1
|
Zhou R, Ye M, OuYang X, Zhang S, Zheng S, Wang R, Cao P, Yang K, Zhou X. Insomnia and aggression in stable schizophrenic patients: The mediating role of quality of life. Schizophr Res 2024; 267:122-129. [PMID: 38531159 DOI: 10.1016/j.schres.2024.03.024] [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: 09/07/2023] [Revised: 02/24/2024] [Accepted: 03/17/2024] [Indexed: 03/28/2024]
Abstract
Aggression in schizophrenia patients is an issue of concern. Previous studies have shown that aggression in schizophrenia patients may be related to insomnia and quality of life to different extents. This study aimed to explore the potential mediating role of quality of life in the relationship between aggression and insomnia among schizophrenia patients. Demographic factors affecting aggression in schizophrenia patients were also explored. PATIENTS AND METHODS A total of 781 stable patients aged 18-75 who met the ICD10 diagnosis of "schizophrenia" completed the completed questionnaire. Aggression was assessed using the Modified Overt Aggression Scale (MOAS), sleep was assessed using the Insomnia Severity Index Scale (ISI), and quality of life was assessed using the five Likert options. Descriptive statistics and correlation analysis examined the correlation between aggression and other variables. The mediating role of quality of life in the association between insomnia and aggression was examined by pathway analysis. RESULTS A total of 781 patients participated in this study, and approximately 16 % of the schizophrenia patients were aggressive. According to the mediation analysis, the direct effect of insomnia on aggression was 0.147, and the mediating effect of quality of life on insomnia and aggression was 0.021. Specifically, for the four dimensions of the MOAS, the direct effects of insomnia on verbal aggression, aggression toward property, and aggression toward oneself were 0.028, 0.032, and 0.023, respectively, with mediating effects of 0.003, 0.007, and 0.006, respectively, and no mediating effect on physical aggression was found. CONCLUSION This study showed that insomnia significantly influenced aggression in schizophrenia patients. Quality of life significantly mediated insomnia and aggression and played a vital role in moderating aggression. Therefore, we suggest that in the future, improving aggression in schizophrenia patients, while paying attention to the importance of sleep, could start with improving quality of life to address this problem from multiple perspectives.
Collapse
Affiliation(s)
- Ruochen Zhou
- School of Mental Health and Psychological Sciences, Anhui Medical University, Hefei City, People's Republic of China; Chaohu Hospital of Anhui Medical University, Hefei City, People's Republic of China; Department of Psychiatry, Chaohu Hospital of Anhui Medical University, Hefei City, People's Republic of China
| | - Mengting Ye
- School of Mental Health and Psychological Sciences, Anhui Medical University, Hefei City, People's Republic of China; Chaohu Hospital of Anhui Medical University, Hefei City, People's Republic of China; Department of Psychiatry, Chaohu Hospital of Anhui Medical University, Hefei City, People's Republic of China
| | - Xu OuYang
- School of Mental Health and Psychological Sciences, Anhui Medical University, Hefei City, People's Republic of China; Chaohu Hospital of Anhui Medical University, Hefei City, People's Republic of China
| | - ShaoFei Zhang
- School of Mental Health and Psychological Sciences, Anhui Medical University, Hefei City, People's Republic of China; Chaohu Hospital of Anhui Medical University, Hefei City, People's Republic of China
| | - SiYuan Zheng
- School of Mental Health and Psychological Sciences, Anhui Medical University, Hefei City, People's Republic of China; Chaohu Hospital of Anhui Medical University, Hefei City, People's Republic of China; Department of Psychiatry, Chaohu Hospital of Anhui Medical University, Hefei City, People's Republic of China
| | - Ruoqi Wang
- School of Mental Health and Psychological Sciences, Anhui Medical University, Hefei City, People's Republic of China; Chaohu Hospital of Anhui Medical University, Hefei City, People's Republic of China; Department of Psychiatry, Chaohu Hospital of Anhui Medical University, Hefei City, People's Republic of China
| | - Panpan Cao
- School of Mental Health and Psychological Sciences, Anhui Medical University, Hefei City, People's Republic of China; Chaohu Hospital of Anhui Medical University, Hefei City, People's Republic of China; Department of Psychiatry, Chaohu Hospital of Anhui Medical University, Hefei City, People's Republic of China
| | - Kefei Yang
- School of Mental Health and Psychological Sciences, Anhui Medical University, Hefei City, People's Republic of China; Chaohu Hospital of Anhui Medical University, Hefei City, People's Republic of China; Department of Psychiatry, Chaohu Hospital of Anhui Medical University, Hefei City, People's Republic of China
| | - Xiaoqin Zhou
- Department of Psychology and Sleep Medicine, the Second Affiliated Hospital of Anhui Medical University, Hefei City, People's Republic of China; School of Mental Health and Psychological Sciences, Anhui Medical University, Hefei City, People's Republic of China.
| |
Collapse
|
2
|
Liu F, Duan H, Hou Y, Zhang B, Wu J, Guo L. The Relationship Between Physical Exercise and Aggressive Behavior Among College Students: The Mediating Roles of Life Satisfaction, Meaning in Life, and Depression. Psychol Res Behav Manag 2024; 17:305-315. [PMID: 38292255 PMCID: PMC10826577 DOI: 10.2147/prbm.s450326] [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: 11/23/2023] [Accepted: 01/18/2024] [Indexed: 02/01/2024] Open
Abstract
Purpose The deleterious impact of aggressive behavior on college students necessitates urgent mitigation. To explore the influencing factors and underlying mechanisms of aggressive behaviors among college students, this study aims to validate the mediating roles of life satisfaction, meaning in life, and depression by examining the relationship between physical exercise and aggressive behaviors among college students. Methods The Physical Activity Rating Scale-3 (PARS-3), Satisfaction with Life Scale, Meaning in Life Questionnaire, Chinese Version DASS-21 and 12-item Perception of Aggression Scale (POAS) were tested on 1596 college students from three universities in western China, and SPSS 26.0 and Mplus 8.3 were used for analysis. Results Physical exercise exhibited a significant negative correlation with both aggressive behaviors and depression among college students (r = -0.57, P < 0.001; r = -0.36, P < 0.001), as well as a significant positive correlation with life satisfaction and meaning in life (r = 0.45, P < 0.001; r = 0.27, P < 0.001). Regarding the impact of physical exercise on aggressive behaviors among college students, the mediating effects of life satisfaction, meaning in life, and depression were significant. The respective effect sizes were -0.11, -0.08, and -0.03. The chain mediation effect of life satisfaction through depression was also found to be significant, with an effect size of -0.02. Conclusion This study elucidates the mechanistic pathways through which physical exercise influences aggressive behavior among college students. The relationship between physical exercise and aggressive behavior is influenced by the individual mediating effects of life satisfaction, meaning in life, and depression, as well as the chain mediation effect of life satisfaction through depression. These findings provide a novel perspective on the prevention and intervention of aggressive behaviors among college students in China and potentially worldwide. This suggests that more attention should be paid to the organic combination of students' physical activity and mental health education.
Collapse
Affiliation(s)
- Feiyang Liu
- School of Physical Education, Southwest University, Chongqing, People’s Republic of China
| | - Huicun Duan
- Research Center of Psychology and Social Development, Southwest University, Chongqing, People’s Republic of China
| | - Yongqing Hou
- Faculty of Psychology, Southwest University, Chongqing, People’s Republic of China
| | - Bohua Zhang
- Faculty of Psychology, Southwest University, Chongqing, People’s Republic of China
| | - Jinlong Wu
- School of Physical Education, Southwest University, Chongqing, People’s Republic of China
| | - Liya Guo
- School of Physical Education, Southwest University, Chongqing, People’s Republic of China
| |
Collapse
|
3
|
Chen Q, Gao Y, Zhang Y. A moderated mediation model of implicit theories of intelligence and life satisfaction among Chinese adolescents. SCHOOL PSYCHOLOGY INTERNATIONAL 2022. [DOI: 10.1177/01430343221104228] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Although life satisfaction is critical for adolescents’ emotional, social, and educational functioning and positive development, social cognitive roles in adolescents’ life satisfaction and potential underlying processes are less known. The present study aimed to explore the effect of implicit theories of intelligence on adolescent life satisfaction and their potential mechanisms. A moderated mediation model was constructed to investigate the mediating role of career exploration and the moderating role of career-specific parental support. Data were collected from 443 10th grade high-school students in Sichuan, China. Results revealed that career exploration fully mediated the positive relationship between implicit theories of intelligence and life satisfaction, while career-specific parental support moderated the relationship between career exploration and life satisfaction. These findings highlight the value of exploring social-cognition and career-related factors in life satisfaction.
Collapse
Affiliation(s)
- Qiuxu Chen
- Department of Educational Technology, School of Smart Education, Jiangsu Normal University, Xuzhou, China
| | - Yidan Gao
- Department of Educational Technology, School of Smart Education, Jiangsu Normal University, Xuzhou, China
| | - Yuchi Zhang
- Department of Educational Technology, School of Smart Education, Jiangsu Normal University, Xuzhou, China
| |
Collapse
|
4
|
The Mediating Role of School and Sibling Bullying in the Relationship between Subjective Well-Being and Mental Health Symptoms. PSYCH 2022. [DOI: 10.3390/psych4020022] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Recently, empirical studies have indicated an association between well-being and mental health. The nature of this association remains unclear since some studies suggest it is weak, whilst others indicate it is strong. The present study seeks to contribute to this dialogue by modelling not only the relationship between well-being and internalising and externalising mental health symptoms but also by introducing a mediation model where school and sibling bullying, as risk factors, are acting as mediators. A national sample of 1244 youth (Mage = 12.47, SD = 1.69) from the Understanding Society household panel study in the UK was utilised to estimate the structural equation model. The findings showed that the direct effect of well-being on internalising symptoms was negative and strong, whereas it was negative and moderate on externalising symptoms. Furthermore, the pattern of indirect effects from subjective well-being to internalising and externalising mental health symptoms displayed some differences in the level of statistical significance and strength. Implications for policy and practice are discussed.
Collapse
|
5
|
Zhu X, Shek DTL. Predictive Effect of Positive Youth Development Attributes on Delinquency Among Adolescents in Mainland China. Front Psychol 2020; 11:615900. [PMID: 33381073 PMCID: PMC7768043 DOI: 10.3389/fpsyg.2020.615900] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/10/2020] [Accepted: 11/23/2020] [Indexed: 12/24/2022] Open
Abstract
The general proposition of the positive youth development (PYD) approach is that developmental assets such as psychosocial competence can promote healthy adolescent development and reduce problem behavior. Despite that many Western studies have shown that PYD attributes are negatively related to adolescent delinquency, not all empirical findings support the negative associations. Although different dimensions of PYD attributes may bear differential relationships with delinquency, this possibility has not been properly examined so far. In addition, related studies in mainland China do not exist. Finally, the possible mediating role of life satisfaction in linking PYD attributes to delinquency has rarely been studied. To address the research gaps and understand how PYD attributes are associated with adolescent delinquency and the underlying mediating effect of life satisfaction, matched longitudinal data were collected from 2,648 mainland Chinese secondary school students (1,109 girls, Mean age = 13.12 ± 0.81 years at Wave 1) at two waves which were separated by one year. On each occasion, participants completed a questionnaire containing validated measures of PYD attributes, life satisfaction, and delinquency. Congruent with the general theoretical prediction of the PYD approach, different PYD attributes were inversely related to concurrent and future adolescent delinquency in separate regression analyses. In addition, the negative predictions were mediated by life satisfaction. When all PYD attributes were included in a single path analysis model, three findings were observed. First, two PYD dimensions, including self-identity and general PYD attributes, showed robust negative predictions on delinquency via life satisfaction. Second, prosocial attributes displayed a weak and unstable negative predictive effect. Third, cognitive-behavioral competence showed an unexpected positive predictive effect on delinquency directly or via its negative effects on life satisfaction. The present findings add value to the existing literature by revealing the predictive role of PYD attributes on life satisfaction and delinquency among mainland Chinese adolescents. The findings also reinforce the importance of investigating individual dimensions of PYD attributes simultaneously in the research field. The present study suggests that it is promising to cultivate PYD attributes as a strategy to reduce delinquency among adolescents in mainland China.
Collapse
Affiliation(s)
- Xiaoqin Zhu
- Department of Applied Social Sciences, The Hong Kong Polytechnic University, Kowloon, Hong Kong
| | - Daniel T L Shek
- Department of Applied Social Sciences, The Hong Kong Polytechnic University, Kowloon, Hong Kong
| |
Collapse
|