450 psychiatric nurses in five hospitals in Jiangsu Province was conducted using a convenience sampling method, of which 413 were valid questionnaires with an effective rate of 91.8%. The evaluation included the Chinese Nurses' Stress Scale, the Connor-Davidson Resilience Scale, the Warwick-Edinburgh Mental Well-being Scale, and the General Health Questionnaire. Descriptive and Spearman correlation analyses were performed using SPSS25.0 while mediating and moderating effects were performed using SmartPLS3.0. RESULTS Based on a dual-factor model of mental health, this study found that psychiatric nurses had a low general state of mental health, with 54.5% positive mental health, 7% vulnerable, 21.8% symptomatic but content, and 16.7% completely troubled. In addition, we found that resilience plays a mediating role in stress and mental health [β = -0.230, 95% CI of (-0.310, -0.150)] and does not play a moderating role [β = -0.018, 95%CI (-0.091, 0.055)]. CONCLUSIONS Psychiatric nurses are in a poor state of mental health, and psychological resilience partly mediates occupational stress and mental health. This study suggests that attention should be paid to both positive and negative aspects of psychiatric nurses' mental health, and strategies should be developed to reduce occupational stress and develop psychological resilience.
Collapse
Affiliation(s)
- Shu-Yan Chen
- grid.89957.3a0000 0000 9255 8984School of Nursing, Nanjing Medical University, Nanjing, China
| | - Shi-Rui Yan
- grid.89957.3a0000 0000 9255 8984The Affiliated Brain Hospital of Nanjing Medical University, Nanjing, China
| | - Wei-Wei Zhao
- grid.89957.3a0000 0000 9255 8984School of Nursing, Nanjing Medical University, Nanjing, China ,grid.89957.3a0000 0000 9255 8984The Affiliated Brain Hospital of Nanjing Medical University, Nanjing, China
| | - Ying Gao
- grid.89957.3a0000 0000 9255 8984The Affiliated Brain Hospital of Nanjing Medical University, Nanjing, China
| | - Wei Zong
- grid.89957.3a0000 0000 9255 8984The Affiliated Brain Hospital of Nanjing Medical University, Nanjing, China
| | - Cheng Bian
- grid.89957.3a0000 0000 9255 8984School of Nursing, Nanjing Medical University, Nanjing, China
| | - Yin Cheng
- grid.89957.3a0000 0000 9255 8984School of Nursing, Nanjing Medical University, Nanjing, China
| | - Yan-Hong Zhang
- The Affiliated Brain Hospital of Nanjing Medical University, Nanjing, China.
| |
Collapse
|
27
|
Jozefiakova B, Kascakova N, Furstova J, Sarnikova G, Hasto J, Tavel P. COVID anxiety and its predictors among Slovak adolescents. Front Psychol 2022; 13:993003. [PMID: 36578692 PMCID: PMC9791256 DOI: 10.3389/fpsyg.2022.993003] [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: 07/13/2022] [Accepted: 10/04/2022] [Indexed: 12/14/2022] Open
Abstract
Introduction The COVID-19 pandemic and its related restrictions, mainly social distancing, had an impact on the mental health of various groups, including adolescents. Methods The main goal of our study was to explore the impact of gender, age, resilience (measured using the Brief Resilience Scale), attachment anxiety, attachment avoidance (both measured using the Experiences in Close Relationships Revised Scale for adolescents), and mental and general health (measured using items of SF-8 Health Survey) on COVID anxiety (measured using the COVID Anxiety Scale) among a sample of Slovak adolescents (N = 1,786, age 15 to 19, mean age = 16.8, SD = 1.2). The data were collected online between 13 April and 24 May 2021. Results Four nested linear regression models were fitted to the data and evaluated. The significant predictors that had a greater effect than our smallest effect size of interest (β = 0.10) were gender (β = -0.26, p < 0.001, where boys had lower scores in COVID anxiety), general and mental health (β = -0.13 and β = -0.14, respectively, both with p < 0.001), resilience (β = -0.12, p < 0.001), and attachment avoidance (β = -0.11, p < 0.001). Similarly, age and attachment anxiety were significant predictors with a lower effect size (β = 0.06, p = 0.003, and β = 0.09, p < 0.001, respectively). Discussion Our results are in line with previous research findings highlighting the importance of prevention and interventions programs focused mainly on preventing loneliness and social disconnection, fostering secure attachment with parents and peers, and increasing the resilience of adolescents, especially in the stressful time of a pandemic, to promote their mental health.
Collapse
Affiliation(s)
- Bibiána Jozefiakova
- Olomouc University Social Health Institute, Palacky University, Olomouc, Czechia
| | - Natália Kascakova
- Olomouc University Social Health Institute, Palacky University, Olomouc, Czechia
- Psychiatric-Psychotherapeutic Outpatient Clinic, Pro Mente Sana, Bratislava, Slovakia
| | - Jana Furstova
- Olomouc University Social Health Institute, Palacky University, Olomouc, Czechia
| | - Gabriela Sarnikova
- Department of Christian Education, Sts. Cyril and Methodius Faculty of Theology, Palacky University, Olomouc, Czechia
| | - Jozef Hasto
- Olomouc University Social Health Institute, Palacky University, Olomouc, Czechia
- Psychiatric-Psychotherapeutic Outpatient Clinic, Pro Mente Sana, Bratislava, Slovakia
- Department of Social Work, St. Elizabeth College of Health and Social Work, Bratislava, Slovakia
| | - Peter Tavel
- Olomouc University Social Health Institute, Palacky University, Olomouc, Czechia
| |
Collapse
|
28
|
Yıldırım M, Çiçek İ. Fear of COVID-19 and Smartphone Addiction Among Turkish Adolescents: Mitigating Role of Resilience. FAMILY JOURNAL (ALEXANDRIA, VA.) 2022:10664807221139510. [PMCID: PMC9692174 DOI: 10.1177/10664807221139510] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
The objective of the present study is to examine the mediating effect of resilience on the association between fear of COVID-19 and smartphone addiction in the era of COVID-19. Participants included 508 Turkish adolescents (53.9% girls; M = 17.78 ± 1.11 years) attending high schools or supplementary schools and completed measures of fear of COVID-19, smartphone addiction, and resilience. Girls reported higher scores on fear of COVID-19 and smartphone addiction and lower scores on resilience than their peers. Findings indicated that fear of COVID-19 significantly predicted resilience and smartphone addiction. Resilience also significantly predicted smartphone addiction. Mediation analysis showed that resilience partially mediated the relationship of fear of COVID-19 with smartphone addiction. Overall, current results suggest that high levels of fear of COVID-19 fuel the development of smartphone symptoms through reduced resilience. The fear of the COVID-19-smartphone addiction association appeared to be partially explained through resilience.
Collapse
Affiliation(s)
- Murat Yıldırım
- Department of Psychology, Faculty of Science and Letters. Ağrı İbrahim Çeçen University, Agri, Turkey
| | - İlhan Çiçek
- Department of Child Development, Batman University, Batman, Turkey
| |
Collapse
|
29
|
Semkovska M, Joyce C, Keyes J, Reilly S, Delaney A, Harrold A, McManus H. Modelling the Relationship Between Resilience to Depression and Recent Stressful Life Events in University Students. Psychol Rep 2022:332941221139713. [PMID: 36377829 DOI: 10.1177/00332941221139713] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/17/2024]
Abstract
Resilience, or successful coping with the experience of stressful life events (SLEs), protects against depression, but its operational mechanisms are unclear. Views diverge whether resilience intervenes as a trait or as a process of dynamic interactions of protective factors, such as self-esteem, social support and family cohesion. We evaluated five theoretically-based models of how resilience, defined as either a trait or a process, interacts with recent SLEs, to explain depressive symptomatology in 2434 university students. The moderating effect of problematic, age-inappropriate parenting (i.e., helicopter parenting) was also assessed. SLEs moderated both the effects of trait and process resilience on depression, but models conceptualising resilience as a dynamic process of interacting components showed better explanatory power than models conceptualising resilience solely as a trait. Trait resilience was protective through self-esteem at all levels of SLEs exposure (low, mild, moderate or high), and significantly, but less so through hope or social support. Experiencing helicopter parenting weakened the protective influence of process resilience, through decreasing family cohesion in the presence of SLEs. The overall assessment of the five models supports a process conceptualisation of resilience to depression in the face of adversity. However, the results also suggest that not all protective factors are equally important, with self-esteem appearing a significant and strong mediator of resilience to depression in all models including it as a variable. Building process resilience is proposed as a key intervention target for depressive symptoms. Clinical assessments and interventions following SLEs should routinely consider both trait resilience and self-esteem, as the interaction of these two factors protects against depression even at the highest levels of adversity exposure. Depression prevention approaches should address the individual's experience of overparenting, given the deleterious influence of helicopter parenting on resilience.
Collapse
Affiliation(s)
- Maria Semkovska
- Department of Psychology, University of Southern Denmark, Denmark; Department of Psychology, 8808University of Limerick, Ireland
| | - Ciara Joyce
- Department of Psychology, 8808University of Limerick, Ireland
| | - Jessica Keyes
- Department of Psychology, 8808University of Limerick, Ireland
| | - Sinead Reilly
- Department of Psychology, 8808University of Limerick, Ireland
| | - Aoife Delaney
- Department of Psychology, 8808University of Limerick, Ireland
| | - Aine Harrold
- Department of Psychology, 8808University of Limerick, Ireland
| | - Hannah McManus
- Department of Psychology, 8808University of Limerick, Ireland
| |
Collapse
|
30
|
Li W, Zhang L, Qin Z, Chen J, Liu C. Childhood Trauma and Malevolent Creativity in Chinese College Students: Moderated Mediation by Psychological Resilience and Aggression. J Intell 2022; 10:jintelligence10040097. [PMID: 36412777 PMCID: PMC9680388 DOI: 10.3390/jintelligence10040097] [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: 09/21/2022] [Revised: 10/21/2022] [Accepted: 11/03/2022] [Indexed: 11/09/2022] Open
Abstract
Although a previous study has shown that childhood trauma influences malevolent creativity, aggression and psychological resilience have been linked with childhood trauma and creativity. However, little is known about the complex correlations among these factors in Chinese college students. The present study aimed to investigate the mediating role of aggression and the moderating role of psychological resilience between childhood trauma and malevolent creativity. A total of 389 undergraduates were enrolled in this cross-sectional study. The moderated mediation model was conducted to explore whether aggression mediated the correlation between childhood trauma and malevolent creativity and whether psychological resilience moderated the indirect role of childhood trauma. The results showed that childhood trauma positively correlated with aggression and malevolent creativity and was negatively associated with psychological resilience. Aggression partly mediated the association of childhood trauma with malevolent creativity. Resilience moderated the indirect effect of the mediation model, such that the indirect effect of childhood trauma on malevolent creativity through aggression increased as the level of resilience increased. The study indicated that childhood trauma exposure is associated with malevolent creativity behavior, and aggression mediated this association. The level of psychological resilience differentiates the indirect paths of childhood trauma on malevolent creativity. These results have important implications for preventing and containing expressions of malevolent creativity.
Collapse
Affiliation(s)
- Wenfu Li
- School of Mental Health, Jining Medical University, Jining 272067, China
- Correspondence: (W.L.); (J.C.)
| | - Linghui Zhang
- School of Mental Health, Jining Medical University, Jining 272067, China
- Department of Child and Adolescent Psychiatry, Shandong Daizhuang Hospital, Jining 272051, China
| | - Zhilei Qin
- School of Mental Health, Jining Medical University, Jining 272067, China
| | - Jingting Chen
- Labour Union, Jining Medical University, Jining 272067, China
- Correspondence: (W.L.); (J.C.)
| | - Chuanxin Liu
- School of Mental Health, Jining Medical University, Jining 272067, China
| |
Collapse
|
31
|
Ho TTQ, Nguyen BTN, Nguyen NPH. Academic stress and depression among vietnamese adolescents: a moderated mediation model of life satisfaction and resilience. CURRENT PSYCHOLOGY 2022; 42:1-11. [PMID: 36277264 PMCID: PMC9574843 DOI: 10.1007/s12144-022-03661-3] [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: 04/21/2022] [Revised: 08/04/2022] [Accepted: 08/14/2022] [Indexed: 11/24/2022]
Abstract
Academic stress is rising among high school students, especially in light of the Covid-19 pandemic, such as social distancing, long-term online learning, and lack of social support. Many studies have also shown that students with high levels of academic stress have a higher risk of depression. However, very few researchers are interested in studying life satisfaction as a moderate factor for the indirect relationship between academic stress and depression. This study investigated whether life satisfaction factors moderate the indirect effect of academic stress on the depressive disorder in Vietnam adolescents. Participants include 1336 Vietnamese adolescents. Participants completed the Educational Stress Scale for Adolescents, Connor-Davidson Resilience Scale, Satisfaction with Life Scale, and Beck Depression Inventory-II. Moderated mediation analyses were conducted using the PROCESS macro to investigate the relationship among variables. In the relationship between academic stress and depressive disorder in Vietnamese adolescents, resilience is partly mediated; life satisfaction significantly moderated the indirect effect of academic stress on depressive disorder. This study suggests that depressive disorders prevention and intervention practices for adolescents need to consider enhancing resilience and life satisfaction.
Collapse
Affiliation(s)
- Thi Truc Quynh Ho
- Department of Psychology and Education, University of Education, Hue University, Hue City, Vietnam
| | - Be Thi Ngoc Nguyen
- Department of Psychology and Education, University of Education, Hue University, Hue City, Vietnam
| | | |
Collapse
|
32
|
Jiang MM, Gao K, Wu ZY, Guo PP. The influence of academic pressure on adolescents’ problem behavior: Chain mediating effects of self-control, parent–child conflict, and subjective well-being. Front Psychol 2022; 13:954330. [PMID: 36211862 PMCID: PMC9534181 DOI: 10.3389/fpsyg.2022.954330] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/27/2022] [Accepted: 08/02/2022] [Indexed: 11/23/2022] Open
Abstract
As a negative social issue, teenagers’ problem behavior not only affects individuals’ physical and mental health and social function development but is also not conducive to social harmony and stability. This study mainly discusses the influence of academic pressure on adolescents’ problem behavior, and the potential relationship between these and academic pressure, examining issues such as self-control, parent–child conflict, and subjective well-being. The data were collected from the fifth wave of the China Family Panel Studies (2017–2018). The data of 2,465 teenagers aged 10–15 were analyzed by LISREL8.8 software. The results show that academic pressure positively affects adolescents’ deviant behavior. The mediation model finds that parent–child conflict and self-control play a direct mediating role between academic pressure and adolescents’ behavioral problems. Parent–child conflict, self-control, and subjective well-being have important chain mediation effects between academic pressure and adolescents’ problem behavior. Therefore, in order to reduce the risk of such problems, it is necessary to further strengthen individuals’ ability to maintain self-control, promote or cultivate adolescents’ character strengths, create a harmonious family atmosphere, reduce the probability of parent–child conflict, and increase the subjective well-being of teenagers.
Collapse
Affiliation(s)
- Mao-min Jiang
- School of Public Affairs, Xiamen University, Xiamen, China
| | - Kai Gao
- School of Management, Shanghai University of Engineering Sciences, Shanghai, China
- *Correspondence: Kai Gao,
| | - Zheng-yu Wu
- School of Public Affairs, Xiamen University, Xiamen, China
| | - Pei-pei Guo
- School of Management, Shanghai University of Engineering Sciences, Shanghai, China
| |
Collapse
|
33
|
Zhang Z, Wang T, Kuang J, Herold F, Ludyga S, Li J, Hall DL, Taylor A, Healy S, Yeung AS, Kramer AF, Zou L. The roles of exercise tolerance and resilience in the effect of physical activity on emotional states among college students. Int J Clin Health Psychol 2022; 22:100312. [PMID: 35712359 PMCID: PMC9168153 DOI: 10.1016/j.ijchp.2022.100312] [Citation(s) in RCA: 25] [Impact Index Per Article: 12.5] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/16/2022] [Accepted: 03/24/2022] [Indexed: 12/13/2022] Open
|
34
|
Yang Y, Ma X, Kelifa MO, Li X, Chen Z, Wang P. The relationship between childhood abuse and depression among adolescents: The mediating role of school connectedness and psychological resilience. CHILD ABUSE & NEGLECT 2022; 131:105760. [PMID: 35803026 DOI: 10.1016/j.chiabu.2022.105760] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/31/2021] [Revised: 05/05/2022] [Accepted: 06/17/2022] [Indexed: 06/15/2023]
Abstract
BACKGROUND Adolescent depression is a major public health concern worldwide, and depressive symptoms among adolescents in Chinese secondary school increase with grade. Although numerous studies noted that childhood abuse was associated with the development of depression in adolescents, the underlying mediators involved in this pathway remain unclear. Therefore, our study aims to explore whether psychological resilience and school connectedness mediate the association between childhood abuse and depression among Chinese adolescents. METHODS A cross-sectional survey was carried out among 1607 adolescents at four high schools located in Henan Province, Central China. Structural equation modeling was performed to determine whether psychological resilience and school connectedness mediate the influence of childhood abuse on depression. RESULTS Findings revealed that childhood abuse was directly (β = 0.410, p < 0.001) and indirectly (β = 0.141, p < 0.001) related to depression. Specifically, psychological resilience (β = 0.018, p = 0.009), school connectedness (β = 0.087, p < 0.001), and school connectedness together with psychological resilience (β = 0.036, p < 0.001) partially mediated the relationship between childhood abuse and depression. CONCLUSIONS The detrimental impact of childhood abuse on adolescents' depression may be reduced by fostering psychological resilience and school connectedness.
Collapse
Affiliation(s)
- Yinmei Yang
- School of Public Health, Wuhan University, 115 Donghu Road, Wuhan, Hubei 430071, China
| | - Xiaoqian Ma
- School of Public Health, Wuhan University, 115 Donghu Road, Wuhan, Hubei 430071, China
| | | | - Xuyang Li
- School of Public Health, Wuhan University, 115 Donghu Road, Wuhan, Hubei 430071, China
| | - Zongshun Chen
- School of Public Health, Wuhan University, 115 Donghu Road, Wuhan, Hubei 430071, China
| | - Peigang Wang
- School of Health Sciences, Asmara College, Asmara, Meakel, Eritrea.
| |
Collapse
|
35
|
Yang M, Qu C, Zhang Z, Guo H, Guo X, Yang L, Tian K, Hu W. Relationships between Dark Triad and negative emotions during COVID-19 lockdown: The chain mediating roles of negative coping and state boredom. CURRENT PSYCHOLOGY 2022:1-13. [PMID: 36065326 PMCID: PMC9433533 DOI: 10.1007/s12144-022-03560-7] [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: 01/23/2022] [Revised: 06/12/2022] [Accepted: 07/22/2022] [Indexed: 11/30/2022]
Abstract
Personality is distal vulnerability of negative emotions and vital to mental health. Dark Triad was significantly correlated with negative emotions, whereas the mechanisms beneath the relationships were less clear. Based on life history strategy theory (LHS) and cognitive vulnerability-transactional stress model, the study explored the relationships between Dark Triad and negative emotions and investigated the roles of negative coping style and state boredom in the relationships aforementioned during the strict period of COVID-19 lockdown in China. 464 participants (M age = 36.78 years; SD = 10.53) finished a package of measurements online including Depression Anxiety and Stress Scale (DASS-21), Short Dark Triad (SD3), Multidimensional State Boredom Scale (MSBS), and Simplified Coping Style Questionnaire (SCSQ). The results showed there were positive relationships between Dark Triad and depression, anxiety and stress. Moreover, the relationships between Dark Triad and negative emotions were sequentially mediated by negative coping style and state boredom. The present study offered fascinating perspectives in the relationships between Dark Triad and negative emotions, and revealed how Dark Triad affected depression, anxiety and stress during the initial phase of COVID-19 pandemic and strict lockdown among Chinese population. The present results may provide important implications for the prevention and intervention of depression, anxiety and stress during COVID-19 pandemic and lockdown. Specifically, the intervention strategies that focus on reducing Dark Triad, negative coping and boredom may help offset occurrence of negative emotional states.
Collapse
Affiliation(s)
- Minqi Yang
- School of Education, Zhengzhou University, 450001 Zhengzhou, China
- School of Marxism, Zhengzhou University, 450001 Zhengzhou, China
| | - Chunyu Qu
- School of Education, Zhengzhou University, 450001 Zhengzhou, China
| | - Zehao Zhang
- School of Education, Zhengzhou University, 450001 Zhengzhou, China
| | - Hanxiao Guo
- School of Education, Zhengzhou University, 450001 Zhengzhou, China
| | - Xicheng Guo
- School of Education, Zhengzhou University, 450001 Zhengzhou, China
| | - Liuqi Yang
- School of Water Conservancy Science and Engineering, Zhengzhou University, 450001 Zhengzhou, China
| | - Kexin Tian
- School of Education, Zhengzhou University, 450001 Zhengzhou, China
| | - Wanying Hu
- School of Education, Zhengzhou University, 450001 Zhengzhou, China
| |
Collapse
|
36
|
Min J, Kwon D, Lee W, Kang C, Park C, Heo S, Bell ML, Kim H. Individual and regional characteristics associated with changes in mental health before and during the COVID-19 pandemic in South Korea. Sci Rep 2022; 12:14189. [PMID: 35986083 PMCID: PMC9390104 DOI: 10.1038/s41598-022-18493-1] [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: 01/03/2022] [Accepted: 08/12/2022] [Indexed: 11/09/2022] Open
Abstract
AbstractMental health has been a major public health concerns during the COVID-19 pandemic. This study investigated the effects of COVID-19 on mental health and whether individual and regional characteristics are associated with the changes in mental health. We estimated district-specific changes in the prevalence of moderate stress, extreme stress, and depression before and during the COVID-19 pandemic after adjusting for the time trend of mental health outcomes. Then, a meta-regression was conducted to examine the associations between district-level characteristics and changes in mental health due to the pandemic. The prevalence of moderate stress, extreme stress, and depression increased during the pandemic and the increases were more prominent in districts with high population density and in individuals aged 19–59 years, with a high education level, and with high household income. The % with reduced physical activity due to the pandemic were positively associated with increases in stress; while, the % that have mutual trust among neighbors and the number of sports facilities were negatively associated with increases in stress. Local tax per person had a positive association with increase in depression. Our study provides epidemiological evidence into the mental health consequences of the pandemic, which can inform the priority of resource allocation for managing mental health.
Collapse
|
37
|
Masuyama A, Kubo T, Shinkawa H, Sugawara D. The roles of trait and process resilience in relation of BIS/BAS and depressive symptoms among adolescents. PeerJ 2022; 10:e13687. [PMID: 35811812 PMCID: PMC9266581 DOI: 10.7717/peerj.13687] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/25/2022] [Accepted: 06/15/2022] [Indexed: 01/17/2023] Open
Abstract
Background Extensive literature revealed the relations of depression with behavioral inhibition system (BIS) and behavioral activation system (BAS) as vulnerability and with resilience separately. Besides, the concept of resilience is still broad and ambiguous. Thus, this study aimed to reveal the mediation of two aspects of resilience: trait and process, in the relations of BIS and BAS to depression among adolescents. Methods The data set used in this study was a cross-sectional survey among 965 adolescents. The obtained data from the self-reported questionnaires used in this study were as below: Depression Serf-Rating Scale for Children (DSRS-C), Behavioral Inhibition and Behavioral Activation System Scale (BIS/BASS), and Bidimensional Resilience Scale (BRS). Structural equation modeling (SEM) was conducted to verify the hypothesized relations among BIS/BAS, trait and behavior resilience, and depressive symptoms. Results The obtained indices of fit from SEM were good or sufficient (χ 2 = 562.911, df = 96, p < 0.001; CFI = 0.925; NFI = 0.913; RMSEA = 0.073, 90% CI [0.067, 0.079]; SRMR = 0.066). And the modeling showed that both BIS/BAS directly and indirectly influenced to depression. The indirect effects of BIS/BAS were mediated only trait resilience except the indirect effect of BIS via behavioral resilience. Discussion Our results suggested that trait resilience played a significant mediation role in the relationships between BIS/BAS and depression. Trait but not process resilience could be considered suitable as an intervention target in line with decreasing depression.
Collapse
Affiliation(s)
| | - Takahiro Kubo
- Human Sciences, University of Tsukuba, Bunkyo-ku, Tokyo, Japan
| | | | - Daichi Sugawara
- Human Sciences, University of Tsukuba, Tsukuba, Ibaraki, Japan
| |
Collapse
|
38
|
Qiu Z, Guo Y, Wang J, Zhang H. Associations of Parenting Style and Resilience With Depression and Anxiety Symptoms in Chinese Middle School Students. Front Psychol 2022; 13:897339. [PMID: 35846635 PMCID: PMC9285101 DOI: 10.3389/fpsyg.2022.897339] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/30/2022] [Accepted: 06/14/2022] [Indexed: 11/13/2022] Open
Abstract
Background Parenting style and resilience are independently associated with symptoms of depression and anxiety. However, no study has tested the interaction effects between the patterns of parenting style and resilience on mental health in adolescent populations. Therefore, this study aimed to explore the interaction effects between the patterns of parenting style and resilience on depression/anxiety symptoms among middle school students in China. Methods A sample of 2,179 Chinese middle school students were included in this study. Latent profile analysis (LPA) was used to examine parenting style patterns. Multivariable logistic regression was used to analyze the associations of different parenting patterns and resilience with depression/anxiety symptoms, as well as the interaction effect. Results Latent profile analysis results showed that the most suitable model included three-profile solution, which were labeled as positive parenting, negative parenting, and moderate parenting. Subsequent analyses indicated that students across profiles exhibited significant differences in their depression/anxiety symptoms. Specifically, compared to moderate parenting, negative parenting was positively associated with depression/anxiety symptoms, while positive parenting was negatively associated with these symptoms. Moreover, low levels of resilience were positively associated with depression/anxiety symptoms compared to a high level of resilience. Although the interaction effect was not significant, there were differences in the associations between different parenting patterns and symptoms of depression and anxiety when stratifying resilience. Conclusion The present study identified three-profile solution of parenting styles among Chinese middle school students using LPA as a person-centered approach. Future interventions targeting depression/anxiety symptoms in adolescents may consider the potential influence of patterns of parenting styles, or improved resilience, to achieve better intervention outcomes.
Collapse
Affiliation(s)
- Zhihai Qiu
- The School of Mental Health and Psychological Sciences, Anhui Medical University, Hefei, China
| | - Ying Guo
- Psychological Center of Hefei No.1 High Senser School, Hefei, China
| | - Jun Wang
- Department of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical University, Hefei, China
- MOE Key Laboratory of Population Health Across Life Cycle, Anhui Provincial Key Laboratory of Population Health and Aristogenics, Hefei, China
- *Correspondence: Jun Wang,
| | - Hongbo Zhang
- Department of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical University, Hefei, China
- Hongbo Zhang,
| |
Collapse
|
39
|
Gan L, Gao Y, Wu J. Toward Measuring Chinese EFL Teachers' Resilience: The Role of Teachers' Enjoyment, Anger, and Anxiety. Front Psychol 2022; 13:853201. [PMID: 35719503 PMCID: PMC9204088 DOI: 10.3389/fpsyg.2022.853201] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/12/2022] [Accepted: 05/17/2022] [Indexed: 11/13/2022] Open
Abstract
Teachers have been regarded for many years as one of the most impactful elements with a significant function in educational and learning contexts. Several studies have been conducted on teachers and their performances in the classes. Positive psychology has focused on both the constructive and deconstructive feelings that teachers encounter in the process of teaching. Among the investigated elements, enjoyment anger, and anxiety can be regarded more significant in the relevant literature. The current research, thus, clarifies their association and connection with Chinese language educators' resilience. To this end, 464 male and female Chinese EFL teachers participated in the present study, and their enjoyment, anger, anxiety, and resilience were inspected by completing the associated questionnaires. The data analysis indicated that there is a substantial correlation between teachers' resilience and their emotions. Similarly, it is concluded that the best predictor of teachers' resilience is enjoyment. Also, some academic suggestions for the study regarding the development of teachers' resilience in educational situations are proposed.
Collapse
Affiliation(s)
- Lu Gan
- School of Foreign Languages, China University of Geosciences Wuhan, Wuhan, China
| | - Yonggang Gao
- School of Foreign Languages, China University of Geosciences Wuhan, Wuhan, China
| | - Jinwen Wu
- School of Foreign Languages, China University of Geosciences Wuhan, Wuhan, China
| |
Collapse
|
40
|
Shu Y, Lin W, Yang J, Huang P, Li B, Zhang X. How social support predicts anxiety among university students during COVID-19 control phase: Mediating roles of self-esteem and resilience. ANALYSES OF SOCIAL ISSUES AND PUBLIC POLICY : ASAP 2022; 22:ASAP12314. [PMID: 35936873 PMCID: PMC9347583 DOI: 10.1111/asap.12314] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 10/08/2021] [Revised: 05/10/2022] [Accepted: 05/10/2022] [Indexed: 06/15/2023]
Abstract
Public health emergency, such as COVID-19 pandemic, generally has severe impacts on mental health in public. One of the often-neglected negative consequences is that the control and prevention measures of COVID-19 in the post-epidemic can pose psychological threats to public mental health. This study aimed to seek the factors and mechanisms to alleviate this mental health threat based on a sample of university students in China. Accordingly, this study proposed an environmental-individual interaction model examining the multiple mediating effects of self-esteem and resilience in the association between social support and anxiety among university students during COVID-19 control phase. A questionnaire containing multiple scales were administered on the sample of 2734 Chinese university students. Results indicated that social support negatively predicted anxiety through the serial mediating effects of self-esteem and resilience sequentially. Our results highlight the impact of social support and the internal factors on relieving anxiety among university students in COVID-19 control phase. Findings suggest that effective psychological intervention tools should be designed and offered to college students to reduce anxiety distress and improve mental health in the post-epidemic era or the similar situations in the future.
Collapse
Affiliation(s)
- Yacong Shu
- School of PsychologyJiangxi Normal UniversityNanchangChina
| | - Wenzheng Lin
- School of PsychologyJiangxi Normal UniversityNanchangChina
| | - Jia Yang
- School of PsychologyJiangxi Normal UniversityNanchangChina
| | - Pengfei Huang
- School of PsychologyJiangxi Normal UniversityNanchangChina
| | - Biqin Li
- School of PsychologyJiangxi Normal UniversityNanchangChina
| | - Xing Zhang
- School of PsychologyJiangxi Normal UniversityNanchangChina
| |
Collapse
|
41
|
Hao Z, Jin L, Huang J, Wu H. Stress, academic burnout, smartphone use types and problematic smartphone use: The moderation effects of resilience. J Psychiatr Res 2022; 150:324-331. [PMID: 35447526 DOI: 10.1016/j.jpsychires.2022.03.019] [Citation(s) in RCA: 13] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/14/2021] [Revised: 01/28/2022] [Accepted: 03/09/2022] [Indexed: 11/30/2022]
Abstract
Few studies have investigated stress in association with social and process smartphone use and how these types of use influence problematic smartphone use during the COVID-19 pandemic; furthermore, the moderation effects of resilience have been rarely tested in this model. For these, a cross-sectional survey was conducted involving 766 Chinese undergraduate students (74.4% female; M = 20.1 years, SD = 1.15) who were measured with their levels of stress, academic burnout, smartphone use types (social/process smartphone use), resilience, and problematic smartphone use. Based on the I-PACE theory, we built a structural equation model, and the results indicated that compared with social smartphone use, process smartphone use more related to problematic smartphone use; academic burnout fully mediated between stress and process smartphone use, and between stress and problematic smartphone use. Moreover, resilience moderated between stress and academic burnout, between academic burnout and process smartphone use, and between academic burnout and problematic smartphone use. We discuss the process smartphone use as a key indicator of problematic smartphone use and the role of academic burnout for linking stress and smartphone use behaviors. In addition, interventions for enhancing resilience should be launched in the future.
Collapse
Affiliation(s)
- Zejun Hao
- Institute of Foreign Languages, China Medical University, No.77 Puhe Road, Shenyang North New Area, 110122, Shenyang, Liaoning Province, PR China
| | - Liangyi Jin
- Shenyang Women's and Children's Hospital, No.87 Danan Street, Shenhe District, 110011, Shenyang, Liaoning Province, PR China
| | - Jinzi Huang
- Liaoning National Normal College, No. 45, Chongshan East Road, Huanggu District, 110032, Shenyang, Liaoning Province, PR China
| | - Hui Wu
- School of Health Management, China Medical University, No.77 Puhe Road, Shenyang North New Area, 110122, Shenyang, Liaoning Province, PR China.
| |
Collapse
|
42
|
Ben Salah A, DeAngelis BN, al’Absi M. Uncertainty and psychological distress during COVID-19: What about protective factors? CURRENT PSYCHOLOGY 2022; 42:1-8. [PMID: 35669208 PMCID: PMC9145118 DOI: 10.1007/s12144-022-03244-2] [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] [Accepted: 05/16/2022] [Indexed: 11/25/2022]
Abstract
The present study examined the relationship between perceived uncertainty and depression/ anxiety symptoms during the COVID-19 pandemic and it tested the moderating roles of resilience and perceived social support in this relationship. A cross-sectional study was conducted between March 31st and May 15th, 2020, using an online, multi-language, international survey built within Qualtrics. We collected data on sociodemographic features, perceived uncertainty, perceived social support, depression and anxiety symptoms, and resilience. A moderation model was tested using model 2 of Hayes' PROCESS macro for SPSS. The study included 3786 respondents from 94 different countries, 47.7% of whom reported residence in the United States of America. Results demonstrated that higher perceived uncertainty was associated with more symptoms of depression and anxiety. Higher resilience levels and higher perceived social support were associated with fewer depression and anxiety symptoms. The moderation hypotheses were supported; the relationship between uncertainty and symptoms of depression and anxiety decreased as levels of resilience increased and as perceived social support increased. The results suggest that resilience and social support could be helpful targets to reduce the negative effects of uncertainty on depression and anxiety symptoms. Supplementary Information The online version contains supplementary material available at 10.1007/s12144-022-03244-2.
Collapse
Affiliation(s)
- Arwa Ben Salah
- Community Medicine Department, Faculty of Medicine of Monastir, University of Monastir, Monastir, Tunisia
| | - Briana N. DeAngelis
- Family Medicine and Biobehavioral Health, University of Minnesota Medical School, Duluth, MN 55812 USA
| | - Mustafa al’Absi
- Family Medicine and Biobehavioral Health, University of Minnesota Medical School, Duluth, MN 55812 USA
| |
Collapse
|
43
|
Individual Stress Burden and Mental Health in Health Care Workers during the COVID-19 Pandemic: Moderating and Mediating Effects of Resilience. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19116545. [PMID: 35682131 PMCID: PMC9180092 DOI: 10.3390/ijerph19116545] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/10/2022] [Revised: 05/23/2022] [Accepted: 05/25/2022] [Indexed: 12/04/2022]
Abstract
Introduction: The COVID-19 pandemic generated a significant burden on the German health care system, affecting the mental health of health care workers (HCW) in particular. Resilience may serve as an essential protective factor for individuals’ well-being. Objective: Our objective was to identify demographic and work-related correlates of individual resilience and to investigate the association between pandemic-related stress, resilience and mental health using different resilience models. Methods: Our sample comprised 1034 German HCW in different medical professions who completed an online survey from 20 April to 1 July 2020. Resilience was assessed using the Resilience Scale-5 (RS-5). The pandemic-related self-reported stress burden was captured by a single item, while depression and anxiety symptoms were measured with the PHQ-2 and GAD-2, respectively. Additionally, various sociodemographic and work-related factors were assessed. Results: Overall, we found high levels of resilience in the sample compared to a German sample before the pandemic, which were significantly associated only with the older age of participants and having children in both univariate and multivariate analyses. Regarding mechanisms of resilience, moderation analysis revealed that low individual resilience and high pandemic-related stress burden independently contributed to both anxiety and depression symptoms while resilience additionally moderated the relationship between stress burden and anxiety symptoms. The link between self-reported stress burden and mental health symptoms was also partially mediated by individual resilience. Conclusion: Taken together, the findings based on the present sample during the COVID-19 pandemic suggest that resilience plays a central role in the mental health of healthcare workers and that resilience-building interventions should be expanded, especially with a focus on younger employees.
Collapse
|
44
|
Yetim O. Examining the relationships between stressful life event, resilience, self-esteem, trauma, and psychiatric symptoms in Syrian migrant adolescents living in Turkey. INTERNATIONAL JOURNAL OF ADOLESCENCE AND YOUTH 2022. [DOI: 10.1080/02673843.2022.2072749] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/18/2022] Open
Affiliation(s)
- Onat Yetim
- Child and Adolescent Mental Health Psychiatrist at Dr. Ersin Arslan Research and Educational Hospital in Gaziantep, Turkey
| |
Collapse
|
45
|
Celen R, Tas Arslan F, Ozdemir Koyu H. Effect of resilience on social appearance anxiety in Turkish early adolescents. JOURNAL OF CHILD AND ADOLESCENT PSYCHIATRIC NURSING 2022; 35:307-314. [PMID: 35393651 DOI: 10.1111/jcap.12378] [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: 12/20/2021] [Revised: 03/14/2022] [Accepted: 03/27/2022] [Indexed: 11/29/2022]
Abstract
PROBLEM Preventive and supportive nursing care interventions of school nurses are very important in the early adolescence period, in which the significant physical and sexual changes occur. One ramification of these changes may be social appearance anxiety. This study was carried out to investigate the effects of resilience on social appearance anxiety among early adolescents. METHODS The study was a cross-sectional design. The study data were collected between February and June 2018. Study sample consists of 495 early adolescents studying at a state secondary school in Turkey. The data were gathered using personal information form, Social Appearance Anxiety Scale (SAAS), and Child and Young Resilience Measure (CYRM-12). The data were analyzed using the independent-sample t test, one-way analysis of variance, and multiple linear regression methods. FINDINGS In the present study, the mean age of early adolescents was found to be 11.90 (1.07) years. The mean scores of students in SAAS and CYRM-12 were 31.79 (13.30) and 52.96 (5.86), respectively. Social appearance anxiety scores of early adolescents were found to have a negative effect on the resilience levels (β = -0.294). CONCLUSIONS It can be suggested to teach adolescents, the interventions about the use of active coping skills aiming to decrease social appearance anxiety and to increase the resilience.
Collapse
Affiliation(s)
- Raziye Celen
- Department of Pediatric Nursing, Faculty of Nursing, Selcuk University, Konya, Turkey
| | - Fatma Tas Arslan
- Department of Pediatric Nursing, Faculty of Nursing, Selcuk University, Konya, Turkey
| | - Hazal Ozdemir Koyu
- Department of Pediatric Nursing, Faculty of Health Sciences, Gazi University, Ankara, Turkey
| |
Collapse
|
46
|
Björling EA, Sonney J, Rodriguez S, Carr N, Zade H, Moon SH. Exploring the Effect of a Nature-based Virtual Reality Environment on Stress in Adolescents. FRONTIERS IN VIRTUAL REALITY 2022; 3:831026. [PMID: 38846011 PMCID: PMC11156422 DOI: 10.3389/frvir.2022.831026] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Indexed: 06/09/2024]
Abstract
Adolescent mental health is a growing public health issue, with 30% of teens reporting increased stress and 20% of adolescents suffering from depression. Given the scarcity and lack of scalability of mental health services available, the use of self-administered, evidence-based technologies to support adolescent mental health is both timely and imperative. We conducted a mixed-methods pilot study with 31 adolescents ages 14-19 (m = 17.97) to explore the self-administration of a nature-based virtual reality tool. Participant use of the VR environment ranged from 1 to 10 sessions (m = 6.6) at home over a 2-week period while reporting their daily stress and mood levels. All participants completed all of the study protocols, indicating our protocol was feasible and the VR environment engaging. Post-study interviews indicated that most participants found the VR tool to be relaxing and helpful with stress. The themes of Calm Down, Relaxation, and Escape emerged to articulate the participants' experiences using the VR environment. Additionally, participants provided rich data regarding their preferences and activity in the VR environment as well as its effect on their emotional states. Although the sample size was insufficient to determine the impact on depression, we found a significant reduction in momentary stress as a result of using the VR tool. These preliminary data inform our own virtual reality environment design, but also provide evidence of the potential for self-administered virtual reality as a promising tool to support adolescent mental health.
Collapse
Affiliation(s)
- Elin A. Björling
- Human Centered Design and Engineering, University of Washington, Seattle, WA, United States
| | - Jennifer Sonney
- Department of Child, Family, and Population Health Nursing, University of Washington, Seattle, WA, United States
| | - Sofia Rodriguez
- Human Centered Design and Engineering, University of Washington, Seattle, WA, United States
| | - Nora Carr
- Human Centered Design and Engineering, University of Washington, Seattle, WA, United States
| | - Himanshu Zade
- Human Centered Design and Engineering, University of Washington, Seattle, WA, United States
| | - Soo Hyun Moon
- Human Centered Design and Engineering, University of Washington, Seattle, WA, United States
| |
Collapse
|
47
|
Zheng K, Chu J, Zhang X, Ding Z, Song Q, Liu Z, Peng W, Cao W, Zou T, Yi J. Psychological resilience and daily stress mediate the effect of childhood trauma on depression. CHILD ABUSE & NEGLECT 2022; 125:105485. [PMID: 35026440 DOI: 10.1016/j.chiabu.2022.105485] [Citation(s) in RCA: 9] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/23/2021] [Revised: 12/28/2021] [Accepted: 01/04/2022] [Indexed: 06/14/2023]
Abstract
OBJECTIVE Childhood trauma (CT) is a well-recognized distal risk factor for depression. Previous studies suggested that the psychological mechanism of the impact of childhood trauma on depression may be attributed to some mediators such as daily stress and psychological resilience. This study aimed to assess how daily stress and resilience affect the relationship between childhood trauma and depression in adult clinical context. METHOD In this cross-section survey, a total of 569 clinical patients with psychological disorders completed a series of psychological scales such as the Childhood Trauma Questionnaire (CTQ), the Center for Epidemiologic Studies Depression Scale (CESD), the Perceived Stress Scale (PSS) and Connor-Davidson Resilience Scale (CD-RISC). To show the relationship among childhood trauma, psychological resilience, daily stress and depression, structural equation modeling (SEM) was performed. RESULTS The results indicated that psychological resilience and daily stress partially mediated the relationship between childhood trauma and depressive symptoms. Childhood trauma not only exerted direct effect on depressive symptoms, but also had indirect effect through the mediation pathway (resilience → daily stress) on depressive symptoms. The chain mediation pathway through resilience and daily stress was weighted 43.31%. CONCLUSIONS The study provides novel evidence on the underlying process between childhood trauma and depression. The distal factor childhood trauma can influence the latter depression by the chain effect of psychological resilience and daily stress. Therefore, some clinical interventions to improve psychological resilience to carry off daily stress are the way to reduce the impact of childhood trauma on depression.
Collapse
Affiliation(s)
- Kaili Zheng
- Medical Psychological Center, The Second Xiangya Hospital, Central South University, Changsha 410011, Hunan, China; Medical Psychology Institution, Central South University, Changsha 410011, Hunan, China
| | - Jun Chu
- Medical Psychological Center, The Second Xiangya Hospital, Central South University, Changsha 410011, Hunan, China; Medical Psychology Institution, Central South University, Changsha 410011, Hunan, China
| | - Xiaocui Zhang
- Medical Psychological Center, The Second Xiangya Hospital, Central South University, Changsha 410011, Hunan, China; Medical Psychology Institution, Central South University, Changsha 410011, Hunan, China
| | - Zixia Ding
- Medical Psychological Center, The Second Xiangya Hospital, Central South University, Changsha 410011, Hunan, China; Medical Psychology Institution, Central South University, Changsha 410011, Hunan, China
| | - Qian Song
- Medical Psychological Center, The Second Xiangya Hospital, Central South University, Changsha 410011, Hunan, China; Medical Psychology Institution, Central South University, Changsha 410011, Hunan, China
| | - Zhaoxia Liu
- Medical Psychological Center, The Second Xiangya Hospital, Central South University, Changsha 410011, Hunan, China; Medical Psychology Institution, Central South University, Changsha 410011, Hunan, China
| | - Wanrong Peng
- Medical Psychological Center, The Second Xiangya Hospital, Central South University, Changsha 410011, Hunan, China; Medical Psychology Institution, Central South University, Changsha 410011, Hunan, China
| | - Wanyi Cao
- Medical Psychological Center, The Second Xiangya Hospital, Central South University, Changsha 410011, Hunan, China; Medical Psychology Institution, Central South University, Changsha 410011, Hunan, China
| | - Tao Zou
- Department of psychiatry, The Affiliated Hospital of Guizhou Medical University, Guiyang 550004, Guizhou, China.
| | - Jinyao Yi
- Medical Psychological Center, The Second Xiangya Hospital, Central South University, Changsha 410011, Hunan, China; Medical Psychology Institution, Central South University, Changsha 410011, Hunan, China; National Clinical Research Center for Mental Disorders, Changsha, Hunan, China.
| |
Collapse
|
48
|
Oduntan A, Oyebode O, Beltran AH, Fowles J, Steeves D, Orji R. I Let Depression and Anxiety Drown Me: Identifying Factors Associated with Resilience Based on Journaling using Machine Learning and Thematic Analysis. IEEE J Biomed Health Inform 2022; 26:3397-3408. [PMID: 35139031 DOI: 10.1109/jbhi.2022.3149862] [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: 11/08/2022]
Abstract
Over the years, there has been a global increase in the use of technology to deliver interventions for health and wellness, such as improving peoples mental health and resilience. An example of such technology is the Q-Life app which aims to improve peoples resilience to stress and adverse life events through various coping mechanisms, including journaling. Using a combination of sentiment and thematic analysis, this paper presents the results of analyzing 6023 journal entries from 755 users. We uncover both positive and negative factors that are associated with resilience. First, we apply two lexicon-based and eight machine learning (ML) techniques to classify journal entries into positive or negative sentiment polarity, and then compare the performance of these classifiers to determine the best performing classifier overall. Our results show that Support Vector Machine (SVM) is the best classifier overall, outperforming other ML classifiers and lexicon-based classifiers with a high F1-score of 89.7%. Second, we conduct thematic analysis of negative and positive journal entries to identify themes representing factors associated with resilience either negatively or positively, and to determine various coping mechanisms. Our findings reveal 14 negative themes such as stress, worry, loneliness, lack of motivation, sickness, relationship issues, as well as depression and anxiety. Also, 13 positive themes emerged including self-efficacy, gratitude, socialization, progression, relaxation, and physical activity. Seven (7) coping mechanisms are also identified including time management, quality sleep, and mindfulness. Finally, we reflect on our findings and suggest technological interventions that address the negative factors to promote resilience.
Collapse
|
49
|
Hai T, Climie EA. Positive Child Personality Factors in Children with ADHD. J Atten Disord 2022; 26:476-486. [PMID: 33666141 DOI: 10.1177/1087054721997562] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
OBJECTIVE Attention-Deficit/Hyperactivity Disorder (ADHD) is a prevalent neurodevelopmental disorder. While previous studies have shown substantial impact of ADHD across multiple domains, relatively little attention has been devoted to studying positive personality factors in individuals with ADHD. To address this, the current study examined strength-based factors in children with ADHD in relation to their social skills. METHOD Sixty-four children (aged 8-12 years) with ADHD completed questionnaires related to their social skills and strength-based factors (e.g., optimism, resilience, self-concept, and coping skills). RESULTS Findings indicated significant differences between different levels of social skills in children with ADHD, with children with higher social skills reporting higher levels of resiliency, greater behavioral competence, and greater prosocial attitudes than those with lower social skills. CONCLUSIONS The results highlight the importance of fostering strong social skills in children with ADHD, leading them to perceive themselves as competent and resilient.
Collapse
Affiliation(s)
- Tasmia Hai
- University of Alberta, Edmonton, AB, Canada
| | | |
Collapse
|
50
|
Wong RS, Tung KTS, Li X, Chui CS, Tso WWY, Lee TMC, Chan KL, Wing YK, Fu KW, Wong ICK, lp P. Examining family pre-pandemic influences on adolescent psychosocial wellbeing during the COVID-19 pandemic. CURRENT PSYCHOLOGY 2022:1-11. [PMID: 35095244 PMCID: PMC8783174 DOI: 10.1007/s12144-022-02736-5] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/16/2022] [Indexed: 11/21/2022]
Abstract
During the COVID-19 lockdown, with social distancing measures in place and a decrease in social activities, emotional states are more likely to be transferred between family members via increased interactions and communication. However, longitudinal evidence, particularly for early adolescents, is lacking. This study investigated family pre-pandemic influences on parental stress and adolescent psychosocial wellbeing during the COVID-19 pandemic. Data were collected from 233 adolescents and their parents before and during the initial phase of the pandemic. Parents reported their own stress level and perception of adolescent adjustment problems, whereas adolescents reported their own psychological distress level. In addition, adolescents also reported their satisfaction with family life in the pre-pandemic survey. Cross-lagged path models indicated reciprocal associations between parental stress and perception of adolescent adjustment problems. Compared to adolescents low in pre-pandemic family life satisfaction, those adolescents with higher levels of family life satisfaction before the pandemic reported lower levels of anxiety and stress only when parental stress showed no increase during the pandemic. Findings provide support for the mutual influences between parental stress and perceived adolescent adjustment problems during the pandemic. Special attention should be paid to those adolescents who undergo significant family life changes during the pandemic.
Collapse
Affiliation(s)
- Rosa S. Wong
- Department of Paediatrics and Adolescent Medicine, The University of Hong Kong, Hong Kong SAR, China
- Centre for Safe Medication Practice and Research, Department of Pharmacology and Pharmacy, The University of Hong Kong, Hong Kong SAR, China
| | - Keith T. S. Tung
- Department of Paediatrics and Adolescent Medicine, The University of Hong Kong, Hong Kong SAR, China
| | - Xue Li
- Department of Medicine, The University of Hong Kong, Hong Kong SAR, China
- Centre for Safe Medication Practice and Research, Department of Pharmacology and Pharmacy, The University of Hong Kong, Hong Kong SAR, China
| | - Celine S. Chui
- Centre for Safe Medication Practice and Research, Department of Pharmacology and Pharmacy, The University of Hong Kong, Hong Kong SAR, China
| | - Winnie W. Y. Tso
- Department of Paediatrics and Adolescent Medicine, The University of Hong Kong, Hong Kong SAR, China
- State Key Laboratory of Brain and Cognitive Sciences, The University of Hong Kong, Hong Kong SAR, China
| | - Tatia M. C. Lee
- State Key Laboratory of Brain and Cognitive Sciences, The University of Hong Kong, Hong Kong SAR, China
- Laboratory of Neuropsychology, The University of Hong Kong, Hong Kong SAR, China
| | - Ko Ling Chan
- Department of Applied Social Sciences, The Hong Kong Polytechnic University, Hong Kong SAR, China
| | - Yun K. Wing
- Department of Psychiatry, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong SAR, China
| | - King Wa Fu
- Journalism and Media Studies Centre, The University of Hong Kong, Pokfulam, Hong Kong SAR, China
| | - Ian C. K. Wong
- Centre for Safe Medication Practice and Research, Department of Pharmacology and Pharmacy, The University of Hong Kong, Hong Kong SAR, China
- Research Department of Practice and Policy, UCL School of Pharmacy, London, UK
| | - Patrick lp
- Department of Paediatrics and Adolescent Medicine, The University of Hong Kong, Hong Kong SAR, China
| |
Collapse
|