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Quan S, Fu C, Xing X, Wang M. A Daily Diary Study of the Reciprocal Relation between Parental Psychological Aggression and Adolescent Anxiety in China. J Youth Adolesc 2024:10.1007/s10964-024-02006-6. [PMID: 38767792 DOI: 10.1007/s10964-024-02006-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/27/2024] [Accepted: 05/02/2024] [Indexed: 05/22/2024]
Abstract
The daily reciprocal relations between parental psychological aggression and adolescent anxiety and the heterogeneity, i.e., whether these relations vary across different adolescents, remain unclear. This study examined this issue with a 15-day daily diary study among 326 Chinese adolescents (Mage = 14.53 years, SD = 0.60, 47.2% girls). Dynamic structural equation models revealed that parental psychological aggression co-fluctuated with adolescent anxiety within a day. For lagged associations, only father-driven effects were supported but not mother-driven effects, whereas child-driven effects were supported for both parents. These within-person associations were heterogeneous across adolescents. Moreover, adolescents with more parental psychological aggression reported higher anxiety. This study revealed the reciprocal relations between parental psychological aggression and adolescent anxiety at the micro timescale and also highlighted that the within-person associations were heterogeneous across different adolescents.
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Affiliation(s)
- Sixiang Quan
- Beijing Key Laboratory of Learning and Cognition, Research Center for Child Development, School of Psychology, Capital Normal University, Beijing, China
| | - Cong Fu
- Teacher Education Publication Section, Higher Education Press, Beijing, China
| | - Xiaopei Xing
- Beijing Key Laboratory of Learning and Cognition, Research Center for Child Development, School of Psychology, Capital Normal University, Beijing, China
| | - Meifang Wang
- Research Center for Child Development, College of Elementary Education, Capital Normal University, Beijing, China.
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Ye H, Chen C, Chen S, Jiang N, Cai Z, Liu Y, Li Y, Huang Y, Yu W, You R, Liao H, Fan F. Profiles of Intolerance of Uncertainty Among 108,540 Adolescents: Associations with Sociodemographic Variables and Mental Health. Child Psychiatry Hum Dev 2023:10.1007/s10578-023-01603-z. [PMID: 37659028 DOI: 10.1007/s10578-023-01603-z] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 08/28/2023] [Indexed: 09/05/2023]
Abstract
Intolerance of uncertainty (IU) is widely considered a transdiagnostic risk and maintaining factor for psychiatric disorders. However, little is known about the overall nature and profile of IU among adolescents. This study aims to investigate the profiles of IU among Chinese adolescents and explore their associations with sociodemographic characteristics and mental health problems. A sample of 108,540 adolescents provided data on IU, sociodemographic characteristics, and mental health via an online platform. Latent profile analysis revealed three profiles: Low IU, Medium IU, and High IU. Girls, older adolescents, and those with specific sociodemographics were more likely to belong to the "High IU" profile. Furthermore, the "High IU" profile was associated with the highest risk of several mental health problems. These findings provided valuable information for early prevention and intervention strategies targeting IU and highlighted the importance of IU-based interventions for mental health among adolescents.
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Affiliation(s)
- Haoxian Ye
- Centre for Studies of Psychological Applications, Guangdong Key Laboratory of Mental Health and Cognitive Science, Ministry of Education Key Laboratory of Brain Cognition and Educational Science, School of Psychology, South China Normal University, Shipai Road, Guangzhou, 510631, China
| | - Chunling Chen
- Centre for Studies of Psychological Applications, Guangdong Key Laboratory of Mental Health and Cognitive Science, Ministry of Education Key Laboratory of Brain Cognition and Educational Science, School of Psychology, South China Normal University, Shipai Road, Guangzhou, 510631, China
| | - Shiying Chen
- Centre for Studies of Psychological Applications, Guangdong Key Laboratory of Mental Health and Cognitive Science, Ministry of Education Key Laboratory of Brain Cognition and Educational Science, School of Psychology, South China Normal University, Shipai Road, Guangzhou, 510631, China
| | - Nan Jiang
- Centre for Studies of Psychological Applications, Guangdong Key Laboratory of Mental Health and Cognitive Science, Ministry of Education Key Laboratory of Brain Cognition and Educational Science, School of Psychology, South China Normal University, Shipai Road, Guangzhou, 510631, China
| | - Zifan Cai
- Centre for Studies of Psychological Applications, Guangdong Key Laboratory of Mental Health and Cognitive Science, Ministry of Education Key Laboratory of Brain Cognition and Educational Science, School of Psychology, South China Normal University, Shipai Road, Guangzhou, 510631, China
| | - Yixin Liu
- Centre for Studies of Psychological Applications, Guangdong Key Laboratory of Mental Health and Cognitive Science, Ministry of Education Key Laboratory of Brain Cognition and Educational Science, School of Psychology, South China Normal University, Shipai Road, Guangzhou, 510631, China
| | - Yunyi Li
- Centre for Studies of Psychological Applications, Guangdong Key Laboratory of Mental Health and Cognitive Science, Ministry of Education Key Laboratory of Brain Cognition and Educational Science, School of Psychology, South China Normal University, Shipai Road, Guangzhou, 510631, China
| | - Yike Huang
- Centre for Studies of Psychological Applications, Guangdong Key Laboratory of Mental Health and Cognitive Science, Ministry of Education Key Laboratory of Brain Cognition and Educational Science, School of Psychology, South China Normal University, Shipai Road, Guangzhou, 510631, China
| | - Wanqing Yu
- Centre for Studies of Psychological Applications, Guangdong Key Laboratory of Mental Health and Cognitive Science, Ministry of Education Key Laboratory of Brain Cognition and Educational Science, School of Psychology, South China Normal University, Shipai Road, Guangzhou, 510631, China
| | - Ruiyan You
- Centre for Studies of Psychological Applications, Guangdong Key Laboratory of Mental Health and Cognitive Science, Ministry of Education Key Laboratory of Brain Cognition and Educational Science, School of Psychology, South China Normal University, Shipai Road, Guangzhou, 510631, China
| | - Haiping Liao
- Centre for Studies of Psychological Applications, Guangdong Key Laboratory of Mental Health and Cognitive Science, Ministry of Education Key Laboratory of Brain Cognition and Educational Science, School of Psychology, South China Normal University, Shipai Road, Guangzhou, 510631, China
| | - Fang Fan
- Centre for Studies of Psychological Applications, Guangdong Key Laboratory of Mental Health and Cognitive Science, Ministry of Education Key Laboratory of Brain Cognition and Educational Science, School of Psychology, South China Normal University, Shipai Road, Guangzhou, 510631, China.
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Sun J, Wang S, Mu G, Liu J, Su R, Zhang X, Fang J, Wang Y. Symptoms of depression and anxiety in Chinese adolescents: heterogeneity and associations with executive function. BMC Psychiatry 2023; 23:410. [PMID: 37286986 DOI: 10.1186/s12888-023-04810-z] [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: 11/09/2022] [Accepted: 04/20/2023] [Indexed: 06/09/2023] Open
Abstract
BACKGROUND Depression and anxiety are common symptoms associated with significant morbidity in adolescents. Few studies have explored the relationship between latent profiles of adolescent depression-anxiety symptoms and executive function (EF), which is also a major pediatric public health concern. METHODS The sample included 1,306 participants who were recruited from two schools in Ningxia. The Depression Self-Rating Scale for Children (DSRSC) and the Screen for Child Anxiety Related Emotional Disorders (SCARED) were used to assess the level of depression-anxiety symptoms in adolescents, and their executive function state was assessed using the Behavior Rating Inventory of Executive Function-Self-Report version (BRIEF-SR). Latent profile analysis (LPA) was carried out using Mplus 7.0 to explore the most likely number of profiles based on the subscales of DSRSC and SCARED. The relationship between adolescents' executive function and depression-anxiety symptoms were analyzed by multivariable logistic regression, and the odds ratio were used to test the impact of this relationship. RESULTS The LPA results show that the three-profile model was the best-fitting model for adolescent depression and anxiety symptoms. The proportions of Profile-1 ("Healthy Group"), Profile-2 ("Anxiety Disorder Group"), and Profile-3 ("Depression-Anxiety Disorder Group") were 61.4%, 23.9%, and 14.7%, respectively. Additional analyses using multivariable logistic regression suggested that poor shifting capacity and emotional control were significantly more likely to be classified into the depression and/or anxiety groups, and worse working memory, task completion, and better inhibition were significantly more likely to be classified into the anxiety group. CONCLUSIONS The findings contribute to our understanding of the heterogeneity of adolescents' depression-anxiety symptoms and highlight the important role of executive function in influencing mental health outcomes. These findings will guide the improvement and delivery of interventions for the treatment of anxiety and depression in adolescents, mitigating functional impairments in patients and reducing disease risk.
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Affiliation(s)
- Jing Sun
- School of Nrising, Ningxia Medical University, No. 1106 South Shengli Street, Yinchuan, 750004, Ningxia, China
| | - Shaoxia Wang
- School of Nrising, Ningxia Medical University, No. 1106 South Shengli Street, Yinchuan, 750004, Ningxia, China
| | - Guoxia Mu
- School of Nrising, Ningxia Medical University, No. 1106 South Shengli Street, Yinchuan, 750004, Ningxia, China
| | - Jingru Liu
- School of Nrising, Ningxia Medical University, No. 1106 South Shengli Street, Yinchuan, 750004, Ningxia, China
| | - Rina Su
- School of Nrising, Ningxia Medical University, No. 1106 South Shengli Street, Yinchuan, 750004, Ningxia, China
| | - Xiang Zhang
- School of Nrising, Ningxia Medical University, No. 1106 South Shengli Street, Yinchuan, 750004, Ningxia, China
| | - Jianqun Fang
- Mental Health Center, General Hospital of Ningxia Medical University, No. 804 South Shengli Street, Yinchuan, 750004, Ningxia, China.
| | - Yanrong Wang
- School of Nrising, Ningxia Medical University, No. 1106 South Shengli Street, Yinchuan, 750004, Ningxia, China.
- Mental Health Center, General Hospital of Ningxia Medical University, No. 804 South Shengli Street, Yinchuan, 750004, Ningxia, China.
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A multilevel person-centered examination of students' learning anxiety and its relationship with student background and school factors. LEARNING AND INDIVIDUAL DIFFERENCES 2023. [DOI: 10.1016/j.lindif.2022.102253] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/23/2022]
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Wen X, Zhu F, Yuan Z, Mao Z. Relationship between physical activity, screen-related sedentary behaviors and anxiety among adolescents in less developed areas of China. Medicine (Baltimore) 2022; 101:e30848. [PMID: 36181048 PMCID: PMC9524945 DOI: 10.1097/md.0000000000030848] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/05/2023] Open
Abstract
This study aimed to explore the association between physical activity, screen-related sedentary behaviors, and anxiety. The current study used latent profile analysis (LPA) to identify homogenous subtypes of anxiety among adolescents in less-developed areas of China. Data were aggregated from 6 schools in the less-developed areas of China in September 2018. In total, 900 students were evaluated using the 100-item Mental Health Test (MHT) and Youth Risk Behavior Surveillance System (YRBSS) questionnaire. The LPA was conducted to explore the potential classification of anxiety, which makes full use of all the sample data and explore heterogeneous classifications within groups. Logistic regression was used for the multifactor analysis. A P value <.05 was considered statistically significant. The entropy value suggested that the model with 3 latent profile was the best choice. There were 223 adolescents in the severe anxiety group, accounting for 24.78%. Logistics regression analysis of anxiety revealed that the risk of severe anxiety in boys was lower (odds ratio [OR] = 0.317, P < .001) than in girls. Students had a significantly lower probability of suffering from severe anxiety in using cellphones or computers ≤ 2 hours/day than those used cellphones or computers>2 hours/day (OR = 0.391, P = .004). Decreasing screen-related sedentary behaviors should be a target of community and school-based interventions, because high screen-related sedentary behaviors were associated with higher odds of anxiety among adolescents in less developed area of China.
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Affiliation(s)
- Xiaotong Wen
- School of Public Health, Wuhan University, Wuhan, P.R. China
- Global Health Institute, Wuhan University, Wuhan, P.R. China
- School of Public Health, Jiangxi Province Key Laboratory of Preventive Medicine, Nanchang University, Nanchang, P.R. China
| | - Fuying Zhu
- School of Nursing, Nanchang University, Nanchang, P.R. China
| | - Zhaokang Yuan
- School of Public Health, Jiangxi Province Key Laboratory of Preventive Medicine, Nanchang University, Nanchang, P.R. China
| | - Zongfu Mao
- School of Public Health, Wuhan University, Wuhan, P.R. China
- Global Health Institute, Wuhan University, Wuhan, P.R. China
- * Correspondence: Zongfu Mao, School of Public Health, Wuhan University, Wuhan 430071, P.R. China (e-mail: )
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Latent Profiles of Posttraumatic Growth: 17 years After the Bam Earthquake in Iran. Disaster Med Public Health Prep 2022; 17:e127. [PMID: 35331363 DOI: 10.1017/dmp.2022.36] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
Abstract
OBJECTIVE Posttraumatic growth (PTG) is a positive psychological change after challenging life events. The purpose of this study was to investigate the effects of positive and long-term psychological changes in people who experienced the Bam earthquake. METHODS A total of 916 adolescents were surveyed 17 years after the earthquake. Self-report questionnaires were administered to participants. A latent profile analysis (LPA) was conducted to extract the subgroups of adults. RESULTS The LPA identified 5 meaningfully profiles that were characterized based on the pattern of PTG dimensions. The common profile was profile, which perceived very low "relating to others" dimension and medium for other PTG dimensions. Also, the results showed significant differences among gender and age and nonsignificant differences in marital status and education level among the profiles of PTG. CONCLUSIONS For stressful situations, the different dimensions of PTG change indirectly in every person. In Bam, some patterns are seen according to PTG after 17 y. Among these dimensions, the part of "relating to others", has the greatest change. Another conclusion is that according to a relatively high profile for 5 clusters, it seems the impact of 17 y should be less on PTG as the number of extractive patterns is approximately high for the case.
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Pulido-Martos M, Cortés-Denia D, El Ghoudani K, Luque-Reca O, Lopez-Zafra E. Socioemotional Resources and Mental Health in Moroccan Adolescents: A Person-Centered Approach. Front Psychol 2022; 13:830987. [PMID: 35282247 PMCID: PMC8914097 DOI: 10.3389/fpsyg.2022.830987] [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: 12/07/2021] [Accepted: 01/24/2022] [Indexed: 12/04/2022] Open
Abstract
Mixture modeling technics are not the one and only to perform person-centered analyses, but they do offer the possibility of integrating latent profiles into models of some complexity that include antecedents and results. When analyzing the contribution of socioemotional resources to the preservation of mental health, it is the variable-centered approaches that are the most often performed, with few examples using a person-centered approach. Moreover, if the focus is on the Arab adolescent population, to our knowledge, there is an absence of such studies. This study aims to extend the research about socioemotional resources by examining: (1) if distinguishable profiles can be identified based on scores about perceptions of different emotional abilities and levels of social support from different sources (e.g., parents, friends, and teachers/counselors); (2) if the identified profiles relate to mental health indicators, such as depression levels and health-related quality of life (HRQoL); and (3) to acknowledge if sociodemographic variables such as age or gender and positive self-views (self-esteem) ascertain the probability of pertaining to the identified profiles. The study was carried out on a large sample of Moroccan adolescents (N = 970). We adopted a person-centered approach using latent profile analysis (LPA) to establish whether different socioemotional resources profiles (e.g., emotional intelligence and social support) are present in Moroccan adolescents. Furthermore, we investigated the role of sociodemographic variables and self-esteem as antecedents of these profiles and the association of these profiles with mental health (depression and HRQoL). Results from LPA revealed three patterns of socioemotional resources (i.e., latent profiles): (1) “High socioemotional resources” (43.09%); (2) “Moderate socioemotional resources” (42.68%); and (3) “Low socioemotional resources” (14.23%). Analyses showed that Moroccan adolescents differed significantly in depression (cognitive-affective and somatic dimensions) and HRQoL depending on the profile membership. Profiles with higher levels of resources contributed positively to preserving mental health. Finally, the results show that self-esteem boosted the probability of pertaining to the profiles related to better mental health. Thus, this study extends previous research about socioemotional resources, highlighting that researchers and health professionals should consider empirically identified profiles of adolescents when explaining mental health outcomes. Therefore, the psychological intervention should be focused on enhancing the self-esteem of adolescents, to favor a high socioemotional resource profile, which results in better mental health.
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Affiliation(s)
- Manuel Pulido-Martos
- Department of Psychology, School of Humanities and Sciences of Education, University of Jaén, Jaén, Spain
- *Correspondence: Manuel Pulido-Martos,
| | - Daniel Cortés-Denia
- Department of Psychology, School of Humanities and Sciences of Education, University of Jaén, Jaén, Spain
| | - Karima El Ghoudani
- Higher School of Education and Training Berrechid, Hassan Premier University, Settat, Morocco
| | - Octavio Luque-Reca
- Department of Psychology, School of Health Sciences, Rey Juan Carlos University, Alcorcón, Spain
| | - Esther Lopez-Zafra
- Department of Psychology, School of Humanities and Sciences of Education, University of Jaén, Jaén, Spain
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Lu T, Yu Y, Zhao Z, Guo R. Mental Health and Related Factors of Adolescent Students During Coronavirus Disease 2019 (COVID-19) Pandemic. Psychiatry Investig 2022; 19:16-28. [PMID: 34986556 PMCID: PMC8795600 DOI: 10.30773/pi.2020.0416] [Citation(s) in RCA: 10] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/04/2020] [Accepted: 09/07/2021] [Indexed: 11/27/2022] Open
Abstract
OBJECTIVE Adolescents are at a special stage of physical and mental development, which is a susceptible period for mental disorders. Since the outbreak of coronavirus pneumonia in December 2019, long term stress may have negative effects on the mental health of the adolescents. In the context of the coronavirus disease 2019 (COVID-19), the study was designed to investigate the mental and psychological health of adolescents in China and its possible related factors. METHODS A cross-sectional study design was adopted using a structured questionnaire which were distributed through the Internet to measure depression, anxiety, life events and stress related factors. Descriptive statistics and multiple regression analyses were conducted to process the data. RESULTS The final sample comprised 795 adolescents. The total detection rate of depression was 76.48% and the total detection rate of anxiety was 33.08%. ANOVA showed that there were significant differences in depression scores in terms of gender, anxiety scores, history of mental disorders, COVID-19 knowledge reserve, family and social contradictions (p<0.05). And there were significant differences in anxiety scores in terms of gender, depression scores, mental health knowledge reserves, family and social contradictions (p<0.05). Multiple regression analysis showed that anxiety score, health status and COVID-19 knowledge reserve were positively associated with depression score (p<0.01), and history of psychosocial disorders was negatively associated with depression score (p<0.05); depression score, family and social contradictions were significantly positively correlated with anxiety score (p<0.01), and history of mental disorders was significantly negatively correlated with SDS score (p<0.01). CONCLUSION During the outbreak of COVID-19, adolescent students with better understanding of the pandemic, more complete knowledge of mental health, and better family and social relationship had less impact on their mental health. Therefore, to ensure a sound social support system, elaborate health instruction, and family communication and mutual understanding are conducive to alleviating the psychological stress caused by the epidemic, and it is positive for adolescent students to maintain a good mental health.
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Affiliation(s)
- Tian'ge Lu
- Second Affiliated Clinical Medical College, Beijing University of Chinese Medicine, Beijing, China
| | - Yao Yu
- Second Affiliated Clinical Medical College, Beijing University of Chinese Medicine, Beijing, China
| | - Zhonghui Zhao
- Second Affiliated Clinical Medical College, Beijing University of Chinese Medicine, Beijing, China
| | - Rongjuan Guo
- Second Affiliated Clinical Medical College, Beijing University of Chinese Medicine, Beijing, China
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Li J, Gong Y, Xie J, Tan Y. Relationship between users' perceptions of coolness and intention to use digital products: a user-centered approach. INFORMATION TECHNOLOGY & PEOPLE 2021. [DOI: 10.1108/itp-03-2020-0129] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
PurposeThe purpose of this study is to employ a user-centered approach to identify subgroups of people with similar profiles based on their perceptions of multiple dimensions of digital products' coolness and to test the differences across subgroups in the intention to use these products.Design/methodology/approachIn Study 1, 1,161 adults rated a virtual digital product on four dimensions of coolness. In Study 2, 660 college students made similar ratings and also reported their intention to use a real digital product. Participants' ratings were analyzed using a user-centered approach, namely latent profile analysis.FindingsStudy 1 identified groups of participants who had similar profiles of product ratings on the four dimensions of coolness: niche cool, mass cool, uncertain cool and uncool. Study 2 replicated the findings of Study 1 and in addition showed that these groups varied in their intention to use the product and in whether a specific dimension increased or decreased this intention.Research limitations/implicationsThe cross-sectional data preclude inferences about causality, calling for experimental or longitudinal research. Additionally, future research should explore whether the results generalize to other product categories and other age groups.Practical implicationsManagers should design digital products, segment the market and develop flexible strategies based on combined responses to dimensions of coolness perception.Originality/valueThe present research employed a user-centered approach to identify groups of people who share similar patterns of coolness perception. This study provides new insight that was not available in variable-centered research.
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Co-Developmental Trajectories of Specific Anxiety Symptoms from Middle Childhood to Early Adolescence: Associations with Psychological Well-Being and Academic Achievement. J Youth Adolesc 2021; 50:1140-1156. [PMID: 33675506 DOI: 10.1007/s10964-021-01411-5] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/19/2021] [Accepted: 02/01/2021] [Indexed: 01/02/2023]
Abstract
Different types of specific anxiety symptoms commonly co-occur but also display distinct developmental trajectories over time in children and adolescents. Nevertheless, little is known about the co-developmental trajectories of specific anxiety symptoms among youth during the transition into adolescence and how identified trajectories are associated with important psychological and academic outcomes. This study thus aimed to determine the (a) heterogeneous co-developmental trajectories of five specific anxiety symptoms (generalized anxiety, separation anxiety, social anxiety, school anxiety, and panic disorder) from middle childhood to early adolescence, and (b) associations between the identified, distinct trajectories and youth's psychological well-being and academic achievement. A total of 715 Chinese elementary school students (45.6% girls, Mage = 8.96, SD = 0.76) completed measures on six occasions across three years, using 6-month intervals. Parallel process latent class growth modeling revealed five distinct anxiety trajectory groups: "congruent-low" (49.8%), "moderately low with predominant social anxiety" (18.5%), "moderately low with predominant school anxiety" (12.6%), "moderately high with predominant generalized and social anxiety" (8.6%), and "congruent-high" (10.5%). The lowest psychological well-being and academic achievement were observed for youth who persistently experienced the co-occurrence of two or more specific anxiety symptoms, followed by those who persistently experienced one predominant anxiety symptom, and finally, youth who persistently experienced low levels of all five specific anxiety symptoms. The identification of five heterogeneous groups with differential outcomes highlights the importance of individual differences considerations in understanding the co-developmental patterns of specific anxiety symptoms from middle childhood to early adolescence and the need for more sophisticated intervention programs tailored to members of specific groups to promote optimal psychological well-being and academic success.
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Qin J, Ding Y, Gao J, Wu Y, Lv H, Wu J. Effects of COVID-19 on Mental Health and Anxiety of Adolescents Aged 13-16 Years: A Comparative Analysis of Longitudinal Data From China. Front Psychiatry 2021; 12:695556. [PMID: 34354615 PMCID: PMC8330831 DOI: 10.3389/fpsyt.2021.695556] [Citation(s) in RCA: 18] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/15/2021] [Accepted: 06/28/2021] [Indexed: 11/22/2022] Open
Abstract
Background: Adolescence is an important stage of psychological development, and the psychological and mental problems of many adults are affected by the COVID-19 epidemic. The aim of this study was to understand the psychological status of this group during the epidemic, and to determine the risk factors leading to psychological stress, as well as protective factors. Methods: An online survey was run on April 2, 2020. The participants were 254 adolescents aged 13-16 years from a junior high school in Jiangsu, China. The results were compared with the pre-epidemic data, which came from the psychological status survey routinely carried out by the school. Mental health variables were assessed via the Mental Health Test that included one validity subscale and eight content subscales. Results: The number of adolescents with poor mental health increased significantly from 12.3 to 24.2%. There was significant increase in learning anxiety (33.7 vs. 56.4%), sensitivity tendency (19.8 vs. 46%), somatic anxiety (13.9 vs. 40.7%) and phobia tendency (4.4 vs. 10.1%). During the epidemic, there were significant differences between adolescents with normal and poor mental health in family structure, personality, relationship with siblings, daily exercise time, and risk of family members coming in contact with COVID-19. Living in stem family, no siblings, and risk of contracting COVID-19 from family members were significant risk factors for teenagers with poor mental health. Risk of contracting COVID-19 from family members was the most influential risk factor for learning anxiety, self-blaming tendency, sensitivity tendency, and somatic anxiety. Exercising for ≥1 h per day was a significant protective factor for poor mental health. Conclusions: During the COVID-19 epidemic, adolescents aged 13-16 years have had psychosocial problems, especially learning anxiety, sensitivity tendency, somatic anxiety, and phobia tendency, as well as risk factors for developing them. Our study provides insights for potential interventions.
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Affiliation(s)
- Jie Qin
- Department of Pediatrics, The Fourth Affiliated Hospital of Nantong University, Yancheng City, China.,Department of Pediatrics, The First People's Hospital of Yancheng, Yancheng City, China
| | - Yueyue Ding
- Department of Cardiology, Children's Hospital of Soochow University, Suzhou, China
| | - Jing Gao
- Junior High, Suzhou International Academy, Beijing Foreign Studies University (BFSU), Suzhou, China
| | - Yun Wu
- Yancheng Primary School, Yancheng, China
| | - Haitao Lv
- Department of Cardiology, Children's Hospital of Soochow University, Suzhou, China
| | - Jian Wu
- Department of Clinical Laboratory, The Affiliated Suzhou Hospital of Nanjing Medical University, Suzhou Municipal Hospital, Gusu School, Nanjing Medical University, Suzhou, China
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Liao H, Pan M, Li W, Lin C, Zhu X, Li X, Li J, Zhou S. Latent profile analysis of anxiety disorder among left-behind children in rural Southern China: a cross-sectional study. BMJ Open 2019; 9:e029331. [PMID: 31221893 PMCID: PMC6589011 DOI: 10.1136/bmjopen-2019-029331] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/18/2023] Open
Abstract
OBJECTIVES Previous studies have used latent profile analysis (LPA) to examine rural left-behind children's anxiety. Further study is needed to identify the heterogeneous characteristics of rural left-behind children's anxiety and explore the related factors. SETTING A cross-sectional survey using a school-based sample was conducted in January 2018 in Qingxin district, Qingyuan city, Guangdong province. PARTICIPANTS 1026 left-behind children (effective response rate of the questionnaire: 95.39%). MAIN OUTCOME MEASURES Profile latent classes (LC) and anxiety disorder. RESULTS The LPA identified three anxiety LC: 'low anxiety' (56.6%), 'medium anxiety' (34.8%) and 'severe anxiety' (8.6%). The multinomial logistic regression model was used to predict the relationship between personal, family, school factors and anxiety. We found that the variables directly related to lower anxiety classes included age (12-14 years), harmonious or fair relationship with classmates, no neglect, harmonious parental relationship and the duration of mother migration <6 months. CONCLUSIONS These findings suggested the need for careful consideration of differences in anxieties among rural left-behind children. Identifying latent subgroups may provide an empirical basis for teachers and public health practitioners to implement anxiety intervention efforts.
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Affiliation(s)
- Haining Liao
- Guangdong Pharmaceutical University, Guangzhou, China
| | - Minyi Pan
- Guangdong Pharmaceutical University, Guangzhou, China
| | - Weinan Li
- Guangdong Pharmaceutical University, Guangzhou, China
| | - Changqi Lin
- Guangdong Pharmaceutical University, Guangzhou, China
| | - Xuhao Zhu
- Qingyuan Center for Disease Control and Prevention, Qingyuan, China
| | - Xingru Li
- Qingyuan Qingxin District Center for Disease Control and Prevention, Qingyuan, China
| | - Jinghua Li
- Qingyuan Qingxin District Center for Disease Control and Prevention, Qingyuan, China
| | - Shudong Zhou
- Guangdong Pharmaceutical University, Guangzhou, China
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